thoraxprotokoll

Thoraxprotokoll is a standardized protocol used in German-speaking radiology and related medical fields to guide thoracic imaging and reporting. It provides a framework for conducting chest examinations, ensuring consistent technique, documentation, and communication among clinicians.

Scope and purpose: The protocol applies to chest radiography, computed tomography of the chest, and, in some institutions, thoracic ultrasound or magnetic resonance imaging when indicated. It defines clinical indications such as infections, tumors, trauma, cardiopulmonary diseases, and preoperative assessment, and aims to improve comparability and quality of imaging across examinations.

Technique: For chest radiography, the protocol typically specifies standard views (usually posteroanterior and lateral, with AP or supine views when patient condition requires), positioning, and exposure guidelines to optimize visualization of lungs, heart, and mediastinal contours. For CT, it outlines preferred scanning parameters (such as slice thickness and the use of contrast), respiratory phase considerations, and reconstruction options (lung window, mediastinal window). For MRI and ultrasound, it notes indications and basic acquisition or examination steps where applicable.

Documentation and reporting: The Thoraxprotokoll informs the structure of the radiology report, including patient data, clinical indication, technique, comparison with prior studies, and a structured description of findings by anatomic regions (lung parenchyma, pleura, mediastinum, bones, heart). The report culminates in an impression and, if needed, recommendations for follow-up or further imaging.

Impact and variants: The protocol promotes uniform quality and facilitates teaching, research, and interoperable communication. While a core structure is common, individual institutions adapt the Thoraxprotokoll to local guidelines and equipment.