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Distribution of alveolar‐interstitial syndrome in dogs and cats with respiratory distress as assessed by lung ultrasound versus thoracic radiographs
Objective To assess distribution of alveolar‐interstitial syndrome (AIS) detected by lung ultrasound (LUS) compared to thoracic radiographs (TXR). Design Prospective study. Setting University teaching hospital. Animals Seventy‐six dogs and 24 cats with acute respiratory distress or tachypnea. Interv...
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| Published in: | Journal of veterinary emergency and critical care (San Antonio, Tex. : 2000) Tex. : 2000), 2018-09, Vol.28 (5), p.415-428 |
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| container_title | Journal of veterinary emergency and critical care (San Antonio, Tex. : 2000) |
| container_volume | 28 |
| creator | Ward, Jessica L. Lisciandro, Gregory R. DeFrancesco, Teresa C. |
| description | Objective
To assess distribution of alveolar‐interstitial syndrome (AIS) detected by lung ultrasound (LUS) compared to thoracic radiographs (TXR).
Design
Prospective study.
Setting
University teaching hospital.
Animals
Seventy‐six dogs and 24 cats with acute respiratory distress or tachypnea.
Interventions
Patients underwent LUS and TXR within 6 hours. Lung ultrasound images were scored for presence and quantity of B‐lines in 4 lung quadrants (right cranial, right caudal, left cranial, left caudal). An individual LUS quadrant was scored positive if > 3 B‐lines were observed within a single intercostal space. Dorsoventral TXR were scored for presence of AIS in the same 4 quadrants. An individual TXR quadrant was scored positive if infiltrate was present in ≥ 25% of the quadrant. Medical records were evaluated for final diagnosis.
Measurements and Main Results
Quadrant‐by‐quadrant spatial agreement in assigning AIS using LUS versus TXR was fair (K = 0.24 – 0.56). Lung ultrasound scored a higher number of quadrants positive per patient (2.65 ± 1.59 vs. 2.13 ± 1.48; P = 0.012). Patterns of distribution of AIS differed significantly based on final diagnosis. Patients with left‐sided congestive heart failure were more likely to have diffuse AIS on LUS (P |
| doi_str_mv | 10.1111/vec.12750 |
| format | article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2083716665</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2083716665</sourcerecordid><originalsourceid>FETCH-LOGICAL-c3250-d7233ad940b25e24db139749348ea7670ed4be7bfef4deb2874bcbc13a735f123</originalsourceid><addsrcrecordid>eNp1kb1uFDEQxy0EIiFQ8ALIJRSb-GvXtyW6hA8pEg3Qrvwxe2fkWx8e70Xb8QhUPCBPgi8X6BiNNFP85lfMn5CXnF3yWlcHcJdc6JY9Iudc6a5RSvLH93vfSNHxM_IM8RtjvO9b8ZScScYq3clz8us6YMnBziWkiaaRmniAFE3-_eNnmApkLKEEEykuk89pBzRM1KcNUjN56kxBehfKlmbAfcimpLxQf1QCVuTYWDfw1C40ztOGzrFkg2mu14dqn5GWbcrGBUez8SFtstlv8Tl5MpqI8OJhXpAv724-rz80t5_ef1y_vW2cFC1rvBZSGt8rZkULQnnLZa9VL9UKjO40A68saDvCqDxYsdLKOuu4NFq2Ixfygrw-efc5fZ8By7AL6CBGM0GacRBsJTXvuq6t6JsT6nJCzDAO-xx2Ji8DZ8MxhqHGMNzHUNlXD9rZ7sD_I__-vQJXJ-AuRFj-bxq-3qxPyj8R_5c5</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2083716665</pqid></control><display><type>article</type><title>Distribution of alveolar‐interstitial syndrome in dogs and cats with respiratory distress as assessed by lung ultrasound versus thoracic radiographs</title><source>Wiley</source><creator>Ward, Jessica L. ; Lisciandro, Gregory R. ; DeFrancesco, Teresa C.</creator><creatorcontrib>Ward, Jessica L. ; Lisciandro, Gregory R. ; DeFrancesco, Teresa C.</creatorcontrib><description>Objective
To assess distribution of alveolar‐interstitial syndrome (AIS) detected by lung ultrasound (LUS) compared to thoracic radiographs (TXR).
Design
Prospective study.
Setting
University teaching hospital.
Animals
Seventy‐six dogs and 24 cats with acute respiratory distress or tachypnea.
Interventions
Patients underwent LUS and TXR within 6 hours. Lung ultrasound images were scored for presence and quantity of B‐lines in 4 lung quadrants (right cranial, right caudal, left cranial, left caudal). An individual LUS quadrant was scored positive if > 3 B‐lines were observed within a single intercostal space. Dorsoventral TXR were scored for presence of AIS in the same 4 quadrants. An individual TXR quadrant was scored positive if infiltrate was present in ≥ 25% of the quadrant. Medical records were evaluated for final diagnosis.
Measurements and Main Results
Quadrant‐by‐quadrant spatial agreement in assigning AIS using LUS versus TXR was fair (K = 0.24 – 0.56). Lung ultrasound scored a higher number of quadrants positive per patient (2.65 ± 1.59 vs. 2.13 ± 1.48; P = 0.012). Patterns of distribution of AIS differed significantly based on final diagnosis. Patients with left‐sided congestive heart failure were more likely to have diffuse AIS on LUS (P < 0.001) or bilateral caudal AIS on TXR (P = 0.04) while patients with noncardiac disease were more likely to have absence of AIS in all quadrants using either modality (P < 0.001). Differences in spatial distribution of AIS were also noted among disease subcategories.
Conclusions
Lung ultrasound and TXR were both useful to detect and categorize distribution of alveolar or interstitial pulmonary pathology. Spatial agreement between modalities was only fair. Overall, LUS detected a higher incidence of AIS compared to TXR. Both modalities detected differences in distribution of AIS based on final diagnosis, suggesting that a regional pattern‐based approach to thoracic imaging may prove diagnostically useful.</description><identifier>ISSN: 1479-3261</identifier><identifier>EISSN: 1476-4431</identifier><identifier>DOI: 10.1111/vec.12750</identifier><identifier>PMID: 30075063</identifier><language>eng</language><publisher>United States</publisher><subject>Animals ; canine ; Cat Diseases - diagnostic imaging ; Cats ; congestive heart failure ; Dog Diseases - diagnostic imaging ; Dogs ; feline ; Female ; Lung Diseases, Interstitial - complications ; Lung Diseases, Interstitial - diagnostic imaging ; Lung Diseases, Interstitial - veterinary ; Male ; noncardiogenic pulmonary edema ; point‐of‐care ultrasound ; Prospective Studies ; Pulmonary Alveoli - diagnostic imaging ; Radiography, Thoracic - veterinary ; Respiratory Distress Syndrome, Adult - complications ; Respiratory Distress Syndrome, Adult - diagnostic imaging ; Respiratory Distress Syndrome, Adult - veterinary ; Sensitivity and Specificity ; Ultrasonography - veterinary</subject><ispartof>Journal of veterinary emergency and critical care (San Antonio, Tex. : 2000), 2018-09, Vol.28 (5), p.415-428</ispartof><rights>Veterinary Emergency and Critical Care Society 2018</rights><rights>Veterinary Emergency and Critical Care Society 2018.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3250-d7233ad940b25e24db139749348ea7670ed4be7bfef4deb2874bcbc13a735f123</citedby><cites>FETCH-LOGICAL-c3250-d7233ad940b25e24db139749348ea7670ed4be7bfef4deb2874bcbc13a735f123</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fvec.12750$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fvec.12750$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>315,786,790,27957,27958,50923,51032</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30075063$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ward, Jessica L.</creatorcontrib><creatorcontrib>Lisciandro, Gregory R.</creatorcontrib><creatorcontrib>DeFrancesco, Teresa C.</creatorcontrib><title>Distribution of alveolar‐interstitial syndrome in dogs and cats with respiratory distress as assessed by lung ultrasound versus thoracic radiographs</title><title>Journal of veterinary emergency and critical care (San Antonio, Tex. : 2000)</title><addtitle>J Vet Emerg Crit Care (San Antonio)</addtitle><description>Objective
To assess distribution of alveolar‐interstitial syndrome (AIS) detected by lung ultrasound (LUS) compared to thoracic radiographs (TXR).
Design
Prospective study.
Setting
University teaching hospital.
Animals
Seventy‐six dogs and 24 cats with acute respiratory distress or tachypnea.
Interventions
Patients underwent LUS and TXR within 6 hours. Lung ultrasound images were scored for presence and quantity of B‐lines in 4 lung quadrants (right cranial, right caudal, left cranial, left caudal). An individual LUS quadrant was scored positive if > 3 B‐lines were observed within a single intercostal space. Dorsoventral TXR were scored for presence of AIS in the same 4 quadrants. An individual TXR quadrant was scored positive if infiltrate was present in ≥ 25% of the quadrant. Medical records were evaluated for final diagnosis.
Measurements and Main Results
Quadrant‐by‐quadrant spatial agreement in assigning AIS using LUS versus TXR was fair (K = 0.24 – 0.56). Lung ultrasound scored a higher number of quadrants positive per patient (2.65 ± 1.59 vs. 2.13 ± 1.48; P = 0.012). Patterns of distribution of AIS differed significantly based on final diagnosis. Patients with left‐sided congestive heart failure were more likely to have diffuse AIS on LUS (P < 0.001) or bilateral caudal AIS on TXR (P = 0.04) while patients with noncardiac disease were more likely to have absence of AIS in all quadrants using either modality (P < 0.001). Differences in spatial distribution of AIS were also noted among disease subcategories.
Conclusions
Lung ultrasound and TXR were both useful to detect and categorize distribution of alveolar or interstitial pulmonary pathology. Spatial agreement between modalities was only fair. Overall, LUS detected a higher incidence of AIS compared to TXR. Both modalities detected differences in distribution of AIS based on final diagnosis, suggesting that a regional pattern‐based approach to thoracic imaging may prove diagnostically useful.</description><subject>Animals</subject><subject>canine</subject><subject>Cat Diseases - diagnostic imaging</subject><subject>Cats</subject><subject>congestive heart failure</subject><subject>Dog Diseases - diagnostic imaging</subject><subject>Dogs</subject><subject>feline</subject><subject>Female</subject><subject>Lung Diseases, Interstitial - complications</subject><subject>Lung Diseases, Interstitial - diagnostic imaging</subject><subject>Lung Diseases, Interstitial - veterinary</subject><subject>Male</subject><subject>noncardiogenic pulmonary edema</subject><subject>point‐of‐care ultrasound</subject><subject>Prospective Studies</subject><subject>Pulmonary Alveoli - diagnostic imaging</subject><subject>Radiography, Thoracic - veterinary</subject><subject>Respiratory Distress Syndrome, Adult - complications</subject><subject>Respiratory Distress Syndrome, Adult - diagnostic imaging</subject><subject>Respiratory Distress Syndrome, Adult - veterinary</subject><subject>Sensitivity and Specificity</subject><subject>Ultrasonography - veterinary</subject><issn>1479-3261</issn><issn>1476-4431</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><recordid>eNp1kb1uFDEQxy0EIiFQ8ALIJRSb-GvXtyW6hA8pEg3Qrvwxe2fkWx8e70Xb8QhUPCBPgi8X6BiNNFP85lfMn5CXnF3yWlcHcJdc6JY9Iudc6a5RSvLH93vfSNHxM_IM8RtjvO9b8ZScScYq3clz8us6YMnBziWkiaaRmniAFE3-_eNnmApkLKEEEykuk89pBzRM1KcNUjN56kxBehfKlmbAfcimpLxQf1QCVuTYWDfw1C40ztOGzrFkg2mu14dqn5GWbcrGBUez8SFtstlv8Tl5MpqI8OJhXpAv724-rz80t5_ef1y_vW2cFC1rvBZSGt8rZkULQnnLZa9VL9UKjO40A68saDvCqDxYsdLKOuu4NFq2Ixfygrw-efc5fZ8By7AL6CBGM0GacRBsJTXvuq6t6JsT6nJCzDAO-xx2Ji8DZ8MxhqHGMNzHUNlXD9rZ7sD_I__-vQJXJ-AuRFj-bxq-3qxPyj8R_5c5</recordid><startdate>201809</startdate><enddate>201809</enddate><creator>Ward, Jessica L.</creator><creator>Lisciandro, Gregory R.</creator><creator>DeFrancesco, Teresa C.</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>201809</creationdate><title>Distribution of alveolar‐interstitial syndrome in dogs and cats with respiratory distress as assessed by lung ultrasound versus thoracic radiographs</title><author>Ward, Jessica L. ; Lisciandro, Gregory R. ; DeFrancesco, Teresa C.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3250-d7233ad940b25e24db139749348ea7670ed4be7bfef4deb2874bcbc13a735f123</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Animals</topic><topic>canine</topic><topic>Cat Diseases - diagnostic imaging</topic><topic>Cats</topic><topic>congestive heart failure</topic><topic>Dog Diseases - diagnostic imaging</topic><topic>Dogs</topic><topic>feline</topic><topic>Female</topic><topic>Lung Diseases, Interstitial - complications</topic><topic>Lung Diseases, Interstitial - diagnostic imaging</topic><topic>Lung Diseases, Interstitial - veterinary</topic><topic>Male</topic><topic>noncardiogenic pulmonary edema</topic><topic>point‐of‐care ultrasound</topic><topic>Prospective Studies</topic><topic>Pulmonary Alveoli - diagnostic imaging</topic><topic>Radiography, Thoracic - veterinary</topic><topic>Respiratory Distress Syndrome, Adult - complications</topic><topic>Respiratory Distress Syndrome, Adult - diagnostic imaging</topic><topic>Respiratory Distress Syndrome, Adult - veterinary</topic><topic>Sensitivity and Specificity</topic><topic>Ultrasonography - veterinary</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ward, Jessica L.</creatorcontrib><creatorcontrib>Lisciandro, Gregory R.</creatorcontrib><creatorcontrib>DeFrancesco, Teresa C.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of veterinary emergency and critical care (San Antonio, Tex. : 2000)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ward, Jessica L.</au><au>Lisciandro, Gregory R.</au><au>DeFrancesco, Teresa C.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Distribution of alveolar‐interstitial syndrome in dogs and cats with respiratory distress as assessed by lung ultrasound versus thoracic radiographs</atitle><jtitle>Journal of veterinary emergency and critical care (San Antonio, Tex. : 2000)</jtitle><addtitle>J Vet Emerg Crit Care (San Antonio)</addtitle><date>2018-09</date><risdate>2018</risdate><volume>28</volume><issue>5</issue><spage>415</spage><epage>428</epage><pages>415-428</pages><issn>1479-3261</issn><eissn>1476-4431</eissn><notes>Supported in part by an ACVIM Cardiology Resident Research Grant.</notes><notes>a private corporation that provides veterinary ultrasound training to practicing veterinarians. He also teaches ultrasound courses for Sound, SonoSite, and Scil Vet, and has received ultrasound equipment on loan from SonoSite.</notes><notes>Conflicts of interest: Dr. Lisciandro is the owner of</notes><notes>FASTVet.com</notes><notes>Presented in abstract form at the American College of Veterinary Internal Medicine Forum, Denver, Colorado, June 2016.</notes><notes>ObjectType-Article-1</notes><notes>SourceType-Scholarly Journals-1</notes><notes>ObjectType-Feature-2</notes><notes>content type line 23</notes><abstract>Objective
To assess distribution of alveolar‐interstitial syndrome (AIS) detected by lung ultrasound (LUS) compared to thoracic radiographs (TXR).
Design
Prospective study.
Setting
University teaching hospital.
Animals
Seventy‐six dogs and 24 cats with acute respiratory distress or tachypnea.
Interventions
Patients underwent LUS and TXR within 6 hours. Lung ultrasound images were scored for presence and quantity of B‐lines in 4 lung quadrants (right cranial, right caudal, left cranial, left caudal). An individual LUS quadrant was scored positive if > 3 B‐lines were observed within a single intercostal space. Dorsoventral TXR were scored for presence of AIS in the same 4 quadrants. An individual TXR quadrant was scored positive if infiltrate was present in ≥ 25% of the quadrant. Medical records were evaluated for final diagnosis.
Measurements and Main Results
Quadrant‐by‐quadrant spatial agreement in assigning AIS using LUS versus TXR was fair (K = 0.24 – 0.56). Lung ultrasound scored a higher number of quadrants positive per patient (2.65 ± 1.59 vs. 2.13 ± 1.48; P = 0.012). Patterns of distribution of AIS differed significantly based on final diagnosis. Patients with left‐sided congestive heart failure were more likely to have diffuse AIS on LUS (P < 0.001) or bilateral caudal AIS on TXR (P = 0.04) while patients with noncardiac disease were more likely to have absence of AIS in all quadrants using either modality (P < 0.001). Differences in spatial distribution of AIS were also noted among disease subcategories.
Conclusions
Lung ultrasound and TXR were both useful to detect and categorize distribution of alveolar or interstitial pulmonary pathology. Spatial agreement between modalities was only fair. Overall, LUS detected a higher incidence of AIS compared to TXR. Both modalities detected differences in distribution of AIS based on final diagnosis, suggesting that a regional pattern‐based approach to thoracic imaging may prove diagnostically useful.</abstract><cop>United States</cop><pmid>30075063</pmid><doi>10.1111/vec.12750</doi><tpages>14</tpages></addata></record> |
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| identifier | ISSN: 1479-3261 |
| ispartof | Journal of veterinary emergency and critical care (San Antonio, Tex. : 2000), 2018-09, Vol.28 (5), p.415-428 |
| issn | 1479-3261 1476-4431 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_2083716665 |
| source | Wiley |
| subjects | Animals canine Cat Diseases - diagnostic imaging Cats congestive heart failure Dog Diseases - diagnostic imaging Dogs feline Female Lung Diseases, Interstitial - complications Lung Diseases, Interstitial - diagnostic imaging Lung Diseases, Interstitial - veterinary Male noncardiogenic pulmonary edema point‐of‐care ultrasound Prospective Studies Pulmonary Alveoli - diagnostic imaging Radiography, Thoracic - veterinary Respiratory Distress Syndrome, Adult - complications Respiratory Distress Syndrome, Adult - diagnostic imaging Respiratory Distress Syndrome, Adult - veterinary Sensitivity and Specificity Ultrasonography - veterinary |
| title | Distribution of alveolar‐interstitial syndrome in dogs and cats with respiratory distress as assessed by lung ultrasound versus thoracic radiographs |
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