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Sonography of the normal appendix: its varied appearance and techniques to improve its visualization
Cindy Ung1, Stephanie T Chang, R Brooke Jeffrey
1From the *Stanford University School of Medicine, Stanford, CA, †Department of Radiology, Stanford University School of Medicine, Stanford, CA, and ‡Veterans Affairs Palo Alto Health Care System, Palo Alto, CA.
Identifying the normal appendix via ultrasound is key for diagnosing appendicitis. This review covers normal appendix sonographic appearances and visualization strategies for improved accuracy.
Area of Science:
- Radiology
- Medical Imaging
Background:
- Accurate diagnosis of acute appendicitis relies on sonographic identification of the normal appendix.
- The normal appendix presents challenges in sonography due to its narrow, tubular structure, variable appearance, and uncertain tip location.
Purpose of the Study:
- To review the diverse sonographic appearances of the normal appendix.
- To present strategies for enhancing the visualization of the normal appendix during ultrasound examinations.
Main Methods:
- Review of existing sonographic literature and imaging techniques.
- Analysis of characteristic sonographic features of the normal appendix.
Main Results:
- The normal appendix exhibits variable sonographic appearances.
- Specific anatomical variations and imaging approaches can aid visualization.
Conclusions:
- Effective sonographic visualization of the normal appendix is essential for accurate appendicitis diagnosis.
- Understanding variable appearances and employing targeted strategies improve diagnostic success.
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