Thoracic Ultrasonography for the Pulmonary Specialist

被引:142
作者
Koenig, Seth J. [1 ]
Narasimhan, Mangala [1 ]
Mayo, Paul H. [1 ]
机构
[1] Long Isl Jewish Med Ctr, Dept Med, New Hyde Pk, NY 11040 USA
关键词
RESPIRATORY-DISTRESS-SYNDROME; ULTRASOUND SIGN; PLEURAL EFFUSIONS; LUNG ULTRASOUND; CRITICALLY-ILL; ALVEOLAR CONSOLIDATION; TRANSTHORACIC BIOPSY; CHEST RADIOGRAPHY; PNEUMOTHORAX; SONOGRAPHY;
D O I
10.1378/chest.11-0348
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
Thoracic ultrasonography is a noninvasive and readily available imaging modality that has important applications in pulmonary medicine outside of the ICU. It allows the clinician to diagnose a variety of thoracic disorders at the point of care. Ultrasonography is useful in imaging lung consolidation, pleural-based masses and effusions, pneumothorax, and diaphragmatic dysfunction. It can identify complex or loculated effusions and be useful in planning treatment. Identifying intrathoracic mass lesions can guide sampling by aspiration and biopsy. This article summarizes thoracic ultrasonography applications for the pulmonary specialist, related procedural codes, and reimbursement. The major concepts are illustrated with cases. These case summaries are enhanced with online supplemental videos and chest radiograph, chest CT scan, and ultrasound correlation. CHEST 2011; 140(5):1332-1341
引用
收藏
页码:1332 / 1341
页数:10
相关论文
共 29 条
[1]   Ultrasound comet-tail images: A marker of pulmonary edema - A comparative study with wedge pressure and extravascular lung water [J].
Agricola, E ;
Bove, T ;
Oppizzi, M ;
Marino, G ;
Zangrillo, A ;
Margonato, A ;
Picano, E .
CHEST, 2005, 127 (05) :1690-1695
[2]   Ultrasound vs CT in detecting chest wall invasion by tumor - A prospective study [J].
Bandi, Venkata ;
Lunn, William ;
Ernst, Armin ;
Eberhardt, Ralf ;
Hoffmann, Hans ;
Herth, Felix J. F. .
CHEST, 2008, 133 (04) :881-886
[3]   Current concepts - Computed tomography - An increasing source of radiation exposure [J].
Brenner, David J. ;
Hall, Eric J. .
NEW ENGLAND JOURNAL OF MEDICINE, 2007, 357 (22) :2277-2284
[4]   Sonographic appearances in transudative pleural effusions: Not always an anechoic pattern [J].
Chen, Hung-Jen ;
Tu, Chih-Yen ;
Ling, Shinn-Jye ;
Chen, Wei ;
Chiu, Kuo-Llang ;
Hsia, Te-Chun ;
Shih, Chuen-Ming ;
Hsu, Wu-Huei .
ULTRASOUND IN MEDICINE AND BIOLOGY, 2008, 34 (03) :362-369
[5]   Echogenic swirling pattern as a predictor of malignant pleural effusions in patients with malignancies [J].
Chian, CF ;
Su, WL ;
Soh, LH ;
Yan, HC ;
Perng, WC ;
Wu, CP .
CHEST, 2004, 126 (01) :129-134
[6]   Chest sonography: a useful tool to differentiate acute cardiogenic pulmonary edema from acute respiratory distress syndrome [J].
Copetti, Roberto ;
Soldati, Gino ;
Copetti, Paolo .
CARDIOVASCULAR ULTRASOUND, 2008, 6 (1)
[7]   Ultrasound-assisted transthoracic biopsy: fine-needle aspiration or cutting-needle biopsy? [J].
Diacon, A. H. ;
Theron, J. ;
Schubert, P. ;
Brundyn, K. ;
Louw, M. ;
Wright, C. A. ;
Bolliger, C. T. .
EUROPEAN RESPIRATORY JOURNAL, 2007, 29 (02) :357-362
[8]   Accuracy of pleural puncture sites -: A prospective comparison of clinical examination with ultrasound [J].
Diacon, AH ;
Brutsche, MH ;
Solèr, M .
CHEST, 2003, 123 (02) :436-441
[9]  
Gerscovich EO, 2001, J ULTRAS MED, V20, P597
[10]   Pneumothorax Following Thoracentesis A Systematic Review and Meta-analysis [J].
Gordon, Craig E. ;
Feller-Kopman, David ;
Balk, Ethan M. ;
Smetana, Gerald W. .
ARCHIVES OF INTERNAL MEDICINE, 2010, 170 (04) :332-339