Role of Multidetector Computerized Tomography (MDCT) in Diagnosis of Non Traumatic Acute Abdomen in Pediatric Age Group.

Sponsor
Amal Fathy Abo Elgarad (Other)
Overall Status
Not yet recruiting
CT.gov ID
NCT04480983
Collaborator
(none)
50
13

Study Details

Study Description

Brief Summary

To evaluate the role of MDCT in diagnosis of non traumatic causes of acute abdomen in pediatric patients with clinical and surgical correlation.

Condition or Disease Intervention/Treatment Phase
  • Device: Multidetector Computerized Tomography (MDCT)

Detailed Description

Acute abdominal pain is a common presenting symptom to the pediatric emergency department (1). The causes of the acute abdomen in pediatric patients are numerous, and diagnosis is often delayed due to misleading signs and symptoms.

Conditions that can be manifested by acute abdominal pain vary in incidence with age and sex. Classification of acute abdominal pain based on age is one adapted approach to narrow the differential diagnosis, which can guide selection of appropriate diagnostic tests, imaging, and definitive treatment.

While most of the emergency visits presenting with acute abdominal pain are self-limited and benign medical diagnoses, a surgical etiology may be present in up to 20%.(7) In nontraumatic cases of an acute abdomen below 1 year of age, the most common surgical etiology was reported to be incarcerated inguinal hernia (45.1%), followed by intussusception (41.9%). These etiologies were uncommon in school-age and adolescent children. In children above 1 year of age, the most common causes of acute surgical diagnoses have been reported to be acute appendicitis , incarcerated hernia, intussusception, intestinal obstruction, and ovarian torsion.

CT scanning provides very detailed images of many types of tissue as well as the lungs, bones, and blood vessels.CT scanning is painless, non invasive and accurate. CT has been shown to be a cost-effective imaging tool for a wide range of clinical problems. CT is less sensitive to patient movement than MRI.

The use of pediatric CT, which is a valuable imaging tool, has been increasing rapidly. However, because of the potential for increased radiation exposure to children undergoing these scans, pediatric CT is a public health concern CT can be a life saving tool for diagnosing illness and injury in children. For an individual child, the risks of CT are small and the individual risk-benefit balance favors the benefit when used appropriately.

Despite the many benefits of CT, a disadvantage is the inevitable radiation exposure.

Radiologists should continually think about reducing exposure as low as reasonably achievable by using exposure settings customized for children. (8,9) There has been revolutionary development in multidetector CT (MDCT) technology that has contributed to a substantial increase in its diagnostic applications and accuracy, even in children. However, a major drawback of MDCT is the use of ionizing radiation and, consequently, the risks of radiation-induced side effects.

It is generally believed that there is a linear-no threshold risk relationship. We should act as if low-dose radiation may well cause secondary cancer and reduce the medical radiation exposure to children as much as possible, the "as low as reasonably achievable" (ALARA) concept.

Study Design

Study Type:
Observational
Anticipated Enrollment :
50 participants
Observational Model:
Other
Time Perspective:
Cross-Sectional
Official Title:
Role of Multidetector Computerized Tomography (MDCT) in Diagnosis of Non Traumatic Acute Abdomen in Pediatric Age Group.
Anticipated Study Start Date :
Dec 1, 2021
Anticipated Primary Completion Date :
Dec 1, 2022
Anticipated Study Completion Date :
Jan 1, 2023

Outcome Measures

Primary Outcome Measures

  1. the role of ultrasound for diagnosis of acute abdominal pain in pediatric. [Baseline]

    To evaluate the clinical examination and the role of ultrasound as a primary tool for diagnosis of non traumatic acute abdominal pain in pediatric.

Secondary Outcome Measures

  1. the multidetector CT. [Baseline]

    Confirmation of the findings achieved by the primary tools by using the multidetector CT.

Eligibility Criteria

Criteria

Ages Eligible for Study:
1 Day to 15 Years
Sexes Eligible for Study:
All
Inclusion Criteria:
  • Patients presented by acute abdominal pain from first day of life till fifteen years old.
Exclusion Criteria:
  • Patients above 15 years old.

  • Patients with traumatic cause of acute abdominal pain.

Contacts and Locations

Locations

No locations specified.

Sponsors and Collaborators

  • Amal Fathy Abo Elgarad

Investigators

None specified.

Study Documents (Full-Text)

None provided.

More Information

Publications

None provided.
Responsible Party:
Amal Fathy Abo Elgarad, doctor, Assiut University
ClinicalTrials.gov Identifier:
NCT04480983
Other Study ID Numbers:
  • MDCT in acute abdomen
First Posted:
Jul 22, 2020
Last Update Posted:
Jul 22, 2020
Last Verified:
Jul 1, 2020
Studies a U.S. FDA-regulated Drug Product:
No
Studies a U.S. FDA-regulated Device Product:
No
Additional relevant MeSH terms:

Study Results

No Results Posted as of Jul 22, 2020