Choi Y H, Fischer E, Hoda S A, Rubenstein W A, Morrissey K P, Hertford D, Hwang K, Ramirez de Arellano E, Kazam E
Department of Radiology, New York Hospital-Cornell Medical Center, NY 10021, USA.
Clin Imaging. 1998 Jul-Aug;22(4):252-71. doi: 10.1016/s0899-7071(97)00080-6.
Computed tomography (CT) was performed in 140 patients with suspected acute appendicitis. Thin collimation (5 mm), intravenous contrast enhancement, 1-second scan times, and supplementary cecal air insufflation were emphasized. CT accuracy was 98% overall (137/140), and 99% in the 124 cases with early surgery. Necrotizing appendicitis was diagnosed by CT with 86% accuracy and 90% positive predictive value.