北太平洋外科协会改善超声质量以减少儿科阑尾炎中计算机断层扫描使用安全可靠运动1591-s2 main.pdfVIP

TheAmericanJournalofSurgery(2015)209,896-900

NorthPacificSurgicalAssociation

Improvingultrasoundqualitytoreduce

computedtomographyuseinpediatric

appendicitis:theSafeandSoundcampaign

MeeraKotagal,M.D.a,b,c,*,MorganK.Richards,M.D.a,d,

TeresaChapman,M.D.efg

,LisaFinch,M.D.,BessieMcCann,M.D.,

AmayaOrmazabal,M.D.hi

,RobertJ.Rush,M.D.,

AdamB.Goldin,M.D.,M.P.H.d,forTheSafeandSoundCampaign

aDepartmentofSurgery,bSurgicalOutcomesResearchCenter,andcCHASEAlliance,Universityof

Washington,1959NEPacificStreet,Box356410,Seattle,WA98101,USA;dDepartmentofGeneraland

ThoracicSurgery,eDepartmentofRadiology,SeattleChildren’sHospital,Seattle,WA,USA;

fDepartmentofRadiology,SwedishMedicalCenter,Seattle,WA,USA;gDepartmentofEmergency

Medicine,ProvidenceCentraliaHospital,Centralia,WA,USA;hDepartmentofRadiology,MaryBridge

Children’sHospital,Tacoma,WA,USA;iDepartmentofSurgery,MadiganArmyMedicalHospital,

Tacoma,WA,USA

KEYWORDS:

Appendicitis;BACKGROUND:Safetyconcernsabouttheuseofradiation-basedimagingsuchascomputedtomog-

Ultrasound;raphy(CT)inchildrenhaveresultedinnationalrecommendationstouseultrasound(US)forthediag-

Computednosisofappendicitiswhenpossible.WeevaluatedthetrendsinCTandUSuseinastatewidesample

tomography;andtheaccuracyofthesemodalities.

RadiologyMETHODS:Patientslessthanorequalto18yearsundergoingappendectomyinWashingtonState

from2008to2013wereevaluatedforpreo