Diagnostic accuracy of point-of-care ultrasound for pulmonary tuberculosis: A systematic review

被引:17
|
作者
Bigio, Jacob [1 ,2 ]
Kohli, Mikashmi [2 ,3 ]
Klinton, Joel Shyam [2 ,3 ]
MacLean, Emily [2 ,3 ]
Gore, Genevieve [4 ]
Small, Peter M. [5 ]
Ruhwald, Morten [6 ]
Weber, Stefan Fabian [7 ]
Jha, Saurabh [8 ]
Pai, Madhukar [2 ,3 ]
机构
[1] McGill Univ, Hlth Ctr, Res Inst, Montreal, PQ, Canada
[2] McGill Int TB Ctr, Montreal, PQ, Canada
[3] McGill Univ, Dept Epidemiol Biostat & Occupat Hlth, Montreal, PQ, Canada
[4] McGill Univ, Schulich Lib Phys Sci Life Sci & Engn, Montreal, PQ, Canada
[5] SUNY Stony Brook, Renaissance Sch Med, Stony Brook, NY 11794 USA
[6] Fdn Innovat New Diagnost, Geneva, Switzerland
[7] Heidelberg Univ, Dept Infect Dis, Heidelberg, Germany
[8] Hosp Univ Penn, Dept Radiol Hosp, 3400 Spruce St, Philadelphia, PA 19104 USA
来源
PLOS ONE | 2021年 / 16卷 / 05期
关键词
LUNG ULTRASOUND; FOCUSED ASSESSMENT; CLASSIFICATION; SONOGRAPHY; PNEUMONIA; COVID-19; CHILDREN; GEL;
D O I
10.1371/journal.pone.0251236
中图分类号
O [数理科学和化学]; P [天文学、地球科学]; Q [生物科学]; N [自然科学总论];
学科分类号
07 ; 0710 ; 09 ;
摘要
The advent of affordable, portable ultrasound devices has led to increasing interest in the use of point-of-care ultrasound (POCUS) for the detection of pulmonary TB (PTB). We undertook a systematic review of the diagnostic accuracy of POCUS for PTB. Five databases were searched for articles published between January 2010 and June 2020. Risk of bias was assessed using QUADAS-2. Data on sensitivity and specificity of individual lung ultrasound findings were collected, with variable reference standards including PCR and sputum smear microscopy. Six of 3,919 reviewed articles were included: five in adults and one in children, with a total sample size of 564. Studies had high risk of bias in many domains. In adults, subpleural nodule and lung consolidation were the lung ultrasound findings with the highest sensitivities, ranging from 72.5% to 100.0% and 46.7% to 80.4%, respectively. Only one study reported specificity data. Variability in sensitivity may be due to variable reference standards or may imply operator dependence. There is insufficient evidence to judge the diagnostic accuracy of POCUS for PTB. There is also no consensus on the optimal protocols for acquiring and analysing POCUS images for PTB. New studies which minimise potential sources of bias are required to further assess the diagnostic accuracy of POCUS for PTB.
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页数:14
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