Real-time sonography of pleural opacities

Hirsch, Jack; Rogers, J V; Mack, L A

doi:10.2214/ajr.136.2.297

Cited by 111 publications

(45 citation statements)

References 1 publication

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“…Recent advances in sonographic technology have demonstrated the multipotential capabilities of chest sonography in the diagnosis of pleural diseases [3], peripheral parenchymal lesions [4], mediastinal lesions [5], consolidation, and atelectasis [6]. Transthoracic aspiration biopsy also can be performed safely under real-time sonographic guidance to obtain specimens adequate for histologic diag-AJR:1 59, October 1992 nosis [7].…”

Section: Objectivementioning

confidence: 99%

See 1 more Smart Citation

Diagnostic and therapeutic use of chest sonography: value in critically ill patients.

Yang²,

Chang³

et al. 1992

American Journal of Roentgenology

116

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Section: Objectivementioning

confidence: 99%

“…The sonographic equipment is portable, and the examination can be done at the bedside if necessary. Previous study of sonography for critically ill patients has been restncted to its usefulness in guiding thoracentesis [3]. No attempt has been made to use chest sonography as a diagnostic tool in critically ill patients.…”

Section: Objectivementioning

confidence: 99%

Diagnostic and therapeutic use of chest sonography: value in critically ill patients.

Yang²,

Chang³

et al. 1992

American Journal of Roentgenology

116

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“…Transudates invariably give rise to anechoic, non-septated, free-flowing effusions (Figure 2), whereas complex, septated, or echogenic effusions ( Figure 3) are typically exudates (20). Malignant effusions vary, but clues to diagnosis can be found in the appearance of the pleura.…”

Section: Pleural Effusionmentioning

confidence: 99%

Transthoracic Ultrasonography for Clinicians

Vorster¹,

Allwood²,

Koegelenberg³

2015

Eurasian J Pulmonol

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Transthoracic ultrasonography (US) has become an essential tool for respiratory, emergency, and critical care physicians. It can be performed with basic equipment and by personnel with minimum training as a modality for the evaluation of a wide range of thoracic pathologies. Its advantages include immediate application at the point of care, low cost, and lack of radiation. The main indications for transthoracic US are the qualitative and quantitative assessment of pleural effusions, pleural thickening, diaphragmatic pathology, as well as chest wall and pleural tumors. Transthoracic US is also useful in visualizing pulmonary pathologies that abut the pleura, such as pneumonic consolidation and interstitial syndromes, including pulmonary edema. Transthoracic US is more sensitive than the traditional chest radiograph in the detection of pneumothoraces, and it is useful in diagnosing skeletal abnormalities such as rib fractures. It is the ideal tool to guide transthoracic procedures, including thoracocentesis and pleural biopsy. Moreover, transthoracic US-guided procedures can be performed by a single clinician with no sedation and minimal monitoring. Transthoracic US-guided fine needle aspiration and/or cutting needle biopsy of extrathoracic lymph nodes and lesions arising from the chest wall, pleura, peripheral lung, and mediastinum are safe to perform and have a high yield in the of hands of experienced clinicians. Transthoracic US can also potentially guide the aspiration and biopsy of diffuse pulmonary infiltrates, consolidations, and lung abscesses. Moreover, transthoracic US may be used in the detection of pulmonary embolism.

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“…Entretanto, uma coleção ecogênica com alto grau de septações indica um fluido viscoso (provavelmente séptico) com menor probabilidade de sucesso durante sua aspiração (Hirsch et al, 1981).…”

Section: Espaço Pleural E Pleuraunclassified

Ultrassonografia Torácica Extracardíaca Em Pequenos Animais

Babicsak

Machado

Mamprim

et al. 2011

AVS

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RESUMO:A ultrassonografia, até recentemente, não era um método de imagem muito utilizado para a avaliação torácica devido a sua limitação na avaliação de lesões torácicas localizadas abaixo de coleções gasosas em indivíduos com tecido pulmonar normal assim como com pneumotórax. Apesar disso, este método possui a vantagem sobre outras técnicas de imagem pela possibilidade de distinção entre lesões pleurais e pulmonares, assim como a identificação e avaliação de lesões pulmonares periféricas. Devido a isso, a ultrassonografia torácica começou a ser mais explorada na Medicina Veterinária como método auxiliar no diagnóstico e no tratamento de diversas afecções da cavidade torácica, especialmente em situações emergenciais. O objetivo dessa revisão é fornecer informações sobre as principais alterações ultrassonográficas encontradas na parede torácica, mediastino, pleura, pulmão e diafragma.Palavras-chave: cães; gatos; tórax; ultrassom. EXTRACARDIAC THORACIC ULTRASONOGRAPHY IN SMALL ANIMALSABSTRACT: Until recently, ultrasonography was not considered one of the prevailing imaging methods for thoracic evaluation due to its limitations in evaluating lesions located below thoracic gas collections in individuals with normal lung tissue as well as in those with pneumothorax. Nevertheless, ultrasound has an advantage over other imaging techniques. It allows not only differentiating pleural from pulmonary lesions, but also identifying and assessing peripheral pulmonary lesions. Thus, thoracic ultrasound has become more popular in Veterinary Medicine as an ancillary method in the diagnosis and treatment of several diseases of the thoracic cavity, especially in emergency settings. This review aims at providing information on the main alterations found in the chest wall, mediastinum, pleura, lung and diaphragm by means of ultrasonography.

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Real-time sonography of pleural opacities

Cited by 111 publications

References 1 publication

Diagnostic and therapeutic use of chest sonography: value in critically ill patients.

Diagnostic and therapeutic use of chest sonography: value in critically ill patients.

Transthoracic Ultrasonography for Clinicians

Ultrassonografia Torácica Extracardíaca Em Pequenos Animais

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