Lung B-line artefacts and their use

Dietrich, Christoph F.; Mathis, Gebhard; Blaivas, Michael; Volpicelli, Giovanni; Seibel, Armin; Wastl, Daniel; Atkinson, Nathan; Cui, Xin‐Wu; Fan, Min; Ye, Dong

doi:10.21037/jtd.2016.04.55

Cited by 196 publications

(161 citation statements)

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“…Keywords: ultrasound, lung, artifacts, pathology, guidelines [2,[11][12][13][14][15] we discuss the prominent role of the particular artefacts of lung sonography answering differential-diagnostic questions in patients with cardio-pulmonary diseases.…”

Section: Introductionmentioning

confidence: 99%

“…A scientific pathway process was followed, to generate evidencebased guidelines with recommendations for clinical lung ultrasound applications [1]. B-line artefacts and their use have been recently described in detail [2].…”

Section: Introductionmentioning

confidence: 99%

“…In this review in addition to a series of papers about point of care ultrasound [3,4], lung ultrasonography [5,6], mediastinal ultrasound [7][8][9][10] and artefacts [2,[11][12][13][14][15] we discuss the prominent role of the particular artefacts of lung sonography answering differential-diagnostic questions in patients with cardio-pulmonary diseases.…”

Section: Introductionmentioning

confidence: 99%

“…Additionally, ultrasound machine use and transducer selection can significantly affect results obtained on patient during an examination and the provider must carefully choose the correct settings. This manuscript describes the state of the art in ultrasound artifact recognition and correlation as well as management of ultrasound technology to optimize diagnostic success.Keywords: ultrasound, lung, artifacts, pathology, guidelines [2,[11][12][13][14][15] we discuss the prominent role of the particular artefacts of lung sonography answering differential-diagnostic questions in patients with cardio-pulmonary diseases. …”

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confidence: 99%

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Lung artefacts and their use

Dietrich

Mathis²,

Blaivas

et al. 2016

Med Ultrason

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IntroductionIn years gone by examination of patients with pulmonary disorders rested essentially on a clinician's bedside physical examination, of auscultation and percussion, complimented with blood gas analysis and X-ray imaging. Lung ultrasound has emerged into this context as a real-time bedside procedure, delivering information relevant to the clinician's differential diagnosis. A large part of sonographic lung examination involves the interpretation of artefacts, thus knowledge of the origin of typical artefacts is important. Although indirect sonographic signs, nonetheless reliable conclusions on the condition of the lung can be inferred. Particularly the of quantity and distribution of B-lines can establish important assessment of the cause and degree of fluid load within the interstitium.All focused ultrasound investigations, including bedside lung ultrasound, allow symptom evaluation considering multiple organ-systems yet with minimal time delay. Such integration of imaging with clinical assessment and treatment is called Point-of-Care Ultrasound (POCUS) and should be understood as an extension of the physical examination. POCUS offers a unique but crucial role, integrating clinical and other imaging findings, including cardiac ultrasound (echocardiography), chest radiography, and computed tomography (CT) scans is crucial, which alone may lack the required accuracy.The emergence of differences in approach to lung sonography, technique and nomenclature, provided the AbstractThe science of lung ultrasound has grown tremendously over the last two decades and lung ultrasound has not only entered the mainstream of point of care ultrasound but has become a dominant topic. Understanding lung ultrasound signs and artifacts is critical to being able to correlate findings with actual pathology and normal anatomy and physiology. Investigators have described multiple lung ultrasound artifacts and findings and it is important to understand both the physics and anatomic basis behind them. Additionally, ultrasound machine use and transducer selection can significantly affect results obtained on patient during an examination and the provider must carefully choose the correct settings. This manuscript describes the state of the art in ultrasound artifact recognition and correlation as well as management of ultrasound technology to optimize diagnostic success.Keywords: ultrasound, lung, artifacts, pathology, guidelines [2,[11][12][13][14][15] we discuss the prominent role of the particular artefacts of lung sonography answering differential-diagnostic questions in patients with cardio-pulmonary diseases. Lung artefacts

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

mentioning

confidence: 99%

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Lung artefacts and their use

Dietrich

Mathis²,

Blaivas

et al. 2016

Med Ultrason

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“…22 This allows for a noninvasive method of evaluation of response to therapy for decompensated diastolic heart failure patients. As the number of artifacts responds quickly to changes in lung water content, it is possible to track the reduction in artifacts as the patient is dialyzed.…”

Section: B-linesmentioning

confidence: 99%

Ultrasound imaging artifacts: How to recognize them and how to avoid them

Quien

Sarić

2018

Echocardiography

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Echocardiography has become a critical tool in clinical cardiology in evaluating cardiac physiology and diagnosing cardiac disease states. However, imaging artifacts are commonly encountered and often lead to misdiagnoses of life-threatening diseases, such as aortic dissection and ventricular thrombus. It is, thus, critical for clinicians to understand these artifacts to avoid these misdiagnoses and protect patients from undue intervention. Artifacts can be broken down into two categories: those from violation of ultrasound system assumptions and those from interference by external equipment and devices. This review article discusses the most commonly encountered artifacts by category, explains their physical mechanisms, elaborates on their most common presentations, and instructs clinicians on how to avoid their misinterpretation.

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