Transthoracic ultrasound versus intraoperative ultrasound in patients with pulmonary fibrosis: Reappraisal of artifacts

  • Marco Sperandeo | sperandeom@libero.it Diagnostic and Interventional Ultrasound Unit, Department of Internal Medicine, Casa Sollievo della Sofferenza Hospital, San Giovanni Rotondo (FG), Italy.
  • Giulia Gaudiuso Institute of Respiratory Disease, Aldo Moro University of Bari; 3Institute of Respiratory Disease, Department of Medical and Surgical Sciences, University of Foggia, Italy.
  • Carla Maria Irene Quarato Institute of Respiratory Disease, Department of Medical and Surgical Sciences, University of Foggia, Italy.
  • Anna Del Colle Institute of Respiratory Disease, Department of Medical and Surgical Sciences, University of Foggia, Italy.
  • Michele Inglese Department of Internal Medicine, Casa Sollievo della Sofferenza Hospital, San Giovanni Rotondo (FG), Italy.
  • Francesca Molinaro Department of Internal Medicine, Casa Sollievo della Sofferenza Hospital, San Giovanni Rotondo (FG), Italy.
  • Salvatore De Cosmo Department of Internal Medicine, Casa Sollievo della Sofferenza Hospital, San Giovanni Rotondo (FG), Italy.
  • Lucia Dimitri Unit of Pathology, Casa Sollievo della Sofferenza Hospital, San Giovanni Rotondo (FG), Italy.
  • Marco Bizzarri Unit of Thoracic Surgery, Casa Sollievo della Sofferenza Hospital, San Giovanni Rotondo (FG), Italy.
  • Elisabettamaria Frongillo Unit of Thoracic Surgery, Casa Sollievo della Sofferenza Hospital, San Giovanni Rotondo (FG), Italy.

Abstract

In the last years, transthoracic ultrasound (TUS) has regained a growing interest from both clinicians and radiologists as a useful and non-invasive diagnostic tool for the study of many pleuropulmonary conditions, including interstitial lung diseases. Intraoperative lung ultrasound (ILU) is an ultrasound technique, developed for lung surface assessment during video-assisted thoracoscopic surgery procedures. It has been developed considering ultrasound basic physical principles for images generation and interpretation. Most of the TUS findings are due to the high difference in acoustic impedance between the chest-wall structures and the air in the lungs. In this brief communication, we compared ILU and TUS images in interstitial lung diseases. Most of the TUS artifacts-based diagnostic algorithms should be reappraised.

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Published
2019-05-06
Section
Original Articles
Keywords:
Transthoracic ultrasound, intraoperative lung ultrasound, artifacts, B-line.
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How to Cite
Sperandeo, M., Gaudiuso, G., Quarato, C. M. I., Del Colle, A., Inglese, M., Molinaro, F., De Cosmo, S., Dimitri, L., Bizzarri, M., & Frongillo, E. (2019). Transthoracic ultrasound versus intraoperative ultrasound in patients with pulmonary fibrosis: Reappraisal of artifacts. Beyond Rheumatology, 1(1), 31-36. https://doi.org/10.4081/br.2019.7