Abstract:
PURPOSE:To compare negative appendectomy and perforation rates in children who underwent ultrasonography (US), computed tomography (CT), or no imaging before urgent appendectomy. MATERIALS AND METHODS:All children who underwent urgent appendectomy during a 4(1/2)-year period were identified in a surgical billing database. Pathology reports were coded as negative or as showing acute inflammation or perforation. Imaging up to 14 days before appendectomy or abscess drainage was noted, and imaging-based diagnoses were compared with pathologic findings. Patient age and sex were recorded. RESULTS:Two hundred ninety-nine children, 176 (59%) male and 123 (41%) female (mean age, 10.4 years; age range, 1--21 years), underwent urgent appendectomy. One hundred twenty-six (42%) underwent no imaging, 121 (41%) underwent US with or without CT, and 52 (17%) underwent CT only; 44 (15%) underwent both US and CT. There were significantly higher rates of appendectomy with normal pathologic findings ("negative appendectomy") in patients who underwent no imaging (14% [18 of 126]) or US (17% [20 of 121]) versus the rates in those who underwent CT only (2% [one of 52]) (P =.02 and P =.007, respectively). The negative appendectomy rate was 7% in 96 patients who underwent CT with or without prior US. The perforation rates were not significantly different. CONCLUSION:As compared with children who underwent no preoperative imaging and those who underwent US, children who underwent CT had a significantly lower negative appendectomy rate, without a significantly higher perforation rate.
journal_name
Radiologyjournal_title
Radiologyauthors
Applegate KE,Sivit CJ,Salvator AE,Borisa VJ,Dudgeon DL,Stallion AE,Grisoni ERdoi
10.1148/radiology.220.1.r01jl17103subject
Has Abstractpub_date
2001-07-01 00:00:00pages
103-7issue
1eissn
0033-8419issn
1527-1315journal_volume
220pub_type
杂志文章相关文献
RADIOLOGY文献大全abstract::Ankle trauma commonly results in significant injury. Knowledge of the anatomy of the normally nonopaque major supportive ligaments, and their relationships to the osseous structures seen on standard roentgenograms, facilitates interpretation of both plain films and ankle arthrograms. A group of normal, non-preserved a...
journal_title:Radiology
pub_type: 杂志文章
doi:10.1148/125.3.659
更新日期:1977-12-01 00:00:00
abstract::Purpose To compare low- versus high-frequency ultrasonographic (US) elastography for detection of steatohepatitis in rats by using histopathologic findings as the reference standard. Materials and Methods Between March and September 2014, after receiving approval from the institutional animal care committee, 60 male S...
journal_title:Radiology
pub_type: 杂志文章
doi:10.1148/radiol.2016160308
更新日期:2017-03-01 00:00:00
abstract:PURPOSE:To characterize intracranial plaque inflammation in vivo by using three-dimensional (3D) high-spatial-resolution contrast material-enhanced black-blood (BB) magnetic resonance (MR) imaging and to investigate the relationship between intracranial plaque inflammation and cerebrovascular ischemic events. MATERIAL...
journal_title:Radiology
pub_type: 杂志文章
doi:10.1148/radiol.13122812
更新日期:2014-05-01 00:00:00
abstract::Sixteen cases of histopathologically proved solitary rectal ulcer syndrome were encountered. Fifteen patients underwent barium enema study; in nine cases the findings--including rectal stricture, granularity of the mucosa, and thickened rectal folds-were nonspecific. In six cases the study was normal. All patients had...
journal_title:Radiology
pub_type: 杂志文章
doi:10.1148/radiology.168.2.3393650
更新日期:1988-08-01 00:00:00
abstract::Measurements of the intensity distribution of a 60-Co beam revealed a significant field distortion caused by minor misalignment of the collimator assembly which was not detected by routine methods. Accurate monitoring of radiation intensity distribution and periodic visual inspection of collimators are suggested for ...
journal_title:Radiology
pub_type: 杂志文章
doi:10.1148/116.1.226
更新日期:1975-07-01 00:00:00
abstract::Sixteen patients with biliary atresia and 11 patients with neonatal hepatitis were studied preoperatively with either Tc-99m-diethyl-IDA or TC-99m-diisopropyl-IDA. Two parameters were evaluated: hepatocyte clearance and time to appearance of radioactivity in the intestine. Two observers, using a visual grading system ...
journal_title:Radiology
pub_type: 杂志文章
doi:10.1148/radiology.146.2.6681570
更新日期:1983-02-01 00:00:00
abstract::Ten patients with presacral tumors proved by histologic and computed-tomographic investigations underwent ultrasound scanning. The sound beam was directed through the ischial foramen along longitudinal, transverse, and oblique planes. Nine of 10 tumors localized in the sacral fossa were identified sonographically. In ...
journal_title:Radiology
pub_type: 杂志文章
doi:10.1148/radiology.147.2.6836140
更新日期:1983-05-01 00:00:00
abstract::To evaluate the manifestations of chronic hypersensitivity pneumonitis at radiography and high-resolution computed tomography (HRCT), findings in 16 patients with this disease were reviewed. To ensure objectivity, 50 patients with other chronic infiltrative lung diseases (fibrosing alveolitis [n = 29], sarcoidosis [n ...
journal_title:Radiology
pub_type: 杂志文章
doi:10.1148/radiology.185.1.1523340
更新日期:1992-10-01 00:00:00
abstract:PURPOSE:To develop criteria to identify thresholds for minimally acceptable physician performance in interpreting screening mammography studies and to profile the impact that implementing these criteria may have on the practice of radiology in the United States. MATERIALS AND METHODS:In an institutional review board-a...
journal_title:Radiology
pub_type: 杂志文章
doi:10.1148/radiol.10091636
更新日期:2010-05-01 00:00:00
abstract::The data on 98 new patients with osteoblastoma were studied. The clinical features of pain, scoliosis, and neurologic deficit were largely consistent with those in previous reports. Osteoblastoma is usually a lytic lesion originating in the medulla of bones with matrix ossification and mild surrounding sclerosis. Oste...
journal_title:Radiology
pub_type: 杂志文章
doi:10.1148/radiology.175.3.2343130
更新日期:1990-06-01 00:00:00
abstract::Fifty patients with disease involving the psoas compartment were analyzed. There were 27 patients with inflammation, 17 with tumor, and 6 with hemorrhage. In all but 3 cases the disease did not originate in the psoas but spread there from neighboring structures. Disease processes followed the fascial planes in patient...
journal_title:Radiology
pub_type: 杂志文章
doi:10.1148/radiology.148.2.6867350
更新日期:1983-08-01 00:00:00
abstract::A double-blind clinical trial was performed in 1,000 consecutive patients to compare the safety and efficacy of intravenously administered nonionic (iohexol) and ionic (metrizoate) urographic contrast media. The patients ranged in age from 10 to 80 years. The incidence of mild to moderate adverse effects was 7.7% with...
journal_title:Radiology
pub_type: 临床试验,杂志文章
doi:10.1148/radiology.167.3.3283830
更新日期:1988-06-01 00:00:00
abstract:PURPOSE:To retrospectively determine whether baseline nodule characteristics at 3-month and 1-year volume doubling time (VDT) are predictive for lung cancer in solid indeterminate noncalcified nodules (NCNs) detected at baseline computed tomographic (CT) screening. MATERIALS AND METHODS:The study, conducted between Ap...
journal_title:Radiology
pub_type: 杂志文章
doi:10.1148/radiol.2493070847
更新日期:2009-01-01 00:00:00
abstract::A method is presented for acquiring magnetic resonance (MR) images in parallel from both members of a pair of organs, such as the temporomandibular joint (TMJ), with use of two surface coil receivers. Interleaved sagittal sections are broken into two groups, one on each side of the head, and the MR receiver is toggled...
journal_title:Radiology
pub_type: 杂志文章
doi:10.1148/radiology.167.3.3363150
更新日期:1988-06-01 00:00:00
abstract::Ten consecutive patients with biopsy-proved invasive cervical carcinoma underwent magnetic resonance (MR) imaging with both a standard body coil and with an endorectal surface coil. The endorectal coil provided a markedly improved signal-to-noise ratio, enabling the use of small fields of view; thus, the images had si...
journal_title:Radiology
pub_type: 杂志文章
doi:10.1148/radiology.180.1.2052730
更新日期:1991-07-01 00:00:00
abstract:PURPOSE:To categorize errors in interpretation of magnetic resonance (MR) images of the knee and explain the discrepancy between MR imaging and diagnostic arthroscopic findings. MATERIALS AND METHODS:Five hundred sixty-one patients underwent arthroscopy and MR imaging of the knee. Prospective and retrospective reading...
journal_title:Radiology
pub_type: 杂志文章
doi:10.1148/radiology.196.3.7644620
更新日期:1995-09-01 00:00:00
abstract:PURPOSE:To test the hypothesis that whole-body metabolic tumor burden (MTBWB) on postsurgical fluorodeoxyglucose (FDG) positron emission tomographic (PET)/computed tomographic (CT) images in patients with non-small cell lung cancer (NSCLC) is associated with their overall survival (OS). MATERIALS AND METHODS:The insti...
journal_title:Radiology
pub_type: 杂志文章
doi:10.1148/radiol.14141398
更新日期:2015-06-01 00:00:00
abstract::Multisection, dual-echo magnetic resonance (MR) transaxial images of blood vessels contain both anatomic and qualitative information about flow. Even so, the images are produced as a series of two-dimensional tomographic sections from which full visualization of connected structures is difficult. A computer algorithm ...
journal_title:Radiology
pub_type: 杂志文章
doi:10.1148/radiology.157.3.4059560
更新日期:1985-12-01 00:00:00
abstract::A patient with jaundice caused by obstruction of the biliary ducts by cysts in a polycystic liver is presented. Decompression of the liver cysts under ultrasound guidance resulted in a rapid decrease of the serum bilirubin level. ...
journal_title:Radiology
pub_type: 杂志文章
doi:10.1148/radiology.136.2.7403520
更新日期:1980-08-01 00:00:00
abstract::Wallerian degeneration of rat sciatic nerves was induced by nerve section. Fifteen days later the degenerated nerves were compared with the intact contralateral nerves from the same animal. Histological sections showed the changes typical of wallerian degeneration: axonal degeneration and secondary demyelination. The ...
journal_title:Radiology
pub_type: 杂志文章
doi:10.1148/radiology.152.1.6729140
更新日期:1984-07-01 00:00:00
abstract::In a comparison of conventional and magnetic resonance (MR) angiography of the lower extremities, MR imaging was performed with extremity and body coils and a unilateral six-coil telescopic phased-array coil. In one of seven volunteers, average signal-to-noise ratio was 140% higher with the latter (p < .01), only thre...
journal_title:Radiology
pub_type: 杂志文章
doi:10.1148/radiology.196.3.7644660
更新日期:1995-09-01 00:00:00
abstract::Previous reports of angiomyolipoma have emphasized the ultrasonic finding of a very echogenic intrarenal mass. Ten cases of angiomyolipoma for which ultrasound examinations were available were retrospectively reviewed and correlated with their pathologic findings, and, when available, with computed tomographic finding...
journal_title:Radiology
pub_type: 杂志文章
doi:10.1148/radiology.139.2.7220890
更新日期:1981-05-01 00:00:00
abstract:PURPOSE:To investigate whether multispectral optoacoustic tomography (MSOT) can reveal the heterogeneous distributions of exogenous agents of interest and vascular characteristics through tumors of several millimeters in diameter in vivo. MATERIALS AND METHODS:Procedures involving animals were approved by the governme...
journal_title:Radiology
pub_type: 杂志文章
doi:10.1148/radiol.11111646
更新日期:2012-05-01 00:00:00
abstract::Review of 367 cases of cholelithiasis in children from the literature and our experience showed that 81% of these patients has no evidence of hemolytic anemia. Oral cholecystograms were diagnostic of cholelithiasis in approximately 70% of these cases. Plain film studies were found to be of diagnostic value as a high p...
journal_title:Radiology
pub_type: 杂志文章
doi:10.1148/117.2.391
更新日期:1975-11-01 00:00:00
abstract:PURPOSE:To determine the diagnostic accuracy of ultrasonographically (US) and stereotactically guided fine-needle aspiration biopsy (FNAB) in the diagnosis of nonpalpable breast lesions. MATERIALS AND METHODS:At 18 institutions, 442 women who underwent 22-25-gauge imaging-guided FNAB were enrolled. Definitive surgical...
journal_title:Radiology
pub_type: 临床试验,杂志文章,多中心研究,随机对照试验
doi:10.1148/radiology.219.3.r01jn28785
更新日期:2001-06-01 00:00:00
abstract::A case is reported of a man with a solitary pulmonary nodule that had an average CT number of 366 HU. Biopsy of the lesion demonstrated a primary adenocarcinoma of the lung with diffuse calcification. It is concluded that high CT numbers of solitary nodules do not ensure a benign lesion. ...
journal_title:Radiology
pub_type: 杂志文章
doi:10.1148/radiology.150.3.6695080
更新日期:1984-03-01 00:00:00
abstract:PURPOSE:To compare the usefulness of computed tomography (CT) and gadolinium-enhanced magnetic resonance (MR) imaging in the detection of neoplastic invasion of laryngeal cartilage. MATERIALS AND METHODS:In a prospective study, 53 patients with carcinoma of the larynx or piriform sinus underwent CT and MR imaging befo...
journal_title:Radiology
pub_type: 杂志文章
doi:10.1148/radiology.194.3.7862960
更新日期:1995-03-01 00:00:00
abstract::Purpose To develop multiparametric magnetic resonance (MR) imaging models to generate a quantitative, user-independent, voxel-wise composite biomarker score (CBS) for detection of prostate cancer by using coregistered correlative histopathologic results, and to compare performance of CBS-based detection with that of s...
journal_title:Radiology
pub_type: 杂志文章
doi:10.1148/radiol.2015151089
更新日期:2016-06-01 00:00:00
abstract::Seventy-five spot compression views of equivocally suspicious lesions detected at routine mammographic examination of 72 women were reviewed in this retrospective study. Sixty-five of the 75 lesions appeared less suspicious on spot compression views, two did not change, and eight appeared more suspicious. Biopsy findi...
journal_title:Radiology
pub_type: 杂志文章
doi:10.1148/radiology.171.2.2704800
更新日期:1989-05-01 00:00:00
abstract:PURPOSE:To prospectively investigate steady-state blood volume measurements for early quantitative monitoring of antiangiogenic treatment with ultrasmall superparamagnetic iron oxide (USPIO)-enhanced magnetic resonance (MR) imaging. MATERIALS AND METHODS:The institutional animal care committee approved all experiments...
journal_title:Radiology
pub_type: 杂志文章
doi:10.1148/radiol.2442060371
更新日期:2007-08-01 00:00:00