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间质性肺疾病患者经胸肺超声评分与高分辨率CT特征的相关性

Correlation between Transthoracic Lung Ultrasound Score and HRCT Features in Patients with Interstitial Lung Diseases.

作者信息

Man Milena Adina, Dantes Elena, Domokos Hancu Bianca, Bondor Cosmina Ioana, Ruscovan Alina, Parau Adriana, Motoc Nicoleta Stefania, Marc Monica

机构信息

PulmonologyDepartment, University of Medicine and Pharmacy "Iuliu Haţieganu", 400012 Cluj-Napoca, Romania.

Pulmonology Department, Ovidius Medical University, 900470 Constanta, Romania.

出版信息

J Clin Med. 2019 Aug 11;8(8):1199. doi: 10.3390/jcm8081199.

Abstract

Chest high-resolution computed tomography (HRCT) is considered the "gold" standard radiological method in interstitial lung disease (ILD) patients. The objectives of our study were to evaluate the correlation between two transthoracic lung ultrasound (LUS) scores (total number of B-lines score = the total sum of B-lines in 10 predefined scanning sites and total number of positive chest areas score = intercostal spaces with ≥3 B-lines) and the features in HRCT simplified scores, in different interstitial disorders, between LUS scores and symptoms, as well as between LUS scores and pulmonary function impairment. We have evaluated 58 consecutive patients diagnosed with ILD. We demonstrated that there was a good correlation between the total number of B-lines score and the HRCT simplified score (r = 0.784, < 0.001), and also a good correlation between the total number of positive chest areas score and the HRCT score (r = 0.805, < 0.005). The results confirmed the value of using LUS as a diagnostic tool for the assessment of ILD compared to HRCT. The use of LUS in ILD patients can be a useful, cheap, accessible and radiation-free investigation and can play a complementary role in the diagnosis and monitoring of these patients.

摘要

胸部高分辨率计算机断层扫描(HRCT)被认为是间质性肺疾病(ILD)患者的“金标准”放射学检查方法。我们研究的目的是评估两种经胸肺超声(LUS)评分(B线总分=10个预定义扫描部位B线的总和,阳性胸部区域总分=B线≥3条的肋间间隙)与HRCT简化评分特征之间的相关性,评估不同间质性疾病中LUS评分与症状之间以及LUS评分与肺功能损害之间的相关性。我们评估了58例连续诊断为ILD的患者。我们发现B线总分与HRCT简化评分之间存在良好的相关性(r = 0.784,<0.001),阳性胸部区域总分与HRCT评分之间也存在良好的相关性(r = 0.805,<0.005)。结果证实了与HRCT相比,使用LUS作为评估ILD的诊断工具的价值。在ILD患者中使用LUS可以是一种有用、廉价、可及且无辐射的检查方法,并且可以在这些患者的诊断和监测中发挥补充作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6d2b/6722523/6feb29c4d345/jcm-08-01199-g001.jpg

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