Interpretation of bedside chest X-rays in the ICU: is the radiologist still needed?

Abstract:

PURPOSE:To compare diagnostic accuracy of intensivists to radiologists in reading bedside chest X-rays. METHODS:In a retrospective trial, 33 bedside chest X-rays were evaluated by five radiologists and five intensivists with different experience. Images were evaluated for devices and lung pathologies. Interobserver agreement and diagnostic accuracy were calculated. Computed tomography served as reference standard. RESULTS:Seniors had higher diagnostic accuracy than residents (mean-ExpB(Senior)=1.456; mean-ExpB(Resident)=1.635). Interobserver agreement for installations was more homogenously distributed between radiologists compared to intensivists (ExpB(Rad)=1.204-1.672; ExpB(Int)=1.005-2.368). Seniors had comparable diagnostic accuracy. CONCLUSION:No significant difference in diagnostic performance was seen between seniors of both disciplines, whereas the resident intensivists might still benefit from an interdisciplinary dialogue.

journal_name

Clin Imaging

journal_title

Clinical imaging

authors

Martini K,Ganter C,Maggiorini M,Winklehner A,Leupi-Skibinski KE,Frauenfelder T,Nguyen-Kim TD

doi

10.1016/j.clinimag.2015.07.024

subject

Has Abstract

pub_date

2015-11-01 00:00:00

pages

1018-23

issue

6

eissn

0899-7071

issn

1873-4499

pii

S0899-7071(15)00189-8

journal_volume

39

pub_type

杂志文章
  • Bilateral ovarian metastasis of clear-cell renal cell carcinoma: A case report.

    abstract::Renal cell carcinoma (RCC) accounts for 2-3% of all adult malignancies. Clear-cell type RCC is the most common type, accounting for approximately 75% of all renal cancer cases. The most common sites of metastasis include the lung, bone, and liver. Ovarian metastasis of RCC is an exceptionally rare occurrence with only...

    journal_title:Clinical imaging

    pub_type: 杂志文章

    doi:10.1016/j.clinimag.2020.06.042

    authors: Snyder E,Tafti D,Zhao JM,Walker K,Schwope RB

    更新日期:2021-01-01 00:00:00

  • Macrodystrophia lipomatosa. MR imaging in three patients.

    abstract::Radiographs and magnetic resonance (MR) imaging of three patients with macrodystrophia lipomatosa are presented. Radiographs of involved extremities and digits demonstrated prominent soft tissues and bony hypertrophy. MR images showed hypertrophy of fatty tissue, cortical bone thickening and fatty infiltration of musc...

    journal_title:Clinical imaging

    pub_type: 杂志文章

    doi:10.1016/s0899-7071(96)00077-0

    authors: Wang YC,Jeng CM,Marcantonio DR,Resnick D

    更新日期:1997-09-01 00:00:00

  • Pancreatic metastases from renal cell carcinoma in von Hippel-Lindau disease.

    abstract::von Hippel-Lindau (VHL) disease is an unusual inherited chromosomal dominant disease characterized by CNS hemangioblastomas and visceral neoplasms. Multiple abnormalities may involve the abdomen including pathology in the liver, pancreas, kidneys, and adrenal glands. The present case report describes a patient with re...

    journal_title:Clinical imaging

    pub_type: 杂志文章

    doi:10.1016/0899-7071(95)00066-6

    authors: Chambers TP,Fishman EK,Hruban RH

    更新日期:1997-01-01 00:00:00

  • MR imaging determination of the normal level of conus medullaris.

    abstract::The location of conus medullaris according to age and sex was retrospectively evaluated with a 0.5-T magnetic resonance (MR) imaging system. A total of 639 subjects without any conspicuous spinal canal pathology on the lumbar MR imaging examination were selected. The level of conus medullaris was most commonly located...

    journal_title:Clinical imaging

    pub_type: 杂志文章

    doi:10.1016/s0899-7071(02)00451-5

    authors: Demiryürek D,Aydingöz U,Akşit MD,Yener N,Geyik PO

    更新日期:2002-11-01 00:00:00

  • Utility of virtual monoenergetic images derived from a dual-layer detector-based spectral CT in the assessment of aortic anatomy and pathology: A retrospective case control study.

    abstract:OBJECTIVES:To evaluate the ability of the retrospectively generated virtual monoenergetic images (VMIs) from a dual-layer detector-based spectral computed tomography (SDCT) to augment aortic enhancement for the evaluation of aortic anatomy and pathology. METHODS:98 patients with suboptimal aortic enhancement (≤200 HU)...

    journal_title:Clinical imaging

    pub_type: 杂志文章

    doi:10.1016/j.clinimag.2018.08.007

    authors: Chalian H,Kalisz K,Rassouli N,Dhanantwari A,Rajiah P

    更新日期:2018-01-01 00:00:00

  • Utilization of contrast-enhanced ultrasound in the evaluation of craniofacial osseous lesions: A case report.

    abstract::A 14-year-old boy undergoing brain MRI had an incidental avidly enhancing lobulated lesion in the left superolateral orbital rim with associated cortical erosion. Apart from Contrast-enhanced Magnetic Resonance Imaging (MRI), and Computed Tomography (CT), Contrast-Enhanced Ultrasound (CEUS) was obtained prior to a bio...

    journal_title:Clinical imaging

    pub_type: 杂志文章

    doi:10.1016/j.clinimag.2019.10.018

    authors: Sng WJ,Kapur J,Sundar G,Lian WQD,Tan AP

    更新日期:2020-03-01 00:00:00

  • The mammographic appearance of the BioMonitor implantable loop recorder.

    abstract::The imaging appearance of implantable loop recorders (ILR's) have been described in literature (Steinberger and Margolies, 2017; Mayo and Leung, 2017; Tsau and Berger, 2004)1-3; however, the mammographic appearance of the BioMonitor ILR produced by BIOTRONIK has not been described. It is important for radiologists int...

    journal_title:Clinical imaging

    pub_type: 杂志文章

    doi:10.1016/j.clinimag.2020.11.051

    authors: Nia ES,Huang ML,Sun SX,Mitchell MP,Myatt JP,Candelaria RP

    更新日期:2020-12-03 00:00:00

  • The feasibility of low-dose CT for pulmonary metastasis in patients with primary gynecologic malignancy.

    abstract:PURPOSE:To assess the feasibility of low-dose CT (LDCT) in the detection of pulmonary metastases in patients with primary gynecologic malignancies and also to compare the performance of chest digital radiography (DR) and LDCT for their delectability of pulmonary metastases, with use of standard-dose CT (SDCT) as the re...

    journal_title:Clinical imaging

    pub_type: 杂志文章

    doi:10.1016/S0899-7071(03)00246-8

    authors: Weng MJ,Wu MT,Pan HB,Kan YY,Yang CF

    更新日期:2004-11-01 00:00:00

  • Pulmonary lymphoma identified as a result of low-dose CT screening for lung cancer.

    abstract:PURPOSE:To describe the frequency and findings of pulmonary lymphoma in asymptomatic people undergoing computed tomographic (CT) screening for lung cancer. METHODS:All lymphoma diagnoses resulting from CT screening of 31 567 at-risk subjects (median age, 61 years) were identified, and the CT images were reviewed to do...

    journal_title:Clinical imaging

    pub_type: 杂志文章

    doi:10.1016/j.clinimag.2008.02.030

    authors: Huang Y,Shaham D,Austin JH,Yankelevitz DF,Henschke CI,I-ELCAP Investigators.

    更新日期:2008-07-01 00:00:00

  • Imaging features of malignant abdominal neuroendocrine tumors with rare presentation.

    abstract:BACKGROUND:Gastroenteropancreatic neuroendocrine tumors (NETs) are rare entities arising from neuroendocrine cells in the gastroenteric tract and pancreas. The purpose of this article is to present four cases of gastroenteropancreatic NETs that featured a challenging diagnosis. CASE PRESENTATION:We report a case serie...

    journal_title:Clinical imaging

    pub_type: 杂志文章

    doi:10.1016/j.clinimag.2018.02.004

    authors: Corrias G,Monti S,Horvat N,Tang L,Basturk O,Saba L,Mannelli L

    更新日期:2018-01-01 00:00:00

  • Artificial intelligence and deep learning - Radiology's next frontier?

    abstract::Tracing the use of computers in the radiology department from administrative functions through image acquisition, storage, and reporting, to early attempts at improved diagnosis, we begin to imagine possible new frontiers for their use in exam interpretation. Given their initially slow but ultimately substantial progr...

    journal_title:Clinical imaging

    pub_type: 杂志文章,评审

    doi:10.1016/j.clinimag.2017.11.007

    authors: Mayo RC,Leung J

    更新日期:2018-01-01 00:00:00

  • The efficacy of apparent diffusion coefficient value calculation in differentiation between malignant and benign thyroid nodules.

    abstract:PURPOSE:To evaluate the efficacy of apparent diffusion coefficient (ADC) calculation in differentiation between malignant and benign thyroid nodules. METHODS AND MATERIALS:A prospective study was conducted in 52 patients. Diffusion-weighted echoplanar imaging was performed and b factors were taken as 0 and 400 s/mm(2)...

    journal_title:Clinical imaging

    pub_type: 杂志文章,随机对照试验

    doi:10.1016/j.clinimag.2011.10.006

    authors: Dilli A,Ayaz UY,Cakir E,Cakal E,Gultekin SS,Hekimoglu B

    更新日期:2012-07-01 00:00:00

  • A case of acute onset gigantomastia in a 20-year-old woman.

    abstract::Gigantomastia is an abnormal and rare breast condition characterized by excessive breast tissue growth that can result in physical and psychosocial debilitation. While the etiology is not fully understood, it is postulated that abnormal endogenous hormone stimulation plays a contributory role and often requires mastec...

    journal_title:Clinical imaging

    pub_type: 杂志文章

    doi:10.1016/j.clinimag.2020.06.020

    authors: Vyas S,Greenwood HI,Jankowski T,Freimanis RI,Kallianos KG,Henry TS,Strachowski LM

    更新日期:2020-12-01 00:00:00

  • Periductal mastitis mimicking breast cancer in a male breast.

    abstract::Periductal mastitis in a male patient rarely has been reported in the English literature. Herein, we now present a rare case of periductal mastitis mimicking breast cancer, both clinically and radiologically, in a 37-year-old man. Mammogram and sonogram showed a mass with irregular shape, spiculated margin and a nippl...

    journal_title:Clinical imaging

    pub_type: 杂志文章

    doi:10.1016/j.clinimag.2012.09.004

    authors: Kim BS,Lee JH,Kim WJ,Kim DC,Shin S,Kwon HJ,Park JS,Park YM

    更新日期:2013-05-01 00:00:00

  • Pleomorphic xanthoastrocytoma in the posterior fossa: a case report with advanced neuroimaging findings.

    abstract::Pleomorphic xanthoastrocytoma (PXA) is a rare glioma usually occurring in children and young adults. It is a benign World Health Organization (WHO) grade II tumor that accounts for <1% of all astrocytomas. Its occurrence in the infratentorial compartment is rare, and the cerebellum is the most common of the unusual lo...

    journal_title:Clinical imaging

    pub_type:

    doi:10.1016/j.clinimag.2020.02.010

    authors: Luna LP,da Ponte IM,Oliveira IB,Ramos F Jr,Gerson G

    更新日期:2020-07-01 00:00:00

  • Rare presentation of Ewing sarcoma metastasis to the sella and suprasellar cistern.

    abstract::We present an exceedingly rare case of a Ewing sarcoma metastasis manifesting as a sellar mass mimicking a pituitary adenoma. The differential diagnosis of the young adult with a sellar mass is presented and correlated with a review of available literature, demonstrating this case's unique potential for clinical teach...

    journal_title:Clinical imaging

    pub_type: 杂志文章

    doi:10.1016/j.clinimag.2016.10.017

    authors: Starc MT,Rosenblum MK,Meyers PA,Hatzoglou V

    更新日期:2017-01-01 00:00:00

  • Pheochromocytoma supporting blood pressure in the setting of cardiogenic shock.

    abstract::Sixty-seven-year-old male presented with abdominal pain, nausea, vomiting, and decreasing level of consciousness. He was tachycardic but not hypotensive. Computed tomography scan revealed a peripherally enhancing adrenal mass and evidence of low cardiac output state. He was admitted to the intensive care unit but expi...

    journal_title:Clinical imaging

    pub_type: 杂志文章

    doi:10.1016/j.clinimag.2014.09.012

    authors: Ditkofsky N,Workman C

    更新日期:2015-01-01 00:00:00

  • Aneurysmal bone cyst of the zygomatic arch: a case report.

    abstract::We describe a case of an aneurysmal bone cyst originating from the zygomatic arch, which, according to the literature, is an extremely rare location. In the preoperative diagnosis the characteristic radiological signs of the high-quality computed tomography and magnetic resonance examinations were the cornerstones. Tr...

    journal_title:Clinical imaging

    pub_type: 杂志文章

    doi:10.1016/j.clinimag.2013.04.006

    authors: Lerant G,Ivanyi E,Toth E,Levai A,Godeny M

    更新日期:2013-09-01 00:00:00

  • Malrotation with volvulus of the transverse colon and duodenal obstruction secondary to Ladd's bands.

    abstract::Colonic volvulus is a relatively uncommon cause of large bowel obstruction, accounting for 10% of colonic obstructions. Volvulus of the transverse colon is quite rare, accounting for only 4-11% of all reported cases of colonic volvulus (Kerry RL, Ransom HK. Volvulus of the colon: etiology, diagnosis, and treatment. Ar...

    journal_title:Clinical imaging

    pub_type: 杂志文章

    doi:10.1016/j.clinimag.2007.04.032

    authors: Hinkle JK,Smith TR

    更新日期:2008-01-01 00:00:00

  • Non-Hodgkin's lymphoma of the bone and the liver without lymphadenopathy revealed on FDG-PET/CT.

    abstract::Primary extranodal lymphomas are much less frequent than nodal lymphomas. Osseous and hepatic lymphomas commonly present with additional nodal lesions. Primary lymphoma of the bone or of the liver without nodal disease is uncommon. We describe a case of extranodal non-Hodgkin's lymphoma with numerous osseous and hepat...

    journal_title:Clinical imaging

    pub_type: 杂志文章

    doi:10.1016/j.clinimag.2009.11.013

    authors: Cheng G,Servaes S,Chamroonrat W,Li J,Zhuang H

    更新日期:2010-11-01 00:00:00

  • Evaluation of competing tests for the diagnosis of pulmonary embolism and deep vein thrombosis, Part I.

    abstract::Tests for pulmonary embolism (PE) and its most frequent source, deep vein thrombosis (DVT), include angiography, ventilation-perfusion nuclear medicine scans, venous sonography with Doppler, and contrast and radionuclide leg venography. Although selective angiography is the definitive procedure for the diagnosis of PE...

    journal_title:Clinical imaging

    pub_type: 杂志文章

    doi:10.1016/0899-7071(94)90001-9

    authors: Henschke CI,Yankelevitz DF,Mateescu I,Whalen JP

    更新日期:1994-10-01 00:00:00

  • The use of intravenous contrast in postoperative MR imaging of pituitary macroadenomas.

    abstract::In this study we reviewed 23 postoperative magnetic resonance (MR) imaging examinations of patients with pituitary macroadenomas to determine if intravenous contrast is of value in this setting. The addition of contrast enhanced images to noncontrast T1-weighted images changed the radiologist's assessment in 4/5 early...

    journal_title:Clinical imaging

    pub_type: 杂志文章

    doi:10.1016/s0899-7071(98)00074-6

    authors: Markus JB,Franchetto AA,Goh R

    更新日期:1999-01-01 00:00:00

  • Malignant peripheral nerve sheath tumor in spine: imaging manifestations.

    abstract::Malignant peripheral nerve sheath tumor (MPNST) is a relatively rare soft tissue malignant tumor. Most of reports currently are pathological articles and clinical case reports and most of them are MPNST in the thorax, abdomen or extremities. Imaging report of spinal MPNST is very rare, and MPNST is easy to be misdiagn...

    journal_title:Clinical imaging

    pub_type: 杂志文章

    doi:10.1016/j.clinimag.2011.08.015

    authors: Lang N,Liu XG,Yuan HS

    更新日期:2012-05-01 00:00:00

  • Tumor-induced osteomalacia - Current imaging modalities and a systematic approach for tumor localization.

    abstract::Paraneoplastic syndromes are symptom complexes that cannot be readily explained by local or distant spread of the tumor. They can occur due to hormone production, autoimmunity or other biologically active products produced by the tumor, etc. Tumor induced osteomalacia is a rare paraneoplastic syndrome in which the man...

    journal_title:Clinical imaging

    pub_type: 杂志文章,评审

    doi:10.1016/j.clinimag.2019.04.007

    authors: Rayamajhi SJ,Yeh R,Wong T,Dumeer S,Mittal BR,Remotti F,Chikeka I,Reddy AK

    更新日期:2019-01-01 00:00:00

  • Imaging of prenatally detected intra-abdominal extralobar pulmonary sequestration.

    abstract::Intra-abdominal extralobar pulmonary sequestration is a rare congenital anomaly which may present as an abdominal mass. We describe a case of intra-abdominal extralobar pulmonary sequestration detected prenatally as a left suprarenal mass. The ultrasound, computed tomography and magnetic resonance imaging findings are...

    journal_title:Clinical imaging

    pub_type: 杂志文章,评审

    doi:10.1016/0899-7071(90)90013-2

    authors: Stern E,Brill PW,Winchester P,Kosovsky P

    更新日期:1990-05-01 00:00:00

  • MRA review.

    abstract::Magnetic resonance (MR) angiography is a rapidly evolving field in MR imaging, the main goal of which is a noninvasive tool for visualizing blood vessels. The acquisition of continuous images of the blood vessels, comparable to the conventional DSA images, as well as the functional evaluation of blood-flow velocities ...

    journal_title:Clinical imaging

    pub_type: 杂志文章,评审

    doi:10.1016/0899-7071(92)90042-8

    authors: Bosmans H,Marchal G,Van Hecke P,Vanhoenacker P

    更新日期:1992-07-01 00:00:00

  • A review of the imaging manifestations of immune check point inhibitor toxicities.

    abstract::The past decade has witnessed a paradigm shift in cancer therapy owing to the introduction of immune checkpoint inhibitors (ICIs) and it is now commonplace for radiologists to image patients on therapy with these agents. The purpose of this review is to detail the mechanism, radiological manifestations and clinical si...

    journal_title:Clinical imaging

    pub_type: 杂志文章,评审

    doi:10.1016/j.clinimag.2020.04.007

    authors: Thomas R,Sebastian B,George T,Majeed NF,Akinola T,Laferriere SL,Braschi-Amirfarzan M

    更新日期:2020-08-01 00:00:00

  • Cervical ribs: identification on MRI and clinical relevance.

    abstract::To determine the prevalence of cervical ribs on cervical spine MRI and clinical relevance, we reviewed 2500 studies for cervical ribs and compression of neurovascular structures and compared to CT, when available. Brachial plexus or subclavian artery contact by cervical rib was identified on MRI and/or CT in 12 cases ...

    journal_title:Clinical imaging

    pub_type: 杂志文章

    doi:10.1016/j.clinimag.2013.01.005

    authors: Walden MJ,Adin ME,Visagan R,Viertel VG,Intrapiromkul J,Maluf F,Patel NV,Alluwaimi F,Lin D,Yousem DM

    更新日期:2013-09-01 00:00:00

  • MR imaging features of nongynaecologic cystic lesions of the pelvis.

    abstract:OBJECTIVE:The purpose of our article is to review the magnetic resonance imaging (MRI) features of nongynaecologic cystic lesions of the pelvis. CONCLUSION:The rising use of MRI for pelvic exploration will result in an increase in incidental detection of pelvic cystic cysts. Pelvic cysts of non gynecologic origin are ...

    journal_title:Clinical imaging

    pub_type: 杂志文章,评审

    doi:10.1016/j.clinimag.2012.04.023

    authors: Loock MT,Fornès P,Soyer P,Rousset P,Azizi L,Hoeffel C

    更新日期:2013-03-01 00:00:00

  • Radiological evaluation of the craniocervical junction in bone dysplasias and other related syndromes.

    abstract::The craniocervical junction, a vital but anatomically complex region, presents additional interpretative challenges in patients with skeletal dysplasias and other syndromes involving the musculoskeletal apparatus. Our objective was to review the radiological evaluation used in such conditions; to do so, we identified ...

    journal_title:Clinical imaging

    pub_type: 杂志文章

    doi:10.1016/0899-7071(94)00027-a

    authors: Dominguez R,Talmachoff P,Rodriguez A

    更新日期:1995-04-01 00:00:00