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: 909
PDF: 314
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
- Dimitrios Papadopoulos, Panagiotis Misthos, Maria Chorti, Vlasios Skopas, Alexandra Nakou, Napoleon Karagianidis, Achilleas Lioulias, Vasiliki Filaditaki, Unilateral pulmonary hypoplasia in an adult patient , Monaldi Archives for Chest Disease: Vol. 88 No. 1 (2018)
- Musaib Alavi, Waris Ali, Alaeddin Sagar, Majid Shafiq, Muhammad Azhar, Akbar S. Ali, Moiz Salahuddin, Real-world effectiveness and safety of handheld ultrasound in pleural procedures , Monaldi Archives for Chest Disease: Early Access
- Ekta Gupta, Pooja Singh, Sunaina Tejpal Karna, Yogesh Niwariya, Vaishali Waindeskar, Sourabh Jain, Rajesh Panda, Sandeep Kumar, Comparison of lung ultrasound technique versus clinical method to evaluate the accuracy of size and placement of left endobronchial double lumen tube in patients undergoing elective thoracic surgery: a prospective observational study , Monaldi Archives for Chest Disease: Early Access
- Moiz Salahuddin, Samia Ayub, Spontaneous large volume hemothorax managed with a small-bore chest tube , Monaldi Archives for Chest Disease: Vol. 93 No. 4 (2023)
- Josuel Ora, Angelo Coppola, Andrea Perduno, Gian Marco Manzetti, Ermanno Puxeddu, Paola Rogliani, Acute effect of oxygen therapy on exercise tolerance and dyspnea perception in ILD patients , Monaldi Archives for Chest Disease: Vol. 92 No. 2 (2022)
- Ramadan M. Nafae, Waheed Shouman, Salwa H. Abdelmoneam, Samah M. Shehata, Conservative versus conventional oxygen therapy in type I acute respiratory failure patients in respiratory intensive care unit, Zagazig University , Monaldi Archives for Chest Disease: Vol. 94 No. 1 (2024)
- Manoj Kumar, Rajesh Kumar Gupta, Raj Kumar, Sonam Spalgais, Anil Kumar Mavi, Kamal Singh, Cockroach exposure and its allergy sensitization in asthma patients , Monaldi Archives for Chest Disease: Vol. 91 No. 3 (2021)
- Nitin Goel, Nitesh Goyal, Ravishankar Nagaraja , Raj Kumar, Systemic corticosteroids for management of ‘long-COVID’: an evaluation after 3 months of treatment , Monaldi Archives for Chest Disease: Vol. 92 No. 2 (2022)
- Raj Kumar, Manoj Kumar, Sukriti Raj, Dileep Kumar Arisham, Anil Kumar Mavi, Kamal Singh, Smoking cessation and its significant role in the Indian scenario , Monaldi Archives for Chest Disease: Early Access
- Roberto F.E. Pedretti, Beta-blockers after myocardial infarction: Are they useful to all patients? And how long should be the beta-blocker therapy? , Monaldi Archives for Chest Disease: Vol. 88 No. 2 (2018)
<< < 2 3 4 5 6 7 8 9 10 11 > >>
You may also start an advanced similarity search for this article.
