Complete Lung Ultrasound Using Liquid Filling: A Review of Methods Regarding Sonographic Findings and Clinical Relevance

(200w) Lung ultrasound (LUS) is widely used for the diagnosis of pulmonary diseases such as solid nodules and consolidations in contact with the pleural cavity. However, sonography for processes of central disease remains impaired due to total sound reflection at the air tissue interfaces in the ven...

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Main Authors: Frank Wolfram, Thomas G. Lesser
Format: Article
Language:English
Published: MDPI AG 2020-01-01
Series:Applied Sciences
Subjects:
Online Access:https://www.mdpi.com/2076-3417/10/2/574
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author Frank Wolfram
Thomas G. Lesser
author_facet Frank Wolfram
Thomas G. Lesser
author_sort Frank Wolfram
collection DOAJ
description (200w) Lung ultrasound (LUS) is widely used for the diagnosis of pulmonary diseases such as solid nodules and consolidations in contact with the pleural cavity. However, sonography for processes of central disease remains impaired due to total sound reflection at the air tissue interfaces in the ventilated lung. These acoustic barriers can be overcome by replacing intra-alveolar air with liquid. Such filling has been reported using perfluorocarbon, saline or emulsions out of those. In order to achieve acoustic access enabling the use of LUS, complete gas free content is required. Such lung tissue - liquid compound will have untypical physical properties that might impact upon the sonographic visualization of central structures. Up to now, the filling of the lung has been reported for very specific applications and not classified regarding their sonographic findings. This work was therefore motivated to review the literature for methods of lung liquid instillation, classifying their methodological strength and limitations for achieving acoustic access and sonographic findings. Finally, their use for ultrasound based clinical applications will be discussed and the need for research will be outlined.
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spelling doaj.art-ea1a42b46f0e4c5da8ac475910b1300e2022-12-21T18:24:11ZengMDPI AGApplied Sciences2076-34172020-01-0110257410.3390/app10020574app10020574Complete Lung Ultrasound Using Liquid Filling: A Review of Methods Regarding Sonographic Findings and Clinical RelevanceFrank Wolfram0Thomas G. Lesser1Department of Thoracic and Vascular Surgery, SRH Wald-Klinikum Gera, Teaching Hospital of Friedrich-Schiller University of Jena, 07548 Gera, GermanyDepartment of Thoracic and Vascular Surgery, SRH Wald-Klinikum Gera, Teaching Hospital of Friedrich-Schiller University of Jena, 07548 Gera, Germany(200w) Lung ultrasound (LUS) is widely used for the diagnosis of pulmonary diseases such as solid nodules and consolidations in contact with the pleural cavity. However, sonography for processes of central disease remains impaired due to total sound reflection at the air tissue interfaces in the ventilated lung. These acoustic barriers can be overcome by replacing intra-alveolar air with liquid. Such filling has been reported using perfluorocarbon, saline or emulsions out of those. In order to achieve acoustic access enabling the use of LUS, complete gas free content is required. Such lung tissue - liquid compound will have untypical physical properties that might impact upon the sonographic visualization of central structures. Up to now, the filling of the lung has been reported for very specific applications and not classified regarding their sonographic findings. This work was therefore motivated to review the literature for methods of lung liquid instillation, classifying their methodological strength and limitations for achieving acoustic access and sonographic findings. Finally, their use for ultrasound based clinical applications will be discussed and the need for research will be outlined.https://www.mdpi.com/2076-3417/10/2/574lung ultrasoundone lung floodingperfluorocarbon
spellingShingle Frank Wolfram
Thomas G. Lesser
Complete Lung Ultrasound Using Liquid Filling: A Review of Methods Regarding Sonographic Findings and Clinical Relevance
Applied Sciences
lung ultrasound
one lung flooding
perfluorocarbon
title Complete Lung Ultrasound Using Liquid Filling: A Review of Methods Regarding Sonographic Findings and Clinical Relevance
title_full Complete Lung Ultrasound Using Liquid Filling: A Review of Methods Regarding Sonographic Findings and Clinical Relevance
title_fullStr Complete Lung Ultrasound Using Liquid Filling: A Review of Methods Regarding Sonographic Findings and Clinical Relevance
title_full_unstemmed Complete Lung Ultrasound Using Liquid Filling: A Review of Methods Regarding Sonographic Findings and Clinical Relevance
title_short Complete Lung Ultrasound Using Liquid Filling: A Review of Methods Regarding Sonographic Findings and Clinical Relevance
title_sort complete lung ultrasound using liquid filling a review of methods regarding sonographic findings and clinical relevance
topic lung ultrasound
one lung flooding
perfluorocarbon
url https://www.mdpi.com/2076-3417/10/2/574
work_keys_str_mv AT frankwolfram completelungultrasoundusingliquidfillingareviewofmethodsregardingsonographicfindingsandclinicalrelevance
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