Ultrasonic Evaluation of Pleural Opacities

Doust, Bruce D.; Baum, Janet K.; Maklad, Nabil F.; Doust, Vivienne L.

doi:10.1148/114.1.135

Cited by 99 publications

(25 citation statements)

References 2 publications

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“…Thoracic US is the ''gold-standard'' method for studying pleural effusions [9]. It is more sensitive than chest radiography or CT in the detection of small amounts of pleural fluid (less then 10 ml) (Fig.…”

Section: Pleural and Extrapleural Diseasesmentioning

confidence: 99%

Role of thoracic ultrasound in the assessment of pleural and pulmonary diseases

Sperandeo

Filabozzi

Varriale

et al. 2008

Journal of Ultrasound

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Although numerous studies have been conducted on the use of ultrasonography (US) for the examination of thoracic structures, this procedure is not as widely accepted as abdominal US. The newer portable scanners can be used at the bedside to detect pleural malignancies and effusions, as well as peripheral lung nodules of the lung, even in seriously ill patients. Focal thickening of the pleura can be easily detected with US and further investigated with a US-guided biopsy. US guidance can also be used during percutaneous drainage of pleural effusion or transthoracic biopsy of peripheral lung lesions, thus reducing the incidence of procedure-related pneumothorax to almost zero. We review the current literature on thoracic US and present our clinical experience with the technique in large groups of patients with pleural and peripheral lung diseases.Sommario L'ecografia del torace non è ancora diffusa quanto quella addominale, nonostante una notevole quantità di studi ne attesti l'importanza. Le apparecchiature più recenti permettono di diagnosticare neoplasie, versamenti pleurici e noduli polmonari periferici al letto del paziente, anche nei casi più gravi. L'ispessimento pleurico focale è facilmente messo in luce dall'ecografia e può essere ulteriormente studiato tramite la biopsia ecoguidata. Questa può essere praticata anche su lesioni polmonari periferiche, riducendo quasi a zero il rischio di pneumotorace. In questo articolo esaminiamo la letteratura recente sull'ecografia del torace e presentiamo la nostra esperienza clinica su numerosi pazienti con patologia pleurica e della periferia polmonare. ª

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Section: Pleural and Extrapleural Diseasesmentioning

confidence: 99%

Role of thoracic ultrasound in the assessment of pleural and pulmonary diseases

Sperandeo

Filabozzi

Varriale

et al. 2008

Journal of Ultrasound

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“…We uscd ultrasound scanning of the pleura to detect effusions as this has been shown to be reliable and sensitive. Doust et al (1975) concluded that ultrasonography provides an accurate means of differentiating pleural fluid from other conditions which produce such opacities and is superior to the chest film as a means of localizing fluid. Gryminski et al (1976) demonstrated the superiority of ultrasonic diagnosis of pleural effusion over radiologic techniques which included PA, lateral decubitus films and fluoroscopy where necessary.…”

Section: Discussionmentioning

confidence: 99%

Postpartum pleural effusion

Udeshi¹,

McHugo²,

Crawford³

1988

BJOG

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Summary. A prospective ultrasound study investigated the reportedly high frequency of asymptomatic pleural effusions in the early post‐partum period. The pleural space of 50 women within 1–45 h of delivery was scanned with a real‐time sector scanner. Only one woman had a pleural effusion. This patient had severe pre‐eclampsia with clinically apparent pulmonary oedema. Our findings do not substantiate the previously reported high frequency of pleural fluid in healthy women immediately after delivery.

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“…A ultrassonografia torácica é o melhor método de diagnóstico no estudo da efusão pleural (Doust et al, 1975), uma vez que fornece informações confiáveis sobre a presença, volume e característica do fluido pleural (Hecht, 2008;Mattoon e Nyland, 2004;Stowater e Lamb, 1989;Reichle e Wisner, 2000). Este promove uma excelente janela acústica permitindo a visibilização ultrassonográfica das estruturas intratorácicas.…”

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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Ultrasonic Evaluation of Pleural Opacities

Cited by 99 publications

References 2 publications

Role of thoracic ultrasound in the assessment of pleural and pulmonary diseases

Role of thoracic ultrasound in the assessment of pleural and pulmonary diseases

Postpartum pleural effusion

Ultrassonografia Torácica Extracardíaca Em Pequenos Animais

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