The yield of chest X-ray or ultra-low-dose chest-CT in emergency department patients suspected of pulmonary infection without respiratory symptoms or signs - Takeaways - MDSpire

The yield of chest X-ray or ultra-low-dose chest-CT in emergency department patients suspected of pulmonary infection without respiratory symptoms or signs

  • By

  • Inge A. H. van den Berk

  • Emile H. Lejeune

  • Maadrika M. N. P. Kanglie

  • Tjitske S. R. van Engelen

  • Wouter de Monyé

  • Shandra Bipat

  • Patrick M. M. Bossuyt

  • Jaap Stoker

  • Jan M. Prins

  • April 28, 2023

  • 0 min

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  • 1

    Community-acquired pneumonia (CAP) can present without typical respiratory symptoms, complicating diagnosis.

  • 2

    Chest X-ray (CXR) is the standard initial imaging for pneumonia, but its diagnostic accuracy is limited compared to ultra-low-dose CT (ULDCT).

  • 3

    ULDCT has shown higher sensitivity and specificity for diagnosing pneumonia, significantly impacting clinical management.

  • 4

    The yield of pulmonary imaging in febrile patients without respiratory symptoms is low, with CXR yielding only 2-5% in such cases.

  • 5

    The OPTIMACT trial evaluated the effectiveness of ULDCT versus CXR in diagnosing pneumonia in patients without respiratory signs.

Original Source(s)

The yield of chest X-ray or ultra-low-dose chest-CT in emergency department patients suspected of pulmonary infection without respiratory symptoms or signs

  • by Inge A. H. van den Berk, Emile H. Lejeune, Maadrika M. N. P. Kanglie, Tjitske S. R. van Engelen, Wouter de Monyé, Shandra Bipat, Patrick M. M. Bossuyt, Jaap Stoker, Jan M. Prins

  • April 28, 2023

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