Prospective comparison of MR enteroclysis with multidetector spiral-CT enteroclysis: interobserver agreement and sensitivity by means of "sign-by-sign" correlation View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2002-10-24

AUTHORS

Sabine Schmidt, Domenico Lepori, Jean-Yves Meuwly, Bertrand Duvoisin, Reto Meuli, Pierre Michetti, Christian Felley, Pierre Schnyder, Guy van Melle, Alban Denys

ABSTRACT

. Our objective was a prospective comparison of MR enteroclysis (MRE) with multidetector spiral-CT enteroclysis (MSCTE). Fifty patients with various suspected small bowel diseases were investigated by MSCTE and MRE. The MSCTE was performed using slices of 2.5 mm, immediately followed by MRE, obtaining T1- and T2-weighted sequences, including gadolinium-enhanced acquisition with fat saturation. Three radiologists independently evaluated MSCTE and MRE searching for 12 pathological signs. Interobserver agreement was calculated. Sensitivities and specificities resulted from comparison with pathological results (n=29) and patient's clinical evolution (n=21). Most pathological signs, such as bowel wall thickening (BWT), bowel wall enhancement (BWE) and lymphadenopathy (ADP), showed better interobserver agreement on MSCTE than on MRE (BWT: 0.65 vs 0.48; BWE: 0.51 vs 0.37; ADP: 0.52 vs 0.15). Sensitivity of MSCTE was higher than that of MRE in detecting BWT (88.9 vs 60%), BWE (78.6 vs 55.5%) and ADP (63.8 vs 14.3%). Wilcoxon signed-rank test revealed significantly better sensitivity of MSCTE than that of MRE for each observer (p=0.028, p=0.046, p=0.028, respectively). Taking the given study design into account, MSCTE provides better sensitivity in detecting lesions of the small bowel than MRE, with higher interobserver agreement. More... »

PAGES

1303-1311

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s00330-002-1710-x

DOI

http://dx.doi.org/10.1007/s00330-002-1710-x

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1075290783

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/12764646


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