Imaging of Appendicitis in Children and Adolescents: Useful or Useless? A Comparison of Imaging Techniques and a Critical Review of the Current Literature

Seminars in Roentgenology

Volumn 43, Issue 1, 2008, Pages 22-28

  Puig, Stefan ^a   Staudenherz, Anton ^b   Felder Puig, Rosemarie ^c   Paya, Kurosh ^b  

^a PARACELSUS MEDICAL UNIVERSITY   (Austria)

^b MEDICAL UNIVERSITY OF VIENNA   (Austria)

^c LUDWIG BOLTZMANN INSTITUTE FOR LUNG VASCULAR RESEARCH   (Austria)

Author keywords

[No Author keywords available]

Indexed keywords

ABDOMINAL RADIOGRAPHY; APPENDECTOMY; APPENDICITIS; ARTICLE; CHILDHOOD DISEASE; COMPUTER ASSISTED TOMOGRAPHY; DIAGNOSTIC ACCURACY; DIAGNOSTIC IMAGING; EARLY DIAGNOSIS; HUMAN; INTERMETHOD COMPARISON; NUCLEAR MAGNETIC RESONANCE IMAGING; PRIORITY JOURNAL; RADIODIAGNOSIS; SENSITIVITY AND SPECIFICITY; SYMPTOMATOLOGY; ULTRASOUND;

ADOLESCENT; APPENDICITIS; CHILD; CONTRAST MEDIA; DIAGNOSIS, DIFFERENTIAL; DIAGNOSTIC IMAGING; HUMANS; MAGNETIC RESONANCE IMAGING; TOMOGRAPHY, X-RAY COMPUTED; ULTRASONOGRAPHY;

EID: 36348930486     PISSN: 0037198X     EISSN: None     Source Type: Journal    
DOI: 10.1053/j.ro.2007.08.004     Document Type: Article

References (49)

1. Copland J., and Lee C.A. A dictionary of practical medicine: comprising general pathology, the nature and treatment of diseases with numerous prescriptions for the medicines recommended and an appendix of approved formulae (1834), Lilly, Wait, Colman, and Holden, Boston, MA
2. Fitz R.H. Perforating inflammation of the vermiform appendix with special reference to early diagnosis and treatment. Am J Med Sci 92 (1886) 321-346
3. Addiss D.G., Shaffer N., Fowler B.S., et al. The epidemiology of appendicitis and appendectomy in the United States. Am J Epidemiol 132 5 (1990) 910-925
4. Al-Omran M., Mamdani M., and McLeod R.S. Epidemiologic features of acute appendicitis in Ontario. Canada Can J Surg 46 4 (2003) 263-268
5. Ohmann C., Franke C., Kraemer M., et al. Status report on epidemiology of acute appendicitis. Chirurg 73 8 (2002) 769-776
6. Bijnen C.L., van den Broek W.T., Bijnen A.B., et al. Implications of removing a normal appendix. Dig Surg 20 3 (2003) 215-219 discussion 20-21
7. Korner H., Sondenaa K., Soreide J.A., et al. The history is important in patients with suspected acute appendicitis. Dig Surg 17 4 (2000) 364-368 discussion 368-369
8. Bergeron E., Richer B., Gharib R., et al. Appendicitis is a place for clinical judgement. Am J Surg 177 6 (1999) 460-462
9. Andersson R.E., Hugander A.P., Ghazi S.H., et al. Diagnostic value of disease history, clinical presentation, and inflammatory parameters of appendicitis. World J Surg 23 2 (1999) 133-140
10. Pieper R., and Kager L. The incidence of acute appendicitis and appendectomy. An epidemiological study of 971 cases. Acta Chir Scand 148 1 (1982) 45-49
11. Andersson R.E., Hugander A., and Thulin A.J. Diagnostic accuracy and perforation rate in appendicitis: association with age and sex of the patient and with appendicectomy rate. Eur J Surg 158 1 (1992) 37-41
12. Andersson R.E., Hugander A.P., Ghazi S.H., et al. Why does the clinical diagnosis fail in suspected appendicitis?. Eur J Surg 166 10 (2000) 796-802
13. Baigrie R.J., Dehn T.C., Fowler S.M., et al. Analysis of 8651 appendicectomies in England and Wales during 1992. Br J Surg 82 7 (1995) 933
14. Puig S., Hormann M., Rebhandl W., et al. US as a primary diagnostic tool in relation to negative appendectomy: six years experience. Radiology 226 1 (2003) 101-104
15. Marudanayagam R., Williams G.T., and Rees B.I. Review of the pathological results of 2660 appendicectomy specimens. J Gastroenterol 41 8 (2006) 745-749
16. Misdraji J., and Graeme-Cook F.M. Miscellaneous conditions of the appendix. Semin Diagn Pathol 21 2 (2004) 151-163
17. Lamps L.W. Appendicitis and infections of the appendix. Semin Diagn Pathol 21 2 (2004) 86-97
18. Rabah R. Pathology of the appendix in children: an institutional experience and review of the literature. Pediatr Radiol 37 1 (2007) 15-20
19. Nemeth L., Reen D.J., O'Briain D.S., et al. Evidence of an inflammatory pathologic condition in "normal" appendices following emergency appendectomy. Arch Pathol Lab Med 125 6 (2001) 759-764
20. Bouchard S., Russo P., Radu A.P., et al. Expression of neuropeptides in normal and abnormal appendices. J Pediatr Surg 36 8 (2001) 1222-1226
21. Nemeth L., Rolle U., Reen D.J., et al. Nitrergic hyperinnervation in appendicitis and in appendices histologically classified as normal. Arch Pathol Lab Med 127 5 (2003) 573-578
22. Hernandez J.A., Swischuk L.E., Angel C.A., et al. Imaging of acute appendicitis: US as the primary imaging modality. Pediatr Radiol 35 4 (2005) 392-395
23. Philpott J., Swischuk L., and SD J. Appendicitis in the era of ultrasound: are plain radiographs still useful?. Emerg Radiol 4 (1997) 68-71
24. Rosendahl K., Aukland S.M., and Fosse K. Imaging strategies in children with suspected appendicitis. Eur Radiol 14 suppl 4 (2004) L138-L145
25. Puylaert J.B. Acute appendicitis: US evaluation using graded compression. Radiology 158 2 (1986) 355-360
26. Wiersma F., Sramek A., and Holscher H.C. US features of the normal appendix and surrounding area in children. Radiology 235 3 (2005) 1018-1022
27. Simonovsky V. Normal appendix: is there any significant difference in the maximal mural thickness at US between pediatric and adult populations?. Radiology 224 2 (2002) 333-337
28. Menten R., Lebecque P., Saint-Martin C., et al. Outer diameter of the vermiform appendix: not a valid sonographic criterion for acute appendicitis in patients with cystic fibrosis. AJR Am J Roentgenol 184 6 (2005) 1901-1903
29. Lardenoye S.W., Puylaert J.B., Smit M.J., et al. Appendix in children with cystic fibrosis: US features. Radiology 232 1 (2004) 187-189
30. Hormann M., Scharitzer M., Stadler A., et al. Ultrasound of the appendix in children: is the child too obese?. Eur Radiol 13 6 (2003) 1428-1431
31. Josephson T., Styrud J., and Eriksson S. Ultrasonography in acute appendicitis. Body mass index as selection factor for US examination. Acta Radiol 41 5 (2000) 486-488
32. Sivit C.J., Applegate K.E., Stallion A., et al. Imaging evaluation of suspected appendicitis in a pediatric population: effectiveness of sonography versus CT. AJR Am J Roentgenol 175 4 (2000) 977-980
33. Lowe L.H., Penney M.W., Stein S.M., et al. Unenhanced limited CT of the abdomen in the diagnosis of appendicitis in children: comparison with sonography. AJR Am J Roentgenol 176 1 (2001) 31-35
34. Kaiser S., Finnbogason T., Jorulf H.K., et al. Suspected appendicitis in children: diagnosis with contrast-enhanced versus nonenhanced Helical CT. Radiology 231 2 (2004) 427-433
35. Brennan G.D. Pediatric appendicitis: pathophysiology and appropriate use of diagnostic imaging. CJEM 8 6 (2006) 425-432
36. Brenner D.J. Estimating cancer risks from pediatric CT: going from the qualitative to the quantitative. Pediatr Radiol 32 4 (2002) 223-228 discussion 42-44
37. Brenner D., Elliston C., Hall E., et al. Estimated risks of radiation-induced fatal cancer from pediatric CT. AJR Am J Roentgenol 176 2 (2001) 289-296
38. Yu S.H., Kim C.B., Park J.W., et al. Ultrasonography in the diagnosis of appendicitis: evaluation by meta-analysis. Korean J Radiol 6 4 (2005) 267-277
39. Weston A.R., Jackson T.J., and Blamey S. Diagnosis of appendicitis in adults by ultrasonography or computed tomography: a systematic review and meta-analysis. Int J Technol Assess Health Care 21 3 (2005) 368-379
40. Doria A.S., Moineddin R., Kellenberger C.J., et al. US or CT for diagnosis of appendicitis in children and adults?. A meta-analysis. Radiology 241 1 (2006) 83-94
41. Applegate K.E., Sivit C.J., Salvator A.E., et al. Effect of cross-sectional imaging on negative appendectomy and perforation rates in children. Radiology 220 1 (2001) 103-107
42. Antevil J.L., Rivera L., Langenberg B.J., et al. Computed tomography-based clinical diagnostic pathway for acute appendicitis: prospective validation. J Am Coll Surg 203 6 (2006) 849-856
43. Hormann M., Puig S., Prokesch S.R., et al. MR imaging of the normal appendix in children. Eur Radiol 12 9 (2002) 2313-2316
44. Willis C.E., and Slovis T.L. The ALARA concept in radiographic dose reduction. Radiol Technol 76 2 (2004) 150-152
45. Slovis T.L. Children, computed tomography radiation dose, and the As Low As Reasonably Achievable (ALARA) concept. Pediatrics 112 4 (2003) 971-972
46. Slovis T.L. The ALARA concept in pediatric CT: myth or reality?. Radiology 223 1 (2002) 5-6
47. Frush D.P. Strategies of dose reduction. Pediatr Radiol 32 4 (2002) 293-297
48. Frush D.P. Pediatric CT: practical approach to diminish the radiation dose. Pediatr Radiol 32 10 (2002) 714-717 discussion 751-754
49. Donnelly L.F., Emery K.H., Brody A.S., et al. Minimizing radiation dose for pediatric body applications of single-detector helical CT: strategies at a large Children's Hospital. AJR Am J Roentgenol 176 2 (2001) 303-306