<scp>B‐mode</scp> ultrasound and <scp>contrast‐enhanced</scp> ultrasound for evaluation of pneumonia: A pictorial essay

Zadeh, Ehsan Safai; Alhyari, Amjad; Kroenig, Johannes; Görg, Christian; Trenker, Corinna; Dietrich, Christoph F.; Findeisen, Hajo

doi:10.1002/ajum.12332

Cited by 6 publications

(7 citation statements)

References 47 publications

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“…Another finding, known as the “shred sign,” involves the previously smooth border of the lung becoming jagged, irregular, and blurred. Additionally, the presence of a hyperechogenic air bronchogram within the consolidation or a focal B-line pattern can also suggest pneumonia [ 50 ]. It is imperative to appropriately interpret these findings in conjunction with the clinical presentation [ 51 ].…”

Section: Reviewmentioning

confidence: 99%

Home Ultrasound: A Contemporary and Valuable Tool for Palliative Medicine

Monteiro,

França de Santana,

Morais

et al. 2024

Cureus

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This narrative review explores the application of point-of-care ultrasound (POCUS) in palliative care and its feasibility in home care settings. POCUS has the potential to streamline diagnostic strategies without patient transfer to the hospital, expedite timely symptomatic relief, and reduce complications from specific palliative interventions. The advent of handheld ultrasound devices has made it an attractive diagnostic and interventional adjunct in acute palliative care. POCUS has gained widespread acceptance as part of routine care in emergency medicine and intensive care, guiding certain procedures and increasing their safety. The modernization and miniaturization of ultrasound equipment have made ultra-portable devices available, allowing for better-quality images at affordable prices. Handheld devices have the potential to revolutionize everyday clinical practice in home-based palliative care, contributing to important bedside clinical decisions. Palliative care patients often require diagnostic examinations in the last months of their lives, with CT being the most frequently performed imaging procedure. However, CT imaging is associated with high costs and burdens, leading to increased suffering and impaired quality of life. Clinical ultrasound, a dialogic imaging modality, offers a safer and more efficient approach to palliative care. POCUS applications, which are cost-effective, non-invasive, and well-tolerated, can be used to improve patient satisfaction and diagnostic understanding. POCUS is a valuable tool in palliative care, improving diagnostic accuracy and reducing the time to diagnosis for various pathologies. It is a standard of care for many procedures and improves patient safety. However, there are limitations to POCUS in palliative care, such as operator-dependent examination variability and limited availability of trained professionals. To overcome these limitations, palliative care physicians should receive mandatory training in POCUS, which can be incorporated into the core curriculum. Additionally, ultrasound teleconsulting can assist less experienced examiners in real-time examinations. The literature on POCUS in palliative care is limited, but research on patient-oriented outcomes is crucial. POCUS should be considered a supplement to good clinical reasoning and regulated radiological evaluations.

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Section: Reviewmentioning

confidence: 99%

Home Ultrasound: A Contemporary and Valuable Tool for Palliative Medicine

Monteiro,

França de Santana,

Morais

et al. 2024

Cureus

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“…Ultrasound signs of viral interstitial pneumonia have long been classified as of little diagnostic value 5 24 25 26 ( Fig. 3 ), but have acquired great diagnostic importance in the context of the COVID pandemic.…”

Section: Peripheral Lung Consolidationsmentioning

confidence: 99%

“…Typically, all viral pneumonias show an absence of relevant pleural effusion. However, high-resolution ultrasound probes are almost always able to detect small quantities of pleural fluid in the posterior and lateral costodiaphragmatic recess, especially with patients in the sitting position 2 11 19 20 22 24 29 30 31 32 .…”

Section: Peripheral Lung Consolidationsmentioning

confidence: 99%

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Ultrasound of the lung

et al. 2023

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The CME review is intended to explain and discuss the clinical value of lung ultrasound but also to enable a pragmatically oriented approach by analyzing the clinical aspect. This includes knowledge of the pre-test probability, the acuteness of the disease, the current clinical situation, detection and/or characterization, initial diagnosis or follow up assessment and the peculiarities of exclusion diagnosis. Diseases of the pleura and lungs are described using these criteria with their direct and indirect sonographic signs and the specific clinical significance of ultrasound findings. The importance and criteria of conventional B-mode, color Doppler ultrasound with or without spectral analysis of the Doppler signal and contrast-enhanced ultrasound are discussed as well.

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“…In some areas, such as lung ultrasound, POCUS users have created a new application for diagnostic ultrasound and are leading the way into areas unexplored by traditional ultrasound. In this issue of AJUM, Zadeh et al 4 present a review and pictorial essay on the assessment of pneumonia using contrast-enhanced ultrasound and B-mode imaging, correlating lung ultrasound with CT. The portability and repeatability of the ultrasound examination, as well as its correlation with CT findings, suggest untapped clinical application.…”

mentioning

confidence: 99%