Evidence map›Paper›PMID 41023565›Full record

ReviewJournal of ultrasound2025

POCUS for acute abdominal pain: practical scan protocols on gastrointestinal diseases and an evidence review.

Andrea Boccatonda, Alice Brighenti, Valeria Tiraferri, Marisol Doglioli, Luca Iazzetta, Lucia De Meis, Ehsan Safai Zadeh, Christoph Frank Dietrich, Carla Serra

Abstract readReview
In one paragraph

Review in Journal of ultrasound, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Observational
  4. Article
  5. Review
  6. Review
  7. Review
  8. Article
  9. Article
  10. Article
  11. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Andrea BoccatondaDiagnostic and Therapeutic Interventional Ultrasound Unit, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Policlinico Sant'Orsola-Malpighi, via Massarenti n 9, 40138, Bologna, Italy. andrea.boccatonda2@unibo.it.ORCID http://orcid.org/0000-0001-9303-7790
Alice BrighentiDiagnostic and Therapeutic Interventional Ultrasound Unit, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Policlinico Sant'Orsola-Malpighi, via Massarenti n 9, 40138, Bologna, Italy.
Valeria TiraferriIRCCS San Raffaele Hospital, Vita-Salute San Raffaele University, Milan, Italy.
Marisol DoglioliDivision of Gynaecology and Human Reproduction Physiopathology, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Bologna, Italy.
Luca IazzettaDivision of Gynaecology and Human Reproduction Physiopathology, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Bologna, Italy.
Lucia De MeisDivision of Gynaecology and Human Reproduction Physiopathology, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Bologna, Italy.
Ehsan Safai ZadehDepartment of Biomedical Imaging and Image-Guided Therapy, Medical University of Vienna, 1019, Vienna, Austria.
Christoph Frank DietrichDepartment Allgemeine Innere Medizin (DAIM), Kliniken Hirslanden Bern, Beau Site, Salem und Permanence, 3013, Bern, Switzerland.
Carla SerraDiagnostic and Therapeutic Interventional Ultrasound Unit, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Policlinico Sant'Orsola-Malpighi, via Massarenti n 9, 40138, Bologna, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Acute abdominal pain is a frequent emergency department presentation requiring prompt and accurate diagnosis to guide timely management. Ultrasound imaging plays a critical role in the differential diagnosis of this symptom, offering several advantages including wide availability, cost-effectiveness, and real-time assessment without ionizing radiation. Color and spectral Doppler further enhance diagnostic accuracy by allowing the assessment of blood flow and vascular patterns, which is crucial for identifying ischemic processes. Additionally, ultrasound can help distinguish between gynecological and non-gynecological conditions, such as appendicitis, urinary tract pathologies, or gastrointestinal abnormalities, thereby guiding more targeted investigative pathways or treatment modalities. The rapid, bedside application of ultrasound is especially valuable in unstable patients, ensuring expedited triage and intervention. In certain cases, a negative or inconclusive ultrasound may necessitate further imaging with computed tomography or magnetic resonance imaging. However, ultrasound remains the first-line modality, particularly in pregnant women, to minimize radiation exposure. By integrating ultrasound findings with clinical data and laboratory results, clinicians can establish a precise diagnosis, avoid unnecessary procedures, and initiate timely therapeutic interventions, ultimately improving patient outcomes.

Indexed as

Abdomen, AcuteAbdominal PainGastrointestinal DiseasesPoint-of-Care SystemsDiagnosis, DifferentialFemaleHumansUltrasonographyAbdomenPainPelvisPOCUSUltrasound

Identifiers

PMID41023565
PMCPMC12675880

What OpenQuestion holds

Textmetadata
LicenceCC BY
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Registered trials

None linked

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.