Thorakale computertomographie am intensiv-patienten - Zusatzinformation zum thorax-rontgen

Translated title of the contribution: Thoracic computed tomography in intensive care patients - Additional information to chest radiographs

M. Fuchsjager, M. Hormann, P. Germann, G. Lechner, C. Herold

Research output: Contribution to journalArticlepeer-review

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 (tubemalpositioning, 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.

Translated title of the contributionThoracic computed tomography in intensive care patients - Additional information to chest radiographs
Original languageGerman
Pages (from-to)322-329
Number of pages8
JournalRontgenpraxis
Volume52
Issue number10-12
StatePublished - Jan 1 2000

Keywords

  • Chest radiograph
  • ICU-patient
  • Thoracic computed tomography

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

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