Abstract:
PURPOSE:We surveyed the members of the Society of Thoracic Radiology regarding their interpretation of and management decision for small pulmonary nodules on computed tomography. We then compared their responses with the published guidelines set forth by the Fleischner Society. MATERIALS AND METHODS:A survey consisting of 13 case scenarios in which small pulmonary nodules were encountered on computed tomography examination was electronically mailed to 625 members of the Society of Thoracic Radiology. Statistical analysis was performed to determine associations between responses, years of experience, location in an endemic region of granulomatous disease, and setting of practice. To assess the relationship between recommendation (defined as appropriate or not appropriate based on the Fleischner Society guidelines) and the characteristics of the radiologist, univariate analyses were first carried out. Characteristics with evidence of association with recommendation (defined as P<0.10) were included in the multiple-variable analysis. Multiple-variable logistic regression was used to assess the simultaneous effects of reader characteristics on recommendation. A backward selection process was used applying a significance level of 0.05. This analysis was carried out for each question. RESULTS:One hundred and eighty-one surveys were completed (29%). Overall, 27% of the participants had made the appropriate recommendation based on the Fleischner Society guidelines. There was an overall trend for over-management in the various clinical scenarios. Radiologists who had been in practice for longer periods of time were less likely to select the appropriate management, as were radiologists who practiced outside the United States. In addition, in certain scenarios, radiologists in endemic areas were less likely to over-manage than their counterparts in nonendemic regions. CONCLUSIONS:Among responding members of the Society of Thoracic Radiology, there was poor adherence to the published guidelines set forth by the Fleischner Society.
journal_name
J Thorac Imagingjournal_title
Journal of thoracic imagingauthors
Esmaili A,Munden RF,Mohammed TLdoi
10.1097/RTI.0b013e3181d73a78subject
Has Abstractpub_date
2011-02-01 00:00:00pages
27-31issue
1eissn
0883-5993issn
1536-0237journal_volume
26pub_type
杂志文章abstract::This pictorial essay presents cases of congenital coronary artery anomalies, including congenital anomalies of origin, course, and termination. Familiarity with atypical coronary anatomy and clinical presentation may facilitate appropriate diagnosis and management, particularly as cardiac and thoracic computed tomogra...
journal_title:Journal of thoracic imaging
pub_type: 杂志文章,评审
doi:10.1097/RTI.0000000000000338
更新日期:2018-09-01 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::Evidence-based imaging is a paradigm for using the best evidence to guide medical decision making. Evidence-based imaging centers on formulating a clinical question focused on a specific patient scenario, conducting a literature search and critical review, summarizing the evidence, and using the information to guide m...
journal_title:Journal of thoracic imaging
pub_type: 杂志文章,评审
doi:10.1097/RTI.0b013e31824dec5a
更新日期:2012-09-01 00:00:00
abstract::To determine whether total lung capacity (TLC) can be measured from plain chest radiographs in patients with pneumonectomy, we examined 20 such patients (17 male, 3 female) who had pneumonectomy for lung carcinoma. In 16 patients the right lung was preserved, and in 4 the left. The TLC was measured with the helium dil...
journal_title:Journal of thoracic imaging
pub_type: 杂志文章
doi:10.1097/00005382-199707000-00008
更新日期:1997-07-01 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::Computed tomography (CT) is commonly used in the evaluation and management of patients with diffuse lung pathologies, including chronic obstructive pulmonary disease (COPD) and fibrotic interstitial lung disease (ILD). In clinical practice, the qualitative (visual) assessment of CT images by a radiologist provides ins...
journal_title:Journal of thoracic imaging
pub_type: 杂志文章
doi:10.1097/RTI.0000000000000440
更新日期:2020-07-01 00:00:00
abstract::There is increased awareness of smoking-related lung diseases other than lung cancer and chronic obstructive pulmonary disease. Concurrently, there is general acceptance that there is difficulty in establishing a specific diagnosis of smoking-related interstitial lung disease (ILD), as many patients may not undergo bi...
journal_title:Journal of thoracic imaging
pub_type: 杂志文章,评审
doi:10.1097/RTI.0000000000000185
更新日期:2016-03-01 00:00:00
abstract::Chronic obstructive pulmonary disease is defined as a preventable and treatable disease state characterized by airflow limitation that is not fully reversible. This review will discuss the relevant anatomy of the secondary pulmonary lobule, the subtypes of emphysema, and their imaging appearances and corresponding pat...
journal_title:Journal of thoracic imaging
pub_type: 杂志文章,评审
doi:10.1097/RTI.0b013e3181b32676
更新日期:2009-08-01 00:00:00
abstract:PURPOSE:Progressive impairment of hemodynamics in patients with Fontan circulation is common, multifactorial, and associated with decreased quality of life and increased morbidity. We sought to assess hemodynamic differences between patients with preserved (preserved Fontans) and those with impaired circulation (impair...
journal_title:Journal of thoracic imaging
pub_type: 杂志文章
doi:10.1097/RTI.0000000000000261
更新日期:2017-05-01 00:00:00
abstract::Recognizing atelectasis has always been a challenge. Atypical patterns further our knowledge of this subject. The lung has two mechanisms to help keep the lobes inflated: collateral ventilation and trapped nitrogen both tend to inflate the lungs when the airways are obstructed. Peripheral upper-lobe atelectasis resemb...
journal_title:Journal of thoracic imaging
pub_type: 杂志文章,评审
doi:
更新日期:1996-07-01 00:00:00
abstract:PURPOSE:Ultrashort echotime (UTE) sequences aim to improve the signal yield in pulmonary magnetic resonance imaging (MRI). We demonstrate the initial results of spiral 3-dimensional (3D) UTE-MRI for combined morphologic and functional imaging in pediatric patients. METHODS:Seven pediatric patients with pulmonary abnor...
journal_title:Journal of thoracic imaging
pub_type: 杂志文章
doi:10.1097/RTI.0000000000000537
更新日期:2021-01-01 00:00:00
abstract::The authors report a case of pulmonary fat embolism syndrome without identifiable cause that was seen on chest radiographs and high-resolution computed tomography as diffuse ground-glass attenuation, particularly in nondependent portions of both lungs. The radiologic findings were shown on open-lung biopsy to represen...
journal_title:Journal of thoracic imaging
pub_type: 杂志文章
doi:10.1097/00005382-200204000-00012
更新日期:2002-04-01 00:00:00
abstract::We analyzed the spatial structure of contact radiographs of barium-filled pulmonary arteries of rats raised in room air and in two environments that induce pulmonary arterial hypertension (PAH)--hypoxia and hyperoxia. We found that the spatial structure of the pulmonary arteries was fractal in both the control and the...
journal_title:Journal of thoracic imaging
pub_type: 杂志文章
doi:
更新日期:1994-01-01 00:00:00
abstract::Left ventricular assist devices are used as a bridge to recovery, a bridge to transplant, or a permanent alternative to cardiac transplant. This exhibit demonstrates the imaging appearance of commonly used left ventricular assist devices and their complications. ...
journal_title:Journal of thoracic imaging
pub_type: 杂志文章
doi:10.1097/01.rti.0000146623.32209.36
更新日期:2005-02-01 00:00:00
abstract::We studied computed tomographic (CT) appearance of muscle or omental flap transposition procedures in ten patients following clinically diagnosed poststernotomy mediastinitis. Patients were examined either to rule out persistent infection or as part of routine follow-up. An increased amount of soft tissue between open...
journal_title:Journal of thoracic imaging
pub_type: 杂志文章
doi:
更新日期:1994-01-01 00:00:00
abstract:PURPOSE:To examine the current radiographic follow-up recommendations of thoracic radiologists after detection of a new opacity, suspected to be "pneumonia," on chest radiography. MATERIALS AND METHODS:An anonymized, Institutional Review Board-approved, Internet-based survey was sent to the 735 members of the Society ...
journal_title:Journal of thoracic imaging
pub_type: 杂志文章
doi:10.1097/RTI.0b013e3182776c5e
更新日期:2013-07-01 00:00:00
abstract::The increased detection of incidental small pulmonary nodules on multidetector computed tomography has driven attempts to refine the characterization and management of such nodules. A variety of methods have been developed to measure the size and biological activity of nodules to help define their nature, but these ha...
journal_title:Journal of thoracic imaging
pub_type: 杂志文章,评审
doi:10.1097/RTI.0b013e31824f83e1
更新日期:2012-07-01 00:00:00
abstract::Before the advent of fast-scanning multidetector-row computed tomography (CT) technology, thoracic CT studies were exclusively used for the morphologic assessment of thoracic organs, as the concurrent examination of the heart was hampered by image degradation from cardiac motion artifacts. The introduction of fast rot...
journal_title:Journal of thoracic imaging
pub_type: 杂志文章,评审
doi:10.1097/RTI.0b013e3181e0f8c9
更新日期:2010-08-01 00:00:00
abstract::We retrospectively evaluated the computed tomography (CT) findings in 20 patients with pulmonary drug toxicity that followed high-dose chemotherapy and autologous bone marrow transplantation (ABMT). Eighty-five patients with Stage II or III breast cancer that involved > or = 10 axillary lymph nodes were enrolled in a ...
journal_title:Journal of thoracic imaging
pub_type: 杂志文章
doi:10.1097/00005382-199421000-00017
更新日期:1994-04-01 00:00:00
abstract::Pulmonary involvement in tuberous sclerosis complex (TSC) resembles lymphangioleiomyomatosis (LAM) in its clinical, radiologic, and histopathological features. Typical high-resolution computed tomography (HRCT) findings are of bilateral thin-walled cysts symmetrically throughout both lungs, with associated increase in...
journal_title:Journal of thoracic imaging
pub_type: 杂志文章
doi:10.1097/01.rti.0000155042.97403.3c
更新日期:2005-08-01 00:00:00
abstract::The authors describe a patient with histologically confirmed pulmonary lymphangiomyomatosis and thin-section computed tomography findings mimicking Langerhans cell histioctytosis. The description emphasizes the nonspecificity of the computed tomography findings in this patient. This report also suggests that the compu...
journal_title:Journal of thoracic imaging
pub_type: 杂志文章
doi:10.1097/00005382-200107000-00009
更新日期:2001-07-01 00:00:00
abstract::Positron emission tomography using the ECAT II scanner to image and measure regional lung function is outlined. The combined use of transmission and emission imaging provides quantitative information about regional lung structure (density, extravascular density, and vascular volume) and function (ventilation, perfusio...
journal_title:Journal of thoracic imaging
pub_type: 杂志文章,评审
doi:10.1097/00005382-198512000-00011
更新日期:1985-12-01 00:00:00
abstract::The National Lung Cancer Screening Trial (NLST) found a reduction in lung cancer mortality in high-risk patients aged 55 to 74 who were screened with low-dose computed tomography (LDCT) rather than chest x-ray. This reduction was 20% after 6.5 years and 16% after 7.5 years, with a 6.7% reduction in all-cause mortality...
journal_title:Journal of thoracic imaging
pub_type: 评论,杂志文章
doi:10.1097/RTI.0000000000000130
更新日期:2015-01-01 00:00:00
abstract:PURPOSE:We have established an integrated thoracic radiology reading room within a multidisciplinary lung center clinic (LC). While our subjective experience has been positive, we sought to quantify how this model affects radiology workflow and whether the referring practitioners perceive value in having real-time acce...
journal_title:Journal of thoracic imaging
pub_type: 杂志文章
doi:10.1097/RTI.0000000000000331
更新日期:2018-07-01 00:00:00
abstract::The purpose of this study was to correlate the extent of computed tomographic (CT) findings with the severity of respiratory dysfunction in lung transplant recipients with bronchiolitis obliterans syndrome (BOS). Eighty-nine conventional and 61 thin-section CT scans performed in 44 transplant recipients (17 bilateral,...
journal_title:Journal of thoracic imaging
pub_type: 杂志文章
doi:10.1097/00005382-200304000-00003
更新日期:2003-04-01 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::Although rounded atelectasis was recognized in 1928, its relationship to fibrotic pleural disease almost has gone unnoticed. We present four cases of lobar rounded atelectasis that help to clarify this relationship. Rounded atelectasis is part of the spectrum of fibrous pleural disease. Any portion of lung may become ...
journal_title:Journal of thoracic imaging
pub_type: 杂志文章
doi:10.1097/00005382-199323000-00008
更新日期:1993-10-01 00:00:00
abstract::Multidetector row computed tomography (MDCT) has been used for cardiothoracic imaging since the advent of 4-slice computed tomography (CT) in 1999. Available since 2004, 64-slice CT systems are currently considered a prerequisite for successfully integrating cardiothoracic CT into routine clinical algorithms. Developm...
journal_title:Journal of thoracic imaging
pub_type: 杂志文章,评审
doi:10.1097/RTI.0b013e3181d7e898
更新日期:2010-05-01 00:00:00
abstract::Several acute and chronic conditions that alter the integrity of the pulmonary epithelium increased the rate of absorption or clearance into the circulation of small solutes deposited in the alveoli. Technetium 99m diethylenetriamine pentaacetic acid can be deposited in the lungs as a submicronic aerosol and its rate ...
journal_title:Journal of thoracic imaging
pub_type: 杂志文章,评审
doi:10.1097/00005382-198807000-00008
更新日期:1988-07-01 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