HOME >> MEDICINE >> NEWS
Plain film X-rays may not be necessary in some children with non-traumatic stomach pain

The majority of plain films (X-rays), which are traditionally used to evaluate non-traumatic abdominal pain in children brought into the emergency department, may not be clinically useful, a panel of experts has found. Ultrasound and CT, on the other hand, are more clinically useful in evaluating these patients, a new study shows.

The study was carried out by a panel of two radiologists, a pediatric surgeon and a pediatric emergency department physician. The panel reviewed the history, physical examination and laboratory results, and imaging studies of 872 children seen over the course of 13 months at the Massachusetts General Hospital's emergency department. Of those 872 patients, 173 had plain film examinations. The panel determined that 72% of plain films were not clinically useful. In other words, they did not provide information that altered or ended the evaluation of the patient's abdominal pain, said David A. Boyajian. Dr. Boyajian, a medical student at Massachusetts General Hospital in Boston, MA, will present the study on May 4 at the American Roentgen Ray Society Annual Meeting in Miami Beach, FL. Plain films were most useful in confirming diagnoses of constipation and bowel obstruction, which most of the time were suspected by the clinicians prior to ordering the image, Dr. Boyajian said.

CT was performed in addition to the plain films on 34 children, said Dr. Boyajian; 35% had a useful plain film interpretation, while the panel found that CT interpretations were clinically useful in 91% of the cases, he said. Twenty-one children had both an ultrasound and plain film examination. Plain films were considered clinically useful in 24% of the cases compared to ultrasound, which was deemed useful in 43% of cases, said Dr. Boyajian.

"We aren't saying that plain films should be abandoned. These imaging studies worked well for confirming diagnoses of constipation and bowel obstruction. However, our results suggest that if diagnos
'"/>

Contact: Keri Sperry
keri@arrs.org
703-858-4306
American Roentgen Ray Society
5-May-2004


Page: 1 2

Related medicine news :

1. Plain radiographs and dedicated CT may become unnecessary in detecting lower spine fractures
2. New fingerprint visualization method uses X-rays to reveal missing clues
3. Routine dental panoramic X-rays not necessary, study shows
4. Dental X-rays during pregnancy associated with low birth weight babies
5. Dental X-rays of pregnant women associated with low-weight babies
6. UK study quantifies cancer risk from diagnostic X-rays
7. Research reveals no benefit of rapid MRI over X-rays in patients with low back pain
8. New medical research shows protein jump signals who suffers arthritis before X-rays show damage
9. Studies: New imaging technique improves X-rays of breast tissue
10. Risky surgery not always necessary to treat cervical disease
11. Early surgical treatment not always necessary for patients with brain haemorrhage

Post Your Comments:
(Date:10/31/2014)... Monica Williams-Murphy MD , advanced care ... the chaos that can occur for people who have ... of Americans who come into the emergency department facing ... for the moment and so are their families." She ... a catalyst for a family to get the critical ...
(Date:10/31/2014)... With all the preparations families carry ... they may overlook one critical area – the potential ... school performance and even behavior. Typical children’s vision screenings ... progressive vision problems, and to address this challenge, Dr. ... initiative: The Awesome Eyes Student Vision Program. , ...
(Date:10/31/2014)... 2014 (HealthDay News) -- Surgery for low back pain ... the United States you live, a new report says. ... back pain at some point in their lives, and ... care for a spine problem," co-author Brook Martin, of ... said in a college news release. In spinal ...
(Date:10/31/2014)... In terms of duration of treatment and cost, ... from accelerated partial breast irradiation (APBI) with proton ... new research from The University of Texas MD ... a cost analysis study based on typical patient ... allowable charges for eight different types of partial ...
(Date:10/31/2014)... lab device to give cancer researchers an unprecedented microscopic ... spread through the body, causing more than 90 percent ... tumor cells travel, the device could uncover new ways ... the university,s Whiting School of Engineering and its Institute ... new system recently in the journal Cancer Research ...
Breaking Medicine News(10 mins):Health News:This Thanksgiving or Christmas Family Gathering, Use The New App ListStuffFast to Start "The Conversation" With a Parent That Has No Plan For End-of-Life 2Health News:This Thanksgiving or Christmas Family Gathering, Use The New App ListStuffFast to Start "The Conversation" With a Parent That Has No Plan For End-of-Life 3Health News:New School Vision Initiative Announced by Dr. Rosenak’s Optical Options; Program Aims to Help Recognize Unseen Vision Problems That Impact School Success 2Health News:New School Vision Initiative Announced by Dr. Rosenak’s Optical Options; Program Aims to Help Recognize Unseen Vision Problems That Impact School Success 3Health News:Spinal Surgery Varies by Region in U.S.: Study 2Health News:Proton therapy shown to be less costly than some alternative radiotherapy techniques 2Health News:Proton therapy shown to be less costly than some alternative radiotherapy techniques 3Health News:Viewing cancer on the move: New device yields close-up look at metastasis 2Health News:Viewing cancer on the move: New device yields close-up look at metastasis 3
(Date:10/31/2014)... Investor-Edge has initiated coverage on the ... Laboratories (NYSE: ABT ), Hologic Inc. (NASDAQ: ... and Covidien PLC (NYSE: COV). Free research on these five ... The US markets on Thursday, October 30, 2014, ended on ... at 17,195.42, up 1.30% and the NASDAQ Composite closed at ...
(Date:10/31/2014)...  Australian biopharmaceutical company Specialised Therapeutics Australia (STA) is ... in combination with gemcitabine, will be reimbursed via the ... cancer from 1 November. In ... th most common cause of cancer mortality. Pancreatic ... the lowest 5-year survival of all common cancers at ...
(Date:10/31/2014)... 31, 2014 Today, Analysts Review ... CELG ), Bristol-Myers Squibb Co. (NYSE: ... ), Sanofi SA (NYSE: SNY ) and ... notes ahead of publication. To reserve complementary membership, limited ... ,Celgene Corporation Research Reports ,On October 23, 2014, Celgene ...
Breaking Medicine Technology:Health Care Equipment Stocks Technical Insight - Medtronic, Abbott Laboratories, Hologic, ResMed, and Covidien 2Health Care Equipment Stocks Technical Insight - Medtronic, Abbott Laboratories, Hologic, ResMed, and Covidien 3Health Care Equipment Stocks Technical Insight - Medtronic, Abbott Laboratories, Hologic, ResMed, and Covidien 4Health Care Equipment Stocks Technical Insight - Medtronic, Abbott Laboratories, Hologic, ResMed, and Covidien 5Specialised Therapeutics Australia Announces Breakthrough Cancer Drug Abraxane(R) to be PBS Listed for Metastatic Pancreatic Cancer 2Specialised Therapeutics Australia Announces Breakthrough Cancer Drug Abraxane(R) to be PBS Listed for Metastatic Pancreatic Cancer 3Specialised Therapeutics Australia Announces Breakthrough Cancer Drug Abraxane(R) to be PBS Listed for Metastatic Pancreatic Cancer 4Specialised Therapeutics Australia Announces Breakthrough Cancer Drug Abraxane(R) to be PBS Listed for Metastatic Pancreatic Cancer 5Specialised Therapeutics Australia Announces Breakthrough Cancer Drug Abraxane(R) to be PBS Listed for Metastatic Pancreatic Cancer 6Specialised Therapeutics Australia Announces Breakthrough Cancer Drug Abraxane(R) to be PBS Listed for Metastatic Pancreatic Cancer 7Specialised Therapeutics Australia Announces Breakthrough Cancer Drug Abraxane(R) to be PBS Listed for Metastatic Pancreatic Cancer 8Financial Results, Acquisition Agreement, and Legal Issue Update - Research Reports on Celgene, Bristol-Myers, UnitedHealth, Sanofi and Actavis 2Financial Results, Acquisition Agreement, and Legal Issue Update - Research Reports on Celgene, Bristol-Myers, UnitedHealth, Sanofi and Actavis 3Financial Results, Acquisition Agreement, and Legal Issue Update - Research Reports on Celgene, Bristol-Myers, UnitedHealth, Sanofi and Actavis 4Financial Results, Acquisition Agreement, and Legal Issue Update - Research Reports on Celgene, Bristol-Myers, UnitedHealth, Sanofi and Actavis 5Financial Results, Acquisition Agreement, and Legal Issue Update - Research Reports on Celgene, Bristol-Myers, UnitedHealth, Sanofi and Actavis 6
Cached News: