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Diagnostic accuracy...
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Alshamari, Muhammed,1975-Örebro universitet,Institutionen för hälsovetenskap och medicin,Department of Radiology, Örebro University Hospital, Örebro, Sweden,Datortomografi med låg stråldos(Lågdos-DT)
(författare)
Diagnostic accuracy of low-dose CT compared with abdominal radiography in non-traumatic acute abdominal pain : prospective study and systematic review
- Artikel/kapitelEngelska2016
Förlag, utgivningsår, omfång ...
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2015-09-18
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New York :Springer,2016
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printrdacarrier
Nummerbeteckningar
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LIBRIS-ID:oai:DiVA.org:oru-47089
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https://urn.kb.se/resolve?urn=urn:nbn:se:oru:diva-47089URI
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https://doi.org/10.1007/s00330-015-3984-9DOI
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https://lup.lub.lu.se/record/8035877URI
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Språk:engelska
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Sammanfattning på:engelska
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Ämneskategori:ref swepub-contenttype
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Ämneskategori:for swepub-publicationtype
Anmärkningar
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Funding Agency:Region Örebro County
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Objectives: Abdominal radiography is frequently used in acute abdominal non-traumatic pain despite the availability of more advanced diagnostic modalities. This study evaluates the diagnostic accuracy of low-dose CT compared with abdominal radiography, at similar radiation dose levels.Methods: Fifty-eight patients were imaged with both methods and were reviewed independently by three radiologists. The reference standard was obtained from the diagnosis in medical records. Sensitivity and specificity were calculated. A systematic review was performed after a literature search, finding a total of six relevant studies including the present.Results: Overall sensitivity with 95 % CI for CT was 75 % (66-83 %) and 46 % (37-56 %) for radiography. Specificity was 87 % (77-94 %) for both methods. In the systematic review the overall sensitivity for CT varied between 75 and 96 % with specificity from 83 to 95 % while the overall sensitivity for abdominal radiography varied between 30 and 77 % with specificity 75 to 88 %.Conclusions: Based on the current study and available evidence, low-dose CT has higher diagnostic accuracy than abdominal radiography and it should, where logistically possible, replace abdominal radiography in the workup of adult patients with acute non-traumatic abdominal pain.Key points: • Low-dose CT has a higher diagnostic accuracy than radiography. • A systematic review shows that CT has better diagnostic accuracy than radiography. • Radiography has no place in the workup of acute non-traumatic abdominal pain.
Ämnesord och genrebeteckningar
Biuppslag (personer, institutioner, konferenser, titlar ...)
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Norrman, Eva,1967-Örebro universitet,Institutionen för hälsovetenskap och medicin,Department of Medical Physics, Örebro University Hospital, Örebro, Sweden,Datortomografi med låg stråldos(Lågdos-DT)(Swepub:oru)evnn
(författare)
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Geijer, Mats,1957-Lund University,Lunds universitet,Diagnostisk radiologi, Lund,Sektion V,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Diagnostic Radiology, (Lund),Section V,Department of Clinical Sciences, Lund,Faculty of Medicine(Swepub:lu)med-mge
(författare)
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Jansson, KjellÖrebro universitet,Institutionen för hälsovetenskap och medicin,Department of Surgery, Örebro University Hospital, Örebro, Sweden(Swepub:oru)OUH-kj1ja
(författare)
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Geijer, Håkan,1961-Örebro universitet,Institutionen för hälsovetenskap och medicin,Department of Radiology, Örebro University Hospital, Örebro, Sweden,Datortomografi med låg stråldos(Lågdos-DT)(Swepub:oru)hngr
(författare)
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Örebro universitetInstitutionen för hälsovetenskap och medicin
(creator_code:org_t)
Sammanhörande titlar
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Ingår i:European RadiologyNew York : Springer26:6, s. 1766-17740938-79941432-1084
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