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Related Concept Videos

Radiological Investigation I: X-ray and CT01:30

Radiological Investigation I: X-ray and CT

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Radiological investigations, including X-rays and computed tomography (CT) scans, are critical for diagnosing and evaluating various medical conditions. These imaging techniques provide valuable insights into the body's internal structures, aiding in the detection of abnormalities, assessment of disease progression, and development of treatment strategies. This article delves into two primary radiological investigations, chest X-rays and CT scans, outlining their purpose, procedures, and...
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Imaging Studies for Cardiovascular System III: X-Ray01:20

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The most common cardiovascular diagnostic test is an X-ray. It produces images of the heart, blood vessels, and adjacent structures.
Definition and Purpose
An X-ray, or radiograph, is a non-invasive method that uses ionizing radiation to take images of internal structures. It is mainly used in cardiac imaging to examine the heart, lungs, and major blood vessels, aiming to identify abnormalities in the heart's size, shape, and position, such as heart failure, congenital defects, and vascular...
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Assessment of Respiration01:23

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The respiratory system's basic structures and primary functions lay the foundation for nurses' comprehensive respiratory assessments. This assessment includes subjective and objective data to gauge the patient's respiratory health.
Subjective Assessment: Nurses interview the patient to gather information directly during the subjective assessment. It includes questions about the individual's medical history, medications, and symptoms, focusing on past respiratory conditions like...
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Radiological Investigation III: Pulmonary Angiogram and PET Scan01:13

Radiological Investigation III: Pulmonary Angiogram and PET Scan

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Radiological investigations are paramount in the diagnosis and management of various pulmonary diseases. Two essential investigations are the Pulmonary Angiogram and the Positron Emission Tomography (PET) Scan.
Pulmonary Angiogram
A Pulmonary Angiogram is an invasive procedure involving injecting a contrast medium through a catheter threaded into the pulmonary artery or the right side of the heart to visualize the pulmonary vasculature. Computed Tomography (CT) scans have mainly replaced this...
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Radiological Investigation II: MRI and Ventilation Perfusion Scan01:30

Radiological Investigation II: MRI and Ventilation Perfusion Scan

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Description
Magnetic Resonance Imaging (MRI) and Ventilation Perfusion Scans are two radiological investigations that offer detailed diagnostic images of the body, particularly lung structures.
MRI
MRI uses magnetic fields and radiofrequency signals to distinguish between normal and abnormal tissues. This technology provides a more detailed diagnostic image than CT scans, enabling it to characterize pulmonary nodules, stage bronchogenic carcinoma, and evaluate inflammatory activity in...
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Imaging Studies for Cardiovascular System VI: Calcium -Scoring CT01:25

Imaging Studies for Cardiovascular System VI: Calcium -Scoring CT

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Calcium-Scoring CT ScanA calcium-scoring CT scan, also known as coronary artery calcium (CAC) scan, detects calcium deposits in the coronary arteries. This test assesses the risk of coronary artery disease (CAD), which can lead to cardiovascular events such as angina, heart failure, and sudden cardiac arrest.A calcium-scoring CT scan is generally recommended for individuals at intermediate risk of CAD without symptoms. It includes:Men aged 40-75 and women aged 50-75: Especially those with a...
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Identifying Coronary Artery Calcification on Non-gated Computed Tomography Scans
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ACR Appropriateness Criteria® Routine Chest Imaging.

, Tami J Bang1, Jonathan H Chung2

  • 1National Jewish Health, Denver, Colorado.

Journal of the American College of Radiology : JACR
|May 26, 2023
PubMed
Summary
This summary is machine-generated.

Routine chest imaging is reviewed for various clinical uses, including hospital admission, pre-surgery, and chronic disease surveillance. Evidence guides recommendations for appropriate use of these diagnostic tests.

Keywords:
AUCAdmission chest radiographAppropriate Use CriteriaAppropriateness CriteriaPreoperative imagingRoutine chest radiographScreening chest radiograph

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Area of Science:

  • Radiology
  • Cardiothoracic Imaging
  • Evidence-Based Medicine

Background:

  • Routine chest imaging is utilized to detect subclinical cardiothoracic conditions.
  • Various imaging techniques exist for routine chest examinations.
  • This review examines evidence supporting or refuting routine chest imaging in diverse clinical settings.

Approach:

  • Guidelines are developed for routine chest imaging in specific scenarios: hospital admission, pre-noncardiothoracic surgery, and chronic cardiopulmonary disease surveillance.
  • The American College of Radiology Appropriateness Criteria serve as evidence-based guidelines, updated annually by expert panels.
  • Methodologies like Grading of Recommendations Assessment, Development, and Evaluation (GRADE) and the RAND/UCLA Appropriateness Method are employed to assess evidence and determine procedure appropriateness.

Key Points:

  • The study evaluates the efficacy of routine chest imaging across different clinical contexts.
  • Guidelines are proposed for initial imaging during hospital admission and before noncardiothoracic surgery.
  • The utility of surveillance imaging for managing chronic cardiopulmonary diseases is assessed.

Conclusions:

  • The document provides recommendations for the appropriate use of routine chest imaging.
  • Expert consensus may inform recommendations when peer-reviewed literature is limited.
  • Systematic literature analysis and established methodologies underpin the guideline development process.