Supine cross-table lateral chest roentgenogram for the detection of pericardial effusion

Journal Article · Fri Jun 19 04:00:00 EDT 1987 · JAMA, J. Am. Med. Assoc.; (United States)

DOI:https://doi.org/10.1001/jama.1987.03390230102034· OSTI ID:6352140

Heinsimer, J A; Collins, G J; Burkman, M H; Roberts, L Jr; Chen, J T.T.

The authors performed a prospective, blinded, controlled study to test the hypothesis that supine cross-table lateral chest roentgenograms might have an advantage over conventional lateral chest roentgenograms for the detection of pericardial effusion using the pericardial fat stripe sign. In comparison with echocardiography as the gold standard, they found that supine cross-table lateral chest roentgenograms had greater sensitivity (51%) for pericardial effusions then conventional lateral chest roentgenograms (sensitivity, 31%). Specificity was essentially the same for both techniques. A large pericardial effusion was more readily detected by supine cross-table lateral chest roentgenograms (86%) than by the conventional lateral chest roentgenograms (36%). They conclude that a supine cross-table lateral chest roentgenogram should be included in the evaluation of patients with suspected pericardial effusion or in patients in whom a large cardiac silhouette is detected on a standard chest roentgenogram.

• Research Organization: Harper Hospital Detroit, MI
• OSTI ID: 6352140
• Journal Information: JAMA, J. Am. Med. Assoc.; (United States), Journal Name: JAMA, J. Am. Med. Assoc.; (United States) Vol. 257:23; ISSN JAMAA
• Country of Publication: United States
• Language: English

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550602* -- Medicine-- External Radiation in Diagnostics-- (1980-)
62 RADIOLOGY AND NUCLEAR MEDICINE
BIOMEDICAL RADIOGRAPHY
BODY
CARDIOVASCULAR DISEASES
CARDIOVASCULAR SYSTEM
DIAGNOSIS
DIAGNOSTIC TECHNIQUES
DISEASES
EVALUATION
HEART
IRRADIATION PROCEDURES
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MEMBRANES
NUCLEAR MEDICINE
ORGANS
PERICARDIUM
RADIOLOGY
SEROUS MEMBRANES