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PERFORMANCE OF LUNG ULTRASOUND COMPARED TO CHEST COMPUTED TOMOGRAPHY IN THE DIAGNOSIS OF PULMONARY LESIONS IN PATIENTS WITH PNEUMONIA RECEIVING INVASIVE MECHANICAL VENTILATION AT HANOI MEDICAL UNIVERSITY HOSPITAL, 2023 - 2024
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Abstract
A cross-sectional descriptive study was conducted on 33 patients with pneumonia receiving invasive mechanical ventilation, treated at the Intensive Care Unit, Hanoi Medical University Hospital from July 2023 to June 2024, aiming to evaluate the performance of lung ultrasound compared to chest computed tomography (CT) in detecting pulmonary lesions. The results showed a high concordance between lung ultrasound and chest CT in reflecting superficial lesions in the pleura and subpleural regions but significant differences in detecting parenchymal lesions such as ground-glass opacities and consolidations. Lung ultrasound demonstrated high sensitivity and specificity (75.0 – 100%) in diagnosing tpleura and subpleural lesions but showed low specificity (34.4 – 50.0%) in detecting parenchymal lesions. While ultrasound is a safe and effective technique in diagnosing pulmonary lesions, its findings on parenchymal lesions should only serve as suggestions and diagnostic orientation. Combining ultrasound with other specialized imaging techniques is considered necessary for accurately assessing the extent of pulmonary lesions and determining appropriate interventions.
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Keywords
lung ultrasound, chest computed tomography, pneumonia, invasive mechanical ventilation
References
2. Abid I, Qureshi N, Lategan N, Williams S, Shahid S. Point-of-care lung ultrasound in detecting pneumonia: A systematic review. Can J Respir Ther CJRT Rev Can Thérapie Respir RCTR. 60:37-48. doi:10.29390/001c.92182
3. Uyên VTT, Vương TM. Vai Trò Của Siêu Âm Phổi Trong Chẩn Đoán Sớm Và Phân Loại Viêm Phổi Do Covid-19: Tạp Chí Dược Học Phạm Ngọc Thạch. 2022;1(1):56-56.
4. Lichtenstein DA, Mezière GA. Relevance of Lung Ultrasound in the Diagnosis of Acute Respiratory Failure. Chest. 2008;134(1):117-125. doi:10.1378/chest.07-2800
5. Hatamabadi H, Shojaee M, Bagheri M, Raoufi M. Lung Ultrasound Findings Compared to Chest CT Scan in Patients with COVID-19 Associated Pneumonia: A Pilot Study. Front Emerg Med. Published online March 2, 2021. doi:10.18502/fem.v5i2.5612
6. Roshandel J, Alahyari S, Khazaei M, et al. Diagnostic performance of lung ultrasound compared to CT scan in the diagnosis of pulmonary lesions of COVID-19 induced pneumonia: a preliminary study. Virusdisease. 2021;32(4):674-680. doi:10.1007/s13337-021-00736-w
7. Boccatonda A, Cocco G, D’Ardes D, et al. Infectious Pneumonia and Lung Ultrasound: A Review. J Clin Med. 2023;12(4):1402. doi:10.3390/jcm12041402
8. Lichter Y, Topilsky Y, Taieb P, et al. Lung ultrasound predicts clinical course and outcomes in COVID-19 patients. Intensive Care Med. 2020;46(10):1873-1883. doi:10.1007/s00134-020-06212-1