CategoryUltrasonographyCT
Accuracy71% to 97%93% to 98%
Sensitivity85% to 90%87% to 100%
Specificity47% to 96%95% to 99%
Negative predictive value76%95%
Patient typesPregnant women and women of childbearing age, childrenAll types; avoid in pregnant women
Approximate cost*$250$750
AdvantagesEasily available, noninvasive, no radiation, rapid, no preparation needed, ability to diagnose other sources of pain (especially gynecologic disorders)More accurate, better identification of phlegmon and abscess, may complement ultrasonography when results are suboptimal, better ability to detect normal appendix
DisadvantagesOperator dependent, not as accurate as CT, difficult with large body habitus, cannot rule out appendicitis if negative appendix is not apparentRadiation exposure, patient discomfort/risk if contrast media used, cost