Diagnostic Value of Bedside Lung Ultrasonography in Pneumonia

Ultrasound Med Biol. 2020 May;46(5):1189-1196. doi: 10.1016/j.ultrasmedbio.2020.01.014. Epub 2020 Feb 14.

Abstract

Bedside lung ultrasonography (LUS) is a reliable method for the diagnosis of pneumonia. No common consensus exists in the literature regarding the effectiveness of LUS findings, except consolidation, for the diagnosis of pneumonia. The primary objective of this study was to investigate the effectiveness of LUS for the diagnosis of pneumonia, and the secondary objective was to investigate the use of LUS findings, except consolidation, for the diagnosis of pneumonia. A total of 127 patients with clinically suspected pneumonia were evaluated in the study. The sensitivity and specificity of LUS were 98.0% and 95.8%, respectively. In the cases where consolidation was not determined in LUS but B-3 line positivity or a diffuse interstitial pattern was present, the sensitivity and specificity were 93.3% and 88.2%, respectively. When consolidation was not observed in LUS, the presence of B-3 line positivity or diffuse interstitial pattern could be used for the diagnosis of pneumonia.

Keywords: Emergency; Lung ultrasonography; Pneumonia.

Publication types

  • Observational Study

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Community-Acquired Infections / diagnostic imaging
  • Early Diagnosis
  • Emergency Service, Hospital
  • Female
  • Humans
  • Lung / diagnostic imaging*
  • Male
  • Middle Aged
  • Pneumonia / diagnostic imaging*
  • Point-of-Care Testing*
  • Prospective Studies
  • Radiography
  • Sensitivity and Specificity
  • Tomography, X-Ray Computed
  • Ultrasonography
  • Young Adult