{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,12]],"date-time":"2026-03-12T19:42:57Z","timestamp":1773344577749,"version":"3.50.1"},"reference-count":10,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2013,7,25]],"date-time":"2013-07-25T00:00:00Z","timestamp":1374710400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Respirology"],"published-print":{"date-parts":[[2013,8]]},"abstract":"Abstract<\/jats:title>Background and objective<\/jats:title>Laceration of the intercostal artery during pleural procedures is a rare but serious complication. This study evaluates the utility of thoracic ultrasound (US<\/jats:styled-content>) to screen for a vulnerable vessel compared with the gold standard computed tomography (CT<\/jats:styled-content>).<\/jats:p><\/jats:sec>Methods<\/jats:title>Before undergoing contrast\u2010enhanced CT<\/jats:styled-content> chest, thoracic US<\/jats:styled-content> was performed on 50 patients with a high\u2010end and portable machine, and an attempt made to visualize the vessel at three positions across the back to the axilla. These positions were labelled with radio\u2010opaque fiducial markers. On both US and CT<\/jats:styled-content> images, the location of the vessel at each position, relative to the overlying rib, was calculated and compared.<\/jats:p><\/jats:sec>Results<\/jats:title>The vessel was unshielded by a rib according to CT in 114 of the 133 positions. The sensitivity, specificity and negative predictive value of portable US<\/jats:styled-content> to image the vessel, when it was within the intercostal space on CT<\/jats:styled-content>, was 0.86, 0.30 and 0.27 respectively. The performance of a high\u2010end machine was not significantly different. The median time required for a pulmonologist to locate the vessel was 42\u2009s and 18\u2009s for the portable and high\u2010end US<\/jats:styled-content> respectively.<\/jats:p><\/jats:sec>Conclusions<\/jats:title>US<\/jats:styled-content> can be used to screen for a vulnerable vessel prior to pleural procedures, in a time amenable to use in clinical practice. Further, it is achievable by a pulmonologist using a portable US<\/jats:styled-content> machine. If thoracentesis or chest tube insertion is being performed on a patient at increased risk of bleeding, screening for a vulnerable vessel with US<\/jats:styled-content> prior to beginning the procedure is recommended.<\/jats:p><\/jats:sec>","DOI":"10.1111\/resp.12088","type":"journal-article","created":{"date-parts":[[2013,3,25]],"date-time":"2013-03-25T06:24:40Z","timestamp":1364192680000},"page":"942-947","source":"Crossref","is-referenced-by-count":66,"title":["Physician\u2010performed ultrasound can accurately screen for a vulnerable intercostal artery prior to chest drainage procedures"],"prefix":"10.1111","volume":"18","author":[{"given":"Matthew","family":"Salamonsen","sequence":"first","affiliation":[{"name":"Department of Thoracic Medicine The Royal Brisbane and Women's Hospital Brisbane Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Karen","family":"Dobeli","sequence":"additional","affiliation":[{"name":"Department of Medical Imaging The Royal Brisbane and Women's Hospital Brisbane Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David","family":"McGrath","sequence":"additional","affiliation":[{"name":"Department of Medical Imaging The Royal Brisbane and Women's Hospital Brisbane Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Craig","family":"Readdy","sequence":"additional","affiliation":[{"name":"Department of Medical Imaging The Royal Brisbane and Women's Hospital Brisbane Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Robert","family":"Ware","sequence":"additional","affiliation":[{"name":"School of Population Health The University of Queensland Brisbane Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Karin","family":"Steinke","sequence":"additional","affiliation":[{"name":"Department of Medical Imaging The Royal Brisbane and Women's Hospital Brisbane Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David","family":"Fielding","sequence":"additional","affiliation":[{"name":"Department of Thoracic Medicine The Royal Brisbane and Women's Hospital Brisbane Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2013,7,25]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1136\/thx.2010.137026"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/MCP.0b013e328345160b"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1378\/chest.129.6.1709"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1136\/thx.2009.128496"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1159\/000330920"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1259\/bjr\/28232950"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1378\/chest.75.4.520"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00276-002-0010-0"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1754-9485.2010.02175.x"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1002\/ca.20133"}],"container-title":["Respirology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fresp.12088","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/resp.12088","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,1]],"date-time":"2023-10-01T21:39:30Z","timestamp":1696196370000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/resp.12088"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013,7,25]]},"references-count":10,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2013,8]]}},"alternative-id":["10.1111\/resp.12088"],"URL":"https:\/\/doi.org\/10.1111\/resp.12088","archive":["Portico"],"relation":{},"ISSN":["1323-7799","1440-1843"],"issn-type":[{"value":"1323-7799","type":"print"},{"value":"1440-1843","type":"electronic"}],"subject":[],"published":{"date-parts":[[2013,7,25]]}}}