Báo cáo y học: "Utility of a simplified ultrasound assessment to assess interstitial pulmonary fibrosis in connective tissue disorders - preliminary results"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học General Psychiatry cung cấp cho các bạn kiến thức về ngành y đề tài: Utility of a simplified ultrasound assessment to assess interstitial pulmonary fibrosis in connective tissue disorders - preliminary results. | Gutierrez et al. Arthritis Research Therapy 2011 13 R134 http content 13 4 R134 RESEARCH ARTICLE Open Access Utility of a simplified ultrasound assessment to assess interstitial pulmonary fibrosis in connective tissue disorders - preliminary results 1 1 2 1 3 1 Marwin Gutierrez Fausto Salaffi Marina Carotti Marika Tardella Carlos Pineda Chiara Bertolazzi Elisabetta Bichisecchi2 Emilio Filippucci 1 and Walter Grassi1 Abstract Introduction Interstitial pulmonary fibrosis IPF is a frequent manifestation in patients with connective tissue disorders CTD . Recently the ultrasound US criterion validity for its assessment has been proposed however the US scoring systems adopted include the study of several lung intercostal spaces LIS which could be timeconsuming in daily clinical practice. The aim of this study was to investigate the utility of a simplified US B-lines scoring system compared with both the US comprehensive assessment and the high-resolution computed tomography HRCT findings of IPF in CTD patients. Methods Thirty-six patients with a diagnosis of CTD were enrolled. Each patient underwent chest HRCT and lung US by an experienced radiologist and rheumatologist respectively. Both comprehensive and simplified US B-lines assessments were scanned. The comprehensive US assessment was performed at 50 LIS level whereas the simplified US assessment included bilaterally 14 LIS for the anterior chest the second LIS along the para-sternal lines the fourth LIS along the mid-clavear anterior axillary and mid-axillary lines for the posterior chest the eighth LIS along the paravertebral sub-scapular and posterior axillary lines. For criterion validity HRCT was considered the gold standard. Feasibility inter and intra-observer reliability was also investigated. Results A highly significant correlation between comprehensive and simplified US assessment was found P . A significant correlation was also found between the simplified US assessment and .

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