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Lung Ultrasound May Support Diagnosis and Monitoring of COVID-19 Pneumonia.
Allinovi, Marco; Parise, Alberto; Giacalone, Martina; Amerio, Andrea; Delsante, Marco; Odone, Anna; Franci, Andrea; Gigliotti, Fabrizio; Amadasi, Silvia; Delmonte, Davide; Parri, Niccolò; Mangia, Angelo.
  • Allinovi M; Nephrology, Dialysis and Transplantation Unit, Careggi University Hospital, Florence, Italy. Electronic address: marco.allinovi@gmail.com.
  • Parise A; Department of Medicine and Surgery, University of Parma, Parma, Italy; Geriatric-Rehabilitation Department, Parma University Hospital, Parma, Italy.
  • Giacalone M; Department of Emergency Medicine and Trauma Center, Meyer University Children's Hospital, Florence, Italy.
  • Amerio A; Section of Psychiatry, Department of Neuroscience, Rehabilitation, Ophthalmology, Genetics, Maternal and Child Health (DINOGMI), University of Genoa, Genoa, Italy; IRCCS Ospedale Policlinico San Martino, Genoa, Italy; Mood Disorders Program, Tufts Medical Center, Boston, Massachusetts, USA.
  • Delsante M; Dipartimento di Medicina e Chirurgia, Università degli studi di Parma, Parma, Italy.
  • Odone A; School of Medicine, Vita-Salute San Raffaele University, Milan, Italy; Clinical Epidemiology and HTA, IRCCS San Raffaele Scientific Institute, Milan, Italy.
  • Franci A; Emergency Department, Intensive Care Unit and Regional ECMO Referral Centre, Azienda Ospedaliero-Universitaria Careggi, Florence, Italy.
  • Gigliotti F; CESISLAV, University of Parma, Parma, Italy.
  • Amadasi S; Division of General Medicine, ASST Garda, Manerbio, Italy.
  • Delmonte D; Institute of Materials for Electronics and Magnetism, Italian National Research Council, Parma, Italy.
  • Parri N; Department of Emergency Medicine and Trauma Center, Meyer University Children's Hospital, Florence, Italy.
  • Mangia A; Respiratory Department, Hospital Guglielmo da Saliceto, Piacenza, Italy.
Ultrasound Med Biol ; 46(11): 2908-2917, 2020 11.
Article in English | MEDLINE | ID: covidwho-664624
Semantic information from SemMedBD (by NLM)
1. Infected PROCESS_OF Patients
Subject
Infected
Predicate
PROCESS_OF
Object
Patients
2. Pneumonia COEXISTS_WITH Disease
Subject
Pneumonia
Predicate
COEXISTS_WITH
Object
Disease
3. Imaging Techniques METHOD_OF Diagnosis
Subject
Imaging Techniques
Predicate
METHOD_OF
Object
Diagnosis
4. High sensitivity DIAGNOSES COVID-19
Subject
High sensitivity
Predicate
DIAGNOSES
Object
COVID-19
5. Infected PROCESS_OF Child
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Infected
Predicate
PROCESS_OF
Object
Child
6. Infected PROCESS_OF Pregnant Women
Subject
Infected
Predicate
PROCESS_OF
Object
Pregnant Women
7. Lung LOCATION_OF Ultrasonography
Subject
Lung
Predicate
LOCATION_OF
Object
Ultrasonography
8. Ultrasonography DIAGNOSES Syndrome
Subject
Ultrasonography
Predicate
DIAGNOSES
Object
Syndrome
9. Pneumonia PROCESS_OF Patients
Subject
Pneumonia
Predicate
PROCESS_OF
Object
Patients
10. Ultrasonography DIAGNOSES Pneumonia
Subject
Ultrasonography
Predicate
DIAGNOSES
Object
Pneumonia
11. Ultrasonography DIAGNOSES Lung finding
Subject
Ultrasonography
Predicate
DIAGNOSES
Object
Lung finding
12. contextual factors PROCESS_OF Child
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contextual factors
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PROCESS_OF
Object
Child
13. contextual factors PROCESS_OF Patients
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contextual factors
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PROCESS_OF
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Patients
14. contextual factors PROCESS_OF Pregnant Women
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contextual factors
Predicate
PROCESS_OF
Object
Pregnant Women
15. Infected PROCESS_OF Patients
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Infected
Predicate
PROCESS_OF
Object
Patients
16. Pneumonia COEXISTS_WITH Disease
Subject
Pneumonia
Predicate
COEXISTS_WITH
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Disease
17. Imaging Techniques METHOD_OF Diagnosis
Subject
Imaging Techniques
Predicate
METHOD_OF
Object
Diagnosis
18. High sensitivity DIAGNOSES COVID-19
Subject
High sensitivity
Predicate
DIAGNOSES
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COVID-19
19. Infected PROCESS_OF Child
Subject
Infected
Predicate
PROCESS_OF
Object
Child
20. Infected PROCESS_OF Pregnant Women
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Infected
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PROCESS_OF
Object
Pregnant Women
21. Lung LOCATION_OF Ultrasonography
Subject
Lung
Predicate
LOCATION_OF
Object
Ultrasonography
22. Ultrasonography DIAGNOSES Syndrome
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Ultrasonography
Predicate
DIAGNOSES
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Syndrome
23. Pneumonia PROCESS_OF Patients
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Pneumonia
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PROCESS_OF
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Patients
24. Ultrasonography DIAGNOSES Pneumonia
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Ultrasonography
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DIAGNOSES
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Pneumonia
25. Ultrasonography DIAGNOSES Lung finding
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Ultrasonography
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DIAGNOSES
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Lung finding
26. contextual factors PROCESS_OF Child
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PROCESS_OF
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Child
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28. contextual factors PROCESS_OF Pregnant Women
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Pregnant Women
ABSTRACT
Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) disease (COVID-19) is characterized by severe pneumonia and/or acute respiratory distress syndrome in about 20% of infected patients. Computed tomography (CT) is the routine imaging technique for diagnosis and monitoring of COVID-19 pneumonia. Chest CT has high sensitivity for diagnosis of COVID-19, but is not universally available, requires an infected or unstable patient to be moved to the radiology unit with potential exposure of several people, necessitates proper sanification of the CT room after use and is underutilized in children and pregnant women because of concerns over radiation exposure. The increasing frequency of confirmed COVID-19 cases is striking, and new sensitive diagnostic tools are needed to guide clinical practice. Lung ultrasound (LUS) is an emerging non-invasive bedside technique that is used to diagnose interstitial lung syndrome through evaluation and quantitation of the number of B-lines, pleural irregularities and nodules or consolidations. In patients with COVID-19 pneumonia, LUS reveals a typical pattern of diffuse interstitial lung syndrome, characterized by multiple or confluent bilateral B-lines with spared areas, thickening of the pleural line with pleural line irregularity and peripheral consolidations. LUS has been found to be a promising tool for the diagnosis of COVID-19 pneumonia, and LUS findings correlate fairly with those of chest CT scan. Compared with CT, LUS has several other advantages, such as lack of exposure to radiation, bedside repeatability during follow-up, low cost and easier application in low-resource settings. Consequently, LUS may decrease utilization of conventional diagnostic imaging resources (CT scan and chest X-ray). LUS may help in early diagnosis, therapeutic decisions and follow-up monitoring of COVID-19 pneumonia, particularly in the critical care setting and in pregnant women, children and patients in areas with high rates of community transmission.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Pneumonia, Viral / Respiratory Distress Syndrome / Ultrasonography / Coronavirus Infections / Clinical Laboratory Techniques Type of study: Cohort study / Diagnostic study / Experimental Studies / Prognostic study Limits: Humans Language: English Journal: Ultrasound Med Biol Year: 2020 Document Type: Article

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Pneumonia, Viral / Respiratory Distress Syndrome / Ultrasonography / Coronavirus Infections / Clinical Laboratory Techniques Type of study: Cohort study / Diagnostic study / Experimental Studies / Prognostic study Limits: Humans Language: English Journal: Ultrasound Med Biol Year: 2020 Document Type: Article