ArticleLa Radiologia medica2019
The accuracy of computed tomography in detecting surgically resectable blebs or bullae in primary spontaneous pneumothorax.
Article in La Radiologia medica, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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8 citing papers in PubMed, 13 citations in OpenAlex.
- Unexpected Primary Spontaneous Pneumothorax in a Non-smoking Patient After Blowing Out Birthday Candles.Cureus · 2025Article
- Predictors of Contralateral Recurrence in Patients With Primary Spontaneous Pneumothorax.Medical archives (Sarajevo, Bosnia and Herzegovina) · 2025Article
- Large lungs in divers: a risk for pulmonary barotrauma?Diving and hyperbaric medicine · 2024Article
- SPLF/SMFU/SRLF/SFAR/SFCTCV Guidelines for the management of patients with primary spontaneous pneumothorax.Annals of intensive care · 2023Review
- Chest CT scan for the screening of air anomalies at risk of pulmonary barotrauma for the initial medical assessment of fitness to dive in a military population.Frontiers in physiology · 2022Article
- Recurrence of primary spontaneous pneumothorax following bullectomy with pleurodesis or pleurectomy: A retrospective analysis.Journal of thoracic disease · 2021Article
- Surgical management of pneumothorax: still sailing with no compass.Journal of thoracic disease · 2020Article
- Routine Chest X-Rays Are Inaccurate in Detecting Relevant Intrapulmonary Anomalies During Medical Assessments of Fitness to Dive.Frontiers in physiology · 2020Article
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Authors and funding
4 authors at 1 institution in 1 country.
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No grant is acknowledged in the PubMed record.
Abstract
objectivesChest computed tomography is commonly used in patients with primary spontaneous pneumothorax to detect the presence of pulmonary blebs or bullae. The aim of this study is to calculate the accuracy of chest computed tomography to detect surgically resectable blebs or bullae in patients with primary spontaneous pneumothorax.
methodsThis is a retrospective study includes all patients with primary spontaneous pneumothorax who underwent chest computed tomography evaluation for their disease over the period from January 2005 to December 2015. Patients who underwent surgical exploration were sub-grouped to calculate the sensitivity and the specificity of the chest computed tomography to detect surgically resectable pulmonary blebs or bullae.
resultsA total of 143 patients were included in the study. Among them, 120 patients underwent surgical exploration with the finding of 95.7% sensitivity and 42.3% specificity for the chest computed tomography in detection of surgically resectable pulmonary blebs or bullae.
conclusionThe sensitivity of the chest computed tomography scan is high in detecting surgically resectable pulmonary blebs or bullae. However, the specificity is low. This may lead to overdiagnosis of the patients to have pulmonary blebs and bullae. Therefore, the routine use of chest computed tomography scan before the surgical exploration in patients with primary spontaneous pneumothorax should depend on the clinical judgment.
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