Iranian Journal of Radiology

Published by: Kowsar

Better Visualization of Vermiform Appendix With Tissue Harmonic Imaging Compared to Conventional Sonography

Mikail Inal 1 , * , Birsen Unal 1 and Yasemin Karadeniz Bilgili 1
Authors Information
1 Department of Radiology, Kirikkale University School of Medicine, Kirikkale, Turkey
Article information
  • Iranian Journal of Radiology: December 01, 2014, 11 (4); e18114
  • Published Online: September 23, 2014
  • Article Type: Research ArticleABDOMINAL IMAGING
  • Received: February 9, 2014
  • Revised: April 16, 2014
  • Accepted: April 30, 2014
  • DOI: 10.5812/iranjradiol.18114

To Cite: Inal M, Unal B, Karadeniz Bilgili Y. Better Visualization of Vermiform Appendix With Tissue Harmonic Imaging Compared to Conventional Sonography, Iran J Radiol. 2014 ; 11(4):e18114. doi: 10.5812/iranjradiol.18114.

Copyright © 2014, Tehran University of Medical Sciences and Iranian Society of Radiology. This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License ( which permits copy and redistribute the material just in noncommercial usages, provided the original work is properly cited.
1. Background
2. Objectives
3. Patients and Methods
4. Results
5. Discussion
  • 1. Bendeck SE, Nino-Murcia M, Berry GJ, Jeffrey RB, Jr.. Imaging for suspected appendicitis: negative appendectomy and perforation rates. Radiology. 2002; 225(1): 131-6[DOI][PubMed]
  • 2. Andersson RE, Hugander A, Thulin AJ. Diagnostic accuracy and perforation rate in appendicitis: association with age and sex of the patient and with appendicectomy rate. Eur J Surg. 1992; 158(1): 37-41[PubMed]
  • 3. Velanovich V, Harkabus MA, Tapia FV, Gusz JR, Vallance SR. When it's not appendicitis. Am Surg. 1998; 64(1): 7-11[PubMed]
  • 4. Rao PM, Rhea JT, Rattner DW, Venus LG, Novelline RA. Introduction of appendiceal CT: impact on negative appendectomy and appendiceal perforation rates. Ann Surg. 1999; 229(3): 344-9[PubMed]
  • 5. Kan JH, Fines BP, Funaki B. Conventional and hydrocolonic US of the appendix with CT correlation performed by on-call radiology residents. Acad Radiol. 2001; 8(12): 1208-14[DOI][PubMed]
  • 6. Lane MJ, Liu DM, Huynh MD, Jeffrey RB, Jr., Mindelzun RE, Katz DS. Suspected acute appendicitis: nonenhanced helical CT in 300 consecutive patients. Radiology. 1999; 213(2): 341-6[DOI][PubMed]
  • 7. Yetkin G, Basak M, Isgor A, Kebudi A, Akgun I. Can negative appendectomy rate be decreased by using spiral computed tomography without contrast material? Acta Chir Belg. 2002; 102(5): 334-7[PubMed]
  • 8. Raman SS, Lu DS, Kadell BM, Vodopich DJ, Sayre J, Cryer H. Accuracy of nonfocused helical CT for the diagnosis of acute appendicitis: a 5-year review. AJR Am J Roentgenol. 2002; 178(6): 1319-25[DOI][PubMed]
  • 9. Balthazar EJ, Birnbaum BA, Yee J, Megibow AJ, Roshkow J, Gray C. Acute appendicitis: CT and US correlation in 100 patients. Radiology. 1994; 190(1): 31-5[DOI][PubMed]
  • 10. Horton MD, Counter SF, Florence MG, Hart MJ. A prospective trial of computed tomography and ultrasonography for diagnosing appendicitis in the atypical patient. Am J Surg. 2000; 179(5): 379-81[PubMed]
  • 11. Fujii Y, Hata J, Futagami K, Hamada T, Mitsuoka H, Teramen K, et al. Ultrasonography improves diagnostic accuracy of acute appendicitis and provides cost savings to hospitals in Japan. J Ultrasound Med. 2000; 19(6): 409-14[PubMed]
  • 12. Chen SC, Chen KM, Wang SM, Chang KJ. Abdominal sonography screening of clinically diagnosed or suspected appendicitis before surgery. World J Surg. 1998; 22(5): 449-52[PubMed]
  • 13. Uebel P, Weiss H, Trimborn CP, Fiedler L, Bersch W. [Ultrasound diagnosis of acute appendicitis--possibilities and limits of the method--results of prospective and retrospective clinical studies]. Ultraschall Med. 1996; 17(3): 100-5[DOI][PubMed]
  • 14. Schwerk WB. [Ultrasound first in acute appendix? Unnecessary laparotomies can often be avoided]. MMW Fortschr Med. 2000; 142(26-27): 29-32[PubMed]
  • 15. Rettenbacher T, Hollerweger A, Gritzmann N, Gotwald T, Schwamberger K, Ulmer H, et al. Appendicitis: should diagnostic imaging be performed if the clinical presentation is highly suggestive of the disease? Gastroenterology. 2002; 123(4): 992-8[PubMed]
  • 16. Himeno S, Yasuda S, Oida Y, Mukoyama S, Nishi T, Mukai M, et al. Ultrasonography for the diagnosis of acute appendicitis. Tokai J Exp Clin Med. 2003; 28(1): 39-44[PubMed]
  • 17. Rettenbacher T, Hollerweger A, Macheiner P, Gritzmann N. [Ultrasonography of the normal vermiform appendix]. Ultraschall Med. 1997; 18(3): 139-42[DOI][PubMed]
  • 18. Lee JH, Jeong YK, Hwang JC, Ham SY, Yang SO. Graded compression sonography with adjuvant use of a posterior manual compression technique in the sonographic diagnosis of acute appendicitis. AJR Am J Roentgenol. 2002; 178(4): 863-8[DOI][PubMed]
  • 19. Lehmann D, Uebel P, Weiss H, Fiedler L, Bersch W. [Sonographic representation of the normal and acute inflamed appendix--in patients wi right-sided abdominal pain]. Ultraschall Med. 2000; 21(3): 101-6[DOI][PubMed]
  • 20. Rioux M. Sonographic detection of the normal and abnormal appendix. AJR Am J Roentgenol. 1992; 158(4): 773-8[DOI][PubMed]
  • 21. Tarantino L, Giorgio A, de Stefano G, Scala V, Esposito F, Liorre G, et al. Acute appendicitis mimicking infectious enteritis: diagnostic value of sonography. J Ultrasound Med. 2003; 22(9): 945-50[PubMed]
  • 22. Simonovsky V. [Detection of acute appendicitis using ultrasonography]. Rozhl Chir. 2000; 79(5): 215-20[PubMed]
  • 23. Gough IR, Morris MI, Pertnikovs EI, Murray MR, Smith MB, Bestmann MS. Consequences of removal of a "normal" appendix. Med J Aust. 1983; 1(8): 370-2[PubMed]
  • 24. Walker SJ, West CR, Colmer MR. Acute appendicitis: does removal of a normal appendix matter, what is the value of diagnostic accuracy and is surgical delay important? Ann R Coll Surg Engl. 1995; 77(5): 358-63[PubMed]
  • 25. Ward B, Baker AC, Humphrey VF. Nonlinear propagation applied to the improvement of resolution in diagnostic medical ultrasound. J Acoust Soc Am. 1997; 101(1): 143-54[PubMed]
  • 26. Hann LE, Bach AM, Cramer LD, Siegel D, Yoo HH, Garcia R. Hepatic sonography: comparison of tissue harmonic and standard sonography techniques. AJR Am J Roentgenol. 1999; 173(1): 201-6[DOI][PubMed]
  • 27. Shapiro RS, Wagreich J, Parsons RB, Stancato-Pasik A, Yeh HC, Lao R. Tissue harmonic imaging sonography: evaluation of image quality compared with conventional sonography. AJR Am J Roentgenol. 1998; 171(5): 1203-6[DOI][PubMed]
  • 28. Oktar SO, Yucel C, Ozdemir H, Uluturk A, Isik S. Comparison of conventional sonography, real-time compound sonography, tissue harmonic sonography, and tissue harmonic compound sonography of abdominal and pelvic lesions. AJR Am J Roentgenol. 2003; 181(5): 1341-7[DOI][PubMed]
  • 29. Grunditz T, Ryden CI, Janzon L. Does the retrocecal position influence the course of acute appendicitis. Acta Chir Scand. 1983; 149(7): 707-10[PubMed]
  • 30. Josephson T, Styrud J, Eriksson S. Ultrasonography in acute appendicitis. Body mass index as selection factor for US examination. Acta Radiol. 2000; 41(5): 486-8[PubMed]
Creative Commons License Except where otherwise noted, this work is licensed under Creative Commons Attribution Non Commercial 4.0 International License .

Search Relations:



Create Citiation Alert
via Google Reader

Readers' Comments