Gu L, Yang XL, Yin HK, Lu ZH, Geng CJ. Application value analysis of magnetic resonance imaging and computed tomography in the diagnosis of intracranial infection after craniocerebral surgery. World J Clin Cases 2020; 8(23): 5894-5901 [PMID: 33344588 DOI: 10.12998/wjcc.v8.i23.5894]
Corresponding Author of This Article
Cheng-Jun Geng, MHSc, Associate Chief Physician, Department of Medical Imaging, Wuxi Medical College of Anhui Medical University, 904th Hospital of Joint Logistic Support Force of PLA, No. 101 Xingyuan North Road, Wuxi 214044, Jiangsu Province, China. hfgcj@yeah.net
Research Domain of This Article
Radiology, Nuclear Medicine & Medical Imaging
Article-Type of This Article
Retrospective Study
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Table 2 Comparison of diagnostic sensitivity, specificity, positive predictive value and negative predictive value between magnetic resonance imaging and computed tomography examinations
Examination method
Sensitivity(%)
Specificity (%)
Positive predictive value (%)
Negative predictive value (%)
CT
47.50 (19/40)
83.33 (35/42)
73.08 (19/26)
62.50 (39/56)
MRI
92.50 (37/40)
95.24 (40/42)
94.87 (37/39)
93.02 (40/43)
χ2
48.214
7.414
17.642
26.931
P value
0.001
0.006
0.001
0.001
Table 3 Comparison of coincidence rates among different types of infection and different types of examinations, n (%)
Examination methods
Number of gold standard positive cases
Staphylococcus aureus infection
Staphylococcus epidermidis infection
Staphylococcus hemolyticus infection
Other
CT
40
10 (25.00)
4 (10.00)
4 (10.00)
1 (2.50)
MRI
40
19 (47.50)
8 (20.00)
9 (22.50)
5 (12.50)
χ2
-
10.953
3.922
5.741
7.207
P value
-
0.001
0.048
0.017
0.007
Table 4 Comparison of overall diagnostic coincidence rates between magnetic resonance imaging and computed tomography examinations, n (%)
Examination method
Total number of cases
Missed diagnosis/ misdiagnosis
Diagnostic coincidence rate
CT
82
28 (34.15)
54 (65.85)
MRI
82
5 (6.10)
77 (93.90)
χ2
-
24.473
P value
-
0.001
Citation: Gu L, Yang XL, Yin HK, Lu ZH, Geng CJ. Application value analysis of magnetic resonance imaging and computed tomography in the diagnosis of intracranial infection after craniocerebral surgery. World J Clin Cases 2020; 8(23): 5894-5901