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MDCT in the Setting of Suspected Colonic Diverticulitis: Prevalence and Diagnostic Yield for Diverticulitis and Alternative Diagnoses

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MDCT in the Setting of Suspected Colonic Diverticulitis: Prevalence and Diagnostic Yield for Diverticulitis and Alternative Diagnoses. / Weinrich, Julius Matthias; Bannas, Peter; Avanesov, Maxim; Schlichting, Franziska; Schmitz, Leonie; Adam, Gerhard; Henes, Frank Oliver.

in: AM J ROENTGENOL, Jahrgang 215, Nr. 1, 07.2020, S. 39-49.

Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung

Harvard

Weinrich, JM, Bannas, P, Avanesov, M, Schlichting, F, Schmitz, L, Adam, G & Henes, FO 2020, 'MDCT in the Setting of Suspected Colonic Diverticulitis: Prevalence and Diagnostic Yield for Diverticulitis and Alternative Diagnoses', AM J ROENTGENOL, Jg. 215, Nr. 1, S. 39-49. https://doi.org/10.2214/AJR.19.21852

APA

Weinrich, J. M., Bannas, P., Avanesov, M., Schlichting, F., Schmitz, L., Adam, G., & Henes, F. O. (2020). MDCT in the Setting of Suspected Colonic Diverticulitis: Prevalence and Diagnostic Yield for Diverticulitis and Alternative Diagnoses. AM J ROENTGENOL, 215(1), 39-49. https://doi.org/10.2214/AJR.19.21852

Vancouver

Weinrich JM, Bannas P, Avanesov M, Schlichting F, Schmitz L, Adam G et al. MDCT in the Setting of Suspected Colonic Diverticulitis: Prevalence and Diagnostic Yield for Diverticulitis and Alternative Diagnoses. AM J ROENTGENOL. 2020 Jul;215(1):39-49. https://doi.org/10.2214/AJR.19.21852

Bibtex

@article{e74d3a6c231f4680976e6537a42e4299,
title = "MDCT in the Setting of Suspected Colonic Diverticulitis: Prevalence and Diagnostic Yield for Diverticulitis and Alternative Diagnoses",
abstract = "OBJECTIVE. The purpose of this study was to determine the prevalence and demographic distribution of colonic diverticulitis (CD) and alternative diagnoses (AD), as well as the diagnostic accuracy of MDCT in patients with suspected CD. MATERIALS AND METHODS. This study retrospectively included 1069 patients (560 women) undergoing MDCT for the evaluation of suspected CD. The prevalence of CD and AD was determined and the diagnostic accuracy of MDCT calculated. The final clinical diagnosis derived from the discharge report served as the standard of reference. Prevalence of diagnoses by age, sex, and admission status were compared using Cochran-Armitage, chi-square, and Fisher exact tests. RESULTS. Prevalence of CD was 52.5% (561/1069) and of AD was 39.9% (427/1069). In the remaining 7.6% (81/1069) no final clinical diagnosis was established. The most frequent AD were appendicitis (12.6%, 54/427), infectious colitis (10.5%, 45/427), infectious gastroenteritis (8.2%, 35/427), urolithiasis (6.1%, 26/427), and pyelonephritis (4.9%, 21/427). The prevalence of diverticulitis and AD varied statistically significantly according to both age (p < 0.001) and admission status (p < 0.001). Also, the prevalence of the 10 most frequent specific AD varied statistically significantly according to sex (p = 0.022). CT had a sensitivity and specificity of 99.1% and 99.8% for diagnosing CD and 92.7% and 98.8% for AD, respectively. CONCLUSION. In about 40% of patients with suspected diverticulitis a broad spectrum of AD is causative for symptoms. MDCT provides high diagnostic accuracy in the diagnosis of diverticulitis and AD. The prevalence of diagnoses is related to admission status and demographic data; in particular age-related AD have to be considered in patients with clinically suspected diverticulitis.",
keywords = "Adult, Aged, Aged, 80 and over, Contrast Media, Diagnosis, Differential, Diverticulitis, Colonic/diagnostic imaging, Female, Germany/epidemiology, Humans, Iopamidol/analogs & derivatives, Male, Middle Aged, Multidetector Computed Tomography/methods, Prevalence, Retrospective Studies, Sensitivity and Specificity",
author = "Weinrich, {Julius Matthias} and Peter Bannas and Maxim Avanesov and Franziska Schlichting and Leonie Schmitz and Gerhard Adam and Henes, {Frank Oliver}",
year = "2020",
month = jul,
doi = "10.2214/AJR.19.21852",
language = "English",
volume = "215",
pages = "39--49",
journal = "AM J ROENTGENOL",
issn = "0361-803X",
publisher = "American Roentgen Ray Society",
number = "1",

}

RIS

TY - JOUR

T1 - MDCT in the Setting of Suspected Colonic Diverticulitis: Prevalence and Diagnostic Yield for Diverticulitis and Alternative Diagnoses

AU - Weinrich, Julius Matthias

AU - Bannas, Peter

AU - Avanesov, Maxim

AU - Schlichting, Franziska

AU - Schmitz, Leonie

AU - Adam, Gerhard

AU - Henes, Frank Oliver

PY - 2020/7

Y1 - 2020/7

N2 - OBJECTIVE. The purpose of this study was to determine the prevalence and demographic distribution of colonic diverticulitis (CD) and alternative diagnoses (AD), as well as the diagnostic accuracy of MDCT in patients with suspected CD. MATERIALS AND METHODS. This study retrospectively included 1069 patients (560 women) undergoing MDCT for the evaluation of suspected CD. The prevalence of CD and AD was determined and the diagnostic accuracy of MDCT calculated. The final clinical diagnosis derived from the discharge report served as the standard of reference. Prevalence of diagnoses by age, sex, and admission status were compared using Cochran-Armitage, chi-square, and Fisher exact tests. RESULTS. Prevalence of CD was 52.5% (561/1069) and of AD was 39.9% (427/1069). In the remaining 7.6% (81/1069) no final clinical diagnosis was established. The most frequent AD were appendicitis (12.6%, 54/427), infectious colitis (10.5%, 45/427), infectious gastroenteritis (8.2%, 35/427), urolithiasis (6.1%, 26/427), and pyelonephritis (4.9%, 21/427). The prevalence of diverticulitis and AD varied statistically significantly according to both age (p < 0.001) and admission status (p < 0.001). Also, the prevalence of the 10 most frequent specific AD varied statistically significantly according to sex (p = 0.022). CT had a sensitivity and specificity of 99.1% and 99.8% for diagnosing CD and 92.7% and 98.8% for AD, respectively. CONCLUSION. In about 40% of patients with suspected diverticulitis a broad spectrum of AD is causative for symptoms. MDCT provides high diagnostic accuracy in the diagnosis of diverticulitis and AD. The prevalence of diagnoses is related to admission status and demographic data; in particular age-related AD have to be considered in patients with clinically suspected diverticulitis.

AB - OBJECTIVE. The purpose of this study was to determine the prevalence and demographic distribution of colonic diverticulitis (CD) and alternative diagnoses (AD), as well as the diagnostic accuracy of MDCT in patients with suspected CD. MATERIALS AND METHODS. This study retrospectively included 1069 patients (560 women) undergoing MDCT for the evaluation of suspected CD. The prevalence of CD and AD was determined and the diagnostic accuracy of MDCT calculated. The final clinical diagnosis derived from the discharge report served as the standard of reference. Prevalence of diagnoses by age, sex, and admission status were compared using Cochran-Armitage, chi-square, and Fisher exact tests. RESULTS. Prevalence of CD was 52.5% (561/1069) and of AD was 39.9% (427/1069). In the remaining 7.6% (81/1069) no final clinical diagnosis was established. The most frequent AD were appendicitis (12.6%, 54/427), infectious colitis (10.5%, 45/427), infectious gastroenteritis (8.2%, 35/427), urolithiasis (6.1%, 26/427), and pyelonephritis (4.9%, 21/427). The prevalence of diverticulitis and AD varied statistically significantly according to both age (p < 0.001) and admission status (p < 0.001). Also, the prevalence of the 10 most frequent specific AD varied statistically significantly according to sex (p = 0.022). CT had a sensitivity and specificity of 99.1% and 99.8% for diagnosing CD and 92.7% and 98.8% for AD, respectively. CONCLUSION. In about 40% of patients with suspected diverticulitis a broad spectrum of AD is causative for symptoms. MDCT provides high diagnostic accuracy in the diagnosis of diverticulitis and AD. The prevalence of diagnoses is related to admission status and demographic data; in particular age-related AD have to be considered in patients with clinically suspected diverticulitis.

KW - Adult

KW - Aged

KW - Aged, 80 and over

KW - Contrast Media

KW - Diagnosis, Differential

KW - Diverticulitis, Colonic/diagnostic imaging

KW - Female

KW - Germany/epidemiology

KW - Humans

KW - Iopamidol/analogs & derivatives

KW - Male

KW - Middle Aged

KW - Multidetector Computed Tomography/methods

KW - Prevalence

KW - Retrospective Studies

KW - Sensitivity and Specificity

U2 - 10.2214/AJR.19.21852

DO - 10.2214/AJR.19.21852

M3 - SCORING: Journal article

C2 - 32319796

VL - 215

SP - 39

EP - 49

JO - AM J ROENTGENOL

JF - AM J ROENTGENOL

SN - 0361-803X

IS - 1

ER -