Twelve tips for interpreting abdominal CT scans

Abstract

Background

Abdominal computerised tomography (CT) scans are a crucial tool in the diagnosis and management of the acute abdomen. Currently, medical students are not widely and extensively trained in the interpretation of abdominal scans.

Aim

We aim to provide advice about interpreting abdominal CT scans.

Methods

We used the critical reflection of our experiences, both in clinical practice and in teaching, alongside advice from the literature to develop these tips.

Results

Twelve tips following the ‘4As, 3Bs, 2Cs and 1D’ approach are presented to assist doctors and medical students with interpreting abdominal CT scans.

Conclusion

The early identification of pathology on CT scans has been demonstrated to improve patient outcomes in certain cases, while a formal radiologist’s report is awaited. Following a systematic approach, such as the one we presented here, may aid trainees in looking at abdominal CT scans.

Keywords:

• CT abdomen
• interpreting abdominal CT scans
• systematic approach to CT scans
• abdominal computerised tomography interpretation

Disclosure statement

The authors report no conflicts of interest. The authors alone are responsible for the content and writing of the article.

Additional information

Notes on contributors

Sailantra Sivathasan

Sailantra Sivathasan, BSc, MBBS, is a junior doctor at Addenbrooke’s Hospital, Cambridge University Hospital Trust. Graduated from University College London.

Jakub Nagrodzki

Jakub Nagrodzki, BA, MB BChir, is an academic junior doctor at Peterborough City Hospital, NW Anglia NHS Foundation Trust. Recent graduate of Trinity College, University of Cambridge.

David McGowan

David McGowan, BSc, BM BS, MRCS, is a general and emergency surgical registrar, especially interested in medical education and improving performance in clinical practice.