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Please use this identifier to cite or link to this item: http://repository.li.mahidol.ac.th/dspace/handle/123456789/54687
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dc.contributor.authorYousun Koen_US
dc.contributor.authorWoo Joo Leeen_US
dc.contributor.authorJi Hoon Parken_US
dc.contributor.authorHae Young Kimen_US
dc.contributor.authorJi Ye Simen_US
dc.contributor.authorPenampai Tannaphaien_US
dc.contributor.authorKyoung Ho Leeen_US
dc.contributor.otherGraduate School of Convergence Science and Technologyen_US
dc.contributor.otherSeoul National University Bundang Hospitalen_US
dc.contributor.otherAsan Medical Centeren_US
dc.contributor.otherInha University, Incheonen_US
dc.contributor.otherFaculty of Medicine, Ramathibodi Hospital, Mahidol Universityen_US
dc.contributor.otherSeoul National Universityen_US
dc.contributor.otherHanil General Hospitalen_US
dc.date.accessioned2020-05-05T05:58:00Z-
dc.date.available2020-05-05T05:58:00Z-
dc.date.issued2020-01-01en_US
dc.identifier.citationEuropean Radiology. (2020)en_US
dc.identifier.issn14321084en_US
dc.identifier.issn09387994en_US
dc.identifier.other2-s2.0-85082954059en_US
dc.identifier.urihttp://repository.li.mahidol.ac.th/dspace/handle/123456789/54687-
dc.description.abstract© 2020, European Society of Radiology. Objectives: To test whether the difference in sensitivity or specificity between 2-mSv CT and conventional-dose CT (CDCT) for the diagnosis of appendicitis differs across subgroups of adolescents and young adults with suspected appendicitis. Materials and Methods: We used the per-protocol analysis data of a trial conducted between Dec 2013 and Aug 2016, including 2773 patients (median age [interquartile range], 28 [21–35] years) and 160 radiologists from 20 hospitals. We defined subgroups by sex, body size, clinical risk scores for appendicitis, time of CT examination (i.e., working vs. after hours), CT machines, radiologists’ experience, previous site experience in 2-mSv CT, and site practice volume. We drew forest plots and tested for additive or multiplicative interaction between radiation dose and subgroup attributes. If any subgroup had fewer than 200 patients, we considered the results from that subgroup not meaningful. Results: For most subgroups, the 95% CIs for the differences in sensitivity and specificity were 4.0 percentage points or narrower and contained the minute overall between-group differences. There was no significant interaction on sensitivity or specificity. A few subgroups, including those of extreme body sizes, high appendicitis inflammatory response scores, and hospitals with small appendectomy volume, were regarded to have insufficient numbers of patients. Conclusions: There was no notable subgroup heterogeneity, which implies that 2-mSv CT can replace CDCT in diverse populations. Further studies are needed for the subgroups for which we had only small data. Key Points: • The minute difference in sensitivity or specificity between the 2-mSv CT and conventional-dose CT (typically 7 mSv) groups were consistent across various patient or hospital characteristics. • These results indicate that 2-mSv CT can replace conventional-dose CT in diverse populations. • Further studies are needed to confirm whether 2-mSv CT can replace conventional-dose CT in patients of extreme body sizes, high appendicitis inflammatory response scores, or hospitals with small appendectomy volume, as those subgroups in our data included limited numbers of patients.en_US
dc.rightsMahidol Universityen_US
dc.source.urihttps://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85082954059&origin=inwarden_US
dc.subjectMedicineen_US
dc.titleDiagnostic sensitivity and specificity of 2-mSv CT vs. conventional-dose CT in adolescents and young adults with suspected appendicitis: post hoc subgroup analysis of the LOCAT dataen_US
dc.typeArticleen_US
dc.rights.holderSCOPUSen_US
dc.identifier.doi10.1007/s00330-020-06811-yen_US
dc.identifier.urlhttps://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85082954059&origin=inwarden_US
Appears in Collections:Scopus 2020

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