Aims: To retrospectively evaluate the correlation between multidetector-row computed tomography findings of acute appendicitis and the pathological status of acute appendicitis, and evaluate the capability of multidetector-row computed tomography to predict the pathological status of acute appendicitis in children. Methods: The presence of a distended appendix (> 6 mm in transverse diameter) was used as a primary sign to indicate the presence of appendiceal inflammation. The presence of appendiceal wall thickening (> 1 mm) and enhanced appendiceal wall continuity were also used as predictive findings to reflect the degree of progression of acute appendicitis on multidetector-row computed tomography findings. The findings of each individual case were classified into four grades. The final pathological diagnosis was classified into four groups: normal findings, only mucosal inflammation, inflammation with intramural spreading, and gangrenous. The relationship between the pathological grades and computed tomography grades was analyzed using Spearman's rank correlation test. Results: Four of six cases in Grade 0 reflected normal appendiceal findings (66.7%) and 3 of 5 cases in Grade I reflected only mucosal inflammation status (60.0%). Forty-four of 51 cases in Grade II reflected intramural inflammation status (86.3%), and 40 of 57 cases in Grade III reflected gangrenous status (70.2%). The multidetector-row computed tomography grade was significantly correlated to the pathological grade with Spearman's rank correlation coefficient of 0.689 (P < 0.001). Conclusions: There was a close relationship between the multidetector-row computed tomography imaging findings and the pathological findings. This preoperative information is extremely useful for decision-making in the treatment strategy for acute appendicitis in children.
机构:
Sungkyunkwan Univ, Sch Med, Samsung Med Ctr, Dept Radiol,Kangbuk Samsung Hosp, Seoul 110746, South KoreaSungkyunkwan Univ, Sch Med, Samsung Med Ctr, Dept Radiol,Kangbuk Samsung Hosp, Seoul 110746, South Korea
Choi, D
Park, H
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Sungkyunkwan Univ, Sch Med, Samsung Med Ctr, Dept Radiol,Kangbuk Samsung Hosp, Seoul 110746, South KoreaSungkyunkwan Univ, Sch Med, Samsung Med Ctr, Dept Radiol,Kangbuk Samsung Hosp, Seoul 110746, South Korea
Park, H
Lee, YR
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Sungkyunkwan Univ, Sch Med, Samsung Med Ctr, Dept Radiol,Kangbuk Samsung Hosp, Seoul 110746, South KoreaSungkyunkwan Univ, Sch Med, Samsung Med Ctr, Dept Radiol,Kangbuk Samsung Hosp, Seoul 110746, South Korea
Lee, YR
Kook, SH
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Sungkyunkwan Univ, Sch Med, Samsung Med Ctr, Dept Radiol,Kangbuk Samsung Hosp, Seoul 110746, South KoreaSungkyunkwan Univ, Sch Med, Samsung Med Ctr, Dept Radiol,Kangbuk Samsung Hosp, Seoul 110746, South Korea
Kook, SH
Kim, SK
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Sungkyunkwan Univ, Sch Med, Samsung Med Ctr, Dept Radiol,Kangbuk Samsung Hosp, Seoul 110746, South KoreaSungkyunkwan Univ, Sch Med, Samsung Med Ctr, Dept Radiol,Kangbuk Samsung Hosp, Seoul 110746, South Korea
Kim, SK
Kwag, HJ
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Sungkyunkwan Univ, Sch Med, Samsung Med Ctr, Dept Radiol,Kangbuk Samsung Hosp, Seoul 110746, South KoreaSungkyunkwan Univ, Sch Med, Samsung Med Ctr, Dept Radiol,Kangbuk Samsung Hosp, Seoul 110746, South Korea
Kwag, HJ
Chung, EC
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Sungkyunkwan Univ, Sch Med, Samsung Med Ctr, Dept Radiol,Kangbuk Samsung Hosp, Seoul 110746, South KoreaSungkyunkwan Univ, Sch Med, Samsung Med Ctr, Dept Radiol,Kangbuk Samsung Hosp, Seoul 110746, South Korea
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Nagoya Univ, Grad Sch Med, Dept Pediat Surg, Showa Ku, Nagoya, Aichi 4668550, JapanNagoya Univ, Grad Sch Med, Dept Pediat Surg, Showa Ku, Nagoya, Aichi 4668550, Japan
Kaneko, K
Tsuda, M
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Nagoya Univ, Grad Sch Med, Dept Pediat Surg, Showa Ku, Nagoya, Aichi 4668550, JapanNagoya Univ, Grad Sch Med, Dept Pediat Surg, Showa Ku, Nagoya, Aichi 4668550, Japan
机构:
Sungkyunkwan Univ, Sch Med, Samsung Med Ctr, Dept Radiol,Kangbuk Samsung Hosp, Seoul 110746, South KoreaSungkyunkwan Univ, Sch Med, Samsung Med Ctr, Dept Radiol,Kangbuk Samsung Hosp, Seoul 110746, South Korea
Choi, D
Park, H
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Sungkyunkwan Univ, Sch Med, Samsung Med Ctr, Dept Radiol,Kangbuk Samsung Hosp, Seoul 110746, South KoreaSungkyunkwan Univ, Sch Med, Samsung Med Ctr, Dept Radiol,Kangbuk Samsung Hosp, Seoul 110746, South Korea
Park, H
Lee, YR
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Sungkyunkwan Univ, Sch Med, Samsung Med Ctr, Dept Radiol,Kangbuk Samsung Hosp, Seoul 110746, South KoreaSungkyunkwan Univ, Sch Med, Samsung Med Ctr, Dept Radiol,Kangbuk Samsung Hosp, Seoul 110746, South Korea
Lee, YR
Kook, SH
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Sungkyunkwan Univ, Sch Med, Samsung Med Ctr, Dept Radiol,Kangbuk Samsung Hosp, Seoul 110746, South KoreaSungkyunkwan Univ, Sch Med, Samsung Med Ctr, Dept Radiol,Kangbuk Samsung Hosp, Seoul 110746, South Korea
Kook, SH
Kim, SK
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Sungkyunkwan Univ, Sch Med, Samsung Med Ctr, Dept Radiol,Kangbuk Samsung Hosp, Seoul 110746, South KoreaSungkyunkwan Univ, Sch Med, Samsung Med Ctr, Dept Radiol,Kangbuk Samsung Hosp, Seoul 110746, South Korea
Kim, SK
Kwag, HJ
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Sungkyunkwan Univ, Sch Med, Samsung Med Ctr, Dept Radiol,Kangbuk Samsung Hosp, Seoul 110746, South KoreaSungkyunkwan Univ, Sch Med, Samsung Med Ctr, Dept Radiol,Kangbuk Samsung Hosp, Seoul 110746, South Korea
Kwag, HJ
Chung, EC
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Sungkyunkwan Univ, Sch Med, Samsung Med Ctr, Dept Radiol,Kangbuk Samsung Hosp, Seoul 110746, South KoreaSungkyunkwan Univ, Sch Med, Samsung Med Ctr, Dept Radiol,Kangbuk Samsung Hosp, Seoul 110746, South Korea
机构:
Nagoya Univ, Grad Sch Med, Dept Pediat Surg, Showa Ku, Nagoya, Aichi 4668550, JapanNagoya Univ, Grad Sch Med, Dept Pediat Surg, Showa Ku, Nagoya, Aichi 4668550, Japan
Kaneko, K
Tsuda, M
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Nagoya Univ, Grad Sch Med, Dept Pediat Surg, Showa Ku, Nagoya, Aichi 4668550, JapanNagoya Univ, Grad Sch Med, Dept Pediat Surg, Showa Ku, Nagoya, Aichi 4668550, Japan