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. 2022 Sep 22;95(1139):20211251. doi: 10.1259/bjr.20211251

Table 3.

Sensitivity and specificity of ultrasonography in the diagnosis of infantile hypertrophic pyloric stenosis based on (A) PCL and (B) PD

A
Author Yeara Casesb Proportion IHPS Cut-off value Sensitivity (%) Specificity (%) PPV (%) NPV (%) Accuracy (%)
Hallam 34 1995 47 0.45 PCL>13 mm. 57.1 96.2 92.3 73.5 78.7
Mullassery 36 2008 343 1 PCL≥14 mm. 99.6 0 98.7 0 98.3
Rohrschneider 35 1998 169 0.5 PCL≥15 mm. 91.8 98.8 98.7 92.2 95.3
Malcolm 30 2009 8 1 PCL≥15 mm. 100 n/e n/e n/e n/e
Iqbal 39 2012 304 0.22 PCL≥15 mm. 97 97 89 99.1 96.7
Lowe 36 1999 84 0.4 PCL≥14 mm 84 100 n/e n/e n/e
PCL≥15 mm 92 97 n/e n/e n/e
PCL≥16 mm. 98 97 n/e n/e n/e
PCL≥17 mm 100 84.9 n/e n/e n/e
Vinycomb 51 2021 284 0.5 PCL≥15 mm 95.8 90.4 91.9 95 93.3
PCL≥17 mm 76.7 98.4 98.2 78.8 86.9
Forster 37 2007 87 0.47 PCL≥16 mm. 85.1 76.9 n/e n/e n/e
PCL>17 mm. 75.8 84.6 n/e n/e n/e
Ito 44 2000 57 1 PCL≥18 mm. 98 n/e n/e n/e n/e
Tunell 40 1984 91 0.44 PCL>19 mm. 95 100 100 96.2 97.8
Westra 43 1989 47 0.47 PCL≥19 mm. 54.5 100 100 71.4 78.7
Cohen 42 1987 156 0.07 PCL≥20 mm. 64 n/e n/e n/e n/e
B
Author Yeara Casesb Proportion HPS Cut- off value Sensitivity (%) Specificity (%) PPV (%) NPV (%) Accuracy (%)
Rohrschneider 35 1998 169 0.5 PD≥11 mm. n/e n/e n/e n/e 92
Tunell 40 1984 91 0.44 PD>13 mm. 80 96.1 94.1 86 89
Westra 43 1989 47 0.47 PD≥13 mm. 90.9 100 100 92.6 95.7
Wilson 41 1984 50 0.58 PD≥15 mm. 51.7 100 100 60 72
Cohen 42 1987 156 0.07 PD≥15 mm. 55 n/e n/e n/e n/e
Ito 44 2000 57 1 PD≥15 mm. 93 n/e n/e n/e n/e

IHPS, infantile hypertrophic pyloric stenosis; NPV, negative-predictive value;PCL, pyloric canal length; PD, pyloric diameter; PPV, positive-predictive value.

a

Year published.

b

Total number of cases included in the study. N/e means not estimable, because there was lack of sufficient data to calculate value and/or value was not reported in publication.