https://doi.org/10.4081/monaldi.2022.2356
Chest ultrasound findings in usual interstitial pneumonia patterns: a pilot study
Submitted: June 18, 2022
Accepted: August 11, 2022
Published: September 7, 2022
Accepted: August 11, 2022
Abstract Views: 917
PDF: 315
Publisher's note
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
Authors
It is unknown what role chest ultrasound plays in distinguishing the various usual interstitial pneumonia (UIP) patterns of high-resolution chest tomography (HRCT). The purpose of this study was to see if there was a link between the results of chest ultrasound (u/s) and HRCT in patients with idiopathic pulmonary fibrosis (IPF). We performed chest u/s in 16 patients with UIP and probable UIP patterns to indeterminate UIP and alternative diagnosis patterns in this single center prospective study to determine any possible relationship with the HRCT findings. A chest radiologist reviewed each HRCT to determine the pattern in accordance with the American Thoracic Society (ATS) / European Respiratory Society (ERS) Guidelines. The local multidisciplinary committee validated the patients' diagnoses before they were included. When compared to the indeterminate for UIP or alternative diagnosis pattern group, there was a trend (p=0.07) toward the presence of more B lines in UIP or probable UIP patterns. There was no statistically significant difference in the presence of small, large, white lung, or pleural line thickening >5mm. Subgroup analysis revealed that patients with honeycombing were more likely to have a fragmented pleural line (p=0.04). To summarize, in our pilot study, chest u/s appears unable to differentiate UIP and probable UIP patterns from indeterminate UIP and alternative diagnosis patterns. However, it appears that this technique can be used to recognize the honeycombing pattern.
American Thoracic Society, European Respiratory Society International Multidisciplinary Consensus Classification of the Idiopathic Interstitial Pneumonias. Am J Respir Crit Care Med 2002;165:277‑304.
DOI: https://doi.org/10.1164/ajrccm.165.2.ats01
Duchemann B, Annesi-Maesano I, Jacobe de Naurois C, et al. Prevalence and incidence of interstitial lung diseases in a multi-ethnic county of Greater Paris. Eur Respir J 2017;50:1602419.
DOI: https://doi.org/10.1183/13993003.02419-2016
Nathan SD, Shlobin OA, Weir N, et al. Long-term Course and prognosis of idiopathic pulmonary fibrosis in the new millennium. Chest 2011;140:221‑9.
DOI: https://doi.org/10.1378/chest.10-2572
Nalysnyk L, Cid-Ruzafa J, Rotella P, Esser D. Incidence and prevalence of idiopathic pulmonary fibrosis: review of the literature. Eur Respir Rev 2012;2:355‑61.
DOI: https://doi.org/10.1183/09059180.00002512
Cottin V, Crestani B, Valeyre D, et al. Diagnosis and management of idiopathic pulmonary fibrosis: French practical guidelines. Eur Respir Rev 2014;23:193‑214.
DOI: https://doi.org/10.1183/09059180.00001814
Raghu G, Collard HR, Egan JJ, et al. An Official ATS/ERS/JRS/ALAT Statement: Idiopathic pulmonary fibrosis: Evidence-based guidelines for diagnosis and management. Am J Respir Crit Care Med 2011;183:788‑824.
DOI: https://doi.org/10.1164/rccm.2009-040GL
Shahin AA. Pulmonary involvement in systemic sclerosis. Treat Respir Med 2006;5:429‑36.
DOI: https://doi.org/10.2165/00151829-200605060-00008
Reissig A, Kroegel C. Transthoracic sonography of diffuse parenchymal lung disease: the role of comet tail artifacts. J Ultrasound Med 2003;22:173‑80.
DOI: https://doi.org/10.7863/jum.2003.22.2.173
Gargani L, Doveri M, D’Errico L, et al. Ultrasound lung comets in systemic sclerosis: a chest sonography hallmark of pulmonary interstitial fibrosis. Rheumatol Oxf Engl 2009;48:1382‑7.
DOI: https://doi.org/10.1093/rheumatology/kep263
Lichtenstein D, Mezière G. A lung ultrasound sign allowing bedside distinction between pulmonary edema and COPD: the comet-tail artifact. Intensive Care Med 1998;24:1331‑4.
DOI: https://doi.org/10.1007/s001340050771
Lichtenstein D, Mézière G, Biderman P, et al. The comet-tail artifact. An ultrasound sign of alveolar-interstitial syndrome. Am J Respir Crit Care Med 1997;156:1640‑6.
DOI: https://doi.org/10.1164/ajrccm.156.5.96-07096
Barskova T, Gargani L, Guiducci S, et al. Lung ultrasound for the screening of interstitial lung disease in very early systemic sclerosis. Ann Rheum Dis 2013;72:390‑5.
DOI: https://doi.org/10.1136/annrheumdis-2011-201072
Gigante A, Rossi Fanelli F, Lucci S, et al. Lung ultrasound in systemic sclerosis: correlation with high-resolution computed tomography, pulmonary function tests and clinical variables of disease. Intern Emerg Med 2016;11:213‑7.
DOI: https://doi.org/10.1007/s11739-015-1329-y
Sperandeo M, De Cata A, Molinaro F, et al. Ultrasound signs of pulmonary fibrosis in systemic sclerosis as timely indicators for chest computed tomography. Scand J Rheumatol 2015;44:389‑98.
DOI: https://doi.org/10.3109/03009742.2015.1011228
Sperandeo M, Varriale A, Sperandeo G, et al. Transthoracic ultrasound in the evaluation of pulmonary fibrosis: our experience. Ultrasound Med Biol 2009;35:723‑9.
DOI: https://doi.org/10.1016/j.ultrasmedbio.2008.10.009
Buda N, Piskunowicz M, Porzezińska M, et al. Lung ultrasonography in the evaluation of interstitial lung disease in systemic connective tissue diseases: Criteria and severity of pulmonary fibrosis - Analysis of 52 patients. Ultraschall Med 2016;37: 79‑85.
DOI: https://doi.org/10.1055/s-0041-110590
Manolescu D, Oancea C, Timar B, et al. Ultrasound mapping of lung changes in idiopathic pulmonary fibrosis. Clin Respir J 2020;14:54‑63.
DOI: https://doi.org/10.1111/crj.13101
Smargiassi A, Inchingolo R, Calandriello L, et al. Possible role of chest ultrasonography for the evaluation of peripheral fibrotic pulmonary changes in patients affected by idiopathic pulmonary fibrosis - Pilot case series. Appl Sci 2020;10:1617.
DOI: https://doi.org/10.3390/app10051617
Manolescu D, Davidescu L, Traila D, et al. The reliability of lung ultrasound in assessment of idiopathic pulmonary fibrosis. Clin Interv Aging 2018;13:437‑49.
DOI: https://doi.org/10.2147/CIA.S156615
Raghu G, Remy-Jardin M, Myers JL, et al. Diagnosis of idiopathic pulmonary fibrosis. An Official ATS/ERS/JRS/ALAT Clinical Practice Guideline. Am J Respir Crit Care Med 2018;198:44‑68.
DOI: https://doi.org/10.1164/rccm.201807-1255ST
Travis WD, Costabel U, Hansell DM, et al. An Official American Thoracic Society/European Respiratory Society Statement: Update of the international multidisciplinary classification of the idiopathic interstitial pneumonias. Am J Respir Crit Care Med 2013;188:733‑48.
Flaherty KR, Wells AU, Cottin V, et al. Nintedanib in progressive fibrosing interstitial lung diseases. N Engl J Med 2019;381:1718‑27.
DOI: https://doi.org/10.1056/NEJMoa1908681
Gutierrez M, Salaffi F, Carotti M, Tardella M, Pineda C, Bertolazzi C, et al. Utility of a simplified ultrasound assessment to assess interstitial pulmonary fibrosis in connective tissue disorders - preliminary results. Arthritis Res Ther 2011;13:134.
DOI: https://doi.org/10.1186/ar3446
Ethics Approval
This study was approved by the Internal Review Board of the University Hospital of Saint Etienne, France (IRBN462019/CHUSTE)How to Cite
Joërg, Laetitia, Tiffany Trouillon, Carole Jalaber, Isabelle Court Fortune, Antoine Luchez, Claire Boutet, Jean Michel Vergnon, Laurent Bertoletti, and Marios E. Froudarakis. 2022. “Chest Ultrasound Findings in Usual Interstitial Pneumonia Patterns: A Pilot Study”. Monaldi Archives for Chest Disease 93 (2). https://doi.org/10.4081/monaldi.2022.2356.
Copyright (c) 2022 The Author(s)
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
PAGEPress has chosen to apply the Creative Commons Attribution NonCommercial 4.0 International License (CC BY-NC 4.0) to all manuscripts to be published.
Similar Articles
- Sergio C. Conte, Giulia Spagnol, Marco Confalonieri, Beatrice Brizi, Deep sedation versus minimal sedation during endobronchial ultrasound transbronchial needle aspiration , Monaldi Archives for Chest Disease: Vol. 88 No. 3 (2018)
- S. Ayık, A. Çakan, N. Aslankara, A. Özsöz, Tuberculous abscess on the chest wall , Monaldi Archives for Chest Disease: Vol. 71 No. 1 (2009): Pulmonary series
- Chi Fong Wong, See Wan Yan, Wai Mui Wong, Ronnie S.L. Ho, Exogenous lipoid pneumonia associated with oil pulling: Report of two cases , Monaldi Archives for Chest Disease: Vol. 88 No. 3 (2018)
- B.T. Uskul, R. Baran, F.E. Turan, O. Sogukpinar, F. Aksoy, H. Turker, Endoscopic removal of a chondromatous hamartoma by bronchoscopic electrosurgical snare and argon plasma coagulation , Monaldi Archives for Chest Disease: Vol. 67 No. 4 (2007): Pulmonary series
- R. Roshan, M. Gupta, R. Kulshrestha, B. Menon, S.K. Chhabra, Combined Pulmonary Fibrosis and Emphysema in a welder , Monaldi Archives for Chest Disease: Vol. 77 No. 1 (2012): Pulmonary series
- Vishal Chopra, Hardik Jain, Akhil D. Goel, Siddharth Chopra, Ashrafjit S. Chahal, Neha Garg, Vidhu Mittal, Correlation of aspergillus skin hypersensitivity with the duration and severity of asthma , Monaldi Archives for Chest Disease: Vol. 87 No. 3 (2017)
- A. Yilmaz, G. Bektemur, G.H. Ekinci, E.A. Ongel, M. Kavas, O. Haciomeroglu, M. Demir, B. Burunsuzoglu, Extralobar pulmonary sequestration: a case report , Monaldi Archives for Chest Disease: Vol. 79 No. 2 (2013): Pulmonary series
- Z. Celebi Sözener, A. Kaya, C. Atasoy, M. Kılıckap, N. Numanoglu, I. Savas, Septic Pulmonary Embolism: three Case Reports , Monaldi Archives for Chest Disease: Vol. 69 No. 2 (2008): Pulmonary series
- D. Scala, S. Cozzolino, G. D’Amato, G. Cocco, A. Sena, P. Martucci, E. Ferraro, A.A. Mancini, Sharing knowledge is the key to success in a patient-physician relationship: how to produce a patient information leaflet on COPD , Monaldi Archives for Chest Disease: Vol. 69 No. 2 (2008): Pulmonary series
- B. Uskul, H. Turker, C. Ulman, M. Ertugrul, A. Selvi, A. Kant, S. Arslan, M. Ozgel, The relation of the pleural thickening in tuberculosis pleurisy with the activity of adenosine deaminase , Monaldi Archives for Chest Disease: Vol. 63 No. 2 (2005): Pulmonary series
You may also start an advanced similarity search for this article.
