Lung Ultrasound May Support Diagnosis and Monitoring of COVID-19 Pneumonia.
Betacoronavirus
COVID-19
COVID-19 Testing
Clinical Laboratory Techniques
/ methods
Coronavirus Infections
/ diagnosis
Humans
Pandemics
Pneumonia, Viral
/ diagnostic imaging
Respiratory Distress Syndrome
/ diagnostic imaging
SARS-CoV-2
Sensitivity and Specificity
Tomography, X-Ray Computed
Ultrasonography
/ methods
Acute respiratory disease syndrome
B-Lines
COVID-19
Interstitial syndrome
Lung ultrasound
Pneumonia
Journal
Ultrasound in medicine & biology
ISSN: 1879-291X
Titre abrégé: Ultrasound Med Biol
Pays: England
ID NLM: 0410553
Informations de publication
Date de publication:
11 2020
11 2020
Historique:
received:
01
04
2020
revised:
23
06
2020
accepted:
16
07
2020
pubmed:
19
8
2020
medline:
2
10
2020
entrez:
19
8
2020
Statut:
ppublish
Résumé
Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) disease (COVID-19) is characterized by severe pneumonia and/or acute respiratory distress syndrome in about 20% of infected patients. Computed tomography (CT) is the routine imaging technique for diagnosis and monitoring of COVID-19 pneumonia. Chest CT has high sensitivity for diagnosis of COVID-19, but is not universally available, requires an infected or unstable patient to be moved to the radiology unit with potential exposure of several people, necessitates proper sanification of the CT room after use and is underutilized in children and pregnant women because of concerns over radiation exposure. The increasing frequency of confirmed COVID-19 cases is striking, and new sensitive diagnostic tools are needed to guide clinical practice. Lung ultrasound (LUS) is an emerging non-invasive bedside technique that is used to diagnose interstitial lung syndrome through evaluation and quantitation of the number of B-lines, pleural irregularities and nodules or consolidations. In patients with COVID-19 pneumonia, LUS reveals a typical pattern of diffuse interstitial lung syndrome, characterized by multiple or confluent bilateral B-lines with spared areas, thickening of the pleural line with pleural line irregularity and peripheral consolidations. LUS has been found to be a promising tool for the diagnosis of COVID-19 pneumonia, and LUS findings correlate fairly with those of chest CT scan. Compared with CT, LUS has several other advantages, such as lack of exposure to radiation, bedside repeatability during follow-up, low cost and easier application in low-resource settings. Consequently, LUS may decrease utilization of conventional diagnostic imaging resources (CT scan and chest X-ray). LUS may help in early diagnosis, therapeutic decisions and follow-up monitoring of COVID-19 pneumonia, particularly in the critical care setting and in pregnant women, children and patients in areas with high rates of community transmission.
Identifiants
pubmed: 32807570
pii: S0301-5629(20)30333-1
doi: 10.1016/j.ultrasmedbio.2020.07.018
pmc: PMC7369598
pii:
doi:
Types de publication
Journal Article
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
2908-2917Informations de copyright
Copyright © 2020 World Federation for Ultrasound in Medicine & Biology. Published by Elsevier Inc. All rights reserved.
Déclaration de conflit d'intérêts
Conflict of interest disclosure Dr. Allinovi, Dr. Parise, Dr. Giacalone, Prof. Amerio, Dr. Delsante, Prof. Odone, Dr. Gigliotti, Dr. Franci, Dr. Amadasi, Prof. Delmonte, Dr. Parri, and Dr. Mangia report no conflicts of interest.
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