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This book is written for the scholars working in the field of Surgery and Radiology; especially for those having interest in making and researching on new scoring systems in cases of acute appendicitis. The goal to reduce negative appendectomy rates and increase the sensitivity and specificity of diagnosis. We can add new investigations and/ or replace few investigations to challenge the previous scoring systems. World need changes and we also don't want to be stagnant in research and studies goes on.