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Related Concept Videos

Appendicitis-II: Diagnostic Studies and Management01:29

Appendicitis-II: Diagnostic Studies and Management

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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
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Appendicitis-I: Introduction01:22

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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...
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Imaging Studies III: Computed Tomography01:27

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DefinitionComputed Tomography (CT) of the genitourinary (GU) tract is a non-invasive imaging modality that utilizes X-rays and computer processing to generate detailed cross-sectional images of the urinary system, encompassing the kidneys, ureters, bladder, and adjacent structures such as the adrenal glands.PurposeCT scans of the GU tract serve several diagnostic and therapeutic purposes, including:Diagnosis of Urinary Tract Diseases: Detects kidney stones, tumors, cysts, and congenital...
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Radiological investigations, including X-rays and computed tomography (CT) scans, are critical for diagnosing and evaluating various medical conditions. These imaging techniques provide valuable insights into the body's internal structures, aiding in the detection of abnormalities, assessment of disease progression, and development of treatment strategies. This article delves into two primary radiological investigations, chest X-rays and CT scans, outlining their purpose, procedures, and...
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Palpation is a crucial tactile examination method for assessing abdominal organs and detecting conditions like tenderness, distention, masses, or fluid. It involves both light and deep palpation techniques, each serving specific diagnostic purposes. Light palpation helps identify tenderness and other surface-level indicators, while deep palpation locates and assess abdominal masses and organ boundaries. A skilled professional can gather valuable insights through palpation, including evaluating...
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The abdominal examination is a cornerstone of clinical medicine, serving as a critical tool in diagnosing various gastrointestinal (GI) diseases. It involves a systematic approach that includes inspection and auscultation, each with distinct yet complementary roles in assessing the abdomen. This article will delve into these two primary methods healthcare professionals use to examine the abdomen.
Inspection of the Abdomen
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Low-Dose Abdominal CT for Evaluating Suspected Appendicitis: Recommendations for CT Imaging Techniques and Practical

Ji Hoon Park1,2,3, Hae Young Kim1, Ji Ye Sim4

  • 1Department of Radiology, Seoul National University Bundang Hospital, Seongnam-si 13620, Korea.

Diagnostics (Basel, Switzerland)
|July 27, 2022
PubMed
Summary

Low-dose CT (LDCT) for appendicitis diagnosis is evidence-based, but concerns about image quality persist. This discussion provides practical guidelines to bridge the gap between LDCT science and clinical practice.

Keywords:
abdomenacuteappendicitisionizingmultidetector computed tomographypatient care teamquality controlradiation

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Area of Science:

  • Radiology
  • Medical Imaging
  • Radiation Dose Reduction

Background:

  • A significant gap exists between scientific evidence and clinical practice regarding computed tomography (CT) radiation dose.
  • High-level evidence supports low-dose CT (LDCT) for appendicitis diagnosis.
  • However, healthcare providers express concerns about LDCT's image quality potentially leading to misdiagnoses.

Purpose of the Study:

  • To address the disparity between LDCT evidence and clinical practice.
  • To provide practical guidance for implementing LDCT in appendicitis diagnosis.
  • To educate care providers on overcoming challenges associated with LDCT.

Main Methods:

  • Discussion of CT imaging techniques for LDCT.
  • Exploration of practical issues related to LDCT implementation.
  • Review of strategies to ensure diagnostic accuracy with reduced radiation exposure.

Main Results:

  • Despite evidence, clinical adoption of LDCT is hindered by perceived image quality limitations.
  • Practical challenges in LDCT implementation require targeted educational interventions.
  • Addressing provider concerns is crucial for successful LDCT practice.

Conclusions:

  • Bridging the science-practice gap in CT radiation dose requires more than just evidence; it necessitates practical guidance.
  • Educating providers on LDCT techniques and addressing image quality concerns are vital for its widespread adoption.
  • Successful implementation of LDCT for appendicitis relies on a combination of scientific understanding and practical, actionable advice.