Lungensonografie

Zusammenfassung

Der CME-Review soll den klinischen Wert des Lungenultraschalls erläutern und diskutieren, aber auch durch die Analyse des klinischen Aspekts ein pragmatisch orientiertes Vorgehen ermöglichen. Dazu gehören Kenntnisse über die Prätestwahrscheinlichkeit, die Akutheit der Erkrankung, die aktuelle klinische Situation, die Erkennung und/oder Charakterisierung, die Erstdiagnose oder Verlaufsbeurteilung und die Besonderheiten der Ausschlussdiagnostik. Anhand dieser Kriterien werden Erkrankungen des Brustfells und der Lunge mit ihren direkten und indirekten sonografischen Zeichen und der spezifischen klinischen Bedeutung des Ultraschallbefundes beschrieben. Auch die Bedeutung und die Kriterien des konventionellen B-Modes, des Farbdoppler-Ultraschalls mit oder ohne Spektralanalyse des Dopplersignals und des kontrastverstärkten Ultraschalls werden diskutiert.

Publikationsverlauf

Artikel online veröffentlicht:
13. April 2023

• Literatur

• 1 Jaworska J, Buda N, Ciuca IM. et al. Ultrasound of the pleura in children, WFUMB review paper. Med Ultrason 2021; 23 (03) 339-347 DOI: 10.11152/mu-3058.
• 2 Dietrich CF, Buda N, Ciuca IM. et al. Lung ultrasound in children, WFUMB review paper (part 2). Med Ultrason 2021; 23 (04) 443-452 DOI: 10.11152/mu-3059.
• 3 Fang C, Jaworska J, Buda N. et al. Ultrasound of the chest and mediastinum in children, interventions and artefacts. WFUMB review paper (part 3). Med Ultrason 2022; 24: 65-67
• 4 Frohlich E, Beller K, Muller R. et al. Point of Care Ultrasound in Geriatric Patients: Prospective Evaluation of a Portable Handheld Ultrasound Device. Ultraschall in Med 2020; 41 (03) 308-316 DOI: 10.1055/a-0889-8070.
• 5 Mathis G, Horn R, Morf S. et al. WFUMB position paper on reverberation artefacts in lung ultrasound: B-lines or comet-tails?. Med Ultrason 2021; 23: 70-73
• 6 Findeisen H, Trenker C, Safai Zadeh E. et al. Further aspects concering peripheral lung carcinoma in CEUS. Ultraschall in der Medizin – European Journal of Ultrasound 2021; 42 (03) 323
• 7 Safai Zadeh E, Beutel B, Dietrich CF. et al. Perfusion Patterns of Peripheral Pulmonary Lesions in COVID-19 Patients Using Contrast-Enhanced Ultrasound (CEUS): A Case Series. Journal of ultrasound in medicine: official journal of the American Institute of Ultrasound in Medicine 2021; 40: 2403-2411
• 8 Safai Zadeh E, Dietrich CF, Kmoth L. et al. Peripheral Pulmonary Lesions in Confirmed Pulmonary Arterial Embolism: Follow-up Study of B-Mode Ultrasound and of Perfusion Patterns Using Contrast-Enhanced Ultrasound (CEUS). Journal of ultrasound in medicine: official journal of the American Institute of Ultrasound in Medicine 2022; 41 (07) 1713-1721 DOI: 10.1002/jum.15852.
• 9 Safai Zadeh E, Görg C, Dietrich CF. et al. Contrast-Enhanced Ultrasound for Evaluation of Pleural Effusion: A Pictorial Essay. Journal of ultrasound in medicine: official journal of the American Institute of Ultrasound in Medicine 2022; 41: 485-503
• 10 Safai Zadeh E, Görg C, Prosch H. et al. WFUMB Technological Review: How to Perform Contrast-Enhanced Ultrasound of the Lung. Ultrasound Med Biol 2022; 48 (04) 598-616 DOI: 10.1016/j.ultrasmedbio.2021.11.014.
• 11 Safai Zadeh E, Huber KP, Dietrich CF. et al. The Value of Lung Ultrasound to Detect the Early Pleural and Pulmonary Pathologies in Nonhospitalized COVID-19-Suspected Cases in a Population with a Low Prevalence of COVID-19 Infection: A Prospective Study in 297 Subjects. Journal of ultrasound in medicine: official journal of the American Institute of Ultrasound in Medicine 2022; 41 (06) 1397-1403 DOI: 10.1002/jum.15822.
• 12 Safai Zadeh E, Keber CU, Dietrich CF. et al. Perfusion Patterns of Peripheral Pulmonary Granulomatous Lesions Using Contrast-Enhanced Ultrasound (CEUS) and Their Correlation with Immunohistochemically Detected Vascularization Patterns. Journal of ultrasound in medicine: official journal of the American Institute of Ultrasound in Medicine 2022; 41: 565-574
• 13 Safai Zadeh E, Weide J, Dietrich CF. et al. Diagnostic Accuracy of B-Mode- and Contrast-Enhanced Ultrasound in Differentiating Malignant from Benign Pleural Effusions. Diagnostics (Basel) 2021; 11: 1293
• 14 Alhyari A, Görg C, Dietrich CF. et al. Diagnostic Performance of Point Shear Wave Elastography Using Acoustic Radiation Force Impulse Technology in Peripheral Pulmonary Consolidations: A Feasibility Study. Ultrasound Med Biol 2022; 12 (02) 523
• 15 Mathis G, Metzler J, Fussenegger D. et al. Sonographic observation of pulmonary infarction and early infarctions by pulmonary embolism. Eur Heart J 1993; 14: 804-808
• 16 Trenker C, Dohse M, Ramaswamy A. et al. Histological validation of pulmonary infarction detected with contrast-enhanced ultrasound in patients with negative computed tomography pulmonary angiogram: A case series. J Clin Ultrasound 2019; 47: 461-465
• 17 Trenker C, Apitzsch JC, Pastor S. et al. Detection of peripheral embolic consolidations using contrast-enhanced ultrasonography in patients with no evidence of pulmonary embolism on computed tomography: A pilot study. J Clin Ultrasound 2017; 45: 575-579
• 18 Ewig S, Kolditz M, Pletz M. et al. Behandlung von erwachsenen Patienten mit ambulant erworbener Pneumonie – Update 2021. Pneumologie 2021; 75: 665-729
• 19 Speidel V, Conen A, Gisler V. et al. Lung Assessment with Point-of-Care Ultrasound in Respiratory Coronavirus Disease (COVID-19): A Prospective Cohort Study. Ultrasound Med Biol 2021; 47: 896-901
• 20 Piscaglia F, Stefanini F, Cantisani V. et al. Benefits, Open questions and Challenges of the use of Ultrasound in the COVID-19 pandemic era. The views of a panel of worldwide international experts. Ultraschall in Med 2020; 41: 228-236
• 21 Reissig A, Copetti R. Lung ultrasound in community-acquired pneumonia and in interstitial lung diseases. Respiration; international review of thoracic diseases 2014; 87: 179-189
• 22 Safai Zadeh E, Görg C, Prosch H. et al The Role of Thoracic Ultrasound for Diagnosis of Diseases of the Chest Wall, the Mediastinum and the Diaphragm – Narrative Review and Pictorial Essay. Diagnostics 2023, epub in advance
• 23 Di Gennaro F, Pisani L, Veronese N. et al. Potential Diagnostic Properties of Chest Ultrasound in Thoracic Tuberculosis-A Systematic Review. International journal of environmental research and public health 2018; 15 (10) 2235
• 24 Safai Zadeh E, Alhyari A, Kroenig J. et al B-mode ultrasound and contrast-enhanced ultrasound for evaluation of pneumonia: A pictorial essay. AJUM 2023, epub in advance
• 25 Yue Lee FC, Jenssen C, Dietrich CF. A common misunderstanding in lung ultrasound: the comet tail artefact. Med Ultrason 2018; 20: 379-384
• 26 Dietrich CF, Mathis G, Blaivas M. et al. Lung B-line artefacts and their use. J Thorac Dis 2016; 8: 1356-1365
• 27 Dietrich CF, Goudie A, Chiorean L. et al. Point of Care Ultrasound: A WFUMB Position Paper. Ultrasound Med Biol 2017; 43: 49-58
• 28 Dietrich CF, Bulla P, Dudwiesus H. Perspectives and Challenges of hand-held Ultrasound. Zeitschrift fur Gastroenterologie 2022; DOI: 10.1055/a-1901-9394.
• 29 Lacedonia D, Quarato CMI, Mirijello A. et al. COVID-19 Pneumonia: The Great Ultrasonography Mimicker. Front Med (Lausanne) 2021; 8: 709402
• 30 Volpicelli G, Gargani L, Perlini S. et al. Lung ultrasound for the early diagnosis of COVID-19 pneumonia: an international multicenter study. Intensive care medicine 2021; 47: 444-454
• 31 European Society of R. The role of lung ultrasound in COVID-19 disease. Insights into imaging 2021; 12: 81
• 32 Jiang M, Li C, Zheng L. et al. A biomarker-based age, biomarkers, clinical history, sex (ABCS)-mortality risk score for patients with coronavirus disease 2019. Ann Transl Med 2021; 9: 230
• 33 Dietrich CF, Douira-Khomsi W, Gharbi H. et al. Cystic echinococcosis, review and illustration of non-hepatic manifestations. Med Ultrason 2020; 22: 319-324
• 34 Acosta CM, Maidana GA, Jacovitti D. et al. Accuracy of transthoracic lung ultrasound for diagnosing anesthesia-induced atelectasis in children. Anesthesiology 2014; 120: 1370-1379
• 35 Görg C, Bert T, Kring R. Contrast-enhanced sonography of the lung for differential diagnosis of atelectasis. Journal of ultrasound in medicine: official journal of the American Institute of Ultrasound in Medicine 2006; 25: 35-39
• 36 Xu W, Wen Q, Zhang X. et al. The Application of Contrast Enhanced Ultrasound for Core Needle Biopsy of Subpleural Pulmonary Lesions: Retrospective Analysis in 92 Patients. Ultrasound Med Biol 2021; 47: 1253-1260
• 37 Yusuf GT, Fang C, Tran S. et al. A pictorial review of the utility of CEUS in thoracic biopsies. Insights into imaging 2021; 12: 9
• 38 Liang J, Wang D, Li H. et al. Contrast-enhanced ultrasound for needle biopsy of thoracic lesions. Oncol Lett 2020; 20: 75
• 39 Hocke M, Ignee A, Topalidis T. et al. Contrast-enhanced endosonographic Doppler spectrum analysis is helpful in discrimination between focal chronic pancreatitis and pancreatic cancer. Pancreas 2007; 35: 286-288
• 40 Clementsen PF, Bodtger U, Konge L. et al. Diagnosis and staging of lung cancer with the use of one single echoendoscope in both the trachea and the esophagus: A practical guide. Endosc Ultrasound 2021; 10 (05) 325-334
• 41 Jenssen C, Annema JT, Clementsen P. et al. Ultrasound techniques in the evaluation of the mediastinum, part 2: mediastinal lymph node anatomy and diagnostic reach of ultrasound techniques, clinical work up of neoplastic and inflammatory mediastinal lymphadenopathy using ultrasound techniques and how to learn mediastinal endosonography. J Thorac Dis 2015; 7: E439-E458
• 42 Dietrich CF, Annema JT, Clementsen P. et al. Ultrasound techniques in the evaluation of the mediastinum, part I: endoscopic ultrasound (EUS), endobronchial ultrasound (EBUS) and transcutaneous mediastinal ultrasound (TMUS), introduction into ultrasound techniques. J Thorac Dis 2015; 7: E311-E325
• 43 Dietrich CF, Mathis G, Cui XW. et al. Ultrasound of the pleurae and lungs. Ultrasound Med Biol 2015; 41: 351-365