Ultrasonographyin diagnosis of thoracic diseases

Stevic, Ruza; Jakovic, Radoslav; Mašulović, Dragan; Nagorni-Obradović, Ljudmila; Mujović, Nataša; Jovanović, Dragana

doi:10.2298/mpns1002086s

Cited by 3 publications

(3 citation statements)

References 12 publications

(26 reference statements)

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“…More than two-thirds of all patients had loculated effusion with the complex septate echo structure in half of them. This study and literature data confirmed that existence of intrapleural septa may predict a more complicated clinical course [ 6 , 8 – 10 , 15 – 20 ]. Our results and reported series show that the smaller number of complications and high success rate of thoracentesis even in complex loculated collections can be explained by the particular choice of the point of puncture in the skin mark-based method and the constant view and following of the needle during the real-time US-guided intervention [ 13 , 14 , 16 , 21 , 22 , 23 , 24 , 25 ].…”

Section: Discussionsupporting

confidence: 86%

“…Lower success rate in thoracentesis or drainage without real-time guidance can be simply explained by shifting of both fluid collection and skin mark with a change in the patient's position. During the real-time US-guided procedure, constant monitoring of the aspiration site helps avoiding thick septa or efficient disruption of thinner septa which enables successful fluid aspiration [ 8 – 14 ]. More than two-thirds of all patients had loculated effusion with the complex septate echo structure in half of them.…”

Section: Discussionmentioning

confidence: 99%

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Sonographic Indicators for Treatment Choice and Follow-Up in Patients with Pleural Effusion

Stevic

Čolić

Bascarevic

et al. 2018

Canadian Respiratory Journal

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Aim The aim of this study was to evaluate the role of thoracic sonography in treatment of pleural effusions and to identify sonographic indicators for surgical intervention. Materials and Methods This study included 378 patients with pleural effusions. US characteristics of effusions as the echo structure and pleural thickening were analyzed. Regarding the US finding, the diagnostic or therapeutic procedure was performed. Results The study included 267 male and 111 female patients, an average of 56.7 years. Infection was the most frequent cause of effusion. Two hundred sixty-nine patients had loculated and 109 free pleural effusion. Most frequent echo structure of loculated effusion was complex septate, whereas free effusion was mostly anechoic. Successful obtaining of the pleural fluid without real-time guidance was in 88% and under real-time guidance in 99% patients (p < 0.012). There was no significant difference in success rate between free and loculated effusion and regarding the echo structure (p=0.710 and 0.126, respectively). Complete fluid removal after serial thoracentesis or drainage was achieved in 86% patients. Forty-five patients with significantly thicker pleural peel and impairment of the diaphragmatic function than remaining of the group (p < 0.001) underwent surgery. Open thoracotomy and decortication was more frequently performed in patients with completely fixed diaphragm and complex, dominantly septated effusions. There is no significant difference in US parameters comparing to patients underwent VATS, but the number of VATS is too small for valid conclusion. Conclusion Thoracic sonography is a very useful tool in the evaluation of clinical course and treatment options in patients with pleural effusions of a different origin.

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Section: Discussionsupporting

confidence: 86%

Section: Discussionmentioning

confidence: 99%

Sonographic Indicators for Treatment Choice and Follow-Up in Patients with Pleural Effusion

Stevic

Čolić

Bascarevic

et al. 2018

Canadian Respiratory Journal

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“…In the majority of cases, clinical signs such as cough and radiologic findings including pathologic mass, inflammatory densities, pleural effusion and pneumothorax are nonspecific [45][46][47]. Diagnosis of lung carcinomas and metastases is based on the US criteria applied to adults [48,49]. When distinguishing malignant and benign pulmonary masses, the following options are used: colour (CD), power (PD) and spectral Doppler (Pulsed Wave Doppler) but solely based on US examination it is not possible to distinguish benign and malignant lesions [50].…”

Section: Lung Carcinomas and Metastasesmentioning

confidence: 99%

Lung ultrasound in children, WFUMB review paper (part 2)

et al. 2021

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Ultrasound (US) is an ideal diagnostic tool for paediatric patients owning to its high spatial and temporal resolution, real-time imaging, and lack of ionizing radiation and bedside availability. In the current World Federation of Societies for Ultra-sound in Medicine and Biology (WFUMB) paper series so far (part I) the topic has been introduced and the technical require-ments explained. In the present paper the use of US in the lung in paediatric patients is analysed. Lung diseases including the interstitial syndrome, bacterial pneumonia and viral infections, CoViD findings, atelectasis, lung consolidation, bronchiolitis and congenital diseases of the respiratory system including congenital pulmonary airway malformation (CPAM) and sequester but also pneumothorax are discussed.

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Contrast-enhanced ultrasonography in peripheral lung consolidations: What’s its actual role?

Sartori¹

2013

WJR

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Ultrasonographyin diagnosis of thoracic diseases

Abstract: Ultrasonography is a very useful second line method in diagnosis of chest disease. The advantages of this method include bed, side availability, absence of radiation, and guided aspiration of fluid-filled areas and solid tumors.

Cited by 3 publications

References 12 publications

Sonographic Indicators for Treatment Choice and Follow-Up in Patients with Pleural Effusion

Sonographic Indicators for Treatment Choice and Follow-Up in Patients with Pleural Effusion

Lung ultrasound in children, WFUMB review paper (part 2)

Contrast-enhanced ultrasonography in peripheral lung consolidations: What’s its actual role?

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