SynthesisEuropean radiology2016
Diagnostic accuracy of low-dose CT compared with abdominal radiography in non-traumatic acute abdominal pain: prospective study and systematic review.
Synthesis in European radiology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.
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Who cites it
22 citing papers in PubMed, 69 citations in OpenAlex.
- Overuse of plain abdominal radiography in emergency departments: a retrospective cohort study.BMC health services research · 2019Trial
- Hidden workload in pediatric radiology: a 20-year retrospective time-trend study of the increasing number of images per study.Pediatric radiology · 2026Article
- [Diagnostic imaging of the small bowel].Radiologie (Heidelberg, Germany) · 2026Review
- [Management of acute abdomen in clinical acute and emergency medicine : Focus on gastrointestinal diseases].Medizinische Klinik, Intensivmedizin und Notfallmedizin · 2026Review
- Low-dose abdominal radiography based on high peak kilovoltage: image quality at standard dose abdominal radiography and potentially 64% dose reduction in a randomized trial.Quantitative imaging in medicine and surgery · 2026Article
- Reducing Inappropriate Abdominal X-ray Requests in a Surgical Admissions Unit: A Quality Improvement Project.Cureus · 2025Article
- Clinical characteristics of neonatal mesenteric hiatal hernia.Pediatric surgery international · 2025Article
- Sparse-View CT Joint Reconstruction Strategy with Sparse Sampling Encoding LayerCurrent medical imaging · 2025Article
- Diagnostic Value of Physical Examination, Ultrasound, and Radiography Compared to Computed Tomography in the Evaluation of Nontraumatic Left Lower Quadrant Acute Abdominal Pain.Emergency medicine international · 2025Article
- Computed Tomography Assessment of Gastric Band Slippage.Visceral medicine · 2022Article
- Trends in emergent diverticular disease management: a nationwide cohort study from 2009 to 2018.Techniques in coloproctology · 2021Article
- Low-dose CT for diagnosing intestinal obstruction and pneumoperitoneum; need for retakes and diagnostic accuracy.Acta radiologica open · 2021Article
- Noncontrast MRI of acute abdominal pain caused by gastrointestinal lesions: indications, protocol, and image interpretation.Japanese journal of radiology · 2021Review
- Ultra-low dose CT abdomen and pelvis for the detection of acute abdominal pathology in the emergency room: initial experience from an academic hospital.Emergency radiology · 2021Article
- [Acute abdomen : What does the nonradiologist expect from the radiologist?]Der Radiologe · 2020Review
- Article
- Image quality and pathology assessment in CT Urography: when is the low-dose series sufficient?BMC medical imaging · 2019Article
- Digital tomosynthesis for detection of ingested foreign objects in the emergency department: a case of razor blade ingestion.Emergency radiology · 2019Article
- The value of the erect abdominal radiograph for the diagnosis of mechanical bowel obstruction and paralytic ileus in adults presenting with acute abdominal pain.Journal of medical radiation sciences · 2018Article
- Appropriateness of CT scans for patients with non-traumatic acute abdominal pain.The British journal of radiology · 2018Article
Corrections and comments
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Authors and funding
5 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesAbdominal radiography is frequently used in acute abdominal non-traumatic pain despite the availability of more advanced diagnostic modalities. This study evaluates the diagnostic accuracy of low-dose CT compared with abdominal radiography, at similar radiation dose levels.
methodsFifty-eight patients were imaged with both methods and were reviewed independently by three radiologists. The reference standard was obtained from the diagnosis in medical records. Sensitivity and specificity were calculated. A systematic review was performed after a literature search, finding a total of six relevant studies including the present.
resultsOverall sensitivity with 95 % CI for CT was 75 % (66-83 %) and 46 % (37-56 %) for radiography. Specificity was 87 % (77-94 %) for both methods. In the systematic review the overall sensitivity for CT varied between 75 and 96 % with specificity from 83 to 95 % while the overall sensitivity for abdominal radiography varied between 30 and 77 % with specificity 75 to 88 %.
conclusionsBased on the current study and available evidence, low-dose CT has higher diagnostic accuracy than abdominal radiography and it should, where logistically possible, replace abdominal radiography in the workup of adult patients with acute non-traumatic abdominal pain. KEY POINTS: • Low-dose CT has a higher diagnostic accuracy than radiography. • A systematic review shows that CT has better diagnostic accuracy than radiography. • Radiography has no place in the workup of acute non-traumatic abdominal pain.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.