INTRODUCTION: @entity2976 ( @entity2976 ) is a rare but potentially devastating complication of long term @entity298 ( @entity298 ). Changes to the peritoneal membrane occur with duration of @entity298 therapy. To determine the potential effect of prospective CT scanning we reviewed the scans of @entity1 who had developed @entity2976 compared to those without @entity2976 . METHODS: We retrospectively compared CT scans which had been prospectively performed in a screening program for @entity298 @entity1 after 4 years of @entity298 and compared scans from 18 @entity1 with confirmed @entity2976 and 26 vintage matched controls without @entity2976 . Anonymised scans were reported independently by 2 blinded experienced radiologists. RESULTS: Peritoneal thickening, calcification, bowel tethering, thickening and dilatation were significantly more commonly reported in the @entity2976 group. Total combined radiological scores, also including septation within peritoneal fluid were significantly higher in the @entity2976 group, and greatest for those who died as a consequence of @entity2976 . Simplified scoring based on presence or absence, then for a score of >= 3.0, gave a ROC value of 0.87 for @entity2976 , with a sensitivity of 78% and specificity of 85% respectively. Inter-observer agreement varied from poor to good, being greatest for @entity384 , and lowest for peritoneal thickening. CONCLUSION: CT scan reporting can differentiate @entity2976 from peritoneal changes associated with duration of @entity298 therapy. @entity4670 was associated with clinical outcomes. However inter-observer agreement varies with different radiological appearances and future studies are required to determine weighting of radiological changes to provide prognostic information for clinicians and @entity1 . This article is protected by copyright. All rights reserved.

Can radiological assessment of abdominal computerized scans diagnose encapsulating peritoneal sclerosis in long term XXXX @entity1 ?

@entity1 :: ('9606', 'Species') :: ['patients'] @entity4670 :: ('MESH:D009358', 'Disease') :: ['Severity of abnormalities'] @entity2976 :: ('MESH:D056627', 'Disease') :: ['Encapsulating peritoneal sclerosis', 'EPS'] @entity384 :: ('MESH:D002311', 'Disease') :: ['calcification and bowel dilatation'] @entity298 :: ('MESH:D010538', 'Disease') :: ['peritoneal dialysis', 'PD']
@entity298 :: (MESH:D010538,Disease) :: ['peritoneal dialysis']
