Lei Wu, Zhi-Guo Zhang, Xiao-Yu Chen, Bing-Xian Xu , Xu-Ping Mao
{"title":"未增强 CT 的筋膜受累评分有助于预测复杂性阑尾炎。","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":"{\"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}","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}
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.
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.