Lung Ultrasound in Pneumothorax: The Continuing Need for Radiology

Trovato, Guglielmo M.; Sperandeo, Marco

doi:10.1016/j.jemermed.2015.01.045

Cited by 11 publications

(5 citation statements)

References 5 publications

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“…CEUS does not discriminate between benign and malignant tissue in pleural-based lesions or lung disease [ 18 , 28 ]; the present study showed that CEUS contributes to the management of AMMs by US. CEUS plays a role in the exclusion of fully cystic lesions and in the selection of target areas in patients who are suitable for US-guided CNB.…”

Section: Discussionmentioning

confidence: 56%

Contrast-Enhanced Ultrasound Improves the Pathological Outcomes of US-Guided Core Needle Biopsy That Targets the Viable Area of Anterior Mediastinal Masses

Zhou

Shan

et al. 2018

BioMed Research International

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Based on the option that ultrasound-guided core needle biopsy (US-CNB) of the enhanced portion of anterior mediastinal masses (AMMs) identified by contrast-enhanced ultrasound (CEUS) would harvest viable tissue and benefit the histological diagnoses, a retrospective study was performed to elucidate the correlation between the prebiopsy CEUS and diagnostic yield of AMMs and found that CEUS potentially improved the diagnostic yield of AMMs compared with conventional US with a significant increase in the cellularity of samples. Furthermore, the marginal blood flow signals and absence of necrosis can predict the diagnostic yield of AMM. It was concluded that US-CNB of the viable part of AMMs, as verified by CEUS, was able to harvest sufficient tissue with more cellularity that could be used for ancillary studies and improve the diagnostic yield. And CEUS was recommended to those patients with AMMs undergoing repeated US-CNB, with the absence of marginal blood signals or presence of necrosis.

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Section: Discussionmentioning

confidence: 56%

Contrast-Enhanced Ultrasound Improves the Pathological Outcomes of US-Guided Core Needle Biopsy That Targets the Viable Area of Anterior Mediastinal Masses

Zhou

Shan

et al. 2018

BioMed Research International

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“…Press et al [ 18 ] found a sensitivity of 91.95% and a specificity of 89.10% for the performance of pneumothorax detection via lung ultrasound[ 18 ]. In addition, lung ultrasound has also been reported to exhibit low sensitivity for pneumothorax diagnosis[ 19 ]. This may be explained by the criterion of lung sliding disappearance that is often used for pneumothorax diagnosis, in which particular expertise and training is required[ 20 ].…”

Section: Discussionmentioning

confidence: 99%

Quantification analysis of pleural line movement for the diagnosis of pneumothorax

Xiao¹,

Shao²,

Zhao³

et al. 2021

WJCC

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BACKGROUND There is no research on quantitative pleural line movement. In this study, we assume that tissue Doppler and its quantitative technology can quantify the pleural line movement and can be used to diagnose pneumothorax. AIM To evaluate the quantitative assessment of pleural line movement measured by tissue Doppler imaging (TDI) for pneumothorax diagnosis. METHODS Adult patients ( n = 45) diagnosed with unilateral pneumothorax were included in this study. Each patient underwent TDI of both lungs. The pneumothorax side and contralateral normal lung side were compared using several indices obtained from TDI: peak pleural line velocity (PVmax), peak chest wall tissue velocity (CVmax), peak pleural line strain value (PS max ), peak chest wall tissue strain value (CS max ), PV max /CV max and PS max /CS max . The receiver operating characteristic analysis was used to evaluate the performance of these quantitative assessments for pneumothorax diagnosis. RESULTS Various quantitative variables of the pneumothorax side were all lower than that of the non-pneumothorax side and included the PV max (0.36 cm/s vs 0.59 cm/s, P < 0.001), PS max (1.14% vs 1.90%, P = 0.001), PV max /CV max (1.06 vs 4.93, P < 0.001), and PS max /CS max (0.76 vs 1.74, P < 0.001). For the discrimination of pneumothorax, the cut-off values of the PV max , PS max , PV max /CV max , and PS max /CS max were calculated as 0.50 cm/s, 0.94%, 1.96, and 1.12, respectively. Similarly, the sensitivities and specificities of PV max , PS max , PV max /CV max , and PS max /CS max were 96% and 62%, 47% and 91%, 93% and 96%, and 82% and 93%, respectively. The area under the receiver operating characteristic curve were 0.84, 0.72, 0.99, and 0.91, respectively, for PV max , PS max , PV max /CV max , and PS max /CS max . CONCLUSION Quantification analysis of pleural line movement using TDI is a us...

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“…The cautious attitude of Italian geriatricians towards chest ultrasound could also depend on the knowledge of some intrinsic limitations of the technique, that may be emphasized in older patients. In fact, ultrasound cannot investigate deeper regions of the chest and as much as 30% of the pleural surface, leading to a significant number of false negative scans in pneumonia, lung cancer and pneumothorax [18][19][20] . For example, according to a recent study, in a large series of chest radiographyconfirmed pneumonia, thoracic ultrasound missed the detection of 26.5% of lesions, proving useful only for follow-up of viewable consolidations 21 .…”

Section: Discussionmentioning

confidence: 99%

Chest ultrasound in Italian geriatric wards: use, applications and clinicians’ attitudes

Ticinesi

Lauretani

Nouvenne

et al. 2020

JGG

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Lung Ultrasound in Pneumothorax: The Continuing Need for Radiology

Cited by 11 publications

References 5 publications

Contrast-Enhanced Ultrasound Improves the Pathological Outcomes of US-Guided Core Needle Biopsy That Targets the Viable Area of Anterior Mediastinal Masses

Contrast-Enhanced Ultrasound Improves the Pathological Outcomes of US-Guided Core Needle Biopsy That Targets the Viable Area of Anterior Mediastinal Masses

Quantification analysis of pleural line movement for the diagnosis of pneumothorax

Chest ultrasound in Italian geriatric wards: use, applications and clinicians’ attitudes

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