The lung ultrasound: facts or artifacts? In the era of COVID-19 outbreak
Ultrasound is the most disruptive innovation in intensive care life, above all in this time, with a high diagnostic value when applied appropriately. In recent years, point-of-care lung ultrasound has gained significant popularity as a diagnostic tool in the acutely dyspnoeic patients. In the era of...
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| Veröffentlicht in: | Radiologia medica 2020-08, Vol.125 (8), p.738-753 |
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| creator | Di Serafino, Marco Notaro, Maria Rea, Gaetano Iacobellis, Francesca Delli Paoli, Venere Acampora, Ciro Ianniello, Stefania Brunese, Luca Romano, Luigia Vallone, Gianfranco |
| description | Ultrasound is the most disruptive innovation in intensive care life, above all in this time, with a high diagnostic value when applied appropriately. In recent years, point-of-care lung ultrasound has gained significant popularity as a diagnostic tool in the acutely dyspnoeic patients. In the era of Sars-CoV-2 outbreak, lung ultrasound seems to be strongly adapting to the follow-up for lung involvement of patients with ascertaining infections, till to be used, in our opinion emblematically, as a screening test in suspected patients at the emergency triage or at home medical visit. In this brief review, we discuss the lung ultrasound dichotomy, certainties and uncertainties, describing its potential role in validated clinical contexts, as a clinical-dependent exam, its limits and pitfalls in a generic and off-label clinical context, as a virtual anatomical-dependent exam, and its effects on the clinical management of patients with COVID-19. |
| doi_str_mv | 10.1007/s11547-020-01236-5 |
| format | Article |
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In the era of COVID-19 outbreak</title><title>Radiologia medica</title><addtitle>Radiol med</addtitle><addtitle>Radiol Med</addtitle><description>Ultrasound is the most disruptive innovation in intensive care life, above all in this time, with a high diagnostic value when applied appropriately. In recent years, point-of-care lung ultrasound has gained significant popularity as a diagnostic tool in the acutely dyspnoeic patients. In the era of Sars-CoV-2 outbreak, lung ultrasound seems to be strongly adapting to the follow-up for lung involvement of patients with ascertaining infections, till to be used, in our opinion emblematically, as a screening test in suspected patients at the emergency triage or at home medical visit. In this brief review, we discuss the lung ultrasound dichotomy, certainties and uncertainties, describing its potential role in validated clinical contexts, as a clinical-dependent exam, its limits and pitfalls in a generic and off-label clinical context, as a virtual anatomical-dependent exam, and its effects on the clinical management of patients with COVID-19.</description><subject>Betacoronavirus</subject><subject>Chest Radiology</subject><subject>Coronavirus Infections - diagnostic imaging</subject><subject>Coronaviruses</subject><subject>COVID-19</subject><subject>Diagnosis, Differential</subject><subject>Diagnostic Radiology</subject><subject>Diagnostic software</subject><subject>Diagnostic systems</subject><subject>Emergency medical services</subject><subject>Humans</subject><subject>Imaging</subject><subject>Interventional Radiology</subject><subject>Lungs</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Neuroradiology</subject><subject>Outbreaks</subject><subject>Pandemics</subject><subject>Pneumonia, Viral - diagnostic imaging</subject><subject>Point-of-Care Systems</subject><subject>Radiology</subject><subject>SARS-CoV-2</subject><subject>Sensitivity and Specificity</subject><subject>Severe acute respiratory syndrome coronavirus 2</subject><subject>Ultrasonic imaging</subject><subject>Ultrasonography - methods</subject><subject>Ultrasound</subject><issn>0033-8362</issn><issn>1826-6983</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kMtOwzAQRS0EoqXwAyyQJdYGvxI7LECoPFqpUjeFreWkdpuSxsVOkPh73AcFNixGo9HcuXN1ADgn-IpgLK4DIQkXCFOMMKEsRckB6BJJU5Rmkh2CLsaMIclS2gEnISww5pjg7Bh0GE1YIqTogsFkbmDV1jPYVo3XwbX19AZaXTQBOg-1b8rNcAeHNWyi1ngNnYX98evwAZEMurbJvdFvp-DI6iqYs13vgZenx0l_gEbj52H_foQKLniDtKU2pdzSJLNJkWmbU02wZlykVMZ0haGW2EKnTMpY3CSUT6dcCipynGvJeuB267tq86WZFqaOsSu18uVS-0_ldKn-bupyrmbuQwmaMc5ENLjcGXj33prQqIVrfR0zK8pJlgmOI50eoFtV4V0I3tj9B4LVmr7a0leRvtrQV-uji9_Z9iffuKOAbQUhruqZ8T-__7H9AlFEjqM</recordid><startdate>20200801</startdate><enddate>20200801</enddate><creator>Di Serafino, Marco</creator><creator>Notaro, Maria</creator><creator>Rea, Gaetano</creator><creator>Iacobellis, Francesca</creator><creator>Delli Paoli, Venere</creator><creator>Acampora, Ciro</creator><creator>Ianniello, Stefania</creator><creator>Brunese, Luca</creator><creator>Romano, Luigia</creator><creator>Vallone, Gianfranco</creator><general>Springer Milan</general><general>Springer Nature B.V</general><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>5PM</scope><orcidid>https://orcid.org/0000-0001-6972-1859</orcidid></search><sort><creationdate>20200801</creationdate><title>The lung ultrasound: facts or artifacts? 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| subjects | Betacoronavirus Chest Radiology Coronavirus Infections - diagnostic imaging Coronaviruses COVID-19 Diagnosis, Differential Diagnostic Radiology Diagnostic software Diagnostic systems Emergency medical services Humans Imaging Interventional Radiology Lungs Medicine Medicine & Public Health Neuroradiology Outbreaks Pandemics Pneumonia, Viral - diagnostic imaging Point-of-Care Systems Radiology SARS-CoV-2 Sensitivity and Specificity Severe acute respiratory syndrome coronavirus 2 Ultrasonic imaging Ultrasonography - methods Ultrasound |
| title | The lung ultrasound: facts or artifacts? In the era of COVID-19 outbreak |
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