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:11/28/2014)... FL (PRWEB) November 28, 2014 Miami's ... responsive website. Practice founder Dr. Jeffrey Epstein ... Created using a groundbreaking WordPress platform, the site ... , Currently, up to 75% of all ... than ever, these people are logging on with smartphones, ...
(Date:11/28/2014)... Australia (PRWEB) November 28, 2014 ... undergone healthy growth over the past five years. ... increasing acceptance of therapies that are either alternative ... treatments. According to IBISWorld industry analyst David Whytcross, ... ageing population and growing private health insurance membership.” ...
(Date:11/28/2014)... 28, 2014 Written and narrated by award ... Voices releases the “The Happiest Man In the World: ... account of how and why Project C.U.R.E. came to be. ... mother Josie and the Reverend Richard W. Jackson, Dr. Jackson ... of 30, but realized that he wasn’t happy. Prompted by ...
(Date:11/28/2014)... -- Planning on seconds at Thanksgiving Day dinner this year? ... gastroesophageal reflux disease (GERD) -- a few steps may help ... and throat specialist at Lenox Hill Hospital in New York ... Thanksgiving: Pace yourself. Rather than have ... the day. It,s also a good idea to have a ...
(Date:11/28/2014)... only is the Éminence Organic Skin Care team proud ... cancer-causing agents, but they are also proud to support ... help in the fight against breast cancer. This year, ... contribution of $30,000 through participation in the CIBC Run ... Whip Moisturizer and the company’s corporate donation. , On ...
Breaking Medicine News(10 mins):Health News:Top Rhinoplasty Surgeon Launches Innovative Website 2Health News:Alternative Health Therapies in Australia Industry Market Research Report Now Updated by IBISWorld 2Health News:Alternative Health Therapies in Australia Industry Market Research Report Now Updated by IBISWorld 3Health News:Alternative Health Therapies in Australia Industry Market Research Report Now Updated by IBISWorld 4Health News:Thanksgiving Weekend Audiobook Treat! “The Happiest Man In the World: Life Lessons From a Cultural Economist” by Dr. James W. Jackson 2Health News:Don't Let Chronic Heartburn Spoil Your Thanksgiving Feast 2Health News:Éminence Organic Skin Care Donates Record-breaking $30,000 to Breast Cancer Research 2Health News:Éminence Organic Skin Care Donates Record-breaking $30,000 to Breast Cancer Research 3
(Date:11/28/2014)... Nov. 28, 2014  Valeant Pharmaceuticals International, Inc. ... announced that its wholly owned subsidiary, Valeant Pharmaceuticals ... of its outstanding 6.875% Senior Notes due 2018, ... on December 29, 2014 and has mailed an ... the redemption, approximately US$500 million aggregate principal amount ...
(Date:11/28/2014)... 2014 /CNW Telbec/ - Ergoresearch Ltd « Ergoresearch » (TSXV: ... Dominique Boudreau who will hold the position ... Dominique Boudreau was acting as corporate controler of ... for more than seven years for Laboratoire Langelier, a ... Mrs. Boudreau replaces Mr. Greco who was previously appointed ...
(Date:11/28/2014)... Kan. , Nov. 28, 2014 Aratana ... company focused on the licensing or acquisition, development and ... other companion animals, today announced that it will present ... Conference, to be held December 2-3, 2014, at the ... . Steven St. Peter , ...
Breaking Medicine Technology:Valeant Announces Redemption of US$445.0 Million Aggregate Principal Amount of its Outstanding 6.875% Senior Notes due 2018 2Ergoresearch announces the appointment of its new Vice Président Finance 2Ergoresearch announces the appointment of its new Vice Président Finance 3Aratana Therapeutics to Present at the 26th Annual Piper Jaffray Healthcare Conference 2
Cached News: