Pneumothorax: Detection with upright versus decubitus radiography

R. A. Beres, L. R. Goodman, J. J. Carr, J. C. Reed, Robert Choplin, L. D. Case

Research output: Contribution to journalArticle

28 Citations (Scopus)

Abstract

To evaluate the value of decubitus chest radiography in the clinical assessment of pneumothorax, the authors compared the detectability of pneumothorax on expiratory, upright chest radiographs with that on expiratory, lateral decubitus radiographs obtained with the suspected side up. Five radiologists reviewed 19 sets of radiographs with pneumothoraces and 20 sets of radiographs without pneumothoraces. All five radiologists were more accurate and had greater confidence in the evaluation of the upright studies. A pneumothorax was detected 21% (77 versus 57 of 95) more often on the erect radiographs. In three cases, however, decubitus positioning was more definitive. These results suggest that when clinically feasible, the expiratory, upright chest radiograph is the procedure of choice for the evaluation of small pneumothoraces.

Original languageEnglish (US)
Pages (from-to)19-26
Number of pages8
JournalRadiology
Volume186
Issue number1
StatePublished - 1993
Externally publishedYes

Fingerprint

Pneumothorax
Radiography
Thorax

Keywords

  • Devil's Advocate
  • Pleura, radiography
  • Pneumothorax
  • Radiography, comparative studies
  • Thorax, abnormalities

ASJC Scopus subject areas

  • Medicine(all)
  • Radiology Nuclear Medicine and imaging

Cite this

Beres, R. A., Goodman, L. R., Carr, J. J., Reed, J. C., Choplin, R., & Case, L. D. (1993). Pneumothorax: Detection with upright versus decubitus radiography. Radiology, 186(1), 19-26.

Pneumothorax : Detection with upright versus decubitus radiography. / Beres, R. A.; Goodman, L. R.; Carr, J. J.; Reed, J. C.; Choplin, Robert; Case, L. D.

In: Radiology, Vol. 186, No. 1, 1993, p. 19-26.

Research output: Contribution to journalArticle

Beres, RA, Goodman, LR, Carr, JJ, Reed, JC, Choplin, R & Case, LD 1993, 'Pneumothorax: Detection with upright versus decubitus radiography', Radiology, vol. 186, no. 1, pp. 19-26.
Beres RA, Goodman LR, Carr JJ, Reed JC, Choplin R, Case LD. Pneumothorax: Detection with upright versus decubitus radiography. Radiology. 1993;186(1):19-26.
Beres, R. A. ; Goodman, L. R. ; Carr, J. J. ; Reed, J. C. ; Choplin, Robert ; Case, L. D. / Pneumothorax : Detection with upright versus decubitus radiography. In: Radiology. 1993 ; Vol. 186, No. 1. pp. 19-26.
@article{0edf2502e40d4d02a737802c73ca83fd,
title = "Pneumothorax: Detection with upright versus decubitus radiography",
abstract = "To evaluate the value of decubitus chest radiography in the clinical assessment of pneumothorax, the authors compared the detectability of pneumothorax on expiratory, upright chest radiographs with that on expiratory, lateral decubitus radiographs obtained with the suspected side up. Five radiologists reviewed 19 sets of radiographs with pneumothoraces and 20 sets of radiographs without pneumothoraces. All five radiologists were more accurate and had greater confidence in the evaluation of the upright studies. A pneumothorax was detected 21{\%} (77 versus 57 of 95) more often on the erect radiographs. In three cases, however, decubitus positioning was more definitive. These results suggest that when clinically feasible, the expiratory, upright chest radiograph is the procedure of choice for the evaluation of small pneumothoraces.",
keywords = "Devil's Advocate, Pleura, radiography, Pneumothorax, Radiography, comparative studies, Thorax, abnormalities",
author = "Beres, {R. A.} and Goodman, {L. R.} and Carr, {J. J.} and Reed, {J. C.} and Robert Choplin and Case, {L. D.}",
year = "1993",
language = "English (US)",
volume = "186",
pages = "19--26",
journal = "Radiology",
issn = "0033-8419",
publisher = "Radiological Society of North America Inc.",
number = "1",

}

TY - JOUR

T1 - Pneumothorax

T2 - Detection with upright versus decubitus radiography

AU - Beres, R. A.

AU - Goodman, L. R.

AU - Carr, J. J.

AU - Reed, J. C.

AU - Choplin, Robert

AU - Case, L. D.

PY - 1993

Y1 - 1993

N2 - To evaluate the value of decubitus chest radiography in the clinical assessment of pneumothorax, the authors compared the detectability of pneumothorax on expiratory, upright chest radiographs with that on expiratory, lateral decubitus radiographs obtained with the suspected side up. Five radiologists reviewed 19 sets of radiographs with pneumothoraces and 20 sets of radiographs without pneumothoraces. All five radiologists were more accurate and had greater confidence in the evaluation of the upright studies. A pneumothorax was detected 21% (77 versus 57 of 95) more often on the erect radiographs. In three cases, however, decubitus positioning was more definitive. These results suggest that when clinically feasible, the expiratory, upright chest radiograph is the procedure of choice for the evaluation of small pneumothoraces.

AB - To evaluate the value of decubitus chest radiography in the clinical assessment of pneumothorax, the authors compared the detectability of pneumothorax on expiratory, upright chest radiographs with that on expiratory, lateral decubitus radiographs obtained with the suspected side up. Five radiologists reviewed 19 sets of radiographs with pneumothoraces and 20 sets of radiographs without pneumothoraces. All five radiologists were more accurate and had greater confidence in the evaluation of the upright studies. A pneumothorax was detected 21% (77 versus 57 of 95) more often on the erect radiographs. In three cases, however, decubitus positioning was more definitive. These results suggest that when clinically feasible, the expiratory, upright chest radiograph is the procedure of choice for the evaluation of small pneumothoraces.

KW - Devil's Advocate

KW - Pleura, radiography

KW - Pneumothorax

KW - Radiography, comparative studies

KW - Thorax, abnormalities

UR - http://www.scopus.com/inward/record.url?scp=0027459782&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0027459782&partnerID=8YFLogxK

M3 - Article

C2 - 8416563

AN - SCOPUS:0027459782

VL - 186

SP - 19

EP - 26

JO - Radiology

JF - Radiology

SN - 0033-8419

IS - 1

ER -