Abstract
After studying this chapter, you should be able to do the following: Develop a systematic approach for the interpretation of ICU chest radiographs. Be aware of the most common causes of abnormal pulmonary opacities and air collections on ICU chest radiographs. Know when to obtain a portable chest radiograph (PCR), thoracic computed tomography (CT), sonography, and ventilation.perfusion (VP) scans in ICU patients. Be familiar with the roles of abdominal and pelvic imaging procedures, including plain film examinations, barium contrast studies, US, MRI, and CT in the assessment of the ICU patient with acute abdominal and pelvic disease. Be aware of the relative merits of CT and MR imaging in the evaluation of the ICU patient with suspected acute neurologic abnormalities.
This is a preview of subscription content, log in via an institution.
Buying options
Tax calculation will be finalised at checkout
Purchases are for personal use only
Learn about institutional subscriptionsReferences
Strain DS, Kinasewitz GT, Vareen LE, George RB. Value of routine daily chest X-rays in the medical intensive care unit. Crit Care Med. 1985;13:519-564.
Graat ME, Choi G, Wolthuis EK, et al. The clinical value of daily routine chest radiographs in a mixed medical-surgical intensive care unit is low. Crit Care. 2006;10:186-193.
Niklason LT, Chan HP, Cascade PW, Chang CL, Chee PW, Mathews JF. Portable chest imaging: comparison of storage phosphor digital, assymetrical screen-film and conventional screen-film systems. Radiology. 1993;186:387-393.
Hoffmann K, Doi K, MacMahan H, et al. Development of a digital system for portable chest radiographs. J Digit Imaging. 1991;7:146-155.
Miller WT Jr, Tino G, Friedberg JS. Thoracic CT in the intensive care unit: assessment of clinical usefulness. Radiology. 1998;209:491-498.
Stein PD, Woodard PK, Weg JG, et al. Diagnostic pathways in acute pulmonary embolism: recommendations of the PIOPED II Investigators. Radiology. 2007;242:15-21.
Maurer AH, Tweddale B, Steiner RM. Role of ventilation-perfusion studies for the diagnosis of pulmonary embolism in the era of CT angiography. J Nuc Med. 2006;47(Suppl):21P.
Additional Reading
Boiselle PM. Pulmonary vascular abnormalities. In: McLoud TC, ed. Thoracic Radiology: The Requisites. St. Louis: Mosby; 1998:403-419.
Cascade PN, Meaney JB, Jamadar DA. Methods of cardiopulmonary support: a review for radiologists. Radiographics. 1997;17: 1141-1155.
Grossman RI, Yousem DM. Techniques in neuroimaging. In: Grossman RI, Yousem DM, eds. Neuroradiology: The requisites. St. Louis: Mosby; 1994:1-23.
Grossman RI, Yousem DM. Vascular diseases of the brain. In: Grossman RI, Yousem DM, eds. Neuroradiology: The Requisites. St. Louis: Mosby; 1994:105-148.
Henschke CI, Yankelevitz DF, Wand A, Davis SD, Shiau M. Accuracy and efficacy of chest radiography in the intensive care unit. Radiol Clin North Am. 1996;34:21-31.
McDowell RK, Dawson SL. Evaluation of the abdomen in sepsis of unknown origin. Radiol Clin North Am. 1996;34(1):177-190.
MacMahon H, Giger M. Portable chest radiography techniques and teleradiology. Radiol Clin North Am. 1996;34:1-20.
Miller WT. The chest radiograph in the intensive care unit. Semin Roentgenol. 1997;27(2):89-101.
Miller WT Jr, Tino G, Friedburg JS. Thoracic CT in the intensive care unit: assessment of clinical usefulness. Radiology. 1998;209:491-498.
Milne E, Massimo P. Pulmonary edema-cardiac and noncardiac. In: Putman CE, ed. Diagnostic Imaging of the Lung. New York: Dekker; 1990:253-336.
Rubinowitz AN, Siegel MD, Tocino I. Thoracic imaging in the ICU. Crit Care Clin. 2007;23:539-573.
Stein PD, Woodard PK, Weg JG, et al. Diagnostic pathways in acute pulmonary embolism: recommendations of the PIOPD II investigations. Radiology. 2007;242:15-21.
Thomason JWW, Ely EW, Chiles C, et al. Appraising pulmonary edema using supine chest roentgenograms in ventilated patients. Am J Respir Crit Care Med. 1998;157:1600-1608.
Tocino I, Westcott JL. Barotrauma. Radiol Clin North Am. 1996;34:59-81.
Trotman-Dickenson B. Radiography in the critical care patient. In: McLoud TC, ed. Thoracic Radiology: The Requisites. St. Louis: Mosby; 1998:151-172.
Winer-Muram HT, Steiner RM, Gurney JW, et al. Ventilator-associated pneumonia in patients with adult respiratory distress syndrome: CT evaluation. Radiology. 1998;208:193-199.
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2010 Springer Science+Business Media, LLC
About this chapter
Cite this chapter
Boiselle, P.M., Dass, C., Steiner, R.M. (2010). Radiologic Imaging in the Critically Ill Patient. In: Criner, G., Barnette, R., D'Alonzo, G. (eds) Critical Care Study Guide. Springer, New York, NY. https://doi.org/10.1007/978-0-387-77452-7_11
Download citation
DOI: https://doi.org/10.1007/978-0-387-77452-7_11
Published:
Publisher Name: Springer, New York, NY
Print ISBN: 978-0-387-77327-8
Online ISBN: 978-0-387-77452-7
eBook Packages: MedicineMedicine (R0)