Agreement between chest ultrasonography and chest X-ray in patients who have undergone thoracic surgery: preliminary results

  • Andrea Smargiassi | smargiassi.a@gmail.com Respiratory Medicine, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy.
  • Riccardo Inchingolo Respiratory Medicine, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy.
  • Marco Chiappetta Thoracic Surgery, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy.
  • Leonardo Petracca Ciavarella Thoracic Surgery, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy.
  • Stefania Lopatriello Respiratory Medicine, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy.
  • Giuseppe Maria Corbo Respiratory Medicine, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome; Università Cattolica del Sacro Cuore, Rome, Italy.
  • Stefano Margaritora Thoracic Surgery, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome; Università Cattolica del Sacro Cuore, Rome, Italy.
  • Luca Richeldi Respiratory Medicine, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome; Università Cattolica del Sacro Cuore, Rome, Italy.

Abstract

Background: Chest Ultrasonography (chest US) has shown good sensibility in detecting pneumothorax, pleural effusions and peripheral consolidations and it can be performed bedside. Objectives: The aim of the study was to analyze agreement between chest US and chest X-ray in patients who have undergone thoracic surgery and discuss cases of discordance. Methods: Patients undergoing thoracic surgery were retrospectively selected. Patients underwent routinely Chest X-ray (CXR) during the first 48 h after surgery. Chest US have been routinely performed in all selected patients in the same date of CXR. Chest US operators were blind to both reports and images of CXR. Ultrasonographic findings regarding pneumothorax (PNX), subcutaneous emphysema (SCE), lung consolidations (LC), pleural effusions (PE) and hemi-diaphragm position were collected and compared to corresponding CXR findings. Inter-rater agreement between two techniques was determined by Cohen’s kappa-coefficient. Results: Twenty-four patients were selected. Inter-rater agreement showed a moderate magnitude for PNX (Cohen’s Kappa 0.5), a slight/fair magnitude for SCE (Cohen’s Kappa 0.21), a fair magnitude for PE (Cohen’s Kappa 0.39), no agreement for LCs (Cohen’s Kappa 0.06), high levels of agreement for position of hemi-diaphragm (Cohen’s Kappa 0.7). Conclusion: Analysis of agreement between chest X-ray and chest US showed that ultrasonography is able to detect important findings for surgeons. Limitations and advantages have been found for both chest X-ray and chest US. Knowing the limits of each one is important to really justify and optimize the use of ionizing radiations.

Dimensions

Altmetric

PlumX Metrics

Downloads

Download data is not yet available.
Published
2019-03-04
Info
Issue
Section
Original Research Articles
Keywords:
Chest ultrasound, Innovative biotechnologies, Thoracic surgery, Chest X-ray, Ultrasonography
Statistics
  • Abstract views: 573

  • PDF: 114
  • HTML: 13
How to Cite
Smargiassi, A., Inchingolo, R., Chiappetta, M., Petracca Ciavarella, L., Lopatriello, S., Corbo, G. M., Margaritora, S., & Richeldi, L. (2019). Agreement between chest ultrasonography and chest X-ray in patients who have undergone thoracic surgery: preliminary results. Multidisciplinary Respiratory Medicine, 14(1). https://doi.org/10.4081/mrm.2019.9