Ultrasound lung comets in systemic sclerosis: a chest sonography hallmark of pulmonary interstitial fibrosis

Gargani, Luna; Doveri, M.; D’Errico, Luigia; Frassi, Francesca; Bazzichi, Maria L; Sedie, Andrea Delle; Scali, Maria Chiara; Monti, Simonetta; Mondillo, Sergio; Bombardieri, Stefano; Caramella, Davide; Picaño, Eugenio

doi:10.1093/rheumatology/kep263

Cited by 211 publications

(217 citation statements)

References 30 publications

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“…In studies with USG, the B-lines and DLCO were correlated. 7 In our study, both the Warrick score and the number of B-lines were negatively correlated with FVC and DLCO.…”

Section: Discussionsupporting

confidence: 52%

“…Gargani et al 7 performed one of the first studies evaluating USG in SSc, comparing HRCT Warrick score and the number of B-lines in USG, and demonstrated that HRCT score and USG were correlated. In another study, detailed USG and simplified USG were performed through 14 intercostal spaces and these were found to be correlated as in our study.…”

Section: Discussionmentioning

confidence: 99%

“…Radiation exposure may be reduced by low-dose computed tomography; however, this is not as widely available as ultrasonography (USG). 7 In lung evaluations, USG has been neglected for a long time because they can retain air. Indeed, air-filled lungs may not normally give an acoustic image.…”

mentioning

confidence: 99%

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Effectiveness of Thoracic Ultrasonography in the Evaluation of the Severity of Pulmonary Involvement in Patients With Systemic Sclerosis

et al. 2016

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Objectives: This study aims to investigate the effectiveness of thoracic ultrasonography (USG) in a single session in the evaluation of the severity of pulmonary involvement in systemic sclerosis. Patients and methods: A total of 48 consecutive systemic sclerosis patients (2 males, 46 females; mean age 50.8±11.9 years; range 21 to 76 years) followed-up in our center were included. A thoracic USG using a linear probe was performed for each patient to evaluate the parenchymal involvement by two pulmonary disease specialists. The number of B-lines (B-lines described USG sign of interstitial lung fibrosis) was recorded. Systolic pulmonary artery pressure was measured by means of using a phase probe to evaluate pulmonary hypertension in the same sequence. The same day, pulmonary function tests were conducted. Warrick score was calculated according high resolution computed tomography (HRCT) images which were evaluated independently from each other by a radiologist and a pulmonary disease specialist. Medsger severity scale was calculated for each patient according to the results of HRCT findings, pulmonary function test, and systolic pulmonary artery pressure. Results: The number of B-lines detected on thoracic USG was correlated with the Warrick score (r=0.89; p=0.0001) and Medsger disease scale (r=0.55; p=0.0001) and negatively correlated with diffusing capacity of carbon monoxide (r= -0.56; p=0.0001) and forced vital capacity (r= -0.46; p=0.001). When HRCT was accepted as the gold standard; the sensitivity, specificity, positive predicted value, and negative predicted value for thoracic USG were 100%, 84.2%, 90.6%, and 100%, respectively. If thoracic USG was used instead of HRCT for the evaluation of Medsger scale, the results changed in only one of the 48 patients. Conclusion: Thoracic USG showed good correlation with HRCT findings for the evaluation of pulmonary parenchymal involvement in systemic sclerosis. Therefore, USG might be a noninvasive and useful tool for the long-term follow-up of systemic sclerosis patients after initial examination with USG and HRCT.

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“…In studies with USG, the B-lines and DLCO were correlated. 7 In our study, both the Warrick score and the number of B-lines were negatively correlated with FVC and DLCO.…”

Section: Discussionsupporting

confidence: 52%

Section: Discussionmentioning

confidence: 99%

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Effectiveness of Thoracic Ultrasonography in the Evaluation of the Severity of Pulmonary Involvement in Patients With Systemic Sclerosis

et al. 2016

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“…We included both patients brought in by ambulance and patients arriving autonomously. Exclusion criteria were: age<18 years, dyspnea following trauma, history of chronic interstitial lung disease (because of confounding pattern at LUS) [17].…”

Section: Setting and Participantsmentioning

confidence: 99%

Bedside Evaluation of Critical Dyspnea. Proposal of a Diagnostic Score for Acute Heart Failure in Emergency Setting

Pastorelli¹,

Capecchi²,

Gialli³

et al. 2017

J Intensive Crit Care

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“…В работе оценивалась информативность УЗИ для выявле-ния ИПЛ при лимитированной и диффузной формах забо-левания. Результаты УЗИ (наличие «легочных комет») со-поставлялись с данными КТВР и функциональных легоч-ных тестов (ФЛТ) [54]. Выраженность легочного фиброза по данным КТВР оценивали с помощью счета Warriсk (по-луколичественная оценка воспалительных и фиброзных изменений легких) [17].…”

Section: рис 1 а-линии в легкихunclassified

Ultrasound Scanning: Possibilities and Prospects of Evaluating Lung Involvement in Systemic Scleroderma

Ovsyannikova¹,

Ананьева²,

Конева³

et al. 2012

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Ultrasound lung comets in systemic sclerosis: a chest sonography hallmark of pulmonary interstitial fibrosis

Cited by 211 publications

References 30 publications

Effectiveness of Thoracic Ultrasonography in the Evaluation of the Severity of Pulmonary Involvement in Patients With Systemic Sclerosis

Effectiveness of Thoracic Ultrasonography in the Evaluation of the Severity of Pulmonary Involvement in Patients With Systemic Sclerosis

Bedside Evaluation of Critical Dyspnea. Proposal of a Diagnostic Score for Acute Heart Failure in Emergency Setting

Ultrasound Scanning: Possibilities and Prospects of Evaluating Lung Involvement in Systemic Scleroderma

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