ARTICLE PATIENTS US METHOD FINDINGS
Agostinis P et al. Trop Doct. 2017 [2] 60 adult patients diagnosed with lung TB TUS The most frequent finding was a SUN, which was mostly multiple and also found in radiologically normal areas. Other findings were lung consolidations, cavitations, miliary patterns made of miniature SUNs, and pleural and pericardial effusions. Chest US is a complementary tool in evaluating patients with suspected lung TB in resource-limited settings where the disease has high prevalence.
Di Gennaro F et al. Int J Environ Res Public Health 2018 [3] Review article TUS Five main fields of chest US application in TB were identified: (1) Detection, characterization, and quantification of TB; (2) detection of residual pleural thickening after evacuation; (3) chest ultrasound-guided needle biopsy; (4) identification of pathologic mediastinal lymph nodes in children; and (5) identification of parenchymal ultrasound patterns. Effusion was also detected, in early stages, with signs of organization in 24% of patients. CUS was able to identify mediastinal lymph nodes in as many as 67% of patients with negative chest radiography.
Montuori M et al. Eur J Intern Med. 2019 [4] Patients admitted with clinical suspicion of PTB. PTB was confirmed in 51 out of 102 patients. TUS Multiple consolidations, apical consolidations, superior quadrant consolidations, and subpleural nodules were significantly associated with PTB diagnosis. Apical consolidation and subpleural nodules retained a significant association in a multivariate model, with an overall accuracy of 0.799.
Hunter L et al. Infection. 2016 [8] 10 patients with miliary TB TUS B-lines and comet-tail artifacts disseminated throughout multiple lung areas and a pattern of sub-pleural granularity are seen in lung ultrasound of patients with pulmonary miliary TB diagnosed by chest radiography.
Jones PW, et al. CHEST 2003 [9]
605 patients referred to interventional radiology for a diagnostic and/or therapeutic ultrasound-guided thoracentesis between August 1997 and September 2000
TUS
The complication rate with ultrasound-guided thoracentesis is lower than that reported for non–image-guided thoracentesis.
Feller-Kopman D. CHEST 2006 [10] Review article TUS Ultrasonography is a portable and easily learned procedure that enhances the physical examination, and can provide real-time evaluation of the pleural space. It is becoming the standard of care for procedural guidance since its use has been associated with a reduction of complications due to thoracentesis.
Mercaldi CJ and Lanes SF. CHEST 2013 [11]
61,261 patients who had a thoracentesis, including 26,838 (44%) who had US guidance.
TUS
US-guided thoracentesis is associated with decreased risk of pneumothorax.
Chen HJ et al. J Ultrasound Med. 2006 [12] 73 patients with lung cancer-related pleural effusions and 93 with tuberculous pleural effusions TUS A complex septated pattern in the sonographic appearance is a useful predictor of tuberculosis in lymphocyte-rich exudative pleural effusions.
Hew M. and Tay T. Eur Respir Rev 2016 [13]
Review article
TUS
For bedside US of the pleura, there is evidence supporting diagnostic accuracy efficacy, and efficacy in guiding pleural interventions. Chest US for the lung parenchyma has an impact on diagnostic accuracy and decision-making for patients presenting with acute respiratory failure or breathlessness.
Gulati M et al. Int J Tuberc Lung Dis. 2000 [14] 26 patients with a proven diagnosis of mediastinal TB TUS US guided FNAB is a safe, effective technique in the diagnosis of mediastinal TB.
Yuan A et al. Thorax. 1993 [15] 13 patients TUS US can direct the needle to the most suitable part of a lesion to obtain the relevant specimens. The diagnostic yield is high and the procedure is relatively safe. It is especially helpful in patients with negative results of sputum and bronchoscopic examinations.
Chan A et al. BMC Pulm Med 2015 [16] 123 patients with computed tomographic evidence of PLLs who underwent radial EBUS guided bronchoscopy EBUS EBUS-FNA is useful in investigating PLLs in a high TB incidence setting. Radial EBUS is a more rapid diagnosis technique for tuberculous lesions.
Thangakunam B et al. Indian J Tuberc 2017 [17] 138 patients who EBUS EBUS In high TB prevalence countries, EBUS-FNA diagnoses a higher number of granulomatous than malignant diseases.
Chalela R et al. Med Clin (Barc) 2016 [18] 46 patients with mediastinal lymphadenopathy without pulmonary involvement EBUS EBUS-TBNA is a safe and effective technique in the diagnosis of patients with suspected mediastinal TB.
Sharma M et al. Lung India 2016 [19] 266 patients underwent endoscopic ultrasound guided fine needle aspiration and 134 cases were diagnosed as mediastinal tuberculosis EUS EUS-FNA should be the investigation of choice for diagnosis of mediastinal tuberculosis.