diagnostic accuracy of noncontrast computed tomography for appendicitis in adults a systematic review：非增强ct诊断准确性的系统评价阑尾炎ct在成人.pdf

GENERAL MEDICINE/ORIGINAL RESEARCH Diagnostic Accuracy of Noncontrast Computed Tomography for Appendicitis in Adults: A Systematic Review Veronica Hlibczuk, MD From the Division of Emergency Medicine, Columbia University Medical Center (Hlibczuk), and Judith A. Dattaro, MD Division of Emergency Medicine, Weill Cornell Medical Center (Dattaro), New York–Presbyterian Hospital, New York, NY; the Department of Biostatistics, Mailman School of Public Health, Zhezhen Jin, PhD Columbia University, New York, NY (Jin); Mount Sinai Heart, Mount Sinai Medical Center, New Louise Falzon, BA York, NY (Falzon); and the Division of Emergency Medicine, Michigan State University College of Michael D. Brown, MD, MSc Human Medicine, Grand Rapids, MI (Brown). Study objective: We seek to determine the diagnostic test characteristics of noncontrast computed tomography (CT) for appendicitis in the adult emergency department (ED) population. Methods: We conducted a search of MEDLINE, EMBASE, the Cochrane Library, and the bibliographies of previous systematic reviews. Included studies assessed the diagnostic accuracy of noncontrast CT for acute appendicitis in adults by using the final diagnosis at surgery or follow-up at a minimum of 2 weeks as the reference standard. Studies were included only if the CT was completed using a multislice helical scanner. Two authors independently conducted the relevance screen of titles and abstracts, selected studies for the final inclusion, extracted data, and assessed study quality. Consensus was reached by conference, and any disagreements were adjudicated by a third reviewer. Unenhanced CT test performance was