Dergiler / Eurasian Journal of Emergency Medicine / 2020 / Cilt: 19 - Sayı: 1

Rapid Sequence MRI Analysis of Acute Abdominal Pain

Sayfa
16–19
Yayın Tarihi
2022-10-11
DOI
—
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Conclusion: A successful diagnostic performance was achieved by non-contrast RAMRI in cases with AAP.

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Amaç & Hipotez:Aim: The aim of this study was to evaluate the diagnostic performance of non-contrast rapid sequences (RAMRI) visualization on cases who were clinically diagnosed as having acute abdominal pain (AAP).
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Temel Bulgular & Veri:Materials and Methods: Forty-six patients were chosen from 2850 patients who were admitted to the emergency service between January 2016 - January 2019 because of sudden onset abdominal pain and could not get a computerized tomography analysis.
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Sonuç & Katkı:Conclusion: A successful diagnostic performance was achieved by non-contrast RAMRI in cases with AAP.
🔬Tür:Araştırma Makalesi
📍Kapsam:2016 Verileri
⚙️Değişkenler:Alan Parametreleri

Abstract

Aim: The aim of this study was to evaluate the diagnostic performance of non-contrast rapid sequences (RAMRI) visualization on cases who were clinically diagnosed as having acute abdominal pain (AAP). Materials and Methods: Forty-six patients were chosen from 2850 patients who were admitted to the emergency service between January 2016 - January 2019 because of sudden onset abdominal pain and could not get a computerized tomography analysis. A 1.5 Tesla magnetic resonance (MR) device (GE Signa Hi-Speed, Milwaukee) was used for analysis. Coronal and axial T2-weighted single-shot fast spin-echo series were used as scan protocol. No intravenous, oral or rectal contrast material was used. The cases were identified as positive (+) or negative (-) by MRI. The cases who had symptoms related with AAP, were considered as positive (+), and the cases who did not have symptoms or had symptoms which were not related with AAP, were considered as negative (-). Results: Of the patients, 26 (56.5%), were female and 20 (43.5%) were male. The median age was 38.65 (18-86) years. The treatment methodology was surgery for 25 cases (54%) and conservative for 21 (46%) cases. The operative group (surgically treated) included 24 MR (+) and one MR (-) cases. There was a harmony between the clinic and MRI data of all members in non-surgical group. The accuracy of the study was calculated as 95.6% (44/46). The sensitivity of RAMRI was calculated as 96% for operative group and 100% for non-operative group. Conclusion: A successful diagnostic performance was achieved by non-contrast RAMRI in cases with AAP.

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Bu Makaleye Atıf Yap

GÖKSU, M., KAFADAR, S., ERTÜRK, Ş. M., İNAN, İ., BAYKAN, A. H., ŞAHİN, Ş. (2022). Rapid Sequence MRI Analysis of Acute Abdominal Pain. Eurasian Journal of Emergency Medicine, Cilt: 19 - Sayı: 1, 16–19. https://ajindex.com/articles/507962

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Kaynakça (15)

  1. Kilicaslan I, Bozan H, Oktay C, Göksu E. Demographic properties of patients presenting to the emergency department in Turkey. Türkiye Acil Tıp Dergisi. 2005;5:5-13
  2. Stoker J, van Randen A, Laméris W, Boermeester MA. Imaging patients with acute abdominal pain. Radiology. 2009;253:31-46
  3. Abdullah M., Firmansyah MA. Diagnostic approach and management of acute abdominal pain. Acta Med Indones. 2012;44:344-50
  4. Scheirey CD, Fowler KJ, Therrien JA, Kim DH, Al-Refaie WB, Camacho MA et al. ACR Appropriateness Criteria® Acute Nonlocalized Abdominal Pain. J Am Coll Radiol. 2018;15:S217-31
  5. Ditkofsky NG, Singh A, Avery L, Novelline RA. The role of emergency MRI in the setting of acute abdominal pain. Emerg Radiol. 2014;21:615-24
  6. Tkacz JN, Anderson SA, Soto J. MR imaging in gastrointestinal emergencies. Radiographics. 2009;29:1767-80
  7. LeBedis CA, Penn DR, Gupta A, Tkacz JN, Jorge A et al. Current applications of MRI in emergent gastrointestinal diseases. Applied Radiology. 2012;41:9
  8. Corson-Knowles D, Russell FM. Clinical Ultrasound Is Safe and Highly Specific for Acute Appendicitis in Moderate to High Pre-test Probability Patients. West J Emerg Med. 2018;19:460-4
  9. Byott S, Harris I. Rapid acquisition axial and coronal T2 HASTE MR in the evaluation of acute abdominal pain. Eur J Radiol. 2016;85:286-90
  10. Lubarsky M, Kalb B, Sharma P, Keim SM, Martin DR. MR imaging for acute nontraumatic abdominopelvic pain: rationale and practical considerations. Radiographics. 2013;33:313-37
  11. Spalluto LB, Woodfield CA, DeBenedectis CM, Lazarus E. MR imaging evaluation of abdominal pain during pregnancy: appendicitis and other nonobstetric causes. Radiographics. 2012;32:317-34
  12. Cobben L, Groot I, Kingma L, Coerkamp E, Puylaert J, Blickman J. A simple MRI protocol in patients with clinically suspected appendicitis: results in 138 patients and effect on outcome of appendectomy. Eur Radiol. 2009;19:117583
  13. Heverhagen JT, Sitter H, Zielke A, Klose KJ. Prospective evaluation of the value of magnetic resonance imaging in suspected acute sigmoid diverticulitis. Dis Colon Rectum. 2008;51:1810-5
  14. Viremouneix L, Monneuse O, Gautier G, Gruner L, Giorgi R, Allaouchiche B et al. Prospective evaluation of nonenhanced MR imaging in acute pancreatitis. J Magn Reson Imaging. 2007;26:331-8
  15. Tonolini M, Ravelli A, Villa C, Bianco R. Urgent MRI with MR cholangiopancreatography (MRCP) of acute cholecystitis and related complications: diagnostic role and spe