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Current Problems in Surgery Jan 2019
Review
Topics: Anti-Bacterial Agents; Breast Feeding; Clinical Protocols; Digestive System Surgical Procedures; Enterocolitis, Necrotizing; Erythrocyte Transfusion; Fluid Therapy; Humans; Infant, Low Birth Weight; Infant, Newborn; Infant, Premature, Diseases; Intestinal Perforation; Physical Examination; Probiotics; Radiography, Abdominal
PubMed: 30691547
DOI: 10.1067/j.cpsurg.2018.11.005 -
Abdominal Radiology (New York) Aug 2019
Review
Topics: Contrast Media; Humans; Radiography, Abdominal; Splenic Artery; Tomography, X-Ray Computed; Vascular Calcification
PubMed: 31069478
DOI: 10.1007/s00261-019-02054-8 -
Acta Radiologica (Stockholm, Sweden :... Oct 2017Background The presence of structural sacroiliitis is strong evidence for the diagnosis of spondyloarthritis (SpA). Purpose To assess the performance of abdominal... (Comparative Study)
Comparative Study
Background The presence of structural sacroiliitis is strong evidence for the diagnosis of spondyloarthritis (SpA). Purpose To assess the performance of abdominal computed tomography (CT) and pelvic plain radiography for the diagnosis of structural sacroiliitis compared with sacroiliac CT (SI joint CT) considered the reference technique in patients with SpA. Material and Methods All SpA patients eligible for biologic treatment were selected from 2005 to 2012. An assessment of sacroiliitis was based on radiography according to the modified New York criteria and on abdominal CT and SI joint CT scans depending on the presence of erosion on at least two consecutive slices. A senior rheumatologist and radiologist independently scored the grade and diagnosis of structural sacroiliitis for the three imaging modalities. After a consensus reading of conflicting examinations (radiography and CT), a final diagnosis of structural sacroiliitis was attained. Results Of the 72 patients selected, sacroiliitis was diagnosed on radiography, abdominal CT, and SI joint CT in 40, 31, and 44 patients, respectively. Inter-reader agreements for the grade of sacroiliitis were substantial for the three imaging modalities, with a weighted kappa range of 0.63-0.75 (95% confidence interval [CI], 0.52-0.83), and they were moderate for the diagnosis of sacroiliitis, with a kappa range of 0.50-0.55 (95% CI, 0.32-0.74). The sensitivity and specificity were 79.1% and 70.5%, respectively, for radiography and 82.1% and 100%, respectively, for abdominal CT. Conclusion This study demonstrates the relevance of abdominal CT for the diagnosis of structural sacroiliitis, with good sensitivity and excellent specificity. These imaging techniques avoid unnecessary examinations.
Topics: Adult; Aged; Female; Humans; Male; Middle Aged; Radiography; Radiography, Abdominal; Reproducibility of Results; Sacroiliac Joint; Sacroiliitis; Sensitivity and Specificity; Tomography, X-Ray Computed
PubMed: 28103710
DOI: 10.1177/0284185116688377 -
Radiologie (Heidelberg, Germany) Jun 2022Due to the complexity of pelvic floor dysfunctions and the frequent interdisciplinary findings, dynamic magnetic resonance imaging (MRI) can provide valuable...
Due to the complexity of pelvic floor dysfunctions and the frequent interdisciplinary findings, dynamic magnetic resonance imaging (MRI) can provide valuable (additional) information for the clinical examination in other disciplines through a comprehensive morphological and functional representation of the pelvic floor. It has therefore largely replaced conventional defecography under fluoroscopy in clinical practice. In order to increase the effectiveness and communication between radiology and the other specialist disciplines, recommendations for the standardized implementation and results of dynamic MRI were published by the European Society for Urogenital radiology (ESUR) in 2016 and based on these the Society for Abdominal Radiology (SAR) published simplified recommendations in 2019 for routine clinical use.
Topics: Defecography; Female; Humans; Magnetic Resonance Imaging; Pelvic Floor; Pelvic Floor Disorders; Radiography, Abdominal
PubMed: 35925057
DOI: 10.1007/s00117-022-01003-9 -
Diagnostic and Interventional Radiology... Mar 2020When compared with chest radiographs, medical devices of the abdomen and pelvis are less frequently seen. However, with recent advances in technology the interpreting... (Review)
Review
When compared with chest radiographs, medical devices of the abdomen and pelvis are less frequently seen. However, with recent advances in technology the interpreting radiologists are seeing more medical objects on these radiographs. The identification of these devices and materials are crucial for not only enabling the radiologist to understand the underlying background pathology but also for evaluating any related complications. An online survey of literature showed our review article to be the most detailed. In this first part of our two-part series, we discuss about the various gastrointestinal and vascular devices and materials seen on abdominal and pelvic radiographs.
Topics: Abdomen; Equipment and Supplies; Gastrointestinal Tract; Humans; Pelvis; Prostheses and Implants; Radiography, Abdominal
PubMed: 32071024
DOI: 10.5152/dir.2019.19390 -
Abdominal Radiology (New York) Nov 2017
Review
Topics: Diagnosis, Differential; Enterocolitis, Necrotizing; Humans; Infant, Newborn; Radiography, Abdominal; Ultrasonography, Doppler, Color
PubMed: 28528387
DOI: 10.1007/s00261-017-1191-7 -
Abdominal Radiology (New York) Jul 2016
Review
Topics: Digestive System Abnormalities; Humans; Intestinal Volvulus; Mesenteric Artery, Superior; Mesenteric Veins; Radiography, Abdominal; Tomography, X-Ray Computed
PubMed: 26920004
DOI: 10.1007/s00261-016-0688-9 -
Abdominal Radiology (New York) Mar 2016
Review
Topics: Humans; Radiography, Abdominal; Spinal Neoplasms; Spine; Tomography, X-Ray Computed
PubMed: 27039328
DOI: 10.1007/s00261-015-0565-y -
Journal of Pediatric Gastroenterology... Mar 2023The current gold standard for the diagnosis of functional constipation is the ROME IV criteria. European Society for Pediatric Gastroenterology, Hepatology and Nutrition...
OBJECTIVES
The current gold standard for the diagnosis of functional constipation is the ROME IV criteria. European Society for Pediatric Gastroenterology, Hepatology and Nutrition (ESPGHAN) and North American Society for Pediatric Gastroenterology, Hepatology & Nutrition (NASPGHAN) guidelines do not support the use of abdominal X-rays in establishing the diagnosis of constipation. Despite these recommendations, abdominal radiography is frequently performed to diagnose constipation. The objective of our study is to evaluate inter and intraobserver variation in interpretation of fecal loading on abdominal radiographs.
METHODS
Electronic records of 100 children seen in the emergency room for gastrointestinal symptoms who had an abdominal radiograph performed were included. Four physicians from each specialty including gastroenterology, radiology, and emergency medicine interpreted the radiographs independently. Initially, subjective interpretations, followed by interpretations for intraobserver variation were obtained. Subsequently, all physicians were trained and asked to score the X-rays objectively using Barr and Blethyn scoring systems. Consistency between inter and intraobserver ratings of radiographic interpretation was evaluated using the Kappa coefficient ( k ) which ranges from 0 (no agreement) to 1.0 (perfect agreement).
RESULTS
For subjective interpretations, k values showed a fixed margin k of 0.18 indicating poor agreement among 12 observers. Intraobserver k to look for reproducibility showed significant variability ranging from 0.08 (poor) to 0.61 (fair) agreement. Objective scoring results for Blethyn showed a k of 0.14 indicating poor agreement among 12 providers.
CONCLUSIONS
Reliability and reproducibility of X-rays for diagnosis and grading of constipation is questionable given poor to fair agreement for both inter and intraobserver comparisons. Our study supports the current recommendation of ESPGHAN and NASPGHAN to not use abdominal X-rays to diagnose constipation.
Topics: Child; Humans; Reproducibility of Results; Observer Variation; Radiography, Abdominal; Radiography; Constipation
PubMed: 36728727
DOI: 10.1097/MPG.0000000000003696 -
Abdominal Radiology (New York) Apr 2017Abdominal plain films are often the first imaging examination performed on a patient with abdominal pain in the emergency department. Radiograph findings can help guide... (Review)
Review
Abdominal plain films are often the first imaging examination performed on a patient with abdominal pain in the emergency department. Radiograph findings can help guide clinical management and the need for advanced imaging. A pictorial review of a range of abdominal radiograph findings is presented, including bowel gas patterns, abdominal organ evaluation, pathologic gas, calcifications, implanted devices, and foreign bodies.
Topics: Abdomen, Acute; Emergency Service, Hospital; Humans; Radiography, Abdominal
PubMed: 27503382
DOI: 10.1007/s00261-016-0859-8