Andrea Smargiassi1,2, Gino Soldati3, Elena Torri4, Federico Mento5, Domenico Milardi2, Paola Del Giacomo6, Giuseppe De Matteis2, Maria Livia Burzo2, Anna Rita Larici7,8, Maurizio Pompili2, Libertario Demi5, Riccardo Inchingolo1,2. 1. Pulmonary Medicine Unit, Fondazione Policlinico Universitario Agostino Gemelli, Istituto di Ricovero e Cura a Carattere Scientifico, Rome, Italy. 2. Department of Medical and Surgical Sciences, Fondazione Policlinico Universitario Agostino Gemelli, Istituto di Ricovero e Cura a Carattere Scientifico, Rome, Italy. 3. Diagnostic and Interventional Ultrasound Unit, Valle del Serchio General Hospital, Lucca, Italy. 4. Bresciamed, Brescia, Italy. 5. Department of Information Engineering and Computer Science, Ultrasound Laboratory Trento, University of Trento, Trento, Italy. 6. Unità Operativa Complessa Malattie Infettive, Fondazione Policlinico Universitario Agostino Gemelli, Istituto di Ricovero e Cura a Carattere Scientifico, Rome, Italy. 7. Department of Diagnostic Imaging, Oncological Radiotherapy, and Hematology, Fondazione Policlinico Universitario Agostino Gemelli, Istituto di Ricovero e Cura a Carattere Scientifico, Rome, Italy. 8. University Department of Radiological and Hematological Sciences, Section of Radiology, Università Cattolica del Sacro Cuore, Rome, Italy.
Abstract
OBJECTIVES: The 2019 novel coronavirus (severe acute respiratory syndrome coronavirus 2) is causing cases of severe pneumonia. Lung ultrasound (LUS) could be a useful tool for physicians detecting a bilateral heterogeneous patchy distribution of pathologic findings in a symptomatic suggestive context. The aim of this study was to focus on the implications of limiting LUS examinations to specific regions of the chest. METHODS: Patients were evaluated with a standard sequence of LUS scans in 14 anatomic areas. A scoring system of LUS findings was reported, ranging from 0 to 3 (worst score, 3). The scores reported on anterior, lateral, and posterior landmarks were analyzed separately and compared with each other and with the global findings. RESULTS: Thirty-eight patients were enrolled. A higher prevalence of score 0 was observed in the anterior region (44.08%). On the contrary, 21.05% of posterior regions and 13.62% of lateral regions were evaluated as score 3, whereas only 5.92% of anterior regions were classified as score 3. Findings from chest computed tomography performed in 16 patients with coronavirus disease 2019 correlated with and matched the distribution of findings from LUS. CONCLUSIONS: To assess the quantity and severity of lung disease, a comprehensive LUS examination is recommended. Omitting areas of the chest misses involved lung.
OBJECTIVES: The 2019 novel coronavirus (severe acute respiratory syndrome coronavirus 2) is causing cases of severe pneumonia. Lung ultrasound (LUS) could be a useful tool for physicians detecting a bilateral heterogeneous patchy distribution of pathologic findings in a symptomatic suggestive context. The aim of this study was to focus on the implications of limiting LUS examinations to specific regions of the chest. METHODS:Patients were evaluated with a standard sequence of LUS scans in 14 anatomic areas. A scoring system of LUS findings was reported, ranging from 0 to 3 (worst score, 3). The scores reported on anterior, lateral, and posterior landmarks were analyzed separately and compared with each other and with the global findings. RESULTS: Thirty-eight patients were enrolled. A higher prevalence of score 0 was observed in the anterior region (44.08%). On the contrary, 21.05% of posterior regions and 13.62% of lateral regions were evaluated as score 3, whereas only 5.92% of anterior regions were classified as score 3. Findings from chest computed tomography performed in 16 patients with coronavirus disease 2019 correlated with and matched the distribution of findings from LUS. CONCLUSIONS: To assess the quantity and severity of lung disease, a comprehensive LUS examination is recommended. Omitting areas of the chest misses involved lung.
Authors: Libertario Demi; Federico Mento; Antonio Di Sabatino; Anna Fiengo; Umberto Sabatini; Veronica Narvena Macioce; Marco Robol; Francesco Tursi; Carmelo Sofia; Chiara Di Cienzo; Andrea Smargiassi; Riccardo Inchingolo; Tiziano Perrone Journal: J Ultrasound Med Date: 2021-12-03 Impact factor: 2.754
Authors: Thiago Thomaz Mafort; Rogério Rufino; Claudia Henrique da Costa; Mariana Soares da Cal; Laura Braga Monnerat; Patrícia Frascari Litrento; Laura Lizeth Zuluaga Parra; Arthur de Sá Earp de Souza Marinho; Agnaldo José Lopes Journal: Ultrasound J Date: 2021-04-09
Authors: Markus H Lerchbaumer; Jonathan H Lauryn; Ulrike Bachmann; Philipp Enghard; Thomas Fischer; Jana Grune; Niklas Hegemann; Dmytro Khadzhynov; Jan Matthias Kruse; Lukas J Lehner; Tobias Lindner; Timur Oezkan; Daniel Zickler; Wolfgang M Kuebler; Bernd Hamm; Kai-Uwe Eckardt; Frédéric Muench Journal: Sci Rep Date: 2021-05-21 Impact factor: 4.379