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Date Published: 20/02/2023
Abstract Views: 227
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DOI: https://doi.org/10.51298/vmj.v520i2.4157
Issue
Vol. 520 No. 2 (2022)
Section
Các bài báo
How to Cite
Lê, T. D., & Nguyễn, T. K. D. (2023). COMPARISON OF VALUES OF MRI IMAGING AND ULTRASOUND IN THE DIAGNOSIS OF APPENDICITIS IN PREGNANCY. Vietnam Medical Journal, 520(2). https://doi.org/10.51298/vmj.v520i2.4157 (Original work published February 17, 2023)

COMPARISON OF VALUES OF MRI IMAGING AND ULTRASOUND IN THE DIAGNOSIS OF APPENDICITIS IN PREGNANCY

Thanh Dũng Lê1,2,, Thị Kim Dung Nguyễn3
1 Viet Duc Hospital
2 VNU - School of Medicine and Pharmacy
3 Hanoi medical university

Main Article Content

Abstract

Objectives: Compare the sensitivity, specificity, positive predictive value (PPV), and negative predictive value (NPV) of ultrasound (US) and magnetic resonance imaging (MRI) in evaluation of pregnant patients with a clinical suspicion of appendicitis. Methods and subject: We reviewed the data of pregnant patients with suspected appendicitis underwent US and MRI. Gold standard for diagnosis and surgery and pathology. For non-operative patients, based on patient follow-up results. The sensitivity, specificity, PPV, and NPV were calculated for US and MRI in the diagnosis of appendicitis. Results: The ability to see the appendix on MRI is 90.38% significantly higher than ultrasound at 28.85%. The Se, Sp, PPV, NPV values of MRI are 92.3%, 94.9%, 85.7%, 97.4%, and of ultrasound are 53.8%, 97.4%, 87 .5%, 86.4%, respectively. Conclusions: MRI has a better value in diagnosing appendicitis in pregnancy than ultrasound. The role of US in the diagnosis of appendicitis in pregnancy is limited mainly because the appendix is not observed.

Article Details

Keywords

appendicitis, pregnancy, magnetic resonance imaging.

References

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