Hanfei Zhang1, Meiyan Liao2, Jie Chen1, Dongyong Zhu1, Sama Byanju1. 1. Department of Radiology, ZhongNan Hospital of Wuhan University, 169 Donghu Rd, Wuchang, 430071, Wuhan, China. 2. Department of Radiology, ZhongNan Hospital of Wuhan University, 169 Donghu Rd, Wuchang, 430071, Wuhan, China. liaomy@whu.edu.cn.
Abstract
BACKGROUND: There is no established consensus about the relative accuracies of US, CT and MRI in childhood appendicitis. OBJECTIVE: To compare, through meta-analysis, the accuracies of US, CT and MRI for clinically suspected acute appendicitis in children. MATERIALS AND METHODS: PubMed, Embase, Web of Science and the Cochrane Library were searched. After study selection, data extraction and quality assessment, the sensitivity, specificity and the area under the curve of summary receiver operating characteristic were calculated and compared. RESULTS: Twenty-seven articles including 29 studies met the inclusion criteria, including 19 studies (9,170 patients) of US, 6 studies (928 patients) of CT and 4 studies (990 patients) of MRI. The analysis showed that the area under the receiver operator characteristics curve of MRI (0.995) was a little higher than that of US (0.987) and CT (0.982; P > 0.05). CONCLUSION: US, CT and MRI have high diagnostic accuracies of clinically suspected acute appendicitis in children overall with no significant difference.
BACKGROUND: There is no established consensus about the relative accuracies of US, CT and MRI in childhood appendicitis. OBJECTIVE: To compare, through meta-analysis, the accuracies of US, CT and MRI for clinically suspected acute appendicitis in children. MATERIALS AND METHODS: PubMed, Embase, Web of Science and the Cochrane Library were searched. After study selection, data extraction and quality assessment, the sensitivity, specificity and the area under the curve of summary receiver operating characteristic were calculated and compared. RESULTS: Twenty-seven articles including 29 studies met the inclusion criteria, including 19 studies (9,170 patients) of US, 6 studies (928 patients) of CT and 4 studies (990 patients) of MRI. The analysis showed that the area under the receiver operator characteristics curve of MRI (0.995) was a little higher than that of US (0.987) and CT (0.982; P > 0.05). CONCLUSION: US, CT and MRI have high diagnostic accuracies of clinically suspected acute appendicitis in children overall with no significant difference.
Authors: Salomone Di Saverio; Mauro Podda; Belinda De Simone; Marco Ceresoli; Goran Augustin; Alice Gori; Marja Boermeester; Massimo Sartelli; Federico Coccolini; Antonio Tarasconi; Nicola De' Angelis; Dieter G Weber; Matti Tolonen; Arianna Birindelli; Walter Biffl; Ernest E Moore; Michael Kelly; Kjetil Soreide; Jeffry Kashuk; Richard Ten Broek; Carlos Augusto Gomes; Michael Sugrue; Richard Justin Davies; Dimitrios Damaskos; Ari Leppäniemi; Andrew Kirkpatrick; Andrew B Peitzman; Gustavo P Fraga; Ronald V Maier; Raul Coimbra; Massimo Chiarugi; Gabriele Sganga; Adolfo Pisanu; Gian Luigi De' Angelis; Edward Tan; Harry Van Goor; Francesco Pata; Isidoro Di Carlo; Osvaldo Chiara; Andrey Litvin; Fabio C Campanile; Boris Sakakushev; Gia Tomadze; Zaza Demetrashvili; Rifat Latifi; Fakri Abu-Zidan; Oreste Romeo; Helmut Segovia-Lohse; Gianluca Baiocchi; David Costa; Sandro Rizoli; Zsolt J Balogh; Cino Bendinelli; Thomas Scalea; Rao Ivatury; George Velmahos; Roland Andersson; Yoram Kluger; Luca Ansaloni; Fausto Catena Journal: World J Emerg Surg Date: 2020-04-15 Impact factor: 5.469
Authors: Claudia Martinez-Rios; Jennifer R McKinney; Nadine Al-Aswad; Arvind K Shergill; Ada F Louffat; Lillian Sung; Karen E Thomas; Suzanne Schuh; George Tomlinson; Rahim Moineddin; Andrea S Doria Journal: Paediatr Child Health Date: 2018-12-17 Impact factor: 2.253