Diagnostic Accuracy of Ileocolic Artery and Vein Diameter for Acute Appendicitis
BACKGROUND Regional inflammation-induced local vasodilation may exist in cases of appendicitis. In this study, the diameters of the ileocolic artery (ICA) and ileocolic vein (ICV) were measured using contrast-enhanced abdominal computed tomography (CT) scans in acute appendicitis cases. The study ai...
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| Veröffentlicht in: | Medical science monitor 2024-03, Vol.30, p.e943846-e943846 |
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| creator | Kartal, Bahadir Tutan, Mehmet Berksun Alkurt, Ertugrul Gazi Sahiner, Ibrahim Tayfun Turhan, Veysel Barıs |
| description | BACKGROUND Regional inflammation-induced local vasodilation may exist in cases of appendicitis. In this study, the diameters of the ileocolic artery (ICA) and ileocolic vein (ICV) were measured using contrast-enhanced abdominal computed tomography (CT) scans in acute appendicitis cases. The study aimed to measure the diagnostic value of these measurements in the diagnosis of acute appendicitis. MATERIAL AND METHODS A total of 508 patients, including those with a diagnosis of acute appendicitis and a control group without appendicitis, were systematically evaluated. In all cases, the appendix was analyzed simultaneously on axial and coronal CT sections, and all measurement procedures were conducted with an electronic ruler after the actual images were magnified. Measurements of the ICA and ICV diameters were taken from the proximal 2-cm segments of the superior mesenteric artery and superior mesenteric vein in the axial plane. Demographic information, sex distribution, and ICA and ICV diameters were collected. RESULTS Of the 508 patients, 53.74% were men, and 46.26% were women. ICA and ICV diameters were significantly increased in the appendicitis group (P |
| doi_str_mv | 10.12659/MSM.943846 |
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In this study, the diameters of the ileocolic artery (ICA) and ileocolic vein (ICV) were measured using contrast-enhanced abdominal computed tomography (CT) scans in acute appendicitis cases. The study aimed to measure the diagnostic value of these measurements in the diagnosis of acute appendicitis. MATERIAL AND METHODS A total of 508 patients, including those with a diagnosis of acute appendicitis and a control group without appendicitis, were systematically evaluated. In all cases, the appendix was analyzed simultaneously on axial and coronal CT sections, and all measurement procedures were conducted with an electronic ruler after the actual images were magnified. Measurements of the ICA and ICV diameters were taken from the proximal 2-cm segments of the superior mesenteric artery and superior mesenteric vein in the axial plane. Demographic information, sex distribution, and ICA and ICV diameters were collected. RESULTS Of the 508 patients, 53.74% were men, and 46.26% were women. ICA and ICV diameters were significantly increased in the appendicitis group (P<0.001). Binomial logistic regression confirmed the independent predictive value of ICA and ICV diameters. Receiver operating characteristic curve analysis determined optimal cut-off values for distinguishing between the non-appendicitis and appendicitis groups (ICA: 2.475 mm, ICV: 3.885 mm) with high sensitivity and specificity. CONCLUSIONS ICA and ICV diameter measurements, in conjunction with major radiological findings, can enhance diagnostic accuracy in acute appendicitis cases. The use of ICA and ICV diameter measurements in diagnosing acute appendicitis offers a novel perspective in clinical practice.</description><identifier>ISSN: 1643-3750</identifier><identifier>ISSN: 1234-1010</identifier><identifier>EISSN: 1643-3750</identifier><identifier>DOI: 10.12659/MSM.943846</identifier><identifier>PMID: 38425035</identifier><language>eng</language><publisher>United States: International Scientific Literature, Inc</publisher><subject>Clinical Research</subject><ispartof>Medical science monitor, 2024-03, Vol.30, p.e943846-e943846</ispartof><rights>Med Sci Monit, 2024 2024</rights><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><orcidid>0000-0002-3921-7675 ; 0000-0003-1834-7355 ; 0000-0002-3044-5428 ; 0000-0003-1647-9979 ; 0000-0001-5093-4993</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC10913285/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC10913285/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,725,778,782,883,27907,27908,53774,53776</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/38425035$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kartal, Bahadir</creatorcontrib><creatorcontrib>Tutan, Mehmet Berksun</creatorcontrib><creatorcontrib>Alkurt, Ertugrul Gazi</creatorcontrib><creatorcontrib>Sahiner, Ibrahim Tayfun</creatorcontrib><creatorcontrib>Turhan, Veysel Barıs</creatorcontrib><title>Diagnostic Accuracy of Ileocolic Artery and Vein Diameter for Acute Appendicitis</title><title>Medical science monitor</title><addtitle>Med Sci Monit</addtitle><description>BACKGROUND Regional inflammation-induced local vasodilation may exist in cases of appendicitis. In this study, the diameters of the ileocolic artery (ICA) and ileocolic vein (ICV) were measured using contrast-enhanced abdominal computed tomography (CT) scans in acute appendicitis cases. The study aimed to measure the diagnostic value of these measurements in the diagnosis of acute appendicitis. MATERIAL AND METHODS A total of 508 patients, including those with a diagnosis of acute appendicitis and a control group without appendicitis, were systematically evaluated. In all cases, the appendix was analyzed simultaneously on axial and coronal CT sections, and all measurement procedures were conducted with an electronic ruler after the actual images were magnified. Measurements of the ICA and ICV diameters were taken from the proximal 2-cm segments of the superior mesenteric artery and superior mesenteric vein in the axial plane. Demographic information, sex distribution, and ICA and ICV diameters were collected. RESULTS Of the 508 patients, 53.74% were men, and 46.26% were women. ICA and ICV diameters were significantly increased in the appendicitis group (P<0.001). Binomial logistic regression confirmed the independent predictive value of ICA and ICV diameters. Receiver operating characteristic curve analysis determined optimal cut-off values for distinguishing between the non-appendicitis and appendicitis groups (ICA: 2.475 mm, ICV: 3.885 mm) with high sensitivity and specificity. CONCLUSIONS ICA and ICV diameter measurements, in conjunction with major radiological findings, can enhance diagnostic accuracy in acute appendicitis cases. The use of ICA and ICV diameter measurements in diagnosing acute appendicitis offers a novel perspective in clinical practice.</description><subject>Clinical Research</subject><issn>1643-3750</issn><issn>1234-1010</issn><issn>1643-3750</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><recordid>eNpVkctLAzEQxoMotlZP3mWPgmzNezcnKfUJLQo-riGbzdbI7qYmu0L_e6OtpZ5mmPzmm5l8AJwiOEaYM3E5f56PBSU55XtgiDglKckY3N_JB-AohA8Icc4hOwSDyGIGCRuCp2urFq0LndXJROveK71KXJU81MZpV_9UfWf8KlFtmbwZ2yaxoTGxlFTOx5a-M8lkuTRtabXtbDgGB5WqgznZxBF4vb15md6ns8e7h-lklmpCYZcqxZU2WJVUQEELnBFOM4wV0pyhEiMloCkKTgqmy0xzZcp4RyYYK3GGRLx2BK7Wusu-aEypTdt5Vcult43yK-mUlf9fWvsuF-5LIigQwTmLCucbBe8-exM62digTV2r1rg-SCwIxXGnHEb0Yo1q70LwptrOQVD-miCjCXJtQqTPdlfbsn-_Tr4Bj4aCXQ</recordid><startdate>20240301</startdate><enddate>20240301</enddate><creator>Kartal, Bahadir</creator><creator>Tutan, Mehmet Berksun</creator><creator>Alkurt, Ertugrul Gazi</creator><creator>Sahiner, Ibrahim Tayfun</creator><creator>Turhan, Veysel Barıs</creator><general>International Scientific Literature, Inc</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-3921-7675</orcidid><orcidid>https://orcid.org/0000-0003-1834-7355</orcidid><orcidid>https://orcid.org/0000-0002-3044-5428</orcidid><orcidid>https://orcid.org/0000-0003-1647-9979</orcidid><orcidid>https://orcid.org/0000-0001-5093-4993</orcidid></search><sort><creationdate>20240301</creationdate><title>Diagnostic Accuracy of Ileocolic Artery and Vein Diameter for Acute Appendicitis</title><author>Kartal, Bahadir ; Tutan, Mehmet Berksun ; Alkurt, Ertugrul Gazi ; Sahiner, Ibrahim Tayfun ; Turhan, Veysel Barıs</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c340t-aa6ace2ad49094b27364722a1c651d21a90ebb63b5cd7c6aed3757955d2719943</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Clinical Research</topic><toplevel>online_resources</toplevel><creatorcontrib>Kartal, Bahadir</creatorcontrib><creatorcontrib>Tutan, Mehmet Berksun</creatorcontrib><creatorcontrib>Alkurt, Ertugrul Gazi</creatorcontrib><creatorcontrib>Sahiner, Ibrahim Tayfun</creatorcontrib><creatorcontrib>Turhan, Veysel Barıs</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Medical science monitor</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kartal, Bahadir</au><au>Tutan, Mehmet Berksun</au><au>Alkurt, Ertugrul Gazi</au><au>Sahiner, Ibrahim Tayfun</au><au>Turhan, Veysel Barıs</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Diagnostic Accuracy of Ileocolic Artery and Vein Diameter for Acute Appendicitis</atitle><jtitle>Medical science monitor</jtitle><addtitle>Med Sci Monit</addtitle><date>2024-03-01</date><risdate>2024</risdate><volume>30</volume><spage>e943846</spage><epage>e943846</epage><pages>e943846-e943846</pages><issn>1643-3750</issn><issn>1234-1010</issn><eissn>1643-3750</eissn><abstract>BACKGROUND Regional inflammation-induced local vasodilation may exist in cases of appendicitis. In this study, the diameters of the ileocolic artery (ICA) and ileocolic vein (ICV) were measured using contrast-enhanced abdominal computed tomography (CT) scans in acute appendicitis cases. The study aimed to measure the diagnostic value of these measurements in the diagnosis of acute appendicitis. MATERIAL AND METHODS A total of 508 patients, including those with a diagnosis of acute appendicitis and a control group without appendicitis, were systematically evaluated. In all cases, the appendix was analyzed simultaneously on axial and coronal CT sections, and all measurement procedures were conducted with an electronic ruler after the actual images were magnified. Measurements of the ICA and ICV diameters were taken from the proximal 2-cm segments of the superior mesenteric artery and superior mesenteric vein in the axial plane. Demographic information, sex distribution, and ICA and ICV diameters were collected. RESULTS Of the 508 patients, 53.74% were men, and 46.26% were women. ICA and ICV diameters were significantly increased in the appendicitis group (P<0.001). Binomial logistic regression confirmed the independent predictive value of ICA and ICV diameters. Receiver operating characteristic curve analysis determined optimal cut-off values for distinguishing between the non-appendicitis and appendicitis groups (ICA: 2.475 mm, ICV: 3.885 mm) with high sensitivity and specificity. CONCLUSIONS ICA and ICV diameter measurements, in conjunction with major radiological findings, can enhance diagnostic accuracy in acute appendicitis cases. The use of ICA and ICV diameter measurements in diagnosing acute appendicitis offers a novel perspective in clinical practice.</abstract><cop>United States</cop><pub>International Scientific Literature, Inc</pub><pmid>38425035</pmid><doi>10.12659/MSM.943846</doi><orcidid>https://orcid.org/0000-0002-3921-7675</orcidid><orcidid>https://orcid.org/0000-0003-1834-7355</orcidid><orcidid>https://orcid.org/0000-0002-3044-5428</orcidid><orcidid>https://orcid.org/0000-0003-1647-9979</orcidid><orcidid>https://orcid.org/0000-0001-5093-4993</orcidid><oa>free_for_read</oa></addata></record> |
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| title | Diagnostic Accuracy of Ileocolic Artery and Vein Diameter for Acute Appendicitis |
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