NDLI: Lung ultrasound in early SARS-CoV-2 pneumonia and the LUS-CoV criteria.

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Lung ultrasound in early SARS-CoV-2 pneumonia and the LUS-CoV criteria.

Content Provider	Europe PMC
Author	Jalil, Bilal A. Khan, Ahsan Kugasia, Irfanali R. Ijaz, Mohsin
Copyright Year	2020
Abstract	Abstract There is a scarcity of data on lung ultrasound (LUS) in SARS-CoV-2 pneumonia. As with many other pulmonary conditions, ultrasound may be a better diagnostic tool than routine chest radiography. In an era where computed tomography scanning is deferred because of the potential for cross-contamination, we evaluated the ability of LUS to detect a pattern of lung injury in SARS-CoV-2 pneumonia. A limited anterolateral LUS was performed to limit time spent in isolation rooms by ultrasound operators. We chose to use a hand-held ultrasound device due to portability and superior confidence in infection control. Both linear and phased array probes were used to obtain images of the pleura and lung. Of 69 patients who had lung ultrasound images saved and were included in the analysis, 36 were positive for SARS-CoV-2. Multifocal confluent B-lines, pleural irregularities, and the absence of moderate or large pleural effusions were the predominant pattern observed in most (86%) of SARS-CoV-2–positive patients. We evaluated the accuracy of the above criteria (LUS-CoV) and report a high sensitivity (91%) and specificity (86%) for SARS-CoV-2 pneumonia. In conclusion, a characteristic sonographic pattern of multifocal confluent B-lines with irregular pleural markings was seen on LUS in patients with SARS-CoV-2 pneumonia.
Related Links	https://europepmc.org/backend/ptpmcrender.fcgi?accid=PMC7605644&blobtype=pdf
Page Count	4
ISSN	08998280
Volume Number	34
DOI	10.1080/08998280.2020.1834658
PubMed Central reference number	PMC7605644
Issue Number	1
PubMed reference number	33446945
Journal	Proceedings (Baylor University. Medical Center) [Proc (Bayl Univ Med Cent)]
e-ISSN	15253252
Language	English
Publisher	Taylor & Francis
Publisher Date	2020-10-26
Access Restriction	Open
Rights License	Copyright © 2020 Baylor University Medical Center
Subject Keyword	COVID-19 lung ultrasound SARS-CoV-2
Content Type	Text
Resource Type	Article
Subject	Medicine

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