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Cost and Risk Analysis for Imaging of Acute Appendicitis in Children
by ReachMD XM Radio Program - May 24, 2010   Bookmark and Share

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In 1888, William Osler wrote in the Lancet the following: "In patients with suspected acute appendicitis, one should urge towards laparotomy. The indications for surgical interference are not always clear, but in my experience I have been taught that the abdomen is much more frequently left untouched than it should be, and that an operation is too often deferred until practically useless." Clearly, diagnosis of acute appendicitis has come a long way since then. But challenges remain in selecting the safest, most timely, and cost-effective diagnostic modalities for this condition. Dr. Andrea Doria, associate professor in the department of medical imaging at the University of Toronto School of Medicine, clarifies the use of ultrasound versus CT for evaluation of acute appendicitis in children. Dr. Jason Birnholz hosts.

 

 

Jason Birnholz, MD

 

Dr. Jason Birnholz is considered one of the founders of diagnostic ultrasound imaging. He began scanning as a clinical fellow at the National Institutes of Health in Bethesda, Maryland, initially as a means of identifying coronary artery disease, and later for finding and staging various types of tumors. Following completion of residency training in diagnostic radiology at Massachusetts General Hospital, Dr. Birnholz did graduate study in acoustics and mathematics at the Massachusetts Institute of Technology. He subsequently held academic and clinical appointments at Stanford University, Harvard Medical School, and Rush Medical College, lecturing internationally on topics spanning instrumentation, examination technique, and a full range of specific clinical applications.

 

 

Dr. Andrea Doria is associate professor and co-director of the research fellowship program in the department of medical imaging at the University of Toronto School of Medicine. She is also director of Research Education - Diagnostic Imaging at the Hospital for Sick Children in Toronto. Dr. Doria received her medical degree from the Universidade Federal do Parana, Brazil, in 1992, and did her training in pediatrics and radiology at the Universidade de Sao Paulo, Brazil. Following this clinical training she received a PhD in medical sciences from the Universidade de Sao Paulo, Brazil, in 2000, developing a thesis, "MR Imaging Evaluation of the Progression of Articular Changes in the Knees of Children with Juvenile Rheumatoid Arthritis." She then moved to Canada to pursue a fellowship in pediatric radiology, during which she obtained a master's degree in clinical epidemiology at the University of Toronto in 2003.

 

ReachMD, an innovative communications company, provides thought-provoking medical news and information to healthcare practitioners. Established to help increasingly time-constrained medical providers stay abreast of new research, treatment protocols and continuing education requirements, ReachMD delivers innovative and informative radio programming via XM Satellite Radio Channel 160 and online streaming developed by healthcare professionals for healthcare professionals.

 

 

The viewpoint expressed in this article is the opinion of the author and is not necessarily the viewpoint of the owners or employees at Healthcare Staffing Innovations, LLC.

 

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