The Role of Thoracic Ultrasound for Diagnosis of Diseases of the Chest Wall, the Mediastinum, and the Diaphragm—Narrative Review and Pictorial Essay
The diagnostic capabilities of ultrasound extend far beyond the evaluation of the pleural space and lungs. Sonographic evaluation of the chest wall is a classic extension of the clinical examination of visible, palpable, or dolent findings. Unclear mass lesions of the chest wall can be differentiate...
Main Authors: | , , , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
MDPI AG
2023-02-01
|
Series: | Diagnostics |
Subjects: | |
Online Access: | https://www.mdpi.com/2075-4418/13/4/767 |
_version_ | 1797621516601393152 |
---|---|
author | Ehsan Safai Zadeh Christian Görg Helmut Prosch Rudolf Horn Christian Jenssen Christoph Frank Dietrich |
author_facet | Ehsan Safai Zadeh Christian Görg Helmut Prosch Rudolf Horn Christian Jenssen Christoph Frank Dietrich |
author_sort | Ehsan Safai Zadeh |
collection | DOAJ |
description | The diagnostic capabilities of ultrasound extend far beyond the evaluation of the pleural space and lungs. Sonographic evaluation of the chest wall is a classic extension of the clinical examination of visible, palpable, or dolent findings. Unclear mass lesions of the chest wall can be differentiated accurately and with low risk by additional techniques such as color Doppler imaging, contrast-enhanced ultrasound, and, in particular, ultrasound-guided biopsy. For imaging of mediastinal pathologies, ultrasound has only a complementary function but is valuable for guidance of percutaneous biopsies of malignant masses. In emergency medicine, ultrasound can verify and support correct positioning of endotracheal tubes. Diaphragmatic ultrasound benefits from the real-time nature of sonographic imaging and is becoming increasingly important for the assessment of diaphragmatic function in long-term ventilated patients. The clinical role of thoracic ultrasound is reviewed in a combination of narrative review and pictorial essay. |
first_indexed | 2024-03-11T08:57:06Z |
format | Article |
id | doaj.art-920b2f21d40b462f8d3d24d40588196a |
institution | Directory Open Access Journal |
issn | 2075-4418 |
language | English |
last_indexed | 2024-03-11T08:57:06Z |
publishDate | 2023-02-01 |
publisher | MDPI AG |
record_format | Article |
series | Diagnostics |
spelling | doaj.art-920b2f21d40b462f8d3d24d40588196a2023-11-16T20:02:41ZengMDPI AGDiagnostics2075-44182023-02-0113476710.3390/diagnostics13040767The Role of Thoracic Ultrasound for Diagnosis of Diseases of the Chest Wall, the Mediastinum, and the Diaphragm—Narrative Review and Pictorial EssayEhsan Safai Zadeh0Christian Görg1Helmut Prosch2Rudolf Horn3Christian Jenssen4Christoph Frank Dietrich5Gastroenterology, Endocrinology, Metabolism and Clinical Infectiology, Interdisciplinary Center of Ultrasound Diagnostics, University Hospital Giessen and Marburg, Philipps University Marburg, Baldingerstraße, 35033 Marburg, GermanyGastroenterology, Endocrinology, Metabolism and Clinical Infectiology, Interdisciplinary Center of Ultrasound Diagnostics, University Hospital Giessen and Marburg, Philipps University Marburg, Baldingerstraße, 35033 Marburg, GermanyDepartment of Biomedical Imaging and Image-Guided Therapy, Medical University of Vienna, Vienna General Hospital, 1090 Vienna, AustriaCenter da Sandà Val Müstair, 7536 Sta. Maria, SwitzerlandMedical Department, Krankenhaus Maerkisch-Oderland, 15344 Strausberg, GermanyDepartment Allgemeine Innere Medizin (DAIM), Kliniken Hirslanden Bern, Beau Site, Salem und Permanence, 3018 Bern, SwitzerlandThe diagnostic capabilities of ultrasound extend far beyond the evaluation of the pleural space and lungs. Sonographic evaluation of the chest wall is a classic extension of the clinical examination of visible, palpable, or dolent findings. Unclear mass lesions of the chest wall can be differentiated accurately and with low risk by additional techniques such as color Doppler imaging, contrast-enhanced ultrasound, and, in particular, ultrasound-guided biopsy. For imaging of mediastinal pathologies, ultrasound has only a complementary function but is valuable for guidance of percutaneous biopsies of malignant masses. In emergency medicine, ultrasound can verify and support correct positioning of endotracheal tubes. Diaphragmatic ultrasound benefits from the real-time nature of sonographic imaging and is becoming increasingly important for the assessment of diaphragmatic function in long-term ventilated patients. The clinical role of thoracic ultrasound is reviewed in a combination of narrative review and pictorial essay.https://www.mdpi.com/2075-4418/13/4/767ultrasoundultrasound-guided biopsychest walldiaphragmmediastinumcancer |
spellingShingle | Ehsan Safai Zadeh Christian Görg Helmut Prosch Rudolf Horn Christian Jenssen Christoph Frank Dietrich The Role of Thoracic Ultrasound for Diagnosis of Diseases of the Chest Wall, the Mediastinum, and the Diaphragm—Narrative Review and Pictorial Essay Diagnostics ultrasound ultrasound-guided biopsy chest wall diaphragm mediastinum cancer |
title | The Role of Thoracic Ultrasound for Diagnosis of Diseases of the Chest Wall, the Mediastinum, and the Diaphragm—Narrative Review and Pictorial Essay |
title_full | The Role of Thoracic Ultrasound for Diagnosis of Diseases of the Chest Wall, the Mediastinum, and the Diaphragm—Narrative Review and Pictorial Essay |
title_fullStr | The Role of Thoracic Ultrasound for Diagnosis of Diseases of the Chest Wall, the Mediastinum, and the Diaphragm—Narrative Review and Pictorial Essay |
title_full_unstemmed | The Role of Thoracic Ultrasound for Diagnosis of Diseases of the Chest Wall, the Mediastinum, and the Diaphragm—Narrative Review and Pictorial Essay |
title_short | The Role of Thoracic Ultrasound for Diagnosis of Diseases of the Chest Wall, the Mediastinum, and the Diaphragm—Narrative Review and Pictorial Essay |
title_sort | role of thoracic ultrasound for diagnosis of diseases of the chest wall the mediastinum and the diaphragm narrative review and pictorial essay |
topic | ultrasound ultrasound-guided biopsy chest wall diaphragm mediastinum cancer |
url | https://www.mdpi.com/2075-4418/13/4/767 |
work_keys_str_mv | AT ehsansafaizadeh theroleofthoracicultrasoundfordiagnosisofdiseasesofthechestwallthemediastinumandthediaphragmnarrativereviewandpictorialessay AT christiangorg theroleofthoracicultrasoundfordiagnosisofdiseasesofthechestwallthemediastinumandthediaphragmnarrativereviewandpictorialessay AT helmutprosch theroleofthoracicultrasoundfordiagnosisofdiseasesofthechestwallthemediastinumandthediaphragmnarrativereviewandpictorialessay AT rudolfhorn theroleofthoracicultrasoundfordiagnosisofdiseasesofthechestwallthemediastinumandthediaphragmnarrativereviewandpictorialessay AT christianjenssen theroleofthoracicultrasoundfordiagnosisofdiseasesofthechestwallthemediastinumandthediaphragmnarrativereviewandpictorialessay AT christophfrankdietrich theroleofthoracicultrasoundfordiagnosisofdiseasesofthechestwallthemediastinumandthediaphragmnarrativereviewandpictorialessay AT ehsansafaizadeh roleofthoracicultrasoundfordiagnosisofdiseasesofthechestwallthemediastinumandthediaphragmnarrativereviewandpictorialessay AT christiangorg roleofthoracicultrasoundfordiagnosisofdiseasesofthechestwallthemediastinumandthediaphragmnarrativereviewandpictorialessay AT helmutprosch roleofthoracicultrasoundfordiagnosisofdiseasesofthechestwallthemediastinumandthediaphragmnarrativereviewandpictorialessay AT rudolfhorn roleofthoracicultrasoundfordiagnosisofdiseasesofthechestwallthemediastinumandthediaphragmnarrativereviewandpictorialessay AT christianjenssen roleofthoracicultrasoundfordiagnosisofdiseasesofthechestwallthemediastinumandthediaphragmnarrativereviewandpictorialessay AT christophfrankdietrich roleofthoracicultrasoundfordiagnosisofdiseasesofthechestwallthemediastinumandthediaphragmnarrativereviewandpictorialessay |