Chest X-ray
Domain:
Measure:
Definition:
Purpose:
Date of SC final approval
About the Measure
Sickle Cell Disease: Cardiovascular, Pulmonary, and Renal
Chest X-ray
Chest radiograph (i.e., X-ray) is a medical imaging assessment of the chest wall, airways, lungs, pulmonary vessels, heart, mediastinum, and pleura.
This measure is used to show the size, shape, and structures of the chest. Information from this measure is used to determine the presence and etiology of disorders that involve the chest, evaluate the signs and symptoms potentially related to the respiratory, cardiovascular and upper gastrointestinal systems and the musculoskeletal system of the thorax, and to follow the course of disease.
Description of
Protocol:
Selection
Rationale:
Specific
Instructions:
Protocol Text:
Participant:
About the Protocol
The American College of Radiology - Society for Pediatric Radiology (ACR-SPR)
“Practice Parameter for the Performance of Chest Radiography” Amended 2014
(Resolution 39) outlines principles for performing high-quality chest X-rays in adult and pediatric participants. Topics covered include indications and contraindications for chest X-ray, qualifications and responsibilities of personnel, specifications of the examination, documentation and reporting, equipment specifications, radiation safety in imaging, quality control and improvement, safety, infection control, and patient education.
Chest radiograph (i.e., X-ray) is a valid, reliable, sensitive, and well-established imaging method for a comprehensive evaluation and assessment of the chest, including the respiratory, cardiovascular and upper gastrointestinal systems, and the musculoskeletal system of the thorax.
The American College of Radiology - Society for Pediatric Radiology (ACR-SPR)
“Practice Parameter for the Performance of Chest Radiography” Amended 2014
(Resolution 39) is a clinical practice parameter. Hence the Sickle Cell Disease:
Cardiovascular, Pulmonary, and Renal Working Group recommends investigators be aware that when performing chest X-rays in research studies, some uses of this X-ray are to:

determine, based on extent of disease, which arm of the study a patient is randomized to, or

assess response to a clinical intervention or treatment, or

define the natural course of the disease process
Chest Radiograph (i.e. X-ray)
The full American College of Radiology - Society for Pediatric Radiology (ACR
–SPR)
“Practice Parameter for the Performance of Chest Radiography” Amended 2014
(Resolution 39) is posted here and is also available at the ACR website: http://www.acr.org/~/media/ACR/Documents/PGTS/guidelines/Chest_Radiography.pdf
All ages
Source: American College of Radiology - Society for Pediatric Radiology (ACR –SPR). (2014).
ACR-SPR Practice Parameter for the Performance of Chest Radiography Amended
Version 10
– 10/21/09

Chest X-ray Date of SC final approval
2014 (Resolution 39). Retrieved from http://www.acr.org/~/media/ACR/Documents/PGTS/guidelines/Chest_Radiography.pdf
English Language of
Source:
Personnel and
Training Required:
Physician
Radiologic Technologist
See “Section IV. Qualifications and Responsibilities of Personnel” in the “ACR-SPR
Practice Parameter for the Performance of Chest Radiography
” Amended 2014
(Resolution 39) at http://www.acr.org/~/media/ACR/Documents/PGTS/guidelines/Chest_Radiography.pdf
Equipment Needs: See “Section VII. Equipment Specifications” in the “ACR–SPR Practice Parameter for the Performance of Chest Radiography ” Amended 2014 (Resolution 39) at http://www.acr.org/~/media/ACR/Documents/PGTS/guidelines/Chest_Radiography.pdf
Protocol Type: Imaging assessment
Requirements:
Requirements Category Required (Yes/No):
Major equipment
Specialized training
Specialized requirements for biospecimen collection
Average time of greater than 15 minutes in an unaffected individual
TBD by PhenX Staff
Yes
Yes
No
No
Common Data
Elements:
General
References:
Desai, P. C., & Ataga, K. I. (2013). The acute chest syndrome of sickle cell disease.
Expert Opinion on Pharmacotherapy, 14 (8), 991-999.
Mekontso Dessap, A., Deux, J. F., Habibi, A., Abidi, N., Godeau, B., Adnot, S., Brun-
Buisson, C., Rahmouni, A., Galacteros, F., & Maitre, B. (2014). Lung imaging during acute chest syndrome in sickle cell disease: computed tomography patterns and diagnostic accuracy of bedside chest radiograph. Thorax, 69 (2), 144-151.
Additional Information About the Measure
Essential Data: Current Age
Related PhenX
Measures:
Chest Computed Tomography (CT), Personal and Family History of Respiratory
Symptoms/Diseases, Quality of Life as Affected by Respiratory Disease, Lung
Function - Lung Volume, Lung Function - Diffusion Capacity
Derived Variables: None
Keywords/Related
Concepts:
Chest X-ray, pulmonary, radiology, radiograph, sickle cell disease, SCD, lung, respiratory, airway, pulmonary vessels, mediastinum, heart, pleura, chest wall, gastrointestinal, musculoskeletal, thorax, chest, cancer, smoking
Version 10
– 10/21/09