Fascial involvement score on unenhanced CT potentially helps predict complicated appendicitis

IF 3.2 3区医学 Q1 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING

European Journal of Radiology Pub Date : 2024-11-21 DOI:10.1016/j.ejrad.2024.111843

Lei Wu, Zhi-Guo Zhang, Xiao-Yu Chen, Bing-Xian Xu , Xu-Ping Mao

{"title":"Fascial involvement score on unenhanced CT potentially helps predict complicated appendicitis","authors":"Lei Wu, Zhi-Guo Zhang, Xiao-Yu Chen, Bing-Xian Xu , Xu-Ping Mao","doi":"10.1016/j.ejrad.2024.111843","DOIUrl":null,"url":null,"abstract":"<div><h3>Objectives</h3><div>To assess the accuracy of diagnosing complicated appendicitis by examining changes in the involved fasciae on CT imaging.</div></div><div><h3>Methods</h3><div>From January 1, 2020, to December 31, 2023, 273 patients (median age 50 years; range 14–80 years) with surgically and pathologically confirmed appendicitis were analyzed. Of these, 96 had complicated appendicitis and 177 had uncomplicated appendicitis. Fascial involvement score was assessed along with other CT findings and clinical data. Univariate and multivariate logistic regression analyses were conducted to identify potential predictors of complicated appendicitis.</div></div><div><h3>Results</h3><div>Univariate analysis identified several features significantly associated with complicated appendicitis: age (P < 0.001), gender (P = 0.006), time from symptom onset to diagnosis (P = 0.015), CRP level (P < 0.001), fascial involvement score (P < 0.001), appendiceal diameter (P < 0.001), and the presence of extraluminal air (P < 0.001). Multivariate analysis revealed that the fascial involvement score (odds ratio 2.252; P < 0.001) and appendiceal diameter (odds ratio 1.263; P < 0.001) were independent risk factors for complicated appendicitis. The fascial involvement score demonstrated an area under the receiver operating characteristic curve of 0.896, with a cutoff value of 2.5.</div></div><div><h3>Conclusion</h3><div>Both the fascial involvement score and an appendiceal diameter of 14.5 mm or greater are independent predictors of complicated appendicitis.</div></div>","PeriodicalId":12063,"journal":{"name":"European Journal of Radiology","volume":"182 ","pages":"Article 111843"},"PeriodicalIF":3.2000,"publicationDate":"2024-11-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"European Journal of Radiology","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0720048X2400559X","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING","Score":null,"Total":0}

引用次数: 0

Abstract

Objectives

To assess the accuracy of diagnosing complicated appendicitis by examining changes in the involved fasciae on CT imaging.

Methods

From January 1, 2020, to December 31, 2023, 273 patients (median age 50 years; range 14–80 years) with surgically and pathologically confirmed appendicitis were analyzed. Of these, 96 had complicated appendicitis and 177 had uncomplicated appendicitis. Fascial involvement score was assessed along with other CT findings and clinical data. Univariate and multivariate logistic regression analyses were conducted to identify potential predictors of complicated appendicitis.

Results

Univariate analysis identified several features significantly associated with complicated appendicitis: age (P < 0.001), gender (P = 0.006), time from symptom onset to diagnosis (P = 0.015), CRP level (P < 0.001), fascial involvement score (P < 0.001), appendiceal diameter (P < 0.001), and the presence of extraluminal air (P < 0.001). Multivariate analysis revealed that the fascial involvement score (odds ratio 2.252; P < 0.001) and appendiceal diameter (odds ratio 1.263; P < 0.001) were independent risk factors for complicated appendicitis. The fascial involvement score demonstrated an area under the receiver operating characteristic curve of 0.896, with a cutoff value of 2.5.

Conclusion

Both the fascial involvement score and an appendiceal diameter of 14.5 mm or greater are independent predictors of complicated appendicitis.

查看原文本刊更多论文

未增强 CT 的筋膜受累评分有助于预测复杂性阑尾炎。

目的：通过CT成像检查受累筋膜的变化，评估诊断复杂性阑尾炎的准确性：评估通过 CT 成像检查受累筋膜变化诊断复杂性阑尾炎的准确性：从 2020 年 1 月 1 日至 2023 年 12 月 31 日，对 273 例经手术和病理证实的阑尾炎患者（中位年龄 50 岁；范围 14-80 岁）进行了分析。其中，96 人患有复杂性阑尾炎，177 人患有非复杂性阑尾炎。筋膜受累评分与其他 CT 结果和临床数据一起进行了评估。进行了单变量和多变量逻辑回归分析，以确定复杂性阑尾炎的潜在预测因素：结果：单变量分析确定了与复杂性阑尾炎显著相关的几个特征：年龄（P筋膜受累评分和阑尾直径大于或等于 14.5 毫米是复杂性阑尾炎的独立预测因素。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

European Journal of Radiology 医学-核医学

CiteScore

6.70

自引率

3.00%

发文量

398

审稿时长

42 days

期刊介绍： European Journal of Radiology is an international journal which aims to communicate to its readers, state-of-the-art information on imaging developments in the form of high quality original research articles and timely reviews on current developments in the field. Its audience includes clinicians at all levels of training including radiology trainees, newly qualified imaging specialists and the experienced radiologist. Its aim is to inform efficient, appropriate and evidence-based imaging practice to the benefit of patients worldwide.