Comparison Study between Chest Ultrasonography and High Resolution CT in Diagnosis and Assessment of Interstitial Lung Diseases

Background: Chest high-resolution computed tomography [HRCT] is considered the “gold” standard for radiological diagnosis of interstitial lung disease [ILD]. However, it is not available in all health care facilities and its high cost is a limitation for its wide use. Ultrasound could provide a suit...

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Autores principales:	Mohamed Gamal Mohamed Elmansy, Ramadan Shawky Abdelaziz, Mostafa Mohamed Mostafa Shaqueer, Eisa Ibrahim Afify
Formato:	article
Lenguaje:	EN
Publicado:	Al-Azhar University, Faculty of Medicine (Damietta) 2020
Materias:	lung ultrasound high-resolution computed tomography interstitial lung disease b-line Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/da19665865754beb9c862483bee60f84
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spelling	oai:doaj.org-article:da19665865754beb9c862483bee60f842021-12-02T15:22:18ZComparison Study between Chest Ultrasonography and High Resolution CT in Diagnosis and Assessment of Interstitial Lung Diseases2636-41742682-378010.21608/ijma.2020.116073https://doaj.org/article/da19665865754beb9c862483bee60f842020-10-01T00:00:00Zhttps://ijma.journals.ekb.eg/article_116073_861a88adcbf3d5c0f4798edb6c3e8f06.pdfhttps://doaj.org/toc/2636-4174https://doaj.org/toc/2682-3780Background: Chest high-resolution computed tomography [HRCT] is considered the “gold” standard for radiological diagnosis of interstitial lung disease [ILD]. However, it is not available in all health care facilities and its high cost is a limitation for its wide use. Ultrasound could provide a suitable alternative. Aim of the work: To detect the role of transthoracic lung ultrasonography [LUS] in diagnosis and assessment of ILD and to correlate it with HRCT as a gold-standard diagnostic modality. Methods:This included fifty patients who were admitted with clinical features suggestive of ILD. All were clinically evaluated [by full history and physical examination], submitted to pulmonary functions, arterial blood gases, lung ultrasound and HRCT. Results: The total sum of B-lines was 72.64 ± 39.45 and the total positive chest areas [> 3 B-lines] 6.47 ± 2.35. The most common ultrasound finding was thick pleural line. Finally, there was positive [proportional], moderate, significant correlation between Warrick’s score [HRCT] and B-lines distance [LUS]. However, Warrick score correlated negatively with each of six-minute walk test, partial arterial oxygen tension and forced vital capacity. Conclusions: Lung ultrasound as a diagnostic modality for ILD reveled that, it is a useful tool, as there was good correlation between LUS and HRCT. LUS is cheap, accessible and radiation-free diagnostic tool. It could play a stand alone or a complementary role in the diagnosis and monitoring of ILD.Mohamed Gamal Mohamed ElmansyRamadan Shawky AbdelazizMostafa Mohamed Mostafa ShaqueerEisa Ibrahim AfifyAl-Azhar University, Faculty of Medicine (Damietta)articlelung ultrasoundhigh-resolutioncomputed tomographyinterstitial lung diseaseb-lineMedicine (General)R5-920ENInternational Journal of Medical Arts, Vol 2, Iss 4, Pp 860-865 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	lung ultrasound high-resolution computed tomography interstitial lung disease b-line Medicine (General) R5-920
spellingShingle	lung ultrasound high-resolution computed tomography interstitial lung disease b-line Medicine (General) R5-920 Mohamed Gamal Mohamed Elmansy Ramadan Shawky Abdelaziz Mostafa Mohamed Mostafa Shaqueer Eisa Ibrahim Afify Comparison Study between Chest Ultrasonography and High Resolution CT in Diagnosis and Assessment of Interstitial Lung Diseases
description	Background: Chest high-resolution computed tomography [HRCT] is considered the “gold” standard for radiological diagnosis of interstitial lung disease [ILD]. However, it is not available in all health care facilities and its high cost is a limitation for its wide use. Ultrasound could provide a suitable alternative. Aim of the work: To detect the role of transthoracic lung ultrasonography [LUS] in diagnosis and assessment of ILD and to correlate it with HRCT as a gold-standard diagnostic modality. Methods:This included fifty patients who were admitted with clinical features suggestive of ILD. All were clinically evaluated [by full history and physical examination], submitted to pulmonary functions, arterial blood gases, lung ultrasound and HRCT. Results: The total sum of B-lines was 72.64 ± 39.45 and the total positive chest areas [> 3 B-lines] 6.47 ± 2.35. The most common ultrasound finding was thick pleural line. Finally, there was positive [proportional], moderate, significant correlation between Warrick’s score [HRCT] and B-lines distance [LUS]. However, Warrick score correlated negatively with each of six-minute walk test, partial arterial oxygen tension and forced vital capacity. Conclusions: Lung ultrasound as a diagnostic modality for ILD reveled that, it is a useful tool, as there was good correlation between LUS and HRCT. LUS is cheap, accessible and radiation-free diagnostic tool. It could play a stand alone or a complementary role in the diagnosis and monitoring of ILD.
format	article
author	Mohamed Gamal Mohamed Elmansy Ramadan Shawky Abdelaziz Mostafa Mohamed Mostafa Shaqueer Eisa Ibrahim Afify
author_facet	Mohamed Gamal Mohamed Elmansy Ramadan Shawky Abdelaziz Mostafa Mohamed Mostafa Shaqueer Eisa Ibrahim Afify
author_sort	Mohamed Gamal Mohamed Elmansy
title	Comparison Study between Chest Ultrasonography and High Resolution CT in Diagnosis and Assessment of Interstitial Lung Diseases
title_short	Comparison Study between Chest Ultrasonography and High Resolution CT in Diagnosis and Assessment of Interstitial Lung Diseases
title_full	Comparison Study between Chest Ultrasonography and High Resolution CT in Diagnosis and Assessment of Interstitial Lung Diseases
title_fullStr	Comparison Study between Chest Ultrasonography and High Resolution CT in Diagnosis and Assessment of Interstitial Lung Diseases
title_full_unstemmed	Comparison Study between Chest Ultrasonography and High Resolution CT in Diagnosis and Assessment of Interstitial Lung Diseases
title_sort	comparison study between chest ultrasonography and high resolution ct in diagnosis and assessment of interstitial lung diseases
publisher	Al-Azhar University, Faculty of Medicine (Damietta)
publishDate	2020
url	https://doaj.org/article/da19665865754beb9c862483bee60f84
work_keys_str_mv	AT mohamedgamalmohamedelmansy comparisonstudybetweenchestultrasonographyandhighresolutionctindiagnosisandassessmentofinterstitiallungdiseases AT ramadanshawkyabdelaziz comparisonstudybetweenchestultrasonographyandhighresolutionctindiagnosisandassessmentofinterstitiallungdiseases AT mostafamohamedmostafashaqueer comparisonstudybetweenchestultrasonographyandhighresolutionctindiagnosisandassessmentofinterstitiallungdiseases AT eisaibrahimafify comparisonstudybetweenchestultrasonographyandhighresolutionctindiagnosisandassessmentofinterstitiallungdiseases
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Comparison Study between Chest Ultrasonography and High Resolution CT in Diagnosis and Assessment of Interstitial Lung Diseases

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