Role of multislice computed tomography in the differential diagnosis of right iliac tumors and inflammatory diseases
https://doi.org/10.20862/0042-4676-2015-0-2-35-41
Abstract
Objective: to determine the capabilities of multislice computed tomography (MSCT) in the differential diagnosis of tumors and inflammatory diseases of the cecum, appendix, and ascending colon.
Material and methods. The investigation analyzed the complete data of medical records and the results of diagnosis in the patients admitted in 2009 to 2013 to the Treatment and
Rehabilitation Center for right iliac pains. The results of MSCT were compared with those of histological verification.
Results. The sensitivity and specificity of MSCT for diagnosing right iliac tumors were 97.6 and 97.8%, respectively. Those of MSCT for diagnosing right iliac inflammatory diseases were 95.1 and 97.3%, respectively. The investigation showed that the accuracy of MSCT for diagnosing right iliac tumors and inflammatory diseases was 94.1%.
Conclusion. MSCT is the method of choice in the diagnosis and differential diagnosis of right iliac tumors and inflammatory diseases.
Material and methods. The investigation analyzed the complete data of medical records and the results of diagnosis in the patients admitted in 2009 to 2013 to the Treatment and
Rehabilitation Center for right iliac pains. The results of MSCT were compared with those of histological verification.
Results. The sensitivity and specificity of MSCT for diagnosing right iliac tumors were 97.6 and 97.8%, respectively. Those of MSCT for diagnosing right iliac inflammatory diseases were 95.1 and 97.3%, respectively. The investigation showed that the accuracy of MSCT for diagnosing right iliac tumors and inflammatory diseases was 94.1%.
Conclusion. MSCT is the method of choice in the diagnosis and differential diagnosis of right iliac tumors and inflammatory diseases.
About the Authors
M. V. Lisitskaya
Federal Center of Treatment and Rehabilitation, Ministry of Health of the RF
Russian Federation
Radiologist
Russian Federation
Radiologist
V. E. Sinitsyn
Federal Center of Treatment and Rehabilitation, Ministry of Health of the RF
Russian Federation
MD, PhD, DSc, Professor, Director of Center of Radiology of Federal Center of Treatment and Rehabilitation
Russian Federation
MD, PhD, DSc, Professor, Director of Center of Radiology of Federal Center of Treatment and Rehabilitation
References
1. Hoeffel C., Crema M., Belkacem A., Azizi L., Lewin M., Arrivй L., Tubiana J. Multi-detector row CT: spectrum of diseases involving the ileocecal area. Radiographics. 2006; 26 (5): 1373–90.
2. Jones G.E., Kreckler S., Shah A., Stechman M.J., Handa A. Increased use of laparoscopy in acute right iliac fossa pain – is it good for patients? Colorectal. Dis. 2012; 14 (2): 237–42.
3. Heller M.T., Hattoum A. Imaging of acute right lower quadrant abdominal pain: differential diagnoses beyond appendicitis. Emerg. Radiol. 2012; 19 (1): 61–73.
4. Khan S.A., Khokhar H.A., Nasr A.R., Carton E. Incidence of right-sided colonic tumors (non-appendiceal) in patient's ≥40 years of age presenting with features of acute appendicitis. Int. J. Surg. 2013; 11 (4): 301–4.
5. Roccarina D., Garcovich M., Ainora M.E., Caracciolo G., Ponziani F., Gasbarrini A., Zocco M.A. Diagnosis of bowel diseases: The role of imaging and ltrasonography. World J. Gastroenterol. 2013; 19 (14): 2144–53.
6. Sezer T.O., Gulece B., Zalluhoglu N., Gorgun M., Dogan S. Diagnostic value of ultrasonography in appendicitis. Adv. Clin. Exp. Med. 2012; 21 (5): 633–6.
7. Gale M.E., Birnbaum S., Gerzof S.G., Sloan G., Johnson W.C., Robbins A.H. CT appearance of appendicitis and its local complications. J. Comput. Assist. Tomogr. 1985; 9 (1): 34–7.
8. Fisher J.K. Abnormal colonic wall thickening on computed tomography. J. Comput. Assist. Tomogr. 1983; 7 (1): 90–7.
9. Pickhardt P.J., Lawrence E.M., Pooler B.D., Bruce R.J. Diagnostic performance of multidetector computed tomography for suspected acute appendicitis. Ann. Intern.Med. 2011; 21; 154 (12): 789–96.
10. Liese J., Halbinger T.M., Ulrich F., Bechstein W.O., Strey C.W. Appendicitis – the balance between cost effectiveness and safety remains challenging. Langenbecks Arch. Surg. 2014; 399 (4): 493–501.
11. Bendeck S.E., Nino-Murcia M., Berry G.J., Jeffrey R.B. Imaging for suspected appendicitis: negative appendectomy and perforation rates. Radiology. 2002; 225 (1): 131–6.
12. Kim S.Y., Lee K.H., Kim K., Kim T.Y., Lee H.S., Hwang S. et al. Acute appendicitis in young adults: lowversus standard radiation dose contrast-enhanced abdominal CT for diagnosis. Radiology. 2011; 260: 437–45.
13. Lim M., Hussain Z., Howe A., Storey R., Petty D., Haselden J. et al. The oncological outcome after right hemicolectomy and accuracy of CT scan as a preoperative tool for staging in right sided colonic cancers. Colorectal Dis. 2013; 15 (5): 536–43.
Review
For citations:
Lisitskaya M.V., Sinitsyn V.E. Role of multislice computed tomography in the differential diagnosis of right iliac tumors and inflammatory diseases. Journal of radiology and nuclear medicine. 2015;(2):35-41. (In Russ.) https://doi.org/10.20862/0042-4676-2015-0-2-35-41
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