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©2013 UpToDate ® Print Email Sensitivity and specificity of ultrasonography in the detection of diverticulitis Number of patients Sensitivity Specificity PPV NPV Study Author Year 130 98 98 96 99 [1] Schwerk WB, et al 1992 161 98 99 96 99 [2] Schwerk WB, et al 1993 143 84 93 93 84 [3] Zielke A, et al 1997 64 85 84 85 84 [4] Pradel JA, et al 1997 934 91 100 96 100 [5] Chou YH, et al 2001 NE 77 99 NE NE [6] Hollerweger A, et al 2001 247 97 76 NE NE [7] Moll R, et al 2002 203 94 NE NE NE [8] Ripolles T, et al 2003 63 97 97 NE NE [9] Farag SM, et al 2004 328 (18) 89 100 94 99 [10] Lee MW, et al 2009 1021 (118) 61 99 90 95 [11] Van Randen A, et al 2011 Parentheses indicate the number of patients with proven diverticulitis, if noted. PPV: positive predictive value; NPV: negative predictive value; NE: not evaluable. References: Schwerk WB, Schwarz S, Rothmund M. Sonography in acute colonic diverticulitis. A prospective study. Dis Colon Rectum 1992; 35:1077. Schwerk WB, Schwarz S, Rothmund M, Arnold R. Colon diverticulitis: imaging diagnosis with ultrasound--a prospective study. Z Gastroenterol 1993; 31:294. Zielke A, Hasse C, Nies C, Kisker O, Voss M, Sitter H et al. Prospective evaluation of ultrasonography in acute colonic diverticulitis. Br J Surg 1997; 84:385. Pradel JA, Adell JF, Taourel P, Djafari M, Monnin-Delhom E, Bruel JM. Acute colonic diverticulitis: prospective comparative evaluation with US and CT. Radiology 1997; 205:503. Chou YH, Chiou HJ, Tiu CM, Chen JD, Hsu CC, Lee CH et al. Sonography of acute right side colonic diverticulitis. Am J Surg 2001; 181:122. Hollerweger A, Macheiner P, Rettenbacher T, Brunner W, Gritzmann N. Colonic diverticulitis: diagnostic value and appearance of inflamed diverticula-sonographic evaluation. Eur Radiol 2001; 11:1956. Moll R, Mittelkotter U, Reith HB, Schindler G, Thiede A. Which imaging in case of sigmoid diverticulitis? The value of ultrasound (Conventional B-mode in combination with hydrocolonsonography and colour flow Doppler) in comparison to the well-established modalities like contrast enema and helical computertomography. Zentralbl Chir 2002; 127:297. Ripolles T, Agramunt M, Martinez MJ, Costa S, Gomez-Abril SA, Richart J. The role of ultrasound in the diagnosis, management and evolutive prognosis of acute left-sided colonic diverticulitis: a review of 208 patients. Eur Radiol 2003; 13:2587.

Moll R, Mittelkotter U, Reith HB, Schindler G, Thiede A. Which imaging in case of sigmoid diverticulitis? The value of ultrasound (Conventional B-mode in combination with hydrocolonsonography and colour flow Doppler) in comparison to the well-established modalities like contrast enema and helical computertomography. Zentralbl Chir 2002; 127:297. Ripolles T, Agramunt M, Martinez MJ, Costa S, Gomez-Abril SA, Richart J. The role of ultrasound in the diagnosis, management and evolutive prognosis of acute left-sided colonic diverticulitis: a review of 208 patients. Eur Radiol 2003; 13:2587. Farag SM, Wustner M, Sturm J, Werner A, Diehl SJ, Duber C et al. Primary diagnostics of acute diverticulitis of the sigmoid. Ultraschall Med 2004; 25:342. Lee MW, Kim YJ, Jeon HJ, Park SW, Jung SI, Yi JG. Sonography of acute right lower quadrant pain: importance of increased intraabdominal fat echo. AJR Am J Roentgenol. 2009; 192:174. Van Randen A, Laméris W, van Es HW, van Heesewijk HP, van Ramshorst B, Ten Hove W, Bouma WH, van Leeuwen MS, van Keulen EM, Bossuyt PM, Stoker J, Boermeester MA; OPTIMA Study Group. A comparison of the accuracy of ultrasound and computed tomography in common diagnoses causing acute abdominal pain. Eur Radiol. 2011; 21: 1535.