Accuracy of unenhanced, non-sedated MRI in the diagnosis of acute appendicitis in children

Children with suspected appendicitis generally undergo an ultrasound (most commonly) or a CT scan (rarely) as the first imaging study. At our hospital, patients with non-diagnostic ultrasound or CT scan results undergo a non-contrast (unenhanced), non-sedated MRI. We aimed to determine the accuracy of this study for this purpose in a large cohort of children.
Source: Journal of Pediatric Surgery - Category: Surgery Authors: Source Type: research

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This retrospective study was aimed to determine the factors suggesting the need for computed tomography (CT) scanning when ultrasound (US) imaging results are negative or non-diagnostic in children suspicious for acute appendicitis in the emergency department. Patients less than 18 years old who underwent abdominal ultrasound and CT to rule out acute appendicitis were enrolled. Patients were classified into 2 groups: the false-negative group, in which patients had negative or non-diagnostic results on the initial US and a final diagnosis of acute appendicitis on the following abdominal CT, and the true-negative group, in ...
Source: Medicine - Category: Internal Medicine Tags: Research Article: Observational Study Source Type: research
Eur J Pediatr Surg DOI: 10.1055/s-0040-1715439 Introduction To standardize care and reduce resource utilization, we implemented a standardized protocol (SP) for the nonoperative treatment of complicated appendicitis. Materials and Methods We conducted a prospective, historically controlled, study of patients
Source: European Journal of Pediatric Surgery - Category: Surgery Authors: Tags: Original Article Source Type: research
(American College of Surgeons) Computed tomography (CT) is used at a higher rate than ultrasound in children with developmental and cognitive impairments to diagnose appendicitis, even though CT scans increase radiation risk in smaller bodies.
Source: EurekAlert! - Medicine and Health - Category: International Medicine & Public Health Source Type: news
CT can be a valuable tool for diagnosing appendicitis, helping clinicians better...Read more on AuntMinnie.comRelated Reading: AI algorithm detects appendicitis on CT exams in ER COVID-19 can be seen on CT scans outside the chest Ultrasound followed by CT effective for appendicitis AI algorithm can accurately diagnose appendicitis Adult hospitals overuse CT for appendicitis in kids
Source: Headlines - Category: Radiology Source Type: news
This study was aiming to provide a local protocol for our trust for such cases. From prospectively maintained database, patients who underwent appendicectomy between 2011 and 2017 were identified. Those with histological confirmation of LAMN were included. Retrospective analysis of operative notes, investigations and follow-up, return to theatres or development of pseudomyxoma peritonei (PMP) was performed. Four thousand six hundred twenty-eight patients had appendicectomy; 36 were diagnosed with LAMN. Age range was 30 –88 (20 females). Fifteen had their operation as emergency and 13 elective, either for abnormal-loo...
Source: Indian Journal of Surgical Oncology - Category: Cancer & Oncology Source Type: research
South Korean researchers developed an artificial intelligence (AI) algorithm...Read more on AuntMinnie.comRelated Reading: COVID-19 can be seen on CT scans outside the chest Can YouTube videos enhance radiology AI performance? Ultrasound followed by CT effective for appendicitis AI algorithm can accurately diagnose appendicitis MRI faster, cheaper than ultrasound for appendicitis
Source: Headlines - Category: Radiology Source Type: news
Medical imaging saves millions of lives each year, helping doctors detect and diagnose a wide range of diseases, from cancer and appendicitis to stroke and heart disease. Because non-invasive early disease detection saves so many lives, scientific investment continues to increase. Artifical intelligence (AI) has the potential to revolutionize the medical imaging industry by sifting through mountains of scans quickly and offering providers and patients with life-changing insights into a variety of diseases, injuries, and conditions that may be hard to detect without the supplemental technology. Images are the largest source...
Source: MDDI - Category: Medical Devices Authors: Tags: Imaging Source Type: news
Conclusions Computed tomography scans were performed in 13.9% of patients with suspected AP. The overall AP rate was 28.4%. We plan to increase the use of magnetic resonance imaging and other modalities to reduce overall computed tomography usage.
Source: Pediatric Emergency Care - Category: Emergency Medicine Tags: Original Research-QI Source Type: research
Conclusions While the BMI cutoff standard of less than 25 kg/m2 for usefulness of appendix US holds in the adult population, our data expand the acceptable range in children younger than 9 years regardless of BMI and male children with BMI up to 30 kg/m2. Female children younger than 15 years with a BMI up to 30 kg/m2 may also be amenable to right lower quadrant US based on AWT. These parameters inform selective and efficient use of US for appendix evaluation.
Source: Pediatric Emergency Care - Category: Emergency Medicine Tags: Original Articles Source Type: research
Abstract Point-of-care ultrasonography (POCUS) is performed by a physician at the bedside and is standard practice in obstetric, emergency, and musculoskeletal medicine. When compared with formal sonography, POCUS is equivalent in screening for abdominal aortic aneurysm and as accurate in diagnosing deep venous thrombosis. POCUS has high accuracy for diagnosing pneumonia and detecting acute decompensated heart failure but is less accurate than computed tomography for identifying pulmonary embolism. POCUS confirmation of intrauterine pregnancy rules out an ectopic pregnancy. In the third trimester of high-risk preg...
Source: American Family Physician - Category: Primary Care Authors: Tags: Am Fam Physician Source Type: research
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