dc.contributor.author | Akalın, Çağrı | |
dc.contributor.author | Sasani, Hadi | |
dc.contributor.author | Ekmen, Nergis | |
dc.date.accessioned | 2022-05-11T14:05:06Z | |
dc.date.available | 2022-05-11T14:05:06Z | |
dc.date.issued | 2020 | |
dc.identifier.issn | 2168-8184 | |
dc.identifier.uri | https://doi.org/10.7759/cureus.9773 | |
dc.identifier.uri | https://hdl.handle.net/20.500.11776/4893 | |
dc.description.abstract | Introduction: Abdominal computed tomography (CT) is one of the imaging modalities for the diagnosis of acute appendicitis (AA). Today, CT scans can be interpreted via remote access called tele-radiology, besides conventional methods. The objective of this study was to evaluate the CT interpreted via tele-radiology for diagnosing AA. Methods: In this retrospective study, a total of 679 patients, who were interpreted via tele-radiology of CT due to suspicion of AA, were evaluated. Age, gender, CT findings, pathology results and intra-operative diagnosis of those with normal CT results were analysed. A sensitivity, specificity, accuracy, positive predictive values (PPV) and negative predictive values (NPV) of CT in the diagnosis of AA were calculated. Results: 520 patients who were operated with pre-diagnosed AA were found. Of those, 441 patients (84.8%) were diagnosed with AA according to CT reports, out of which 368 (83.4%) were positive (true-positive) and 73 (16.6%) were negative (false-positive) in terms of pathology results. In the remaining operated 79 patients with normal CT results, 58 (73.4%) were positive for AA and 21 (26.6%) (negative laparotomy) were negative for AA in terms of pathological examination. The sensitivity, specificity, accuracy, PPV and NPV of CT in the diagnosis of AA were determined as 81.2%, 67.7%, 76.7%, 83.4% and 64.2%, respectively. Conclusion: The sensitivity and PPV rates were found similar in both conventional and tele-radiological methods. However, specificity, accuracy and NPV rates were determined lower than in literature. Additionally, the negative laparotomy rate was higher than the conventional method. | en_US |
dc.language.iso | eng | en_US |
dc.publisher | Cureus Inc | en_US |
dc.identifier.doi | 10.7759/cureus.9773 | |
dc.rights | info:eu-repo/semantics/openAccess | en_US |
dc.subject | acute appendicitis | en_US |
dc.subject | computed tomography | en_US |
dc.subject | tele-radiology | en_US |
dc.subject | Negative Appendectomy | en_US |
dc.subject | Ct | en_US |
dc.subject | Quality | en_US |
dc.subject | Teleradiology | en_US |
dc.subject | Management | en_US |
dc.title | The Results of Abdominopelvic Computed Tomography Interpreted via Remote Access for the Diagnosis of Acute Appendicitis | en_US |
dc.type | article | en_US |
dc.relation.ispartof | Cureus | en_US |
dc.department | Fakülteler, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümü, Radyoloji Ana Bilim Dalı | en_US |
dc.authorid | 0000-0002-7921-3169 | |
dc.authorid | 0000-0003-3370-9879 | |
dc.identifier.volume | 12 | en_US |
dc.identifier.issue | 8 | en_US |
dc.institutionauthor | Sasani, Hadi | |
dc.relation.publicationcategory | Makale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı | en_US |
dc.authorwosid | ekmen, nergiz/AAO-8196-2021 | |
dc.authorwosid | akalin, cagri/L-6714-2019 | |
dc.authorwosid | Sasani, Hadi/ABA-5166-2020 | |
dc.identifier.wos | WOS:000559769000001 | en_US |
dc.identifier.pmid | 32953291 | en_US |