Medizinische Universität Graz Austria/Österreich - Forschungsportal - Medical University of Graz
Gewählte Publikation:
Fuchsjäger, M; Hörmann, M; Germann, P; Lechner, G; Herold, C.
Thoracic CT scan in intensive care unit patients: information supplementary to thoracic radiography.
Rontgenpraxis. 2000; 52(10-12):322-329
PubMed
- Führende Autor*innen der Med Uni Graz
- Fuchsjäger Michael
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- Abstract:
- PURPOSE: To assess the diagnostic value of thoracic CT-scans in comparison with conventional chest radiographs in ICU-patients. METHODS: Chest radiographs and corresponding thoracic CT-scans of 25 consecutive surgical ICU-patients were reviewed and interpreted independently by two radiologists. We analyzed the additional information provided by CT-scans and the diagnostic and therapeutic relevance of these findings. RESULTS: In 22 patients (88%), thoracic CT revealed 35 single additional findings, in comparison with the corresponding bedside radiographs. In 7 cases (28%), these findings (tube-malpositioning, mediastinitis, mediastinal abscess and pneumothorax) required modification of patient management. Of 7 patients with tube thoracostomy, 3 tubes were malpositioned, which was only depicted on CT-scans. In 10 of 21 cases (48%), pleural effusions could only be visualized by CT. 3 of 5 (60%) pneumothoraces were detected by CT-scans only. There were no significant complications during transport or CT-examination. CONCLUSION: Thoracic CT may provide significant information in addition to plain chest radiographs, particularly when specific problems or questions, referring to the management of ICU-patients, arise.
- Find related publications in this database (using NLM MeSH Indexing)
- Abscess - radiography
- Adolescent -
- Adult -
- Aged -
- Evaluation Studies as Topic -
- Female -
- Humans -
- Intensive Care Units -
- Male -
- Mediastinal Diseases - radiography
- Mediastinitis - radiography
- Middle Aged -
- Pneumothorax - radiography
- Radiography, Thoracic -
- Thoracostomy -
- Tomography, X-Ray Computed -