Investigation of a unilateral pleural effusion: What CT scan coverage is optimal?

被引：7

作者：

Syer, Tom ^{[1
]}

Arnold, David T. ^{[1
]}

Patole, Sonia ^{[2
]}

Harvey, John ^{[2
]}

Medford, Andrew ^{[2
]}

Maskell, Nicholas A. ^{[2
]}

Edey, Anthony ^{[1
,3
]}

机构：

[1] Univ Bristol, Acad Resp Unit, Bristol, Avon, England

[2] North Bristol NHS Trust, Resp, Bristol BS10 5NB, Avon, England

[3] North Bristol NHS Trust, Radiol, Bristol, Avon, England

来源：

THORAX | 2020年 / 75卷 / 06期

关键词：

pleural disease; lung cancer; imaging; CT MRI etc; mesothelioma;

D O I：

10.1136/thoraxjnl-2019-214309

中图分类号：

R56 [呼吸系及胸部疾病];

学科分类号：

摘要：

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.

引用

页码：503 / 505

页数：3

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