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A feasibility study of a short lung ultrasound protocol as a screening method for fibrotic interstitial lung disease.

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Title: A feasibility study of a short lung ultrasound protocol as a screening method for fibrotic interstitial lung disease.
Authors: Braga S.1, Carvalho A.2, Rodrigues M.3, Madureira P.4, Miriam Ferreira R.4, Terras Alexandre A.5,6, Caetano Mota P.5,6, Melo N.5,6, Morais A.5,6, Novais E. Bastos H.5,6,7
Source: ARP Rheumatology. Jan-Mar2025, Vol. 4 Issue 1, p20-28. 9p.
Subjects: INTERSTITIAL lung diseases, CONNECTIVE tissue diseases, PULMONARY fibrosis, LUNG diseases, ULTRASONIC imaging
Abstract: Aims: Interstitial lung disease (ILD) represents a common complication of connective tissue diseases (CTD). Early detection of ILD is critical since patients often remain asymptomatic during the initial stages. While numerous studies have proposed various ultrasound protocols for ILD evaluation, we find these protocols to be timeconsuming in our clinical practice. The aim of this study is to introduce a concise lung ultrasound protocol for the screening of pulmonary fibrosis. Methods: We conducted a prospective observational pilot study involving 28 patients followed in consultation for ILDs. By implementing this streamlined protocol, we established correlations between ultrasound findings at specific locations and their corresponding tomographic patterns. Following the assessment of the protocol's diagnostic accuracy, a multidisciplinary meeting was convened to scrutinize ultrasound images from several patients and evaluate the level of agreement among rheumatologists, pulmonologists, and radiologists. Results: Our simplified protocol revealed significant correlations between ultrasonographic pleural irregularity, discontinuity and the number of B-lines, and the tomographic findings of reticulation and honeycombing in both the upper and lower lung regions. This protocol demonstrated high sensitivity and positive predictive value in identifying reticulation and honeycombing, as well as remarkable specificity and negative predictive value for the latter. The results obtained between the specialties showed strong agreement. Conclusion: Preliminary results suggest a role of ultrasound to detect peripheral manifestations of fibrotic ILDs, such as reticulation and honeycombing. This assessment protocol can be adopted effectively by clinicians, such as rheumatologists, to evaluate lung involvement by CTDs. A larger study is necessary to achieve more robust and generalizable results as a screening tool. [ABSTRACT FROM AUTHOR]
Copyright of ARP Rheumatology is the property of Sociedade Portuguesa de Reumatologia and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: A feasibility study of a short lung ultrasound protocol as a screening method for fibrotic interstitial lung disease.
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  Data: <searchLink fieldCode="AR" term="%22Braga+S%2E%22">Braga S.</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22Carvalho+A%2E%22">Carvalho A.</searchLink><relatesTo>2</relatesTo><br /><searchLink fieldCode="AR" term="%22Rodrigues+M%2E%22">Rodrigues M.</searchLink><relatesTo>3</relatesTo><br /><searchLink fieldCode="AR" term="%22Madureira+P%2E%22">Madureira P.</searchLink><relatesTo>4</relatesTo><br /><searchLink fieldCode="AR" term="%22Miriam+Ferreira+R%2E%22">Miriam Ferreira R.</searchLink><relatesTo>4</relatesTo><br /><searchLink fieldCode="AR" term="%22Terras+Alexandre+A%2E%22">Terras Alexandre A.</searchLink><relatesTo>5,6</relatesTo><br /><searchLink fieldCode="AR" term="%22Caetano+Mota+P%2E%22">Caetano Mota P.</searchLink><relatesTo>5,6</relatesTo><br /><searchLink fieldCode="AR" term="%22Melo+N%2E%22">Melo N.</searchLink><relatesTo>5,6</relatesTo><br /><searchLink fieldCode="AR" term="%22Morais+A%2E%22">Morais A.</searchLink><relatesTo>5,6</relatesTo><br /><searchLink fieldCode="AR" term="%22Novais+E%2E+Bastos+H%2E%22">Novais E. Bastos H.</searchLink><relatesTo>5,6,7</relatesTo>
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  Data: <searchLink fieldCode="JN" term="%22ARP+Rheumatology%22">ARP Rheumatology</searchLink>. Jan-Mar2025, Vol. 4 Issue 1, p20-28. 9p.
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  Data: <searchLink fieldCode="DE" term="%22INTERSTITIAL+lung+diseases%22">INTERSTITIAL lung diseases</searchLink><br /><searchLink fieldCode="DE" term="%22CONNECTIVE+tissue+diseases%22">CONNECTIVE tissue diseases</searchLink><br /><searchLink fieldCode="DE" term="%22PULMONARY+fibrosis%22">PULMONARY fibrosis</searchLink><br /><searchLink fieldCode="DE" term="%22LUNG+diseases%22">LUNG diseases</searchLink><br /><searchLink fieldCode="DE" term="%22ULTRASONIC+imaging%22">ULTRASONIC imaging</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Aims: Interstitial lung disease (ILD) represents a common complication of connective tissue diseases (CTD). Early detection of ILD is critical since patients often remain asymptomatic during the initial stages. While numerous studies have proposed various ultrasound protocols for ILD evaluation, we find these protocols to be timeconsuming in our clinical practice. The aim of this study is to introduce a concise lung ultrasound protocol for the screening of pulmonary fibrosis. Methods: We conducted a prospective observational pilot study involving 28 patients followed in consultation for ILDs. By implementing this streamlined protocol, we established correlations between ultrasound findings at specific locations and their corresponding tomographic patterns. Following the assessment of the protocol's diagnostic accuracy, a multidisciplinary meeting was convened to scrutinize ultrasound images from several patients and evaluate the level of agreement among rheumatologists, pulmonologists, and radiologists. Results: Our simplified protocol revealed significant correlations between ultrasonographic pleural irregularity, discontinuity and the number of B-lines, and the tomographic findings of reticulation and honeycombing in both the upper and lower lung regions. This protocol demonstrated high sensitivity and positive predictive value in identifying reticulation and honeycombing, as well as remarkable specificity and negative predictive value for the latter. The results obtained between the specialties showed strong agreement. Conclusion: Preliminary results suggest a role of ultrasound to detect peripheral manifestations of fibrotic ILDs, such as reticulation and honeycombing. This assessment protocol can be adopted effectively by clinicians, such as rheumatologists, to evaluate lung involvement by CTDs. A larger study is necessary to achieve more robust and generalizable results as a screening tool. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of ARP Rheumatology is the property of Sociedade Portuguesa de Reumatologia and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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              Text: Jan-Mar2025
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