{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T04:52:15Z","timestamp":1787028735439,"version":"build-2736575974"},"reference-count":40,"publisher":"MDPI AG","issue":"12","license":[{"start":{"date-parts":[[2021,12,1]],"date-time":"2021-12-01T00:00:00Z","timestamp":1638316800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100005795","name":"Linkou Chang Gung Memorial Hospital","doi-asserted-by":"publisher","award":["CMRPG1K0091"],"award-info":[{"award-number":["CMRPG1K0091"]}],"id":[{"id":"10.13039\/501100005795","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100005795","name":"Linkou Chang Gung Memorial Hospital","doi-asserted-by":"publisher","award":["CMRPG1K0191"],"award-info":[{"award-number":["CMRPG1K0191"]}],"id":[{"id":"10.13039\/501100005795","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JPM"],"abstract":"<jats:p>Background: Traumatic hollow viscus injury (THVI) is one of the most difficult challenges in the trauma setting. Computed tomography (CT) is the most common modality used to diagnose THVI; however, various performance outcomes of CT have been reported. We conducted a systematic review and meta-analysis to analyze how precise and reliable CT is as a tool for the assessment of THVI. Method: A systematic review and meta-analysis were conducted on studies on the use of CT to diagnose THVI. Publications were retrieved by performing structured searches in databases, review articles and major textbooks. For the statistical analysis, summary receiver operating characteristic (SROC) curves were constructed using hierarchical models. Results: Sixteen studies enrolling 12,514 patients were eligible for the final analysis. The summary sensitivity and specificity of CT for the diagnosis of THVI were 0.678 (95% CI: 0.501\u20130.809) and 0.969 (95% CI: 0.920\u20130.989), respectively. The summary false positive rate was 0.031 (95% CI 0.011\u20130.071). Conclusion: In this meta-analysis, we found that CT had indeterminate sensitivity and excellent specificity for the diagnosis of THVI.<\/jats:p>","DOI":"10.3390\/jpm11121269","type":"journal-article","created":{"date-parts":[[2021,12,2]],"date-time":"2021-12-02T02:40:02Z","timestamp":1638412802000},"page":"1269","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Diagnostic Accuracy of Computed Tomography for the Prediction of the Need for Laparotomy for Traumatic Hollow Viscus Injury: Systematic Review and Meta-Analysis"],"prefix":"10.3390","volume":"11","author":[{"given":"Cheng-Chieh","family":"Hsia","sequence":"first","affiliation":[{"name":"Department of Traumatology and Emergency Surgery, Chang Gung Memorial Hospital, Chang j-F Gung University, Taoyuan 33328, Taiwan"},{"name":"Department of Surgery, Keelung Chang Gung Memorial Hospital, Chang Gung University, Keelung 20401, Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chen-Yu","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Traumatology and Emergency Surgery, Chang Gung Memorial Hospital, Chang j-F Gung University, Taoyuan 33328, Taiwan"},{"name":"Department of Surgery, Linkou Chang Gung Memorial Hospital, Chang Gung University, Taoyuan 33305, Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jen-Fu","family":"Huang","sequence":"additional","affiliation":[{"name":"Department of Traumatology and Emergency Surgery, Chang Gung Memorial Hospital, Chang j-F Gung University, Taoyuan 33328, Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4737-2800","authenticated-orcid":false,"given":"Chih-Po","family":"Hsu","sequence":"additional","affiliation":[{"name":"Department of Traumatology and Emergency Surgery, Chang Gung Memorial Hospital, Chang j-F Gung University, Taoyuan 33328, Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6489-3723","authenticated-orcid":false,"given":"Ling-Wei","family":"Kuo","sequence":"additional","affiliation":[{"name":"Department of Traumatology and Emergency Surgery, Chang Gung Memorial Hospital, Chang j-F Gung University, Taoyuan 33328, Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chun-Hsiung","family":"Ouyang","sequence":"additional","affiliation":[{"name":"Department of Traumatology and Emergency Surgery, Chang Gung Memorial Hospital, Chang j-F Gung University, Taoyuan 33328, Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chien-Hung","family":"Liao","sequence":"additional","affiliation":[{"name":"Department of Traumatology and Emergency Surgery, Chang Gung Memorial Hospital, Chang j-F Gung University, Taoyuan 33328, Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Huan-Wu","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Medical Imaging & Intervention, Chang Gung Memorial Hospital, Chang Gung University, College of Medicine 5 Fu-Hsing Street, Gueishan, Taoyuan 33305, Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2021,12,1]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"290","DOI":"10.1308\/rcsann.2018.0013","article-title":"The Spectrum and Outcome of Blunt Trauma Related Enteric Hollow Visceral Injury","volume":"100","author":"Bekker","year":"2018","journal-title":"Ann. 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