Performance of Lung Ultrasound for Monitoring Interstitial Lung Disease

被引:13
|
作者
Pitsidianakis, Georgios [1 ]
Vassalou, Evangelia E. [1 ,2 ,3 ]
Vasarmidi, Eirini [1 ]
Bolaki, Maria [4 ]
Klontzas, Michail E. [2 ]
Xirouchaki, Nektaria [4 ]
Georgopoulos, Dimitrios [4 ]
Karantanas, Apostolos H. [2 ,5 ]
Tzanakis, Nikolaos [1 ]
Antoniou, Katerina M. [1 ]
机构
[1] Heraklion Univ Hosp, Dept Resp Med, Iraklion, Greece
[2] Heraklion Univ Hosp, Dept Med Imaging, Iraklion, Greece
[3] Sitia Gen Hosp, Dept Med Imaging, Sitia, Greece
[4] Heraklion Univ Hosp, Dept Intens Care Med, Iraklion, Greece
[5] Univ Crete, Med Sch, Dept Radiol, Iraklion, Greece
关键词
disease monitoring; high-resolution tomography; X-ray computed; HRCT; interstitial lung disease; ultrasound; RESOLUTION COMPUTED-TOMOGRAPHY; PULMONARY-FIBROSIS; RHEUMATOID-ARTHRITIS; SYSTEMIC-SCLEROSIS; B-LINES; CLASSIFICATION; SONOGRAPHY; DIAGNOSIS; CT;
D O I
10.1002/jum.15790
中图分类号
O42 [声学];
学科分类号
070206 ; 082403 ;
摘要
Objectives In this study, we sought to assess the validity of lung ultrasound (LUS) during the follow-up of patients with a wide spectrum of interstitial lung diseases (ILDs). Methods Twenty-four patients (13 males, 11 females; mean age +/- SD, 65.4 +/- 14.3 years; age range, 40-84 years) with a diagnosis of ILDs who were admitted to the Interstitial Lung Disease Unit were prospectively enrolled. Patients were examined with a 56-lung intercostal space LUS protocol in lateral decubitus position, at baseline, 6-months, and 1-year. The LUS score was defined as the sum of B-lines counted in each intercostal space. All patients underwent complete pulmonary function tests at baseline and follow-up time-points. High-resolution computed tomography (HRCT) was performed at baseline and during follow-up, according to personalized patients' needs. All HRCT studies were graded according to the Warrick scoring system (WS). Results Pooled data analysis showed a significant correlation between WS and LUS scores (P < .001). For separate time-point analysis, a significant correlation between LUS scores and WS was found at baseline (P < .001) and 1 year (P = .005). LUS scores negatively correlated with alveolar volume (VA) (P < .046) and diffusing capacity for carbon monoxide (DLCO) (P < .001) at 6 months and with transfer coefficient of the lung for carbon monoxide (KCO) (P < .031) and DLCO (P = .002) at 12-months. A multivariate regression model showed DLCO to be an independent predictor of LUS score at 1 year (P = .026). Conclusions Our results highlight the validity and potential applicability of LUS for disease monitoring in a wide spectrum of ILDs.
引用
收藏
页码:1077 / 1084
页数:8
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