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116073

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

Article

Last updated: 22 Jan 2023

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Subjects

-

Tags

Internal Medicine

Abstract

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.

DOI

10.21608/ijma.2020.116073

Keywords

lung ultrasound, High-Resolution, Computed tomography, Interstitial Lung Disease, B-line

Authors

First Name

Mohamed Gamal

Last Name

Mohamed Elmansy

MiddleName

-

Affiliation

Department of Chest Diseases, Damietta Faculty of Medicine, Al-Azhar University, Egypt

Email

yoyo.sila2510@gmail.com

City

-

Orcid

-

First Name

Ramadan Shawky

Last Name

Abdelaziz

MiddleName

-

Affiliation

Department of Chest diseases, Faculty of Medicine, Al-Azhar University, Damietta, Egypt

Email

ramadan_shawki@yahoo.com

City

Senblawin

Orcid

-

First Name

Mostafa Mohamed Mostafa

Last Name

Shaqueer

MiddleName

-

Affiliation

Department of Radiology, Faculty of Medicine, Al-Azhar University, Damietta, Egypt

Email

mshakweer1@domazhermedicine.edu.eg

City

Mahalla

Orcid

2974077209316470

First Name

Eisa Ibrahim

Last Name

Afify

MiddleName

-

Affiliation

Department of Chest diseases, Faculty of Medicine, Al-Azhar University, Egypt

Email

eisaafify61@gmail.com

City

Cairo

Orcid

-

Volume

2

Article Issue

4

Related Issue

17986

Issue Date

2020-10-01

Receive Date

2020-08-29

Publish Date

2020-10-01

Page Start

860

Page End

865

Print ISSN

2636-4174

Online ISSN

2682-3780

Article File

IJMA_Volume 2_Issue 4_Pages 860-865.pdf

PDF . 2.2MB

Link

https://ijma.journals.ekb.eg/article_116073.html

Detail API

https://ijma.journals.ekb.eg/service?article_code=116073

Order

26

Type

Original Article

Type Code

816

Publication Type

Journal

Publication Title

International Journal of Medical Arts

Publication Link

https://ijma.journals.ekb.eg/

MainTitle

-

Details

Type

Article

Created At

22 Jan 2023