ArticleBMC gastroenterology2025
Transient and persistent small-bowel intussusception in children: a decision tree analysis model based on ultrasound and clinical findings.
Article in BMC gastroenterology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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Who cites it
3 citing papers in PubMed.
- A Clinically Ultrasound Fusion Visual Prediction Model for Childhood Irreducible Small-Bowel Intussusception.Indian journal of pediatrics · 2026Article
- Pediatric tuina combined with glycerin enema in the management of pediatric intussusception: an observational study.BMC pediatrics · 2026Observational
- Bedside ultrasound-assisted manual reduction in ultrasound-selected, non-transient pediatric intussusception: a single-center experience.Frontiers in medicine · 2026Article
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4 authors.
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Abstract
purposeTo develop a systematic and efficient decision tree analysis (DTA) model to improve the diagnostic accuracy of transient small-bowel intussusception (TSBI) and persistent small-bowel intussusception (PSBI) in children.
methodsFrom February 2019 to June 2022, ultrasound (US) features and clinical findings of pediatric patients with small-bowel intussusception (SBI)-including SBI diameter, outer bowel wall thickness, thickness of the head and body of the intussusceptum, length of the intussusceptum, and presence of pathological lead points (PLPs)-were recorded and analyzed. A classification and regression tree algorithm was then used to develop a DTA model, which was trained and validated by randomly categorizing the patients into training (60%, 200/331) and validation (40%, 131/331) datasets to assess diagnostic performance.
resultsA total of 331 patients with SBI (270 with TSBI and 61 with PSBI) were included; the maximum age was 9 years. The initial diagnostic predictor in the DTA model was the detection of a PLP via US, followed by intussusceptum length (P < 0.001). The sensitivity, specificity, and accuracy of the DTA model were 98.2%, 100%, and 98.6%, respectively.
conclusionThe DTA model developed in this study facilitated the differential diagnosis of TSBI and PSBI in pediatric patients with SBI, with a clinical concordance rate of 98.6%.
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