Gebhard Mathis (editor) - Chest Sonography
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- Book:Chest Sonography
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- Year:2022
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Chest Sonography: summary, description and annotation
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This book, widely regarded as the standard work in the field, presents the state of the art in chest sonography, enhanced by a wealth of excellent illustrations. It provides the reader with concise, easy-to-assimilate information on all aspects of the use of the modality, including indications, investigative techniques, diagnostic decision making, and imaging artifacts and pitfalls. Chapters offer numerous tips and tricks and highlight potential diagnostic error sources to aid in daily clinical practice.
This sixth edition has been extensively revised to consider the latest techniques, study results, and meta-analyses and includes essential additional illustrative material. Chapter revisions include detailed guidance on contrast-enhanced ultrasound (CEUS) and the use of thoracic point-of-care ultrasound (PoCUS) in emergency patients.
As the techniques value and use continue to grow, readers will find Chest Sonography a valuable up-to-date resource and guide.
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This Springer imprint is published by the registered company Springer Nature Switzerland AG
The registered company address is: Gewerbestrasse 11, 6330 Cham, Switzerland
Ultrasonography of the lung has now become an established imaging procedure for chest diseases. Owing to comprehensive scientific investigations and studies (Beckh et al. ) the Point of Care Ultrasound (POCUS) has been widely accepted as a basic tool with rapid diagnostic information in medical examination.
In emergency cases and in intensive care medicine the findings of ultrasound allow a conclusive and strategic course of action (Diacon et al. ).
New developed handheld devices in the size of a mobile phone create an ultrasound-stethoscope. In this dimension ultrasound may provide an imaging diagnosis even in most difficult situations (Bachmann Nielsen et al. ).
The usefulness of chest sonography is proven in permanent enlargement of applications (Lesser ).
Spectrum of applications of ultrasonography for pleural and pulmonary diseases
Entities and pathological changes that can be accessed by ultrasound
Acoustic shadowing occurs due to nearly complete absorption of the ultrasonic wave on bone, especially behind the sternum, the scapula, and the spine. Impairment due to the rib shadow can be balanced, at least in part, by appropriate breathing techniques.
The immediate retrosternal and posterior portions of the mediastinum cannot be viewed from the percutaneous aspect. Transesophageal and transbronchial ultrasound may be used additionally, but it should be noted that these examination procedures are invasive in terms of effort and handling (Lam and Becker ).
Ultrasonography provides diagnostic information during the investigation of individual entities in the chest (Overview).
- Chest wall
- Benign lesions:
Benign neoplasms (such as lipoma)
Hematoma
Abscess
Reactivated lymph nodes
Perichondritis, Tietze syndrome
Rib fracture
- Malignant lesions:
Lymph node metastases (primary diagnosis and the course of disease under treatment)
Growing invasive carcinomas
Osteolyses
- Pleura
- Solid structures:
Thickening of the pleura, callosity, calcification, asbestos-induced plaques
- Space-occupying lesion:
Benign: fibrous tumor, lipoma
Malignant: clearly identifiable metastases, diffuse carcinosis, pleural mesothelioma
- Fluid:
Effusion, hemothorax, pyothorax, chylothorax
- Dynamic investigation:
Pneumothorax
Differentiating between an effusion and a callosity
Adherence of a space-occupying lesion
Invasion by a space-occupying lesion
Mobility of the diaphragm
- Lung
Interstitial syndrome
- Benign peripheral lesions:
Inflammation, abscess, embolism, atelectasis
- Malignant peripheral lesions:
Peripheral metastasis, peripheral carcinoma, tumor/atelectasis
- Mediastinum, percutaneous:
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