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REVIEW  INTEGRATED RX-ECO-TC IMAGING IN INTENSIVE CARE 

Il Giornale Italiano di Radiologia Medica 2018 Maggio-Giugno;5(3):432-9

DOI: 10.23736/S2283-8376.18.00069-4

Copyright © 2018 EDIZIONI MINERVA MEDICA

language: Italian

Integrated imaging in intensive care. Shock and trauma: ARDS

Stefania IANNIELLO 1, Diletta COZZI 2 , Gloria ADDEO 2, Monica M. LANZETTA 2, Marco BARTOLINI 3, Vittorio MIELE 2

1 UOC Diagnostica per Immagini-Urgenza Emergenza, San Camillo Forlanini, Roma, Italia; 2 SOD Radiodiagnostica di Emergenza Urgenza, Azienda Ospedaliero-Universitaria Careggi, Firenze, Italia; 3 SOD Radiodiagnostica Specialistica, Azienda Ospedaliero-Universitaria Careggi, Firenze, Italia


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Acute respiratory distress syndrome (ARDS) is a clinical entity frequently found in intensive care units, whose diagnostic confirmation has long been the prerogative of chest radiography. However, the well-known limitations of the method, first of all the high inter-observer variability, have ensured that over the years new methods have been used in pulmonary diagnostics, such as CT and, more recently, pulmonary ultrasonography. The first one is considered the gold standard technique in the diagnosis and also in the quantification of the damage induced by this pathology; it has also proved remarkably effective in assessing the response to pulmonary recruitment maneuvers. The second, thanks to the non-use of ionizing radiation, non-invasiveness and ease of learning, is emerging as a complementary method, if not at times of first approach, in the management of acute pulmonary disease. This review aimed to provide a detailed overview of the ARDS imaging findings, focusing on both conventional and emerging methods, with particular emphasis on the differential diagnosis in the early stages of the disease.


KEY WORDS: Respiratory distress syndrome, adult - Torax - Radiography - Tomography, X-ray computed - Pulmonary edema

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