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2017 | 17 | 69 | 136–141
Article title

Is a linear probe helpful in diagnosing diseases of pulmonary interstitial spaces?

Title variants
Czy głowica liniowa jest pomocna w diagnostyce chorób zajmujących przestrzeń śródmiąższową płuc?
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In a lung ultrasound examination, interstitial lung lesions are visible as numerous B-line artifacts, and are best recorded with the use of a convex probe. Interstitial lung lesions may result from many conditions, including cardiogenic pulmonary oedema, non-cardiogenic pulmonary oedema, or interstitial lung disease. Hence difficulties in the differential diagnostics of the above clinical conditions. This article presents cases of patients suffering from interstitial lung lesions discovered in the course of lung ultrasound examination. The patients were examined with a 3.5–5.0 MHz convex probe and a 7.0–11.0 MHz linear probe. Ultrasound images have been analysed, and differences in the imaging with both probes in patients with interstitial lung lesions have been detailed. The use of a linear probe in patients with interstitial lung lesions (discovered with a convex or a micro-convex probe) provides additional information on the source of the origin of the lesions.
Zmiany śródmiąższowe płuc w badaniu ultrasonograficznym prezentują się jako liczne artefakty linii B, rejestrowane najlepiej przy pomocy sondy konweksowej. Przyczyn zmian śródmiąższowych płuc może być wiele: kardiogenny obrzęk płuc, niekardiogenny obrzęk płuc oraz zmiany w przebiegu śródmiąższowych chorób płuc. Powoduje to trudności w diagnostyce różnicowej powyższych stanów klinicznych. W artykule przedstawiono serię przypadków pacjentów, u których w badaniu ultrasonograficznym płuc stwierdzono zmiany śródmiąższowe płuc. Badania wykonano przy pomocy sondy konweksowej (3,5–5,0 MHz) oraz liniowej (7,0–11,0 MHz). Dokonano analizy obrazów ultrasonograficznych oraz wskazano różnice w obrazowaniu obiema głowicami w grupie pacjentów ze zmianami śródmiąższowymi w płucach. Zastosowanie sondy liniowej u pacjentów ze stwierdzonymi (przy pomocy sondy konweksowej lub mikrokonweksowej) zmianami śródmiąższowymi płuc wnosi nowe informacje na temat źródła ich pochodzenia. Artykuł w wersji polskojęzycznej jest dostępny na stronie
Physical description
  • Department of Internal Medicine, Connective Tissue Diseases and Geriatrics, Medical University of Gdansk, Gdansk, Poland
  • PUltrasound and Biopsy Laboratory, Department of Pediatrics, Hematology and Oncology, Medical University of Gdansk, Gdansk, Poland
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