ECR 2016 / C-0143
Acute Abdominal Pain? Cause - Do CT Requests Give The Full Picture?
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Type:
Educational Exhibit
Keywords:
Acute, Radiation safety, CT, Abdomen
Authors:
N. Rao, P. Varra, I. J. Barros D'Sa; Birmingham/UK
DOI:
10.1594/ecr2016/C-0143
Conclusion
- Clinical information is adequate in 2/3 of cases
- History does not correlate to CT findings in >50%
- Appropriate level of requesters (Consultant & SpR Surgery)
- Fair correlation of CT findings with surgery
- Operation notes not always present in electronic or paper form.
- It is recommended that more clinical information is required from referrers,
including relevant previous history with a suspected clinical diagnosis.
- Requests with “abdominal pain? cause” should be rejected.
- Acute CT will remain important in acute decision making,
rather than relying on clinical judgement.
The radiologist is part of the acute team and will always need plenty of written information.