Medindia

X

A Third of CT Scans Had Positive Findings When Followed Up After Inconclusive Abdominal Ultrasound

by Kathy Jones on  May 1, 2012 at 8:23 PM General Health News   - G J E 4
A study conducted at the Massachusetts General Hospital in Boston has found that nearly a third of CT scans carried out after inconclusive abdominal ultrasound examinations came back with positive findings.
 A Third of CT Scans Had Positive Findings When Followed Up After Inconclusive Abdominal Ultrasound
A Third of CT Scans Had Positive Findings When Followed Up After Inconclusive Abdominal Ultrasound
Advertisement

Opinions vary as to the need and relevance for further diagnostic imaging workup after an inconclusive abdominal ultrasound examination, said Supriya Gupta, MD, one of the authors of the study. "Our study found that 32.9% of follow-up CT examinations had positive findings, while 42.7% had findings that were not significant and 11.7% were equivocal. The remaining 12% had incidental findings, that is, important findings but not related to the clinical indication for the exam, said Dr. Gupta.

Advertisement
"While only about 33% of the CT examinations had positive findings it doesn't mean that the other CT exams were not valuable as sometimes even negative exams add a lot to patient management," noted Dr. Gupta.

The study found that follow-up CT was most useful in diagnosing renal lesions. The positivity rate for CT was 87.5% for renal cysts and 81.8% for renal stone, said Dr. Gupta. Renal cysts and renal stone were two of the more common indications for recommending follow-up CT.

CT had the least value as a follow up exam for indeterminate pancreatic and intestinal masses on ultrasound, with a less than 10% positivity rate" said Dr. Gupta.

The study results emphasize that the benefits of CT as a follow-up to inconclusive ultrasound examinations need to be more carefully reviewed; standardized guidelines for the use of follow-up CT need to be developed because the use of CT has cost and radiation implications, said Dr. Gupta.

The study will be presented on April 30 at the American Roentgen Ray Society Annual Meeting in Vancouver, Canada.



Source: Eurekalert
Advertisement

Post your Comments

Comments should be on the topic and should not be abusive. The editorial team reserves the right to review and moderate the comments posted on the site.
User Avatar
* Your comment can be maximum of 2500 characters
Notify me when reply is posted I agree to the terms and conditions

You May Also Like

Advertisement
View All