Published February 14, 2019 | Version v1
Journal article Metadata-only

Use of ultrasonography for differentiation between bullae and pneumothorax

Creators

  • 1. Marmara University School of Medicine, Emergency Medicine Department (Turkey)
  • 2. Bozok University, Faculty of Medicine Thoracic Surgery Department (Turkey)
  • 3. Bozok University, Faculty of Medicine Radiology Department (Turkey)
  • 4. Bozok University, Faculty of Medicine Pulmonology Department (Turkey)
  • 5. Ege University, School of Medicine Emergency Medicine Department (Turkey)

Description

Purpose

Modern lung ultrasound (US) is mainly applied not only in critical care, emergency medicine, and trauma surgery, but also in pulmonary and internal medicine. In some cases, pneumothorax (PTX) distinguishes with bullous diseases. In this study, we aimed to discuss the success of US on detecting PTX versus bullae.

Methods

We performed a prospective blinded study. Patients underwent thorax computed tomography (CT) if bullae or pneumothorax could not be differentiated from the chest radiography. An emergency medicine specialist trained in lung US and unaware of x-ray and CT findings performed US. All patients US performed from anterior and lateral wall.

Results

Final study population included 81 patients. The sensitivity of the presence of pleural sliding in the diagnosis of bullae was 97.50% (86.84–99.94%), and specificity was 100.0% (91.4–100.0%).

Conclusion

In conclusion, direct visualisation of ultrasonographic pleural sliding can be a good tool for differentiating bullae and pneumothorax.

Additional details

Identifiers

DOI
10.1007/s10140-018-1640-9;

Publishing Information

Journal Title
Emergency Radiology (Internet)
Journal Volume
26
Journal Issue
1
Journal Page Range
p. 15-19
ISSN
1438-1435

INIS

Country of Publication
Germany
Country of Input or Organization
International Atomic Energy Agency (IAEA)
INIS RN
54096832
Subject category
S62: RADIOLOGY AND NUCLEAR MEDICINE;
Descriptors DEI
CHEST; COMPUTERIZED TOMOGRAPHY; DRUGS; LUNGS; PATIENTS; SENSITIVITY; SPECIFICITY; SURGERY; ULTRASONOGRAPHY; X RADIATION
Descriptors DEC
BODY; DIAGNOSTIC TECHNIQUES; ELECTROMAGNETIC RADIATION; IONIZING RADIATIONS; MEDICINE; ORGANS; RADIATIONS; RESPIRATORY SYSTEM; TOMOGRAPHY

Optional Information

Copyright
Copyright (c) 2019 American Society of Emergency Radiology