keyword
https://read.qxmd.com/read/33652906/clinical-impact-of-vertical-artifacts-changing-with-frequency-in-lung-ultrasound
#21
JOURNAL ARTICLE
Natalia Buda, Agnieszka Skoczylas, Marcello Demi, Anna Wojteczek, Jolanta Cylwik, Gino Soldati
BACKGROUND: This study concerns the application of lung ultrasound (LUS) for the evaluation of the significance of vertical artifact changes with frequency and pleural line abnormalities in differentiating pulmonary edema from pulmonary fibrosis. STUDY DESIGN AND METHODS: The study was designed as a diagnostic test. Having qualified patients for the study, an ultrasound examination was performed, consistent with a predetermined protocol, and employing convex and linear transducers...
February 26, 2021: Diagnostics
https://read.qxmd.com/read/33621275/wfumb-position-paper-on-reverberation-artefacts-in-lung-ultrasound-b-lines-or-comet-tails
#22
REVIEW
Gebhard Mathis, Rudolf Horn, Susanne Morf, Helmut Prosch, Serena Rovida, Gino Soldati, Beatrice Hoffmann, Michael Blaivas, Christoph F Dietrich
The analysis of vertical reverberation artefacts is an essential component of the differential diagnosis in pulmonary ultra-sound. Traditionally, they are often, but not exclusively, called B-line artefacts (BLA) and/or comet tail artefacts (CTA), but this view is misleading. In this position paper we clarify the terminology and relation of the two lung reverberation artefacts BLA and CTA to spe-cific clinical scenarios. BLA are defined by a normal pleura line and are a typical hallmark of cardiogenic pulmonary edema after exclusion of certain pathologies including pneumonia or lung contusion, whereas CTAs show an irregular pleura line representing a variety of parenchymal lung diseases...
February 18, 2021: Medical Ultrasonography
https://read.qxmd.com/read/33231895/on-the-impact-of-different-lung-ultrasound-imaging-protocols-in-the-evaluation-of-patients-affected-by-coronavirus-disease-2019-how-many-acquisitions-are-needed
#23
Federico Mento, Tiziano Perrone, Veronica Narvena Macioce, Francesco Tursi, Danilo Buonsenso, Elena Torri, Andrea Smargiassi, Riccardo Inchingolo, Gino Soldati, Libertario Demi
Lung ultrasound (LUS) is currently being extensively used for the evaluation of patients affected by coronavirus disease 2019. In the past months, several imaging protocols have been proposed in the literature. However, how the different protocols would compare when applied to the same patients had not been investigated yet. To this end, in this multicenter study, we analyzed the outcomes of 4 different LUS imaging protocols, respectively based on 4, 8, 12, and 14 LUS acquisitions, on data from 88 patients...
October 2021: Journal of Ultrasound in Medicine: Official Journal of the American Institute of Ultrasound in Medicine
https://read.qxmd.com/read/33155689/a-new-lung-ultrasound-protocol-able-to-predict-worsening-in-patients-affected-by-severe-acute-respiratory-syndrome-coronavirus-2-pneumonia
#24
JOURNAL ARTICLE
Tiziano Perrone, Gino Soldati, Lucia Padovini, Anna Fiengo, Gianluca Lettieri, Umberto Sabatini, Giulia Gori, Federica Lepore, Matteo Garolfi, Ilaria Palumbo, Riccardo Inchingolo, Andrea Smargiassi, Libertario Demi, Elisa Eleonora Mossolani, Francesco Tursi, Catherine Klersy, Antonio Di Sabatino
OBJECTIVES: Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection can generate severe pneumonia associated with high mortality. A bedside lung ultrasound (LUS) examination has been shown to have a potential role in this setting. The purpose of this study was to evaluate the potential prognostic value of a new LUS protocol (evaluation of 14 anatomic landmarks, with graded scores of 0-3) in patients with SARS-CoV-2 pneumonia and the association of LUS patterns with clinical or laboratory findings...
November 6, 2020: Journal of Ultrasound in Medicine: Official Journal of the American Institute of Ultrasound in Medicine
https://read.qxmd.com/read/32872996/real-time-multi-frequency-ultrasound-imaging-for-quantitative-lung-ultrasound-first-clinical-results
#25
JOURNAL ARTICLE
Libertario Demi, Marcello Demi, Renato Prediletto, Gino Soldati
Lung ultrasound imaging is a fast-evolving field of application for ultrasound technologies. However, most diagnoses are currently performed with imaging protocols that assume a quasi-homogeneous speed of sound in the volume of interest. When applied to the lung, due to the presence of air, this assumption is unrealistic. Consequently, diagnoses are often based on imaging artifacts and thus qualitative and subjective. In this paper, we present an image formation protocol that is capable of capturing the frequency dependence of well-known artifacts (B-lines) and visualizing it in real time, ultimately providing a quantitative assessment of the signals received from the lung...
August 2020: Journal of the Acoustical Society of America
https://read.qxmd.com/read/32815618/lung-ultrasound-for-covid-19-patchy-pneumonia-extended-or-limited-evaluations
#26
JOURNAL ARTICLE
Andrea Smargiassi, Gino Soldati, Elena Torri, Federico Mento, Domenico Milardi, Paola Del Giacomo, Giuseppe De Matteis, Maria Livia Burzo, Anna Rita Larici, Maurizio Pompili, Libertario Demi, Riccardo Inchingolo
OBJECTIVES: The 2019 novel coronavirus (severe acute respiratory syndrome coronavirus 2) is causing cases of severe pneumonia. Lung ultrasound (LUS) could be a useful tool for physicians detecting a bilateral heterogeneous patchy distribution of pathologic findings in a symptomatic suggestive context. The aim of this study was to focus on the implications of limiting LUS examinations to specific regions of the chest. METHODS: Patients were evaluated with a standard sequence of LUS scans in 14 anatomic areas...
August 20, 2020: Journal of Ultrasound in Medicine: Official Journal of the American Institute of Ultrasound in Medicine
https://read.qxmd.com/read/32746228/quantitative-lung-ultrasound-spectroscopy-applied-to-the-diagnosis-of-pulmonary-fibrosis-first-clinical-study
#27
JOURNAL ARTICLE
Federico Mento, Gino Soldati, Renato Prediletto, Marcello Demi, Libertario Demi
The application of ultrasound imaging to the diagnosis of lung diseases is nowadays receiving growing interest. However, Lung Ultrasound (LUS) is mainly limited to the analysis of imaging artifacts, such as B-lines, which correlate with a wide variety of diseases. Therefore, the results of LUS investigations remain qualitative and subjective, and specificity is obviously suboptimal. Focusing on the development of a quantitative method dedicated to the lung, in this work we present the first clinical results obtained with Quantitative LUS Spectroscopy when applied to the differentiation of pulmonary fibrosis...
July 27, 2020: IEEE Transactions on Ultrasonics, Ferroelectrics, and Frequency Control
https://read.qxmd.com/read/32746195/automatic-pleural-line-extraction-and-covid-19-scoring-from-lung-ultrasound-data
#28
JOURNAL ARTICLE
Leonardo Carrer, Elena Donini, Daniele Marinelli, Massimo Zanetti, Federico Mento, Elena Torri, Andrea Smargiassi, Riccardo Inchingolo, Gino Soldati, Libertario Demi, Francesca Bovolo, Lorenzo Bruzzone
Recent works highlighted the significant potential of Lung Ultrasound (LUS) imaging in the management of subjects affected by COVID-19. In general, the development of objective, fast, and accurate automatic methods for LUS data evaluation is still at an early stage. This is particularly true for COVID- 19 diagnostic. In this paper, we propose an automatic and unsupervised method for the detection and localization of the pleural line in LUS data based on the Hidden Markov Model and Viterbi Algorithm. The pleural line localization step is followed by a supervised classification procedure based on the Support Vector Machine (SVM)...
June 29, 2020: IEEE Transactions on Ultrasonics, Ferroelectrics, and Frequency Control
https://read.qxmd.com/read/32691856/lung-ultrasound-for-treatment-of-patients-with-covid-19-please-report-your-settings-and-mechanical-index
#29
JOURNAL ARTICLE
Ivan M Rosado-Mendez, Andrea Smargiassi, Riccardo Inchingolo, Gino Soldati, Marie Muller, Libertario Demi
No abstract text is available yet for this article.
July 21, 2020: Journal of Ultrasound in Medicine: Official Journal of the American Institute of Ultrasound in Medicine
https://read.qxmd.com/read/32638333/lung-ultrasonography-for-early-management-of-patients-with-respiratory-symptoms-during-covid-19-pandemic
#30
REVIEW
Andrea Smargiassi, Gino Soldati, Alberto Borghetti, Giancarlo Scoppettuolo, Enrica Tamburrini, Antonia Carla Testa, Francesca Moro, Luigi Natale, Anna Rita Larici, Danilo Buonsenso, Piero Valentini, Gaetano Draisci, Bruno Antonio Zanfini, Maurizio Pompili, Giovanni Scambia, Antonio Lanzone, Francesco Franceschi, Gian Ludovico Rapaccini, Antonio Gasbarrini, Paolo Giorgini, Luca Richeldi, Libertario Demi, Riccardo Inchingolo
COVID-19 pandemic is representing a serious challenge to worldwide public health. Lung Ultrasonography (LUS) has been signaled as a potential useful tool in this pandemic contest either to intercept viral pneumonia or to foster alternative paths. LUS could be useful in determining early lung involvement suggestive or not of COVID-19 pneumonia and potentially plays a role in managing decisions for hospitalization in isolation or admission in general ward. In order to face pandemic, in a period in which a large number of emergency room accesses with suspicious symptoms are expected, physicians need a standardized ultrasonographic approach, fast educational processes in order to be able to recognize both suggestive and not suggestive echographic signs and shared algorithms for LUS role in early management of patients...
July 7, 2020: Journal of Ultrasound
https://read.qxmd.com/read/32468627/lung-ultrasound-pattern-in-healthy-infants-during-the-first-6-months-of-life
#31
JOURNAL ARTICLE
Danilo Buonsenso, Gino Soldati, Antonietta Curatola, Rosa Morello, Cristina De Rose, Maria Eugenia Vacca, Ilaria Lazzareschi, Anna Maria Musolino, Piero Valentini
OBJECTIVES: Lung ultrasound (LUS) has gained a primary role in the diagnosis and management of pleuropulmonary disorders in pediatric practice. However, normal and pathologic patterns are translated from adult studies and have never been specifically studied in children, particularly in infants. This was a prospective observational pilot study aiming to define the normal LUS pattern in healthy infants during the first 6 months of life. METHODS: We recruited healthy neonates at 7 to 10 days of life, and these were followed until the sixth month of life (times: 7-10 days, 1 month, 3 months, and 6 months)...
May 29, 2020: Journal of Ultrasound in Medicine: Official Journal of the American Institute of Ultrasound in Medicine
https://read.qxmd.com/read/32406829/deep-learning-for-classification-and-localization-of-covid-19-markers-in-point-of-care-lung-ultrasound
#32
JOURNAL ARTICLE
Subhankar Roy, Willi Menapace, Sebastiaan Oei, Ben Luijten, Enrico Fini, Cristiano Saltori, Iris Huijben, Nishith Chennakeshava, Federico Mento, Alessandro Sentelli, Emanuele Peschiera, Riccardo Trevisan, Giovanni Maschietto, Elena Torri, Riccardo Inchingolo, Andrea Smargiassi, Gino Soldati, Paolo Rota, Andrea Passerini, Ruud J G van Sloun, Elisa Ricci, Libertario Demi
Deep learning (DL) has proved successful in medical imaging and, in the wake of the recent COVID-19 pandemic, some works have started to investigate DL-based solutions for the assisted diagnosis of lung diseases. While existing works focus on CT scans, this paper studies the application of DL techniques for the analysis of lung ultrasonography (LUS) images. Specifically, we present a novel fully-annotated dataset of LUS images collected from several Italian hospitals, with labels indicating the degree of disease severity at a frame-level, video-level, and pixel-level (segmentation masks)...
August 2020: IEEE Transactions on Medical Imaging
https://read.qxmd.com/read/32360111/the-diagnosis-of-pneumonia-in-a-pregnant-woman-with-coronavirus-disease-2019-using-maternal-lung-ultrasound
#33
JOURNAL ARTICLE
Riccardo Inchingolo, Andrea Smargiassi, Francesca Moro, Danilo Buonsenso, Silvia Salvi, Paola Del Giacomo, Giancarlo Scoppettuolo, Libertario Demi, Gino Soldati, Antonia Carla Testa
Lung ultrasound examination has been demonstrated to be an accurate imaging method to detect pulmonary and pleural conditions. During pregnancy, there is a need for rapid assessment of the maternal lung in patients with suspected coronavirus disease 2019. We report our experience on lung ultrasound examination in the diagnosis of coronavirus disease 2019 pneumonia in a pregnant woman. Typical ultrasound features of this pulmonary pathology, including diffuse hyperechoic vertical artifacts with thickened pleural line and "white lung" with patchy distribution, were observed...
July 2020: American Journal of Obstetrics and Gynecology
https://read.qxmd.com/read/32227492/proposal-for-international-standardization-of-the-use-of-lung-ultrasound-for-patients-with-covid-19-a-simple-quantitative-reproducible-method
#34
JOURNAL ARTICLE
Gino Soldati, Andrea Smargiassi, Riccardo Inchingolo, Danilo Buonsenso, Tiziano Perrone, Domenica Federica Briganti, Stefano Perlini, Elena Torri, Alberto Mariani, Elisa Eleonora Mossolani, Francesco Tursi, Federico Mento, Libertario Demi
Growing evidence is showing the usefulness of lung ultrasound in patients with the 2019 new coronavirus disease (COVID-19). Severe acute respiratory syndrome coronavirus 2 has now spread in almost every country in the world. In this study, we share our experience and propose a standardized approach to optimize the use of lung ultrasound in patients with COVID-19. We focus on equipment, procedure, classification, and data sharing.
July 2020: Journal of Ultrasound in Medicine: Official Journal of the American Institute of Ultrasound in Medicine
https://read.qxmd.com/read/31927551/clinical-use-and-barriers-of-thoracic-ultrasound-a-survey-of-italian-pulmonologists
#35
JOURNAL ARTICLE
Alessandro Zanforlin, Francesco Tursi, Giampietro Marchetti, Giulia Michela Pellegrino, Beatrice Vigo, Andrea Smargiassi, Riccardo Inchingolo, Stefano Centanni, Stefano Gasparini, Francesco Blasi, Gino Soldati, Giuseppe Francesco Sferrazza Papa
INTRODUCTION: Thoracic ultrasound is accurate in the diagnosis of a wide range of respiratory diseases. Yet the extent of its use is unknown. Through a national survey, we aimed to explore the clinical use of thoracic ultrasound and the barriers to the diffusion of the technique in Italy. METHODS: Accademia di Ecografia Toracica (AdET) developed a self-administered survey which was sent by email to Italian pulmonologists via national scientific societies and networks...
2020: Respiration; International Review of Thoracic Diseases
https://read.qxmd.com/read/31032297/ultrasound-patterns-of-pulmonary-edema
#36
EDITORIAL
Gino Soldati, Marcello Demi, Libertario Demi
No abstract text is available yet for this article.
March 2019: Annals of Translational Medicine
https://read.qxmd.com/read/30616416/the-role-of-ultrasound-lung-artifacts-in-the-diagnosis-of-respiratory-diseases
#37
REVIEW
Gino Soldati, Marcello Demi, Andrea Smargiassi, Riccardo Inchingolo, Libertario Demi
Thoracic ultrasound is employed for the diagnosis of many thoracic diseases and is an accepted detection tool of pleural effusions, atelectasis, pneumothorax, and pneumonia. However, the use of ultrasound for the evaluation of parenchymal lung disease, when the organ is still aerated, is a relatively new application. Areas covered: The diagnosis of a normal lung and the differentiation between a normally aerated lung and a lung with interstitial pathology is based on the interpretation of ultrasound artifacts universally known as A and B-Lines...
February 2019: Expert Review of Respiratory Medicine
https://read.qxmd.com/read/28986558/determination-of-a-potential-quantitative-measure-of-the-state-of-the-lung-using-lung-ultrasound-spectroscopy
#38
JOURNAL ARTICLE
Libertario Demi, Wim van Hoeve, Ruud J G van Sloun, Gino Soldati, Marcello Demi
B-lines are ultrasound-imaging artifacts, which correlate with several lung-pathologies. However, their understanding and characterization is still largely incomplete. To further study B-lines, lung-phantoms were developed by trapping a layer of microbubbles in tissue-mimicking gel. To simulate the alveolar size reduction typical of various pathologies, 170 and 80 µm bubbles were used for phantom-type 1 and 2, respectively. A normal alveolar diameter is approximately 280 µm. A LA332 linear-array connected to the ULA-OP platform was used for imaging...
October 6, 2017: Scientific Reports
https://read.qxmd.com/read/28670453/novel-aspects-in-diagnostic-approach-to-respiratory-patients-is-it-the-time-for-a-new-semiotics
#39
JOURNAL ARTICLE
Gino Soldati, Andrea Smargiassi, Alberto A Mariani, Riccardo Inchingolo
Medical approach to patients is a fundamental step to get the correct diagnosis. The aim of this paper is to analyze some aspects of the reasoning process inherent in medical diagnosis in our era. Pathologic signs (anamnestic data, symptoms, semiotics, laboratory and strumental findings) represent informative phenomena to be integrated for inferring a diagnosis. Thus, diagnosis begins with "signs" and finishes in a probability of disease. The abductive reasoning process is the generation of a hypothesis to explain one or more observations (signs) in order to decide between alternative explanations searching the best one...
2017: Multidisciplinary Respiratory Medicine
https://read.qxmd.com/read/28592998/the-use-of-lung-ultrasound-images-for-the-differential-diagnosis-of-pulmonary-and-cardiac-interstitial-pathology
#40
REVIEW
Gino Soldati, Marcello Demi
In recent years, great advances have been made in the use of lung ultrasound to detect pulmonary edema and interstitial changes in the lung. However, it is clear that B-lines oversimplify the description of the physical phenomena associated with their presence. The artifactual images that ultrasounds provide in interstitial pulmonary pathology are merely the ultimate outcome of the complex interaction of a specific acoustic wave with a specific three-dimensional biological structure. This interaction lacks a solid physical interpretation of the acoustic signs to support it...
June 2017: Journal of Ultrasound
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