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:
*Name:
*Comment:
*Email:


(Date:5/31/2016)... ... , ... The Global Wellness Summit (GWS), an annual conference for ... wellness, travel, spa and beauty in Europe. The organization asked its partner experts in ... and researchers - to forecast where wellness is headed in Europe. Predictions range from ...
(Date:5/31/2016)... ... May 31, 2016 , ... Interest is on the ... tool and as an orthogonal tool for RNAi hit validation. A key reason may ... guide RNAs—allows rapid generation of CRISPR RNA (crRNA) collections in arrayed formats. , ...
(Date:5/31/2016)... ... , ... Dr. Charles A. Ditta attained his Doctor of Medical Dentistry Degree ... 1986, where he graduated in the top ten percentile of his class. Dr. Ditta ... He has been a member in good standing for thirty years in the American ...
(Date:5/30/2016)... ... May 30, 2016 , ... As the CDC relaxes its stance on traditional ... to keep their households lice free. , According to a May 26 article ... keep kids in the classroom despite the fact that they may be harboring an ...
(Date:5/29/2016)... ... ... Whole Health Supply is happy to announce the favorable reception of its ... new style of nail clipper has a wider jaw opening that is useful for ... actual handle is 2.5mm thick to accommodate the cutting force. This is the maximum ...
Breaking Medicine News(10 mins):
(Date:5/30/2016)... , May 30, 2016 ... H1 2016" market research report with comprehensive information ... with comparative analysis at various stages, therapeutics assessment ... of administration (RoA) and molecule type, along with ... It also reviews key players involved in the ...
(Date:5/27/2016)... 2016 Hutchison China MediTech ... on the highly lucrative global oncology and immunology ... potential first-in-class or best-in-class tyrosine kinase inhibitor (TKI) ... strategic partners. HCM,s profitable Chinese healthcare business continues ... expect progress of the mid-to-late-stage pipeline during 2016-17 ...
(Date:5/26/2016)... 2016 A key trend that ... emergence of new treatments. Cardax, a development stage life ... The therapy is expected to fulfil large unmet medical ... conducting studies to develop new treatments for osteoarthritis. One ... involved in osteoarthritis are being investigated, and early trials ...
Breaking Medicine Technology:
Cached News: