ArticleMultidisciplinary respiratory medicine2019
Agreement between chest ultrasonography and chest X-ray in patients who have undergone thoracic surgery: preliminary results.
Article in Multidisciplinary respiratory medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed, 22 citations in OpenAlex.
- Thoracic Ultrasound as an Alternative to Chest X-ray in Thoracic Surgery Patients: A Single-Center Experience.Journal of clinical medicine · 2024Article
- Chest X-rays and Lung Ultrasound Are Not Interchangeable in Intensive Care Practice.Diagnostics (Basel, Switzerland) · 2023Article
- Lung Ultrasound Reduces Chest X-rays in Postoperative Care after Thoracic Surgery: Is There a Role for Artificial Intelligence?-Systematic Review.Diagnostics (Basel, Switzerland) · 2023Review
- New International Guidelines and Consensus on the Use of Lung Ultrasound.Journal of ultrasound in medicine : official journal of the American Institute of Ultrasound in Medicine · 2023Review
- State of the Art in Lung Ultrasound, Shifting from Qualitative to Quantitative Analyses.Ultrasound in medicine & biology · 2022Review
- Most patient conditions do not a priori debilitate the sensitivity of thoracic ultrasound in thoracic surgery-a prospective comparative study.Journal of cardiothoracic surgery · 2021Observational
- The role of point of care ultrasound in radiology department: update and prospective. A statement of Italian college ultrasound.La Radiologia medica · 2021Article
- Chest ultrasound versatility in routinary to complicated cases: our perspective.Journal of thoracic disease · 2019Article
- Is chest ultrasonography an essential tool for the modern thoracic surgeon?Journal of thoracic disease · 2019Article
- Chest ultrasonography and X-ray may be perfectly integrated in patients management after thoracic surgery such as Shaq and Kobe.Journal of thoracic disease · 2019Article
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Authors and funding
8 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundChest Ultrasonography (chest US) has shown good sensibility in detecting pneumothorax, pleural effusions and peripheral consolidations and it can be performed bedside.
objectivesThe aim of the study was to analyze agreement between chest US and chest X-ray in patients who have undergone thoracic surgery and discuss cases of discordance.
methodsPatients undergoing thoracic surgery were retrospectively selected. Patients underwent routinely Chest X-ray (CXR) during the first 48 h after surgery. Chest US have been routinely performed in all selected patients in the same date of CXR. Chest US operators were blind to both reports and images of CXR. Ultrasonographic findings regarding pneumothorax (PNX), subcutaneous emphysema (SCE), lung consolidations (LC), pleural effusions (PE) and hemi-diaphragm position were collected and compared to corresponding CXR findings. Inter-rater agreement between two techniques was determined by Cohen's kappa-coefficient.
resultsTwenty-four patients were selected. Inter-rater agreement showed a moderate magnitude for PNX (Cohen's Kappa 0.5), a slight/fair magnitude for SCE (Cohen's Kappa 0.21), a fair magnitude for PE (Cohen's Kappa 0.39), no agreement for LCs (Cohen's Kappa 0.06), high levels of agreement for position of hemi-diaphragm (Cohen's Kappa 0.7).
conclusionAnalysis of agreement between chest X-ray and chest US showed that ultrasonography is able to detect important findings for surgeons. Limitations and advantages have been found for both chest X-ray and chest US. Knowing the limits of each one is important to really justify and optimize the use of ionizing radiations.
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