The Diagnostic Role of Lung Ultrasound and Contrast-Enhanced Ultrasound in Pulmonary Embolism.

IF 3.6 2区医学 Q2 HEMATOLOGY

Seminars in thrombosis and hemostasis Pub Date : 2024-09-01 Epub Date: 2023-10-13 DOI:10.1055/s-0043-1776006

Andrea Boccatonda, Lorenzo Andreetto, Susanna Vicari, Elena Campello, Paolo Simioni, Walter Ageno

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Abstract

The diagnosis of pulmonary embolism (PE) relies essentially on a probabilistic approach that requires careful clinical assessments, targeted laboratory tests, and the use of appropriate imaging tools. Nowadays, the diagnostic gold standard is computed tomographic pulmonary angiography. Lung ultrasound (LUS) can play a role in the diagnosis of PE mainly by allowing the visualization of peripheral lung infarctions. Hypoechoic, pleural-based parenchymal consolidation is the most typical and common finding of pulmonary infarction. More than 85% of infarct lesions are wedge-shaped, extending to the pleural surface and are localized to where the patient complains of pleuritic chest pain. Contrast-enhanced ultrasound can be performed in addition to basic ultrasound examination to ascertain nonvascularization of the consolidation, thus confirming that the lesion is an infarct. The aim of this narrative review is to summarize the latest evidence on the application of LUS to the diagnosis of PE, focusing purely on thoracic/lung signs.

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肺部超声和增强超声对肺栓塞的诊断作用。

肺栓塞（PE）的诊断基本上依赖于概率方法，该方法需要仔细的临床评估、有针对性的实验室测试和使用适当的成像工具。如今，诊断的金标准是计算机断层肺血管造影术。肺部超声（LUS）主要通过显示外周肺梗死在PE的诊断中发挥作用。低回声胸膜实质实变是肺梗死最典型和最常见的表现。超过85%的梗死灶呈楔形，延伸至胸膜表面，局限于患者抱怨胸膜性胸痛的地方。除了基本的超声检查外，还可以进行增强超声检查，以确定固结的非血管化，从而确认病变是梗死。这篇叙述性综述的目的是总结LUS应用于PE诊断的最新证据，仅关注胸/肺体征。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Seminars in thrombosis and hemostasis 医学-外周血管病

CiteScore

8.80

自引率

21.10%

发文量

132

审稿时长

6-12 weeks

期刊介绍： Seminars in Thrombosis and Hemostasis is a topic driven review journal that focuses on all issues relating to hemostatic and thrombotic disorders. As one of the premiere review journals in the field, Seminars in Thrombosis and Hemostasis serves as a comprehensive forum for important advances in clinical and laboratory diagnosis and therapeutic interventions. The journal also publishes peer reviewed original research papers. Seminars offers an informed perspective on today''s pivotal issues, including hemophilia A & B, thrombophilia, gene therapy, venous and arterial thrombosis, von Willebrand disease, vascular disorders and thromboembolic diseases. Attention is also given to the latest developments in pharmaceutical drugs along with treatment and current management techniques. The journal also frequently publishes sponsored supplements to further highlight emerging trends in the field.