caa a22 4500 477079946 CHVBK 20180405111447.0 cr unu---uuuuu 170330e19960901xx s 000 0 eng 10.1007/BF01507780 doi (NATIONALLICENCE)springer-10.1007/BF01507780 Cost effectiveness of pelvic sonogram in the emergency room: Endovaginal vs. transabdominal examination [Elektronische Daten] [Ken Hazlett, A. Wagner, C. Guidi, Diane Victoria, Sheryl Weir, Sandi Wise] Ultrasound evaluation of the female pelvis is a valuable tool to diagnose pelvic pathology accurately and rapidly in the emergency room patient. Institutions differ concerning which imaging approach—transabdominal or endovaginal sonography—should be performed first, and when it is appropriate to continue to the other modality. The aim of this randomized and prospective study was to determine the most cost-effective imaging approach to pelvic sonography, without sacrificing diagnostic yield. The results of 120 patient encounters utilizing both imaging methods were as follows. Our study showed that 74% of examinations first performed transabdominally required additional endovaginal evaluation, whereas only 9% of initial examinations by endovaginal sonography required transabdominal examination. Thus, we demonstrated that the total time and expenditure of imaging decreased while we maintained high diagnostic accuracy. We recommend that all female emergency patients being evaluated for pelvic pathology, except those with a palpable pelvic mass or with a bladder that is already full, or those in the second or third trimester or pregnancy, undergo imaging initially by endovaginal sonography and that transabdominal evaluation be used as a complementary examination. American Society of Emergency Radiology, 1996 Ultrasound nationallicence Pelvic nationallicence Endovaginal nationallicence Transabdominal nationallicence Cost-effective nationallicence Emergency nationallicence Hazlett Ken Department of Radiology, University of South Florida College of Medidine, 14550 Bruce B. Downs Boulevard, #113, 33612, Tampa, Florida aut Wagner A. Department of Radiology, University of South Florida College of Medidine, 14550 Bruce B. Downs Boulevard, #113, 33612, Tampa, Florida aut Guidi C. Department of Radiology, University of South Florida College of Medidine, 14550 Bruce B. Downs Boulevard, #113, 33612, Tampa, Florida aut Victoria Diane Department of Radiology, University of South Florida College of Medidine, 14550 Bruce B. Downs Boulevard, #113, 33612, Tampa, Florida aut Weir Sheryl Department of Radiology, University of South Florida College of Medidine, 14550 Bruce B. Downs Boulevard, #113, 33612, Tampa, Florida aut Wise Sandi Department of Radiology, University of South Florida College of Medidine, 14550 Bruce B. Downs Boulevard, #113, 33612, Tampa, Florida aut Emergency Radiology Springer-Verlag 3/5(1996-09-01), 231-235 1070-3004 3:5<231 1996 3 10140 https://doi.org/10.1007/BF01507780 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/BF01507780 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Hazlett Ken Department of Radiology, University of South Florida College of Medidine, 14550 Bruce B. Downs Boulevard, #113, 33612, Tampa, Florida aut NATIONALLICENCE 700 1- Wagner A. Department of Radiology, University of South Florida College of Medidine, 14550 Bruce B. Downs Boulevard, #113, 33612, Tampa, Florida aut NATIONALLICENCE 700 1- Guidi C. Department of Radiology, University of South Florida College of Medidine, 14550 Bruce B. Downs Boulevard, #113, 33612, Tampa, Florida aut NATIONALLICENCE 700 1- Victoria Diane Department of Radiology, University of South Florida College of Medidine, 14550 Bruce B. Downs Boulevard, #113, 33612, Tampa, Florida aut NATIONALLICENCE 700 1- Weir Sheryl Department of Radiology, University of South Florida College of Medidine, 14550 Bruce B. Downs Boulevard, #113, 33612, Tampa, Florida aut NATIONALLICENCE 700 1- Wise Sandi Department of Radiology, University of South Florida College of Medidine, 14550 Bruce B. Downs Boulevard, #113, 33612, Tampa, Florida aut NATIONALLICENCE 773 0- Emergency Radiology Springer-Verlag 3/5(1996-09-01), 231-235 1070-3004 3:5<231 1996 3 10140 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer