Presence or absence of gas in the appendix: additional criteria to rule out or confirm acute appendicitis--evaluation with US.

Abstract:

PURPOSE:To investigate whether the presence or absence of gas in the appendix may be considered as additional ultrasonographic (US) criteria to rule out or confirm acute appendicitis. MATERIALS AND METHODS:The appendices in 239 control subjects, 138 patients with lower right quadrant pain without acute appendicitis, and 80 patients with acute appendicitis were prospectively evaluated for intraluminal gas with US. RESULTS:The appendices in 206 (86%) control subjects showed gas at US, and those in 33 (14%) did not. The appendices in 109 (79%) symptomatic patients without acute appendicitis showed gas, and those in 29 (21%) did not. The appendices in 12 (15%) patients with acutely inflamed appendices showed gas, and those in 68 (85%) did not. The absence of gas as a criterion for acute appendicitis had a sensitivity of 85%; specificity, 79%; positive and negative predictive values, 57% and 94%, respectively; and accuracy, 81%. Gas was useful to exclude acute appendicitis in 64 (46%) symptomatic patients because the established criteria were misleading. In 19 (24%) patients, the absence of gas was useful for diagnosis of acute appendicitis because the other criteria were not convincing. CONCLUSION:US-based detection of gas in the appendiceal lumen helps to rule out acute appendicitis, whereas the absence of gas further confirms its presence, especially in cases where established US criteria are either insufficiently present or misleading.

journal_name

Radiology

journal_title

Radiology

authors

Rettenbacher T,Hollerweger A,Macheiner P,Rettenbacher L,Frass R,Schneider B,Gritzmann N

doi

10.1148/radiology.214.1.r00ja20183

subject

Has Abstract

pub_date

2000-01-01 00:00:00

pages

183-7

issue

1

eissn

0033-8419

issn

1527-1315

journal_volume

214

pub_type

杂志文章
  • Mucocele of the cystic duct remnant in eight liver transplant recipients: findings at cholangiography, CT, and US.

    abstract::The case histories and radiologic studies of eight liver transplant recipients who developed a mucocele of the allograft cystic duct remnant were retrospectively evaluated. All patients had clinical and/or laboratory evidence of biliary obstruction or cholangitis from 2 weeks to 3.3 years following transplantation. Ch...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiology.177.3.2243970

    authors: Zajko AB,Bennett MJ,Campbell WL,Koneru B

    更新日期:1990-12-01 00:00:00

  • Kidney length correlated with age: normal values in children.

    abstract::Normal kidney length was measured on the excretory urogram in 262 children 0 to 14.5 years of age (422 kidneys). While mean values were similar to those in the literature, the standard deviation (0.785 cm) was much lower than that reported previously. ...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiology.150.3.6695070

    authors: Currarino G,Williams B,Dana K

    更新日期:1984-03-01 00:00:00

  • Improving Patient Experience in Radiology: Impact of a Multifaceted Intervention on National Ranking.

    abstract::Purpose To assess the impact of a patient experience improvement program on national ranking in patient experience in a large academic radiology department. Materials and Methods This Health Insurance Portability and Accountability Act-compliant study was exempted from institutional review board approval. After initia...

    journal_title:Radiology

    pub_type: 杂志文章,多中心研究

    doi:10.1148/radiol.2019182307

    authors: Kapoor N,Yan Z,Wang A,Wickner P,Kachalia A,Boland G,Khorasani R

    更新日期:2019-04-01 00:00:00

  • Noninvasive measurement of extraction fraction and single-kidney glomerular filtration rate with MR imaging in swine with surgically created renal arterial stenoses.

    abstract:PURPOSE:To test whether magnetic resonance (MR) imaging enables accurate measurement of extraction fraction (EF) in swine with unilateral renal ischemia and to evaluate effects of renal arterial stenosis on EF and single-kidney glomerular filtration rate. MATERIALS AND METHODS:High-grade unilateral renal arterial sten...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiol.2231010420

    authors: Coulam CH,Lee JH,Wedding KL,Spielman DM,Pelc NJ,Kee ST,Hill BB,Bouley DM,Derby GC,Myers BD,Sawyer-Glover AM,Sommer FG

    更新日期:2002-04-01 00:00:00

  • Peritoneal reaction resulting from iodinated contrast material: comparative study.

    abstract::A consensus does not exist as to the optimal contrast agent for hysterosalpingography. This study was undertaken to evaluate the early and delayed inflammatory responses of the peritoneal surfaces to various types of iodinated contrast media. Guinea pigs received intraperitoneal injections of lactated Ringer solution,...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiology.172.1.2544920

    authors: Eisenberg AD,Winfield AC,Page DL,Holburn GE,Schifter T,Segars JH

    更新日期:1989-07-01 00:00:00

  • Alzheimer disease: improved visual interpretation of PET images by using three-dimensional stereotaxic surface projections.

    abstract:PURPOSE:To compare the diagnostic usefulness of three-dimensional (3D) stereotaxic surface projection (SSP) with that of standard transaxial display in brain positron emission tomography (PET) in Alzheimer disease (AD). MATERIALS AND METHODS:Standard transaxial section display and 3D-SSP PET image sets obtained after ...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiology.198.3.8628880

    authors: Burdette JH,Minoshima S,Vander Borght T,Tran DD,Kuhl DE

    更新日期:1996-03-01 00:00:00

  • Computer-aided detection in screening mammography: variability in cues.

    abstract:PURPOSE:To evaluate the variability of true-positive and false-positive cues by using a commercially available computer-aided detection (CAD) system for analysis of 50 malignancies in a screening population. MATERIALS AND METHODS:Fifty breast cancers detected at screening were analyzed by using a commercially availabl...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiol.2332031200

    authors: Baker JA,Lo JY,Delong DM,Floyd CE

    更新日期:2004-11-01 00:00:00

  • Hemodialysis grafts: color Doppler flow imaging correlated with digital subtraction angiography and functional status.

    abstract::Twenty-two patients with hemodialysis grafts were prospectively evaluated with color Doppler flow imaging and digital subtraction angiography (DSA). Eighteen patients had normal functional parameters during hemodialysis, and four had increased venous pressure during hemodialysis. Color Doppler flow imaging allowed ide...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiology.181.1.1887060

    authors: Dousset V,Grenier N,Douws C,Senuita P,Sassouste G,Ada L,Potaux L

    更新日期:1991-10-01 00:00:00

  • Preeclampsia-eclampsia: clinical and neuroradiographic correlates and insights into the pathogenesis of hypertensive encephalopathy.

    abstract:PURPOSE:To investigate the clinical parameters that are associated with the development of brain edema of hypertensive encephalopathy in patients with preeclampsia-eclampsia. MATERIALS AND METHODS:Twenty-eight patients with preeclampsia-eclampsia and neurologic symptoms underwent magnetic resonance (MR) imaging. Clini...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiology.217.2.r00nv44371

    authors: Schwartz RB,Feske SK,Polak JF,DeGirolami U,Iaia A,Beckner KM,Bravo SM,Klufas RA,Chai RY,Repke JT

    更新日期:2000-11-01 00:00:00

  • Computer-aided diagnosis to distinguish benign from malignant solitary pulmonary nodules on radiographs: ROC analysis of radiologists' performance--initial experience.

    abstract:PURPOSE:To evaluate radiologists' performance for determining a distinction between benign and malignant pulmonary nodules on chest radiographs without and with use of a computer-aided diagnosis scheme. MATERIALS AND METHODS:Fifty-three chest radiographs that depicted 31 primary lung cancers and 22 benign nodules were...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiol.2272020498

    authors: Shiraishi J,Abe H,Engelmann R,Aoyama M,MacMahon H,Doi K

    更新日期:2003-05-01 00:00:00

  • Biphasic CT with mesenteric CT angiography in the evaluation of acute mesenteric ischemia: initial experience.

    abstract:PURPOSE:To evaluate the sensitivity and specificity of biphasic computed tomography (CT) with mesenteric CT angiography in the diagnosis of acute mesenteric ischemia (AMI). MATERIALS AND METHODS:Sixty-two patients with clinically suspected AMI underwent prospective imaging with biphasic multi-detector row CT. Mesenter...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiol.2291020991

    authors: Kirkpatrick ID,Kroeker MA,Greenberg HM

    更新日期:2003-10-01 00:00:00

  • Nasopharyngeal angiofibromas: hazards of embolization.

    abstract::A systematic approach to the diagnosis and treatment of angiofibromas is presented. The distinction between true and false internal carotid supply to these tumors as well as identification of vascular anatomical variants that may represent potential hazards of embolization are emphasized. Areterial supply to the crani...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiology.136.1.6247740

    authors: Lasjaunias P

    更新日期:1980-07-01 00:00:00

  • Gadolinium Deposition in Human Brain Tissues after Contrast-enhanced MR Imaging in Adult Patients without Intracranial Abnormalities.

    abstract::Purpose To determine whether gadolinium deposits in neural tissues of patients with intracranial abnormalities following intravenous gadolinium-based contrast agent (GBCA) exposure might be related to blood-brain barrier integrity by studying adult patients with normal brain pathologic characteristics. Materials and M...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiol.2017161595

    authors: McDonald RJ,McDonald JS,Kallmes DF,Jentoft ME,Paolini MA,Murray DL,Williamson EE,Eckel LJ

    更新日期:2017-11-01 00:00:00

  • Thermal Injury-induced Hepatic Parenchymal Hypoperfusion: Risk of Hepatocellular Carcinoma Recurrence after Radiofrequency Ablation.

    abstract::Purpose To retrospectively evaluate whether thermal injury-induced hepatic parenchymal hypoperfusion can be a significant risk factor for tumor recurrence after radiofrequency ablation (RFA) of hepatocellular carcinoma (HCC). Materials and Methods The institutional review board approved this retrospective study, and t...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiol.2016152322

    authors: Lee DH,Lee JM,Yoon JH,Kim YJ,Han JK

    更新日期:2017-03-01 00:00:00

  • Science to Practice: What Causes Arterial Infarction in Transforaminal Epidural Steroid Injections, and Which Steroid Is Safest?

    abstract::Transforaminal epidural steroid injections (TFESIs) are associated with rare but devastating neurologic complications. Every published case has been associated with a particulate steroid suspension, and the presumed but not proven mechanism is embolization and occlusion of end arterioles. Through an in vivo murine mod...

    journal_title:Radiology

    pub_type: 评论,杂志文章

    doi:10.1148/radiol.2016160171

    authors: Diehn FE,Murthy NS,Maus TP

    更新日期:2016-06-01 00:00:00

  • Peripheral vision, structured noise and film reader error.

    abstract::The ability of film readers to detect a nodular target abnormality with the peripheral vision was studied using a gray structureless background, chest radiographs with a bilateral pneumothorax and chest radiographs with pulmonary vasculature. Peripheral detection of the nodular abnormality was profoundly decreased by ...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/114.2.269

    authors: Kundel HL

    更新日期:1975-02-01 00:00:00

  • Angiomyolipoma: ultrasonic-pathologic correlation.

    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

    authors: Hartman DS,Goldman SM,Friedman AC,Davis CJ Jr,Madewell JE,Sherman JL

    更新日期:1981-05-01 00:00:00

  • Hyperthermic effects on DNA repair mechanisms.

    abstract::Studies have been carried out using neutral and alkaline sucrose density gradients to investigate the effect of 41 degree-43 degree C on the ability of Chinese hamster ovary cells to repair single (SSB) and double stranded DNA breaks (DSB) caused by exposure to ionizing radiation. The authors found that when hyperther...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/123.2.475

    authors: Corry PM,Robinson S,Getz S

    更新日期:1977-05-01 00:00:00

  • Multiple myeloma: MR patterns of response to treatment.

    abstract:PURPOSE:To assess changes in the magnetic resonance (MR) appearance of the spine in patients with multiple myeloma who responded to chemotherapy. MATERIALS AND METHODS:Twenty patients with multiple myeloma underwent MR imaging of the spine before and after chemotherapy. Sagittal T1-weighted images were obtained before...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiology.193.2.7972760

    authors: Moulopoulos LA,Dimopoulos MA,Alexanian R,Leeds NE,Libshitz HI

    更新日期:1994-11-01 00:00:00

  • Quantitative CT indexes in idiopathic pulmonary fibrosis: relationship with physiologic impairment.

    abstract:PURPOSE:To determine whether measurements of skewness, kurtosis, and mean lung attenuation on thin-section computed tomographic (CT) histograms in patients with idiopathic pulmonary fibrosis (IPF) correlate with pulmonary physiologic abnormality in a nonspirometrically controlled multicenter study. MATERIALS AND METHO...

    journal_title:Radiology

    pub_type: 临床试验,杂志文章,多中心研究

    doi:10.1148/radiol.2282020274

    authors: Best AC,Lynch AM,Bozic CM,Miller D,Grunwald GK,Lynch DA

    更新日期:2003-08-01 00:00:00

  • Holistic component of image perception in mammogram interpretation: gaze-tracking study.

    abstract:PURPOSE:To test the hypothesis that rapid and accurate performance of the proficient observer in mammogram interpretation involves a shift in the mechanism of image perception from a relatively slow search-to-find mode to a relatively fast holistic mode. MATERIALS AND METHODS:This HIPAA-compliant study had institution...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiol.2422051997

    authors: Kundel HL,Nodine CF,Conant EF,Weinstein SP

    更新日期:2007-02-01 00:00:00

  • Cost effectiveness of chest CT in T1N0M0 lung cancer.

    abstract::The role of chest computed tomography (CT) in the evaluation of clinically staged T1N0M0 lung cancer is controversial. Using quantitative methods of decision analysis and data already available in the medical literature, the authors show how the clinical utility and cost effectiveness of chest CT are dependent on seve...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiology.167.2.3128840

    authors: Black WC,Armstrong P,Daniel TM

    更新日期:1988-05-01 00:00:00

  • Clinically and mammographically occult breast lesions on MR images: potential effect of computerized assessment on clinical reading.

    abstract:PURPOSE:To investigate if and how computerized analysis complements characterization of breast lesions with clinical reading at magnetic resonance imaging. MATERIALS AND METHODS:The institutional review board approved the use of data obtained prospectively and analyzed either prospectively with informed patient consen...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiol.2343031580

    authors: Deurloo EE,Muller SH,Peterse JL,Besnard AP,Gilhuijs KG

    更新日期:2005-03-01 00:00:00

  • Prostate cancer: precision of integrating functional MR imaging with radiation therapy treatment by using fiducial gold markers.

    abstract::The use of intensity-modulated radiation therapy for treatment of dominant intraprostatic lesions may require integration of functional magnetic resonance (MR) imaging with treatment-planning computed tomography (CT). The purpose of this study was to compare prospectively the landmark and iterative closest point metho...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiol.2361040560

    authors: Huisman HJ,Fütterer JJ,van Lin EN,Welmers A,Scheenen TW,van Dalen JA,Visser AG,Witjes JA,Barentsz JO

    更新日期:2005-07-01 00:00:00

  • Reciprocating Bucky for serial film changers.

    abstract::A reciprocating Bucky design for serial film changers is described. It is simple to construct. Inexpensive, and enhances radiograph resolution by eliminating grid lines. ...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/125.1.250

    authors: Becker JA,Heiferman S

    更新日期:1977-10-01 00:00:00

  • CT colonography: automated measurement of colonic polyps compared with manual techniques--human in vitro study.

    abstract:PURPOSE:To prospectively investigate the relative accuracy and reproducibility of manual and automated computer software measurements by using polyps of known size in a human colectomy specimen. MATERIALS AND METHODS:Institutional review board approval was obtained for the study; written consent for use of the surgica...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiol.2421052068

    authors: Taylor SA,Slater A,Halligan S,Honeyfield L,Roddie ME,Demeshski J,Amin H,Burling D

    更新日期:2007-01-01 00:00:00

  • Human hippocampal subfields in young adults at 7.0 T: feasibility of imaging.

    abstract:PURPOSE:To establish an imaging approach to visualize the 100-microm-thick hippocampal neuron-generating dentate granule cell layer (DGCL) consistently within a clinically feasible magnetic resonance (MR) imaging duration and to assess its sensitivity by quantifying the likelihood that it will be detected in healthy yo...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiol.09090897

    authors: Prudent V,Kumar A,Liu S,Wiggins G,Malaspina D,Gonen O

    更新日期:2010-03-01 00:00:00

  • Diffuse pulmonary hemangiomatosis.

    abstract::The authors describe three pediatric patients with diffuse pulmonary hemangiomatosis. Virtually identical clinical, radiographic, and pathologic findings were observed in each case. The combination of diffuse interstitial pulmonary infiltration and bloody pleural effusion in a child is pathognomonic. Early recognition...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/127.2.445

    authors: Rowen M,Thompson JR,Williamson RA,Wood BJ

    更新日期:1978-05-01 00:00:00

  • Protein-losing enteropathy: diagnosis with (99m)Tc-labeled human serum albumin scintigraphy.

    abstract:PURPOSE:To investigate the diagnostic value of technetium 99m-labeled human serum albumin (HSA) scintigraphy in a group of patients suspected of having protein-losing enteropathy (PLE). MATERIALS AND METHODS:After intravenous injection of 740 MBq of freshly prepared (99m)Tc HSA, serial images of the abdomen were obtai...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiology.219.1.r01ap2986

    authors: Chiu NT,Lee BF,Hwang SJ,Chang JM,Liu GC,Yu HS

    更新日期:2001-04-01 00:00:00

  • What is different about a radiologist's brain?

    abstract:PURPOSE:To investigate neuronal activations during processing of radiologic and nonradiologic images by experienced radiologists and nonradiologist subjects by using event-related functional magnetic resonance (MR) imaging. MATERIALS AND METHODS:Study was approved by local ethics committee, and informed consent was ob...

    journal_title:Radiology

    pub_type: 杂志文章

    doi:10.1148/radiol.2363041370

    authors: Haller S,Radue EW

    更新日期:2005-09-01 00:00:00