{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,22]],"date-time":"2026-07-22T18:56:42Z","timestamp":1784746602238,"version":"3.55.0"},"reference-count":38,"publisher":"Springer Science and Business Media LLC","issue":"2","license":[{"start":{"date-parts":[[2016,6,7]],"date-time":"2016-06-07T00:00:00Z","timestamp":1465257600000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/www.springer.com\/tdm"}],"funder":[{"DOI":"10.13039\/501100005261","name":"Centre Hospitalier R\u00e9gional Universitaire de Montpellier (FR)","doi-asserted-by":"publisher","award":["2011-A00868-33"],"award-info":[{"award-number":["2011-A00868-33"]}],"id":[{"id":"10.13039\/501100005261","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Eur Radiol"],"published-print":{"date-parts":[[2017,2]]},"DOI":"10.1007\/s00330-016-4425-0","type":"journal-article","created":{"date-parts":[[2016,6,7]],"date-time":"2016-06-07T12:16:52Z","timestamp":1465301812000},"page":"868-877","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":56,"title":["Systematic unenhanced CT for acute abdominal symptoms in the elderly patients improves both emergency department diagnosis and prompt clinical management"],"prefix":"10.1007","volume":"27","author":[{"given":"Ingrid","family":"Millet","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mustapha","family":"Sebbane","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicolas","family":"Molinari","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emma","family":"Pages-Bouic","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fernanda","family":"Curros-Doyon","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bruno","family":"Riou","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Patrice","family":"Taourel","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2016,6,7]]},"reference":[{"issue":"8","key":"4425_CR1","doi-asserted-by":"crossref","first-page":"1071","DOI":"10.1093\/gerona\/60.8.1071","volume":"60","author":"LM Lewis","year":"2005","unstructured":"Lewis LM, Banet GA, Blanda M, Hustey FM, Meldon SW, Gerson LW (2005) Etiology and clinical course of abdominal pain in senior patients: a prospective, multicenter study. J Gerontol A Biol Sci Med Sci 60(8):1071\u20131076","journal-title":"J Gerontol A Biol Sci Med Sci"},{"issue":"6","key":"4425_CR2","doi-asserted-by":"crossref","first-page":"458","DOI":"10.1016\/j.revmed.2005.03.004","volume":"26","author":"S Roussel-Laudrin","year":"2005","unstructured":"Roussel-Laudrin S, Paillaud E, Alonso E et al (2005) The establishment of geriatric intervention group and geriatric assessment at emergency of Henri-Mondor hospital. Rev Med Interne 26(6):458\u2013466","journal-title":"Rev Med Interne"},{"issue":"7","key":"4425_CR3","doi-asserted-by":"crossref","first-page":"796","DOI":"10.1016\/S0196-0644(05)81024-8","volume":"21","author":"RM McNamara","year":"1992","unstructured":"McNamara RM, Rousseau E, Sanders AB (1992) Geriatric emergency medicine: a survey of practicing emergency physicians. Ann Emerg Med 21(7):796\u2013801","journal-title":"Ann Emerg Med"},{"issue":"1","key":"4425_CR4","doi-asserted-by":"crossref","first-page":"18","DOI":"10.1016\/S0196-0644(95)70232-6","volume":"26","author":"CA Marco","year":"1995","unstructured":"Marco CA, Schoenfeld CN, Hansen KN, Hexter DA, Stearns DA, Kelen GD (1995) Fever in geriatric emergency patients: clinical features associated with serious illness. Ann Emerg Med 26(1):18\u201324","journal-title":"Ann Emerg Med"},{"issue":"6","key":"4425_CR5","doi-asserted-by":"crossref","first-page":"339","DOI":"10.1159\/000094982","volume":"52","author":"H Laurell","year":"2006","unstructured":"Laurell H, Hansson L-E, Gunnarsson U (2006) Acute abdominal pain among elderly patients. Gerontology 52(6):339\u2013344","journal-title":"Gerontology"},{"issue":"11","key":"4425_CR6","doi-asserted-by":"crossref","first-page":"866","DOI":"10.1080\/110241500447254","volume":"166","author":"AA Geloven Van","year":"2000","unstructured":"Van Geloven AA, Biesheuvel TH, Luitse JS, Hoitsma HF, Obertop H (2000) Hospital admissions of patients aged over 80 with acute abdominal complaints. Eur J Surg 166(11):866\u2013871","journal-title":"Eur J Surg"},{"issue":"2","key":"4425_CR7","first-page":"111","volume":"46","author":"JJ Arenal","year":"2003","unstructured":"Arenal JJ, Bengoechea-Beeby M (2003) Mortality associated with emergency abdominal surgery in the elderly. Can J Surg 46(2):111\u2013116","journal-title":"Can J Surg"},{"issue":"1","key":"4425_CR8","doi-asserted-by":"crossref","first-page":"159","DOI":"10.1148\/radiol.2251011282","volume":"225","author":"SH Ahn","year":"2002","unstructured":"Ahn SH, Mayo-Smith WW, Murphy BL, Reinert SE, Cronan JJ (2002) Acute nontraumatic abdominal pain in adult patients: abdominal radiography compared with CT evaluation. Radiology 225(1):159\u2013164","journal-title":"Radiology"},{"issue":"1","key":"4425_CR9","doi-asserted-by":"crossref","first-page":"31","DOI":"10.1148\/radiol.2531090302","volume":"253","author":"J Stoker","year":"2009","unstructured":"Stoker J, van Randen A, Lam\u00e9ris W, Boermeester MA (2009) Imaging patients with acute abdominal pain. Radiology 253(1):31\u201346","journal-title":"Radiology"},{"issue":"Suppl","key":"4425_CR10","first-page":"209","volume":"215","author":"WP Shuman","year":"2000","unstructured":"Shuman WP, Ralls PW, Balfe DM et al (2000) Imaging evaluation of patients with acute abdominal pain and fever. American College of Radiology. ACR Appropriateness Criteria. Radiology 215(Suppl):209\u2013212","journal-title":"Radiology"},{"issue":"7377","key":"4425_CR11","doi-asserted-by":"crossref","first-page":"1387","DOI":"10.1136\/bmj.325.7377.1387","volume":"325","author":"CS Ng","year":"2002","unstructured":"Ng CS, Watson CJ, Palmer CR et al (2002) Evaluation of early abdominopelvic computed tomography in patients with acute abdominal pain of unknown cause: prospective randomised study. BMJ 325(7377):1387","journal-title":"BMJ"},{"issue":"5","key":"4425_CR12","doi-asserted-by":"crossref","first-page":"1391","DOI":"10.2214\/ajr.174.5.1741391","volume":"174","author":"MP Rosen","year":"2000","unstructured":"Rosen MP, Sands DZ, Longmaid HE, Reynolds KF, Wagner M, Raptopoulos V (2000) Impact of abdominal CT on the management of patients presenting to the emergency department with acute abdominal pain. AJR Am J Roentgenol 174(5):1391\u20131396","journal-title":"AJR Am J Roentgenol"},{"issue":"2","key":"4425_CR13","doi-asserted-by":"crossref","first-page":"418","DOI":"10.1007\/s00330-002-1715-5","volume":"13","author":"MP Rosen","year":"2003","unstructured":"Rosen MP, Siewert B, Sands DZ, Bromberg R, Edlow J, Raptopoulos V (2003) Value of abdominal CT in the emergency department for patients with abdominal pain. Eur Radiol 13(2):418\u2013424","journal-title":"Eur Radiol"},{"issue":"2","key":"4425_CR14","doi-asserted-by":"crossref","first-page":"238","DOI":"10.2214\/AJR.10.4467","volume":"196","author":"HH Abujudeh","year":"2011","unstructured":"Abujudeh HH, Kaewlai R, McMahon PM et al (2011) Abdominopelvic CT increases diagnostic certainty and guides management decisions: A prospective investigation of 584 patients in a large academic medical center. Am J Roentgenol 196(2):238\u2013243","journal-title":"Am J Roentgenol"},{"issue":"4","key":"4425_CR15","doi-asserted-by":"crossref","first-page":"270","DOI":"10.1016\/j.ajem.2004.04.004","volume":"22","author":"D Esses","year":"2004","unstructured":"Esses D, Birnbaum A, Bijur P, Shah S, Gleyzer A, Gallagher EJ (2004) Ability of CT to alter decision making in elderly patients with acute abdominal pain. Am J Emerg Med 22(4):270\u2013272","journal-title":"Am J Emerg Med"},{"issue":"2","key":"4425_CR16","doi-asserted-by":"crossref","first-page":"290","DOI":"10.1016\/j.ejrad.2006.09.014","volume":"61","author":"LM Lewis","year":"2007","unstructured":"Lewis LM, Klippel AP, Bavolek RA, Ross LM, Scherer TM, Banet GA (2007) Quantifying the usefulness of CT in evaluating seniors with abdominal pain. Eur J Radiol 61(2):290\u2013296","journal-title":"Eur J Radiol"},{"issue":"3","key":"4425_CR17","doi-asserted-by":"crossref","first-page":"259","DOI":"10.1016\/j.ajem.2005.02.021","volume":"23","author":"FM Hustey","year":"2005","unstructured":"Hustey FM, Meldon SW, Banet GA, Gerson LW, Blanda M, Lewis LM (2005) The use of abdominal computed tomography in older ED patients with acute abdominal pain. Am J Emerg Med 23(3):259\u2013265","journal-title":"Am J Emerg Med"},{"key":"4425_CR18","doi-asserted-by":"crossref","first-page":"f2360","DOI":"10.1136\/bmj.f2360","volume":"346","author":"JD Mathews","year":"2013","unstructured":"Mathews JD, Forsythe AV, Brady Z et al (2013) Cancer risk in 680,000 people exposed to computed tomography scans in childhood or adolescence: data linkage study of 11 million Australians. BMJ 346:f2360","journal-title":"BMJ"},{"issue":"2","key":"4425_CR19","doi-asserted-by":"crossref","first-page":"397","DOI":"10.2214\/AJR.12.10294","volume":"202","author":"PN Salibi","year":"2014","unstructured":"Salibi PN, Agarwal V, Panczykowski DM, Puccio AM, Sheetz MA, Okonkwo DO (2014) Lifetime attributable risk of cancer from CT among patients surviving severe traumatic brain injury. AJR Am J Roentgenol 202(2):397\u2013400","journal-title":"AJR Am J Roentgenol"},{"issue":"3","key":"4425_CR20","doi-asserted-by":"crossref","first-page":"618","DOI":"10.1378\/chest.13-1420","volume":"145","author":"RJ McCunney","year":"2014","unstructured":"McCunney RJ, Li J (2014) Radiation risks in lung cancer screening programs: a comparison with nuclear industry workers and atomic bomb survivors. Chest 145(3):618\u2013624","journal-title":"Chest"},{"issue":"4","key":"4425_CR21","doi-asserted-by":"crossref","first-page":"W410","DOI":"10.2214\/AJR.13.11525","volume":"202","author":"M Doss","year":"2014","unstructured":"Doss M (2014) No increased risk of cancer from CT. AJR Am J Roentgenol 202(4):W410","journal-title":"AJR Am J Roentgenol"},{"issue":"2","key":"4425_CR22","doi-asserted-by":"crossref","first-page":"472","DOI":"10.1148\/radiol.14132629","volume":"273","author":"S Kiatpongsan","year":"2014","unstructured":"Kiatpongsan S, Meng L, Eisenberg JD et al (2014) Imaging for appendicitis: should radiation-induced cancer risks affect modality selection? Radiology 273(2):472\u2013482","journal-title":"Radiology"},{"issue":"9","key":"4425_CR23","doi-asserted-by":"crossref","first-page":"e387","DOI":"10.1016\/j.ejrad.2013.04.029","volume":"82","author":"SI Moos","year":"2013","unstructured":"Moos SI, van Vemde DN, Stoker J, Bipat S (2013) Contrast induced nephropathy in patients undergoing intravenous (IV) contrast enhanced computed tomography (CECT) and the relationship with risk factors: a meta-analysis. Eur J Radiol 82(9):e387\u2013e399","journal-title":"Eur J Radiol"},{"issue":"5","key":"4425_CR24","doi-asserted-by":"crossref","first-page":"271","DOI":"10.1016\/j.jcma.2013.01.007","volume":"76","author":"M-K Huang","year":"2013","unstructured":"Huang M-K, Hsu T-F, Chiu Y-H et al (2013) Risk factors for acute kidney injury in the elderly undergoing contrast-enhanced computed tomography in the emergency department. J Chin Med Assoc 76(5):271\u2013276","journal-title":"J Chin Med Assoc"},{"issue":"3","key":"4425_CR25","doi-asserted-by":"crossref","first-page":"276","DOI":"10.5811\/westjem.2013.8.17915","volume":"15","author":"GW Hassen","year":"2014","unstructured":"Hassen GW, Hwang A, Liu LL et al (2014) Follow up for emergency department patients after intravenous contrast and risk of nephropathy. West J Emerg Med 15(3):276\u2013281","journal-title":"West J Emerg Med"},{"issue":"1","key":"4425_CR26","doi-asserted-by":"crossref","first-page":"51","DOI":"10.1016\/j.annemergmed.2009.06.509","volume":"55","author":"V Hlibczuk","year":"2010","unstructured":"Hlibczuk V, Dattaro JA, Jin Z, Falzon L, Brown MD (2010) Diagnostic Accuracy of Noncontrast Computed Tomography for Appendicitis in Adults: A Systematic Review. Ann Emerg Med 55(1):51\u20139.e1","journal-title":"Ann Emerg Med"},{"issue":"2","key":"4425_CR27","doi-asserted-by":"crossref","first-page":"109","DOI":"10.1007\/s10140-014-1259-4","volume":"22","author":"MD Agarwal","year":"2014","unstructured":"Agarwal MD, Levenson RB, Siewert B, Camacho MA, Raptopoulos V (2014) Limited added utility of performing follow-up contrast-enhanced CT in patients undergoing initial non-enhanced CT for evaluation of flank pain in the emergency department. Emerg Radiol 22(2):109\u2013115","journal-title":"Emerg Radiol"},{"issue":"1","key":"4425_CR28","doi-asserted-by":"crossref","first-page":"189","DOI":"10.1148\/radiol.2371041432","volume":"237","author":"D Tack","year":"2005","unstructured":"Tack D, Bohy P, Perlot I et al (2005) Suspected acute colon diverticulitis: imaging with low-dose unenhanced multi-detector row CT. Radiology 237(1):189\u2013196","journal-title":"Radiology"},{"issue":"1","key":"4425_CR29","doi-asserted-by":"crossref","first-page":"114","DOI":"10.1148\/radiol.2371040066","volume":"237","author":"AB MacKersie","year":"2005","unstructured":"MacKersie AB, Lane MJ, Gerhardt RT et al (2005) Nontraumatic acute abdominal pain: unenhanced helical CT compared with three-view acute abdominal series. Radiology 237(1):114\u2013122","journal-title":"Radiology"},{"issue":"6","key":"4425_CR30","doi-asserted-by":"crossref","first-page":"405","DOI":"10.1016\/S0899-7071(02)00535-1","volume":"26","author":"S Basak","year":"2002","unstructured":"Basak S, Nazarian LN, Wechsler RJ et al (2002) Is unenhanced CT sufficient for evaluation of acute abdominal pain? Clin Imaging 26(6):405\u2013407","journal-title":"Clin Imaging"},{"issue":"1","key":"4425_CR31","doi-asserted-by":"crossref","first-page":"27","DOI":"10.3143\/geriatrics.43.27","volume":"43","author":"H Orimo","year":"2006","unstructured":"Orimo H (2006) Reviewing the definition of elderly. Nihon Ronen Igakkai Zasshi 43(1):27\u201334","journal-title":"Nihon Ronen Igakkai Zasshi"},{"issue":"6","key":"4425_CR32","doi-asserted-by":"crossref","first-page":"1171","DOI":"10.2214\/AJR.12.10287","volume":"201","author":"I Millet","year":"2013","unstructured":"Millet I, Alili C, Bouic-Pages E, Curros-Doyon F, Nagot N, Taourel P (2013) Journal club: Acute abdominal pain in elderly patients: effect of radiologist awareness of clinicobiologic information on CT accuracy. AJR Am J Roentgenol 201(6):1171\u20131178, quiz 1179","journal-title":"AJR Am J Roentgenol"},{"issue":"10","key":"4425_CR33","doi-asserted-by":"crossref","first-page":"961","DOI":"10.1016\/j.crad.2007.01.030","volume":"62","author":"E Sala","year":"2007","unstructured":"Sala E, Watson CJE, Beadsmoore C et al (2007) A randomized, controlled trial of routine early abdominal computed tomography in patients presenting with non-specific acute abdominal pain. Clin Radiol 62(10):961\u2013969","journal-title":"Clin Radiol"},{"key":"4425_CR34","doi-asserted-by":"crossref","first-page":"b2431","DOI":"10.1136\/bmj.b2431","volume":"338","author":"W Lam\u00e9ris","year":"2009","unstructured":"Lam\u00e9ris W, van Randen A, van Es HW et al (2009) Imaging strategies for detection of urgent conditions in patients with acute abdominal pain: diagnostic accuracy study. BMJ 338:b2431","journal-title":"BMJ"},{"issue":"2","key":"4425_CR35","doi-asserted-by":"crossref","first-page":"M55","DOI":"10.1093\/gerona\/54.2.M55","volume":"54","author":"FE Potts","year":"1999","unstructured":"Potts FE, Vukov LF (1999) Utility of fever and leukocytosis in acute surgical abdomens in octogenarians and beyond. J Gerontol A Biol Sci Med Sci 54(2):M55\u2013M58","journal-title":"J Gerontol A Biol Sci Med Sci"},{"issue":"4","key":"4425_CR36","doi-asserted-by":"crossref","first-page":"496","DOI":"10.1002\/bjs.1800840417","volume":"84","author":"N Burns-Cox","year":"1997","unstructured":"Burns-Cox N, Campbell WB, van Nimmen BA, Vercaeren PM, Lucarotti M (1997) Surgical care and outcome for patients in their nineties. Br J Surg 84(4):496\u2013498","journal-title":"Br J Surg"},{"issue":"4","key":"4425_CR37","doi-asserted-by":"crossref","first-page":"1048","DOI":"10.1007\/s00330-014-3481-6","volume":"25","author":"SH Hwang","year":"2015","unstructured":"Hwang SH, You JS, Song MK, Choi JY, Kim MJ, Chung YE (2015) Comparison of diagnostic performance between single- and multiphasic contrast-enhanced abdominopelvic computed tomography in patients admitted to the emergency department with abdominal pain: potential radiation dose reduction. Eur Radiol Apr 25(4):1048\u20131058","journal-title":"Eur Radiol Apr"},{"key":"4425_CR38","unstructured":"Alshamari M, Norrman E, Geijer M, Jansson K, Geijer H (2015) Diagnostic accuracy of low-dose CT compared with abdominal radiography in non-traumatic acute abdominal pain: prospective study and systematic review. Eur Radiol Sep 18"}],"container-title":["European Radiology"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1007\/s00330-016-4425-0.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/article\/10.1007\/s00330-016-4425-0\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1007\/s00330-016-4425-0","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"},{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1007\/s00330-016-4425-0.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2020,9,21]],"date-time":"2020-09-21T20:16:58Z","timestamp":1600719418000},"score":1,"resource":{"primary":{"URL":"http:\/\/link.springer.com\/10.1007\/s00330-016-4425-0"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016,6,7]]},"references-count":38,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2017,2]]}},"alternative-id":["4425"],"URL":"https:\/\/doi.org\/10.1007\/s00330-016-4425-0","relation":{},"ISSN":["0938-7994","1432-1084"],"issn-type":[{"value":"0938-7994","type":"print"},{"value":"1432-1084","type":"electronic"}],"subject":[],"published":{"date-parts":[[2016,6,7]]}}}