The policy includes recommendations for future research:
Explore This IssueACEP News: Vol 29 – No 01 – January 2010
- There are limited data on the diagnostic performance of the most recent generations of CT.
- A study evaluating a Bayesian approach using ultrasound to diagnose appendicitis in children would be very helpful. For example, such a study would identify the probabilities of appendicitis in children with low, moderate, and high pre-test clinical suspicion.
- A study could be constructed to identify clinical factors (e.g., history, selected laboratory tests) that, when combined, can identify and exclude appendicitis (with excellent diagnostic performance) in a large percentage of patients presenting with possible appendicitis.
- Research protocols on techniques for limiting ionizing radiation exposure from CT.
- A study of the role of magnetic resonance imaging (MRI) in diagnosing appendicitis.
Dr. Howell is director of academic affairs for Best Practices, Inc., and a practicing physician in the department of emergency medicine at Inova Fairfax Hospital in Falls Church, Va.