Pediatric appendiceal ultrasound: maintaining accuracy, increasing determinacy and improving clinical outcomes following the introduction of a standardized reporting template

Implementation of a standardized ultrasound reporting template at Mayo Clinic reduced equivocal appendicitis interpretations from 23.7% to 9.3% while maintaining diagnostic accuracy. The intervention decreased follow-up CT utilization and preserved low negative laparotomy rates, demonstrating improved clinical outcomes through structured reporting.