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Diagnostics
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New Advances in Lung Ultrasound
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New Advances in Lung Ultrasound

A special issue of Diagnostics (ISSN 2075-4418). This special issue belongs to the section "Medical Imaging and Theranostics".

Deadline for manuscript submissions: 28 February 2025 | Viewed by 4645

Special Issue Editor

Dr. Natalia Buda

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Guest Editor
1. Simulation Laboratory of Endoscopic and Minimally Invasive Techniques, Medical University of Gdansk, 80-211 Gdansk, Poland
2. Lung Transplantation Department of Cardio Surgery Clinic, University Clinical Center in Gdansk, 80-211 Gdansk, Poland
Interests: LUS; chest sonography; lung ultrasonography

Special Issue Information

Dear Colleagues,

Lung ultrasonography (LUS) has evolved considerably in recent decades, gaining prominence in diverse medical disciplines. This non-invasive diagnostic modality offers significant benefits in evaluating pulmonary and pleural pathologies, encouraging an increasing number of clinicians to utilize it, especially in bedside diagnostics. It facilitates timely, repeatable examinations without necessitating patient relocation, a critical advantage in managing patients with severe conditions. The COVID-19 pandemic has particularly highlighted the utility of LUS in challenging clinical scenarios, demonstrating its capacity for rapid, real-time pulmonary assessment. LUS forms an integral part of point-of-care ultrasound, now extensively utilized in emergency medicine, intensive care, neonatology, pediatrics, family medicine, and various internal medicine subspecialties. Despite the growing body of evidence for the utility of LUS, there is a discernible gap in comprehensive, evidence-based understanding of LUS, especially from a multidisciplinary perspective. This gap underscores the necessity for continued scholarly inquiry and dissemination, particularly contributions encompassing clinical, sonographic, and engineering insights in applying LUS. We invite submissions (of original research, systematic reviews, case studies, etc.) that advance the scientific and clinical understanding of lung ultrasonography. Contributions should ideally focus on novel methodologies, clinical efficacy, comparative studies, and technological innovations in LUS. We look forward to your submissions and encourage you to read and share these novel data with fellow clinicians.

Dr. Natalia Buda
Guest Editor

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Diagnostics is an international peer-reviewed open access semimonthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2600 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • LUS
  • chest sonography
  • lung ultrasonography
  • pulmonary pathologies
  • pleural pathologies

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Published Papers (3 papers)

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Research

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15 pages, 1775 KiB  
Article
Diagnostic Accuracy of Shear Wave Elastography in Predicting Malignant Origins of Pleural Effusions in Emergency Departments
by Rune Wiig Nielsen, Casper Falster, Stefan Posth, Niels Jacobsen, August Emil Licht, Rahul Bhatnagar and Christian Borbjerg Laursen
Diagnostics 2025, 15(2), 225; https://doi.org/10.3390/diagnostics15020225 - 20 Jan 2025
Viewed by 410
Abstract
Objective: Ultrasound is a valuable diagnostic tool in the diagnostic work-up of dyspnea and can identify even small pleural effusions. The incorporation of shear wave elastography (SWE) represents a possible tool in stratifying pleural effusions by the risk of underlying malignancy. No [...] Read more.
Objective: Ultrasound is a valuable diagnostic tool in the diagnostic work-up of dyspnea and can identify even small pleural effusions. The incorporation of shear wave elastography (SWE) represents a possible tool in stratifying pleural effusions by the risk of underlying malignancy. No previous studies on ultrasound with the incorporation of SWE have been conducted in an emergency department (ED), where such stratification might have a clinical impact by hastening referrals for the diagnostic work-up of underlying malignancy. The objective of this study was to appraise the diagnostic accuracy of ultrasonographic findings associated with thoracic malignancy as well as to calculate the optimal cutoff values for SWE in this regard. Methods: Patients with a unilateral pleural effusion of unknown origin were included in the ED and subjected to a thoracic ultrasound (TUS) scan during their first 48 h after admittance. Two index tests were applied: (i) traditional B-mode TUS examination registering the presence of diaphragmatic nodules, pleural thickenings and other findings associated with malignancy and (ii) an SWE examination of different regions of interest. The reference test was defined as the subsequent diagnosis of malignant pleural effusion (MPE) in the three months following inclusion. Results: In total, 39 patients were included. The B-mode TUS index test yielded a sensitivity of 28.57% (95%CI 3.67–70.96%) and a specificity of 90.62% (95%CI 74.98–98.02%). The SWE max of the intercostal space yielded a sensitivity of 100% (95%CI 47.82–100%) and a specificity of 59.09% (95%CI 36.35–79.29%). Conclusions: A TUS with integrated SWE may aid in identifying MPEs and improving referrals for the diagnostic work-up of underlying malignancy. Larger, adequately powered studies are warranted. Full article
(This article belongs to the Special Issue New Advances in Lung Ultrasound)
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Review

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12 pages, 921 KiB  
Review
Ultrasonographic Assessment of the Diaphragm
by Taiga Itagaki, Yusuke Akimoto, Takuya Takashima and Jun Oto
Diagnostics 2024, 14(14), 1481; https://doi.org/10.3390/diagnostics14141481 - 10 Jul 2024
Viewed by 2162
Abstract
Mechanical ventilation injures not only the lungs but also the diaphragm, resulting in dysfunction associated with poor outcomes. Diaphragm ultrasonography is a noninvasive, cost-effective, and reproducible diagnostic method used to monitor the condition and function of the diaphragm. With advances in ultrasound technology [...] Read more.
Mechanical ventilation injures not only the lungs but also the diaphragm, resulting in dysfunction associated with poor outcomes. Diaphragm ultrasonography is a noninvasive, cost-effective, and reproducible diagnostic method used to monitor the condition and function of the diaphragm. With advances in ultrasound technology and the expansion of its clinical applications, diaphragm ultrasonography has become increasingly important as a tool to visualize and quantify diaphragmatic morphology and function across multiple medical specialties, including pulmonology, critical care, and rehabilitation medicine. This comprehensive review aims to provide an in-depth analysis of the role and limitations of ultrasonography in assessing the diaphragm, especially among critically ill patients. Furthermore, we discuss a recently published expert consensus and provide a perspective for the future. Full article
(This article belongs to the Special Issue New Advances in Lung Ultrasound)
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Other

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5 pages, 1257 KiB  
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Detection of Pneumothorax in Severe Acute Respiratory Distress Syndrome—Lung Ultrasound Pitfalls
by Konrad Mendrala, Sylweriusz Kosiński, Tomasz Czober, Paweł Podsiadło, Szymon Skoczyński and Tomasz Darocha
Diagnostics 2024, 14(2), 206; https://doi.org/10.3390/diagnostics14020206 - 18 Jan 2024
Cited by 2 | Viewed by 1551
Abstract
Lung ultrasound is gaining popularity as a quick, easy, and accurate method for the detection of pneumothorax. The typical sonographic features of pneumothorax are the absence of lung sliding, the presence of a lung point, the absence of a lung pulse, and the [...] Read more.
Lung ultrasound is gaining popularity as a quick, easy, and accurate method for the detection of pneumothorax. The typical sonographic features of pneumothorax are the absence of lung sliding, the presence of a lung point, the absence of a lung pulse, and the absence of B-lines. However, we found that in some cases, each of these elements might be misleading. Full article
(This article belongs to the Special Issue New Advances in Lung Ultrasound)
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