Localization of the appendix at MR imaging during pregnancy: utility of the cecal tilt angle

Radiology
Karen S LeeIvan Pedrosa

Abstract

To determine whether the cecal tilt angle on sagittal magnetic resonance (MR) images in pregnant patients correlates with the location of the appendix and gestational age and whether the cecal tilt angle can help predict the location of the appendix. This HIPAA-compliant retrospective study was approved by the institutional review board. Informed consent was waived. Of 146 consecutive pregnant patients suspected of having appendicitis (mean age, 29 years) who underwent MR imaging, 143 had MR images in which the appendix and cecum were identifiable in the sagittal plane. Two observers reviewed the MR images; findings were agreed upon by consensus. With use of sagittal single-shot fast spin-echo MR images, the cecal tilt angle was calculated as the angle between the imaging table and a line drawn between the cecal tip and the luminal center of the most proximal inflection point in the ascending colon. The location of the appendiceal base relative to the lumbosacral spine was recorded. Statistical analyses were performed by using Spearman and Pearson correlation coefficients to evaluate the relationship among gestational age, appendiceal base location, and cecal tilt angle. Receiver operating characteristic curve analysis was perf...Continue Reading

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Citations

Nov 8, 2011·Journal of Clinical Imaging Science·Diana Gaitini
Dec 24, 2010·AJR. American Journal of Roentgenology·Svati Singla LongKatarzyna J Macura
Oct 24, 2014·Radiology·Carol B Benson, Peter M Doubilet
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Aug 21, 2021·Abdominal Radiology·HeiShun YuDushyant Sahani

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