Sonographische Darstellung von Lungenembolien. Ergebnisse einer prospektiven Studie

Kroschel, Ulf; Seitz, Karlheinz; Reuß, Joachim; Rettenmaier, Gerhard

doi:10.1055/s-2007-1005941

Cited by 21 publications

(3 citation statements)

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“…Despite the fact that using TUS for the diagnosis of pulmonary embolism was described >50 years ago, research in the area has primarily evolved within the past two decades, with several descriptive and diagnostic accuracy studies [15,29,[150][151][152][153][154][155][156][157][158][159][160][161][162][163][164]. In a meta-analysis of the diagnostic accuracy of TUS for pulmonary embolism, SQUIZZATO et al [165] reported a bivariate weighted mean sensitivity and specificity Air bronchograms (A) are present and can be seen as hyperechoic dots or lines within the consolidation.…”

Section: Lung Consolidation Overview Of the Evidence And Current Practicementioning

confidence: 99%

European Respiratory Society statement on thoracic ultrasound

et al. 2020

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Thoracic ultrasound is increasingly considered to be an essential tool for the pulmonologist. It is used in diverse clinical scenarios, including as an adjunct to clinical decision making for diagnosis, a real-time guide to procedures, and a predictor or measurement of treatment response. The aim of this European Respiratory Society task force was to produce a statement on thoracic ultrasound for pulmonologists using thoracic ultrasound within the field of respiratory medicine. The multidisciplinary panel performed a review of the literature, addressing major areas of thoracic ultrasound practice and application. The selected major areas include equipment and technique, assessment of the chest wall, parietal pleura, pleural effusion, pneumothorax, interstitial syndrome, lung consolidation, diaphragm assessment, intervention guidance, training, and the patient perspective. Despite the growing evidence supporting the use of thoracic ultrasound, the published literature still contains a paucity of data in some important fields. Key research questions for each of the major areas were identified, which serve to facilitate future multi-centre collaborations and research to further consolidate an evidence-based use of thoracic ultrasound, for the benefit of the many patients being exposed to clinicians using thoracic ultrasound.

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Section: Lung Consolidation Overview Of the Evidence And Current Practicementioning

confidence: 99%

European Respiratory Society statement on thoracic ultrasound

et al. 2020

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“…There were 5 studies published pre-2000 [17–19, 31, 32], and the pooled sensitivity, specificity, PLR, NLR and DOR were 0.94 (95% CI, 0.89 to 0.96), 0.74 (95% CI, 0.61 to 0.85), 3.64 (95% CI, 2.26 to 5.84), 0.09 (95% CI, 0.05 to 0.16) and 42.31 (95% CI, 17.15 to 104.4). The HSROC was 0.95 (95% CI, 0.92 to 0.96).…”

Section: Resultsmentioning

confidence: 99%

Role of Transthoracic Lung Ultrasonography in the Diagnosis of Pulmonary Embolism: A Systematic Review and Meta-Analysis

Jiang

Zhao

et al. 2015

PLoS ONE

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BackgroundPulmonary embolism (PE) is a potentially life-threatening condition. Although computed tomography pulmonary angiography (CTPA) is the reference standard for diagnosis, its early diagnosis remains a challenge, and the concerns about the radiation exposures further limit the general use of CTPA. The primary aim of this meta-analysis was to evaluate the overall diagnostic accuracy of transthoracic lung ultrasound (TLS) in the diagnosis of PE.MethodsPubMed, Web of science, OvidSP, ProQuest, EBSCO, Cochrane Library and Clinicaltrial.gov were searched systematically. The quality of included studies was assessed using the Quality Assessment of Diagnostic Accuracy Studies-2 tool. The sensitivity, specificity, positive likelihood ratio (PLR), negative likelihood ratio (NLR), diagnostic odds ratio (DOR) and hierarchical summary receiver operating characteristic (HSROC) curves were used to examine the TS performance. The Bayes analysis was used to calculate the post-test probability of PE. Publication bias was assessed with Deeks funnel plot.ResultsThe results indicated that the sensitivity, specificity, PLR and NLR were 0.85 (95% confidence interval (CI), 0.78 to 0.90), and 0.83 (95% CI, 0.73 to 0.90). And the DOR and HSROC were 28.82 (95% CI, 17.60 to 47.21), 0.91(95% CI, 0.88, 0.93).ConclusionsThe present meta-analysis suggested that transthoracic lung ultrasonography is helpful in diagnosing pulmonary embolism. Although the application of transthoracic lung ultrasound may change some patients’ diagnostic processes, it is inappropriate to generally use transthoracic ultrasonography in diagnosing pulmonary embolism currently.

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“…Häufig gehen einer massiven Lungenembolie kleinere emboli− sche Ereignisse voraus, die dann als Signalembolien zur Darstel− lung kommen. Solche kleinen Läsionen können sowohl als Vor− boten eine drohende Lungenembolie signalisieren, aber auch bei einer massiven zentralen Lungenembolie gleichzeitig beste− hen und somit die Diagnose stützen, ohne dass der zentrale Em− bolus selbst thoraxsonographisch nachweisbar ist, was wegen der dazwischen liegenden Luft nicht gelingen kann [16,23]. Kontrastmittelsonographie: Lungeninfarkte und emboliebe− dingte Hämorrhagien zeigen in der Kontrastmittel unterstützten Sonographie, wie in der Farbdopplersonographie, eine fehlende Durchblutung bzw.…”

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Sonographie bei Lungenembolie: drei Fliegen auf einen Streich

Mathis

2006

Pneumologie

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Pulmonary embolism remains a great diagnostic challenge. The value of different ultrasound methods is presented in this review. Regarding the accuracy of echocardiography, it shows a sensitivity of 41 - 50 % and a specifity of 90 % for unselected patients with suspicion of PE as a result. On the other hand, the sensitivity of echocardiography in cases of hemodynamic instable patients is very high. In a recent multicenter trial of thoracic ultrasound in diagnosis of pulmonary embolism on 352 patients the sensitivity amounts to 74 %, the specifity to 95 %, the positive predictive value to 95 %, negative predictive value to 75 % and accuracy to 84 %. Colour Doppler sonography with compression is a save modality ensuring the source of embolism in deep vein thrombosis. With suspicion of deep vein thrombosis the median sensitivity made up 95 % (38 - 100 %) and median specifity was 97 % (81 - 100 %). The combination of chest sonography, echocardiography and compression sonography of leg vein thrombosis enhances the sensitivity of sonography to 92 %, while this accuracy can not be reached with any other method.

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Sonographische Darstellung von Lungenembolien. Ergebnisse einer prospektiven Studie

Cited by 21 publications

References 0 publications

European Respiratory Society statement on thoracic ultrasound

European Respiratory Society statement on thoracic ultrasound

Role of Transthoracic Lung Ultrasonography in the Diagnosis of Pulmonary Embolism: A Systematic Review and Meta-Analysis

Sonographie bei Lungenembolie: drei Fliegen auf einen Streich

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