Use of Lung Ultrasound to Differentiate Coronavirus Disease 2019 (COVID-19) Pneumonia From Community-Acquired Pneumonia
| Autor: | Yanping Zhao, Guorong Lyu, Xihua Lian, Haolin Shen, Zhenhua Wang, Xiali Wang, Shaozheng He, Guoliang Tan, Zhixing Zhu, Fang Huang, Ying Zhang |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Male
Acoustics and Ultrasonics Pleural effusion Pneumonia Viral Biophysics Article Lesion Diagnosis Differential Betacoronavirus Community-acquired pneumonia Ultrasound medicine Humans Radiology Nuclear Medicine and imaging Lung Pandemics Aged Ultrasonography Coronavirus disease 2019 Radiological and Ultrasound Technology business.industry SARS-CoV-2 Tomography X-ray computed Interstitial lung disease COVID-19 Reproducibility of Results Pneumonia Middle Aged medicine.disease Community-Acquired Infections medicine.anatomical_structure Radiology Nuclear Medicine and imaging Feasibility Studies Differential diagnosis medicine.symptom business Nuclear medicine Coronavirus Infections |
| Zdroj: | Ultrasound in Medicine & Biology |
| ISSN: | 1879-291X |
| Popis: | To investigate the feasibility of lung ultrasound in evaluating coronavirus disease 2019 (COVID-19) and distinguish the sonographic features between COVID-19 and community-acquired pneumonia (CAP), a total of 12 COVID-19 patients and 20 CAP patients were selected and underwent lung ultrasound. The modified Buda scoring system for interstitial lung disease was used to evaluate the severity and treatment effect of COVID-19 on ultrasonography. The differences between modified lung ultrasound (MLUS) score and high-resolution computed tomography (HRCT) Warrick score were analyzed to evaluate their correlation. COVID-19 showed the following sonographic features: thickening (12/12), blurred (9/12), discontinuous (6/12) pleural line; rocket sign (4/12), partially diffused B-line (12/12), completely diffused B-line (10/12), waterfall sign (4/12); C-line sign (5/12); pleural effusion (1/12) and pulmonary balloon (Am line, 1/12). The last two features were rarely seen. Differences of ultrasonic features, including lesion range, lung signs and pneumonia-related complications, between COVID-19 and CAP were statistically significant (p ˂ 0.05 or 0.001). MLUS scores (p = 0.006) and HRCT Warrick scores (p = 0.015) increased as the severity of COVID-19 increased. The differences between moderate (29.00 [25.75–37.50]) and severe (43.00 [38.75–47.25]) (p = 0.022) or between moderate and critical (47.50 [44.25–50.00]) (p = 0.002) type COVID-19 were statistically significant, compared with those between severe and critical types. Correlation between MLUS scores and HRCT Warrick scores was positive (r = 0.54, p = 0.048). MLUS scores (Z = 2.61, p = 0.009) and HRCT Warrick scores (Z = 2.63, p = 0.009) of five severe or critical COVID-19 patients significantly decreased as their conditions improved after treatment. The differences of sonographic features between COVID-19 and CAP patients were notable. The MLUS scoring system could be used to evaluate the severity and treatment effect of COVID-19. |
| Databáze: | OpenAIRE |
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