Dernevik L, Brolin I, Larsson S, Selin K, Tylén U, William-Olsson G
Acta Radiol Diagn (Stockh). 1985 Mar-Apr;26(2):181-5. doi: 10.1177/028418518502600210.
Radiographic appearances claimed to be typical of shrinking pleuritis with atelectasis (SPA) were tested by mingling chest films from 6 SPA patients with those from 56 cancer cases. Two radiologists were asked to interpret the films independently, make a diagnosis, and state what abnormalities could be distinguished. No single abnormality or combination of abnormalities was found to be pathognomonic and the wish to diagnose the SPA cases led to misdiagnosis of cancer in one of 56 cases by each radiologist. To prevent underdiagnosis of cancer, further examinations are required. Careful follow-up of SPA cases, if they are not operated upon, is recommended.
通过将6例收缩性胸膜炎伴肺不张（SPA）患者的胸片与56例癌症患者的胸片混合，对声称是SPA典型影像学表现进行了检验。两名放射科医生被要求独立解读胸片、做出诊断并说明可识别的异常情况。未发现单一异常或异常组合具有诊断特异性，并且两名放射科医生均将56例中的1例癌症误诊为SPA病例。为防止癌症漏诊，需要进一步检查。如果不进行手术，建议对SPA病例进行仔细随访。
