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Radiology, Vol 195, 763-767, Copyright © 1995 by Radiological Society of North America
ARTICLES |
J Sohn, MS Levine, EE Furth, I Laufer, SE Rubesin, H Herlinger and GR Lichtenstein
Department of Radiology, Hospital of the University of Pennsylvania, Philadelphia 19104, USA.
PURPOSE: To determine whether there are useful radiographic criteria for diagnosing Helicobacter pylori. MATERIALS AND METHODS: Radiographs from double-contrast upper gastrointestinal examinations of 88 patients with H pylori and 41 control subjects were blindly reviewed. The results were analyzed by means of receiver operating characteristic (ROC) curves. RESULTS: Thickened gastric folds were detected in 39 patients with H pylori (44%) and nine control subjects (22%). The area under the ROC curve was 0.62 (standard deviation [SD] = 0.05, P < .01). Among the 48 subjects with thickened gastric folds, polypoid gastritis with thickened, lobulated folds was detected in 24 patients with H pylori (62%) and four control subjects (44%). The area under the ROC curve was 0.59 (SD = 0.05, P < .01). No substantial differences were observed in the frequencies of gastric ulcers, erosive gastritis, gastric narrowing, duodenal ulcers, duodenitis, and duodenal narrowing in patients with and without H pylori. CONCLUSION: The presence of thickened gastric folds was the best radiographic criterion for differentiating subjects with from those without H pylori.
This article has been cited by other articles:
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D. A. Torigian, M. S. Levine, N. S. Gill, S. E. Rubesin, F. Fogt, C. F. Schultz, E. E. Furth, and I. Laufer Lymphoid Hyperplasia of the Stomach: Radiographic Findings in Five Adult Patients Am. J. Roentgenol., July 1, 2001; 177(1): 71 - 75. [Abstract] [Full Text] [PDF]
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D. Chang, M. S. Levine, G. G. Ginsberg, S. E. Rubesin, and I. Laufer Portal Hypertensive Gastropathy: Radiographic Findings in Eight Patients Am. J. Roentgenol., December 1, 2000; 175(6): 1609 - 1612. [Abstract] [Full Text] [PDF]
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R. Arora, M. S. Levine, R. T. Harvey, I. Laufer, and S. E. Rubesin Hypertrophied Antral-Pyloric Fold: Reassessment of Radiographic Findings in 40 Patients Radiology, November 1, 1999; 213(2): 347 - 351. [Abstract] [Full Text]
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Y. H. Kim, H. K. Lim, J. K. Han, B. I. Choi, Y. I. Kim, W. J. Lee, and S. H. Kim Low-Grade Gastric Mucosa-associated Lymphoid Tissue Lymphoma: Correlation of Radiographic and Pathologic Findings Radiology, June 1, 1999; 212(1): 241 - 248. [Abstract] [Full Text]
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