Sonographic lung surface evaluation in pulmonary sarcoidosis: preliminary results.

Targhetta, R; Chavagneux, R; Balmès, P; Lemerre, C; Mauboussin, Jean-Marc; Bourgeois, Jean‐Marie; Pourcelot, L.

doi:10.7863/jum.1994.13.5.381

Cited by 30 publications

(21 citation statements)

References 24 publications

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“…In addition, the breath-dependent motion of the pleura visceralis relative to the pleura parietalis ("gliding sign") 4,5 was carefully evaluated.…”

Section: Diagnostic Criteriamentioning

confidence: 99%

“…This may best be visible under real-time conditions when lung tissue covers the upper parts of the liver and spleen ("curtain sign") or as respiration-dependent motion ("gliding sign"). 4,5 As a result, healthy lung parenchyma is not assessable to sonographic examination.…”

mentioning

confidence: 99%

“…The results are in accordance with a previous study of the sonographic lung surface in 12 patients with pulmonary sarcoidosis, in which all patients had a rough, irregular pleural surface accompanied by an increase in comet tail artifacts. 4 Comet tail artifacts become visible when there is a marked difference in acoustic impedance between an object and its surroundings, demarcating the edge of the aerated normal lung. 9 These artifacts are best visible under real-time conditions, because some of them appear less pronounced on frozen sonograms, making quantification of the alterations difficult.…”

mentioning

confidence: 99%

“…The results are in good agreement with another study, in which a nodular pattern was found in 75% of patients with sarcoidosis. 4 In summary, diagnosis of DPLD essentially requires chest radiography, HRCT, BAL, and transbronchial or surgical lung biopsy. However, TS may be considered as a complementary method.…”

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confidence: 99%

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Transthoracic Sonography of Diffuse Parenchymal Lung Disease

Reißig

Kroegel

2003

Journal of Ultrasound in Medicine

198

111

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Objective. The value of transthoracic sonography in diffuse parenchymal lung disease is not established. This prospective study was conducted to analyze pleural and parenchymal alterations in patients with diffuse parenchymal lung disease by transthoracic sonography and to compare the results with the findings of a control group. Methods. Fifty-three patients with diffuse parenchymal lung disease and 35 control subjects underwent transthoracic sonography for assessment of (1) basal pleural effusion, (2) the presence and number of comet tail artifacts, (3) thickening, (4) an irregular, fragmented pleural line, and (5) subpleural alterations. Results. Basal pleural effusion was revealed in 37.7% of the patients with diffuse parenchymal lung disease (0% of the control subjects; P < .001), and 98.1% had multiple (>6 per scan) comet tail artifacts (14.3% of the control subjects; P < .001). Only a few artifacts (≤6 per scan; P < .001) were shown in 85.7% of the control subjects. All the control subjects had strongly localized comet tail artifacts and no thickened pleural line (84.9% of patients; P < .001). In 98.1% of the patients, an irregular, fragmented pleural surface could be detected (82.8% of the control subjects; P < .05). Subpleural alterations were found in 37.7% of the patients and in 8.6% of the control subjects (P < .001). Conclusions. Diffuse parenchymal lung disease should be considered if multiple comet tail artifacts distributed over the whole surface of the lung together with a thickened and irregular, fragmented pleural line are visible. Transthoracic sonography may reflect the distribution of pleural involvement and may show subpleural alterations.

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“…In addition, the breath-dependent motion of the pleura visceralis relative to the pleura parietalis ("gliding sign") 4,5 was carefully evaluated.…”

Section: Diagnostic Criteriamentioning

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

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Transthoracic Sonography of Diffuse Parenchymal Lung Disease

Reißig

Kroegel

2003

Journal of Ultrasound in Medicine

198

111

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“…Авторы описали длинные, плотные эхосигналы, похожие на след кометы, которые шли от каждой дробинки [49]. Позже аналогичные В-линии были впервые распознаны при УЗИ грудной клетки у больных с поражением легких [50], и их стали называть «легочные кометы» [49].…”

Section: механизм возникновения ультразвуковых феноменовunclassified

Ultrasound Scanning: Possibilities and Prospects of Evaluating Lung Involvement in Systemic Scleroderma

Ovsyannikova¹,

Ананьева²,

Конева³

et al. 2012

rsp

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Lung Ultrasound Will Soon Replace Chest Radiography in the Diagnosis of Acute Community-Acquired Pneumonia

Bourcier¹,

Braga²,

Garnier³

2016

Curr Infect Dis Rep

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Acute community-acquired pneumonia should be diagnosed early to avoid most complications. The common diagnostic tools were represented by blood tests and chest X-ray with CT scan coming as a second-line exploration. The presence of air in the pulmonary parenchyma has long been thought of as not explorable by ultrasound. However, since the 1990s, several teams have described a semiology of ultrasonography of pulmonary diseases. Moreover, the safety of the technique and the development of mobile and ultra-portable devices have offered it as a first-line examination by a non-radiologist physician. The authors describe in this article ultrasonography as a way of learning the technique, and the main results observed in the literature. In conclusion, they propose it as the first-line examination instead of chest X-ray, and to reserve chest CT scan for complicated cases.

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Sonographic lung surface evaluation in pulmonary sarcoidosis: preliminary results.

Cited by 30 publications

References 24 publications

Transthoracic Sonography of Diffuse Parenchymal Lung Disease

Transthoracic Sonography of Diffuse Parenchymal Lung Disease

Ultrasound Scanning: Possibilities and Prospects of Evaluating Lung Involvement in Systemic Scleroderma

Lung Ultrasound Will Soon Replace Chest Radiography in the Diagnosis of Acute Community-Acquired Pneumonia

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