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Thoracic Ultrasound for Diagnosing Pulmonary Embolism (TUSPE): A Prospective Multicenter Study of 352 Patients Bassel Ericsoussi, MD Pulmonary and Critical Care Fellow University of Illinois College of Medicine
Pulmonary Embolism ,[object Object],[object Object],[object Object],[object Object],[object Object],Thoracic ultrasound for diagnosing pulmonary embolism.   Chest. 2005 Sep;128(3):1531-8
Sonomorphology of PE on the B-mode Sonographic Image ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Pulmonary infarction: sonographic appearance with pathologic correlation. Eur J Radiol 1993;17,170-174
Technique ,[object Object],[object Object],[object Object],[object Object],Thoracic ultrasound for diagnosing pulmonary embolism.   Chest. 2005 Sep;128(3):1531-8
TUS Criteria for PE ,[object Object],[object Object],[object Object],[object Object],Thoracic ultrasound for diagnosing pulmonary embolism.   Chest. 2005 Sep;128(3):1531-8
TUSPE Study ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
2 or more typical lesions  1 typical lesion + pleural effusion Small subpleural lesions (< 5 mm)  or a single pleural effusion
Thoracic ultrasound for diagnosing pulmonary embolism.   Chest. 2005 Sep;128(3):1531-8
Results Thoracic ultrasound for diagnosing pulmonary embolism.   Chest. 2005 Sep;128(3):1531-8
The majority (66%) of lesions were seen in the posterior basal segments of the lung.
Triangular or rounded pleural-based hypoechoic lung infarct
Triangular lesion  Small rounded lesions
Peripheral Hemorrhages – Incomplete Infarctions ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Thoracic ultrasound for diagnosing pulmonary embolism.   Chest. 2005 Sep;128(3):1531-8
Doppler Ultrasound  ,[object Object],[object Object],[object Object],Thoracic ultrasound for diagnosing pulmonary embolism.   Chest. 2005 Sep;128(3):1531-8
Limitations ,[object Object],[object Object],[object Object],Thoracic ultrasound for diagnosing pulmonary embolism.   Chest. 2005 Sep;128(3):1531-8 PE ,[object Object],[object Object],[object Object],[object Object],Smaller Larger Color Doppler ultrasound.  Narrow Well demarcated  Blurred margins  rounded or polycyclic Concave on at least one side Homogeneous Inhomogeneous (Bronchoaerograms) Inhomogeneous (central necroses) Float in the effusion
Conclusion ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Thoracic ultrasound for diagnosing pulmonary embolism.   Chest. 2005 Sep;128(3):1531-8
Take Home Message ,[object Object],[object Object],[object Object],Thoracic ultrasound for diagnosing pulmonary embolism.   Chest. 2005 Sep;128(3):1531-8
The source, transmission, and arrival of thromboembolic disease can be detected with a single ultrasound system, thus “killing three birds with one stone.”
References ,[object Object],[object Object]

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Thoracic Ultrasound For Diagnosing Pulmonary Embolism

  • 1. Thoracic Ultrasound for Diagnosing Pulmonary Embolism (TUSPE): A Prospective Multicenter Study of 352 Patients Bassel Ericsoussi, MD Pulmonary and Critical Care Fellow University of Illinois College of Medicine
  • 2.
  • 3.
  • 4.
  • 5.
  • 6.
  • 7. 2 or more typical lesions 1 typical lesion + pleural effusion Small subpleural lesions (< 5 mm) or a single pleural effusion
  • 8. Thoracic ultrasound for diagnosing pulmonary embolism. Chest. 2005 Sep;128(3):1531-8
  • 9. Results Thoracic ultrasound for diagnosing pulmonary embolism. Chest. 2005 Sep;128(3):1531-8
  • 10. The majority (66%) of lesions were seen in the posterior basal segments of the lung.
  • 11. Triangular or rounded pleural-based hypoechoic lung infarct
  • 12. Triangular lesion Small rounded lesions
  • 13.
  • 14.
  • 15.
  • 16.
  • 17.
  • 18. The source, transmission, and arrival of thromboembolic disease can be detected with a single ultrasound system, thus “killing three birds with one stone.”
  • 19.