Are the chest x-ray obsolete in the preoperatory study check?

Congress:

ECR 2019

Poster Number:

C-1593

Type:

Educational Exhibit

Keywords:

Anatomy, Thorax, Conventional radiography, Surgery, Radiation safety, Pathology

Authors:

B. Herraez Cervera, J. Forner, J. Sanchez-Bordona Marques, J. Quirante Cascales, J. Vucetic, M. Ortega Millán; Valencia/ES

DOI:

10.26044/ecr2019/C-1593

DOI-Link:

https://dx.doi.org/10.26044/ecr2019/C-1593

Fig. 1: Minor finding. Osteochondroma on the inner side of the right scapula.

Fig. 2: Chest radiography normal.

Fig. 3: PA chest X-ray. Major finding. Lung mass in left upper lobe with trachea...

Fig. 4: Lateral chest X-ray. Lung mass in left upper lobe.

Fig. 5: Minor finding on chest X-ray. Pulmonary nodules in the right lower lobe and...

Findings and procedure details

Regarding the analysis of the requests, 68% did not provide clinical data, which made it difficult to read the radiography systematically. Minor findings were found in 48% of the sample and major findings in 6%.

Fifty-one percent (n = 509) of the patients had previous radiographs, 11% (n = 97) had previous chest x-ray and tomography, and 2% (n = 19) had only previous chest CT. Of the patients with previous chest radiography, 5% (n = 47) had new findings; and 52% (n = 473) did not present changes with respect to the previous ones. In 2% (n = 17) of the cases, the findings had worsened and only 3% (n = 22) had improved the findings. Of all the major and minor findings, 34% were already known by the clinical history (n = 305). In addition, in patients with previous studies, 30% (n = 269) had been performed in the last 365 days.