Lung Ultrasound for Imaging of B-Lines in Dogs and Cats—A Prospective Study Investigating Agreement between Three Types of Transducers and the Accuracy in Diagnosing Cardiogenic Pulmonary Edema, Pneumonia and Lung Neoplasia

Transthoracic heart and lung ultrasound (LUS) was performed in 200 dogs and cats with dyspnea to evaluate the agreement between the results obtained using three types of transducers (microconvex, linear, and phased array) and to determine the accuracy of LUS in discriminating between three condition...

Descripción completa

Guardado en:
Detalles Bibliográficos
Autores principales: Andrzej Łobaczewski, Michał Czopowicz, Agata Moroz, Marcin Mickiewicz, Marta Stabińska, Hanna Petelicka, Tadeusz Frymus, Olga Szaluś-Jordanow
Formato: article
Lenguaje:EN
Publicado: MDPI AG 2021
Materias:
Acceso en línea:https://doaj.org/article/a0304bc0f561483abc032bb5faf482da
Etiquetas: Agregar Etiqueta
Sin Etiquetas, Sea el primero en etiquetar este registro!
id oai:doaj.org-article:a0304bc0f561483abc032bb5faf482da
record_format dspace
spelling oai:doaj.org-article:a0304bc0f561483abc032bb5faf482da2021-11-25T16:20:24ZLung Ultrasound for Imaging of B-Lines in Dogs and Cats—A Prospective Study Investigating Agreement between Three Types of Transducers and the Accuracy in Diagnosing Cardiogenic Pulmonary Edema, Pneumonia and Lung Neoplasia10.3390/ani111132792076-2615https://doaj.org/article/a0304bc0f561483abc032bb5faf482da2021-11-01T00:00:00Zhttps://www.mdpi.com/2076-2615/11/11/3279https://doaj.org/toc/2076-2615Transthoracic heart and lung ultrasound (LUS) was performed in 200 dogs and cats with dyspnea to evaluate the agreement between the results obtained using three types of transducers (microconvex, linear, and phased array) and to determine the accuracy of LUS in discriminating between three conditions commonly causing dyspnea in companion animals: cardiogenic pulmonary edema (CPE), pneumonia, and lung neoplasm. The agreement beyond chance was assessed using the weighted Cohen’s kappa coefficient (κ<sub>w</sub>). The highest values of κ<sub>w</sub> (>0.9) were observed for the pair of microconvex and linear transducers. To quantify B-lines the lung ultrasound score (LUS<sub>score</sub>) was developed as a sum of points describing the occurrence of B-lines for each of 8 standardized thoracic locations. The accuracy of LUS<sub>score</sub> was determined using the area under ROC curve (AUROC). In dogs AUROC of LUS<sub>score</sub> was 75.9% (CI 95%: 65.0% to 86.8%) for distinguishing between lung neoplasms and the two other causes of dyspnea. In cats AUROC of LUS<sub>score</sub> was 83.6% (CI 95%: 75.2% to 92.0%) for distinguishing between CPE and the two other causes of dyspnea. The study shows that results obtained with microconvex and linear transducers are highly consistent and these two transducers can be used interchangeably. Moreover, the LUS<sub>score</sub> may help identify dogs with lung neoplasms and cats with CPE, however its diagnostic accuracy is only fair to moderate.Andrzej ŁobaczewskiMichał CzopowiczAgata MorozMarcin MickiewiczMarta StabińskaHanna PetelickaTadeusz FrymusOlga Szaluś-JordanowMDPI AGarticleagreement beyond chancelinear transducerlung ultrasonographymicroconvexphased array transducersmall animalsVeterinary medicineSF600-1100ZoologyQL1-991ENAnimals, Vol 11, Iss 3279, p 3279 (2021)
institution DOAJ
collection DOAJ
language EN
topic agreement beyond chance
linear transducer
lung ultrasonography
microconvex
phased array transducer
small animals
Veterinary medicine
SF600-1100
Zoology
QL1-991
spellingShingle agreement beyond chance
linear transducer
lung ultrasonography
microconvex
phased array transducer
small animals
Veterinary medicine
SF600-1100
Zoology
QL1-991
Andrzej Łobaczewski
Michał Czopowicz
Agata Moroz
Marcin Mickiewicz
Marta Stabińska
Hanna Petelicka
Tadeusz Frymus
Olga Szaluś-Jordanow
Lung Ultrasound for Imaging of B-Lines in Dogs and Cats—A Prospective Study Investigating Agreement between Three Types of Transducers and the Accuracy in Diagnosing Cardiogenic Pulmonary Edema, Pneumonia and Lung Neoplasia
description Transthoracic heart and lung ultrasound (LUS) was performed in 200 dogs and cats with dyspnea to evaluate the agreement between the results obtained using three types of transducers (microconvex, linear, and phased array) and to determine the accuracy of LUS in discriminating between three conditions commonly causing dyspnea in companion animals: cardiogenic pulmonary edema (CPE), pneumonia, and lung neoplasm. The agreement beyond chance was assessed using the weighted Cohen’s kappa coefficient (κ<sub>w</sub>). The highest values of κ<sub>w</sub> (>0.9) were observed for the pair of microconvex and linear transducers. To quantify B-lines the lung ultrasound score (LUS<sub>score</sub>) was developed as a sum of points describing the occurrence of B-lines for each of 8 standardized thoracic locations. The accuracy of LUS<sub>score</sub> was determined using the area under ROC curve (AUROC). In dogs AUROC of LUS<sub>score</sub> was 75.9% (CI 95%: 65.0% to 86.8%) for distinguishing between lung neoplasms and the two other causes of dyspnea. In cats AUROC of LUS<sub>score</sub> was 83.6% (CI 95%: 75.2% to 92.0%) for distinguishing between CPE and the two other causes of dyspnea. The study shows that results obtained with microconvex and linear transducers are highly consistent and these two transducers can be used interchangeably. Moreover, the LUS<sub>score</sub> may help identify dogs with lung neoplasms and cats with CPE, however its diagnostic accuracy is only fair to moderate.
format article
author Andrzej Łobaczewski
Michał Czopowicz
Agata Moroz
Marcin Mickiewicz
Marta Stabińska
Hanna Petelicka
Tadeusz Frymus
Olga Szaluś-Jordanow
author_facet Andrzej Łobaczewski
Michał Czopowicz
Agata Moroz
Marcin Mickiewicz
Marta Stabińska
Hanna Petelicka
Tadeusz Frymus
Olga Szaluś-Jordanow
author_sort Andrzej Łobaczewski
title Lung Ultrasound for Imaging of B-Lines in Dogs and Cats—A Prospective Study Investigating Agreement between Three Types of Transducers and the Accuracy in Diagnosing Cardiogenic Pulmonary Edema, Pneumonia and Lung Neoplasia
title_short Lung Ultrasound for Imaging of B-Lines in Dogs and Cats—A Prospective Study Investigating Agreement between Three Types of Transducers and the Accuracy in Diagnosing Cardiogenic Pulmonary Edema, Pneumonia and Lung Neoplasia
title_full Lung Ultrasound for Imaging of B-Lines in Dogs and Cats—A Prospective Study Investigating Agreement between Three Types of Transducers and the Accuracy in Diagnosing Cardiogenic Pulmonary Edema, Pneumonia and Lung Neoplasia
title_fullStr Lung Ultrasound for Imaging of B-Lines in Dogs and Cats—A Prospective Study Investigating Agreement between Three Types of Transducers and the Accuracy in Diagnosing Cardiogenic Pulmonary Edema, Pneumonia and Lung Neoplasia
title_full_unstemmed Lung Ultrasound for Imaging of B-Lines in Dogs and Cats—A Prospective Study Investigating Agreement between Three Types of Transducers and the Accuracy in Diagnosing Cardiogenic Pulmonary Edema, Pneumonia and Lung Neoplasia
title_sort lung ultrasound for imaging of b-lines in dogs and cats—a prospective study investigating agreement between three types of transducers and the accuracy in diagnosing cardiogenic pulmonary edema, pneumonia and lung neoplasia
publisher MDPI AG
publishDate 2021
url https://doaj.org/article/a0304bc0f561483abc032bb5faf482da
work_keys_str_mv AT andrzejłobaczewski lungultrasoundforimagingofblinesindogsandcatsaprospectivestudyinvestigatingagreementbetweenthreetypesoftransducersandtheaccuracyindiagnosingcardiogenicpulmonaryedemapneumoniaandlungneoplasia
AT michałczopowicz lungultrasoundforimagingofblinesindogsandcatsaprospectivestudyinvestigatingagreementbetweenthreetypesoftransducersandtheaccuracyindiagnosingcardiogenicpulmonaryedemapneumoniaandlungneoplasia
AT agatamoroz lungultrasoundforimagingofblinesindogsandcatsaprospectivestudyinvestigatingagreementbetweenthreetypesoftransducersandtheaccuracyindiagnosingcardiogenicpulmonaryedemapneumoniaandlungneoplasia
AT marcinmickiewicz lungultrasoundforimagingofblinesindogsandcatsaprospectivestudyinvestigatingagreementbetweenthreetypesoftransducersandtheaccuracyindiagnosingcardiogenicpulmonaryedemapneumoniaandlungneoplasia
AT martastabinska lungultrasoundforimagingofblinesindogsandcatsaprospectivestudyinvestigatingagreementbetweenthreetypesoftransducersandtheaccuracyindiagnosingcardiogenicpulmonaryedemapneumoniaandlungneoplasia
AT hannapetelicka lungultrasoundforimagingofblinesindogsandcatsaprospectivestudyinvestigatingagreementbetweenthreetypesoftransducersandtheaccuracyindiagnosingcardiogenicpulmonaryedemapneumoniaandlungneoplasia
AT tadeuszfrymus lungultrasoundforimagingofblinesindogsandcatsaprospectivestudyinvestigatingagreementbetweenthreetypesoftransducersandtheaccuracyindiagnosingcardiogenicpulmonaryedemapneumoniaandlungneoplasia
AT olgaszalusjordanow lungultrasoundforimagingofblinesindogsandcatsaprospectivestudyinvestigatingagreementbetweenthreetypesoftransducersandtheaccuracyindiagnosingcardiogenicpulmonaryedemapneumoniaandlungneoplasia
_version_ 1718413215675711488