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: 911
PDF: 314
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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.
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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.
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