Diagnostic accuracy and added value of dynamic chest radiography in detecting pulmonary embolism: A retrospective study
Purpose: This study aimed to assess the diagnostic performance of dynamic chest radiography (DCR) and investigate its added value to chest radiography (CR) in detecting pulmonary embolism (PE). Methods: Of 775 patients who underwent CR and DCR in our hospital between June 2020 and August 2022, indiv...
Saved in:
| Main Authors: | , , , , , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2024-12-01
|
| Series: | European Journal of Radiology Open |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2352047724000571 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1846122143507546112 |
|---|---|
| author | Yuzo Yamasaki Kazuya Hosokawa Takeshi Kamitani Kohtaro Abe Koji Sagiyama Takuya Hino Megumi Ikeda Shunsuke Nishimura Hiroyuki Toyoda Shohei Moriyama Masateru Kawakubo Noritsugu Matsutani Hidetake Yabuuchi Kousei Ishigami |
| author_facet | Yuzo Yamasaki Kazuya Hosokawa Takeshi Kamitani Kohtaro Abe Koji Sagiyama Takuya Hino Megumi Ikeda Shunsuke Nishimura Hiroyuki Toyoda Shohei Moriyama Masateru Kawakubo Noritsugu Matsutani Hidetake Yabuuchi Kousei Ishigami |
| author_sort | Yuzo Yamasaki |
| collection | DOAJ |
| description | Purpose: This study aimed to assess the diagnostic performance of dynamic chest radiography (DCR) and investigate its added value to chest radiography (CR) in detecting pulmonary embolism (PE). Methods: Of 775 patients who underwent CR and DCR in our hospital between June 2020 and August 2022, individuals who also underwent contrast-enhanced CT (CECT) of the chest within 72 h were included in this study. PE or non-PE diagnosis was confirmed by CECT and the subsequent clinical course. The enrolled patients were randomized into two groups. Six observers, including two thoracic radiologists, two cardiologists, and two radiology residents, interpreted each chest radiograph with and without DCR using a crossover design with a washout period. Diagnostic performance was compared between CR with and without DCR in the standing and supine positions. Results: Sixty patients (15 PE, 45 non-PE) were retrospectively enrolled. The addition of DCR to CR significantly improved the sensitivity, specificity, accuracy, and area under the curve (AUC) in the standing (35.6–70.0 % [P < 0.0001], 84.8–93.3 % [P = 0.0010], 72.5–87.5 % [P < 0.0001], and 0.66–0.85 [P < 0.0001], respectively) and supine (33.3–65.6 % [P < 0.0001], 78.5–92.2 % [P < 0.0001], 67.2–85.6 % [P < 0.0001], and 0.62–0.80 [P = 0.0002], respectively) positions for PE detection. No significant differences were found between the AUC values of DCR with CR in the standing and supine positions (P = 0.11) or among radiologists, cardiologists, and radiology residents (P = 0.14–0.68). Conclusions: Incorporating DCR with CR demonstrated moderate sensitivity, high specificity, and high accuracy in detecting PE, all of which were significantly higher than those achieved with CR alone, regardless of scan position, observer expertise, or experience. |
| format | Article |
| id | doaj-art-dfae6b5570e44d50b9436a3b35cc96bb |
| institution | Kabale University |
| issn | 2352-0477 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | European Journal of Radiology Open |
| spelling | doaj-art-dfae6b5570e44d50b9436a3b35cc96bb2024-12-15T06:15:48ZengElsevierEuropean Journal of Radiology Open2352-04772024-12-0113100602Diagnostic accuracy and added value of dynamic chest radiography in detecting pulmonary embolism: A retrospective studyYuzo Yamasaki0Kazuya Hosokawa1Takeshi Kamitani2Kohtaro Abe3Koji Sagiyama4Takuya Hino5Megumi Ikeda6Shunsuke Nishimura7Hiroyuki Toyoda8Shohei Moriyama9Masateru Kawakubo10Noritsugu Matsutani11Hidetake Yabuuchi12Kousei Ishigami13Department of Clinical Radiology, Graduate School of Medical Sciences, Kyushu University, Japan; Correspondence to: Department of Clinical Radiology, Graduate School of Medical Sciences, Kyushu University, 3-1-1 Maidashi, Higashi-ku, Fukuoka 812-8582, Japan.Department of Cardiovascular Medicine, Graduate School of Medical Sciences, Kyushu University, JapanDepartment of Clinical Radiology, Graduate School of Medical Sciences, Kyushu University, JapanDepartment of Cardiovascular Medicine, Graduate School of Medical Sciences, Kyushu University, JapanDepartment of Clinical Radiology, Graduate School of Medical Sciences, Kyushu University, JapanDepartment of Clinical Radiology, Graduate School of Medical Sciences, Kyushu University, JapanDepartment of Hematology, Oncology & Cardiovascular Medicine, Graduate School of Medical Sciences, Kyushu University, JapanDepartment of Clinical Radiology, Graduate School of Medical Sciences, Kyushu University, JapanDepartment of Clinical Radiology, Graduate School of Medical Sciences, Kyushu University, JapanDepartment of Hematology, Oncology & Cardiovascular Medicine, Graduate School of Medical Sciences, Kyushu University, JapanDepartment of Health Sciences, Graduate School of Medical Sciences, Kyushu University, JapanHealthcare Business Headquarters, KONICA MINOLTA, INC., JapanDepartment of Health Sciences, Graduate School of Medical Sciences, Kyushu University, JapanDepartment of Clinical Radiology, Graduate School of Medical Sciences, Kyushu University, JapanPurpose: This study aimed to assess the diagnostic performance of dynamic chest radiography (DCR) and investigate its added value to chest radiography (CR) in detecting pulmonary embolism (PE). Methods: Of 775 patients who underwent CR and DCR in our hospital between June 2020 and August 2022, individuals who also underwent contrast-enhanced CT (CECT) of the chest within 72 h were included in this study. PE or non-PE diagnosis was confirmed by CECT and the subsequent clinical course. The enrolled patients were randomized into two groups. Six observers, including two thoracic radiologists, two cardiologists, and two radiology residents, interpreted each chest radiograph with and without DCR using a crossover design with a washout period. Diagnostic performance was compared between CR with and without DCR in the standing and supine positions. Results: Sixty patients (15 PE, 45 non-PE) were retrospectively enrolled. The addition of DCR to CR significantly improved the sensitivity, specificity, accuracy, and area under the curve (AUC) in the standing (35.6–70.0 % [P < 0.0001], 84.8–93.3 % [P = 0.0010], 72.5–87.5 % [P < 0.0001], and 0.66–0.85 [P < 0.0001], respectively) and supine (33.3–65.6 % [P < 0.0001], 78.5–92.2 % [P < 0.0001], 67.2–85.6 % [P < 0.0001], and 0.62–0.80 [P = 0.0002], respectively) positions for PE detection. No significant differences were found between the AUC values of DCR with CR in the standing and supine positions (P = 0.11) or among radiologists, cardiologists, and radiology residents (P = 0.14–0.68). Conclusions: Incorporating DCR with CR demonstrated moderate sensitivity, high specificity, and high accuracy in detecting PE, all of which were significantly higher than those achieved with CR alone, regardless of scan position, observer expertise, or experience.http://www.sciencedirect.com/science/article/pii/S2352047724000571Dynamic chest radiographyPulmonary embolismDiagnostic accuracyContrast-enhanced computed tomography |
| spellingShingle | Yuzo Yamasaki Kazuya Hosokawa Takeshi Kamitani Kohtaro Abe Koji Sagiyama Takuya Hino Megumi Ikeda Shunsuke Nishimura Hiroyuki Toyoda Shohei Moriyama Masateru Kawakubo Noritsugu Matsutani Hidetake Yabuuchi Kousei Ishigami Diagnostic accuracy and added value of dynamic chest radiography in detecting pulmonary embolism: A retrospective study European Journal of Radiology Open Dynamic chest radiography Pulmonary embolism Diagnostic accuracy Contrast-enhanced computed tomography |
| title | Diagnostic accuracy and added value of dynamic chest radiography in detecting pulmonary embolism: A retrospective study |
| title_full | Diagnostic accuracy and added value of dynamic chest radiography in detecting pulmonary embolism: A retrospective study |
| title_fullStr | Diagnostic accuracy and added value of dynamic chest radiography in detecting pulmonary embolism: A retrospective study |
| title_full_unstemmed | Diagnostic accuracy and added value of dynamic chest radiography in detecting pulmonary embolism: A retrospective study |
| title_short | Diagnostic accuracy and added value of dynamic chest radiography in detecting pulmonary embolism: A retrospective study |
| title_sort | diagnostic accuracy and added value of dynamic chest radiography in detecting pulmonary embolism a retrospective study |
| topic | Dynamic chest radiography Pulmonary embolism Diagnostic accuracy Contrast-enhanced computed tomography |
| url | http://www.sciencedirect.com/science/article/pii/S2352047724000571 |
| work_keys_str_mv | AT yuzoyamasaki diagnosticaccuracyandaddedvalueofdynamicchestradiographyindetectingpulmonaryembolismaretrospectivestudy AT kazuyahosokawa diagnosticaccuracyandaddedvalueofdynamicchestradiographyindetectingpulmonaryembolismaretrospectivestudy AT takeshikamitani diagnosticaccuracyandaddedvalueofdynamicchestradiographyindetectingpulmonaryembolismaretrospectivestudy AT kohtaroabe diagnosticaccuracyandaddedvalueofdynamicchestradiographyindetectingpulmonaryembolismaretrospectivestudy AT kojisagiyama diagnosticaccuracyandaddedvalueofdynamicchestradiographyindetectingpulmonaryembolismaretrospectivestudy AT takuyahino diagnosticaccuracyandaddedvalueofdynamicchestradiographyindetectingpulmonaryembolismaretrospectivestudy AT megumiikeda diagnosticaccuracyandaddedvalueofdynamicchestradiographyindetectingpulmonaryembolismaretrospectivestudy AT shunsukenishimura diagnosticaccuracyandaddedvalueofdynamicchestradiographyindetectingpulmonaryembolismaretrospectivestudy AT hiroyukitoyoda diagnosticaccuracyandaddedvalueofdynamicchestradiographyindetectingpulmonaryembolismaretrospectivestudy AT shoheimoriyama diagnosticaccuracyandaddedvalueofdynamicchestradiographyindetectingpulmonaryembolismaretrospectivestudy AT masaterukawakubo diagnosticaccuracyandaddedvalueofdynamicchestradiographyindetectingpulmonaryembolismaretrospectivestudy AT noritsugumatsutani diagnosticaccuracyandaddedvalueofdynamicchestradiographyindetectingpulmonaryembolismaretrospectivestudy AT hidetakeyabuuchi diagnosticaccuracyandaddedvalueofdynamicchestradiographyindetectingpulmonaryembolismaretrospectivestudy AT kouseiishigami diagnosticaccuracyandaddedvalueofdynamicchestradiographyindetectingpulmonaryembolismaretrospectivestudy |