Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Parietal pleural changes in empyema: appearances at CT.

R J Waite1, R J Carbonneau, J P Balikian

  • 1Department of Radiology, University of Massachusetts Medical Center, Worcester 01655.

Radiology
|April 1, 1990
PubMed
Summary
This summary is machine-generated.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Canadian Surgery Forum 2018: St. John's, NL Sept. 13-15, 2018.

Canadian journal of surgery. Journal canadien de chirurgie·2022
Same author

Minimally invasive surgery in the COVID-19 pandemic: An early single centre experience.

The British journal of surgery·2020
Same author

Gastroscope guidewire volvulus tube decompression.

Techniques in coloproctology·2019
Same author

Cholesterol embolization to the coronary arteries resulting in acute myocardial infarction: A complication of coronary artery bypass grafting surgery.

Cardiovascular pathology : the official journal of the Society for Cardiovascular Pathology·2015
Same author

Consensus guidelines from The American Society of Peritoneal Surface Malignancies on standardizing the delivery of hyperthermic intraperitoneal chemotherapy (HIPEC) in colorectal cancer patients in the United States.

Annals of surgical oncology·2013
Same author

Immunoglobulin subclass determines ability of immunoglobulin (Ig)G to capture and activate neutrophils presented as normal human IgG or disease-associated anti-neutrophil cytoplasm antibody (ANCA)-IgG.

Clinical and experimental immunology·2011

Computed tomography (CT) effectively detects parietal pleura changes in thoracic empyema. These CT findings, including pleural enhancement and thickening, help identify infections and guide treatment decisions.

Area of Science:

  • Radiology
  • Thoracic Imaging
  • Medical Diagnostics

Background:

  • Pleural effusions are common and can be challenging to diagnose.
  • Differentiating between empyema, malignant effusion, and transudatory effusion is crucial for patient management.
  • Computed tomography (CT) is a key imaging modality for evaluating pleural abnormalities.

Purpose of the Study:

  • To evaluate the sensitivity of contrast-enhanced CT in detecting chest wall changes associated with thoracic empyema.
  • To compare CT findings in patients with empyema, malignant effusion, and transudatory effusion.
  • To determine if CT findings can aid in diagnosing occult pleural space infections and influencing therapeutic decisions.

Main Methods:

  • Retrospective analysis of computed tomography (CT) scans.

Related Experiment Videos

  • Inclusion of 35 patients with thoracic empyema, 30 with malignant effusion, and 20 with transudatory effusion.
  • Detailed assessment of parietal pleura and adjacent chest wall structures, including enhancement, thickening, and fat attenuation, particularly after contrast administration.

    • Main Results:

    • Parietal pleural enhancement was observed in 96% of empyema patients undergoing contrast-enhanced CT.
    • Significant thickening of the parietal pleura (86%), extrapleural subcostal tissues (60%), and increased extrapleural fat attenuation (35%) were noted in empyema.
    • None of the transudatory effusion patients exhibited these changes; 27% of malignant effusion patients showed similar changes, often with superimposed complications.

    Conclusions:

    • Contrast-enhanced CT is highly sensitive for detecting chest wall abnormalities in thoracic empyema.
    • CT evaluation of the parietal pleura can suggest occult pleural space infections.
    • These findings may significantly influence therapeutic strategies based on empyema staging.