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Differentiation Between Surgical and Nonsurgical Intussusception: A Diagnostic Model Using Multi-Detector Computed Tomography
BACKGROUND: The differentiation of surgical from nonsurgical adult intussusception may enable the appropriate selection of management strategies. OBJECTIVE: This study aimed to investigate the diagnostic potential of multidetector computed tomography (MCDT) features to differentiate surgical from no...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Academy of Medical sciences
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8116087/ https://www.ncbi.nlm.nih.gov/pubmed/34012211 http://dx.doi.org/10.5455/aim.2021.29.32-37 |
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author | Duc, Vo Tan Chien, Phan Cong Huyen, Le Duy Mai Triet, Pham Ngoc Minh Hung, Pham Thai Thuy, Tran-Thi Mai My, Thieu-Thi Tra Duc, Nguyen Minh |
author_facet | Duc, Vo Tan Chien, Phan Cong Huyen, Le Duy Mai Triet, Pham Ngoc Minh Hung, Pham Thai Thuy, Tran-Thi Mai My, Thieu-Thi Tra Duc, Nguyen Minh |
author_sort | Duc, Vo Tan |
collection | PubMed |
description | BACKGROUND: The differentiation of surgical from nonsurgical adult intussusception may enable the appropriate selection of management strategies. OBJECTIVE: This study aimed to investigate the diagnostic potential of multidetector computed tomography (MCDT) features to differentiate surgical from nonsurgical adult intussusception and develop a diagnostic model. METHODS: A retrospective study was performed on 96 patients with intussusceptions at the University Medical Center Hospital between January 2014 and January 2020. Two radiologists reviewed all images, and intussusception characteristics were documented. The location of intussusception, length, diameter, interposed fat thickness, lead point, and complications were evaluated. Based on the results, a diagnostic tree model was developed to differentiate between surgical and nonsurgical adult intussusception. RESULTS: A total of 99 intussusceptions in 96 patients (mean age: 53.0 ± 16.5 years), including 35 (35.3%) enteroenteric, 27 (27.3%) enterocolic, and 37 (37.4%) colocolic lesions, were evaluated. Of the enteroenteric intussusceptions, 22 (62.9%) were surgical, including 19 (79.2%) with lead points. Among colon intussusceptions, 63 (98.4%) were surgical, and 100% had lead points. The characteristics used to predict surgical intussusceptions included lead point presence, length ≥ 5.0 cm, diameter ≥ 3.2 cm, interposed fat thickness ≥ 0.5 cm, and complications (p < 0.001). Based on these features, we established a diagnostic tree model that correctly classified 96 (97%) of 99 lesions. CONCLUSION: Our study reinforces the importance of MDCT for the diagnosis and guided management of adult intussusceptions. The characteristics that predicted surgical intussusceptions included lead points, length, diameter, interposed fat thickness, and complications. A systematic approach using this diagnostic tree model could be used to distinguish surgical and nonsurgical adult intussusception. |
format | Online Article Text |
id | pubmed-8116087 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Academy of Medical sciences |
record_format | MEDLINE/PubMed |
spelling | pubmed-81160872021-05-18 Differentiation Between Surgical and Nonsurgical Intussusception: A Diagnostic Model Using Multi-Detector Computed Tomography Duc, Vo Tan Chien, Phan Cong Huyen, Le Duy Mai Triet, Pham Ngoc Minh Hung, Pham Thai Thuy, Tran-Thi Mai My, Thieu-Thi Tra Duc, Nguyen Minh Acta Inform Med Original Paper BACKGROUND: The differentiation of surgical from nonsurgical adult intussusception may enable the appropriate selection of management strategies. OBJECTIVE: This study aimed to investigate the diagnostic potential of multidetector computed tomography (MCDT) features to differentiate surgical from nonsurgical adult intussusception and develop a diagnostic model. METHODS: A retrospective study was performed on 96 patients with intussusceptions at the University Medical Center Hospital between January 2014 and January 2020. Two radiologists reviewed all images, and intussusception characteristics were documented. The location of intussusception, length, diameter, interposed fat thickness, lead point, and complications were evaluated. Based on the results, a diagnostic tree model was developed to differentiate between surgical and nonsurgical adult intussusception. RESULTS: A total of 99 intussusceptions in 96 patients (mean age: 53.0 ± 16.5 years), including 35 (35.3%) enteroenteric, 27 (27.3%) enterocolic, and 37 (37.4%) colocolic lesions, were evaluated. Of the enteroenteric intussusceptions, 22 (62.9%) were surgical, including 19 (79.2%) with lead points. Among colon intussusceptions, 63 (98.4%) were surgical, and 100% had lead points. The characteristics used to predict surgical intussusceptions included lead point presence, length ≥ 5.0 cm, diameter ≥ 3.2 cm, interposed fat thickness ≥ 0.5 cm, and complications (p < 0.001). Based on these features, we established a diagnostic tree model that correctly classified 96 (97%) of 99 lesions. CONCLUSION: Our study reinforces the importance of MDCT for the diagnosis and guided management of adult intussusceptions. The characteristics that predicted surgical intussusceptions included lead points, length, diameter, interposed fat thickness, and complications. A systematic approach using this diagnostic tree model could be used to distinguish surgical and nonsurgical adult intussusception. Academy of Medical sciences 2021-03 /pmc/articles/PMC8116087/ /pubmed/34012211 http://dx.doi.org/10.5455/aim.2021.29.32-37 Text en © 2021 Vo Tan Duc, Phan Cong Chien, Le Duy Mai Huyen, Pham Ngoc Minh Triet, Pham Thai Hung, Tran-Thi Mai Thuy, Thieu-Thi Tra My, Nguyen Minh Duc https://creativecommons.org/licenses/by-nc/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) ) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Original Paper Duc, Vo Tan Chien, Phan Cong Huyen, Le Duy Mai Triet, Pham Ngoc Minh Hung, Pham Thai Thuy, Tran-Thi Mai My, Thieu-Thi Tra Duc, Nguyen Minh Differentiation Between Surgical and Nonsurgical Intussusception: A Diagnostic Model Using Multi-Detector Computed Tomography |
title | Differentiation Between Surgical and Nonsurgical Intussusception: A Diagnostic Model Using Multi-Detector Computed Tomography |
title_full | Differentiation Between Surgical and Nonsurgical Intussusception: A Diagnostic Model Using Multi-Detector Computed Tomography |
title_fullStr | Differentiation Between Surgical and Nonsurgical Intussusception: A Diagnostic Model Using Multi-Detector Computed Tomography |
title_full_unstemmed | Differentiation Between Surgical and Nonsurgical Intussusception: A Diagnostic Model Using Multi-Detector Computed Tomography |
title_short | Differentiation Between Surgical and Nonsurgical Intussusception: A Diagnostic Model Using Multi-Detector Computed Tomography |
title_sort | differentiation between surgical and nonsurgical intussusception: a diagnostic model using multi-detector computed tomography |
topic | Original Paper |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8116087/ https://www.ncbi.nlm.nih.gov/pubmed/34012211 http://dx.doi.org/10.5455/aim.2021.29.32-37 |
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