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Abstract #4988

MR versus CT Imaging for Identifying the Etiology of Abdominal Pain in Emergency Department Patients

Michael Dean Repplinger1, Perry J Pickhardt2, Rebecca L Bracken1, Douglas R Kitchin3, Jessica B Robbins2, Timothy J Ziemlewicz2, and Scott B Reeder2

1Emergency Medicine, University of Wisconsin - Madison, Madison, WI, United States, 2Radiology, University of Wisconsin - Madison, Madison, WI, United States, 3Radiology, St. Mary's Hospital, Madison, WI, United States

Our study aimed to evaluate the diagnostic accuracy of MR versus CT for identifying the etiology of abdominal pain in emergency department patients. This is a prospective study that included patients ≥12-years-old who were being evaluated for possible appendicitis. All patients underwent both MR and CT; images were interpreted by three radiologists who were blind to the patient’s outcome. There were 113 instances of acute abdominal processes (15 different diagnoses). The overall accuracy of NC-MR, CE-MR, and CT was 77%, 83%, and 90% for individual reads and 82%, 84%, and 94% for consensus reads.

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