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. |