Related Experiment Video
Updated: Apr 20, 2026
07:12
Author Spotlight: Using Point-of-Care Ultrasound for Comprehensive Evaluation of the Abdominal Aorta
Published on: September 8, 2023
4.9K
Implementing an ultrasound-based protocol for diagnosing appendicitis while maintaining diagnostic accuracy
Angela J van Atta1, Henry J Baskin, Connie K Maves
1University of Utah School of Medicine, Salt Lake City, UT, USA.
Pediatric Radiology
|November 24, 2014
Summary
Implementing a pediatric appendicitis ultrasound (US) protocol in nonacademic settings improved visualization and reduced CT use. Diagnostic accuracy remained high, decreasing costs and unnecessary surgeries.
Area of Science:
- Pediatric Radiology
- Medical Imaging
- Diagnostic Ultrasound
Background:
- Ultrasound (US) for pediatric appendicitis is underutilized in nonacademic US centers.
- Barriers include reliance on established CT protocols and institutional limitations.
Purpose of the Study:
- To describe overcoming barriers to implementing a US-based appendicitis protocol in private-practice pediatric radiology.
- To maintain diagnostic accuracy and reduce medical costs.
Main Methods:
- A multidisciplinary team developed a US-first protocol with CT for equivocal cases.
- Addressed radiologist/sonographer experience and availability.
- Coded US reports and compared with clinical outcomes for accuracy.
Main Results:
- 512 children evaluated over 30 months; diagnostic accuracy comparable to US/CT protocols.
- Unequivocal US results increased from 30% to 53% over the study.
- CT use decreased by 63%, saving $30,182 annually.
Conclusions:
- Barriers to US protocol implementation were successfully overcome.
- Improved appendix visualization and decreased CT utilization.
- Maintained diagnostic accuracy while reducing costs.
Related Concept Videos
01:29Appendicitis-II: Diagnostic Studies and Management
911
Diagnosing and managing appendicitis requires a structured and comprehensive approach that spans from initial assessment to postoperative care. Here is an overview of the process:
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
911
01:22Appendicitis-I: Introduction
4.2K
The appendix, a small, narrow, blind tube extending from the inferior part of the cecum, is widely regarded as a vestigial organ, having lost much of its original function through evolution. Despite its diminished role, the appendix can become inflamed, a condition known as appendicitis.
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...
4.2K
01:19Appendicitis
17
Appendicitis is an acute inflammatory condition of the vermiform appendix, most commonly caused by obstruction of its lumen. The appendix is a narrow, blind-ended pouch that extends from the cecum, making it particularly prone to obstruction. Causes include fecaliths, lymphoid hyperplasia (often after viral infections), parasites, tumors, or foreign bodies. This obstruction initiates a cascade of pathological changes.Luminal Obstruction and Early InflammationAfter obstruction, normal mucosal...
17
01:25Ultrasound II: Endoscopic Ultrasound and FibroScan
1.2K
Endoscopic Ultrasound (EUS) and FibroScan are valuable diagnostic tools in gastroenterology and hepatology, each with specific applications and techniques.
Endoscopic Ultrasound (EUS):
Endoscopic Ultrasound (EUS):
1.2K
01:20Ultrasound I: Abdominal Ultrasonography
3.3K
Introduction:
Abdominal ultrasonography, commonly known as abdominal ultrasound, is a vital, non-invasive medical imaging technique widely used in healthcare.
Procedure:
This diagnostic tool allows the clinician to visually inspect internal structures within the abdomen, including vital organs such as the liver, gallbladder, pancreas, kidneys, and spleen.
The abdominal ultrasound process begins with applying a special gel to the patient's skin over the abdomen. This gel enhances the...
Abdominal ultrasonography, commonly known as abdominal ultrasound, is a vital, non-invasive medical imaging technique widely used in healthcare.
Procedure:
This diagnostic tool allows the clinician to visually inspect internal structures within the abdomen, including vital organs such as the liver, gallbladder, pancreas, kidneys, and spleen.
The abdominal ultrasound process begins with applying a special gel to the patient's skin over the abdomen. This gel enhances the...
3.3K
01:18Assessment of the Abdomen II: Percussion
3.7K
Percussion is a fundamental technique used to assess the liver, spleen, and abdominal organs by tapping the abdomen and interpreting the resulting sounds. This method helps identify fluid, distention, and masses through variations in sound, such as the high-pitched tympany of air-filled areas and the dullness of solid masses. Understanding how to percuss these organs provides valuable information for healthcare professionals in diagnosing conditions early.
Percussion
Percussion is an essential...
Percussion
Percussion is an essential...
3.7K