Refereed review article in scientific journal (A2)

Low-Dose Abdominal CT for Evaluating Suspected Appendicitis in Adolescents and Young Adults Review of Evidence




List of Authors: Park Ji Hoon, Salminen Paulina, Tannaphai Penampai, Lee Kyong Ho

Publisher: KOREAN SOCIETY OF RADIOLOGY

Publication year: 2022

Journal: Korean Journal of Radiology

Journal name in source: KOREAN JOURNAL OF RADIOLOGY

Journal acronym: KOREAN J RADIOL

Volume number: 23

Issue number: 5

Number of pages: 12

ISSN: 1229-6929

eISSN: 2005-8330

DOI: http://dx.doi.org/10.3348/kjr.2021.0596

URL: https://kjronline.org/DOIx.php?id=10.3348/kjr.2021.0596

Self-archived copy’s web address: https://research.utu.fi/converis/portal/detail/Publication/175608015


Abstract

Due to its excellent diagnostic performance, CT is the mainstay of diagnostic test in adults with suspected acute appendicitis in many countries. Although debatable, extensive epidemiological studies have suggested that CT radiation is carcinogenic, at least in children and adolescents. Setting aside the debate over the carcinogenic risk of CT radiation, the value of judicious use of CT radiation cannot be overstated for the diagnosis of appendicitis, considering that appendicitis is a very common disease, and that the vast majority of patients with suspected acute appendicitis are adolescents and young adults with average life expectancies. Given the accumulated evidence justifying the use of low-dose CT (LDCT) of only 2 mSv, there is no reasonable basis to insist on using radiation dose of multi-purpose abdominal CT for the diagnosis of appendicitis, particularly in adolescents and young adults. Published data strongly suggest that LDCT is comparable to conventional dose CT in terms of clinical outcomes and diagnostic performance. In this narrative review, we will discuss such evidence for reducing CT radiation in adolescents and young adults with suspected appendicitis.


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Last updated on 2022-29-06 at 15:11