ArticleAJR. American journal of roentgenology2015
A novel reporting system to improve accuracy in appendicitis imaging.
Article in AJR. American journal of roentgenology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
15 citing papers in PubMed, 21 citations in OpenAlex.
- Trial
- Are renal stone protocol computed tomography reports giving us enough information?Canadian Urological Association journal = Journal de l'Association des urologues du Canada · 2024Article
- Degree of Uncertainty in Reporting Imaging Findings for Necrotizing Enterocolitis: A Secondary Analysis from a Pilot Randomized Diagnostic Trial.Healthcare (Basel, Switzerland) · 2024Article
- APENDIC-RADS: an ultrasound reporting system for the diagnosis of acute appendicitis.Einstein (Sao Paulo, Brazil) · 2024Article
- Appendiceal wall thickness and Alvarado score are predictive of acute appendicitis in the patients with equivocal computed tomography findings.Scientific reports · 2023Article
- CT based Acute Appendicitis Severity Index for acute appendicitis and validate its effectiveness in predicting complicated appendicitis.Emergency radiology · 2021Article
- Readmission after antibiotic management of uncomplicated acute appendicitis in adults: prospective study.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2020Article
- Low-grade appendiceal mucinous neoplasms confined to the appendix: clinical manifestations and CT findings.Journal of investigative medicine : the official publication of the American Federation for Clinical Research · 2020Article
- [SMARDer Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen · 2019Article
- Structured Reporting versus Free-Text Reporting for Appendiceal Computed Tomography in Adolescents and Young Adults: Preference Survey of 594 Referring Physicians, Surgeons, and Radiologists from 20 Hospitals.Korean journal of radiology · 2019Article
- Reliability of standardized reporting system of acute appendicitis in adults at low-dose 320-rows CT.European journal of radiology open · 2019Article
- How to differentiate acute pelvic inflammatory disease from acute appendicitis ? A decision tree based on CT findings.European radiology · 2018Article
- Ultrasound of the pediatric appendix.Pediatric radiology · 2017Review
- Measurement error in CT assessment of appendix diameter.Pediatric radiology · 2016Article
- The Reliability of a Standardized Reporting System for the Diagnosis of Appendicitis.Current problems in diagnostic radiologyArticle
Corrections and comments
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Authors and funding
10 authors at 2 institutions in 1 country.
Funding
Abstract
objectiveThe purpose of this study was to ascertain if standardized radiologic reporting for appendicitis imaging increases diagnostic accuracy. MATERIALS AND
methodsWe developed a standardized appendicitis reporting system that includes objective imaging findings common in appendicitis and a certainty score ranging from 1 (definitely not appendicitis) through 5 (definitely appendicitis). Four radiologists retrospectively reviewed the preoperative CT scans of 96 appendectomy patients using our reporting system. The presence of appendicitis-specific imaging findings and certainty scores were compared with final pathology. These comparisons were summarized using odds ratios (ORs) and the AUC.
resultsThe appendix was visualized on CT in 89 patients, of whom 71 (80%) had pathologically proven appendicitis. Imaging findings associated with appendicitis included appendiceal diameter (odds ratio [OR] = 14 [> 10 vs < 6 mm]; p = 0.002), periappendiceal fat stranding (OR = 8.9; p < 0.001), and appendiceal mucosal hyperenhancement (OR = 8.7; p < 0.001). Of 35 patients whose initial clinical findings were reported as indeterminate, 28 (80%) had appendicitis. In this initially indeterminate group, using the standardized reporting system, radiologists assigned higher certainty scores (4 or 5) in 21 of the 28 patients with appendicitis (75%) and lower scores (1 or 2) in five of the seven patients without appendicitis (71%) (AUC = 0.90; p = 0.001).
conclusionStandardized reporting and grading of objective imaging findings correlated well with postoperative pathology and may decrease the number of CT findings reported as indeterminate for appendicitis. Prospective evaluation of this reporting system on a cohort of patients with clinically suspected appendicitis is currently under way.
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