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Related Experiment Videos

The cross-table lateral view in neonatal pneumothorax.

F A Hoffer, R C Ablow

    AJR. American Journal of Roentgenology
    |June 1, 1984
    PubMed
    Summary

    The cross-table lateral chest X-ray view improves pneumothorax detection in newborns. This technique better visualizes lung position and chest tube placement, aiding in critical care decisions.

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    Area of Science:

    • Radiology
    • Pediatric Imaging
    • Thoracic Imaging

    Background:

    • Pneumothorax is a serious condition in newborns, often requiring prompt diagnosis.
    • Traditional supine frontal chest X-rays may not adequately visualize pneumothorax.
    • Accurate assessment of lung position and intrapleural air is crucial for management.

    Purpose of the Study:

    • To evaluate the efficacy of the cross-table lateral chest X-ray view in diagnosing pneumothorax in newborns.
    • To compare the cross-table lateral view with other projections for pneumothorax detection.
    • To highlight the utility of this view for assessing chest tube placement.

    Main Methods:

    • Utilized the cross-table lateral projection of the chest in supine newborns.
    • Analyzed the visualization of the anterior lung edge and intrapleural air.
    • Compared findings with supine frontal and vertical-beam lateral views.
    • Identified structures that can mimic the anterior lung edge.

    Main Results:

    • The cross-table lateral view provides a more realistic assessment of pneumothorax compared to other views.
    • This projection allows optimal evaluation of lung position, intrapleural air, and chest tube tip.
    • The anterior lung edge, often aided by the anteroinferior lung corner, is key for diagnosis.
    • Sternal retraction, rib ends, axillary soft-tissue density, and posterior atelectasis can simulate the anterior lung edge.

    Conclusions:

    • The cross-table lateral chest X-ray view is a valuable tool for detecting pneumothorax in supine newborns.
    • Its use is recommended due to the association between pneumothorax and intracranial bleeding in premature infants.
    • This technique enhances the evaluation of thoracic structures in critically ill neonates.

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