Diagnostic accuracy of oblique chest radiograph for occult pneumothorax: comparison with ultrasonography

World Journal of Emergency Surgery : WJES
Shokei MatsumotoMitsuhide Kitano

Abstract

An occult pneumothorax is a pneumothorax that is not seen on a supine chest X-ray but is detected by computed tomography scanning. However, critical patients are difficult to transport to the computed tomography suite. We previously reported a method to detect occult pneumothorax using oblique chest radiography (OXR). Several authors have also reported that ultrasonography is an effective technique for detecting occult pneumothorax. The aim of this study was to evaluate the usefulness of OXR in the diagnosis of the occult pneumothorax and to compare OXR with ultrasonography. All consecutive blunt chest trauma patients with clinically suspected pneumothorax on arrival at the emergency department were prospectively included at our tertiary-care center. The patients underwent OXR and ultrasonography, and underwent computed tomography scans as the gold standard. Occult pneumothorax size on computed tomography was classified as minuscule, anterior, or anterolateral. One hundred and fifty-nine patients were enrolled. Of the 70 occult pneumothoraces found in the 318 thoraces, 19 were minuscule, 32 were anterior, and 19 were anterolateral. The sensitivity and specificity of OXR for detecting occult pneumothorax was 61.4 % and 99.2 %, r...Continue Reading

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References

Nov 1, 1984·AJR. American Journal of Roentgenology·I M TocinoF Thomas
Nov 1, 1983·AJR. American Journal of Roentgenology·S D WallC M Brett
Mar 1, 1993·The Journal of Emergency Medicine·K G BridgesB Esposito
Nov 3, 1998·AJR. American Journal of Roentgenology·N T WolfmanM Y Chen
May 26, 1999·Intensive Care Medicine·D LichtensteinA Gepner
Jun 18, 1999·The Journal of Trauma·K J BraselD C Borgstrom
Mar 10, 2001·The Journal of Trauma·S A DulchavskyD R Hamilton
Oct 15, 2003·Intensive Care Medicine·Daniel A LichtensteinGilbert Mezière
Dec 24, 2005·The Journal of Trauma·Chad G BallBernard R Boulanger
Mar 2, 2006·The Journal of Trauma·Chad G BallSavvas Nicolaou
Mar 24, 2009·Annals of Emergency Medicine·UNKNOWN American College of Emergency Physicians
May 28, 2009·Journal of Ultrasound in Medicine : Official Journal of the American Institute of Ultrasound in Medicine·Olga R BrookDiana Gaitini
Sep 25, 2010·Annals of Emergency Medicine·Shokei MatsumotoMitsuhide Kitano
Feb 11, 2011·The Journal of Trauma·Nathan T MoweryErik Streib

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Citations

Mar 20, 2018·Annals of Thoracic and Cardiovascular Surgery : Official Journal of the Association of Thoracic and Cardiovascular Surgeons of Asia·Cumhur Murat TulayAdnan Bilge
Dec 15, 2018·The Cochrane Database of Systematic Reviews·Dirk StengelAlexander Hoenning
Aug 23, 2020·Diagnostics·Natalia BudaTudor P Toma

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