Experts reaffirm safety of contrast use for kidney CT

Concerns over the potential harms associated with intravenous iodinated contrast...Read more on AuntMinnie.comRelated Reading: AI can differentiate small renal masses on CT Could patient history help predict CT contrast reactions? Low-energy scanning methods cut CT contrast dose Oral contrast not needed to spot kids' appendicitis on CT Bottoms up: Oral contrast preferred over missed finding
Source: Headlines - Category: Radiology Source Type: news

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We read with interest the article by Naar et  al1 published online on 29 July 2020 in Surgery. The authors present results of a post hoc analysis of data from the Eastern Association for the Surgery of Trauma Multicenter Study of the Treatment of Appendicitis in America, which highlighted an increased risk of malignancy for patients older tha n 40 years with appendicitis and with an appendix wider than 10 mm on computed tomography (CT) scan.
Source: Surgery - Category: Surgery Authors: Source Type: research
Authors: Mikaeel ER, Young JP, Hardingham JE, Tapia Rico G, Hewett PJ, Symonds EL, Edwards S, Smith E, Tomita Y, Uylaki W, Horsnell M, Gibbs P Abstract OBJECTIVES: The study aimed to examine the incidence and mortality rates of appendiceal neoplasms (ANs) in Australia. METHODS: A retrospective analysis was performed on national data obtained from the Australian Institute of Health and Welfare (AIHW) from 1982 to 2013. Changes to the incidence, and the cancer-specific mortality following the diagnosis of ANs were analyzed over this time period, with stratification performed for histological subtype, gender, and age groups (
Source: Expert Review of Gastroenterology and Hepatology - Category: Gastroenterology Tags: Expert Rev Gastroenterol Hepatol Source Type: research
The classic findings of acute appendicitis –right lower quadrant (RLQ) pain, anorexia, and leukocytosis–have been well known to physicians since the mid twentieth century. However, emergency medicine and surgical providers continue to rely on imaging to confirm the diagnosis. We aimed to evaluate the increase in reliance on computed tomo graphy (CT) scans for diagnosis of acute appendicitis over time.
Source: Journal of the American College of Surgeons - Category: Surgery Authors: Tags: General Surgery Source Type: research
Colonic diverticulosis is thought to be an acquired degeneration associated with age and constipation. However, there has been an increasing incidence of diverticulitis in young patients. We therefore aimed at studying the incidental prevalence of diverticulosis across all ages in patients who did not present with diverticulitis but had CT scans for suspected appendicitis. Special focus was the group of patients
Source: Journal of the American College of Surgeons - Category: Surgery Authors: Tags: Colon and Rectal Surgery Source Type: research
Abstract INTRODUCTION: The classic findings of acute appendicitis-right lower quadrant pain, anorexia, and leukocytosis-have been well known. However, emergency medicine and surgical providers continue to rely on imaging to confirm the diagnosis. We aimed to evaluate the increase in reliance on computed tomography (CT) scans for acute appendicitis diagnosis over time. METHODS: We conducted a retrospective study of patients ≥18 years presenting to UNC Hospitals with signs and symptoms of acute appendicitis who subsequently underwent appendectomy from 2011 to 2015. Demographic, clinical, laboratory, and path...
Source: The American Surgeon - Category: Surgery Authors: Tags: Am Surg Source Type: research
ConclusionAH is a rare type of inguinal hernia usually complicated by appendicitis. Hernia reconstruction should be tailored to each patient individually according to the extent of inguinal canal inflammation.
Source: Hernia - Category: Sports Medicine Source Type: research
[spotlight] In early August, well into the peak of South Africa's COVID-19 pandemic, paediatric intensivist and critical care specialist, Dr Asma Salloo, overheard an interesting conversation in the corridors of the Chris Hani Baragwanath Academic Hospital in Johannesburg. Two colleagues were discussing the case of a child who seemed to need their appendix removed, but wasn't showing the expected inflammation on scans.
Source: AllAfrica News: Health and Medicine - Category: African Health Source Type: news
This article aims to introduce a novel anatomical scanning method which requires scanning according to varied anatomic positions of the appendix based on the widely used graded compression method. We suggest placing the probe longitudinally in the region of the terminal cecum and moving it laterally to explore the sub-cecal appendix. The probe should be placed transversely on the medial side of the cecum to explore the pre-ileal appendix or post-ileal appendix. Placing the probe perpendicularly along external iliac vessels can help explore the pelvic appendix. The probe should be placed transversely on the paracolic sulci,...
Source: Medical Ultrasonography - Category: Radiology Tags: Med Ultrason Source Type: research
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
Authors: Chauhan A, El-Khouli R, Waits T, Agrawal R, Siddiqui F, Tarter Z, Horn M, Weiss H, Oates E, Evers BM, Anthony L Abstract Gallium-68 DOTATATE provides physiologic imaging and assists in disease localization for somatostatin receptor (SSTR) positive neuroendocrine tumor (NET) patients. However, questions regarding usefulness of gallium- 68 DOTATATE imaging in identifying the primary site in neuroendocrine tumors (NETS) of unknown primary, correlation of NET grade with median Standardized Uptake Value (SUV) and effects of long acting somatostatin analog on gallium-68 DOTATATE imaging quality needs to be evalu...
Source: Oncotarget - Category: Cancer & Oncology Tags: Oncotarget Source Type: research
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