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Current Medical Imaging

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ISSN (Print): 1573-4056
ISSN (Online): 1875-6603

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Review Article

Ultrasonographic Applications in the Thorax

Author(s): Mehmet Zeki Gunluoglu *, Tugrul Ormeci and Selva Sen

Volume 19, Issue 2, 2023

Article ID: e241221199422 Pages: 12

DOI: 10.2174/1573405618666211224115249

Price: $65

Abstract

Rapid developments and increasing technological knowledge have changed perspectives on ultrasonography. Previously, ultrasonography was used to evaluate chest wall pathologies, to distinguish between pleural effusion and consolidation, to evacuate pleural effusion, or to evaluate diaphragm movement. Today, it is also used in a wide range of pleural and parenchymal diseases. Ultrasonography is not just used in the emergency department and the intensive care units, it is also utilized in many clinical branches dealing with the respiratory system-due to its ease of use, fast access, price advantage, non-radiation exposure, higher diagnostic sensitivity, and specificity in many clinical situations-and has become a part of the examination. In this review, we have assessed not just transthoracic ultrasonography but also more focal and targeted sonographic applications, such as the endobronchial ultrasound and esophageal ultrasound.

Keywords: Chest sonography, lung ultrasonography, pleural ultrasonography, thoracic ultrasonography, A-line, B-line.

Graphical Abstract

[1]
Alkins R, Hynynen K. Hynynen, 10.08 - Ultrasound Therapy. In: Brahme A, Ed. Comprehensive Biomedical Physics. Amsterdam: Elsevier 2014; pp. 153-68.
[http://dx.doi.org/10.1016/B978-0-444-53632-7.01010-8]
[2]
Lichtenstein DA, Mezière GA. Relevance of lung ultrasound in the diagnosis of acute respiratory failure: the BLUE protocol. Chest 2008; 134(1): 117-25.
[http://dx.doi.org/10.1378/chest.07-2800] [PMID: 18403664]
[3]
Gargani L, Volpicelli G. How I do it: Lung ultrasound. Cardiovasc Ultrasound 2014; 12(1): 25.
[http://dx.doi.org/10.1186/1476-7120-12-25] [PMID: 24993976]
[4]
Lichtenstein D. Novel approaches to ultrasonography of the lung and pleural space: Where are we now? Breathe (Sheff) 2017; 13(2): 100-11.
[http://dx.doi.org/10.1183/20734735.004717] [PMID: 28620429]
[5]
Volpicelli G. Usefulness of emergency ultrasound in nontraumatic cardiac arrest. Am J Emerg Med 2011; 29(2): 216-23.
[http://dx.doi.org/10.1016/j.ajem.2009.03.018] [PMID: 20825919]
[6]
Miglioranza MH, Gargani L, Sant’Anna RT, et al. Lung ultrasound for the evaluation of pulmonary congestion in outpatients: A comparison with clinical assessment, natriuretic peptides, and echocardiography. JACC Cardiovasc Imaging 2013; 6(11): 1141-51.
[http://dx.doi.org/10.1016/j.jcmg.2013.08.004] [PMID: 24094830]
[7]
Gargani L, Doveri M, D’Errico L, et al. Ultrasound lung comets in systemic sclerosis: A chest sonography hallmark of pulmonary interstitial fibrosis. Rheumatology (Oxford) 2009; 48(11): 1382-7.
[http://dx.doi.org/10.1093/rheumatology/kep263] [PMID: 19717549]
[8]
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(3): 390-5.
[http://dx.doi.org/10.1136/annrheumdis-2011-201072] [PMID: 22589373]
[9]
Bouhemad B, Zhang M, Lu Q, Rouby JJ. Clinical review: Bedside lung ultrasound in critical care practice. Crit Care 2007; 11(1): 205.
[http://dx.doi.org/10.1186/cc5668] [PMID: 17316468]
[10]
Volpicelli G, Elbarbary M, Blaivas M, et al. International evidence-based recommendations for point-of-care lung ultrasound. Intensive Care Med 2012; 38(4): 577-91.
[http://dx.doi.org/10.1007/s00134-012-2513-4] [PMID: 22392031]
[11]
Kocijancic I, Vidmar K, Ivanovi-Herceg Z. Chest sonography versus lateral decubitus radiography in the diagnosis of small pleural effusions. J Clin Ultrasound 2003; 31(2): 69-74.
[http://dx.doi.org/10.1002/jcu.10141] [PMID: 12539247]
[12]
Fayssoil A, Nguyen LS, Ogna A, et al. Diaphragm sniff ultrasound: Normal values, relationship with sniff nasal pressure and accuracy for predicting respiratory involvement in patients with neuromuscular disorders. PLoS One 2019; 14(4): e0214288.
[http://dx.doi.org/10.1371/journal.pone.0214288] [PMID: 31017911]
[13]
Koegelenberg CFN, von Groote-Bidlingmaier F, Bolliger CT. Transthoracic ultrasonography for the respiratory physician. Respiration 2012; 84(4): 337-50.
[http://dx.doi.org/10.1159/000339997] [PMID: 22832423]
[14]
Lichtenstein DA, Lichtenstein DA. Introduction to Lung Ultrasound.Whole Body Ultrasonography in the Critically Ill. Berlin Heidelberg: Springer 2010; pp. 117-27.
[http://dx.doi.org/10.1007/978-3-642-05328-3_14]
[15]
Baldi G, Gargani L, Abramo A, et al. Lung water assessment by lung ultrasonography in intensive care: A pilot study. Intensive Care Med 2013; 39(1): 74-84.
[http://dx.doi.org/10.1007/s00134-012-2694-x] [PMID: 23052950]
[16]
Copetti R, Cattarossi L, Macagno F, Violino M, Furlan R. Lung ultrasound in respiratory distress syndrome: A useful tool for early diagnosis. Neonatology 2008; 94(1): 52-9.
[http://dx.doi.org/10.1159/000113059] [PMID: 18196931]
[17]
Hendin A, Koenig S, Millington SJ. Better with ultrasound: Thoracic ultrasound. Chest 2020; 158(5): 2082-9.
[http://dx.doi.org/10.1016/j.chest.2020.04.052] [PMID: 32422131]
[18]
Soldati G, Copetti R, Sher S. Sonographic interstitial syndrome: The sound of lung water. J Ultrasound Med 2009; 28(2): 163-74.
[http://dx.doi.org/10.7863/jum.2009.28.2.163] [PMID: 19168766]
[19]
Chuang T-J, Lai C-C. Sonographic barcode sign of pneumothorax. QJM An Int J Med 2017; 110(8): 525-6.
[http://dx.doi.org/10.1093/qjmed/hcx088]
[20]
Baad M, Lu ZF, Reiser I, Paushter D. Clinical significance of US artifacts. Radiographics 2017; 37(5): 1408-23.
[http://dx.doi.org/10.1148/rg.2017160175] [PMID: 28777700]
[21]
Miller A. Practical approach to lung ultrasound. BJA Educ 2016; 16(2): 39-45.
[http://dx.doi.org/10.1093/bjaceaccp/mkv012]
[22]
Volpicelli G, Caramello V, Cardinale L, Mussa A, Bar F, Frascisco MF. Detection of sonographic B-lines in patients with normal lung or radiographic alveolar consolidation. Med Sci Monit 2008; 14(3): CR122-8.
[PMID: 18301355]
[23]
Reissig A, Kroegel C. Transthoracic sonography of diffuse parenchymal lung disease: The role of comet tail artifacts. J Ultrasound Med 2003; 22(2): 173-80.
[http://dx.doi.org/10.7863/jum.2003.22.2.173] [PMID: 12562122]
[24]
Tomos I, Tziolos N, Raptakis T, Kavatha D. Thoracic ultrasound for the detection of rib metastases of non-small cell lung cancer. Adv Respir Med 2018; 86(2): 101-2.
[http://dx.doi.org/10.5603/ARM.2018.0014] [PMID: 29709051]
[25]
Lichtenstein D, Mezière G, Seitz J. The dynamic air bronchogram. A lung ultrasound sign of alveolar consolidation ruling out atelectasis. Chest 2009; 135(6): 1421-5.
[http://dx.doi.org/10.1378/chest.08-2281] [PMID: 19225063]
[26]
Via G, Storti E, Gulati G, Neri L, Mojoli F, Braschi A. Lung ultrasound in the ICU: From diagnostic instrument to respiratory monitoring tool. Minerva Anestesiol 2012; 78(11): 1282-96.
[PMID: 22858877]
[27]
Lichtenstein DA, Mauriat P. Lung Ultrasound in the Critically Ill Neonate. Current Pediatric Reviews 2012; 8
[28]
Lichtenstein DA, Lascols N, Prin S, Mezière G. The “lung pulse”: An early ultrasound sign of complete atelectasis. Intensive Care Med 2003; 29(12): 2187-92.
[http://dx.doi.org/10.1007/s00134-003-1930-9] [PMID: 14557855]
[29]
Volpicelli G. Sonographic diagnosis of pneumothorax. Intensive Care Med 2011; 37(2): 224-32.
[http://dx.doi.org/10.1007/s00134-010-2079-y] [PMID: 21103861]
[30]
Mojoli F, Bouhemad B, Mongodi S, Lichtenstein D. Lung ultrasound for critically ill patients. Am J Respir Crit Care Med 2019; 199: 701-14.
[31]
Roch A, Bojan M, Michelet P, et al. Usefulness of ultrasonography in predicting pleural effusions > 500 mL in patients receiving mechanical ventilation. Chest 2005; 127(1): 224-32.
[http://dx.doi.org/10.1378/chest.127.1.224] [PMID: 15653988]
[32]
Eibenberger KL, Dock WI, Ammann ME, Dorffner R, Hörmann MF, Grabenwöger F. Quantification of pleural effusions: sonography versus radiography. Radiology 1994; 191(3): 681-4.
[http://dx.doi.org/10.1148/radiology.191.3.8184046] [PMID: 8184046]
[33]
Vignon P, Chastagner C, Berkane V, et al. Quantitative assessment of pleural effusion in critically ill patients by means of ultrasonography. Crit Care Med 2005; 33(8): 1757-63.
[http://dx.doi.org/10.1097/01.CCM.0000171532.02639.08] [PMID: 16096453]
[34]
Rea G, Sperandeo M, Di Serafino M, Vallone G, Tomà P. Neonatal and pediatric thoracic ultrasonography. J Ultrasound 2019; 22(2): 121-30.
[http://dx.doi.org/10.1007/s40477-019-00357-6] [PMID: 30778892]
[35]
Kurian J, Levin TL, Han BK, Taragin BH, Weinstein S. Comparison of ultrasound and CT in the evaluation of pneumonia complicated by parapneumonic effusion in children. AJR Am J Roentgenol 2009; 193(6): 1648-54.
[http://dx.doi.org/10.2214/AJR.09.2791] [PMID: 19933660]
[36]
Ziskin MC, Thickman DI, Goldenberg NJ, Lapayowker MS, Becker JM. The comet tail artifact. J Ultrasound Med 1982; 1(1): 1-7.
[http://dx.doi.org/10.7863/jum.1982.1.1.1] [PMID: 6152918]
[37]
Volpicelli G, Melniker LA, Cardinale L, Lamorte A, Frascisco MF. Lung ultrasound in diagnosing and monitoring pulmonary interstitial fluid. Radiol Med (Torino) 2013; 118(2): 196-205.
[http://dx.doi.org/10.1007/s11547-012-0852-4] [PMID: 22744356]
[38]
Lichtenstein DA. BLUE-protocol and FALLS-protocol: two applications of lung ultrasound in the critically ill. Chest 2015; 147(6): 1659-70.
[http://dx.doi.org/10.1378/chest.14-1313] [PMID: 26033127]
[39]
Wang X-T, Liu D-W, Zhang H-M, et al. The value of bedside lung ultrasound in emergency-plus protocol for the assessment of lung consolidation and atelectasis in critical patients. Zhonghua Nei Ke Za Zhi 2012; 51(12): 948-51.
[40]
Picano E, Gargani L. Ultrasound lung comets: The shape of lung water Stress echocardiography View project echo stress View project. Artic Eur J Hear Fail 2012; 14(11): 1194-6.
[41]
Falcone F, Fois F, Grosso D. Endobronchial ultrasound. Respiration 2003; 70(2): 179-94.
[http://dx.doi.org/10.1159/000070066] [PMID: 12740516]
[42]
Kokkonouzis I, Strimpakos AS, Lampaditis I, Tsimpoukis S, Syrigos KN. The role of endobronchial ultrasound in lung cancer diagnosis and staging: A comprehensive review. Clin Lung Cancer 2012; 13(6): 408-15.
[http://dx.doi.org/10.1016/j.cllc.2012.05.001] [PMID: 22694791]
[43]
Czarnecka K, Yasufuku K. The role of endobronchial ultrasound/esophageal ultrasound for evaluation of the mediastinum in lung cancer. Expert Rev Respir Med 2014; 8(6): 763-76.
[http://dx.doi.org/10.1586/17476348.2014.985210] [PMID: 25395019]
[44]
Detterbeck FC, Jantz MA, Wallace M, Vansteenkiste J, Silvestri GA. Invasive mediastinal staging of lung cancer: ACCP evidence-based clinical practice guidelines (2nd edition). Chest 2007; 132(3 SUPPL.): 202S-20S.
[45]
Varadarajulu S, Schmulewitz N, Wildi SM, et al. Accuracy of EUS in staging of T4 lung cancer. Gastrointest Endosc 2004; 59(3): 345-8.
[http://dx.doi.org/10.1016/S0016-5107(03)02541-0] [PMID: 14997129]
[46]
Vilmann P, Puri R. The complete “medical” mediastinoscopy (EUS-FNA + EBUS-TBNA). Minerva Med 2007; 98(4): 331-8.
[PMID: 17921946]
[47]
Lyshchik A, Higashi T, Asato R, et al. Thyroid gland tumor diagnosis at US elastography. Radiology 2005; 237(1): 202-11.
[http://dx.doi.org/10.1148/radiol.2363041248] [PMID: 16118150]
[48]
Ormeci T, Güler O, Malkoc M, Keskinbora M, Güngören FZ, Mahirogulları M. Diagnostic value of elastography in the diagnosis of intermetatarsal neuroma. J Foot Ankle Surg 2016; 55(4): 720-6.
[http://dx.doi.org/10.1053/j.jfas.2016.01.025] [PMID: 26964696]
[49]
He HY, Chen JL, Ma H, Zhu J, Wu DD, Lv XD. Value of endobronchial ultrasound elastography in diagnosis of central lung lesions. Med Sci Monit 2017; 23: 3269-75.
[http://dx.doi.org/10.12659/MSM.901808] [PMID: 28678769]
[50]
Lin CK, Yu KL, Chang LY, Fan HJ, Wen YF, Ho CC. Differentiating malignant and benign lymph nodes using endobronchial ultrasound elastography. J Formos Med Assoc 2019; 118(1P3): 436-43.
[http://dx.doi.org/10.1016/j.jfma.2018.06.021]
[51]
Cao BS, Wu JH, Li XL, Deng J, Liao GQ. Sonographically guided transthoracic biopsy of peripheral lung and mediastinal lesions: Role of contrast-enhanced sonography. J Ultrasound Med 2011; 30(11): 1479-90.
[http://dx.doi.org/10.7863/jum.2011.30.11.1479] [PMID: 22039020]
[52]
Wang J, Zhou D, Xie X, Shen P, Zeng Y. Utility of contrast-enhanced ultrasound with SonoVue in biopsy of small subpleural nodules. Int J Clin Exp Med 2015; 8(9): 15991-8.
[PMID: 26629103]
[53]
Sofia S, Boccatonda A, Montanari M, et al. Thoracic ultrasound and SARS-COVID-19: A pictorial essay. J Ultrasound 2020; 23(2): 217-21.
[http://dx.doi.org/10.1007/s40477-020-00458-7] [PMID: 32297175]
[54]
Liu J, Cao HY, Wang XL, Xiao LJ. The significance and the necessity of routinely performing lung ultrasound in the neonatal intensive care units. J Matern Neonatal Med 2016; 29(24): 4025-30.
[http://dx.doi.org/10.3109/14767058.2016.1152577] [PMID: 26864576]
[55]
Chavez MA, Shams N, Ellington LE, et al. Lung ultrasound for the diagnosis of pneumonia in adults: A systematic review and meta-analysis. Respir Res 2014; 15(1): 50.
[http://dx.doi.org/10.1186/1465-9921-15-50] [PMID: 24758612]
[56]
Lichtenstein DA, Menu Y. A bedside ultrasound sign ruling out pneumothorax in the critically ill. Lung sliding. Chest 1995; 108(5): 1345-8.
[http://dx.doi.org/10.1378/chest.108.5.1345] [PMID: 7587439]
[57]
Maw AM, Hassanin A, Ho PM, et al. Diagnostic accuracy of point-of-care lung ultrasonography and chest radiography in adults with symptoms suggestive of acute decompensated heart failure: A systematic review and meta-analysis. JAMA Netw Open 2019; 2(3): e190703.
[http://dx.doi.org/10.1001/jamanetworkopen.2019.0703] [PMID: 30874784]
[58]
Noble VE, Murray AF, Capp R, Sylvia-Reardon MH, Steele DJR, Liteplo A. Ultrasound assessment for extravascular lung water in patients undergoing hemodialysis. Time course for resolution. Chest 2009; 135(6): 1433-9.
[http://dx.doi.org/10.1378/chest.08-1811] [PMID: 19188552]
[59]
Hosokawa T, Takahashi H, Tanami Y, et al. Usefulness of ultrasound in evaluating the diaphragm in neonates and infants with congenital diaphragmatic hernias. J Ultrasound Med 2019; 38(4): 1109-13.
[http://dx.doi.org/10.1002/jum.14777] [PMID: 30346045]
[60]
Boussuges A, Brégeon F, Blanc P, Gil JM, Poirette L. Characteristics of the paralysed diaphragm studied by M-mode ultrasonography. Clin Physiol Funct Imaging 2019; 39(2): 143-9.
[http://dx.doi.org/10.1111/cpf.12549] [PMID: 30325572]
[61]
O’Gorman CM, O’brien TG, Boon AJ. Utility Of diaphragm ultrasound in myopathy. Muscle Nerve 2017; 55(3): 427-9.
[http://dx.doi.org/10.1002/mus.25429] [PMID: 27701744]
[62]
Généreux V, Chassé M, Girard F, Massicotte N, Chartrand-Lefebvre C, Girard M. Effects of positive end-expiratory pressure/recruitment manoeuvres compared with zero end-expiratory pressure on atelectasis during open gynaecological surgery as assessed by ultrasonography: A randomised controlled trial. Br J Anaesth 2020; 124(1): 101-9.
[http://dx.doi.org/10.1016/j.bja.2019.09.040] [PMID: 31733807]
[63]
Palkar A, Narasimhan M, Greenberg H, et al. Diaphragm excursion-time index: A new parameter using ultrasonography to predict extubation outcome. Chest 2018; 153(5): 1213-20.
[http://dx.doi.org/10.1016/j.chest.2018.01.007] [PMID: 29353023]
[64]
Xue Y, Zhang Z, Sheng CQ, Li YM, Jia FY. The predictive value of diaphragm ultrasound for weaning outcomes in critically ill children. BMC Pulm Med 2019; 19(1): 270.
[http://dx.doi.org/10.1186/s12890-019-1034-0] [PMID: 31888586]
[65]
Oppersma E, Hatam N, Doorduin J, et al. Functional assessment of the diaphragm by speckle tracking ultrasound during inspiratory loading. J Appl Physiol 2017; 123(5): 1063-70.
[http://dx.doi.org/10.1152/japplphysiol.00095.2017] [PMID: 28522757]
[66]
Supakul N, Karmazyn B. Ultrasound evaluation of costochondral abnormalities in children presenting with anterior chest wall mass. AJR Am J Roentgenol 2013; 201(2): W336-41.
[http://dx.doi.org/10.2214/AJR.12.9792] [PMID: 23883250]
[67]
Lichtenstein D, Peyrouset O. Is lung ultrasound superior to CT? The example of a CT occult necrotizing pneumonia. Intensive Care Med 2006; 32(2): 334-5.
[http://dx.doi.org/10.1007/s00134-005-0004-6] [PMID: 16468074]
[68]
Del Rey Hurtado de Mendoza B, Sánchez-de-Toledo J, Bobillo Perez S, Girona M, Balaguer Gargallo M, Rodríguez-Fanjul J. Lung Ultrasound to Assess the Etiology of Persistent Pulmonary Hypertension of the Newborn (LUPPHYN Study): A pilot study. Neonatology 2019; 116(2): 140-6.
[http://dx.doi.org/10.1159/000499047] [PMID: 31096216]
[69]
Khalili N, Haseli S, Iranpour P. Lung ultrasound in COVID-19 pneumonia: Prospects and limitations. Acad Radiol 2020; 27(7): 1044-5.
[http://dx.doi.org/10.1016/j.acra.2020.04.032] [PMID: 32444253]
[70]
Karabinis A, Fragou M, Karakitsos D. Whole-body ultrasound in the intensive care unit: A new role for an aged technique. J Crit Care 2010; 25(3): 509-13.
[http://dx.doi.org/10.1016/j.jcrc.2009.07.001] [PMID: 19781901]
[71]
Smyth CM, Stead RJ. Survey of flexible fibreoptic bronchoscopy in the United Kingdom. Eur Respir J 2002; 19(3): 458-63.
[http://dx.doi.org/10.1183/09031936.02.00103702] [PMID: 11936522]

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