Imaging of appendicitis in adults
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Imaging of appendicitis in adults. / Karul, M; Berliner, C; Keller, S; Tsui, T Y; Yamamura, J.
in: ROFO-FORTSCHR RONTG, Jahrgang 186, Nr. 6, 01.06.2014, S. 551-558.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
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TY - JOUR
T1 - Imaging of appendicitis in adults
AU - Karul, M
AU - Berliner, C
AU - Keller, S
AU - Tsui, T Y
AU - Yamamura, J
N1 - © Georg Thieme Verlag KG Stuttgart · New York.
PY - 2014/6/1
Y1 - 2014/6/1
N2 - UNLABELLED: Three imaging modalities are available for the diagnosis of acute appendicitis: ultrasound (US), computed tomography (CT), and magnetic resonance imaging (MRI). Transabdominal ultrasound should be the first-line imaging test. Abdominal CT is superior to US and is required immediately in patients with atypical clinical presentation of appendicitis and suspected perforation. However, low-dose unenhanced CT is equal to standard-dose CT with intravenous contrast agents in the detection of five signs of acute appendicitis (thickened appendiceal wall more than 2 mm, cross-sectional diameter greater than 6 mm, periappendicitis, abscess, and appendicolith). MRI is necessary in pregnant women and young adults. This review illustrates the principles of state-of-the-art imaging techniques and their clinical relevance.KEY POINTS: • US is the basic diagnostic method in case of suspected appendicitis.• CT is necessary in patients with atypical presentation of appendicitis.• MRI should be the first-line imaging test in pregnant women.
AB - UNLABELLED: Three imaging modalities are available for the diagnosis of acute appendicitis: ultrasound (US), computed tomography (CT), and magnetic resonance imaging (MRI). Transabdominal ultrasound should be the first-line imaging test. Abdominal CT is superior to US and is required immediately in patients with atypical clinical presentation of appendicitis and suspected perforation. However, low-dose unenhanced CT is equal to standard-dose CT with intravenous contrast agents in the detection of five signs of acute appendicitis (thickened appendiceal wall more than 2 mm, cross-sectional diameter greater than 6 mm, periappendicitis, abscess, and appendicolith). MRI is necessary in pregnant women and young adults. This review illustrates the principles of state-of-the-art imaging techniques and their clinical relevance.KEY POINTS: • US is the basic diagnostic method in case of suspected appendicitis.• CT is necessary in patients with atypical presentation of appendicitis.• MRI should be the first-line imaging test in pregnant women.
KW - Abdomen, Acute
KW - Adult
KW - Appendicitis
KW - Appendix
KW - Diagnosis, Differential
KW - Female
KW - Humans
KW - Magnetic Resonance Imaging
KW - Pregnancy
KW - Pregnancy Complications
KW - Sensitivity and Specificity
KW - Tomography, X-Ray Computed
KW - Ultrasonography
U2 - 10.1055/s-0034-1366074
DO - 10.1055/s-0034-1366074
M3 - SCORING: Journal article
C2 - 24760428
VL - 186
SP - 551
EP - 558
JO - ROFO-FORTSCHR RONTG
JF - ROFO-FORTSCHR RONTG
SN - 1438-9029
IS - 6
ER -