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The DOI matches its Crossref record; 17 of the 17 references it cites were found in a registry or an index.

A comparison of the Accuracy of Ultrasound and Computed Tomography in common diagnoses causing acute abdominal pain

Open access
on behalf of the OPTIMA study group, van Randen, Adrienne, Laméris, Wytze, van Es, H. Wouter, van Heesewijk, Hans P. M., van Ramshorst, Bert, ten Hove, Wim, Bouma, Willem H., van Leeuwen, Maarten S., van Keulen, Esteban M., Bossuyt, Patrick M., Stoker, Jaap, Boermeester, Marja A.·2011·European Radiology

Abstract

OBJECTIVES: Head-to-head comparison of ultrasound and CT accuracy in common diagnoses causing acute abdominal pain. MATERIALS AND METHODS: Consecutive patients with abdominal pain for >2 h and <5 days referred for imaging underwent both US and CT by different radiologists/radiological residents. An expert panel assigned a final diagnosis. Ultrasound and CT sensitivity and predictive values were calculated for frequent final diagnoses. Effect of patient characteristics and observer experience on ultrasound sensitivity was studied. RESULTS: Frequent final diagnoses in the 1,021 patients (mean age 47; 55% female) were appendicitis (284; 28%), diverticulitis (118; 12%) and cholecystitis (52; 5%). The sensitivity of CT in detecting appendicitis and diverticulitis was significantly higher than that of ultrasound: 94% versus 76% (p < 0.01) and 81% versus 61% (p = 0.048), respectively. For cholecystitis, the sensitivity of both was 73% (p = 1.00). Positive predictive values did not differ significantly between ultrasound and CT for these conditions. Ultrasound sensitivity in detecting appendicitis and diverticulitis was not significantly negatively affected by patient characteristics or reader experience. CONCLUSION: CT misses fewer cases than ultrasound, but both ultrasound and CT can reliably detect common diagnoses causing acute abdominal pain. Ultrasound sensitivity was largely not influenced by patient characteristics and reader experience.

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Metadata

Authors
on behalf of the OPTIMA study group, van Randen, A., Laméris, W., van Es, H. W., van Heesewijk, H. P. M., van Ramshorst, B., ten Hove, W., Bouma, W. H., van Leeuwen, M. S., van Keulen, E. M., Bossuyt, P. M., Stoker, J., & Boermeester, M. A.
Venue
European Radiology
Published
2011-03-02
Volume
21
Issue
7
Pages
1535-1545
ISSN
  • 0938-7994 (ISSN-L)
  • 1432-1084
OpenAlex
W2096150699
Cited by
300
References
17
FWCI
20.96
Type
journal article
Language
en
Open access
hybrid

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on behalf of the OPTIMA study group, van Randen, A., Laméris, W., van Es, H. W., van Heesewijk, H. P. M., van Ramshorst, B., ten Hove, W., Bouma, W. H., van Leeuwen, M. S., van Keulen, E. M., Bossuyt, P. M., Stoker, J., & Boermeester, M. A. (2011). A comparison of the Accuracy of Ultrasound and Computed Tomography in common diagnoses causing acute abdominal pain. European Radiology. https://doi.org/10.1007/s00330-011-2087-5

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