Can Diffusion-Weighted Imaging be a Gold Standard Method for Acute Appendicitis? A Comparative Study

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dc.authoridhttps://orcid.org/0000-0002-0717-5722en_US
dc.authoridhttps://orcid.org/0000-0002-1951-2087en_US
dc.contributor.authorSerinsöz, Serdar
dc.contributor.authorAktürk, Remzi
dc.date.accessioned2023-07-30T06:06:52Z
dc.date.available2023-07-30T06:06:52Z
dc.date.issued2021en_US
dc.departmentSağlık Bilimleri Fakültesien_US
dc.description.abstractBackground: Diagnosis of an inflamed appendix is commonly based on clinical, laboratory, and diagnostic imaging data. Ultrasonography (US) is the leading diagnostic modality for these patients. However, an inconclusive US examination suggests the application of non-enhanced computed tomography (NECT). Objectives: This study aimed to compare US, NECT, and diffusion-weighted magnetic resonance imaging (DW-MRI) examinations for an accurate diagnosis of acute appendicitis with the rate of proven appendicitis by surgery. Patients and Methods: This retrospective study was performed on 70 patients, diagnosed with acute appendicitis between February 2018 and January 2020. The diagnostic accuracy of US, CT, and DW-MRI for acute appendicitis was examined in relation to the demographic and clinical variables. Results: Age and gender were not significantly associated with surgically proven appendicitis. However, the appendix diameter had a significant association with surgically proven appendicitis. All DW-MRI–positive patients with acute abdominal symptoms were surgically diagnosed with acute/subacute appendicitis (even those with < 6 mm in diameter). Based on the ROC curve analysis, the sensitivity and specificity of DW-MRI in predicting acute appendicitis was 100% and 90.90%, respectively. Conclusion: The appendix diameter was an important factor in diagnosing acute appendicitis. However, DW-MRI is an advanced technique that may exclude the need for the appendix diameter measurements.en_US
dc.identifier.doi10.5812/iranjradiol.113603en_US
dc.identifier.endpage9en_US
dc.identifier.issn1735-1065
dc.identifier.issn2008-2711
dc.identifier.issue3en_US
dc.identifier.scopus2-s2.0-85116390287en_US
dc.identifier.scopusqualityQ4en_US
dc.identifier.startpage1en_US
dc.identifier.urihttps://hdl.handle.net/11363/5137
dc.identifier.urihttps://doi.org/
dc.identifier.volume18en_US
dc.identifier.wosWOS:000735442700001en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.institutionauthorAktürk, Remzi
dc.language.isoenen_US
dc.publisherBRIEFLAND, 25 Derde Morgen , Shertogenbosch 5233 NL, NETHERLANDSen_US
dc.relation.ispartofIranian Journal of Radiologyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.rightsAttribution-NonCommercial-NoDerivs 3.0 United States*
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/3.0/us/*
dc.subjectDiffusion-Weighted Imagingen_US
dc.subjectAcute Appendicitisen_US
dc.subjectUltrasonographyen_US
dc.subjectNon-enhanced Computed Tomographyen_US
dc.titleCan Diffusion-Weighted Imaging be a Gold Standard Method for Acute Appendicitis? A Comparative Studyen_US
dc.typeArticleen_US

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