Acute abdominal pain in the elderly patient: Impact of early MDCT examination on diagnosis and management

Size: px
Start display at page:

Download "Acute abdominal pain in the elderly patient: Impact of early MDCT examination on diagnosis and management"

Transcription

1 Acute abdominal pain in the elderly patient: Impact of early MDCT examination on diagnosis and management Poster No.: C-1464 Congress: ECR 2010 Type: Topic: Scientific Exhibit GI Tract Authors: A. Pinto, A. Sparano, N. Gagliardi, S. Daniele, G. Ponticiello, G. Russo, L. Romano; Naples/IT Keywords: DOI: Acute abdomen, elderly patient, Computed Tomography /ecr2010/C-1464 Any information contained in this pdf file is automatically generated from digital material submitted to EPOS by third parties in the form of scientific presentations. References to any names, marks, products, or services of third parties or hypertext links to thirdparty sites or information are provided solely as a convenience to you and do not in any way constitute or imply ECR's endorsement, sponsorship or recommendation of the third party, information, product or service. ECR is not responsible for the content of these pages and does not make any representations regarding the content or accuracy of material in this file. As per copyright regulations, any unauthorised use of the material or parts thereof as well as commercial reproduction or multiple distribution by any traditional or electronically based reproduction/publication method ist strictly prohibited. You agree to defend, indemnify, and hold ECR harmless from and against any and all claims, damages, costs, and expenses, including attorneys' fees, arising from or related to your use of these pages. Please note: Links to movies, ppt slideshows and any other multimedia files are not available in the pdf version of presentations. Page 1 of 9

2 Purpose To assess the role of Multidetector row Computed Tomography (MDCT) when early performed in the diagnostic process and management of elderly patients with acute abdomen of non traumatic origin. Methods and Materials We performed a retrospective review of 320 patients (141 men and 179 women, years old) who presented to our Emergency Department with acute abdominal pain and underwent contrast enhanced MDCT scanning within 12 hours after admission. MDCT was performed before and after intravenous contrast agent (120 ml) rapid infusion (3 ml/s) and using a power injector. Iodine contrast agent was administered intravenously with the following parameters: volume,120 ml; rate, 2-3 ml/s; concentration 400 mgi/ml (Iomeron 400/Bracco/Italy). A biphasic postcontrastographic study was performed in all patients. MDCT examination was evaluated by two expert radiologists (with 15 years experience in abdominal radiology and CT) using axial image and multiplanar reconstruction (MPR), coronal, sagittal, or oblique according to the localization of the disease; cases of disagreement were reviewed jointly, with the evaluation of a third experienced radiologist. The diagnoses obtained at MDCT examination were compared with the final surgical or non surgical diagnosis. Results At MDCT examination, the following diagnoses were made: bowel obstruction (n=72) (Fig. 1), diverticulitis (n=41) (Fig. 2), urolithiasis (n=33), gastrointestinal tract perforation (n=30) (Fig. 3), appendicitis (n=29), cholecystitis (n=25), pancreatitis (n=23), pelvic inflammatory disease (n=10), abdominal aortic aneurysm (n=8), ischemic bowel disease (n=6), and miscellaneous (n=6). Page 2 of 9

3 CT examination was interpreted as negative in the remaining 37 patients. After MDCT examination 165 patients had a medical treatment and were discharged after 6 hours. In 9 cases (2.8%) an incorrect diagnosis was reported leading to 5 unnecessary laparotomies. Images for this section: Page 3 of 9

4 Page 4 of 9

5 Fig. 1: A 70-year old man with acute abdominal pain. MDCT (coronal reconstruction) of the abdomen shows a small bowel obstruction. Fig. 2: A 67-year old man with acute abdominal pain. MDCT scan reveals an acute complicated diverticulitis surgically confirmed. Page 5 of 9

6 Page 6 of 9

7 Fig. 3: A 72-year old man with abdominal aortic aneurysm. MDCT (sagittal reconstruction) of the abdomen shows a colonic ischemia associated with perforation. Page 7 of 9

8 Conclusion Accumulating data indicate that abdominal CT scanning, particularly if enhanced with intravenous contrast material, may improve the management of patients with acute abdominal pain [1-8]. The clinical difficulty in evaluating the patient with abdominal pain, especially the elderly patient, is well known. This is a subset of patients who may have minimal findings at physical examination yet may harbor significant pathology, some of which may require urgent intervention [9-10]. MDCT is particularly useful when performed early in the diagnostic process of elderly patients with acute abdomen because allows a fast diagnosis and a timely treatment. References 1.Gore RM, Miller FH, Pereles FS, et al. (2000) Helical CT in the evaluation of the acute abdomen. AJR Am J Roentgenol 174: Ng CS, Watson CJE, Palmer CR, et al. (2002) Evaluation of early abdominopelvic computed tomography inpatients with acute abdominal pain of unknown cause: prospective randomised study. BMJ 325: Rosen MP, Siewert B, Sands DZ, et al. (2003) Value of abdominal CT in the emergency department for patients with abdominal pain. Eur Radiol 13: Salem TA, Molloy RG, O'Dwyer PJ (2005) Prospective study on the role of the CT scan in patients with an acute abdomen. Colorectal Dis 7: Dalzell DP, Scharling ES, Ott DJ, et al. (1998) Acute pancreatitis: the role of diagnostic imaging. Crit Rev Diagn Imaging 39: Khurana B, Ledbetter S, McTavish J, et al. (2002) Bowel obstruction revealed by multidetector CT. AJR Am J Roentgenol 178: Page 8 of 9

9 7. Delabrousse E, Destrumelle N, Brunelle S, et al. (2003) CT of small bowel obstruction in adults. Abdom Imaging 28: Taourel P, Kessler N, Lesnik A, et al. (2003) Helical CT of large bowel obstruction. Abdom Imaging 28: Miller JA, Abu-Judeh H, Ahmad I (1998) The utility of urgent abdominal Computed Tomography in the elderly patient. Emerg Radiol 5: Pinto A, Scaglione M, Pinto F et al. (2000) Helical computed tomography diagnosis of gastrointestinal perforation in the elderly patient. Emerg Radiol 7: Personal Information Antonio Pinto, MD, PhD Department of Radiology (Chief: Dr. Luigia Romano) Cardarelli Hospital Naples, Italy e.mail: Amelia Sparano, Nicola Gagliardi, Stefania Daniele, Gianluca Ponticiello, Giovanna Russo, Luigia Romano Department of Radiology (Chief: Dr. Luigia Romano) Cardarelli Hospital Naples, Italy Page 9 of 9

CT findings in Differential Diagnosis between Tuberculous Pleurisy and Malignant Effusion

CT findings in Differential Diagnosis between Tuberculous Pleurisy and Malignant Effusion CT findings in Differential Diagnosis between Tuberculous Pleurisy and Malignant Effusion Poster No.: E-0084 Congress: ESTI 2012 Type: Scientific Exhibit Authors: S. S. Shim, Y. Kim; Seoul/KR Keywords:

More information

Pancreatic masses: What is there besides cancer

Pancreatic masses: What is there besides cancer Pancreatic masses: What is there besides cancer Poster No.: C-0201 Congress: ECR 2010 Type: Educational Exhibit Topic: Abdominal Viscera (Solid Organs) Authors: M. A. Portilha, C. Ruivo, I. Santiago, M.

More information

An Image Based Semiautomatic Online Cancer Staging Program for Common Female Pelvic Malignancies

An Image Based Semiautomatic Online Cancer Staging Program for Common Female Pelvic Malignancies An Image Based Semiautomatic Online Cancer Staging Program for Common Female Pelvic Malignancies Poster No.: C-1050 Congress: ECR 2012 Type: Educational Exhibit Authors: R. Talanow; Lexington, KY/US Keywords:

More information

Utilization management for successful process optimization in radiology

Utilization management for successful process optimization in radiology Utilization management for successful process optimization in radiology Poster No.: C-0737 Congress: ECR 2011 Type: Scientific Paper Authors: H.-P. Busch 1, W. Frewer 1, A. van Est 2 ; 1 Trier/DE, 2 Eindhoven/NL

More information

Patterns of nodal spread in thoracic malignancies

Patterns of nodal spread in thoracic malignancies Patterns of nodal spread in thoracic malignancies Poster No.: C-0977 Congress: ECR 2010 Type: Educational Exhibit Topic: Chest Authors: R. dos Santos, M. Duarte, J. Alpendre, J. Castaño, Z. Seabra, Â.

More information

Comparison of radiation dose from X-ray, CT, and PET/ CT in paediatric patients with neuroblastoma using a dose monitoring program

Comparison of radiation dose from X-ray, CT, and PET/ CT in paediatric patients with neuroblastoma using a dose monitoring program Comparison of radiation dose from X-ray, CT, and PET/ CT in paediatric patients with neuroblastoma using a dose monitoring program Poster No.: C-0591 Congress: ECR 2015 Type: Authors: Keywords: DOI: Scientific

More information

Diffuse infiltration in multiple myeloma treatment response assessment with "total-spine" contrast enhanced MR imaging

Diffuse infiltration in multiple myeloma treatment response assessment with total-spine contrast enhanced MR imaging Diffuse infiltration in multiple myeloma treatment response assessment with "total-spine" contrast enhanced MR imaging Poster No.: C-0276 Congress: ECR 2011 Type: Scientific Paper Authors: P. P. Arcuri,

More information

OA related pain medication intake in subjects from the OAI incidence cohort - association with focal knee lesions and cartilage T2 measurements

OA related pain medication intake in subjects from the OAI incidence cohort - association with focal knee lesions and cartilage T2 measurements OA related pain medication intake in subjects from the OAI incidence cohort - association with focal knee lesions and cartilage T2 measurements Poster No.: C-0007 Congress: ECR 2012 Type: Scientific Exhibit

More information

Determination of bone age using MRI of hand/wrist: a pilot study

Determination of bone age using MRI of hand/wrist: a pilot study Determination of bone age using MRI of hand/wrist: a pilot study Poster No.: C-0963 Congress: ECR 2011 Type: Scientific Exhibit Authors: E. Tomei, M. Marini, A. Stagnitti, A. sartori, L. bertana, N. Al

More information

Metastatic malignant melanoma revisited

Metastatic malignant melanoma revisited Metastatic malignant melanoma revisited Poster No.: C-2446 Congress: ECR 2010 Type: Educational Exhibit Topic: Musculoskeletal Authors: C. Paulino, B. Gonçalves, P. Marques, M. Gonçalo, F. CaseiroAlves;

More information

Development and implementation of a help desk system in a radiology department in a high complexity hospital: a South American experience

Development and implementation of a help desk system in a radiology department in a high complexity hospital: a South American experience Development and implementation of a help desk system in a radiology department in a high complexity hospital: a South American experience Poster No.: C-2409 Congress: ECR 2013 Type: Authors: Keywords:

More information

Normal vascular variants of the upper extremity

Normal vascular variants of the upper extremity Normal vascular variants of the upper extremity Poster No.: C-1039 Congress: ECR 2014 Type: Educational Exhibit Authors: P. Paixao, A. P. Gomes, M. S. C. Sousa, I. Santiago, A. S. C. C. Germano; Amadora/PT

More information

Preoperative evaluation of future remnant liver function by the contrast enhance ratio in hepatocellular image.

Preoperative evaluation of future remnant liver function by the contrast enhance ratio in hepatocellular image. Preoperative evaluation of future remnant liver function by the contrast enhance ratio in hepatocellular image. Poster No.: C-0564 Congress: ECR 2011 Type: Scientific Exhibit Authors: S. Matsushima, Y.

More information

Eye lens dose measurements in Interventional Cardiology

Eye lens dose measurements in Interventional Cardiology Eye lens dose measurements in Interventional Cardiology Poster No.: 479 Congress: ESCR 2014 Type: Scientific Poster Authors: N. Kollaros 1, E. Carinou 2, C. Plemmenos 1, I. Stathopoulos 1, V. Keywords:

More information

Needle crystal detector technology in mammography further dose reduction and clinical image quality with

Needle crystal detector technology in mammography further dose reduction and clinical image quality with Needle crystal detector technology in mammography further dose reduction and clinical image quality with different beam qualities (W/Rh vs. Mo/Rh) Poster No.: C-1461 Congress: ECR 2013 Type: Scientific

More information

MRI scanning of the claustrophobic patients

MRI scanning of the claustrophobic patients MRI scanning of the claustrophobic patients Poster No.: C-0549 Congress: ECR 2014 Type: Educational Exhibit Authors: M. minov, A. Doreski, M. Popovska, G. Markoski, S. 1 2 3 2 2 1 2 2 3 Jovanoska, I. miladinovski

More information

DICOM metadata-mining in PACS for computed radiography X-Ray exposure analysis: a mammography multisite study

DICOM metadata-mining in PACS for computed radiography X-Ray exposure analysis: a mammography multisite study DICOM metadata-mining in PACS for computed radiography X-Ray exposure analysis: a mammography multisite study Poster No.: B-0276 Congress: ECR 2014 Type: Authors: Keywords: DOI: Scientific Paper M. R.

More information

Role of 3D volumetry CT in the correlation between postoperative gastric volume and weight loss in obese patients undergoing gastric sleeve surgery.

Role of 3D volumetry CT in the correlation between postoperative gastric volume and weight loss in obese patients undergoing gastric sleeve surgery. Role of 3D volumetry CT in the correlation between postoperative gastric volume and weight loss in obese patients undergoing gastric sleeve surgery. Poster No.: C-2145 Congress: ECR 2014 Type: Scientific

More information

Abdominal CT Perfusion: Effects of Breath Control Technique

Abdominal CT Perfusion: Effects of Breath Control Technique Abdominal CT Perfusion: Effects of Breath Control Technique Poster No.: C-0068 Congress: ECR 2014 Type: Scientific Exhibit Authors: T. Yoshikawa, T. Kanda, Y. Ohno, Y. Fujisawa, N. Negi, M. 1 1 2 1 1 1

More information

Angio-CT preoperative planning of inferior limb free flaps in plastic surgery

Angio-CT preoperative planning of inferior limb free flaps in plastic surgery Angio-CT preoperative planning of inferior limb free flaps in plastic surgery Poster No.: C-3046 Congress: ECR 2010 Type: Educational Exhibit Topic: Vascular Authors: L. Saba, M. Atzeni, D. Ribuffo, G.

More information

Respiratory dynamic MRI for determining aortic invasion of thoracic neoplasms

Respiratory dynamic MRI for determining aortic invasion of thoracic neoplasms Respiratory dynamic MRI for determining aortic invasion of thoracic neoplasms Poster No.: C-0760 Congress: ECR 2013 Type: Educational Exhibit Authors: Y. J. Hong, J. Hur, H.-J. Lee, Y. J. Kim, B. W. Choi;

More information

Comparison between photoacoustic mammography images of breasts cancers and histological staining patterns of CD31 and carbonic anhydrase IX

Comparison between photoacoustic mammography images of breasts cancers and histological staining patterns of CD31 and carbonic anhydrase IX Comparison between photoacoustic mammography images of breasts cancers and histological staining patterns of CD31 and carbonic anhydrase IX Poster No.: C-1893 Congress: ECR 2013 Type: Scientific Exhibit

More information

Diagnostic performance of MRI in differentiating metastatic from acute osteoporotic compression fractures of the spine

Diagnostic performance of MRI in differentiating metastatic from acute osteoporotic compression fractures of the spine Diagnostic performance of MRI in differentiating metastatic from acute osteoporotic compression fractures of the spine Poster No.: C-1399 Congress: ECR 2013 Type: Scientific Exhibit Authors: J. Martel,

More information

X-ray (Radiography) - Abdomen

X-ray (Radiography) - Abdomen Scan for mobile link. X-ray (Radiography) - Abdomen Abdominal x-ray uses a very small dose of ionizing radiation to produce pictures of the inside of the abdominal cavity. It is used to evaluate the stomach,

More information

Differential diagnosis of vertebral compression fracture using in-phase/opposed-phase and Short TI inversion recovery imaging

Differential diagnosis of vertebral compression fracture using in-phase/opposed-phase and Short TI inversion recovery imaging Differential diagnosis of vertebral compression fracture using in-phase/opposed-phase and Short TI inversion recovery imaging Poster No.: C-0795 Congress: ECR 2013 Type: Scientific Exhibit Authors: A.

More information

AORTOENTERIC FISTULA. Mark H. Tseng MD Brooklyn VA Hospital February 11, 2005

AORTOENTERIC FISTULA. Mark H. Tseng MD Brooklyn VA Hospital February 11, 2005 AORTOENTERIC FISTULA Mark H. Tseng MD Brooklyn VA Hospital February 11, 2005 AORTOENTERIC FISTULA diagnosis and management Mark H. Tseng MD Brooklyn VA Hospital February 11, 2005 AORTOENTERIC FISTULA Aortoenteric

More information

Imaging of Thoracic Endovascular Stent-Grafts

Imaging of Thoracic Endovascular Stent-Grafts Imaging of Thoracic Endovascular Stent-Grafts Tariq Hameed, M.D. Department of Radiology and Imaging Sciences, Indiana University School of Medicine, Indianapolis, Indiana Disclosures: No relevant financial

More information

MR imaging of primary sclerosing cholangitis (PSC) using the hepatobiliary specific contrast agent Gd-EOB-DTPA

MR imaging of primary sclerosing cholangitis (PSC) using the hepatobiliary specific contrast agent Gd-EOB-DTPA MR imaging of primary sclerosing cholangitis (PSC) using the hepatobiliary specific contrast agent Gd-EOB-DTPA Poster No.: C-0019 Congress: ECR 2010 Type: Educational Exhibit Topic: Abdominal Viscera (Solid

More information

Second look ultrasound examination for breast lesions: MRI and pathologic correlation

Second look ultrasound examination for breast lesions: MRI and pathologic correlation Second look ultrasound examination for breast lesions: MRI and pathologic correlation Poster No.: C-0559 Congress: ECR 2015 Type: Scientific Exhibit Authors: E. Serrano Tamayo, E. López Soriano, M. Muñoz

More information

Common False Negative Errors During CT Reporting 10/30/14. The Missed Diagnosis in CT and The Role of Optimizing Scan Protocols in Preventing Them

Common False Negative Errors During CT Reporting 10/30/14. The Missed Diagnosis in CT and The Role of Optimizing Scan Protocols in Preventing Them The Missed Diagnosis in CT and The Role of Optimizing Scan Protocols in Preventing Them Elliot K. Fishman MD Professor of Radiology, Surgery and Oncology In the daily radiology practice, the rate of interpretation

More information

X-ray (Radiography), Lower GI Tract

X-ray (Radiography), Lower GI Tract Scan for mobile link. X-ray (Radiography), Lower GI Tract What is Lower GI Tract X-ray Radiography (Barium Enema)? Lower gastrointestinal (GI) tract radiography, also called a lower GI or barium enema,

More information

P R E S E N T S Dr. Mufa T. Ghadiali is skilled in all aspects of General Surgery. His General Surgery Services include: General Surgery Advanced Laparoscopic Surgery Surgical Oncology Gastrointestinal

More information

Acute abdominal conditions Key Points

Acute abdominal conditions Key Points 7 Acute abdominal conditions Key Points 7.1 ASSESSMENT AND DIAGNOSIS Referred abdominal pain Fore gut pain (stomach, duodenum, gall bladder) is referred to the upper abdomen Mid gut pain (small intestine,

More information

Prevention of Medical Errors

Prevention of Medical Errors Prevention of Medical Errors FS 456.013(7) Florida Chapter of American College of Physicians St. Petersburg Beach, Florida October 5, 2013 Cliff Rapp, LHRM Regional Vice President Patient Safety Course

More information

Dept. of Medical Imaging University of Ottawa

Dept. of Medical Imaging University of Ottawa ED Visits Related to Bariatric Surgery: Review of Normal Post-Surgical Anatomy as Well as Complications Dept. of Medical Imaging University of Ottawa Disclosures Background Roux-en-Y Gastric Bypass Surgery

More information

Only about 15% of patients presenting

Only about 15% of patients presenting CONTINUING MEDICAL EDUCATION Imaging in appendicitis: CT and sonography By Philip W. Ralls, M.D. Earn 1.0 hours of AMA PRA Category 1 Credits through March 2009 Upon completion of this activity, participants

More information

Colocutaneous Fistula. Disclosures

Colocutaneous Fistula. Disclosures Colocutaneous Fistula Madhulika G. Varma MD Associate Professor Chief, Colorectal Surgery University of California, San Francisco Honoraria Applied Medical Covidien Disclosures 1 Colocutaneous Fistula

More information

CT Colonography. What is CT Colonography?

CT Colonography. What is CT Colonography? Scan for mobile link. CT Colonography Computed tomography (CT) colonography or virtual colonoscopy uses special x-ray equipment to examine the large intestine for cancer and growths called polyps. During

More information

The Scottish Public Services Ombudsman Act 2002

The Scottish Public Services Ombudsman Act 2002 Scottish Public Services Ombudsman The Scottish Public Services Ombudsman Act 2002 Investigation Report UNDER SECTION 15(1)(a) SPSO 4 Melville Street Edinburgh EH3 7NS Tel 0800 377 7330 SPSO Information

More information

Abdominal CT scan findings in Acute Appendicitis

Abdominal CT scan findings in Acute Appendicitis Abdominal CT scan findings in Acute Appendicitis Pathophysiology of acute appendicitis. Acute appendicitis occurs when the lumen is obstructed, leading to fluid accumulation, luminal distention, inflammation

More information

Guide to Abdominal or Gastroenterological Surgery Claims

Guide to Abdominal or Gastroenterological Surgery Claims What are the steps towards abdominal surgery? Investigation and Diagnosis It is very important that all necessary tests are undertaken to investigate the patient s symptoms appropriately and an accurate

More information

Crohn s and Colitis Center

Crohn s and Colitis Center Crohn s and Colitis Center Dedicated to caring for patients with inflammatory bowel disease Crohn s disease and ulcerative colitis. The Crohn s and Colitis Center is the only center in New England exclusively

More information

Developing a Valid Measure of Opioid Overdose and Abuse/Addiction with Coded Medical Terminologies: Supervised Training Using Experts

Developing a Valid Measure of Opioid Overdose and Abuse/Addiction with Coded Medical Terminologies: Supervised Training Using Experts Developing a Valid Measure of Opioid Overdose and Abuse/Addiction with Coded Medical Terminologies: Supervised Training Using Experts Alexander M. Walker, MD, DrPH See Malterud K. Qualitative research:

More information

GI Bleed. Steven Lichtenstein, D.O. Chief, Division of Gastroenterology Mercy Health System. Director, Endoscopy/GI Lab Mercy Fitzgerald Hospital

GI Bleed. Steven Lichtenstein, D.O. Chief, Division of Gastroenterology Mercy Health System. Director, Endoscopy/GI Lab Mercy Fitzgerald Hospital October 3, 2015 GI Bleed Steven Lichtenstein, D.O. Chief, Division of Gastroenterology Mercy Health System Director, Endoscopy/GI Lab Mercy Fitzgerald Hospital Clinical Associate Professor of Medicine

More information

Ovarian Torsion: Sonographic Evaluation

Ovarian Torsion: Sonographic Evaluation J Clin Ultrasound 17:327-332, June 1989 Ovarian Torsion: Sonographic Evaluation Mark A. Helvie, MD,* and Terry M. Silver, MDI Abstract: The sonographic and clinical findings of 13 patients with surgically

More information

Clinical Trials and Screening: What You Need to Know

Clinical Trials and Screening: What You Need to Know Scan for mobile link. Clinical Trials and Screening: What You Need to Know What is a Clinical Trial? At A Glance A clinical trial is a research study that tests how well new medical techniques work in

More information

Subcutaneous desmoid tumors: characteristic "sun-burst" appearance on MRI and ultrasound

Subcutaneous desmoid tumors: characteristic sun-burst appearance on MRI and ultrasound Subcutaneous desmoid tumors: characteristic "sun-burst" appearance on MRI and ultrasound Poster No.: C-2241 Congress: ECR 2014 Type: Authors: Keywords: DOI: Scientific Exhibit R. Milos, T. Moritz, M. Bernathova,

More information

Early Colonoscopy in Patients with Acute Diverticulitis Simon Bar-Meir, M.D.

Early Colonoscopy in Patients with Acute Diverticulitis Simon Bar-Meir, M.D. Early Colonoscopy in Patients with Acute Diverticulitis Simon Bar-Meir, M.D. Professor of Medicine Germanis Kaufman Chair of Gastroenterology Director, Dept. of Gastroenterology Chaim Sheba Medical Center,

More information

Pictorial Review of Tuberculosis involving the Pleura.

Pictorial Review of Tuberculosis involving the Pleura. Pictorial Review of Tuberculosis involving the Pleura. Poster No.: C-0207 Congress: ECR 2011 Type: Educational Exhibit Authors: S. H. Hwang; Mokpo/KR Keywords: Thorax, Thoracic wall, CT, Ultrasound, Conventional

More information

Wearing high heels and plantar fasciitis; MRI evaluation

Wearing high heels and plantar fasciitis; MRI evaluation Wearing high heels and plantar fasciitis; MRI evaluation Poster No.: C-0809 Congress: ECR 2015 Type: Authors: Keywords: DOI: Scientific Exhibit S. A. Z. Khodair, R. L. Younes; Qwuesna/EG Extremities, Musculoskeletal

More information

VIRTUAL UPPER GASTROINTESTINAL ENDOSCOPY

VIRTUAL UPPER GASTROINTESTINAL ENDOSCOPY CLINICAL POLICY VIRTUAL UPPER GASTROINTESTINAL ENDOSCOPY Policy Number: DIAGNOSTIC 045.7 T Effective Date: December 1, 015 Table of Contents APPLICABLE LINES OF BUSINESS/PRODUCTS... BENEFIT CONSIDERATIONS...

More information

Colorectal Cancer Treatment

Colorectal Cancer Treatment Scan for mobile link. Colorectal Cancer Treatment Colorectal cancer overview Colorectal cancer, also called large bowel cancer, is the term used to describe malignant tumors found in the colon and rectum.

More information

Bilateral pulmonary artery aneurysms in Behçet disease: review of literature and report of one case

Bilateral pulmonary artery aneurysms in Behçet disease: review of literature and report of one case Bilateral pulmonary artery aneurysms in Behçet disease: review of literature and report of one case Poster No.: 486 Congress: ESCR 2013 Type: Poster Presentation Authors: O. Addou, B. Alami, M. Boubbou,

More information

Voxar 3D TM. A suite of advanced visualization and analysis software tools

Voxar 3D TM. A suite of advanced visualization and analysis software tools Voxar 3D TM A suite of advanced visualization and analysis software tools The power to deliver advanced visualization throughout the enterprise To effectively manage the rapid growth of large volumetric

More information

Open Ventral Hernia Repair

Open Ventral Hernia Repair Ventral Hernias Open Ventral Hernia Repair UCSF Postgraduate Course in General Surgery Maui, HI March 21, 2011 Hobart W. Harris, MD, MPH Ventral Hernias: National Experience Occur following 11-23% of laparotomies,

More information

Gallstone Ileus. Audrey C. Durrant,, M.D. SUNY Downstate Medical Center May 20, 2005

Gallstone Ileus. Audrey C. Durrant,, M.D. SUNY Downstate Medical Center May 20, 2005 Gallstone Ileus Audrey C. Durrant,, M.D. SUNY Downstate Medical Center May 20, 2005 Gallstone Ileus Diagnosis and Management Background Misnomer coined by Bartolin in 1654 Not a true ileus True mechanical

More information

Computed Tomography (CT) - Body

Computed Tomography (CT) - Body Scan for mobile link. Computed Tomography (CT) - Body Computed tomography (CT) of the body uses special x-ray equipment to help detect a variety of diseases and conditions. CT scanning is fast, painless,

More information

STUDY PLAN FOR THE CERTIFICATE OF THE HIGHER SPECIALIZATION IN ( Diagnostic Radiology)

STUDY PLAN FOR THE CERTIFICATE OF THE HIGHER SPECIALIZATION IN ( Diagnostic Radiology) STUDY PLAN FOR THE CERTIFICATE OF THE HIGHER SPECIALIZATION IN ( Diagnostic Radiology) plan number :15/11/97/NT I-GENERAL RULES AND CONDITIONS: 1- This plan conforms to the regulations of granting the

More information

Maternity billing codes

Maternity billing codes Maternity Billing The Maternity Period - For billing purposes, the obstetrical period begins on the date of the initial visit in which pregnancy was confirmed and extends through the end of the postpartum

More information

Emergencies in Post- Bariatric Surgery Patients

Emergencies in Post- Bariatric Surgery Patients Emergencies in Post- Patients Disclosures Dr. Birnbaumer has no financial disclosures Diane M. Birnbaumer, M.D., FACEP Professor of Medicine University of California, Los Angeles Senior Clinical Educator

More information

Hysterosalpingography

Hysterosalpingography Scan for mobile link. Hysterosalpingography Hysterosalpingography uses a real-time form of x-ray called fluoroscopy to examine the uterus and fallopian tubes of a woman who is having difficulty becoming

More information

Acute Abdominal Pain following Bariatric Surgery. Disclosure. Objectives 8/17/2015. I have nothing to disclose

Acute Abdominal Pain following Bariatric Surgery. Disclosure. Objectives 8/17/2015. I have nothing to disclose Acute Abdominal Pain following Bariatric Surgery Kathy J. Morris, DNP, APRN, FNP C, FAANP University of Nebraska Medical Center College of Nursing Disclosure I have nothing to disclose Objectives Pathophysiology

More information

Low-dose CT for Pulmonary Embolism

Low-dose CT for Pulmonary Embolism Low-dose CT for Pulmonary Embolism Gautham Gautham P. P. Reddy, Reddy, MD, MD, MPH MPH University University of of Washington Washington Introduction Introduction CT CT accounts accounts for for > 50%

More information

X-ray (Radiography) - Bone

X-ray (Radiography) - Bone Scan for mobile link. X-ray (Radiography) - Bone Bone x-ray uses a very small dose of ionizing radiation to produce pictures of any bone in the body. It is commonly used to diagnose fractured bones or

More information

The sensitivity and specificity of ultrasound in diagnosis of acute appendicitis Abstract Key words: Introduction 132

The sensitivity and specificity of ultrasound in diagnosis of acute appendicitis Abstract Key words: Introduction 132 The sensitivity and specificity of ultrasound in diagnosis of acute Mohaed B. Hassan*, Ahmed S. Tawfiq*, Adnan M. Brayyich**, Lubna A. Aljabbar Yaseen*** *Dept. of Radiology, College of Medicine, Tikrit

More information

Children's (Pediatric) CT (Computed Tomography)

Children's (Pediatric) CT (Computed Tomography) Scan for mobile link. Children's (Pediatric) CT (Computed Tomography) Pediatric computed tomography (CT) is a fast, painless exam that uses special x-ray equipment to create detailed images of your child

More information

In caring for the patient, Defendant Doctor breached the standard of care [committed medical malpractice] in the following respects:

In caring for the patient, Defendant Doctor breached the standard of care [committed medical malpractice] in the following respects: The law firm of Hixson & Brown filed suit on behalf of a client who had her colon unnecessarily removed for suspected diverticulitis or suspected widespread diverticulosis. After removal of the colon,

More information

Colorectal Cancer Care A Cancer Care Map for Patients

Colorectal Cancer Care A Cancer Care Map for Patients Colorectal Cancer Care A Cancer Care Map for Patients Understanding the process of care that a patient goes through in the diagnosis and treatment of colorectal cancer in BC. Colorectal Cancer Care Map

More information

Radiology Management Program

Radiology Management Program Highmark Blue Shield Radiology Management Program Prior Authorization Reference Guide* Effective with service dates of April 1, 2006, and beyond *Originally published December 2005; revised January 2007

More information

The Fatal Pulmonary Artery Involvement in Behçet s Disease

The Fatal Pulmonary Artery Involvement in Behçet s Disease The Fatal Pulmonary Artery Involvement in Behçet s Disease Dr. Vedat Hamuryudan Div. Rheumatology, Dept. Internal Medicine Cerrahpasa Medical Faculty, University of Istanbul 33 years old man Sept 2011:

More information

WHAT S WRONG WITH MY GALL BLADDER? GALL BLADDER POLYPS

WHAT S WRONG WITH MY GALL BLADDER? GALL BLADDER POLYPS WHAT S WRONG WITH MY GALL BLADDER? GALL BLADDER POLYPS This is a patient information booklet providing specific practical information about gall bladder polyps in brief. Its aim is to provide the patient

More information

Radiation Exposure in X-ray and CT Examinations

Radiation Exposure in X-ray and CT Examinations Patient Safety-Xray: Radiation Exposure in X-ray and CT Examinations What are x-rays and what do they do? X-rays are forms of radiant energy, like light or radio waves. Unlike light, x-rays can penetrate

More information

"Statistical methods are objective methods by which group trends are abstracted from observations on many separate individuals." 1

Statistical methods are objective methods by which group trends are abstracted from observations on many separate individuals. 1 BASIC STATISTICAL THEORY / 3 CHAPTER ONE BASIC STATISTICAL THEORY "Statistical methods are objective methods by which group trends are abstracted from observations on many separate individuals." 1 Medicine

More information

Pediatric Hospitals Bring Low-dose CT to the Middle East

Pediatric Hospitals Bring Low-dose CT to the Middle East Pediatric Hospitals ring Low-dose CT to the Middle East For years, radiologists have been cognizant of the importance of limiting pediatric patients exposure to radiation dose. uilding on the LR principle,

More information

Incidental Radiology Findings: Effectiveness of a Radiology Electronic Medical Records Interface System for Improving Communication

Incidental Radiology Findings: Effectiveness of a Radiology Electronic Medical Records Interface System for Improving Communication Incidental Radiology Findings: Effectiveness of a Radiology Electronic Medical Records Interface System for Improving Communication Charles L. Emerman, MD, Mary A. Gallagher, and Pedro J. Diaz, PhD Abstract

More information

To Whipple or Not to Whipple, that is the Question: Evaluating the Resectability of Pancreatic Adenocarcinoma

To Whipple or Not to Whipple, that is the Question: Evaluating the Resectability of Pancreatic Adenocarcinoma August 2009 To Whipple or Not to Whipple, that is the Question: Evaluating the Resectability of Pancreatic Adenocarcinoma Christina Ramirez, Harvard Medical School Year III Gillian Lieberman, MD Agenda

More information

Evidence-based Medicine: Answering Questions of Diagnosis

Evidence-based Medicine: Answering Questions of Diagnosis CLINICAL OVERVIEW Evidence-based Medicine: Answering Questions of Diagnosis Laura Zakowski, MD, Department of Medicine, University of Wisconsin Medical School, Madison, Wisconsin Christine Seibert, MD,

More information

Visual Grading Analysis of image quality in pediatric abdominal images acquired by Direct Digital Radiography and Computer Radiography Systems

Visual Grading Analysis of image quality in pediatric abdominal images acquired by Direct Digital Radiography and Computer Radiography Systems Visual Grading Analysis of image quality in pediatric abdominal images acquired by Direct Digital Radiography and Computer Radiography Systems Poster No.: C-2098 Congress: ECR 2013 Type: Scientific Exhibit

More information

MEDICARE PAYMENTS FOR DIAGNOSTIC RADIOLOGY SERVICES IN EMERGENCY DEPARTMENTS

MEDICARE PAYMENTS FOR DIAGNOSTIC RADIOLOGY SERVICES IN EMERGENCY DEPARTMENTS Department of Health and Human Services OFFICE OF INSPECTOR GENERAL MEDICARE PAYMENTS FOR DIAGNOSTIC RADIOLOGY SERVICES IN EMERGENCY DEPARTMENTS Daniel R. Levinson Inspector General April 2011 OEI-07-09-00450

More information

Differentiating Colonic Diverticulitis from Colon Cancer: The Value of Computed Tomography in the Emergency Setting

Differentiating Colonic Diverticulitis from Colon Cancer: The Value of Computed Tomography in the Emergency Setting ORIGINAL ARTICLE Differentiating Colonic Diverticulitis from Colon Cancer: The Value of Computed Tomography in the Emergency Setting Shu-Huei Shen 1,3, Jen-Dar Chen 1,3 *, Chui-Mei Tiu 1,3, Yi-Hong Chou

More information

Principles of Gastroenterology. Nurse Practitioner and Physician Assistant. for the. Aug. 10 12, 2012 InterContinental Chicago

Principles of Gastroenterology. Nurse Practitioner and Physician Assistant. for the. Aug. 10 12, 2012 InterContinental Chicago Principles of Gastroenterology for the Nurse Practitioner and Physician Assistant Aug. 10 12, 2012 InterContinental Chicago Course Directors Lawrence R. Kosinski, MD, MBA, AGAF, FAGC Sandra Bernklau, MSN,

More information

The Acute Abdomen. Dr. Ed Snyder Dr. Melanie Walker Huntington Memorial Hospital

The Acute Abdomen. Dr. Ed Snyder Dr. Melanie Walker Huntington Memorial Hospital The Acute Abdomen Dr. Ed Snyder Dr. Melanie Walker Huntington Memorial Hospital Causes of the Acute Abdomen Hemorrhage in the GI tract Blood vessel GU tract Perforation of the GI tract Ulcer Infection

More information

Sample Learning Objectives for a Medical School Radiology Curriculum: Listed by Subjects

Sample Learning Objectives for a Medical School Radiology Curriculum: Listed by Subjects Sample Learning Objectives for a Medical School Radiology Curriculum: Listed by Subjects This document lists sample learning objectives by subject matter The numerical ranking in parenthesis following

More information

Coding Companion for Urology/Nephrology. A comprehensive illustrated guide to coding and reimbursement

Coding Companion for Urology/Nephrology. A comprehensive illustrated guide to coding and reimbursement Coding Companion for Urology/Nephrology A comprehensive illustrated guide to coding and reimbursement 2013 Contents Getting Started with Coding Companion...i Integumentary...1 Arteries and Veins...15 Lymph

More information

Surgeon and Radiological Services Billing for Laparoscopic Adjustable Gastric Band Procedures

Surgeon and Radiological Services Billing for Laparoscopic Adjustable Gastric Band Procedures Surgeon and Radiological Services Billing for Laparoscopic Adjustable Gastric Band Procedures Table 1: Surgeon Billing for Laparoscopic Adjustable Gastric Band Procedures 2012 Medicare Payment 2 43770

More information

COMMUNICATING RADIATION RISKS IN PAEDIATRIC IMAGING

COMMUNICATING RADIATION RISKS IN PAEDIATRIC IMAGING COMMUNICATING RADIATION RISKS IN PAEDIATRIC IMAGING Information to support healthcare discussions about benefit and risk Executive summary Executive summary Advances in technologies using ionizing radiation

More information

Appendicitis National Digestive Diseases Information Clearinghouse

Appendicitis National Digestive Diseases Information Clearinghouse Appendicitis National Digestive Diseases Information Clearinghouse National Institute of Diabetes and Digestive and Kidney Diseases NATIONAL INSTITUTES OF HEALTH The appendix is a small, tube-like structure

More information

Quantitative Comparison of Conventional and Oblique MRI for Detection of Herniated Spinal Discs

Quantitative Comparison of Conventional and Oblique MRI for Detection of Herniated Spinal Discs Quantitative Comparison of Conventional and Oblique MRI for Detection of Herniated Spinal Discs Doug Dean ENGN 2500: Medical Image Analysis Final Project Outline Introduction to the problem Based on paper:

More information

Incidence of Incidental Thyroid Nodules on Computed Tomography (CT) Scan of the Chest Performed for Reasons Other than Thyroid Disease

Incidence of Incidental Thyroid Nodules on Computed Tomography (CT) Scan of the Chest Performed for Reasons Other than Thyroid Disease International Journal of Clinical Medicine, 2011, 2, 264-268 doi:10.4236/ijcm.2011.23042 Published Online July 2011 (http://www.scirp.org/journal/ijcm) Incidence of Incidental Thyroid Nodules on Computed

More information

Hiatal Hernia with Complications of Gastric Volvulus

Hiatal Hernia with Complications of Gastric Volvulus QuickTime and a decompressor are needed to see this picture. QuickTime and a decompressor are needed to see this picture. Hiatal Hernia with Complications of Gastric Volvulus Josué Zapata, HMS III Gillian

More information

Find your future in the history

Find your future in the history Find your future in the history Is your radiology practice ready for the future? Demands are extremely high as radiology practices move from a fee-for-service model to an outcomes-based model centered

More information

Educational Issues Following Treatment for Childhood Cancer

Educational Issues Following Treatment for Childhood Cancer Following Treatment for Childhood Cancer Treatment for cancer during childhood or adolescence may affect educational progress due to prolonged absences or reduced energy levels that frequently occur during

More information

Diseases of peritoneum Lect. Al Qassim University, Faculty of Medicine Phase II Year III, CMD 332 Pathology Department 31-32

Diseases of peritoneum Lect. Al Qassim University, Faculty of Medicine Phase II Year III, CMD 332 Pathology Department 31-32 Diseases of peritoneum Lect Al Qassim University, Faculty of Medicine Phase II Year III, CMD 332 Pathology Department 31-32 Describe the etiology, pathogenesis and types of peritonitis Define ascites and

More information

What to Expect from Intestinal Ultrasonography

What to Expect from Intestinal Ultrasonography 261) What to Expect from Intestinal Ultrasonography Červenková J., Steyerová P. Charles University in Prague, First Faculty of Medicine and General Teaching Hospital, Department of Radiology, Prague, Czech

More information

RADIOLOGY HOUSE STAFF MANUAL

RADIOLOGY HOUSE STAFF MANUAL RADIOLOGY HOUSE STAFF MANUAL The Department of Radiology offers a wide range of services/procedures and operates 12 divisions/sections, which are listed separately below. The procedures offered are listed

More information

Radiologic Evaluation of Renal Cysts

Radiologic Evaluation of Renal Cysts Eugene K. Cha, HMS III November 2004 Radiologic Evaluation of Renal Cysts Eugene K. Cha, Harvard Medical School III Renal Anatomy Netter FH. Atlas of Human Anatomy, Second Edition. 2001, p 313. 2 HPI:

More information

Title: Coding and Documentation for Inpatient Services

Title: Coding and Documentation for Inpatient Services Title: Coding and Documentation for Effective Date: 2/01; Rev. 6/03, 7/05 POLICY: Diagnoses and procedures will be coded utilizing the International Classification of Diseases, Ninth Revision, Clinical

More information

Computed Tomography (CT) - Sinuses

Computed Tomography (CT) - Sinuses Scan for mobile link. Computed Tomography (CT) - Sinuses Computed tomography (CT) of the sinuses uses special x-ray equipment to evaluate the paranasal sinus cavities hollow, air-filled spaces within the

More information

MUSCULOSKELETAL ULTRASOUND EVALUATION OF THE PLANTAR PLATE FOR IDENTIFICATION OF PLANTAR PLATE TEARS

MUSCULOSKELETAL ULTRASOUND EVALUATION OF THE PLANTAR PLATE FOR IDENTIFICATION OF PLANTAR PLATE TEARS MUSCULOSKELETAL ULTRASOUND EVALUATION OF THE PLANTAR PLATE FOR IDENTIFICATION OF PLANTAR PLATE TEARS Erin E. Klein, DPM, MS Lowell Weil, Jr., DPM, MBA Lowell Scott Weil, Sr., DPM Jessica Knight, DPM Weil

More information

Physician and other health professional services

Physician and other health professional services O n l i n e A p p e n d i x e s 4 Physician and other health professional services 4-A O n l i n e A p p e n d i x Access to physician and other health professional services 4 a1 Access to physician care

More information