Standardized Criteria for Identification of Cardiac Tamponade on Non-Electrocardiogram-gated Computed Tomography: Correlation With Echocardiographic Findings.
| Autor: | Bothwell KD; Departments of Imaging Sciences., Ling FS; Medicine, Cardiology, University of Rochester Medical Center, Rochester, NY., Ambrosini R; Departments of Imaging Sciences., Baran TM; Departments of Imaging Sciences., Lorca MC; Departments of Imaging Sciences., Chaturvedi A; Departments of Imaging Sciences. |
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| Jazyk: | angličtina |
| Zdroj: | Journal of thoracic imaging [J Thorac Imaging] 2023 Jul 01; Vol. 38 (4), pp. W44-W51. Date of Electronic Publication: 2022 Dec 13. |
| DOI: | 10.1097/RTI.0000000000000688 |
| Abstrakt: | Purpose: To identify imaging parameters that can help in the diagnosis of cardiac tamponade on non-electrocardiogram (ECG)-gated computed tomography (CT) of the chest. Materials and Methods: Retrospective analysis of 64 patients who had undergone CT and echocardiography for evaluation of cardiac tamponade. Of 64 patients, 34 were diagnosed with tamponade and underwent pericardiocentesis for further diagnosis and treatment. CT measurements obtained were: pericardial effusion (PeEff) pocket size in 6 locations (anterior, posterior, superior, inferior, right, and left lateral), pericardial thickening, diameters of the coronary sinus, upper superior vena cava, lower superior vena cava, and inferior vena cava. In addition, cardiac chamber sizes were measured. Subjective assessment of coronary sinus compression, pericardial enhancement, and pericardial thickening were also recorded. Results: Measurement of the sum of the right lateral and left lateral PeEff thickness resulted in 91.2% sensitivity and 86.7% specificity for cardiac tamponade with a threshold of 30 mm (receiver-operating characteristic area under the curve=0.94 [0.84 to 0.98], P <0.0001). Using the combination of inferior PeEff >16 mm, sum of right lateral and left lateral PeEff>30 mm, and presence of pericardial thickening resulted in 56% sensitivity and 100% specificity and positive predictive value for the determination of cardiac tamponade. Conclusions: Our study suggests that CT measurements related to PeEff size and thickness aid in the diagnosis of cardiac tamponade. Competing Interests: The authors declare no conflicts of interest. (Copyright © 2022 Wolters Kluwer Health, Inc. All rights reserved.) |
| Databáze: | MEDLINE |
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