图像管理用于诊断儿科尾炎:改善超声波性能可以减少急诊室停留时间
Alexa G Turpin1, Michael Moore2, Sharon Gould2
1Department of Surgery, Nemours Children's Health, Delaware Valley, 1600 Rockland Road, Wilmington, DE 19803, USA.
Journal of pediatric surgery
|November 7, 2025
概括
改善了超声波培训和标准化报告,为儿童尾炎诊断显著提高了诊断准确度,从27.1%提高到56%. 这种增强的超声波第一方法减少了临床团队的时间和成本,而不会增加对MRI的需求.
科学领域:
- 儿科放射学 儿科放射学
- 诊断成像 诊断成像 诊断成像
- 紧急医疗 紧急医疗
背景情况:
- 超声波 (美国) 往往不能诊断儿科尾炎,导致延迟和增加成本.
- 美国基线诊断率为27.1%,对于中度儿科尾炎得分 (PAS) 尤其低.
- 最初的途径使用MRI用于中度PAS,增加急诊室停留时间 (ED LOS).
研究的目的:
- 为了提高超声波的性能,作为一线成像工具,用于所有儿科尾炎评估.
- 减少与非诊断性超声波相关的诊断延迟和医疗保健费用.
主要方法:
- 审查了2020年附录超声波,以确定扫描技术和报告的问题.
- 在2022年8月实施了对美国肠道和尾的专注超声波仪培训.
- 在2022年11月引入了超声波和MRI的标准化报告模板,在2024年5月适应了美国第一的方法.
主要成果:
- 诊断性超声波率从基线的27.1%增加到56%.
- 美国第一的方法并没有增加对超声波后MRI的需求.
- 临床团队时间 (CTT) 从347分钟减少到299分钟.
- 每名患者的成像成本从6177.38美元大幅降至4812.30美元 (p < 0.001).
结论:
- 超声波仪培训和标准化报告模板提高了尾炎的超声波诊断性能.
- 一个改进的超声波-第一成像协议可以减少ED LOS和相关成本.
- 这些干预措施优化了儿童尾炎评估的诊断途径.
相关概念视频
Appendicitis-II: Diagnostic Studies and Management
477
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...
477
Imaging Studies II: Ultrasonography
333
IntroductionUltrasonography, or renal ultrasound, is a noninvasive medical imaging technique that uses high-frequency sound waves to visualize the kidneys, ureters, bladder, and surrounding tissues.Indications for Urinary System UltrasonographyUrinary system ultrasonography is indicated in various clinical scenarios, such as:Kidney Stones (Urolithiasis): To detect and monitor the size and presence of kidney or urinary tract stones.Hydronephrosis: To assess the dilation of the renal pelvis and...
333
Ultrasonography
7.3K
Ultrasonography is an imaging technique that uses high-frequency sound waves to visualize the body's internal structures. It is a non-invasive and safe procedure that does not involve the use of ionizing radiation, making it widely used in various medical fields. Ultrasonography is used to study heart function, blood flow in the neck or extremities, certain conditions such as gallbladder disease, and fetal growth and development.
During an ultrasonography procedure, a handheld device called...
During an ultrasonography procedure, a handheld device called...
7.3K
Ultrasound I: Abdominal Ultrasonography
1.2K
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...
1.2K
Ultrasound II: Endoscopic Ultrasound and FibroScan
519
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):
519
Imaging Studies V: Intravenous Urography and Retrograde Pyelography
1.0K
IntroductionIntravenous Urography (IVU) and Retrograde Pyelography (RP) are important diagnostic imaging techniques used to evaluate the urinary system. These methods help identify structural abnormalities, obstructions, and functional issues in the kidneys, ureters, and bladder. Both procedures use iodine-based contrast media to enhance the visibility of urinary tract structures on X-ray images, though they differ in their methods and indications.1. Intravenous Urography (IVU)Intravenous...
1.0K


