Lung Ultrasonography in Diagnosis and Management of Novel Coronavirus (COVID-19) Pneumonia: Pearls and Pitfalls

Xue, MD Heng; Zhang, MD Yao; Cui, MD Ligang; Han, MD Jing

doi:10.37015/AUDT.2020.200030

ADVANCED ULTRASOUND IN DIAGNOSIS AND THERAPY >

2020 , Vol. 4 >Issue 2: 57 - 59

DOI: https://doi.org/10.37015/AUDT.2020.200030

Review Article

Lung Ultrasonography in Diagnosis and Management of Novel Coronavirus (COVID-19) Pneumonia: Pearls and Pitfalls

Xue, MD Heng ,
Zhang, MD Yao ,
Cui, MD Ligang ,
Han, MD Jing

Expand

^a Department of Ultrasound, Peking University Third Hospital, Beijing, China
^b Department of Ultrasound, Beijing Ditan Hospital, Capital Medical University, Beijing, China
^c Ultrasound and Functional Diagnostic Center, Beijing You An Hospital, Capital Medical University, Beijing, China

Received date: 2020-04-08

Online published: 2020-04-17

Fold

Abstract

The purpose of this article is to review the use of lung ultrasonography (US) in the workup of COVID-19 pneumonia. The scanning protocol, normal US appearance of lung, major US features of COVID-19 pneumonia, diagnostic performance of lung US and potential pitfalls when explaining US results are descripted and discussed. Lung US is increasingly accepted as a useful tool in the workup of COVID-19 pneumonia. Certain US imaging features allow to confirm or rule out the diagnosis for clinical management; on other hand, most US findings are nonspecific with technical limitations. Thus, it is important to recognize these drawbacks since the ignorance of potential pitfalls of lung US may lead to over diagnosis or missed diagnosis.

Key words： Lung ultrasonography; COVID-19 pneumonia; Technical limitation; Pitfalls

Cite this article

Xue, MD Heng , Zhang, MD Yao , Cui, MD Ligang , Han, MD Jing . Lung Ultrasonography in Diagnosis and Management of Novel Coronavirus (COVID-19) Pneumonia: Pearls and Pitfalls[J]. ADVANCED ULTRASOUND IN DIAGNOSIS AND THERAPY, 2020 , 4(2) : 57 -59 . DOI: 10.37015/AUDT.2020.200030

References

[1]	Poggiali E, Dacrema A, Bastoni D, Tinelli V, Demichele E, Mateo Ramos P, et al. Can lung US help critical care clinicians in the early diagnosis of novel coronavirus (COVID-19) pneumonia? Radiology 2020:200847. DOI: 10.1148/radiol.2020200847.
[2]	Peng QY, Wang XT, Zhang LN. Chinese Critical Care Ultrasound Study Group (CCUSG). Findings of lung ultrasonography of novel corona virus pneumonia during the 2019-2020 epidemic. Intensive Care Med . 2020: 1-2. DOI: 10.1007/s00134-020-05996-6.
[3]	Buonsenso D, Pata D, COVID-19 outbreak: less stethoscope, more ultrasound. Lancet Respir Med. 2020 Mar 20. DOI: 10.1016/S2213-2600(20)30120-X.
[4]	WHO. Medical devices. Personal protective equipment. 2020. Available from: https://www.who.int/medical_devices/meddev_ppe/en/.
[5]	Costello C, Basseal J, Yang Y, Anstey J, Yastrebov K. Prevention of pathogen transmission during ultrasound use in the Intensive Care Unit: Recommendations from the College of Intensive Care Medicine Ultrasound Special Interest Group (USIG). Australasian Journal of Ultrasound in Medicine.
[6]	Abramowicz J, Basseal J. FUMB Position Statement: How to perform a safe ultrasound examination and clean equipment in the context of COVID-19. World Federation for Ultrasound in Medicine and Biology (WFUMB). Available from: ttps://wfumb.info/2020/03/27/ss-covid19-001/
[7]	Song F, Shi N, Shan F, Zhang Z, Shen J, Lu H, et al. Emerging 2019 novel coronavirus (2019-nCoV) pneumonia. Radiology 2020; 295:210-217.
[8]	Salehi S, Abedi A, Balakrishnan S, Gholamrezanezhad A. Coronavirus disease 2019 (COVID-19): a systematic review of imaging findings in 919 patients. AJR Am J Roentgenol 2020: 1-7.
[9]	Bai HX, Hsieh B, Xiong Z, Halsey K, Choi JW, Tran TML, et al. Performance of radiologists in differentiating COVID-19 from viral pneumonia on chest CT. Radiology 2020:200823. DOI: 10.1148/radiol.2020200823.
[10]	Mayo PH, Copetti R, Feller-Kopman D, Mathis G, Maury E, Mongodi S, et al. Thoracic ultrasonography: a narrative review. Intensive Care Med 2019; 45:1200-1211
[11]	Laursen CB, Sloth E, Lassen AT, Christensen Rd, Lambrechtsen J, Madsen PH, et al. Point-of-care ultrasonography in patients admitted with respiratory symptoms: a single-blind, randomised controlled trial. Lancet Respir Med 2014; 2:638-46.
[12]	Dai WC, Zhang HW, Yu J, Xu HJ, Chen H, Luo SP, et al. CT imaging and differential diagnosis of COVID-19. Can Assoc Radiol J 2020; 71:195-200.
[13]	Ai T, Yang Z, Hou H, Zhan C, Chen C, Lv W, et al. Correlation of chest CT and RT-PCR testing in coronavirus disease 2019 (COVID-19) in China: A Report of 1014 Cases. Radiology 2020:200642. DOI: 10.1148/radiol.2020200642.
[14]	Fang Y, Zhang H, Xie J, Lin M, Ying L, Pang P, et al. Sensitivity of Chest CT for COVID-19: Comparison to RT-PCR. Radiology 2020:200432. DOI: 10.1148/radiol.2020200432.
[15]	Volpicelli G. Lung sonography. J Ultrasound Med 2013; 32:165-71.
[16]	Zoneff ER, Baker K, Sweeny A, Keijzers G, Sanderson J, Watkins S. The prevalence of lung surface abnormalities in a healthy population as detected by a screening lung ultrasound protocol: Comparison between young and older volunteers. Australasian Journal of Ultrasound in Medicine 2019; 22:129-37.

Options

Outlines

模态框（Modal）标题

Abstract

Cite this article

References