Ultrasound signs of pulmonary fibrosis in systemic sclerosis as timely indicators for chest computed tomography

Sperandeo, Marco; Cata, Angelo De; Molinaro, Francesca; Trovato, FM; Catalano, Daniela; Simeone, Anna; Varriale, Antonio; Martines, G; Trovato, Guglielmo M.

doi:10.3109/03009742.2015.1011228

Cited by 65 publications

(71 citation statements)

References 31 publications

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“…Sixty-one patients with diagnosis of IPF secondary to different diseases (idiopathic pulmonary fibrosis, sarcoidosis, hypersensitivity pneumonitis, silicosis, viral pneumonias, and CTDs) were involved in the study. All patients showed bilateral B-lines that correlated Sperandeo et al [15] addressed their study to investigate if the potential of US in detecting pleural abnormalities (thickening, pleural/subpleural nodules, and other subpleural lung abnormalities) could play a key role in the detection of subclinical IPF using HRCT assessment as comparison. They performed chest US and HRCT in 175 SSc patients.…”

Section: Evidence Supporting the Role Of Us In Ipf In Sscmentioning

confidence: 92%

“…Only recently has it been proposed as a valid criterion for the assessment of IPF in patients with autoimmune rheumatic diseases [13][14][15][16][17] compared with HRCT as the concurrent "gold standard." This has opened new research fields in US focused on its use for the assessment of IPF in systemic sclerosis (SSc) and other autoimmune rheumatic disorders.…”

Section: Introductionmentioning

confidence: 99%

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Ultrasound in the interstitial pulmonary fibrosis. Can it facilitate a best routine assessment in rheumatic disorders?

et al. 2016

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Ultrasound (US) is increasing its potential in the assessment of several rheumatic disorders. Recently, different applications of this imaging technique have emerged. Interesting data supporting its utility and validity in the assessment of the lung to detect and quantify interstitial pulmonary fibrosis in rheumatic diseases, even in subclinical phases, have been reported. The main purpose of this review is to provide an overview of the role of US in the assessment of interstitial pulmonary fibrosis in rheumatic disorders and to discuss the current evidence supporting its clinical relevance in daily clinical practice.

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Section: Evidence Supporting the Role Of Us In Ipf In Sscmentioning

confidence: 92%

Section: Introductionmentioning

confidence: 99%

Ultrasound in the interstitial pulmonary fibrosis. Can it facilitate a best routine assessment in rheumatic disorders?

et al. 2016

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“…Well‐established fibrosis results in a B7 pattern, while early stages of ILD leads to a B3 pattern due to involvement of the alveolar wall caused by inflammatory cells and edema . Other ultrasonographic signs of ILD are an irregular and thickened pleural line and pleural/subpleural nodules …”

Section: Differential Diagnosis Of B Linesmentioning

confidence: 99%

Pulmonary Edema Assessed by Ultrasound: Impact in Cardiology and Intensive Care Practice

Blanco

Cianciulli

2016

Echocardiography

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Pulmonary edema is a frequent condition found in adult patients hospitalized in cardiology wards and intensive care units. Ultrasonography is a diagnostic modality with a high sensitivity for the detection of extravascular lung water, visualized as B lines, and usually caused by cardiogenic or noncardiogenic pulmonary edema. This paper highlights a simple method for the assessment of patients with pulmonary edema, which allows for a differential diagnosis of its possible mechanism and contributes to therapeutic intervention guiding and monitoring.

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“…Nonetheless, if positive, TUS could hasten the prescription of more efficient imaging (CT or NMR); and (4) pleural line thickening. This is a minor but relevant clue, detected in several diffuse pulmonary interstitial disease[41] and in conditions such as asbestosis[21,42,43]. This can be an early sign of involvement or of worsening of an already known disease, and can help in the decisional tree for the prescription of a radiological examination - CT.…”

Section: The Procedure: Needs Facilities Collaboration and Indicationsmentioning

confidence: 99%

Thoracic ultrasound: A complementary diagnostic tool in cardiology

Trovato

2016

WJC

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Clinical assessment and workup of patients referred to cardiologists may need an extension to chest disease. This requires more in-depth examination of respiratory co-morbidities due to uncertainty or severity of the clinical presentation. The filter and integration of ecg and echocardiographic information, addressing to the clues of right ventricular impairment, pulmonary embolism and pulmonary hypertension, and other less frequent conditions, such as congenital, inherited and systemic disease, usually allow more timely diagnosis and therapeutic choice. The concurrent use of thoracic ultrasound (TUS) is important, because, despite the evidence of the strict links between cardiac and respiratory medicine, heart and chest US imaging approaches are still separated. Actually, available expertise, knowledge, skills and training and equipment’s suitability are not equally fitting for heart or lung examination and not always already accessible in the same room or facility. Echocardiography is useful for study and monitoring of several respiratory conditions and even detection, so that this is nowadays an established functional complementary tool in pulmonary fibrosis and diffuse interstitial disease diagnosis and monitoring. Extending the approach of the cardiologist to lung and pleura will allow the achievement of information on pleural effusion, even minimal, lung consolidation and pneumothorax. Electrocardiography, pulse oximetry and US equipment are the friendly extension of the physical examination, if their use relies on adequate knowledge and training and on appropriate setting of efficient and working machines. Lacking these premises, overshadowing or misleading artefacts may impair the usefulness of TUS as an imaging procedure.

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Ultrasound signs of pulmonary fibrosis in systemic sclerosis as timely indicators for chest computed tomography

Cited by 65 publications

References 31 publications

Ultrasound in the interstitial pulmonary fibrosis. Can it facilitate a best routine assessment in rheumatic disorders?

Ultrasound in the interstitial pulmonary fibrosis. Can it facilitate a best routine assessment in rheumatic disorders?

Pulmonary Edema Assessed by Ultrasound: Impact in Cardiology and Intensive Care Practice

Thoracic ultrasound: A complementary diagnostic tool in cardiology

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