Investigation of a unilateral pleural effusion: What CT scan coverage is optimal?
imaging/CT MRI etc
lung cancer
mesothelioma
pleural disease
Journal
Thorax
ISSN: 1468-3296
Titre abrégé: Thorax
Pays: England
ID NLM: 0417353
Informations de publication
Date de publication:
06 2020
06 2020
Historique:
received:
08
11
2019
revised:
17
02
2020
accepted:
27
02
2020
pubmed:
29
3
2020
medline:
18
8
2020
entrez:
29
3
2020
Statut:
ppublish
Résumé
The use of thoracic CT for patients presenting with a unilateral pleural effusion is well established. However, there is no consensus with regard to the inclusion of the entire abdomen and pelvis in the initial imaging protocol. In this prospective UK-based study, 249 patients presenting with a unilateral effusion had a CT thorax/abdomen/pelvis performed. The prevalence of malignancy on thoracic CT was 56% (140/249). Clinically significant findings below the diaphragm were identified in 59 patients (24%). Integrating this approach into standard practice allows more rapid identification of the primary malignancy, upstaging lesions or alternative sites for biopsy.
Identifiants
pubmed: 32217781
pii: thoraxjnl-2019-214309
doi: 10.1136/thoraxjnl-2019-214309
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
503-505Subventions
Organisme : Department of Health
ID : DRF-2018-11-ST2-065
Pays : United Kingdom
Informations de copyright
© Author(s) (or their employer(s)) 2020. No commercial re-use. See rights and permissions. Published by BMJ.
Déclaration de conflit d'intérêts
Competing interests: None declared.