Can Chest Ultrasound Replace Chest X-ray in Thoracic Surgery?
<i>Background:</i> There is growing evidence that supports the use of chest ultrasound (CUS) versus conventional chest X-ray (CXR) in order to diagnose postoperative complications. However, data regarding its use after thoracic surgery are scarce and contradictory. The aim of this study...
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Format: | Article |
Language: | English |
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MDPI AG
2022-08-01
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Series: | Tomography |
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Online Access: | https://www.mdpi.com/2379-139X/8/4/175 |
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author | Konstantinos Grapatsas Vasileios Leivaditis Benjamin Ehle Anastasia Papaporfyriou |
author_facet | Konstantinos Grapatsas Vasileios Leivaditis Benjamin Ehle Anastasia Papaporfyriou |
author_sort | Konstantinos Grapatsas |
collection | DOAJ |
description | <i>Background:</i> There is growing evidence that supports the use of chest ultrasound (CUS) versus conventional chest X-ray (CXR) in order to diagnose postoperative complications. However, data regarding its use after thoracic surgery are scarce and contradictory. The aim of this study was to conduct a systematic review to evaluate the accuracy of CUS after thoracic surgery. <i>Methods:</i> An electronic search in MEDLINE (via PubMed), complemented by manual searches in article references, was conducted to identify eligible studies. <i>Results:</i> Six studies with a total of 789 patients were included in this meta-analysis. Performing CXR decreased in up to 61.6% of cases, with the main reasons for performing CXR being massive subcutaneous emphysema or complex hydrothorax. Agreement between CUS and routine-based therapeutic options was, in some studies, up to 97%. <i>Conclusions:</i> The selectively postoperative use of CUS may reduce the number of routinely performed CXR. However, if CUS findings are inconclusive, further radiological examinations are obligatory. |
first_indexed | 2024-03-10T01:55:20Z |
format | Article |
id | doaj.art-cb9a9ad64fa04ec39d42a5b3aef4450b |
institution | Directory Open Access Journal |
issn | 2379-1381 2379-139X |
language | English |
last_indexed | 2024-03-10T01:55:20Z |
publishDate | 2022-08-01 |
publisher | MDPI AG |
record_format | Article |
series | Tomography |
spelling | doaj.art-cb9a9ad64fa04ec39d42a5b3aef4450b2023-11-23T12:59:27ZengMDPI AGTomography2379-13812379-139X2022-08-01842083209210.3390/tomography8040175Can Chest Ultrasound Replace Chest X-ray in Thoracic Surgery?Konstantinos Grapatsas0Vasileios Leivaditis1Benjamin Ehle2Anastasia Papaporfyriou3Department of Thoracic Surgery, Klinikum Bielefeld, 33647 Bielefeld, GermanyDepartment of Cardiothoracic and Vascular Surgery, Westpfalz-Klinikum, 67655 Kaiserslautern, GermanyDepartment of Thoracic Surgery, Medical Center-University of Freiburg, Faculty of Medicine, 79098 Freiburg, GermanyDivision of Pulmonology, Department of Internal Medicine II, Medical University of Vienna, 1090 Vienna, Austria<i>Background:</i> There is growing evidence that supports the use of chest ultrasound (CUS) versus conventional chest X-ray (CXR) in order to diagnose postoperative complications. However, data regarding its use after thoracic surgery are scarce and contradictory. The aim of this study was to conduct a systematic review to evaluate the accuracy of CUS after thoracic surgery. <i>Methods:</i> An electronic search in MEDLINE (via PubMed), complemented by manual searches in article references, was conducted to identify eligible studies. <i>Results:</i> Six studies with a total of 789 patients were included in this meta-analysis. Performing CXR decreased in up to 61.6% of cases, with the main reasons for performing CXR being massive subcutaneous emphysema or complex hydrothorax. Agreement between CUS and routine-based therapeutic options was, in some studies, up to 97%. <i>Conclusions:</i> The selectively postoperative use of CUS may reduce the number of routinely performed CXR. However, if CUS findings are inconclusive, further radiological examinations are obligatory.https://www.mdpi.com/2379-139X/8/4/175chest XRchest ultrasoundpostoperative complications |
spellingShingle | Konstantinos Grapatsas Vasileios Leivaditis Benjamin Ehle Anastasia Papaporfyriou Can Chest Ultrasound Replace Chest X-ray in Thoracic Surgery? Tomography chest XR chest ultrasound postoperative complications |
title | Can Chest Ultrasound Replace Chest X-ray in Thoracic Surgery? |
title_full | Can Chest Ultrasound Replace Chest X-ray in Thoracic Surgery? |
title_fullStr | Can Chest Ultrasound Replace Chest X-ray in Thoracic Surgery? |
title_full_unstemmed | Can Chest Ultrasound Replace Chest X-ray in Thoracic Surgery? |
title_short | Can Chest Ultrasound Replace Chest X-ray in Thoracic Surgery? |
title_sort | can chest ultrasound replace chest x ray in thoracic surgery |
topic | chest XR chest ultrasound postoperative complications |
url | https://www.mdpi.com/2379-139X/8/4/175 |
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