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- W2082066058 abstract "PURPOSE: To compare the diagnostic performance of transthoracic ultrasound (TUS) and bedside chest radiography (CXR) for the detection of various pathological abnormalities in critically ill patients, using computed tomography (CT) as a gold standard. METHODS: Two hundred mechanically ventilated patients scheduled for CT and CXR were prospectively studied with a modified TUS protocol. Four pathological entities were evaluated: pleural effusion, pneumothorax, consolidation and interstitial syndrome. RESULTS: All patients were evaluated by the three imaging techniques. The sensitivity, specificity, and diagnostic accuracy of CXR were 55, 84, and 65% for pleural effusion, 40, 96, and 88% for pneumothorax, 40, 85, and 50% for consolidation and 42, 82, and 60% for interstitial syndrome respectively. The corresponding values for TUS were 100, 100, and 100% for pleural effusion, 100, 100, and 100% for pneumothorax, 100, 87, and 95% for consolidation, 95, 95, and 95% for interstitial syndrome respectively. CONCLUSIONS: In our ICU population TUS has a considerably better diagnostic performance than CXR for the diagnosis of common pathological disorders and may be used as an alternative to thoracic CT. Clinical Implication: Clinician-performed ultrasonography is a reliable tool in the diagnosis of common chest pathological entities. It has the advantage of portability, simplicity, rapidity, and similar sensitivity and specificity compared with CT." @default.
- W2082066058 created "2016-06-24" @default.
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- W2082066058 date "2014-10-01" @default.
- W2082066058 modified "2023-09-27" @default.
- W2082066058 title "Transthoracic Chest Ultrasound in Critically Ill Patients: Comparison With Bedside Chest Radiography" @default.
- W2082066058 doi "https://doi.org/10.1378/chest.1969292" @default.
- W2082066058 hasPublicationYear "2014" @default.
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