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Chest ultrasound findings in usual interstitial pneumonia patterns: a pilot study

Monaldi archives for chest disease, 2022-09, Vol.93 (2) [Peer Reviewed Journal]

ISSN: 1122-0643 ;EISSN: 2532-5264 ;DOI: 10.4081/monaldi.2022.2356 ;PMID: 36069640

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  • Title:
    Chest ultrasound findings in usual interstitial pneumonia patterns: a pilot study
  • Author: Joërg, Laetitia ; Trouillon, Tiffany ; Jalaber, Carole ; Court Fortune, Isabelle ; Luchez, Antoine ; Boutet, Claire ; Vergnon, Jean Michel ; Bertoletti, Laurent ; Froudarakis, Marios E
  • Subjects: Chest ultrasound ; Humans ; Idiopathic Pulmonary Fibrosis - diagnostic imaging ; ILD ; IPF ; Lung - diagnostic imaging ; Pilot Projects ; Probability ; Prospective Studies ; Retrospective Studies ; UIP
  • Is Part Of: Monaldi archives for chest disease, 2022-09, Vol.93 (2)
  • Description: It is unknown what role chest ultrasound plays in distinguishing the various usual interstitial pneumonia (UIP) patterns of high-resolution chest tomography (HRCT). The purpose of this study was to see if there was a link between the results of chest ultrasound (u/s) and HRCT in patients with idiopathic pulmonary fibrosis (IPF). We performed chest u/s in 16 patients with UIP and probable UIP patterns to indeterminate UIP and alternative diagnosis patterns in this single center prospective study to determine any possible relationship with the HRCT findings. A chest radiologist reviewed each HRCT to determine the pattern in accordance with the American Thoracic Society (ATS) / European Respiratory Society (ERS) Guidelines. The local multidisciplinary committee validated the patients' diagnoses before they were included. When compared to the indeterminate for UIP or alternative diagnosis pattern group, there was a trend (p=0.07) toward the presence of more B lines in UIP or probable UIP patterns. There was no statistically significant difference in the presence of small, large, white lung, or pleural line thickening >5mm. Subgroup analysis revealed that patients with honeycombing were more likely to have a fragmented pleural line (p=0.04). To summarize, in our pilot study, chest u/s appears unable to differentiate UIP and probable UIP patterns from indeterminate UIP and alternative diagnosis patterns. However, it appears that this technique can be used to recognize the honeycombing pattern.
  • Publisher: Italy: PAGEPress Publications
  • Language: English
  • Identifier: ISSN: 1122-0643
    EISSN: 2532-5264
    DOI: 10.4081/monaldi.2022.2356
    PMID: 36069640
  • Source: MEDLINE
    DOAJ Directory of Open Access Journals
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