Search Our Scientific Publications & Authors

PLoS One 2019 14;14(2):e0210891. Epub 2019 Feb 14.

University Hospital Geelong, Geelong, Victoria, Australia.

Background: This study evaluated the feasibility of achieving high response rates in stage II or III breast cancer by tailoring neoadjuvant therapy using clinical and histopathological features and the Oncotype DX Breast Recurrence Score. Genomic determinants of response and resistance were also explored.

Patients And Outcome Measures: Fifty-one patients were enrolled. Read More

J Thorac Dis 2018 Dec;10(12):6950-6959

Department of Pulmonary Medicine, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA.

Background: Despite advances in bronchoscopy, its diagnostic yield for peripheral lung lesions continues to be suboptimal. Cone beam computed tomography (CBCT) could be utilized to corroborate the accuracy of our bronchoscopic navigation and hopefully increase its diagnostic yield. However, data on radiation exposure and feasibility of CBCT-guided bronchoscopy is scarce. Read More

Case Rep Emerg Med 2018 19;2018:4328704. Epub 2018 Dec 19.

General Physician, Pontifical Xavierian University, Bogotá, Colombia.

Pneumothorax is the entry of air into the virtual space between the visceral and the parietal pleurae, which can occur spontaneously or to a greater extent in a traumatic way. In daily clinical practice it is frequent to find injuries that generate traumatic pneumothorax that is ipsilateral to the lesion. However, there are case reports of contralateral pneumothorax that occurred in procedures such as insertion of pacemakers, or in cases of pneumonectomy. Read More

Respir Med Case Rep 2019 10;26:189-192. Epub 2019 Jan 10.

Department of Interventional Radiology, University Hospital Limerick, Dooradoyle, Co.Limerick, Ireland.

A 20 year old female, 14 days post partum, presented to the Emergency Department in severe respiratory distress. Imaging of her chest revealed a left tension hydropneumothorax with significant mediastinal displacement. A chest drain was inserted and over 4L of cloudy-brown malodourous fluid was drained. Read More

Respir Res 2019 Jan 31;20(1):23. Epub 2019 Jan 31.

Division of Thoracic Imaging and Intervention, Department of Radiology, Massachusetts General Hospital, 55 Fruit St, Boston, MA, 02114, USA.

Background: To determine the clinical role, safety, and diagnostic accuracy of percutaneous transthoracic needle biopsy in the evaluation of pulmonary consolidation.

Methods: A retrospective review of all computed tomography (CT)-guided percutaneous transthoracic needle biopsies (PTNB) at a tertiary care hospital over a 4-year period was performed to identify all cases of PTNB performed for pulmonary consolidation. For each case, CT Chest images were reviewed by two thoracic radiologists. Read More

AJR Am J Roentgenol 2019 Jan 23:1-7. Epub 2019 Jan 23.

2 Department of Pulmonary and Critical Care Medicine, University of Ulsan College of Medicine, Asan Medical Center, Seoul, Republic of Korea.

Objective: The purposes of this study were to identify diagnostic imaging markers for differentiating pulmonary cysts in lymphangioleiomyomatosis and Birt-Hogg-Dubé syndrome and to identify potential risk factors for spontaneous pneumothorax in the two diseases.

Materials And Methods: This retrospective study included 44 patients with lymphangioleiomyomatosis (44 women; mean age, 35 ± 10.9 years) and 13 patients with Birt-Hogg-Dubé syndrome (nine men, four women; mean age, 45. Read More

Korean J Radiol 2019 Feb;20(2):323-331

Medical Research Collaborating Center, Seoul National University Hospital, Seoul, Korea.

Objective: To analyze the complications of percutaneous transthoracic needle biopsy using CT-based imaging modalities for needle guidance in comparison with fluoroscopy in a large retrospective cohort.

Materials And Methods: This study was approved by multiple Institutional Review Boards and the requirement for informed consent was waived. We retrospectively included 10568 biopsies from eight referral hospitals from 2010 through 2014. Read More

Turk Thorac J 2019 Jan 1;20(1):25-29. Epub 2019 Jan 1.

Clinic of Emergency, Edirne I. Sultan Murat State Hospital, Edirne, Turkey.

Objectives: The aim of this study was to determine the demographic and clinical characteristics of patients who underwent tube thoracostomy in the emergency department (ED). The secondary aim of the study was to evaluate parameters such as the diagnosis for which the patients underwent tube thoracostomy, the imaging techniques used during diagnosis, and complications related to the procedure.

Materials And Methods: This prospective study was conducted in the ED between June 1, 2015 and May 31, 2016. Read More

Can Assoc Radiol J 2019 Jan 8. Epub 2019 Jan 8.

Department of Medical Imaging, University of Montreal, CIUSSS du Nord-de-l'île-de-Montréal, Montréal, Québec, Canada. Electronic address:

When faced with characterization of a suspicious lung lesion, transthoracic needle biopsy (TTNB) is the standard technique used to retrieve a pathological specimen. Usual complications reported for this intervention are pneumothorax, hemorrhage, air embolism, and tumor seeding. This pictorial essay illustrates imaging of these complications. Read More

IEEE Trans Biomed Eng 2019 Jan 9. Epub 2019 Jan 9.

Deep learning has recently been applied to electrical impedance tomography (EIT) imaging. Nevertheless, there are still many challenges that this approach has to face, e.g. Read More

J Trauma Acute Care Surg 2019 Jan 8. Epub 2019 Jan 8.

Division of Trauma, Critical Care, and Acute Care Surgery, Department of Surgery, Medical College of Wisconsin, Milwaukee, WI.

Introduction: As more pneumothoraxes (PTX) are being identified on chest computed tomography (CT), the empiric trigger for tube thoracostomy (TT) versus observation remains unclear. We hypothesized that PTX measuring ≤35 mm on chest CT can be safely observed in both penetrating and blunt trauma mechanisms.

Methods: A retrospective review was conducted of all patients diagnosed with PTX by chest CT between January 2011 and December 2016. Read More

Prehosp Emerg Care 2019 Jan 9:1-9. Epub 2019 Jan 9.

Objective: Needle thoracostomy is a life-saving procedure. Advanced Trauma Life Support guidelines recommend insertion of a 5 cm, 14-gauge needle for pneumothorax decompression. High-risk complications can arise if utilizing an inappropriate needle size. Read More

Expert Rev Respir Med 2019 Feb 10;13(2):163-172. Epub 2019 Jan 10.

d Department of Information Engineering and Computer Science , University of Trento , Trento , Italy.

Introduction: Thoracic ultrasound is employed for the diagnosis of many thoracic diseases and is an accepted detection tool of pleural effusions, atelectasis, pneumothorax, and pneumonia. However, the use of ultrasound for the evaluation of parenchymal lung disease, when the organ is still aerated, is a relatively new application. Areas covered: The diagnosis of a normal lung and the differentiation between a normally aerated lung and a lung with interstitial pathology is based on the interpretation of ultrasound artifacts universally known as A and B-Lines. Read More

Lung India 2019 Jan-Feb;36(1):48-59

Department of Pulmonary Medicine, Christian Medical College, Vellore, India.

Background: Bronchoscopic lung cryobiopsy (BLC) is a novel technique for obtaining lung tissue for the diagnosis of diffuse parenchymal lung diseases. The procedure is performed using several different variations of technique, resulting in an inconsistent diagnostic yield and a variable risk of complications. There is an unmet need for standardization of the technical aspects of BLC. Read More

PLoS One 2018 21;13(12):e0209770. Epub 2018 Dec 21.

Department of Medical Imaging, University Health Network, Toronto General Hospital, Canada.

Objective: Pneumothorax development can cause precipitous deterioration in ICU patients, therefore quick and accurate detection is vital. Portable chest radiography is commonly performed to exclude pneumothoraces but is hampered by supine patient position and overlying internal and external material. Also, the initial evaluation of the chest radiograph may be performed by a relatively inexperienced physician. Read More

Intern Med 2018 Dec 18. Epub 2018 Dec 18.

Department of Respiratory Medicine, Fukuoka University Hospital, Japan.

A 64-year-old man who presented with repeated bouts of pneumothorax was admitted to our hospital because of gradually progressive dyspnea and repeated episodes of a fever. The physiological, radiological and pathological findings were consistent with pleuroparenchymal fibroelastosis (PPFE). In addition, the serum-specific precipitating antibody for Aspergillus was positive. Read More

Medicine (Baltimore) 2018 Dec;97(50):e13661

Department of Oncology, The Affiliated Suzhou Hospital of Nanjing Medical University, Suzhou, Jiangsu, PR China.

Central venous catheter (CVC) insertion is difficult to perform and is a high-risk operation; ultrasound (US)-guided cannulation helps increase the odds of success while reducing the associated complications. The internal jugular vein (IJV) and subclavian vein (SCV) are the most commonly sites in US-guided CVC insertion. In the present study, we evaluated the safety and efficacy of US-guided supraclavicular right brachiocephalic vein (BCV) cannulations in adult patients. Read More

Cochrane Database Syst Rev 2018 12 12;12:CD012669. Epub 2018 Dec 12.

Centre for Clinical Research, Department of Trauma and Orthopaedic Surgery, Unfallkrankenhaus Berlin, Berlin, Germany, 12683.

Background: Point-of-care sonography (POCS) has emerged as the screening modality of choice for suspected body trauma in many emergency departments worldwide. Its best known application is FAST (focused abdominal sonography for trauma). The technology is almost ubiquitously available, can be performed during resuscitation, and does not expose patients or staff to radiation. Read More

Medicine (Baltimore) 2018 Dec;97(49):e13532

Department of Internal Medicine, Chonnam National University Medical School.

Rationale: Radiofrequency ablation (RFA) is a safe and effective local treatment modality with a low complication rate and is commonly used to treat hepatocellular carcinoma (HCC). The clinical outcome of RFA may be closely related to the location, size, and shape of index tumors, and major complications, including hemorrhage, liver abscess, infarction, visceral organ perforation, hemothorax, pneumothorax, tumoral seeding, and hepatic failure. Cardiac tamponade is a rare and serious life-threatening complication associated with RFA. Read More

Arch Bronconeumol 2018 Dec 4. Epub 2018 Dec 4.

Hospital de Base, Faculdade de Medicina de São José do Rio Preto, São Paulo, Brazil.

Objective: To assess the impact of patient-, lesion- and procedure-related factors on the risks of complications and final diagnosis of malignancy in PCNB of mediastinal and lung lesions.

Material And Methods: We studied a large single-center cohort of 235 consecutive patients (66.8% men; 58. Read More

J Thorac Dis 2018 Oct;10(10):5695-5701

Department of Anesthesiology and Intensive Care, 1 Faculty of Medicine, Charles University and General University Hospital in Prague, Prague, Czech Republic.

Background: Chest drain (CD) migration in the pleural cavity may result in inadequate drainage of pneumothorax. The aim of this study was to assess several parameters that might help in diagnosing CD migration on chest X-ray (CXR).

Methods: Patients with a CD inserted from the safe triangle with a subsequent supine CXR and CT scan performed less than 24 hours apart were assessed for CD foreshortening, angle of inclination of the CD, and CD tortuosity. Read More

Medicine (Baltimore) 2018 Nov;97(48):e13366

Department of Radiology, Soonchunhyang University College of Medicine, Bucheon Hospital, Bucheon, Republic of Korea.

Rationale: Langerhans' cell histiocytosis (LCH), also called histiocytosis X, is an uncommon disorder manifesting in a variety of ways. Although LCH can involve various organs including bone, skin, and lymph nodes, multisystem involvement of LCH is rare in adults.

Patient Concerns: A 31-year-old woman first presented to our hospital with left leg pain. Read More

Tuberk Toraks 2018 Sep;66(3):205-211

Clinic of Chest Diseases, Istanbul Yedikule Chest Diseases and Chest Surgery Training and Research Hospital, Istanbul, Turkey.

Introduction: Pulmonary Langerhans Cell Histiocytosis (PLCH) is a rare disease affecting young smokers. It is more common between the ages of 20-40 and equals the male/female ratio. Lung biopsy is the most useful methods for diagnosis. Read More

PLoS Med 2018 Nov 20;15(11):e1002697. Epub 2018 Nov 20.

Department of Radiology and Biomedical Imaging, University of California, San Francisco, San Francisco, California, United States of America.

Background: Pneumothorax can precipitate a life-threatening emergency due to lung collapse and respiratory or circulatory distress. Pneumothorax is typically detected on chest X-ray; however, treatment is reliant on timely review of radiographs. Since current imaging volumes may result in long worklists of radiographs awaiting review, an automated method of prioritizing X-rays with pneumothorax may reduce time to treatment. Read More

Expert Rev Respir Med 2018 Nov 20:1-6. Epub 2018 Nov 20.

a Thoracic surgery department, Paris center hospitals , University Paris Descartes, APHP , Paris , France.

Introduction: Catamenial pneumothorax (CP) is defined as a recurrent spontaneous pneumothorax occurring in females of reproductive age. In the 'perimenstrual period,' it is still considered relatively rare although accounting for 20-35% of spontaneous pneumothoraces occurring in premenopausal women. It is the most frequent manifestation of thoracic endometriosis, which can also cause pneumothorax during the intermenstrual period (TER non-CP). Read More

Zhongguo Fei Ai Za Zhi 2018 Nov;21(11):857-863

Department of Thoracic Surgery, Beijing Aerospace General Hospital, Beijing 100076, China.

Background: Localization of multiple small lung nodules is the technical difficulty of minimally invasive operation resection. However, there are few clinical studies on the preoperative localization of multiple small lung nodules. This study was designed to evaluate the clinical value of preoperative computed tomography (CT) guided microcoil localization for multiple small lung nodules compared with single small lung nodule before video-assisted thoracoscopic surgery (VATS). Read More

Curr Probl Diagn Radiol 2018 Oct 29. Epub 2018 Oct 29.

Department of Radiology and Department of Surgery, JPN Apex trauma Center, All India Institute of Medical Sciences, New Delhi, India.

Airway Injuries are rare but often immediately life threatening. Incidence ranges from 0.5-2 % in blunt and 1-6 % in penetrating trauma. Read More

Minim Invasive Ther Allied Technol 2018 Nov 15:1-10. Epub 2018 Nov 15.

a School of Engineering , University College Cork , Cork , Ireland.

Objectives: The goal was to demonstrate the utility of open-source tracking and visualisation tools in the targeting of lung cancer.

Material And Methods: The study demonstrates the first deployment of the Anser electromagnetic (EM) tracking system with the CustusX image-guided interventional research platform to navigate using an endobronchial catheter to injected tumour targets. Live animal investigations validated the deployment and targeting of peripheral tumour models using an innovative tumour marking routine. Read More

Respiration 2018 Nov 14:1-5. Epub 2018 Nov 14.

Department of Respiratory Medicine, Amsterdam University Medical Centers, Amsterdam, The

Background: Transbronchial cryobiopsy (TBCB) of the lung parenchyma is a minimally invasive alternative for surgical lung biopsy in interstitial lung disease (ILD) patients. Drawbacks are the nondiagnostic rate and complication risk of pneumothorax and bleeding. Fluoroscopy is the current guidance tool for TBCB, which is limited by 2D imaging and a radiation dose for the patient. Read More

BMJ Case Rep 2018 Nov 8;2018. Epub 2018 Nov 8.

Pediatrics, All India Institute of Medical Sciences, New Delhi, India.

Lymphangioleiomyomatosis (LAM) either sporadic or a part of tuberous sclerosis complex is rare in paediatric age group. Here, we report a case of LAM with tuberous sclerosis in an infant. She was referred to our institute at the age of 4 months as a case of recurrent bilateral pneumothorax requiring intercostal tube drainage. Read More

Int J Surg Case Rep 2018 25;53:154-156. Epub 2018 Oct 25.

College of Medicine, James Cook University, Townsville, Queensland, Australia; Surgical Division, Mackay Base Hospital, Mackay, Queensland, Australia.

Introduction: Acquired diaphragmatic hernias are most commonly associated with traumatic thoracic injury and rarely heal spontaneously. Conditions that promote peritoneal seeding, such as endometriosis, are associated with spontaneous acquired diaphragmatic hernia formation. Non-traumatic acquired diaphragmatic herniation has previously been described in the context of catamenial pneumothorax, however post-menopausal endometriotic diaphragmatic herniation has not been previously reported. Read More

Am J Emerg Med 2019 Feb 26;37(2):377.e1-377.e3. Epub 2018 Oct 26.

Department of Emergency Medicine, Rowan University SOM/Jefferson Health, Stratford, NJ, USA.

Thoracic ultrasound has become an increasingly valuable tool in the evaluation of critically ill patients in the emergency department (ED). The utility of point-of-care ultrasound (POCUS) to identify suspected pneumothorax, pulmonary edema, pleural effusion and pneumonia has been well established (Pagano et al.; Brogi et al. Read More

Nurs Child Young People 2018 11 26;30(6):30-37. Epub 2018 Oct 26.

Torbay Hospital, Torquay, England.

Chest X-ray (CXR) is one of the most common radiological investigations undertaken in practice with children. CXRs are requested for a number of suspected diagnoses, including pneumonia, pneumothorax and foreign body aspiration or ingestion. They may also be requested as part of a skeletal survey or to confirm the position of central and umbilical lines, as well as nasogastric tubes. Read More

Lung 2019 Feb 29;197(1):101-103. Epub 2018 Oct 29.

Pôle des Voies Respiratoires, Hôpital Larrey, CHU de Toulouse, 31059, Toulouse Cedex 09, France.

We report a case of thoracic air-leak syndrome, an extremely rare complication developed after an episode of organizing pneumonia due to graft-vs-host disease in a 19-year-old male. This unusual non-infectious pulmonary complication occurred 527 days after allogeneic HSCT and led to the patient's death within 1 month due to cardio-respiratory failure. Herein, we highlight chest-imaging aspects which are typical. Read More

BMJ Case Rep 2018 Oct 25;2018. Epub 2018 Oct 25.

Department of Cardiology, Mid Yorkshire Hospitals NHS Trust, Wakefield, West Yorkshire, UK.

Permanent pacemaker (PPM) implantation is an increasingly common procedure with complication rate estimated between 3% and 6%. Cardiac perforation by pacemaker lead(s) is rare, but a previous study has shown that it is probably an underdiagnosed complication. We are presenting a case of a patient who presented 5 days after PPM insertion with new-onset pleuritic chest pain. Read More

Respir Med Case Rep 2018 12;25:274-279. Epub 2018 Oct 12.

DIM, Interdisciplinary Department of Medicine, Section of Diagnostic Imaging, Aldo Moro University of Bari Medical School, Piazza Giulio Cesare 11, 70124, Bari (BA), Italy.

Congenital pulmonary airway malformations (CPAMs) are a heterogeneous group of hamartomatous cystic and noncystic lung lesions that result from early airway maldevelopment. Usually they are distinguished according to Stocker's classification in type 0, 1, 2, 3 and 4. We present the case of a 2 weeks old baby who was admitted to hospital with RDS symptoms and left pleural effusion: X rays and CT were suggestive for a pulmonary cystic lesion with pleural complications. Read More

J Vasc Access 2018 Oct 25:1129729818806121. Epub 2018 Oct 25.

5 Multidisciplinary Intensive Care Unit, Department of Anesthesia and Critical Care Medicine, Pitie-Salpetriere Hospital, Assistance Publique Hopitaux de Paris, School of Medicine, University Pierre and Marie Curie (UPMC), Paris, France.

Background:: In patients with end-stage renal disease, the use of cuffed, tunneled dialysis catheters for hemodialysis has become integral to treatment plans. Fluoroscopy is a widely accepted method for the insertion and positioning of cuffed dialysis catheters, because it is easy to use, accurate and reliable, and has a relatively low incidence of complications. The purpose of our study was to evaluate the feasibility of tunneled hemodialysis catheter placement without the use of fluoroscopy but with a dynamic ultrasound-imaging-based guided technique. Read More

Zhonghua Jie He He Hu Xi Za Zhi 2018 Oct;41(10):793-798

Department of Pulmonary Medicine, Beijing Tiantan Hospital, Capital Medical University, Beijing 100050, China.

To expolre the indications, safety, advantages and disadvantages of performing artificial pneumothorax prior to medical thoracoscopy. Data of 152 patients undergoing medical thoracoscopy for pleural diseases in the Beijing Tiantan Hospital Affiliated to Capital Medical University from April 2007 to September 2014 were studied through retrospective analysis. According to the performance of artificial pneumothorax prior to medical thoracoscopy, the pleural space adhesions and the pleural effusions, patients were grouped into artificial pneumothorax group (107 cases) and non-artificial pneumothorax group (45 cases), adhesion group (102 cases) and non-adhesion group (50 cases), and few or no pleural effusion group (94 cases) and massive pleural effusion group (58 cases), respectively. Read More

J Surg Oncol 2018 Dec 17;118(7):1188-1193. Epub 2018 Oct 17.

Department of Thoracic Surgery, Shanghai Pulmonary Hospital, Tongji University School of Medicine, Shanghai, China.

Background: The localization of multiple pulmonary nodules is challenging due to a high incidence of pneumothorax after each needle insertion into lung parenchyma. The aim of the current study is to verify the safety and effectiveness of a modified technique utilizing simultaneous Hookwire placement to localize multiple lesions.

Methods: The proposed method comprises a row of metal wires, perpendicular insertion, simultaneous release of Hookwire, and a lateral position to modify a conventional localizing technique. Read More

Int J Clin Oncol 2018 Oct 17. Epub 2018 Oct 17.

Department of Gastroenterological Surgery, Graduate School of Medical Sciences, Kumamoto University, 1-1-1 Honjo, Kumamoto, 860-8556, Japan.

Background: Radiofrequency ablation (RFA) can be a minimally invasive therapeutic option in patients with lung metastasis from colorectal caner. We aimed to elucidate the safety and survival benefit of computed tomography (CT)-guided percutaneous RFA for lung metastasis from colorectal cancer.

Methods: A total 188 lesions were ablated in 43 patients from 2005 to 2017. Read More

Int J Environ Res Public Health 2018 10 12;15(10). Epub 2018 Oct 12.

Mahidol Oxford Tropical Medicine Research Unit, Bangkok 10400, Thailand.

: Chest ultrasound (CUS) has been shown to be a sensitive and specific imaging modality for pneumothorax, pneumonia, and pleural effusions. However, the role of chest ultrasound in the diagnosis of thoracic tuberculosis (TB) is uncertain. We performed a systematic search in the medical literature to better define the potential role and value of chest ultrasound in diagnosing thoracic tuberculosis. Read More

Can Assoc Radiol J 2018 Nov 8;69(4):489-492. Epub 2018 Oct 8.

Department of Medical Imaging, Schulich School of Medicine & Dentistry, Western University, London, Ontario, Canada; Department of Radiology, St. Joseph Health Centre, London, Ontario, Canada.

Purpose: To determine if saline tract injection and rapid patient rollover following computed tomography (CT)-guided transthoracic needle biopsy (TTNB) affects pneumothorax incidence and size.

Methods: A retrospective cohort design was used to compare 278 patients who underwent post-biopsy saline injection and rapid rollover so that the biopsy site was dependent (N = 180) to a control group with routine post-biopsy care (N = 98). Post-procedure radiographs and CT were assessed for presence and size of pneumothorax, as well as requirement for chest tube placement. Read More

Vet Surg 2018 Nov 10;47(8):1046-1051. Epub 2018 Oct 10.

Dick White Referrals, Six Mile Bottom, Newmarket, United Kingdom.

Objective: To describe and compare fluoroscopic guidance for placement of wide-bore thoracostomy tubes (FGTT) to traditional, blind placement of thoracostomy tubes (BPTT).

Study Design: Prospective clinical trial.

Animals: Twenty client-owned dogs. Read More

World J Urol 2018 Oct 9. Epub 2018 Oct 9.

Department of Urology, The Ohio State University Wexner Medical Center, 915 Olentangy River Road, Columbus, OH, 43212, USA.

Introduction And Objective: Supracostal access in percutaneous nephrolithotomy (PCNL) may be avoided due to concern for thoracic complications. The objective of the study is to report the safety and efficacy of supracostal access utilizing a tubeless (stent only) PCNL technique.

Patients And Methods: Retrospective review of perioperative outcomes of 70 patients (76 renal units) who underwent a supracostal tubeless PCNL. Read More

J Vet Emerg Crit Care (San Antonio) 2018 Nov 9;28(6):591-595. Epub 2018 Oct 9.

Department of Diagnostic Imaging, University of Glasgow Veterinary School, Glasgow, Scotland.

Objective: To describe the nonsurgical management of a cat with traumatic pneumoperitoneum.

Case Series Summary: A 4-year-old cat was presented following vehicular polytrauma. Thoracic radiographs revealed 4 rib fractures, a scapular fracture, and pneumothorax. Read More

Am J Emerg Med 2018 Aug 3. Epub 2018 Aug 3.

University of Health Sciences Antalya Education and Research Hospital, Department of Emergency Medicine, Antalya, Turkey.

Objective: In this study, the accuracy of bedside thoracic ultrasonography (TUSG) performed by emergency physicians with patients in the supine position was compared with that of thoracic computed tomography (TCT) for the determination of thoracic injuries due to trauma.

Methods: Patients who suffered the multiple traumas, whose thoracic trauma was identified on physical examination or TCT imaging were included in the study. TUSG was performed following a physical examination by the emergency physician who managed the trauma patient. Read More

Ann Emerg Med 2019 Jan 2;73(1):58-65. Epub 2018 Oct 2.

Department of Emergency Medicine, Massachusetts General Hospital/Harvard Medical School, Boston, MA.

Study Objective: Although traditional teachings in regard to pneumothorax and hemothorax generally recommend chest tube placement and hospital admission, the increasing use of chest computed tomography (CT) in blunt trauma evaluation may detect more minor pneumothorax and hemothorax that might indicate a need to modify these traditional practices. We determine the incidence of pneumothorax and hemothorax observed on CT only and the incidence of isolated pneumothorax and hemothorax (pneumothorax and hemothorax occurring without other thoracic injuries), and describe the clinical implications of these injuries.

Methods: This was a planned secondary analysis of 2 prospective, observational studies of adult patients with blunt trauma, NEXUS Chest (January 2009 to December 2012) and NEXUS Chest CT (August 2011 to May 2014), set in 10 Level I US trauma centers. Read More

J Am Coll Radiol 2019 Jan 25;16(1):45-49. Epub 2018 Sep 25.

Department of Radiology, Michigan Medicine, Ann Arbor, Michigan; Michigan Radiology Quality Collaborative, Ann Arbor, Michigan.

Purpose: To determine whether routine postprocedure chest radiography is indicated to exclude pneumothorax after outpatient right heart catheterization with or without endomyocardial biopsy.

Methods: This HIPAA-compliant retrospective quality improvement cohort study was approved by the institutional review board. All outpatients from January 1, 2010, to July 1, 2017, who underwent routine postprocedure chest radiography after right heart catheterization with or without endomyocardial biopsy formed the study population (n = 6,036). Read More

J Bronchology Interv Pulmonol 2018 10;25(4):e45-e46

Department of Pulmonary Medicine PGIMER, Chandigarh, India.

Neuroradiol J 2018 Dec 21;31(6):572-577. Epub 2018 Sep 21.

1 Department of Radiology, Thomas Jefferson University Hospital, USA.

Providing a fast and accurate diagnosis of acute large-vessel occlusion on computed tomography angiograms (CTAs) is essential for timely intervention and good stroke outcomes. However, the detection and appropriate management of incidental findings are also important parts of any clinical radiology practice and can greatly affect patient care. The intricate anatomy covered by CTAs of the head and neck coupled with the time pressures of acute stroke diagnosis creates an environment in which unrelated, important findings can potentially be missed. Read More