The role of lung ultrasound in the diagnosis of interstitial lung disease

Falcetta, Andrea; Leccardi, Stefano; Testa, Elisa; Papaleo, Francesca; Fenoglio, Luigi; Melchio, Remo

doi:10.21037/shc.2018.04.10

Cited by 10 publications

(9 citation statements)

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“…In the last decade, LUS evaluation has been extensively explored for CTD-associated ILD for acute conditions such as cardiogenic pulmonary edema (CPE) and noncardiogenic alveolar interstitial syndrome, viral pneumonia, or pulmonary hypertension [37,38].…”

Section: Discussionmentioning

confidence: 99%

“…New multicenter studies are needed to demonstrate validity, reliability, and responsiveness. New diagnostic criteria and standardized techniques must be elaborated by experts before eventually including LUS in the algorithm of diagnosis for symptomatic patients before being sent to HRCT [37]. Point-of-care ultrasound (POCUS) is described as the stethoscope of the future and is being implemented across the medical field by clinicians for bedside examination of patients [43].…”

Section: Discussionmentioning

confidence: 99%

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Correlation between Transthoracic Lung Ultrasound Score and HRCT Features in Patients with Interstitial Lung Diseases

Man

Danteş

Hancu

et al. 2019

JCM

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Chest high-resolution computed tomography (HRCT) is considered the “gold” standard radiological method in interstitial lung disease (ILD) patients. The objectives of our study were to evaluate the correlation between two transthoracic lung ultrasound (LUS) scores (total number of B-lines score = the total sum of B-lines in 10 predefined scanning sites and total number of positive chest areas score = intercostal spaces with ≥3 B-lines) and the features in HRCT simplified scores, in different interstitial disorders, between LUS scores and symptoms, as well as between LUS scores and pulmonary function impairment. We have evaluated 58 consecutive patients diagnosed with ILD. We demonstrated that there was a good correlation between the total number of B-lines score and the HRCT simplified score (r = 0.784, p < 0.001), and also a good correlation between the total number of positive chest areas score and the HRCT score (r = 0.805, p < 0.005). The results confirmed the value of using LUS as a diagnostic tool for the assessment of ILD compared to HRCT. The use of LUS in ILD patients can be a useful, cheap, accessible and radiation-free investigation and can play a complementary role in the diagnosis and monitoring of these patients.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Correlation between Transthoracic Lung Ultrasound Score and HRCT Features in Patients with Interstitial Lung Diseases

Man

Danteş

Hancu

et al. 2019

JCM

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“…Presence of such multiple additional features, time bound changes in disease pathological stages and associated duel pathology in these two cases could have resulted inaccuracy in LUS diagnosis. Falcetta A et al 12 have mentioned that B-lines, pleural irregularities and nodules or consolidations are seen in DPLD, however there is insufficient data to establish accuracy of LUS in diagnosis of interstitial lung disease in ARF. 13 Finally our study has few limitations as we know ultrasound is undeniably an operator-dependent imaging modality, as all the ultrasound performer in our study were non expert clinician there might be biasness in diagnostic accuracy.…”

Section: Discussionmentioning

confidence: 99%

Chest Ultrasonography in Diagnosing Etiology of Acute Respiratory Failure

Pant¹,

Pal²,

Yadav³

et al. 2020

Med. J. Shree Birendra Hosp.

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Introduction: Lung ultrasonography (LUS) is a useful diagnostic tool in critical care setting. Lung ultrasound at bed side is relatively easy to perform, cost effective and reproducible. Analysis of various sign and profile, alone or in combination is as accurate as gold standard test like Computed Tomography scan of the chest in detection of etiology of acute respiratory failure. The aim of our study was to perform bed side lung ultrasound in patent with ARF and to find out the diagnostic accuracy of lung ultrasound when compared with diagnosis made by the clinician. Methods: This descriptive observational study was conducted at tertiary care teaching centre in Nepal between February 2019 and July 2019. Consecutive samples of acute respiratory failure patient were included. Lung ultrasound was performed at bed side by fellows of pulmonary critical care medicine. Specific 10 signs of blue protocol were assessed in six different sites of both the chest. Findings of LUS was recorded and analysed to formulate a diagnosis, and finally compared with the final diagnosis. Results: Forty eight patients of acute respiratory failure with median age of 66 years (17 to 89 years) were included with 66.7% being females. 97.9 % of the patient presented with acute shortness of breath of less than one week duration. A total of 13 different diagnosis was made at the end of the treatment for all the patient. LUS accurately diagnosed them in 43 cases, with an overall accuracy of 89.6 %. Chronic obstructive pulmonary disease, pulmonary edema, pneumonia, pleural effusion, pneumothorax were accurately diagnosed with LUS however in acute respiratory distress syndrome and interstitial lung disease, lung ultrasound had poor diagnostic accuracy. Conclusions: Lung ultrasound is useful tool in diagnosing etiology of acute respiratory failure. Diagnosis made by lung ultrasound was 89.6% correct when compared with final diagnosis made by clinician.

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“…Data about the use of LUS is few, either its use to monitor patients with any lung pathology or as a screening modality to assess patients with a lung disease [6] .…”

Section: Introductionmentioning

confidence: 99%

“…The presence of ≥3 B-lines between two ribs in same scan is a sign for the diagnosis of interstitial syndrome [6] .…”

Section: Introductionmentioning

confidence: 99%

Comparison Study between Chest Ultrasonography and High Resolution CT in Diagnosis and Assessment of Interstitial Lung Diseases

Elmansy

Abdel-Aziz

Shaqueer

et al. 2020

International Journal of Medical Arts

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Background: Chest high-resolution computed tomography [HRCT] is considered the "gold" standard for radiological diagnosis of interstitial lung disease [ILD]. However, it is not available in all health care facilities and its high cost is a limitation for its wide use. Ultrasound could provide a suitable alternative. Aim of the work: To detect the role of transthoracic lung ultrasonography [LUS] in diagnosis and assessment of ILD and to correlate it with HRCT as a gold-standard diagnostic modality. Methods: This included fifty patients who were admitted with clinical features suggestive of ILD. All were clinically evaluated [by full history and physical examination], submitted to pulmonary functions, arterial blood gases, lung ultrasound and HRCT. Results: The total sum of B-lines was 72.64 ± 39.45 and the total positive chest areas [> 3 B-lines] 6.47 ± 2.35. The most common ultrasound finding was thick pleural line. Finally, there was positive [proportional], moderate, significant correlation between Warrick's score [HRCT] and B-lines distance [LUS]. However, Warrick score correlated negatively with each of six-minute walk test, partial arterial oxygen tension and forced vital capacity. Conclusions: Lung ultrasound as a diagnostic modality for ILD reveled that, it is a useful tool, as there was good correlation between LUS and HRCT. LUS is cheap, accessible and radiation-free diagnostic tool. It could play a stand alone or a complementary role in the diagnosis and monitoring of ILD.

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The role of lung ultrasound in the diagnosis of interstitial lung disease

Cited by 10 publications

References 0 publications

Correlation between Transthoracic Lung Ultrasound Score and HRCT Features in Patients with Interstitial Lung Diseases

Correlation between Transthoracic Lung Ultrasound Score and HRCT Features in Patients with Interstitial Lung Diseases

Chest Ultrasonography in Diagnosing Etiology of Acute Respiratory Failure

Comparison Study between Chest Ultrasonography and High Resolution CT in Diagnosis and Assessment of Interstitial Lung Diseases

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