Effectiveness of a staged US and CT protocol for the diagnosis of pediatric appendicitis: Reducing radiation exposure in the age of ALARA

Radiology

Volumn 259, Issue 1, 2011, Pages 231-239

  Krishnamoorthi, Rajesh ^a   Ramarajan, Naresh ^a   Wang, Nancy E ^a   Newman, Beverley ^a   Rubesova, Erika ^a   Mueller, Claudia M ^a   Barth, Richard A ^a  

^a STANFORD UNIVERSITY SCHOOL OF MEDICINE   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ADOLESCENT; ADULT; APPENDECTOMY; APPENDICITIS; ARTICLE; CHILD; COMPUTER ASSISTED TOMOGRAPHY; CONTROLLED STUDY; DIAGNOSTIC ACCURACY; DIAGNOSTIC TEST ACCURACY STUDY; DIAGNOSTIC VALUE; ECHOGRAPHY; FEMALE; FOLLOW UP; HUMAN; INFANT; MAJOR CLINICAL STUDY; MALE; PATIENT SAFETY; PRIORITY JOURNAL; RADIATION EXPOSURE; RADIATION PROTECTION; RETROSPECTIVE STUDY; SENSITIVITY AND SPECIFICITY; IMAGE ENHANCEMENT; PRESCHOOL CHILD; PROCEDURES; RADIATION DOSE; REPRODUCIBILITY;

ADOLESCENT; APPENDICITIS; CHILD; CHILD, PRESCHOOL; FEMALE; HUMANS; IMAGE ENHANCEMENT; INFANT; MALE; RADIATION DOSAGE; RADIATION PROTECTION; REPRODUCIBILITY OF RESULTS; SENSITIVITY AND SPECIFICITY; TOMOGRAPHY, X-RAY COMPUTED; ULTRASONOGRAPHY;

EID: 79953023027     PISSN: 00338419     EISSN: 15271315     Source Type: Journal    
DOI: 10.1148/radiol.10100984     Document Type: Article

References (24)

1. Lund DP, Folkman J. Appendicitis. In: Walker WA, Durie PR, Hamilton JR, Walker-Smith JA, Watkins JB, eds. Pediatric gastrointestinal disease: pathophysiology, diagnosis and management. 2nd ed. St Louis, Mo: Mosby, 1996; 907-915.
2. Taylor GA. Suspected appendicitis in children: in search of the single best diagnostic test. Radiology 2004;231(2):293-295. (Pubitemid 38552881)
3. Paajanen H, Somppi E. Early childhood appendicitis is still a difficult diagnosis. Acta Paediatr 1996;85(4):459-462. (Pubitemid 26140268)
4. Peña BM, Taylor GA, Fishman SJ, Mandl KD. Effect of an imaging protocol on clinical outcomes among pediatric patients with appendicitis. Pediatrics 2002;110(6):1088-1093. (Pubitemid 35425182)
5. Rodriguez DP, Vargas S, Callahan MJ, Zurakowski D, Taylor GA. Appendicitis in young children: imaging experience and clinical outcomes. AJR Am J Roentgenol 2006;186(4):1158-1164. (Pubitemid 46100225)
6. Williams N, Kapila L. Acute appendicitis in the under-5 year old. J R Coll Surg Edinb 1994;39(3):168-170. (Pubitemid 24224239)
7. Velanovich V, Satava R. Balancing the normal appendectomy rate with the perforated appendicitis rate: implications for quality assurance. Am Surg 1992;58(4):264-269.
8. Applegate KE, Sivit CJ, Salvator AE, et al. Effect of cross-sectional imaging on negative appendectomy and perforation rates in children. Radiology 2001;220(1):103-107. (Pubitemid 32577967)
9. Brenner D, Elliston C, Hall E, Berdon W. Estimated risks of radiation-induced fatal cancer from pediatric CT. AJR Am J Roentgenol 2001;176(2):289-296. (Pubitemid 32105628)
10. Brenner DJ, Hall EJ. Computed tomography: an increasing source of radiation exposure. N Engl J Med 2007;357(22):2277-2284. (Pubitemid 350190758)
11. Doria AS, Moineddin R, Kellenberger CJ, et al. US or CT for diagnosis of appendicitis in children and adults? A meta-analysis. Radiology 2006;241(1):83-94. (Pubitemid 44433338)
12. Puylaert JB. Acute appendicitis: US evaluation using graded compression. Radiology 1986;158(2):355-360. (Pubitemid 16160595)
13. Garcia Peña BM, Mandl KD, Kraus SJ, et al. Ultrasonography and limited computed tomography in the diagnosis and management of appendicitis in children. JAMA 1999;282(11):1041-1046. (Pubitemid 29436451)
14. Kaiser S, Frenckner B, Jorulf HK. Suspected appendicitis in children: US and CT - a prospective randomized study. Radiology 2002;223(3):633-638. (Pubitemid 34547576)
15. Karakas SP, Guelfguat M, Leonidas JC, Springer S, Singh SP. Acute appendicitis in children: comparison of clinical diagnosis with ultrasound and CT imaging. Pediatr Radiol 2000;30(2):94-98.
16. Hall EJ, Brenner DJ. Cancer risks from diagnostic radiology. Br J Radiol 2008;81(965):362-378. (Pubitemid 351743850)
17. Robbins E. Radiation risks from imaging studies in children with cancer. Pediatr Blood Cancer 2008;51(4):453-457.
18. Fefferman NR, Roche KJ, Pinkney LP, Ambrosino MM, Genieser NB. Suspected appendicitis in children: focused CT technique for evaluation. Radiology 2001;220(3):691-695. (Pubitemid 32799976)
19. Kan JH, Fines BP, Funaki B. Conventional and hydrocolonic US of the appendix with CT correlation performed by on-call radiology residents. Acad Radiol 2001;8(12):1208-1214. (Pubitemid 33134619)
20. Wan MJ, Krahn M, Ungar WJ, et al. Acute appendicitis in young children: cost-effectiveness of US versus CT in diagnosis - a Markov decision analytic model. Radiology 2009;250(2):378-386.
21. Lowe LH, Penney MW, Stein SM, et al. Unenhanced limited CT of the abdomen in the diagnosis of appendicitis in children: comparison with sonography. AJR Am J Roentgenol 2001;176(1):31-35. (Pubitemid 32012854)
22. Mullins ME, Kircher MF, Ryan DP, et al. Evaluation of suspected appendicitis in children using limited helical CT and colonic contrast material. AJR Am J Roentgenol 2001;176(1):37-41. (Pubitemid 32012856)
23. Sivit CJ, Applegate KE, Stallion A, et al. Imaging evaluation of suspected appendicitis in a pediatric population: effectiveness of sonography versus CT. AJR Am J Roentgenol 2000;175(4):977-980.
24. Stephen AE, Segev DL, Ryan DP, et al. The diagnosis of acute appendicitis in a pediatric population: to CT or not to CT. J Pediatr Surg 2003;38(3):367-371, discussion 367-371. (Pubitemid 36278695)