tetano
Editor, Senior Moderator
Ultrasound Int Open
. 2020 Sep;6(2):E36-E40.
doi: 10.1055/a-1217-1603. Epub 2020 Sep 2.
Comparison of Chest Ultrasound and Standard X-Ray Imaging in COVID-19 Patients
Evgenii Shumilov[SUP] 1 [/SUP], Ali Seif Amir Hosseini[SUP] 2 [/SUP], Golo Petzold[SUP] 3 [/SUP], Hannes Treiber[SUP] 1 [/SUP], Joachim Lotz[SUP] 2 [/SUP], Volker Ellenrieder[SUP] 3 [/SUP], Steffen Kunsch[SUP] 3 [/SUP], Albrecht Neesse[SUP] 3 [/SUP]
Affiliations
Abstract
Purpose: The COVID-19 pandemic poses new challenges for the medical community due to its large number of patients presenting with varying symptoms. Chest ultrasound (ChUS) may be particularly useful in the early clinical management in suspected COVID-19 patients due to its broad availability and rapid application. We aimed to investigate patterns of ChUS in COVID-19 patients and compare the findings with results from chest X-ray (CRX).
Materials and methods: 24 patients (18 symptomatic, 6 asymptomatic) with confirmed SARS-CoV-2 by polymerase chain reaction underwent bedside ChUS in addition to CRX following admission. Subsequently, the results of ChUS and CRX were compared.
Results: 94% (n=17/18) of patients with respiratory symptoms demonstrated lung abnormalities on ChUS. ChUS was especially useful to detect interstitial syndrome compared to CXR in COVID-19 patients (17/18 vs. 11/18; p<0.02). Of note, ChUS also detected lung consolidations very effectively (14/18 for ChUS vs. 7/18 cases for CXR; p<0.02). Besides pathological B-lines and subpleural consolidations, pleural line abnormality (89%; n=16/18) was the third most common feature in patients with respiratory manifestations of COVID-19 detected by ChUS.
Conclusion: Our findings support the high value of ChUS in the management of COVID-19 patients.
Keywords: COVID-19; SARS-CoV-2; X-ray; chest ultrasound; coronavirus.
. 2020 Sep;6(2):E36-E40.
doi: 10.1055/a-1217-1603. Epub 2020 Sep 2.
Comparison of Chest Ultrasound and Standard X-Ray Imaging in COVID-19 Patients
Evgenii Shumilov[SUP] 1 [/SUP], Ali Seif Amir Hosseini[SUP] 2 [/SUP], Golo Petzold[SUP] 3 [/SUP], Hannes Treiber[SUP] 1 [/SUP], Joachim Lotz[SUP] 2 [/SUP], Volker Ellenrieder[SUP] 3 [/SUP], Steffen Kunsch[SUP] 3 [/SUP], Albrecht Neesse[SUP] 3 [/SUP]
Affiliations
- PMID: 32905446
- PMCID: PMC7467801
- DOI: 10.1055/a-1217-1603
Abstract
Purpose: The COVID-19 pandemic poses new challenges for the medical community due to its large number of patients presenting with varying symptoms. Chest ultrasound (ChUS) may be particularly useful in the early clinical management in suspected COVID-19 patients due to its broad availability and rapid application. We aimed to investigate patterns of ChUS in COVID-19 patients and compare the findings with results from chest X-ray (CRX).
Materials and methods: 24 patients (18 symptomatic, 6 asymptomatic) with confirmed SARS-CoV-2 by polymerase chain reaction underwent bedside ChUS in addition to CRX following admission. Subsequently, the results of ChUS and CRX were compared.
Results: 94% (n=17/18) of patients with respiratory symptoms demonstrated lung abnormalities on ChUS. ChUS was especially useful to detect interstitial syndrome compared to CXR in COVID-19 patients (17/18 vs. 11/18; p<0.02). Of note, ChUS also detected lung consolidations very effectively (14/18 for ChUS vs. 7/18 cases for CXR; p<0.02). Besides pathological B-lines and subpleural consolidations, pleural line abnormality (89%; n=16/18) was the third most common feature in patients with respiratory manifestations of COVID-19 detected by ChUS.
Conclusion: Our findings support the high value of ChUS in the management of COVID-19 patients.
Keywords: COVID-19; SARS-CoV-2; X-ray; chest ultrasound; coronavirus.