Contrast-Enhanced Sonography for Differential Diagnosis of Pleurisy and Focal Pleural Lesions of Unknown Cause

Görg, Christian; Bert, Tillmann; Görg, K.

doi:10.1378/chest.128.6.3894

Cited by 67 publications

(32 citation statements)

References 17 publications

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“…Görg et al [ 19 , 20 ] demonstrated that the blood supply of lung lesion came from pulmonary artery if the enhancement appeared before 10 s after administration of SonoVue. On the other hand, if the enhancement appeared later than 10 s after contrast agent injection, the blood supply of lung lesions was indicated as bronchial arteries.…”

Section: Discussionmentioning

confidence: 99%

The Role of Contrast-Enhanced Ultrasound in Selection Indication and Improveing Diagnosis for Transthoracic Biopsy in Peripheral Pulmonary and Mediastinal Lesions

Wang

Yang

Zhang

et al. 2015

BioMed Research International

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Objective. To investigate the value of contrast-enhanced ultrasound (CEUS) in transthoracic biopsy of peripheral lung and mediastinal lesions. Methods. Of 142 patients, 82 patients received CEUS before biopsy and were defined as CEUS group. The remaining 60 patients only underwent conventional ultrasound (US) before biopsy and were served as US group. The information of CEUS was used for selecting indication and instructing biopsy. The imaging features, number of punctures, diagnostic successful rate, and complication rate between the two groups were compared. Results. Necrosis was demonstrated in 43.9% of the lesions in CEUS group and in 6.7% of US group (P < 0.001). Detection rate of lesion hidden in pulmonary atelectasis in CEUS group was 13.4%, which was statistically higher than 1.7% of US group (P = 0.013). The diagnostic success rate was 96.3% for CEUS group and 80% for US group, respectively (P = 0.002). The average number of punctures was 2.5 ± 0.7 and 2.6 ± 0.6, respectively. There was no significant difference in complications between CEUS group and US group. Conclusions. CEUS could play an important role in selecting proper indication and improving diagnostic accuracy rate of lung biopsy.

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Section: Discussionmentioning

confidence: 99%

The Role of Contrast-Enhanced Ultrasound in Selection Indication and Improveing Diagnosis for Transthoracic Biopsy in Peripheral Pulmonary and Mediastinal Lesions

Wang

Yang

Zhang

et al. 2015

BioMed Research International

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“…Peripheral pulmonary embolism typically reveals no flow signals in color Doppler sonography. Pleurisy and pleural lesions of unknown causes may be further differentiated by contrast-enhanced sonography [21]. For further reading on this topic, we like to refer to the review by Kreuter et al [22] in this Thematic Review Series.…”

Section: Lus Compared With Other Methods In the Diagnosis And Follow-mentioning

confidence: 99%

Lung Ultrasound in Community-Acquired Pneumonia and in Interstitial Lung Diseases

Reißig

Copetti

2014

Respiration

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Lung ultrasound (LUS) is an accurate tool for the diagnosis and follow-up of pneumonia in adults as well as in children. LUS is at least as accurate as chest radiography in diagnosing pneumonia. The most important parenchymal criterion is the positive air bronchogram within an echopoor area. Among pleural criteria, basal effusion was most often detected. The presence of multiple diffuse bilateral B-lines on lung examination indicates the interstitial syndrome (IS). For further differential diagnosis, an integrated consideration of history, clinical examination, LUS and echocardiography should be performed. LUS is an excellent tool for IS screening. Repeated LUS control examinations may reflect the dynamics of IS under therapy and so LUS may serve as a therapy guide.

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“…However, owing to their dual vascular supply with pulmonary arterial (PA) and systemic bronchial arterial (BA) enhancement, lung and pleural lesions may be much better visualized and differentially diagnosed on contrast-enhanced US (CEUS). [2][3][4][5] In contrast to Some CT, CEUS can be safely performed in patients with impaired or unknown renal function. 6 Our initial small pilot CEUS study revealed that IP shows homogeneous PA enhancement, 4 whereas on the basis of pathophysiology, EC should be characterized by interrupted or disturbed PA vascularization.…”

mentioning

confidence: 99%

“…[2][3][4][5] In contrast to Some CT, CEUS can be safely performed in patients with impaired or unknown renal function. 6 Our initial small pilot CEUS study revealed that IP shows homogeneous PA enhancement, 4 whereas on the basis of pathophysiology, EC should be characterized by interrupted or disturbed PA vascularization. Accordingly, absent or nonhomogeneous PA enhancement should be characterized by peripheral wedge-shaped areas with a complete or incomplete lack of enhancement.…”

mentioning

confidence: 99%

Contrast‐enhanced ultrasound of embolic consolidations in patients with pulmonary embolism: A pilot study

Bartelt

Trenker

Görg

et al. 2015

J of Clinical Ultrasound

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Contrast-Enhanced Sonography for Differential Diagnosis of Pleurisy and Focal Pleural Lesions of Unknown Cause

Cited by 67 publications

References 17 publications

The Role of Contrast-Enhanced Ultrasound in Selection Indication and Improveing Diagnosis for Transthoracic Biopsy in Peripheral Pulmonary and Mediastinal Lesions

The Role of Contrast-Enhanced Ultrasound in Selection Indication and Improveing Diagnosis for Transthoracic Biopsy in Peripheral Pulmonary and Mediastinal Lesions

Lung Ultrasound in Community-Acquired Pneumonia and in Interstitial Lung Diseases

Contrast‐enhanced ultrasound of embolic consolidations in patients with pulmonary embolism: A pilot study

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