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Related Concept Videos

Appendicitis-I: Introduction01:22

Appendicitis-I: Introduction

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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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Appendicitis-II: Diagnostic Studies and Management01:29

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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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Related Experiment Video

Updated: Mar 6, 2026

Author Spotlight: Developing a Bedside Protocol for Kidney and Genitourinary Ultrasonography
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ACR Appropriateness Criteria® Suspected Abdominal Neoplasm-Child.

, Marla B K Sammer1, Michael M Moore2

  • 1Texas Children's Hospital, Houston, Texas.

Journal of the American College of Radiology : JACR
|March 5, 2026
PubMed
Summary

Imaging guidelines help differentiate pediatric abdominal masses. These evidence-based recommendations aid in diagnosing suspected childhood neoplasms versus benign conditions.

Keywords:
AUCAppropriate Use CriteriaAppropriateness CriteriaCTabdominal massabdominal neoplasmchildpediatric oncologyultrasound

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Area of Science:

  • Pediatric Radiology
  • Oncology
  • Medical Imaging

Background:

  • Childhood abdominal masses can be neoplastic or benign.
  • Distinguishing between these requires accurate imaging.
  • Palpable masses may indicate serious underlying conditions.

Purpose of the Study:

  • Provide imaging guidelines for suspected pediatric abdominal neoplasms.
  • Address specific clinical scenarios involving abdominal masses.
  • Standardize diagnostic approaches for pediatric abdominal masses.

Main Methods:

  • Utilized American College of Radiology Appropriateness Criteria.
  • Systematic analysis of peer-reviewed medical literature.
  • Adapted evidence-grading methodologies (e.g., GRADE).
  • Employed RAND/UCLA Appropriateness Method for procedure suitability.

Main Results:

  • Guidelines cover initial imaging, post-radiography assessment, and abdominal wall masses.
  • Recommendations are evidence-based, supplemented by expert consensus when needed.
  • Imaging aims to characterize masses, determine origin, assess extent, and guide treatment.

Conclusions:

  • Imaging is crucial for diagnosing pediatric abdominal neoplasms.
  • Standardized guidelines improve diagnostic accuracy and treatment planning.
  • These criteria support appropriate use of medical imaging in pediatric oncology.