La Radiologia medica
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La Radiologia medica · Sep 2019
Multicenter StudyExtra-pleural pneumonectomy in the era of image-guided intensity-modulated radiotherapy.
To assess the outcome of malignant pleural mesothelioma patients treated with extra-pleural pneumonectomy (EPP) and adjuvant radiotherapy (RT), using the most advanced radiotherapeutic techniques, namely image-guided intensity-modulated RT (IG-IMRT). ⋯ Although executed in the era of high-technology radiotherapy (IG-IMRT), EPP should not be routinely performed.
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La Radiologia medica · Sep 2019
The accuracy of computed tomography in detecting surgically resectable blebs or bullae in primary spontaneous pneumothorax.
Chest computed tomography is commonly used in patients with primary spontaneous pneumothorax to detect the presence of pulmonary blebs or bullae. The aim of this study is to calculate the accuracy of chest computed tomography to detect surgically resectable blebs or bullae in patients with primary spontaneous pneumothorax. ⋯ The sensitivity of the chest computed tomography scan is high in detecting surgically resectable pulmonary blebs or bullae. However, the specificity is low. This may lead to overdiagnosis of the patients to have pulmonary blebs and bullae. Therefore, the routine use of chest computed tomography scan before the surgical exploration in patients with primary spontaneous pneumothorax should depend on the clinical judgment.