Current status and solutions for the overuse of emergency CT in pediatric patients with abdominal pain

Wei Weng1, Yaomeng Chen2

  • 1Department of Radiology, The Third Affiliated Hospital of Wenzhou Medical University, Wenzhou, China.

Frontiers in Pediatrics
|September 26, 2025
PubMed

Insights

Overuse of computed tomography (CT) scans for pediatric abdominal pain in emergency departments (EDs) raises radiation exposure and cost concerns. Alternatives like ultrasound and MRI are recommended to optimize care.

Area of Science:

  • Radiology
  • Pediatric Emergency Medicine
  • Medical Imaging

Background:

  • Pediatric abdominal pain is a frequent emergency department (ED) complaint.
  • Emergency computed tomography (CT) is vital for diagnosis but its overuse in children is concerning.
  • Concerns include radiation exposure risks and escalating healthcare costs.

Purpose of the Study:

  • To review the overuse of emergency CT scans in children with abdominal pain.
  • To examine contributing factors and adverse effects of this trend.
  • To summarize interventions and advancements for optimizing CT use.

Main Methods:

  • Comprehensive literature review of existing studies.
  • Analysis of factors contributing to CT overuse.
  • Evaluation of current interventions and research.

Main Results:

  • Frequent use of emergency CT scans in children with abdominal pain is prevalent.
  • Radiation exposure and increased healthcare costs are significant risks.
  • Non-ionizing imaging modalities are underutilized.

Conclusions:

  • Careful utilization of emergency CT in pediatric abdominal pain is crucial.
  • Alternatives like ultrasound and MRI should be prioritized.
  • Minimizing unnecessary radiation exposure and optimizing resource use are key goals.

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