Skip to main content

MRI for Appendicitis: Gold Standard orĀ Emerging Technology with Limited Role?

  • Chapter
  • First Online:
Gastrointestinal Emergencies
  • 85 Accesses

Abstract

Although computed tomography (CT) is the preferred imaging modality to diagnose appendicitis, magnetic resonance imaging (MRI) is growing in availability and is gaining popularity as an alternative imaging tool for potential appendicitis. MRIs do not emit ionizing radiation. As opposed to ultrasound, MRI allows for visualization of potential alternate diagnoses. CT and MRI have similar sensitivity and specificity for the diagnosis of appendicitis. While MRI may be costlier and take longer to perform than CT, protocols have been created to expedite the process and decrease costs. Hence, MRI is a reasonable alternative to CT in the acute care setting if available.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 149.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Hardcover Book
USD 199.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Lu Y, Friedlander S, Lee SL. Negative appendectomy: clinical and economic implications. Am Surg. 2016;82(10):1018ā€“22.

    ArticleĀ  Google ScholarĀ 

  2. Smith MP, Katz DS, Lalani T, Carucci LR, Cash BD, Kim DH, Piorkowski RJ, Small WC, Spottswood SE, Tulchinsky M, Yaghmai V, Yee J, Rosen MP. ACR appropriateness criteriaĀ®right lower quadrant pain--suspected appendicitis. Ultrasound Q. 2015;31(2):85ā€“91.

    ArticleĀ  Google ScholarĀ 

  3. Mallin M, Craven P, Ockerse P, Steenblik J, Forbes B, Boehm K, Youngquist S. Diagnosis of appendicitis by bedside ultrasound in the ED. Am J Emerg Med. 2015;33(3):430ā€“2.

    ArticleĀ  Google ScholarĀ 

  4. Nikolaidis P, Hammond N, Marko J, et al. Incidence of visualization of the normal appendix on different MRI sequences. Emerg Radiol. 2006;12:223.

    ArticleĀ  Google ScholarĀ 

  5. Duke E, Kalb B, Arif-Tiwari H, Daye ZJ, Gilbertson-Dahdal D, Keim SM, Martin DR. A systematic review and meta-analysis of diagnostic performance of MRI for evaluation of acute appendicitis. AJR Am J Roentgenol. 2016;206(3):508ā€“17.

    ArticleĀ  Google ScholarĀ 

  6. Dahabreh IJ, Adam GP, Halladay CW, Steele DW, Daiello LA. Diagnosis of right lower quadrant pain and suspected acute appendicitis [internet]. AHRQ Comparative Effectiveness Reviews. 2015;Report No: 15(16)-EHC025-EF.

    Google ScholarĀ 

  7. Leeuwenburgh MMN, Wiarda BM, Jensch S, van Es HW, Stockmann HBAC, Gratama JWC, Cobben LPJ, Bossuyt PMM, Boermeester MA, Stoker J. Accuracy and interobserver agreement between MR-non-expert radiologists and MR-experts in reading MRI for suspected appendicitis. Eur J Radiol. 2015;83(1):103ā€“10.

    ArticleĀ  Google ScholarĀ 

  8. Kearl YL, Claudius I, Behar S, Cooper J, et al. Accuracy of magnetic resonance imaging and ultrasound for appendicitis in diagnostic and nondiagnostic studies. Acad Emerg Med. 2016;23(2):179ā€“85.

    ArticleĀ  Google ScholarĀ 

  9. Leeuwenburgh MMN, Wiarda BM, Bipat S, Yung Nio C, Bollen TL, Joost Kardux J, Jensch S, Bossuyt PMM, Boermeester MA, Stoker J. Acute appendicitis on abdominal MR images: training readers to improve diagnostic accuracy. Radiology. 2012;264(2):455ā€“63.

    ArticleĀ  Google ScholarĀ 

  10. Leeuwenburgh MM, LamƩris W, van Randen A, Bossuyt PM, Boermeester MA, Stoker J. Optimizing imaging in suspected appendicitis (OPTIMAP-study): a multicenter diagnostic accuracy study of MRI in patients with suspected acute appendicitis. Study protocol. BMC Emerg Med. 2010;10:19. https://doi.org/10.1186/1471-227X-10-19.

    ArticleĀ  PubMedĀ  PubMed CentralĀ  Google ScholarĀ 

  11. Saini S, Seltzer SE, Bramson RT, et al. Technical cost of radiologic examinations: analysis across imaging modalities. Radiology. 2000;216(1):269ā€“72.

    ArticleĀ  CASĀ  Google ScholarĀ 

  12. Kulaylat AN, Moore MM, Engbrecht BW, et al. An implemented MRI program to eliminate radiation from the evaluation of pediatric appendicitis. J Pediatr Surg. 2015;50(8):1359ā€“63.

    ArticleĀ  Google ScholarĀ 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

Ā© 2019 Springer Nature Switzerland AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Dynin, M., Carlberg, D. (2019). MRI for Appendicitis: Gold Standard orĀ Emerging Technology with Limited Role?. In: Graham, A., Carlberg, D.J. (eds) Gastrointestinal Emergencies. Springer, Cham. https://doi.org/10.1007/978-3-319-98343-1_77

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-98343-1_77

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-98342-4

  • Online ISBN: 978-3-319-98343-1

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics