Rapid Sequence MRI Analysis of Acute Abdominal Pain

Purpose: The aim of this study was to evaluate the diagnosis performance of non-contrast rapid sequences MRI (RAMRI) visualization on cases who have been clinically diagnosed as acute abdominal pain (AAP).
Material and methods: 46 were chosen from 2850 patients who have applied to emergency service between January 2016-January 2019 because of sudden onset of abdominal pain and could not get a CT analysis. 1.5 Tesla MR device (GE Signa Hi-Speed, Milwaukee) was used for analysis. Coronal and axial T2-weighted SS FSE series were used as scan protocol. No intravenous, oral or rectal contrast material were used. The cases identified as positively (+) and negatively (-) by MRI. The cases who have symptoms, related with AAP, considered as positive (+), normal or symptoms which are not related with AAP, considered as negative (-).
Results: 26 of the cases were female (56.5 %), 20 of them were male (43.5 %) and the median age was calculated as 38.65 (18-86). The treatment methodology was surgery for 25 cases (54 %) and conservative for 21 (46 %) cases. The operative group (surgically treated) includes 24 MR (+) and 1 MR (-) cases. There is a harmony between the clinic and MRI data of all members of non-surgical group. The accuracy of the study was calculated as 95.6 % (44/46). The sensitivity and specify of RAMRI was detected 96 % for operative group and 100 % for non-operative group
Conclusion: A successful diagnostic performance has been applied to the AAP cases by non-contrast RAMRI.