ZHANG Ying, LIAN Xihua, HUANG Shunfa, et al. A comparative study of lung ultrasound and high resolution CT in the evaluation of interstitial lung disease[J]. Journal of Clinical Ultrasound in Medicine, 2021,23(5):365-368.
ZHANG Ying, LIAN Xihua, HUANG Shunfa, et al. A comparative study of lung ultrasound and high resolution CT in the evaluation of interstitial lung disease[J]. Journal of Clinical Ultrasound in Medicine, 2021,23(5):365-368. DOI: 10.16245/j.cnki.issn1008-6978.2021.05.013.
ObjectiveTo investigate and compare the diagnotic value of lung ultrasound(LUS)and high resolution CT(HRCT)in interstitial lung disease(ILD).MethodsA total of 50 patients who were clinically suspected ILD in the respiratory department and immunology department of our hospital were collected.All patients were examined by LUS and HRCT.The diagnostic efficiency of the two methods were evaluated.Buda ultrasound score method was used to score the condition of ILD. The correlation and consistency between the Buda ultrasound score method and HRCT Warrick score method were evaluated.ResultsThe sensitivity
specificity
positive predictive value and negative predictive values of LUS in diagnosing ILD were 92.3%
81.8%
94.7%
75.0%
respectively
and the values of HRCT were 97.4%
90.9%
97.4%
90.9%
respectively.There was no significant difference in diagnostic efficiency between the two methods.There was good consistency between LUS and HRCT in the diagnosis of different severity of ILD(Kappa=0.879
95%CI 0.801~0.958). There was a strong positive correlation between the values calculated according to the Buda ultrasound score method and the HRCT Warrick score method(r=0.859
P<0.001).ConclusionLUS can effectively evaluate ILD
and its diagnosis efficiency is equivalent to HRCT.