Evidence map›Paper›PMID 25852759›Full record

ArticleTanaffos2014

Diagnostic Accuracy of Chest Ultrasonography versus Chest Radiography for Identification of Pneumothorax: A Systematic Review and Meta-Analysis.

Ali Ebrahimi, Mahmoud Yousefifard, Hossein Mohammad Kazemi, Hamid Reza Rasouli, Hadi Asady, Ali Moghadas Jafari, Mostafa Hosseini

Registry-linked trialAbstract read
In one paragraph

Article in Tanaffos, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05903209 (A Study to Evaluate Accuracy and Validity of Chang Gung Pneumothorax Detection Software Compared With Reference by Qualified Physicians), which is not on this map. Cited by 88 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
88citing papers in PubMed, 7 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05903209 unknown statusnot on this mapstarted 2022, after this paper: background citation

A Study to Evaluate Accuracy and Validity of Chang Gung Pneumothorax Detection Software Compared With Reference by Qualified Physicians

TypeobservationalSponsorChang Gung Memorial HospitalRan2022 to 2024Enrolled344ConditionsPneumothoraxArmsChang Gung Pneumothorax Detection Software
3 · Its place in the literature

Who cites it

88 citing papers in PubMed, 7 syntheses or guidelines pooled it.

  1. Pooled it
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  8. Trial
  9. Article
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  11. Pneumothorax and Hemothorax: Practical Approaches for Radiologists.Journal of the Korean Society of Radiology · 2026
    Review
  12. Article
  13. Article
  14. Article
  15. Review
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  17. Advanced imaging techniques and artificial intelligence in pleural diseases: a narrative review.European respiratory review : an official journal of the European Respiratory Society · 2025
    Review
  18. Article
  19. Article
  20. Article

28 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Ali EbrahimiTrauma Research Center, Baqiyatallah University of Medial Sciences, Tehran, Iran.
Mahmoud YousefifardDepartment of Physiology, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran.
Hossein Mohammad KazemiTrauma Research Center, Baqiyatallah University of Medial Sciences, Tehran, Iran.
Hamid Reza RasouliTrauma Research Center, Baqiyatallah University of Medial Sciences, Tehran, Iran.
Hadi AsadyDepartment of Occupational Health Engineering, Faculty of Public Health, Tehran University of Medical Sciences, Tehran, Iran.
Ali Moghadas JafariDepartment of Emergency Medicine, School of Medicine, Bushehr University of Medical Sciences, Bushehr, Iran.
Mostafa HosseiniDepartment of Epidemiology and Biostatistics, Faculty of Public Health, Tehran University of Medical Sciences, Tehran, Iran.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEarly detection of pneumothorax is critically important. Several studies have shown that chest ultrasonography (CUS) is a highly sensitive and specific tool. The present systematic review and meta-analysis was designed to evaluate the diagnostic accuracy of CUS and chest radiography (CXR) for detection of pneumothorax. MATERIALS AND

methodsThe literature search was conducted using PubMed, EMBASE, Cochrane, CINAHL, SUMSearch, Trip databases, and review article references. Eligible articles were defined as diagnostic studies on patients suspected for pneumothorax who underwent chest computed tomography (CT) scan and those assessing the screening role of CUS and CXR.

resultsThe analysis showed the pooled sensitivity and specificity of CUS were 0.87 (95% CI: 0.81-0.92; I2= 88.89, P<0.001) and 0.99 (95% CI: 0.98-0.99; I2= 86.46, P<0.001), respectively. The pooled sensitivity and specificity of CXR were 0.46 (95% CI: 0.36-0.56; I2= 85.34, P<0.001) and 1.0 (95% CI: 0.99-1.0; I2= 79.67, P<0.001), respectively. The Meta regression showed that the sensitivity (0.88; 95% CI: 0.82 - 0.94) and specificity (0.99; 95% CI: 0.98 - 1.00) of ultrasound performed by the emergency physician was higher than by non-emergency physician. Non-trauma setting was associated with higher pooled sensitivity (0.90; 95% CI: 0.83 - 0.98) and lower specificity (0.97; 95% CI: 0.95 - 0.99).

conclusionThe present meta-analysis showed that the diagnostic accuracy of CUS was higher than supine CXR for detection of pneumothorax. It seems that CUS is superior to CXR in detection of pneumothorax, even after adjusting for possible sources of heterogeneity.

Indexed as

Diagnostic testsPneumothoraxRadiographyRoutineUltrasonography

Identifiers

PMID25852759
PMCPMC4386013

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.