Assessment of thoracic ultrasound in complementary diagnosis and in follow up of community-acquired pneumonia (cap) View Full Text


Ontology type: schema:ScholarlyArticle      Open Access: True


Article Info

DATE

2017-12

AUTHORS

Maria D’Amato, Gaetano Rea, Vincenzo Carnevale, Maria Arcangela Grimaldi, Anna Rita Saponara, Eric Rosenthal, Michele Maria Maggi, Lucia Dimitri, Marco Sperandeo

ABSTRACT

BACKGROUND: Chest X-ray (CXR) is the primary diagnostic tool for community-acquired pneumonia (CAP). Some authors recently proposed that thoracic ultrasound (TUS) could valuably flank or even reliably substitute CXR in the diagnosis and follow-up of CAP. We investigated the clinical utility of TUS in a large sample of patients with CAP, to challenge the hypothesis that it may be a substitute for CXR. METHODS: Out of 645 consecutive patients with a CXR-confirmed CAP diagnosed in the emergency room of our hospital over a three-years period, 510 were subsequently admitted to our department of Internal Medicine. These patients were evaluated by TUS by a well-trained operator who was blinded of the initial diagnosis. TUS scans were performed both at admission and repeated at day 4-6th and 9-14th during stay. RESULTS: TUS identified 375/510 (73.5%) of CXR-confirmed lesions, mostly located in posterior-basal or mid-thoracic areas of the lungs. Pleural effusion was detected in 26.9% of patients by CXR and in 30.4% by TUS. TUS documented the change in size of the consolidated areas as follows: 6.3 ± 3.4 cm at time 0, 2.5 ± 1.8 at 4-6 d, 0.9 ± 1.4 at 9-14 d. Out of the 12 patients with delayed CAP healing, 7 of them turned out to have lung cancer. CONCLUSIONS: TUS allowed to detect lung consolidations in over 70% of patients with CXR-confirmed CAP, but it gave false negative results in 26.5% of cases. Our longitudinal results confirm the role of TUS in the follow-up of detectable lesions. Thus, TUS should be regarded as a complementary and monitoring tool in pneumonia, instead of a primary imaging modality. More... »

PAGES

52

Identifiers

URI

http://scigraph.springernature.com/pub.10.1186/s12880-017-0225-5

DOI

http://dx.doi.org/10.1186/s12880-017-0225-5

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1091407143

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/28859628


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Download the RDF metadata as:  json-ld nt turtle xml License info

HOW TO GET THIS DATA PROGRAMMATICALLY:

JSON-LD is a popular format for linked data which is fully compatible with JSON.

curl -H 'Accept: application/ld+json' 'https://scigraph.springernature.com/pub.10.1186/s12880-017-0225-5'

N-Triples is a line-based linked data format ideal for batch operations.

curl -H 'Accept: application/n-triples' 'https://scigraph.springernature.com/pub.10.1186/s12880-017-0225-5'

Turtle is a human-readable linked data format.

curl -H 'Accept: text/turtle' 'https://scigraph.springernature.com/pub.10.1186/s12880-017-0225-5'

RDF/XML is a standard XML format for linked data.

curl -H 'Accept: application/rdf+xml' 'https://scigraph.springernature.com/pub.10.1186/s12880-017-0225-5'


 

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299 https://www.grid.ac/institutes/grid.4691.a schema:alternateName University of Naples Federico II
300 schema:name Department of Pneumology, “Federico II University”, AO “Dei Colli” Monaldi Hospital, Via Domenico Fontana,134, Naples, Italy
301 rdf:type schema:Organization
 




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