4.3 Review

The use of lung ultrasound in COVID-19

Related references

Note: Only part of the references are listed.
Review Radiology, Nuclear Medicine & Medical Imaging

Ultrasound findings of lung ultrasonography in COVID-19: A systematic review

Jaime Gil-Rodriguez et al.

Summary: This study aimed to identify the lung ultrasound (LUS) findings of COVID-19 and explore their association with disease severity and prognosis. The most frequent ultrasound findings in COVID-19 patients were B-lines and pleural abnormalities. A higher LUS score was associated with unfavorable outcomes.

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Lung Ultrasound Signs and Their Correlation With Clinical Symptoms in COVID-19 Pregnant Women: The PINK-CO Observational Study

Luigi Vetrugno et al.

Summary: This study analyzed the application of lung ultrasound (LUS) diagnostic approach in pregnant women with SARS-CoV-2 infection. The results showed a positive correlation between LUS score and patient symptoms. LUS was significantly correlated with inflammatory markers and inversely related to arterial oxygen saturation. The most frequently observed ultrasound findings were focal B lines and the light beam.

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The use of contrast-enhanced ultrasound in COVID-19 lung imaging

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Summary: Lung ultrasound is an essential tool for rapid bedside assessment in critically unwell patients, and it has proved helpful in the assessment of COVID-19. Contrast enhanced ultrasound provides more detailed sonographic features of COVID-19 and has the advantages of being cheap, radiation-free, and without the risk of nephrotoxicity.

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Lung Ultrasound for Patients With Coronavirus Disease 2019 Pulmonary Disease

Scott J. Millington et al.

Summary: The article discusses the utility of lung ultrasound in evaluating respiratory failure in acutely ill patients and specifically highlights its advantages in assessing pulmonary disease related to coronavirus disease 2019. Authors from North American and European epicenters present an ultrasound scanning protocol and report commonly associated ultrasound findings.

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Lung Ultrasonography for Risk Stratification in Patients with Coronavirus Disease 2019 (COVID-19): A Prospective Observational Cohort Study

Thomas Brahier et al.

Summary: This study investigated the use of Lung ultrasonography (LUS) as a risk-stratification tool in patients with COVID-19, showing promising results in early identification of different patient outcomes. Abnormal LUS findings were observed in the majority of patients, with variations in affected zones depending on clinical outcomes. The study suggests that systematic LUS has the potential to be a reliable and cost-effective triage tool for risk assessment in COVID-19 patients presenting to emergency departments.

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Use of Chest Imaging in the Diagnosis and Management of COVID-19: A WHO Rapid Advice Guide

Elie A. Akl et al.

Summary: The World Health Organization developed a rapid guide on the use of chest imaging in the diagnosis and management of COVID-19, including recommendations for patients with varying disease severity levels, from outpatient or hospital care to home discharge. The recommendations are conditional and based on low certainty evidence, expert opinion, aiming to provide guidance on choosing the appropriate imaging modality and implementation considerations.

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Summary: The study aimed to describe lung ultrasound findings in children with COVID-19 infection. Children with respiratory symptoms mostly showed a S.score of 2 and 3 with subpleural consolidations on lung ultrasound, while even COVID-19 patients with non-respiratory symptoms had visible lung alterations on ultrasound. This suggests that lung ultrasound can be a useful tool for diagnosing and monitoring COVID-19 patients in both respiratory and non-respiratory cases.

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The use of imaging in COVID-19-results of a global survey by the International Society of Radiology

Ivana Blazic et al.

Summary: This survey analyzed the imaging practices of radiology departments in managing COVID-19 patients globally, revealing significant differences in imaging applications across different countries. Most institutions perform chest imaging for suspected or confirmed COVID-19 patients, but imaging is usually not performed for asymptomatic patients.

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European Respiratory Society statement on thoracic ultrasound

Christian B. Laursen et al.

Summary: Thoracic ultrasound is increasingly important for pulmonologists, assisting in diagnosis, guiding procedures, and predicting treatment response. However, there is still a lack of data in some important areas, with potential for future multicenter collaborations to further strengthen evidence-based use.

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High incidence and mortality of pneumothorax in critically Ill patients with COVID-19

Xiao-hui Wang et al.

Summary: Pneumothorax is a common and fatal complication in critically ill patients with COVID-19, especially in those requiring invasive mechanical ventilation, often leading to severe symptoms and a high mortality rate.

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Cristina Sorlini et al.

Summary: This study evaluated the diagnostic accuracy of lung point-of-care ultrasound (POCUS) for suspected SARS-CoV-2 pneumonia in emergency department (ED) patients. The results showed that in this setting, lung POCUS is a sensitive first-line screening tool for patients with symptoms suggestive of SARS-CoV-2 infection.

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Usefulness of Lung Ultrasound Examinations Performed by Primary Care Physicians in Patients With SuspectedCOVID-19

Antonio Calvo-Cebrian et al.

Summary: This study demonstrates the effectiveness of using lung ultrasound (LUS) in primary care centers to assess patients with suspected COVID-19. LUS can reduce uncertainty in evaluating moderate patients, facilitate early detection of lung involvement, enable early appropriate referral, and avoid unnecessary referrals.

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Diagnostic value of lung ultrasonography in children with COVID-19

Mina Hizal et al.

Summary: The study demonstrates that LUS has high diagnostic value in evaluating children with COVID-19, serving as an effective tool to assist in diagnosis and reduce unnecessary chest CT scans.

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Diagnostic accuracy of point-of-care lung ultrasound in COVID-19

Svenja L. Haak et al.

Summary: The study evaluated the diagnostic accuracy of lung POCUS in patients with suspected pulmonary manifestations of COVID-19 in the ED, showing that POCUS was more sensitive and had a higher negative predictive value in patients without underlying cardiopulmonary disease.

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Frequency, Risk Factors, Clinical Characteristics, and Outcomes of Spontaneous Pneumothorax in Patients With Coronavirus Disease 2019 A Case-Control, Emergency Medicine-Based Multicenter Study

Oscar Miro et al.

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Lung ultrasound for the early diagnosis of COVID-19 pneumonia: an international multicenter study

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Summary: By combining LUS patterns of probability with clinical phenotypes, patients with or without COVID-19 pneumonia can be rapidly identified at bedside, which can support and expedite patients’ management during a pandemic surge.

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