https://doi.org/10.4081/monaldi.2022.2356

Chest ultrasound findings in usual interstitial pneumonia patterns: a pilot study

Vol. 93 No. 2 (2023)
Submitted: June 18, 2022
Accepted: August 11, 2022
Published: September 7, 2022
UIP, IPF, ILD, Chest ultrasound
Abstract Views: 836
PDF: 276
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Authors

Laetitia Joërg
Department of Pneumonology-Thoracic Oncology, North Hospital, University of St Etienne, France.
Tiffany Trouillon
Department of Pneumonology-Thoracic Oncology, North Hospital, University of St Etienne, France.
Carole Jalaber
Department of Radiology, North Hospital, University of St Etienne, France.
Isabelle Court Fortune
Department of Pneumonology-Thoracic Oncology, North Hospital, University of St Etienne, France.
Antoine Luchez
Department of Pneumonology-Thoracic Oncology, North Hospital, University of St Etienne, France.
Claire Boutet
https://orcid.org/0000-0001-9850-4124
Department of Radiology, North Hospital, University of St Etienne, France.
Jean Michel Vergnon
Department of Pneumonology-Thoracic Oncology, North Hospital, University of St Etienne, France.
Laurent Bertoletti
https://orcid.org/0000-0001-8214-3010
Department of Vascular Medicine and Therapeutics, North Hospital, University of St Etienne, France.
Marios E. Froudarakis
marfroud@gmail.com
Department of Pneumonology-Thoracic Oncology, North Hospital, University of St Etienne, France.

It is unknown what role chest ultrasound plays in distinguishing the various usual interstitial pneumonia (UIP) patterns of high-resolution chest tomography (HRCT). The purpose of this study was to see if there was a link between the results of chest ultrasound (u/s) and HRCT in patients with idiopathic pulmonary fibrosis (IPF). We performed chest u/s in 16 patients with UIP and probable UIP patterns to indeterminate UIP and alternative diagnosis patterns in this single center prospective study to determine any possible relationship with the HRCT findings. A chest radiologist reviewed each HRCT to determine the pattern in accordance with the American Thoracic Society (ATS) / European Respiratory Society (ERS) Guidelines. The local multidisciplinary committee validated the patients' diagnoses before they were included. When compared to the indeterminate for UIP or alternative diagnosis pattern group, there was a trend (p=0.07) toward the presence of more B lines in UIP or probable UIP patterns. There was no statistically significant difference in the presence of small, large, white lung, or pleural line thickening >5mm. Subgroup analysis revealed that patients with honeycombing were more likely to have a fragmented pleural line (p=0.04). To summarize, in our pilot study, chest u/s appears unable to differentiate UIP and probable UIP patterns from indeterminate UIP and alternative diagnosis patterns. However, it appears that this technique can be used to recognize the honeycombing pattern.

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Ethics Approval

This study was approved by the Internal Review Board of the University Hospital of Saint Etienne, France (IRBN462019/CHUSTE)

How to Cite

Joërg, Laetitia, Tiffany Trouillon, Carole Jalaber, Isabelle Court Fortune, Antoine Luchez, Claire Boutet, Jean Michel Vergnon, Laurent Bertoletti, and Marios E. Froudarakis. 2022. “Chest Ultrasound Findings in Usual Interstitial Pneumonia Patterns: A Pilot Study”. Monaldi Archives for Chest Disease 93 (2). https://doi.org/10.4081/monaldi.2022.2356.
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