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The role of chest ultrasonography in the management of respiratory diseases: document I.

Zanforlin A, Giannuzzi R, Nardini S, Testa A, Soldati G, Copetti R, Marchetti G, Valente S, Inchingolo R, Smargiassi A - Multidiscip Respir Med (2013)

Bottom Line: It can be used to complete and widen the general objective examination also in emergency situations, at the patient's bedside.The aim of this document is to promote better knowledge and more widespread use of thoracic ultrasound among respiratory physicians in Italy.This document I is focused on basic knowledge of chest ultrasonography technique, physical basis, aims and characteristics, fields of application.

View Article: PubMed Central - HTML - PubMed

Affiliation: Pulmonary Medicine Department, UniversitàCattolica del SacroCuore, University Hospital "A, Gemelli", Roma, Italy. smargiassi.a@gmail.com.

ABSTRACT
Chest ultrasonography can be a useful diagnostic tool for respiratory physicians. It can be used to complete and widen the general objective examination also in emergency situations, at the patient's bedside. The aim of this document is to promote better knowledge and more widespread use of thoracic ultrasound among respiratory physicians in Italy. This document I is focused on basic knowledge of chest ultrasonography technique, physical basis, aims and characteristics, fields of application. Document I shows how chest ultrasonography can be useful to detect and monitor pleural diseases, pleural effusions and pneumothorax and how it can assess diaphragmatic kinetics and pathologies.

No MeSH data available.


Related in: MedlinePlus

Left, pleural thickening caused by a plaque due to asbestosis: the hypo-anechoic area causes a doubling of the pleural line; right, pleural plaque observed in transverse and longitudinal scan that shows infiltration of the wall muscle layers, suggestive of neoplastic transformation.
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Figure 5: Left, pleural thickening caused by a plaque due to asbestosis: the hypo-anechoic area causes a doubling of the pleural line; right, pleural plaque observed in transverse and longitudinal scan that shows infiltration of the wall muscle layers, suggestive of neoplastic transformation.

Mentions: Pleural plaques appear as well-demarcated areas of hypo-anechoic thickening in transverse and longitudinal scan; if they contain calcifications, these appear within the plaque as discontinuous hyperechogenic lines with shadow cone below. In asbestosis it is important to evaluate the relationship between the areas of pleural thickening and the chest wall: in general pleural thickening areas are delimited in the pleural space, but if they penetrate across the intercostal spaces invading the layers of the wall (one can note an interruption of the intercostal muscle bands) this is suggestive of a neoplastic nature that requires further confirmation with other methods [21] (Figure 5).


The role of chest ultrasonography in the management of respiratory diseases: document I.

Zanforlin A, Giannuzzi R, Nardini S, Testa A, Soldati G, Copetti R, Marchetti G, Valente S, Inchingolo R, Smargiassi A - Multidiscip Respir Med (2013)

Left, pleural thickening caused by a plaque due to asbestosis: the hypo-anechoic area causes a doubling of the pleural line; right, pleural plaque observed in transverse and longitudinal scan that shows infiltration of the wall muscle layers, suggestive of neoplastic transformation.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3750689&req=5

Figure 5: Left, pleural thickening caused by a plaque due to asbestosis: the hypo-anechoic area causes a doubling of the pleural line; right, pleural plaque observed in transverse and longitudinal scan that shows infiltration of the wall muscle layers, suggestive of neoplastic transformation.
Mentions: Pleural plaques appear as well-demarcated areas of hypo-anechoic thickening in transverse and longitudinal scan; if they contain calcifications, these appear within the plaque as discontinuous hyperechogenic lines with shadow cone below. In asbestosis it is important to evaluate the relationship between the areas of pleural thickening and the chest wall: in general pleural thickening areas are delimited in the pleural space, but if they penetrate across the intercostal spaces invading the layers of the wall (one can note an interruption of the intercostal muscle bands) this is suggestive of a neoplastic nature that requires further confirmation with other methods [21] (Figure 5).

Bottom Line: It can be used to complete and widen the general objective examination also in emergency situations, at the patient's bedside.The aim of this document is to promote better knowledge and more widespread use of thoracic ultrasound among respiratory physicians in Italy.This document I is focused on basic knowledge of chest ultrasonography technique, physical basis, aims and characteristics, fields of application.

View Article: PubMed Central - HTML - PubMed

Affiliation: Pulmonary Medicine Department, UniversitàCattolica del SacroCuore, University Hospital "A, Gemelli", Roma, Italy. smargiassi.a@gmail.com.

ABSTRACT
Chest ultrasonography can be a useful diagnostic tool for respiratory physicians. It can be used to complete and widen the general objective examination also in emergency situations, at the patient's bedside. The aim of this document is to promote better knowledge and more widespread use of thoracic ultrasound among respiratory physicians in Italy. This document I is focused on basic knowledge of chest ultrasonography technique, physical basis, aims and characteristics, fields of application. Document I shows how chest ultrasonography can be useful to detect and monitor pleural diseases, pleural effusions and pneumothorax and how it can assess diaphragmatic kinetics and pathologies.

No MeSH data available.


Related in: MedlinePlus