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Magnetic resonance imaging of acute appendicitis in pregnancy: a 5-year multiinstitutional study.

Publication ,  Journal Article
Burke, LMB; Bashir, MR; Miller, FH; Siegelman, ES; Brown, M; Alobaidy, M; Jaffe, TA; Hussain, SM; Palmer, SL; Garon, BL; Oto, A; Reinhold, C ...
Published in: Am J Obstet Gynecol
November 2015

OBJECTIVE: The purpose of this study was to determine the diagnostic performance of magnetic resonance imaging (MRI) in the diagnosis of acute appendicitis during pregnancy in a multiinstitutional study. STUDY DESIGN: In this multicenter retrospective study, the cases of pregnant women who underwent MRI evaluation of abdominal or pelvic pain and who had clinical suspicion of acute appendicitis between June 1, 2009, and July 31, 2014, were reviewed. All MRI examinations with positive findings for acute appendicitis were confirmed with surgical pathologic information. Sensitivity, specificity, negative predictive values, and positive predictive values were calculated. Receiver operating characteristic curves were generated, and area under the curve analysis was performed for each participating institution. RESULTS: Of the cases that were evaluated, 9.3% (66/709) had MRI findings of acute appendicitis. Sensitivity, specificity, accuracy, positive predictive value, and negative predictive values were 96.8%, 99.2%, 99.0%, 92.4%, and 99.7%, respectively. There was no statistically significant difference between centers that were included in the study (pair-wise probability values ranged from 0.12-0.99). CONCLUSION: MRI is useful and reproducible in the diagnosis of suspected acute appendicitis during pregnancy.

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Published In

Am J Obstet Gynecol

DOI

EISSN

1097-6868

Publication Date

November 2015

Volume

213

Issue

5

Start / End Page

693.e1 / 693.e6

Location

United States

Related Subject Headings

  • Young Adult
  • Sensitivity and Specificity
  • Retrospective Studies
  • Pregnancy Complications
  • Pregnancy
  • Obstetrics & Reproductive Medicine
  • Middle Aged
  • Magnetic Resonance Imaging
  • Humans
  • Female
 

Citation

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Burke, L. M. B., Bashir, M. R., Miller, F. H., Siegelman, E. S., Brown, M., Alobaidy, M., … Semelka, R. C. (2015). Magnetic resonance imaging of acute appendicitis in pregnancy: a 5-year multiinstitutional study. Am J Obstet Gynecol, 213(5), 693.e1-693.e6. https://doi.org/10.1016/j.ajog.2015.07.026
Burke, Lauren M. B., Mustafa R. Bashir, Frank H. Miller, Evan S. Siegelman, Michele Brown, Mamdoh Alobaidy, Tracy A. Jaffe, et al. “Magnetic resonance imaging of acute appendicitis in pregnancy: a 5-year multiinstitutional study.Am J Obstet Gynecol 213, no. 5 (November 2015): 693.e1-693.e6. https://doi.org/10.1016/j.ajog.2015.07.026.
Burke LMB, Bashir MR, Miller FH, Siegelman ES, Brown M, Alobaidy M, et al. Magnetic resonance imaging of acute appendicitis in pregnancy: a 5-year multiinstitutional study. Am J Obstet Gynecol. 2015 Nov;213(5):693.e1-693.e6.
Burke, Lauren M. B., et al. “Magnetic resonance imaging of acute appendicitis in pregnancy: a 5-year multiinstitutional study.Am J Obstet Gynecol, vol. 213, no. 5, Nov. 2015, pp. 693.e1-693.e6. Pubmed, doi:10.1016/j.ajog.2015.07.026.
Burke LMB, Bashir MR, Miller FH, Siegelman ES, Brown M, Alobaidy M, Jaffe TA, Hussain SM, Palmer SL, Garon BL, Oto A, Reinhold C, Ascher SM, Demulder DK, Thomas S, Best S, Borer J, Zhao K, Pinel-Giroux F, De Oliveira I, Resende D, Semelka RC. Magnetic resonance imaging of acute appendicitis in pregnancy: a 5-year multiinstitutional study. Am J Obstet Gynecol. 2015 Nov;213(5):693.e1-693.e6.
Journal cover image

Published In

Am J Obstet Gynecol

DOI

EISSN

1097-6868

Publication Date

November 2015

Volume

213

Issue

5

Start / End Page

693.e1 / 693.e6

Location

United States

Related Subject Headings

  • Young Adult
  • Sensitivity and Specificity
  • Retrospective Studies
  • Pregnancy Complications
  • Pregnancy
  • Obstetrics & Reproductive Medicine
  • Middle Aged
  • Magnetic Resonance Imaging
  • Humans
  • Female