6533b86efe1ef96bd12cb24b

RESEARCH PRODUCT

Diagnostik von Pleuraergüssen und Atelektasen: Sonographie und Radiologie im Vergleich

N. BörnerC. KelbelManfred ThelenKlose KjMeyer JL. S. WeilemannS. Schadmand

subject

medicine.medical_specialtySupine positionLungbusiness.industryPleural effusionRadiographyRespiratory diseaseAtelectasisrespiratory systemmedicine.diseaserespiratory tract diseasesSurgerymedicine.anatomical_structureEffusionMedicineRadiology Nuclear Medicine and imagingbusinessNuclear medicineProspective cohort study

description

In a prospective study it was shown that chest ultrasonography is superior to conventional x-ray diagnosis of recumbent patients in diagnosing pleural effusion and lung atelectasis. In 110 supine radiographs we found a sensitivity of 47% and a specificity of 71% for right pleural effusions and a sensitivity of 55% and a specificity of 93% for left pleural effusions in comparison to 110 sonographic examinations. The results of supine radiographs in detection of atelectasis were less efficient: sensitivity for the right side: 7%; sensitivity for the left side: 13.5%. Hence, the knowledge of chest ultrasonographic diagnosis can improve the interpretation of supine radiographs.

https://doi.org/10.1055/s-2008-1033105