Abstract:
:Portable chest radiography is a fundamental and frequently utilized examination in the critically ill patient population. The chest radiograph often represents a timely investigation of new or rapidly evolving clinical findings and an evaluation of proper positioning of support tubes and catheters. Thoughtful consideration of the use of this simple yet valuable resource is crucial as medical cost containment becomes even more mandatory. This review addresses the role of chest radiography in the intensive care unit on the basis of the existing literature and as formed by a consensus of an expert panel on thoracic imaging through the American College of Radiology. The American College of Radiology Appropriateness Criteria are evidence-based guidelines for specific clinical conditions that are reviewed every 3 years by a multidisciplinary expert panel. The guideline development and review include an extensive analysis of current medical literature from peer-reviewed journals and the application of a well-established consensus methodology (modified Delphi) to rate the appropriateness of imaging and treatment procedures by the panel. In those instances in which evidence is lacking or not definitive, expert opinion may be used to recommend imaging or treatment.
journal_name
J Thorac Imagingjournal_title
Journal of thoracic imagingauthors
Suh RD,Genshaft SJ,Kirsch J,Kanne JP,Chung JH,Donnelly EF,Ginsburg ME,Heitkamp DE,Henry TS,Kazerooni EA,Ketai LH,McComb BL,Ravenel JG,Saleh AG,Shah RD,Steiner RM,Mohammed TLdoi
10.1097/RTI.0000000000000174subject
Has Abstractpub_date
2015-11-01 00:00:00pages
W63-5issue
6eissn
0883-5993issn
1536-0237journal_volume
30pub_type
杂志文章,评审abstract::In an analysis of 36 central lung, 54 mediastinal, and 10 central pleural masses, features were sought that would allow accurate localization of the mass by CT. The mass-lung interface was the most useful feature; with few exceptions a mass with a spiculated, nodular, or irregular edge was in the lung, and a mass with...
journal_title:Journal of thoracic imaging
pub_type: 杂志文章
doi:10.1097/00005382-199104000-00008
更新日期:1991-04-01 00:00:00
abstract::A pulmonary nodule was incidentally detected in a 50-year-old man during a routine health evaluation. High-resolution computed tomography (HRCT) showed that the lesion had the appearance of a collection of multiple tiny nodules. Histologic examination of the resected specimen revealed a single hamartoma resembling a b...
journal_title:Journal of thoracic imaging
pub_type: 杂志文章
doi:10.1097/00005382-200401000-00007
更新日期:2004-01-01 00:00:00
abstract::In general, computed tomography (CT) is superior to magnetic resonance imaging (MRI) as an all-around tool for imaging the wide range of thoracic abnormalities that can be present in patients with lung cancer. However, CT and MRI should not necessarily be viewed as competitive imaging modalities in this clinical setti...
journal_title:Journal of thoracic imaging
pub_type: 杂志文章,评审
doi:10.1097/00005382-198904000-00011
更新日期:1989-04-01 00:00:00
abstract::Extrapleural administration of dilute contrast was used to facilitate biopsy of a posterior mediastinal mass. ...
journal_title:Journal of thoracic imaging
pub_type: 杂志文章
doi:10.1097/00005382-199904000-00005
更新日期:1999-04-01 00:00:00
abstract:OBJECTIVES:The purpose of this study is to assess the prevalence and severity of expiratory multidetector computer tomography airway abnormalities, including central airway collapse and peripheral air trapping, before and after tracheoplasty, a novel surgical treatment for tracheomalacia. MATERIALS AND METHODS:Our hos...
journal_title:Journal of thoracic imaging
pub_type: 杂志文章
doi:10.1097/RTI.0b013e3181653c41
更新日期:2008-05-01 00:00:00
abstract::The current Dana Point Classification system (2009) distinguishes elevation of pulmonary arterial pressure into pulmonary arterial hypertension (PAH) and pulmonary hypertension. Fortunately, PAH is not a common disease. However, with the aging of the First World's population, heart failure has become an important outc...
journal_title:Journal of thoracic imaging
pub_type: 杂志文章,评审
doi:10.1097/RTI.0b013e31828d5c48
更新日期:2013-05-01 00:00:00
abstract::The radiographic abnormalities of primary Kaposi's sarcoma of the lung in a patient with a renal transplant are reported. The findings are similar to other malignancies and infections that are well recognized in the renal transplant population. In the appropriate clinical setting, the radiologist should consider the d...
journal_title:Journal of thoracic imaging
pub_type: 杂志文章
doi:10.1097/00005382-200010000-00012
更新日期:2000-10-01 00:00:00
abstract::Lung cancer screening computed tomographies (CTs) differ from traditional chest CT scans in that they are performed at very low radiation doses, which allow the detection of small nodules but which have a much higher noise content than would be acceptable in a diagnostic chest CT. The technical parameters require a gr...
journal_title:Journal of thoracic imaging
pub_type: 杂志文章,评审
doi:10.1097/RTI.0b013e3182568019
更新日期:2012-07-01 00:00:00
abstract:PURPOSE:The purpose of this study was to determine the lobar distribution and associated radiologic/clinical findings of partial anomalous pulmonary venous return (PAPVR) in the adult population using multidetector computed tomography (MDCT). MATERIALS AND METHODS:The radiology information database was queried for pat...
journal_title:Journal of thoracic imaging
pub_type: 杂志文章
doi:10.1097/RTI.0b013e318194c942
更新日期:2009-05-01 00:00:00
abstract::Photon-counting computed tomography (CT) is a developing technology that has the potential to address some limitations of CT imaging and bring about improvements and potentially new applications to this field. Photon-counting detectors have a fundamentally different detection mechanism from conventional CT energy-inte...
journal_title:Journal of thoracic imaging
pub_type: 杂志文章
doi:10.1097/RTI.0000000000000569
更新日期:2021-01-04 00:00:00
abstract::Chronic lung disease is a leading cause of morbidity and mortality in the United States. Quantitative techniques for assessing emphysema and related airway disease have been slow to gain acceptance among radiologists, who have traditionally used description of structural changes to evaluate these diseases. This review...
journal_title:Journal of thoracic imaging
pub_type: 杂志文章,评审
doi:10.1097/01.rti.0000142838.60353.b1
更新日期:2004-10-01 00:00:00
abstract::The fiberoptic bronchoscope became commercially available nearly 20 years ago. This instrument has revolutionized the practice of respiratory medicine by providing the biggest single advance in diagnostic techniques for the chest in recent years. Its use is now widespread, and it has largely superseded the rigid bronc...
journal_title:Journal of thoracic imaging
pub_type: 杂志文章
doi:10.1097/00005382-198704000-00012
更新日期:1987-04-01 00:00:00
abstract::Lung hernia is defined as a protrusion of lung parenchyma beyond the confines of the musculoskeletal thorax. Lung hernias can be classified according to location (i.e., cervical, thoracic, or diaphragmatic) and etiology. Approximately 80% of reported cases of lung hernia are acquired, usually related to trauma or surg...
journal_title:Journal of thoracic imaging
pub_type: 杂志文章,评审
doi:10.1097/00005382-199601110-00008
更新日期:1996-01-01 00:00:00
abstract::The aim of this essay was to demonstrate the thoracic venous anatomy as delineated by malpositioned central venous catheters on plain chest radiographs. We therefore used the didactic advantage of clinically inadvertent catheter positions. This approach was chosen to illustrate venous anatomy with plain chest radiogra...
journal_title:Journal of thoracic imaging
pub_type: 杂志文章
doi:10.1097/00005382-199910000-00009
更新日期:1999-10-01 00:00:00
abstract::Distribution of pulmonary vascularity, as imaged on the routine chest radiograph, may be used as an accurate and sensitive indicator of underlying pathophysiologic change. The lungs, like most other human organ systems, have extensive reserve capability. Such reserves exist in terms of excess alveolar capacity in the ...
journal_title:Journal of thoracic imaging
pub_type: 杂志文章
doi:10.1097/00005382-198801000-00003
更新日期:1988-01-01 00:00:00
abstract::The purpose of this controlled study was to determine the diagnostic accuracy of computed tomography (CT) in the diagnosis of round atelectasis (RA). We reviewed two groups of chest CT scans of 22 patients (with 24 masses). Group 1 scans represent 10 patients (12 masses) known to have RA, and Group 2 scans represent 1...
journal_title:Journal of thoracic imaging
pub_type: 杂志文章
doi:10.1097/00005382-199701000-00008
更新日期:1997-01-01 00:00:00
abstract::Thoracic duct cysts are rare lesions presenting as mediastinal or supraclavicular masses. We report a case of a 77-year-old female who presented with a left supraclavicular mass. A cervical thoracic duct cyst was suspected after contrast-enhanced computed tomography (CT) of the neck and chest. Diagnosis was confirmed ...
journal_title:Journal of thoracic imaging
pub_type: 杂志文章
doi:10.1097/01.rti.0000148208.74252.84
更新日期:2005-05-01 00:00:00
abstract::The clinical fat embolism syndrome consisting of progressive pulmonary insufficiency, cerebral disfunction, and petechiae is rare. Following severe skeletal trauma, fat droplets appear in the circulating blood and embolize the capillaries of the lungs and other organs. Whether fat droplets are of mechanical or chemica...
journal_title:Journal of thoracic imaging
pub_type: 杂志文章
doi:10.1097/00005382-198707000-00005
更新日期:1987-07-01 00:00:00
abstract:PURPOSE:The aim was to evaluate computed tomography (CT)-measured pulmonary artery diameter (PAD) and lung density as predictors of pulmonary hypertension (PH) in subjects with systemic sclerosis (SSc). We compared these PAD values with normal values and between SSc subgroups with PH and/or interstitial lung disease (I...
journal_title:Journal of thoracic imaging
pub_type: 杂志文章
doi:10.1097/RTI.0000000000000279
更新日期:2017-11-01 00:00:00
abstract::Pulmonary hyalinizing granuloma (PHG) is a rare disease characterized by multiple bilateral pulmonary nodules of uncertain etiology. We describe a 71-year-old female patient with thyroid papillary carcinoma in whom bilateral pulmonary nodules were found during a routine chest radiography examination. Subsequent fluoro...
journal_title:Journal of thoracic imaging
pub_type: 杂志文章
doi:10.1097/RTI.0b013e3181a4bb41
更新日期:2010-05-01 00:00:00
abstract::Common variable immunodeficiency (CVID) is associated with significant chronic lung disease. The purpose of this paper was to describe the clinical, radiologic, and pathologic findings of CVID-associated lung diseases. These include airways' disease, interstitial lung disease, lymphoma, and mucosa-associated lymphoid ...
journal_title:Journal of thoracic imaging
pub_type: 杂志文章,评审
doi:10.1097/RTI.0000000000000350
更新日期:2018-11-01 00:00:00
abstract:PURPOSE:Cardiac involvement is an important prognostic factor in sarcoidosis, and cardiovascular magnetic resonance (CMR) imaging with late gadolinium enhancement (LGE) can facilitate the identification of cardiac sarcoidosis (CS). In patients with CS, we investigated LGE characteristics and their relationship with lef...
journal_title:Journal of thoracic imaging
pub_type: 杂志文章
doi:10.1097/RTI.0b013e3182761830
更新日期:2013-01-01 00:00:00
abstract::Comprehensive cardiac assessment embraces virtually every imaging modality and includes information about coronary vascular anatomy as well as cardiac morphology, function, perfusion, metabolism, and tissue characterization. Through sophisticated computer processing and image analysis, newer imaging technologies such ...
journal_title:Journal of thoracic imaging
pub_type: 杂志文章,评审
doi:10.1097/00005382-200010000-00002
更新日期:2000-10-01 00:00:00
abstract::In an effort to define the posterior inferior junction line (PIJL) and its clinical associations more precisely, 64 posteroanterior radiographs demonstrating the PIJL or left pleuroesophageal stripe (LPES) were analyzed for the presence of emphysema, kyphosis, air-filled esophagus, and/or tortuous aorta. Pursuant to t...
journal_title:Journal of thoracic imaging
pub_type: 杂志文章
doi:10.1097/00005382-199807000-00004
更新日期:1998-07-01 00:00:00
abstract::We report the case of a patient with pancreatic adenocarcinoma and mucinous air-space metastases, in which the diagnosis was suspected at magnetic resonance using heavily T2-weighted images obtained with magnetic resonance hydrographic sequences. ...
journal_title:Journal of thoracic imaging
pub_type: 杂志文章
doi:10.1097/RTI.0b013e3181578d99
更新日期:2008-02-01 00:00:00
abstract::We describe the clinical case of a thymoma, surgically removed after diagnosis, staging, and preoperative assessment performed by means of cardiac electrocardiogram-gated multidetector computed tomography. This technique allowed a very accurate assessment of the mass, proving superior to conventional computed tomograp...
journal_title:Journal of thoracic imaging
pub_type: 杂志文章
doi:10.1097/RTI.0b013e3181820850
更新日期:2009-02-01 00:00:00
abstract::Cardiac masses encountered on imaging may present a diagnostic dilemma when discovered incidentally, or even when they serve as the principal reason for the examination. In this review, we present an algorithmic approach for assessing cardiac masses by integrating clinical information with radiologic findings to reach...
journal_title:Journal of thoracic imaging
pub_type: 杂志文章,评审
doi:10.1097/RTI.0000000000000371
更新日期:2019-01-01 00:00:00
abstract:PURPOSE:This study aimed to evaluate interobserver reproducibility between cardiothoracic radiologists applying the Coronary Artery Disease Reporting and Data System (CAD-RADS) to describe atherosclerotic burden on coronary computed tomography angiography. METHODS:Forty clinical computed tomography angiography cases w...
journal_title:Journal of thoracic imaging
pub_type: 杂志文章
doi:10.1097/RTI.0000000000000503
更新日期:2020-03-20 00:00:00
abstract::Sickle cell disease is the most common inherited disease in the African American population. Multiorgan pathologic features with a predilection for thoracic organs predominate. Acute cardiopulmonary diseases include acute chest syndrome, pneumonia, and left ventricular failure. Cardiomegaly, pleural effusions, pulmona...
journal_title:Journal of thoracic imaging
pub_type: 杂志文章,评审
doi:10.1097/00005382-199804000-00008
更新日期:1998-04-01 00:00:00
abstract::Pulmonary vasculitis occurs most commonly in the collagen vascular diseases and in granulomatous pulmonary disease. In the collagen vascular group, vasculitis causes diffuse interstitial inflammation and subsequent fibrosis, resulting in interstitial radiographic patterns, especially in the lower lung fields. Vasculit...
journal_title:Journal of thoracic imaging
pub_type: 杂志文章
doi:10.1097/00005382-198801000-00006
更新日期:1988-01-01 00:00:00