The Results of Abdominopelvic Computed Tomography Interpreted via Remote Access for the Diagnosis of Acute Appendicitis

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dc.authorid0000-0002-7921-3169
dc.authorid0000-0003-3370-9879
dc.authorwosidekmen, nergiz/AAO-8196-2021
dc.authorwosidakalin, cagri/L-6714-2019
dc.authorwosidSasani, Hadi/ABA-5166-2020
dc.contributor.authorAkalın, Çağrı
dc.contributor.authorSasani, Hadi
dc.contributor.authorEkmen, Nergis
dc.date.accessioned2022-05-11T14:05:06Z
dc.date.available2022-05-11T14:05:06Z
dc.date.issued2020
dc.departmentFakülteler, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümü, Radyoloji Ana Bilim Dalı
dc.description.abstractIntroduction: 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.
dc.identifier.doi10.7759/cureus.9773
dc.identifier.issn2168-8184
dc.identifier.issue8en_US
dc.identifier.pmid32953291
dc.identifier.urihttps://doi.org/10.7759/cureus.9773
dc.identifier.urihttps://hdl.handle.net/20.500.11776/4893
dc.identifier.volume12
dc.identifier.wosWOS:000559769000001
dc.identifier.wosqualityN/A
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakPubMed
dc.institutionauthorSasani, Hadi
dc.language.isoen
dc.publisherCureus Inc
dc.relation.ispartofCureus
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectacute appendicitis
dc.subjectcomputed tomography
dc.subjecttele-radiology
dc.subjectNegative Appendectomy
dc.subjectCt
dc.subjectQuality
dc.subjectTeleradiology
dc.subjectManagement
dc.titleThe Results of Abdominopelvic Computed Tomography Interpreted via Remote Access for the Diagnosis of Acute Appendicitis
dc.typeArticle

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