Using CT as a gold standard, chest radiograph test characteristics for detection of pulmonary opacities included: sensitivity of 43.5%, specificity of 93.0%, positive predictive value of 26.9%, and negative predictive value of 96.5%. Conversely, other studies, such as Haga et al [6], demonstrate sensitivities as high as 91% for chest radiographs relative to CT for diagnosing PNA. Despite inconsistent data regarding the aMayo Clinic, Phoenix, Arizona. bPanel Chair, National Jewish Health, Denver, Colorado. cMassachusetts General Hospital and Harvard Medical School, Boston, Massachusetts. dThe University of Texas MD Anderson Cancer Center, Houston, Texas. eUniversity of Southern California, Los Angeles, California. fSouthern Illinois University School of Medicine, Springfield, Illinois; The Society of Thoracic Surgeons. gThe University of Texas MD Anderson Cancer Center, Houston, Texas. hUniversity of Iowa, Iowa City, Iowa; The Society of Thoracic Surgeons. iVanderbilt University Medical Center, Nashville, Tennessee; American College of Chest Physicians. jMayo Clinic, Jacksonville, Florida. kColumbia University Medical Center New York and Temple University Health System, Philadelphia, Pennsylvania. lSpecialty Chair, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin. The American College of Radiology seeks and encourages collaboration with other organizations on the development of the ACR Appropriateness Criteria through society representation on expert panels. Participation by representatives from collaborating societies on the expert panel does not necessarily imply individual or society endorsement of the final document. Reprint requests to: publications@acr.org sensitivity of chest radiographs for PNA, it still plays a role as the primary modality for making or excluding the diagnosis of PNA in patients presenting with ARI.
Acute Respiratory Illness in Immunocompetent Patients. Using CT as a gold standard, chest radiograph test characteristics for detection of pulmonary opacities included: sensitivity of 43.5%, specificity of 93.0%, positive predictive value of 26.9%, and negative predictive value of 96.5%. Conversely, other studies, such as Haga et al [6], demonstrate sensitivities as high as 91% for chest radiographs relative to CT for diagnosing PNA. Despite inconsistent data regarding the aMayo Clinic, Phoenix, Arizona. bPanel Chair, National Jewish Health, Denver, Colorado. cMassachusetts General Hospital and Harvard Medical School, Boston, Massachusetts. dThe University of Texas MD Anderson Cancer Center, Houston, Texas. eUniversity of Southern California, Los Angeles, California. fSouthern Illinois University School of Medicine, Springfield, Illinois; The Society of Thoracic Surgeons. gThe University of Texas MD Anderson Cancer Center, Houston, Texas. hUniversity of Iowa, Iowa City, Iowa; The Society of Thoracic Surgeons. iVanderbilt University Medical Center, Nashville, Tennessee; American College of Chest Physicians. jMayo Clinic, Jacksonville, Florida. kColumbia University Medical Center New York and Temple University Health System, Philadelphia, Pennsylvania. lSpecialty Chair, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin. The American College of Radiology seeks and encourages collaboration with other organizations on the development of the ACR Appropriateness Criteria through society representation on expert panels. Participation by representatives from collaborating societies on the expert panel does not necessarily imply individual or society endorsement of the final document. Reprint requests to: publications@acr.org sensitivity of chest radiographs for PNA, it still plays a role as the primary modality for making or excluding the diagnosis of PNA in patients presenting with ARI.