Diagnostic accuracy of mediastinal width measurement on posteroanterior and anteroposterior chest radiographs in the depiction of acute nontraumatic thoracic aortic dissection

Emergency Radiology

Volumn 19, Issue 4, 2012, Pages 309-315

  Lai, Vincent ^a   Tsang, Wai Kan ^b   Chan, Wan Chi ^b   Yeung, Tsz Wai ^b  

^a UNIVERSITY OF HONG KONG   (Hong Kong)

^b TUEN MUN HOSPITAL   (Hong Kong)

Author keywords

Acute aortic dissection; Chest radiograph; Computed tomography; Nontraumatic

Indexed keywords

ACUTE NONTRAUMATIC THORACIC AORTIC DISSECTION; ADULT; AGED; AORTA DISSECTION; CONTROLLED STUDY; DIAGNOSTIC ACCURACY; DIAGNOSTIC IMAGING; DIAGNOSTIC TEST ACCURACY STUDY; DIAGNOSTIC VALUE; HUMAN; IMAGE ANALYSIS; INTERMETHOD COMPARISON; LEFT MEDIASTINAL WIDTH; MAJOR CLINICAL STUDY; MALE; MEDIASTINAL WIDTH; MEDIASTINAL WIDTH RATIO; MEDICAL RECORD REVIEW; PREDICTIVE VALUE; PRIORITY JOURNAL; RECEIVER OPERATING CHARACTERISTIC; RESPIRATORY TRACT PARAMETERS; REVIEW; SENSITIVITY AND SPECIFICITY; THORAX RADIOGRAPHY;

ACUTE DISEASE; ADULT; AGED; AGED, 80 AND OVER; ANEURYSM, DISSECTING; AORTIC ANEURYSM, THORACIC; CASE-CONTROL STUDIES; CONTRAST MEDIA; FEMALE; HUMANS; IOHEXOL; MALE; MEDIASTINUM; MIDDLE AGED; RADIOGRAPHY, THORACIC; RETROSPECTIVE STUDIES; ROC CURVE; SENSITIVITY AND SPECIFICITY; TOMOGRAPHY, X-RAY COMPUTED;

EID: 84865146539     PISSN: 10703004     EISSN: 14381435     Source Type: Journal    
DOI: 10.1007/s10140-012-1034-3     Document Type: Review

References (25)

1. Sanchez-Ross M, Anis A, Walia J, Randhawa P, Esrig BC, Banker MC, Eber C, Maldjian P, Klapholz M, Saric M (2006) Aortic rupture: comparison of three imaging modalities. Emerg Radiol 13:31-33 (Pubitemid 44440433)
2. Thoongsuwan N, Stern EJ (2002) Chest CT scanning for clinical suspected thoracic aortic dissection: beware the alternate diagnosis. Emerg Radiol 9:257-261 (Pubitemid 36105850)
3. Gleeson CE, Spedding RL, Harding LA, Caplan M (2001) The mediastinum\is it wide? Emerg Med J 18:183-185
4. Peters DR, Gamsu G (1980) Displacement of the right paraspinous interface: a radiographic sign of acute traumatic rupture of the thoracic aorta. Radiology 134:599-603 (Pubitemid 10094000)
5. Simeone JF, Deren MM, Cagle F (1981) The value of the left apical cap in the diagnosis of aortic rupture: a prospective and retrospective study. Radiology 139:35-37 (Pubitemid 11138793)
6. Marnocha KE, Maglinte DD (1985) Plain-film criteria for excluding aortic rupture in blunt chest trauma. AJR Am J Roentgenol 144:19-21 (Pubitemid 15153867)
7. Sturm JT, Olson FR, Cicero JJ (1983) Chest roentgenographic findings in 26 patients with traumatic rupture of the thoracic aorta. Ann Emerg Med 12:598-600 (Pubitemid 13009945)
8. Mirvis SE, Bidwell JK, Buddemeyer EU, Diaconis JN, Pais SO, Whitley JE, Goldstein LD (1987) Value of chest radiography in excluding traumatic aortic rupture. Radiology 163:487-493 (Pubitemid 17068931)
9. Patel NH, Stephens KE Jr, Mirvis SE, Shanmuganathan K, Mann FA (1998) Imaging of acute thoracic aortic injury due to blunt trauma: a review. Radiology 209:335-348 (Pubitemid 28503097)
10. Ekeh AP, Peterson W, Woods RJ, Walusimbi M, Nwuneli N, Saxe JM, McCarthy MC (2008) Is chest X-ray an adequate screening tool for the diagnosis of blunt thoracic aortic injury? J Trauma 65:1088-1092
11. Wong YC, Ng CJ, Wang LJ, Hsu KH, Chen CJ (2004) Left mediastinal width and mediastinal width ratio are better radio-graphic criteria than general mediastinal width for predicting blunt aortic injury. J Trauma 57:88-94
12. Kirkham JR, Blackmore CC (2007) Screening for aortic injury with chest radiography and clinical factors. Emerg Radiol 14:211-217 (Pubitemid 47312549)
13. Khan IA, Nair CK (2002) Clinical, diagnostic, and management perspectives of aortic dissection. Chest 122(1):311-328 (Pubitemid 34754180)
14. Marnocha KE, Maglinte DDT, Woods J, Goodman M, Peterson P (1984) Mediastinal-width/chest-width ratio in blunt chest trauma: a reappraisal. AJR Am J Roentgenol 142:275-277 (Pubitemid 14182074)
15. Seltzer SE, D'Orsi C, Kirchner R, DeWeese JA (1981) Traumatic aortic rupture: plain radiographic findings. AJR Am J Roentgenol 137:1011-1014 (Pubitemid 12233506)
16. Woodring JH, King JG (1989) Determination of normal transverse mediastinal width and mediastinal-width to chest-width (M/C) ratio in control subjects: implications for subjects with aortic or brachiocephalic arterial injury. J Trauma 29:1268-1272 (Pubitemid 19251888)
17. Woodring JH, Dillon ML (1984) Radiographic manifestations of mediastinal hemorrhage from blunt chest trauma. Ann Thorac Surg 37:171-178 (Pubitemid 14183613)
18. Marnocha KE, Maglinte DD, Woods J et al (1985) Blunt chest trauma and suspected aortic rupture: reliability of chest radiograph findings. Ann Emerg Med 14:644-649 (Pubitemid 15071771)
19. Burney RE, Gundry SR, Mackenzie JR, Wilton GP, Whitehouse WM, Wu SC (1983) Comparison of mediastinal width, mediastinal-thoracic and-cardiac ratios, and "mediastinal widening" in detection of traumatic aortic rupture. Ann Emerg Med 12:668-671 (Pubitemid 13021499)
20. Kram HB, Wohlmuth DA, Appel PL, Shoemaker WC (1987) Clinical and radiographic indications for aortography in blunt chest trauma. J Vasc Surg 6:168-176
21. Williams S, Burney RE, MacKenzie JR, Cho KJ (1983) Indications for aortography. Radiography after blunt chest trauma: a reassessment of the radiographic findings associated with traumatic rupture of the aorta. Invest Radiol 18:230-237 (Pubitemid 13061448)
22. Lee FT Jr, Katzberg RW, Gutierrez OH, Burgener F, Yee WK, Morris T, Bronson JP (1993) Reevaluation of plain radiographic findings in the diagnosis of aortic rupture: the role of inspiration and positioning on mediastinal width. J Emerg Med 11:289-296 (Pubitemid 23170051)
23. Schwab CW, Lawson RB, Lind JF, Garland LW (1984) Aortic injury: comparison of supine and upright portable chest films to evaluate the widened mediastinum. Ann Emerg Med 13:896-899 (Pubitemid 14011122)
24. Fultz PJ, Melville D, Ekanej A, Holzwasser G, Voci S, Wandtke JC, Risher W, Stewart S (1998) Nontraumatic rupture of the thoracic aorta: chest radiographic features of an often unrecognized condition. AJR Am J Roentgenol 171:351-357 (Pubitemid 28348107)
25. Mammen L, Yucel EK, Khan A, Atalay MK, Haramati LB, Ho VB, Rozenshtein A, Rybicki FJ, Schoepf UJ, Stanford W, Stein B, Woodard PK, Jaff M, Expert Panel on Cardiac Imaging (2008) ACR Appropriateness Criteria® acute chest pain\suspected aortic dissection. American College of Radiology (ACR), Reston. Available at http://guidelines.gov/content.aspx? id013624