Lateral decubitus chest radiography or chest ultrasound to predict pleural adhesions before medical thoracoscopy: a prospective study | Zendy

K. Thiam | Zendy; Julien Guinde | Zendy; Sophie Laroumagne | Zendy; Valérian Bourinet | Zendy; Julie Berbis | Zendy; Nafissatou Omar TOURE | Zendy; Hervé Dutau | Zendy; Philippe Astoul | Zendy

Open Access

Lateral decubitus chest radiography or chest ultrasound to predict pleural adhesions before medical thoracoscopy: a prospective study

Author(s) -

K. Thiam,

Julien Guinde,

Sophie Laroumagne,

Valérian Bourinet,

Julie Berbis,

Nafissatou Omar TOURE,

Hervé Dutau,

Philippe Astoul

Publication year - 2019

Publication title -

journal of thoracic disease

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 0.682

H-Index - 60

eISSN - 2077-6624

pISSN - 2072-1439

DOI - 10.21037/jtd.2019.09.54

Subject(s) - medicine , thoracoscopy , radiology , pleural effusion , pleural cavity , gold standard (test) , pneumothorax , radiography , ultrasound , diagnostic accuracy , pleural disease , surgery , lung , respiratory disease

Medical thoracoscopy (MT) is the gold-standard to investigate unexplained pleural exudates. However, the major prerequisite is an easy pleural access obtained by creating an artificial pneumothorax at the beginning of the procedure which can be a challenge in case of pleural adhesions and make the procedure unsafe. The detection of pleural adhesions prior to MT is necessary. Nowadays chest ultrasonography (CUS) is considered the best procedure to detect pleural adhesions. However, this technique is not available in all countries where the assessment of the pleural cavity is only based on chest radiography. Therefore, we conducted this study to compare the performance of lateral decubitus chest radiography (LDCR) and CUS to predict pleural adhesions.

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