Ultrasound M-Mode Assessment of Diaphragmatic Kinetics by Anterior Transverse Scanning in Healthy Subjects
Abstract The purpose of this study was to set an effective standardized method to assess diaphragmatic kinetics by ultrasound. Forty healthy volunteers were submitted to a B- and M-mode ultrasound study using a convex transducer positioned in the subcostal anterior area for transverse scanning. Ultr...
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| Veröffentlicht in: | Ultrasound in medicine & biology 2011, Vol.37 (1), p.44-52 |
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| creator | Testa, Americo Soldati, Gino Giannuzzi, Rosangela Berardi, Silvia Portale, Grazia Gentiloni Silveri, Nicolò |
| description | Abstract The purpose of this study was to set an effective standardized method to assess diaphragmatic kinetics by ultrasound. Forty healthy volunteers were submitted to a B- and M-mode ultrasound study using a convex transducer positioned in the subcostal anterior area for transverse scanning. Ultrasound examination was completed in 38/40 cases (95%), spending on average 15 min, with significant, although marginal, interobserver variability (31.9% and 14.7% for resting and forced diaphragmatic excursion, respectively). Bedside ultrasonography by an anterior subcostal transverse scanning on semi-recumbent patient proves to be a safe, feasible, reliable, fast, relatively easy and reproducible way to assess diaphragm movement. (E-mail: americotesta@gmail.com ) |
| doi_str_mv | 10.1016/j.ultrasmedbio.2010.10.004 |
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Forty healthy volunteers were submitted to a B- and M-mode ultrasound study using a convex transducer positioned in the subcostal anterior area for transverse scanning. Ultrasound examination was completed in 38/40 cases (95%), spending on average <10 min for examination. The resting and forced diaphragmatic excursions were 18.4 ± 7.6 and 78.8 ± 13.3 mm, respectively, unrelated to demographic or anthropometric parameters: intraobserver variability on three successive measurements resulted in 6.0% and in 3.9%, respectively. An inexperienced sonographer completed the ultrasound examination in 37/40 cases, spending on average >15 min, with significant, although marginal, interobserver variability (31.9% and 14.7% for resting and forced diaphragmatic excursion, respectively). Bedside ultrasonography by an anterior subcostal transverse scanning on semi-recumbent patient proves to be a safe, feasible, reliable, fast, relatively easy and reproducible way to assess diaphragm movement. (E-mail: americotesta@gmail.com )</description><identifier>ISSN: 0301-5629</identifier><identifier>EISSN: 1879-291X</identifier><identifier>DOI: 10.1016/j.ultrasmedbio.2010.10.004</identifier><identifier>PMID: 21144957</identifier><identifier>CODEN: USMBA3</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>Adult ; Anthropometry ; Bedside ultrasound ; Biological and medical sciences ; Clinical ultrasound ; Demography ; Diaphragm ; Diaphragm - diagnostic imaging ; Diaphragm - physiology ; Diaphragm motion ; Diaphragmatic kinetics ; Dyspnea ; Emergency ultrasound ; Female ; Humans ; Kinetics ; Linear Models ; M-mode ; Male ; Medical sciences ; Movement - physiology ; Pneumology ; Posture - physiology ; Prospective Studies ; Pulmonary function ; Radiology ; Reference Values ; Respiratory Mechanics - physiology ; Respiratory system : syndromes and miscellaneous diseases ; Right hemidiaphragm ; Scanning ; Spirometry ; Transducers ; Ultrasonography ; Ultrasound</subject><ispartof>Ultrasound in medicine & biology, 2011, Vol.37 (1), p.44-52</ispartof><rights>World Federation for Ultrasound in Medicine & Biology</rights><rights>2011 World Federation for Ultrasound in Medicine & Biology</rights><rights>2015 INIST-CNRS</rights><rights>Copyright © 2011 World Federation for Ultrasound in Medicine & Biology. 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Forty healthy volunteers were submitted to a B- and M-mode ultrasound study using a convex transducer positioned in the subcostal anterior area for transverse scanning. Ultrasound examination was completed in 38/40 cases (95%), spending on average <10 min for examination. The resting and forced diaphragmatic excursions were 18.4 ± 7.6 and 78.8 ± 13.3 mm, respectively, unrelated to demographic or anthropometric parameters: intraobserver variability on three successive measurements resulted in 6.0% and in 3.9%, respectively. An inexperienced sonographer completed the ultrasound examination in 37/40 cases, spending on average >15 min, with significant, although marginal, interobserver variability (31.9% and 14.7% for resting and forced diaphragmatic excursion, respectively). Bedside ultrasonography by an anterior subcostal transverse scanning on semi-recumbent patient proves to be a safe, feasible, reliable, fast, relatively easy and reproducible way to assess diaphragm movement. (E-mail: americotesta@gmail.com )</description><subject>Adult</subject><subject>Anthropometry</subject><subject>Bedside ultrasound</subject><subject>Biological and medical sciences</subject><subject>Clinical ultrasound</subject><subject>Demography</subject><subject>Diaphragm</subject><subject>Diaphragm - diagnostic imaging</subject><subject>Diaphragm - physiology</subject><subject>Diaphragm motion</subject><subject>Diaphragmatic kinetics</subject><subject>Dyspnea</subject><subject>Emergency ultrasound</subject><subject>Female</subject><subject>Humans</subject><subject>Kinetics</subject><subject>Linear Models</subject><subject>M-mode</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Movement - physiology</subject><subject>Pneumology</subject><subject>Posture - physiology</subject><subject>Prospective Studies</subject><subject>Pulmonary function</subject><subject>Radiology</subject><subject>Reference Values</subject><subject>Respiratory Mechanics - physiology</subject><subject>Respiratory system : syndromes and miscellaneous diseases</subject><subject>Right hemidiaphragm</subject><subject>Scanning</subject><subject>Spirometry</subject><subject>Transducers</subject><subject>Ultrasonography</subject><subject>Ultrasound</subject><issn>0301-5629</issn><issn>1879-291X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNUstuFDEQtBCILIFfQBYS4jSL7XnYwwFplQBBJOKwicTN8nh6Ek9m7cU9E2n_hm_hy_Bkl4e4wKkPVV3dXdWEvOBsyRmvXvfLaRijwQ20jQtLwe6BJWPFA7LgStaZqPmXh2TBcsazshL1EXmC2DPGZJXLx-RIcF4UdSkX5PbqXipMvqUX2UVoga4QAZO4H2no6Kkz25torjdmdJZ-ch5SRdrsvn9b-RGiC5FeRuPxDiICXVvjvfPX1Hl6BmYYb3Z0PTU92BGfkkedGRCeHeoxuXr_7vLkLDv__OHjyeo8s2nXMbOykFXFWJlOkYIrxerOdrwUos1N16hcCatMW4Dp8s5wXramKm0hoWrqRiT8mLza625j-DoBjnrj0MIwGA9hQq1UzgomavlvpuCFqlSVJ-abPdPGgBih09voNibuNGd6TkX3-s9U9JzKjKVUUvPzw5ipSfCv1p8xJMLLA8GgNUOX_LQOf_NyJZMZ82Wnex4k--4cRI3WgbfQupgc1m1w_7fP279k7OC8S5NvYQfYhyn6FJDmGoVmej3_0fxGPH1QmSc3fgDyRMhh</recordid><startdate>2011</startdate><enddate>2011</enddate><creator>Testa, Americo</creator><creator>Soldati, Gino</creator><creator>Giannuzzi, Rosangela</creator><creator>Berardi, Silvia</creator><creator>Portale, Grazia</creator><creator>Gentiloni Silveri, Nicolò</creator><general>Elsevier Inc</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>7QO</scope><scope>8FD</scope><scope>FR3</scope><scope>P64</scope></search><sort><creationdate>2011</creationdate><title>Ultrasound M-Mode Assessment of Diaphragmatic Kinetics by Anterior Transverse Scanning in Healthy Subjects</title><author>Testa, Americo ; Soldati, Gino ; Giannuzzi, Rosangela ; Berardi, Silvia ; Portale, Grazia ; Gentiloni Silveri, Nicolò</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c562t-c747660051877218809fcf1522d3afb8382c8ad4eaf3fa115da65c47e6b9b2b83</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2011</creationdate><topic>Adult</topic><topic>Anthropometry</topic><topic>Bedside ultrasound</topic><topic>Biological and medical sciences</topic><topic>Clinical ultrasound</topic><topic>Demography</topic><topic>Diaphragm</topic><topic>Diaphragm - diagnostic imaging</topic><topic>Diaphragm - physiology</topic><topic>Diaphragm motion</topic><topic>Diaphragmatic kinetics</topic><topic>Dyspnea</topic><topic>Emergency ultrasound</topic><topic>Female</topic><topic>Humans</topic><topic>Kinetics</topic><topic>Linear Models</topic><topic>M-mode</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Movement - physiology</topic><topic>Pneumology</topic><topic>Posture - physiology</topic><topic>Prospective Studies</topic><topic>Pulmonary function</topic><topic>Radiology</topic><topic>Reference Values</topic><topic>Respiratory Mechanics - physiology</topic><topic>Respiratory system : syndromes and miscellaneous diseases</topic><topic>Right hemidiaphragm</topic><topic>Scanning</topic><topic>Spirometry</topic><topic>Transducers</topic><topic>Ultrasonography</topic><topic>Ultrasound</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Testa, Americo</creatorcontrib><creatorcontrib>Soldati, Gino</creatorcontrib><creatorcontrib>Giannuzzi, Rosangela</creatorcontrib><creatorcontrib>Berardi, Silvia</creatorcontrib><creatorcontrib>Portale, Grazia</creatorcontrib><creatorcontrib>Gentiloni Silveri, Nicolò</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>Biotechnology Research Abstracts</collection><collection>Technology Research Database</collection><collection>Engineering Research Database</collection><collection>Biotechnology and BioEngineering Abstracts</collection><jtitle>Ultrasound in medicine & biology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Testa, Americo</au><au>Soldati, Gino</au><au>Giannuzzi, Rosangela</au><au>Berardi, Silvia</au><au>Portale, Grazia</au><au>Gentiloni Silveri, Nicolò</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Ultrasound M-Mode Assessment of Diaphragmatic Kinetics by Anterior Transverse Scanning in Healthy Subjects</atitle><jtitle>Ultrasound in medicine & biology</jtitle><addtitle>Ultrasound Med Biol</addtitle><date>2011</date><risdate>2011</risdate><volume>37</volume><issue>1</issue><spage>44</spage><epage>52</epage><pages>44-52</pages><issn>0301-5629</issn><eissn>1879-291X</eissn><coden>USMBA3</coden><abstract>Abstract The purpose of this study was to set an effective standardized method to assess diaphragmatic kinetics by ultrasound. Forty healthy volunteers were submitted to a B- and M-mode ultrasound study using a convex transducer positioned in the subcostal anterior area for transverse scanning. Ultrasound examination was completed in 38/40 cases (95%), spending on average <10 min for examination. The resting and forced diaphragmatic excursions were 18.4 ± 7.6 and 78.8 ± 13.3 mm, respectively, unrelated to demographic or anthropometric parameters: intraobserver variability on three successive measurements resulted in 6.0% and in 3.9%, respectively. An inexperienced sonographer completed the ultrasound examination in 37/40 cases, spending on average >15 min, with significant, although marginal, interobserver variability (31.9% and 14.7% for resting and forced diaphragmatic excursion, respectively). Bedside ultrasonography by an anterior subcostal transverse scanning on semi-recumbent patient proves to be a safe, feasible, reliable, fast, relatively easy and reproducible way to assess diaphragm movement. 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| subjects | Adult Anthropometry Bedside ultrasound Biological and medical sciences Clinical ultrasound Demography Diaphragm Diaphragm - diagnostic imaging Diaphragm - physiology Diaphragm motion Diaphragmatic kinetics Dyspnea Emergency ultrasound Female Humans Kinetics Linear Models M-mode Male Medical sciences Movement - physiology Pneumology Posture - physiology Prospective Studies Pulmonary function Radiology Reference Values Respiratory Mechanics - physiology Respiratory system : syndromes and miscellaneous diseases Right hemidiaphragm Scanning Spirometry Transducers Ultrasonography Ultrasound |
| title | Ultrasound M-Mode Assessment of Diaphragmatic Kinetics by Anterior Transverse Scanning in Healthy Subjects |
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