Diagnostic value of FASH ultrasound and chest X-ray in HIV-co-infected patients with abdominal tuberculosis [Notes from the field]

2013 ◽  
Vol 17 (3) ◽  
pp. 342-344 ◽  
Author(s):  
T. Heller ◽  
S. Goblirsch ◽  
S. Bahlas ◽  
M. Ahmed ◽  
M-T. Giordani ◽  
...  
Keyword(s):  
Abdominal Tuberculosis ◽  
Diagnostic Value ◽  
X Ray ◽  
Chest X Ray

scholarly journals The diagnostic value of chest X-ray in coronavirus disease 2019: A comparative study of X-ray and CT

2021 ◽  
Vol 104 (3) ◽  
pp. 003685042110162
Author(s):  
Fengxia Zeng ◽  
Yong Cai ◽  
Yi Guo ◽  
Weiguo Chen ◽  
Min Lin ◽  
...  
Keyword(s):  
Clinical Symptoms ◽  
Diagnostic Value ◽  
Rapid Identification ◽  
Chest Ct ◽  
Ct Scans ◽  
Ground Glass ◽  
X Ray ◽  
Chest X Ray ◽  
Laboratory Examinations ◽  
Sensitivity Specificity

As the coronavirus disease 2019 (COVID-19) epidemic spreads around the world, the demand for imaging examinations increases accordingly. The value of conventional chest radiography (CCR) remains unclear. In this study, we aimed to investigate the diagnostic value of CCR in the detection of COVID-19 through a comparative analysis of CCR and CT. This study included 49 patients with 52 CT images and chest radiographs of pathogen-confirmed COVID-19 cases and COVID-19-suspected cases that were found to be negative (non-COVID-19). The performance of CCR in detecting COVID-19 was compared to CT imaging. The major signatures that allowed for differentiation between COVID-19 and non-COVID-19 cases were also evaluated. Approximately 75% (39/52) of images had positive findings on the chest x-ray examinations, while 80.7% (42/52) had positive chest CT scans. The COVID-19 group accounted for 88.4% (23/26) of positive chest X-ray examinations and 96.1% (25/26) of positive chest CT scans. The sensitivity, specificity, and accuracy of CCR for abnormal shadows were 88%, 80%, and 87%, respectively, for all patients. For the COVID-19 group, the accuracy of CCR was 92%. The primary signature on CCR was flocculent shadows in both groups. The shadows were primarily in the bi-pulmonary, which was significantly different from non-COVID-19 patients ( p = 0.008). The major CT finding of COVID-19 patients was ground-glass opacities in both lungs, while in non-COVID-19 patients, consolidations combined with ground-glass opacities were more common in one lung than both lungs ( p = 0.0001). CCR showed excellent performance in detecting abnormal shadows in patients with confirmed COVID-19. However, it has limited value in differentiating COVID-19 patients from non-COVID-19 patients. Through the typical epidemiological history, laboratory examinations, and clinical symptoms, combined with the distributive characteristics of shadows, CCR may be useful to identify patients with possible COVID-19. This will allow for the rapid identification and quarantine of patients.

scholarly journals Diagnostic value of chest ultrasound after cardiac surgery: a comparison with chest X-ray and auscultation

Critical Care ◽  
2014 ◽  
Vol 18 (Suppl 1) ◽  
pp. P130 ◽  
Author(s):  
A Vezzani ◽  
T Manca ◽  
F Benassi ◽  
A Gallingani ◽  
I Spaggiari ◽  
...  
Keyword(s):  
Cardiac Surgery ◽  
Diagnostic Value ◽  
X Ray ◽  
Chest Ultrasound ◽  
Chest X Ray

Diagnostic value of the portable chest x-ray technic in pulmonary edema

1978 ◽  
Vol 135 (4) ◽  
pp. 604-606 ◽  
Author(s):  
Paul R. Liebman ◽  
Ervin Philips ◽  
Richard Weisel ◽  
Jameel Ali ◽  
Herbert B. Hechtman
Keyword(s):  
Pulmonary Edema ◽  
Diagnostic Value ◽  
X Ray ◽  
Portable Chest ◽  
Chest X Ray

Combined Scintigraphic Study of the Lung: What does the Inhalation Study add?

1975 ◽  
Vol 14 (04) ◽  
pp. 339-345
Author(s):  
C. von Schéele ◽  
V. Kempi
Keyword(s):  
Vascular Occlusion ◽  
Diagnostic Value ◽  
Whole Body ◽  
Perfusion Scintigraphy ◽  
Inhalation Study ◽  
X Ray ◽  
Chest X Ray ◽  
Isotope Studies ◽  
Absorbed Radiation Dose ◽  
Scintigraphic Study

SummaryIn 175 patients the results of combined isotope studies i. e. inhalation and perfusion scintigraphy were compared with those of chest x-ray. The absorbed radiation dose due to the inhalation study calculated for whole body was 3 mrad/500 μCi, lungs 380 mrad/500 μCi, ovaries 0.3 mrad/500 μCi and testes 0.03 mrad/500 μCi.In 44 of our cases the isotope studies suggested the presence of a vascular occlusion, not detectable on the x-ray film in 36 cases. In the remaining 8 cases the inhalation study was found to add to the precision of the diagnosis. In nearly all other cases it was not found to have any diagnostic value.

Diagnostic Value of Chest Ultrasound After Cardiac Surgery: A Comparison With Chest X-ray and Auscultation

2014 ◽  
Vol 28 (6) ◽  
pp. 1527-1532 ◽  
Author(s):  
Antonella Vezzani ◽  
Tullio Manca ◽  
Claudia Brusasco ◽  
Gregorio Santori ◽  
Massimo Valentino ◽  
...  
Keyword(s):  
Cardiac Surgery ◽  
Diagnostic Value ◽  
X Ray ◽  
Chest Ultrasound ◽  
Chest X Ray

scholarly journals Chest X-Ray Not Routinely Indicated Prior to the YEARS Algorithm in the Diagnostic Management of Suspected Pulmonary Embolism

TH Open ◽  
2019 ◽  
Vol 03 (01) ◽  
pp. e22-e27 ◽  
Author(s):  
Liselotte van der Pol ◽  
Cecile Tromeur ◽  
Laura Faber ◽  
Tom van der Hulle ◽  
Lucia Kroft ◽  
...  
Keyword(s):  
Pulmonary Embolism ◽  
Final Diagnosis ◽  
Diagnostic Value ◽  
Routine Care ◽  
Diagnostic Process ◽  
Unexpected Finding ◽  
Suspected Pulmonary Embolism ◽  
Likelihood Ratios ◽  
X Ray ◽  
Chest X Ray

Background The YEARS algorithm was designed to simplify the diagnostic process of suspected pulmonary embolism (PE) and to reduce the number of required computed tomography pulmonary angiography (CTPA) scans. Chest X-ray (CXR) is often used as initial imaging test in patients suspected for PE. Aim To determine if CXR results differ between patients with confirmed PE and with PE ruled out, and to investigate whether CXR provides incremental diagnostic value to the YEARS criteria that is used for selecting patients with CTPA indication. Methods This post-hoc analysis concerned 1,473 consecutive patients with suspected PE who were managed according to YEARS and were subjected to CXR as part of routine care. The prevalence and likelihood ratios of seven main CXR findings for a final diagnosis of PE were calculated. Results A total of 214 patients were diagnosed with PE at baseline (15%). Abnormal CXR occurred more often in patients with confirmed PE (36%, 77/214) than in patients without PE (26%; 327/1,259), for an odds ratio of 1.60 (95% confidence interval: 1.18–2.18). Only the unexpected finding of a (rib)fracture or pneumothorax, present in as few as six patients (0.4%), significantly lowered the post-test probability of PE to an extent that CTPA could have been avoided. Conclusion The incremental diagnostic value of CXR to the YEARS algorithm to rule out PE was limited. CXR was more frequently abnormal in patients with PE than in those in whom PE was ruled out. These data do not support to perform CXR routinely in all patients with suspected PE, prior to CTPA imaging.

scholarly journals Lung Ultrasound: new Opportunities for a Cardiologist

Kardiologiia ◽  
2020 ◽  
Vol 60 (1) ◽  
pp. 81-92
Author(s):  
A. Z. Arystan ◽  
Y. T. Khamzina ◽  
V. V. Benberin ◽  
D. V. Fettser ◽  
Y. N. Belenkov
Keyword(s):  
Lung Ultrasound ◽  
Ultrasound Examination ◽  
Cost Effective ◽  
Diagnostic Value ◽  
Ultrasound Finding ◽  
Time Saving ◽  
X Ray ◽  
Cardiac Decompensation ◽  
Chest X Ray

This review focused on ultrasound examination of lungs, a useful complement to transthoracic echocardiography (EchoCG), which is superior to chest X-ray in the diagnostic value. The lung acoustic window always remains open and allows obtaining high-quality images in most cases. For a cardiologist, the major points of the method application are determination of pleural effusion and lung congestion. This method has a number of advantages: it is time-saving; cost-effective; portable and accessible; can be used in a real-time mode; not associated with radiation; reproducible; and highly informative. The ultrasound finding of wet lungs would indicate threatening, acute cardiac decompensation long before appearance of clinical, auscultative, and radiological signs of lung congestion. Modern EchoCG should include examination of the heart and lungs as a part of a single, integrative ultrasound examination.

scholarly journals ABDOMINAL TUBERCULOSIS MIMICKING OVARIAN CANCER ON CT SCAN: THE VALUE OF CHEST X-RAY IN DIAGNOSIS

2021 ◽  
Vol 78 (1) ◽  
Author(s):  
Ardhi Tripriyanggara ◽  
Lies Mardiyana, Sp.Rad(K) ◽  
Dyah Erawati.Sp.Rad(K)Onk.Rad ◽  
Prof. Bambang Soeprijanto,Sp.Rad(K) ◽  
Hari Nugroho, Sp.OG(K)
Keyword(s):  
Ovarian Cancer ◽  
Ct Scan ◽  
Abdominal Tuberculosis ◽  
X Ray ◽  
Chest X Ray

scholarly journals Abdominal Tuberculosis – A Resemblance to Peritoneal Carcinomatosis

2021 ◽  
pp. 87-92
Author(s):  
Richard Wismayer
Keyword(s):  
Lymph Node ◽  
Pulmonary Tuberculosis ◽  
Peritoneal Carcinomatosis ◽  
Abdominal Tuberculosis ◽  
Diagnosis And Treatment ◽  
Health Concern ◽  
Greater Omentum ◽  
Uneventful Recovery ◽  
X Ray ◽  
Chest X Ray

Introduction: Tuberculosis remains a global public health concern. Abdominal tuberculosis is an atypical presentation and since it is extrapulmonary it may delay the diagnosis and treatment of this condition. The case report describes a typical presentation of abdominal tuberculosis and highlights the difficulties which are encountered in the diagnosis of abdominal tuberculosis. Presentation of case: A 56 year old gentleman admitted to hospital with a 1 week history of generalised abdominal pain associated with abdominal distention and vomiting. The chest-X-ray was unremarkable and the abdominal X-ray revealed air-fluid levels. Laboratory investigations revealed a high white cell count at 14,000µl. At laparotomy, multiple small whitish deposits in the greater omentum and on the bowel with a frozen abdomen was found. Biopsy of these whitish deposits showed histology of giant Langhans multinucleated cells with acid-fast bacilli and necrosis and a granulomatous inflammatory process. Anti-tuberculosis treatment was initiated using a combination of antibiotics and he made an uneventful recovery. Discussion: The clinical abdominal TB presentations include acute, subacute or chronic disease. The chest-X-ray of our patient showed no evidence of pulmonary tuberculosis however this is not surprising as less than half of patients with abdominal TB have pulmonary tuberculosis. Ultrasound findings in abdominal TB include thickening of the wall of the ileum, caecum and colon and associated ascites. When malignancy cannot be ruled out with certainty then laparotomy is recommended with biopsy of any peritoneal lesions, omental lesions and a lymph node biopsy. Conclusions: Judicious use of diagnostic procedures and a high index of suspicion may help in the timely diagnosis and treatment of abdominal tuberculosis. Biopsy of peritoneal/omental lesions and of a mesneteric lymph node is advisable to distinguish abdominal tuberculosis from peritoneal carcinomatosis.

scholarly journals Diagnostic value of computed tomography in the patients of abdominal tuberculosis

2016 ◽  
Vol 5 (1) ◽  
pp. 206
Author(s):  
B. S. Salooja ◽  
Sadhan Mukhi
Keyword(s):  
Computed Tomography ◽  
Age Groups ◽  
Abdominal Tuberculosis ◽  
Diagnostic Value ◽  
Diagnostic Tools ◽  
Wall Thickening ◽  
Anatomical Location ◽  
Diagnostic Study ◽  
X Ray ◽  
Abdominal Symptoms

Background: Abdominal tuberculosis (ATB) is a rare form of extra-pulmonary tuberculosis which is clinically challenging. It remains difficult to diagnose due to the non-specific presentation, variable anatomical location and lack of sensitive diagnostic tools. To evaluate the diagnostic value of computed tomography (CT) in the patients of abdominal tuberculosis.Methods: This was a retrospective diagnostic study design. The study was conducted among adults aged>18 years of either gender with clinical suspected ATB. The detailed demographic and clinical history was noted on pre-designed proforma. After obtaining the history, the patient was subjected to general physical and systematic examinations. The patients were then subjected to radiological evaluation that included chest X-ray, X-ray of abdomen and CT.Results: A total of 55 clinically suspected adult cases of abdominal tuberculosis were enrolled in the study. 45 (81.8%) were found to be abdominal tuberculosis on final diagnosis. The abdominal tuberculosis was found to be higher in the age groups 21-40 years (64.4%).The abdominal tuberculosis was observed to be higher among female patients (62.2%) than males (37.8%). CT findings showed that the bowel wall thickening & narrowing and dilatation was found in 64.4% patients.Conclusions: ATB is still a diagnosis to consider in individuals presenting with abdominal symptoms in the developing world, particularly in patients from ethnic minorities. Diagnosis can be challenging and requires a multidisciplinary approach with involvement from Radiology, Microbiology, Gastroenterology, Surgery, Infectious Diseases and Respiratory teams.

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