Chest ultrasonography in health surveillance of asbestos-related lung diseases

Smargiassi, Andrea; Pasciuto, Giuliana; Pedicelli, Ilaria; Greco, Erminia Lo; Calvello, Mariarosaria; Inchingolo, Riccardo; Schifino, Gioacchino; Capoluongo, Patrizio; Patriciello, Pasquale; Manno, Maurizio; Cirillo, Alfonso; Corbo, Giuseppe Maria; Soldati, Gino; Iavicoli, Ivo

doi:10.1177/0748233716686916

Cited by 12 publications

(8 citation statements)

References 36 publications

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“…For PE, it is known that Chest US can represent the gold-standard technique [18][19][20]. Inter-rater agreement with Chest X-ray showed a fair magnitude.…”

Section: Discussionmentioning

confidence: 94%

Agreement between chest ultrasonography and chest X-ray in patients who have undergone thoracic surgery: preliminary results

et al. 2019

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Background: Chest Ultrasonography (chest US) has shown good sensibility in detecting pneumothorax, pleural effusions and peripheral consolidations and it can be performed bedside. Objectives: The aim of the study was to analyze agreement between chest US and chest X-ray in patients who have undergone thoracic surgery and discuss cases of discordance. Methods: Patients undergoing thoracic surgery were retrospectively selected. Patients underwent routinely Chest X-ray (CXR) during the first 48 h after surgery. Chest US have been routinely performed in all selected patients in the same date of CXR. Chest US operators were blind to both reports and images of CXR. Ultrasonographic findings regarding pneumothorax (PNX), subcutaneous emphysema (SCE), lung consolidations (LC), pleural effusions (PE) and hemi-diaphragm position were collected and compared to corresponding CXR findings. Inter-rater agreement between two techniques was determined by Cohen’s kappa-coefficient. Results: Twenty-four patients were selected. Inter-rater agreement showed a moderate magnitude for PNX (Cohen’s Kappa 0.5), a slight/fair magnitude for SCE (Cohen’s Kappa 0.21), a fair magnitude for PE (Cohen’s Kappa 0.39), no agreement for LCs (Cohen’s Kappa 0.06), high levels of agreement for position of hemi-diaphragm (Cohen’s Kappa 0.7). Conclusion: Analysis of agreement between chest X-ray and chest US showed that ultrasonography is able to detect important findings for surgeons. Limitations and advantages have been found for both chest X-ray and chest US. Knowing the limits of each one is important to really justify and optimize the use of ionizing radiations.

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“…For PE, it is known that Chest US can represent the gold-standard technique [18][19][20]. Inter-rater agreement with Chest X-ray showed a fair magnitude.…”

Section: Discussionmentioning

confidence: 94%

Agreement between chest ultrasonography and chest X-ray in patients who have undergone thoracic surgery: preliminary results

et al. 2019

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“…Imaging studies play a pivotal role in the diagnosis and management of pleural disease, this study shows perfect and strong agreement between X-ray, CT and US in evaluation of amount of pleural effusion with moderate agreement between CT and US in evaluating the pattern of effusion even free or loculated with superiority of US which diagnose 40% of the cases in comparison with CT which diagnose 27% so the Chest US can represent the gold-standard technique (9) . This in agreement with Smargiassi et al (10) Who report US inter-rater agreement with Chest X-ray of a fair magnitude, Sobhyet al (11) study the ability to detect pattern of pleural effusion (free or loculated) and revealed that both CT and US were close to each other but with no significant difference.…”

Section: Discussionmentioning

confidence: 60%

Validation of Radiological Imaging in Evaluating Cases with Pleural Effusion

2020

IJPHRD

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Background: Pleural effusion disease became widely distributed nowadays with multiple pathogenic mechanisms. Aim of the Work:To assess the concordance between chest X-ray, chest ultrasound (US) and chest computed tomography (CT) in cases of pleural effusion.Method: Seventy patients with pleural effusion subjected to full history taking, examination and Radiological investigations including chest X ray, CT and US.Results: Strong agreement between X-ray, CT and US in evaluation of amount of pleural effusion, moderate agreement between CT and US in evaluating the pattern of effusion even free or loculated with superiority of US, superiority of US and ability to diagnose pleural thickening and pleural mass.Conclusions: ultrasound is standard tool for diagnosing and evaluating the pleural effusion.

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“…For PE, it is known that Chest US can represent the gold-standard technique [18–20]. Inter-rater agreement with Chest X-ray showed a fair magnitude.…”

Section: Discussionmentioning

confidence: 99%

Agreement between chest ultrasonography and chest X-ray in patients who have undergone thoracic surgery: preliminary results

Smargiassi

Inchingolo

Chiappetta

et al. 2019

Multidiscip Respir Med

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Background Chest Ultrasonography (chest US) has shown good sensibility in detecting pneumothorax, pleural effusions and peripheral consolidations and it can be performed bedside. Objectives The aim of the study was to analyze agreement between chest US and chest X-ray in patients who have undergone thoracic surgery and discuss cases of discordance. Methods Patients undergoing thoracic surgery were retrospectively selected. Patients underwent routinely Chest X-ray (CXR) during the first 48 h after surgery. Chest US have been routinely performed in all selected patients in the same date of CXR. Chest US operators were blind to both reports and images of CXR. Ultrasonographic findings regarding pneumothorax (PNX), subcutaneous emphysema (SCE), lung consolidations (LC), pleural effusions (PE) and hemi-diaphragm position were collected and compared to corresponding CXR findings. Inter-rater agreement between two techniques was determined by Cohen’s kappa-coefficient. Results Twenty-four patients were selected. Inter-rater agreement showed a moderate magnitude for PNX (Cohen’s Kappa 0.5), a slight/fair magnitude for SCE (Cohen’s Kappa 0.21), a fair magnitude for PE (Cohen’s Kappa 0.39), no agreement for LCs (Cohen’s Kappa 0.06), high levels of agreement for position of hemi-diaphragm (Cohen’s Kappa 0.7). Conclusion Analysis of agreement between chest X-ray and chest US showed that ultrasonography is able to detect important findings for surgeons. Limitations and advantages have been found for both chest X-ray and chest US. Knowing the limits of each one is important to really justify and optimize the use of ionizing radiations.

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Chest ultrasonography in health surveillance of asbestos-related lung diseases

Abstract: Chest US might be considered an additional tool to follow up subjects occupationally exposed to asbestos who have already undergone CT scan examination and whose pathology is detectable by US as well.

Cited by 12 publications

References 36 publications

Agreement between chest ultrasonography and chest X-ray in patients who have undergone thoracic surgery: preliminary results

Agreement between chest ultrasonography and chest X-ray in patients who have undergone thoracic surgery: preliminary results

Validation of Radiological Imaging in Evaluating Cases with Pleural Effusion

Agreement between chest ultrasonography and chest X-ray in patients who have undergone thoracic surgery: preliminary results

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