CovidFranceV1, Main, Exploration, bibRecord, 000B67

Lung ultrasonography in patients with COVID-19: comparison with CT.

Identifieur interne : 000B67 ( Main/Exploration ); précédent : 000B66; suivant : 000B68

Lung ultrasonography in patients with COVID-19: comparison with CT.

Auteurs : S. Ottaviani [France] ; M. Franc [France] ; E. Ebstein [France] ; L. Demaria [France] ; C. Lheure [France] ; M P Debray [France] ; A. Khalil [France] ; B. Crestani [France] ; R. Borie [France] ; P. Dieudé [France]

Source :

Clinical radiology [ 1365-229X ] ; 2020.

RBID : pubmed:32854921

Abstract

AIM

To determine whether findings from lung ultrasound and chest high-resolution computed tomography (HRCT) correlate when evaluating COVID-19 pulmonary involvement.

MATERIALS AND METHODS

The present prospective single-centre study included consecutive symptomatic patients with reverse transcription polymerase chain reaction (RT-PCR)-proven COVID-19 who were not in the intensive care unit. All patients were assessed using HRCT and ultrasound of the lungs by distinct operators blinded to each other's findings. The number of areas (0-12) with B-lines and/or consolidations was evaluated using ultrasound and compared to the percentage and classification (absent or limited, <10%; moderate, 10-25%; extensive, 25-50%; severe, 50-75%; critical, >75%) of lung involvement on chest HRCT.

RESULTS

Data were analysed for 21 patients with COVID-19 (median [range] age 65 [37-90] years, 76% male) and excellent correlation was found between the ultrasound score for B-lines and the classification (p<0.01) and percentage of lung involvement on chest HRCT (r=0.935, p<0.001). In addition, the ultrasound score correlated positively with supplemental oxygen therapy (r=0.45, p=0.041) and negatively with minimal oxygen saturation at ambient air (r=-0.652, p<0.01).

CONCLUSION

The present study suggests that among COVID-19 patients, lung ultrasound and HRCT findings agree in quantifying lung involvement and oxygen parameters. In the context of the COVID-19 pandemic, lung ultrasound could be a relevant alternative to chest HRCT.

DOI: 10.1016/j.crad.2020.07.024
PubMed: 32854921
PubMed Central: PMC7420062

Affiliations:

Links toward previous steps (curation, corpus...)

to stream Main, to step Corpus: 000329
to stream Main, to step Curation: 000329

Le document en format XML

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<author><name sortKey="Borie, R" sort="Borie, R" uniqKey="Borie R" first="R" last="Borie">R. Borie</name>
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<author><name sortKey="Dieude, P" sort="Dieude, P" uniqKey="Dieude P" first="P" last="Dieudé">P. Dieudé</name>
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<front><div type="abstract" xml:lang="en"><p><b>AIM</b>
</p>
<p>To determine whether findings from lung ultrasound and chest high-resolution computed tomography (HRCT) correlate when evaluating COVID-19 pulmonary involvement.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>MATERIALS AND METHODS</b>
</p>
<p>The present prospective single-centre study included consecutive symptomatic patients with reverse transcription polymerase chain reaction (RT-PCR)-proven COVID-19 who were not in the intensive care unit. All patients were assessed using HRCT and ultrasound of the lungs by distinct operators blinded to each other's findings. The number of areas (0-12) with B-lines and/or consolidations was evaluated using ultrasound and compared to the percentage and classification (absent or limited, <10%; moderate, 10-25%; extensive, 25-50%; severe, 50-75%; critical, >75%) of lung involvement on chest HRCT.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>RESULTS</b>
</p>
<p>Data were analysed for 21 patients with COVID-19 (median [range] age 65 [37-90] years, 76% male) and excellent correlation was found between the ultrasound score for B-lines and the classification (p<0.01) and percentage of lung involvement on chest HRCT (r=0.935, p<0.001). In addition, the ultrasound score correlated positively with supplemental oxygen therapy (r=0.45, p=0.041) and negatively with minimal oxygen saturation at ambient air (r=-0.652, p<0.01).</p>
</div>
<div type="abstract" xml:lang="en"><p><b>CONCLUSION</b>
</p>
<p>The present study suggests that among COVID-19 patients, lung ultrasound and HRCT findings agree in quantifying lung involvement and oxygen parameters. In the context of the COVID-19 pandemic, lung ultrasound could be a relevant alternative to chest HRCT.</p>
</div>
</front>
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<DateRevised><Year>2020</Year>
<Month>09</Month>
<Day>09</Day>
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<Day>12</Day>
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<Title>Clinical radiology</Title>
<ISOAbbreviation>Clin Radiol</ISOAbbreviation>
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<ArticleTitle>Lung ultrasonography in patients with COVID-19: comparison with CT.</ArticleTitle>
<ELocationID EIdType="pii" ValidYN="Y">S0009-9260(20)30311-1</ELocationID>
<ELocationID EIdType="doi" ValidYN="Y">10.1016/j.crad.2020.07.024</ELocationID>
<Abstract><AbstractText Label="AIM" NlmCategory="OBJECTIVE">To determine whether findings from lung ultrasound and chest high-resolution computed tomography (HRCT) correlate when evaluating COVID-19 pulmonary involvement.</AbstractText>
<AbstractText Label="MATERIALS AND METHODS" NlmCategory="METHODS">The present prospective single-centre study included consecutive symptomatic patients with reverse transcription polymerase chain reaction (RT-PCR)-proven COVID-19 who were not in the intensive care unit. All patients were assessed using HRCT and ultrasound of the lungs by distinct operators blinded to each other's findings. The number of areas (0-12) with B-lines and/or consolidations was evaluated using ultrasound and compared to the percentage and classification (absent or limited, <10%; moderate, 10-25%; extensive, 25-50%; severe, 50-75%; critical, >75%) of lung involvement on chest HRCT.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Data were analysed for 21 patients with COVID-19 (median [range] age 65 [37-90] years, 76% male) and excellent correlation was found between the ultrasound score for B-lines and the classification (p<0.01) and percentage of lung involvement on chest HRCT (r=0.935, p<0.001). In addition, the ultrasound score correlated positively with supplemental oxygen therapy (r=0.45, p=0.041) and negatively with minimal oxygen saturation at ambient air (r=-0.652, p<0.01).</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">The present study suggests that among COVID-19 patients, lung ultrasound and HRCT findings agree in quantifying lung involvement and oxygen parameters. In the context of the COVID-19 pandemic, lung ultrasound could be a relevant alternative to chest HRCT.</AbstractText>
<CopyrightInformation>Copyright © 2020 The Royal College of Radiologists. Published by Elsevier Ltd. All rights reserved.</CopyrightInformation>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Ottaviani</LastName>
<ForeName>S</ForeName>
<Initials>S</Initials>
<AffiliationInfo><Affiliation>Université de Paris, Service de Rhumatologie, Unité Covid-19, Hôpital Bichat, APHP, Paris, France. Electronic address: sebastien.ottaviani@aphp.fr.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Franc</LastName>
<ForeName>M</ForeName>
<Initials>M</Initials>
<AffiliationInfo><Affiliation>Université de Paris, Service de Rhumatologie, Unité Covid-19, Hôpital Bichat, APHP, Paris, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Ebstein</LastName>
<ForeName>E</ForeName>
<Initials>E</Initials>
<AffiliationInfo><Affiliation>Université de Paris, Service de Rhumatologie, Unité Covid-19, Hôpital Bichat, APHP, Paris, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Demaria</LastName>
<ForeName>L</ForeName>
<Initials>L</Initials>
<AffiliationInfo><Affiliation>Université de Paris, Service de Rhumatologie, Unité Covid-19, Hôpital Bichat, APHP, Paris, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Lheure</LastName>
<ForeName>C</ForeName>
<Initials>C</Initials>
<AffiliationInfo><Affiliation>Université de Paris, Service de Dermatologie, Unité Covid-19, Hôpital Bichat, APHP, Paris, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Debray</LastName>
<ForeName>M P</ForeName>
<Initials>MP</Initials>
<AffiliationInfo><Affiliation>Université de Paris, Service de Radiologie, Hôpital Bichat, APHP, Paris, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Khalil</LastName>
<ForeName>A</ForeName>
<Initials>A</Initials>
<AffiliationInfo><Affiliation>Université de Paris, Service de Radiologie, Hôpital Bichat, APHP, Paris, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Crestani</LastName>
<ForeName>B</ForeName>
<Initials>B</Initials>
<AffiliationInfo><Affiliation>Université de Paris, Service de Pneumologie A, Centre de référence des maladies pulmonaires rares, Hôpital Bichat, APHP, Paris, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Borie</LastName>
<ForeName>R</ForeName>
<Initials>R</Initials>
<AffiliationInfo><Affiliation>Université de Paris, Service de Pneumologie A, Centre de référence des maladies pulmonaires rares, Hôpital Bichat, APHP, Paris, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Dieudé</LastName>
<ForeName>P</ForeName>
<Initials>P</Initials>
<AffiliationInfo><Affiliation>Université de Paris, Service de Rhumatologie, Unité Covid-19, Hôpital Bichat, APHP, Paris, France.</Affiliation>
</AffiliationInfo>
</Author>
</AuthorList>
<Language>eng</Language>
<PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType>
</PublicationTypeList>
<ArticleDate DateType="Electronic"><Year>2020</Year>
<Month>08</Month>
<Day>12</Day>
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Lung ultrasonography in patients with COVID-19: comparison with CT.

Lung ultrasonography in patients with COVID-19: comparison with CT.

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