دورية أكاديمية
أعرض في EDS

Diagnostic Performance of Magnetic Resonance Imaging for Detection of Acute Appendicitis in Pregnant Women; a Systematic Review and Meta-Analysis.

التفاصيل البيبلوغرافية
العنوان: Diagnostic Performance of Magnetic Resonance Imaging for Detection of Acute Appendicitis in Pregnant Women; a Systematic Review and Meta-Analysis.
المؤلفون: Motavaselian M; School of Medicine, Shahid Sadoughi University of Medical Sciences, Yazd, Iran., Bayati F; USERN Office, Kermanshah University of Medical Sciences, Kermanshah, Iran., Amani-Beni R; School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran., Khalaji A; Liver and Gastrointestinal Diseases Research Center, Tabriz University of Medical Sciences, Tabriz, Iran., Haghverdi S; Kermanshah University of Medical Sciences, Kermanshah, Iran., Abdollahi Z; Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran., Sarrafzadeh A; School of Dentistry, Arak University of Medical Sciences, Arak, Iran., Rafie Manzelat AM; School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran., Rigi A; Islamic Azad University, Zahedan Branch, Zahedan, Iran., Arabzadeh Bahri R; Tehran University of Medical Sciences, Tehran, Iran., Nakhaee Z; Gonabad University, Gonabad, Iran., Fadaei M; School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran., Ghasemi Falaverjani H; Department of Internal Medicine, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran., Malekpour-Dehkordi S; Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran., Hoseinpour M; Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran., Bidares M; Islamic Azad University of Najafabad, Najafabad, Iran., Zandkarimi S; Faculty of Pharmacy, Islamic Azad University of Tehran Medical Sciences, Tehran, Iran., Ahmadi R; Shariati Hospital, Tehran University of Medical Science, Tehran, Iran., Beheshtiparvar D; School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran., Ahadiat SA; Research Center of Biochemistry and Nutrition in Metabolic Disorder, Kashan University of Medical science. Kashan, Iran., Farshi M; School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran., Farrokhi M; Men's Health and Reproductive Health Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
المصدر: Archives of academic emergency medicine [Arch Acad Emerg Med] 2022 Oct 06; Vol. 10 (1), pp. e81. Date of Electronic Publication: 2022 Oct 06 (Print Publication: 2022).
نوع المنشور: Journal Article; Review
اللغة: English
بيانات الدورية: Publisher: Shahid Beheshti University of Medical Sciences Country of Publication: Iran NLM ID: 101740147 Publication Model: eCollection Cited Medium: Internet ISSN: 2645-4904 (Electronic) Linking ISSN: 26454904 NLM ISO Abbreviation: Arch Acad Emerg Med Subsets: PubMed not MEDLINE
أسماء مطبوعة: Original Publication: [Tehran] : Shahid Beheshti University of Medical Sciences, [2019]-
مستخلص: Introduction: The diagnosis of acute appendicitis (AA) in pregnant women is commonly challenging owing to the normal results of laboratory tests, organ displacement, and normal physiological inflammatory alterations. This meta-analysis aimed to investigate the accuracy of magnetic resonance imaging (MRI) in diagnosis of AA in pregnant women.
Methods: Two investigators independently performed a comprehensive systematic literature search of electronic databases including MEDLINE, Cochrane Central, EMBASE, Web of Science, Scopus, and Google Scholar to identify studies that reported accuracy of MRI for diagnosis of AA in pregnant women from inception to April 1, 2022.
Results: Our systematic search identified a total of 525 published papers. Finally, a total of 26 papers were included in the meta-analysis. The pooled sensitivity and specificity of MRI in diagnosis of AA in pregnant women were 0.92 (95% CI: 0.88-0.95) and 0.98 (95% CI 0.97-0.98), respectively. The pooled positive likelihood ratio and negative likelihood ratio were 29.52 (95% CI: 21.90-39.81) and 0.10 (95% CI: 0.04-0.25), respectively. The area under hierarchical summary receiver operating characteristic (HSROC) curve indicated that the accuracy of MRI for diagnosis of AA in pregnant women is 99%.
Conclusion: This meta-analysis showed that MRI has high sensitivity, specificity, and accuracy for diagnosis of AA in pregnant women and can be used as a first-line imaging modality for suspected cases of AA during pregnancy. Furthermore, it should be noted that when the result of ultrasonography is inconclusive, the use of MRI can reduce unnecessary appendectomy in pregnant patients.
Competing Interests: None.
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فهرسة مساهمة: Keywords: Appendicitis; magnetic resonance imaging; meta-analysis; pregnancy
تواريخ الأحداث: Date Created: 20221125 Latest Revision: 20221126
رمز التحديث: 20231215
مُعرف محوري في PubMed: PMC9676701
DOI: 10.22037/aaem.v10i1.1727
PMID: 36426165
قاعدة البيانات: MEDLINE
الوصف
تدمد:2645-4904
DOI:10.22037/aaem.v10i1.1727