Unit of Interventional Ultrasound of Internal Medicine, "Casa Sollievo della Sofferenza" Hospital, IRCCS, San Giovanni Rotondo, Foggia, Italy.
Department of Radiology, Ultrasound Diagnostic Unit, "Monaldi" Hospital, AO dei Colli, Naples, Italy.
Thorax. 2017 Feb;72(2):178-180. doi: 10.1136/thoraxjnl-2016-208913. Epub 2016 Oct 14.
We investigated if contrast-enhanced ultrasound (CEUS) may differentiate community acquired pneumonia (CAP) from lung cancer (LC). Among 1374 patients admitted in a 5-year period for lung opacities, 728 (329 CAP and 399 LC) were investigated by CEUS, comparing the time of appearance, disappearance, duration and pattern of distribution of contrast enhancement (CE). The patients with CAP and LC did not differ in terms of age, time of CE appearance, disappearance and duration or CE distribution. Our data show that the timing and pattern of CE detected by chest CEUS does not distinguish between CAP and LC and overly optimistic beliefs on this matter should be abandoned.
我们研究了对比增强超声（CEUS）是否可以区分社区获得性肺炎（CAP）和肺癌（LC）。在五年期间因肺部阴影而入院的 1374 名患者中，728 名（329 名 CAP 和 399 名 LC）接受了 CEUS 检查，比较了对比增强（CE）出现、消失、持续时间和分布模式。CAP 和 LC 患者在 CE 出现、消失和持续时间或 CE 分布方面无差异。我们的数据表明，胸部 CEUS 检测到的 CE 的时间和模式不能区分 CAP 和 LC，应该摒弃对此事的过于乐观的信念。
