| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
|
|
|
|||||||
|
|||||||||
1
Department of Radiology and Radiological Sciences, Vanderbilt University
Children's Hospital and Medical Center, D-1120 Medical Center North,
Nashville, TN 37232-2675.
2
Department of Pediatric Surgery, Vanderbilt University Children's Hospital and
Medical Center, Nashville, TN 37232-2675.
3
Department of Biostatistics, Vanderbilt University Children's Hospital and
Medical Center, Nashville, TN 37232-2675.
OBJECTIVE. The purpose of this investigation is to determine the sensitivity, specificity, and accuracy of unenhanced limited CT of the abdomen in children with suspected appendicitis and compare these results with graded compression sonography.
MATERIALS AND METHODS. Seventy-six children underwent unenhanced limited CT over a 11-month period for evaluation of suspected appendicitis. A historical cohort of 86 consecutive children who had undergone graded compression sonography was identified. Results were correlated with surgical, pathologic, chart, and clinical follow-up data. The sensitivity, specificity, accuracy, rate of alternate diagnosis, time to perform examinations, and charge at our institution were determined for unenhanced limited CT and sonography.
RESULTS. Sensitivity, specificity, and accuracy for unenhanced limited CT were 97%, 100%, 99%, respectively, and were 100%, 88%, 91%, respectively, for sonography. Alternate diagnoses were suggested in 35% and 28% children without appendicitis who had unenhanced limited CT and sonography, respectively. Unenhanced limited CT required 5 min and sonography required 20-30 min to perform. The charge at our institution was $408 for unenhanced limited CT and $295 for sonography.
CONCLUSIONS. CT can be performed rapidly in children without IV, oral, or rectal contrast medium. Unenhanced limited CT and sonography are highly sensitive, specific, and accurate in the evaluation of children with suspected appendicitis.
CiteULike 
Complore 
Connotea 
Del.icio.us 
Digg 
Reddit 
Technorati What's this?
This article has been cited by other articles:
|
|
 |
|
  N H Park, C S Park, E J Lee, M S Kim, J A Ryu, J M Bae, and J S Song Ultrasonographic findings identifying the faecal-impacted appendix: differential findings with acute appendicitis Br. J. Radiol., November 1, 2007; 80(959): 872 - 877. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 A. B. Kharbanda, G. A. Taylor, and R. G. Bachur Suspected Appendicitis in Children: Rectal and Intravenous Contrast-enhanced versus Intravenous Contrast-enhanced CT Radiology, May 1, 2007; 243(2): 520 - 526. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
A. S. Doria, R. Moineddin, C. J. Kellenberger, M. Epelman, J. Beyene, S. Schuh, P. S. Babyn, and P. T. Dick US or CT for Diagnosis of Appendicitis in Children and Adults? A Meta-Analysis Radiology, October 1, 2006; 241(1): 83 - 94. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
G. A. Taylor Suspected Appendicitis in Children: In Search of the Single Best Diagnostic Test Radiology, May 1, 2004; 231(2): 293 - 295. [Full Text] [PDF]
|
|
|
|
|
|
S. Kaiser, T. Finnbogason, H. K. Jorulf, E. Soderman, and B. Frenckner Suspected Appendicitis in Children: Diagnosis with Contrast-enhanced versus Nonenhanced Helical CT Radiology, May 1, 2004; 231(2): 427 - 433. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 B. M. Garcia Pena, E. F. Cook, and K. D. Mandl Selective Imaging Strategies for the Diagnosis of Appendicitis in Children Pediatrics, January 1, 2004; 113(1): 24 - 28. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 P. Poortman, P. N. M. Lohle, C. M. C. Schoemaker, H. J. M. Oostvogel, H. J. L. J. M. Teepen, K. A. H. Zwinderman, and J. F. Hamming Comparison of CT and Sonography in the Diagnosis of Acute Appendicitis: A Blinded Prospective Study Am. J. Roentgenol., November 1, 2003; 181(5): 1355 - 1359. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
J. L. Checkoff, R. J. Wechsler, and L. N. Nazarian Chronic Inflammatory Appendiceal Conditions That Mimic Acute Appendicitis on Helical CT Am. J. Roentgenol., September 1, 2002; 179(3): 731 - 734. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. J. Callahan, D. P. Rodriguez, and G. A. Taylor CT of Appendicitis in Children Radiology, August 1, 2002; 224(2): 325 - 332. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
V. Simonovsky Normal Appendix: Is There Any Significant Difference in the Maximal Mural Thickness at US between Pediatric and Adult Populations? Radiology, August 1, 2002; 224(2): 333 - 337. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
L. H. Lowe, K. S. Draud, M. Hernanz-Schulman, M. R. Newton, R. M. Heller, S. M. Stein, and T. Speroff Nonenhanced Limited CT in Children Suspected of Having Appendicitis: Prospective Comparison of Attending and Resident Interpretations Radiology, December 1, 2001; 221(3): 755 - 759. [Abstract] [Full Text] [PDF]
|
|
| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
