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Journal of Radiological Review 2022 June;9(2):39-63

DOI: 10.23736/S2723-9284.22.00179-X

Copyright © 2022 EDIZIONI MINERVA MEDICA

language: English

Recommendations on Emergency/Urgent Ultrasound Scans from the Italian College of Emergency Radiology by SIRM

Francesca IACOBELLIS 1 , Barbara SESSA 2, Matteo VINCENZI 3, Maria L. DE CICCO 4, Chiara ANDREOLI 4, Marco DI SERAFINO 1, Matteo MAZZOLI 3, Benedetta RIGONI 3, Alessandra BRANDALISE 3, Andrea DELLI PIZZI 5, Massimo CAULO 5, Paolo RICCI 4, Anna Maria IERARDI 6, Michele LAPORTA 7, Antonio PINTO 8, Stefania IANNIELLO 9, Vittorio MIELE 10, Luigia ROMANO 1, Paolo D’ANDREA 3

1 Department of General and Emergency Radiology, A. Cardarelli Hospital, Naples, Italy; 2 Department of Radiology, SS Annunziata Hospital, G. D’Annunzio University, Chieti, Chieti-Pescara, Italy; 3 Department of Radiology, San Martino di Belluno Hospital, Belluno, Italy; 4 Unit of Emergency Radiology, Umberto I Polyclinic Hospital, Sapienza University, Rome, Italy; 5 Department of Neuroscience, Imaging and Clinical Sciences, Institute for Advanced Biomedical Technologies, G. D’Annunzio University of Chieti, Chieti, Italy; 6 Department of Radiology, Foundation IRCCS Ca’ Granda Ospedale Maggiore Policlinico, Milan, Italy; 7 Radiology and Neuroradiology SC, P.O. San Severo Asl Foggia, Foggia, Italy; 8 Department of Radiology, CTO Hospital, Azienda Ospedaliera dei Colli, Naples, Italy; 9 Unit of Radiology, IRCCS Lazzaro Spallanzani National Institute for Infectious Diseases, Rome, Italy; 10 Department of Radiology, Careggi University Hospital, Florence, Italy



BACKGROUND: Radiologists working in emergency departments often receive an abnormal number of requests for urgent ultrasound scans, which are used more for screening purposes and less to define/confirm a specific clinical diagnosis. The aim of this document is to define the main indications for an emergency/urgent ultrasound scan based on a specific diagnostic suspicious.
METHODS: The objective was achieved through a consensus among experts in emergency radiology from Italian Society of Medical and Interventional Radiology (SIRM). The current literature was examined and for each topic addressed, a table has been prepared listing how appropriate an ultrasound scan is, based on the clinical symptoms and/or working diagnosis, and with what priority it should be performed.
RESULTS: The document presents in a synthetic way the main indications for an emergency/urgent ultrasound scan based on a specific working diagnosis.
CONCLUSIONS: This revision and consensus made it possible to review, synthetize and update the indication to perform ultrasound scan in an emergency setting.


KEY WORDS: Ultrasonography; Emergency service, hospital; Ultrasonography, Doppler, Color

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