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    High Rate of False Negative Diagnosis of Silent Patent Ductus Arteriosus on the Chest CT with 3 mm Slice-Thickness, Suggesting the Need for Analysis with Thinner Slice Thickness

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    Author
    Lee, Dongjun
    Son, Minji
    Yoo, Seungmin
    Jung, Sanghoon
    Chun, Eunju
    White, Charles S
    Date
    2021-07-27
    Journal
    Tomography (Ann Arbor, Mich.)
    Publisher
    MDPI AG
    Type
    Article
    
    Metadata
    Show full item record
    See at
    https://doi.org/10.3390/tomography7030025
    Abstract
    The purpose of this study was to evaluate the diagnostic accuracy of patent with ductus arteriosus (PDA) based on the availability of pretest information on routine chest CT with 3 mm slice-thickness. We retrospectively evaluated CT of 64 patients with PDA. The enrolled patients were categorized as group 1 (presence of pretest information) and 2 (absence of pretest information, silent PDA). CTs were read by eleven board-certified radiologists, and subsequently by two blind readers. We investigated whether a PDA was mentioned on the initial CT reading. Correct diagnosis of PDA was made in all patients with group 1 (n = 42). In contrast, only 13.7% were correctly diagnosed in group 2. All cases of missed PDA in group 2 were also missed by two blind readers. It is important to realize that the diagnostic accuracy of silent PDA is poor on the chest CT with 3 mm slice-thickness. Thus, use of axial CT images with the thinnest slice-thickness and multi-planar reformatted images (i.e., sagittal and coronal images) may be one way to reduce the number of missed PDA.
    Keyword
    CT
    patent ductus arteriosus
    silent patent ductus arteriosus
    Identifier to cite or link to this item
    http://hdl.handle.net/10713/16499
    ae974a485f413a2113503eed53cd6c53
    10.3390/tomography7030025
    Scopus Count
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