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Vol. 46. Issue 1.
Pages 27-34 (January 2010)
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Vol. 46. Issue 1.
Pages 27-34 (January 2010)
Review Article
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Chest Ultrasonography
Ecografía torácica
Visits
11376
Iván Vollmer
Corresponding author
ivollmer@imas.imim.es

Corresponding author.
, Ángel Gayete
IDIMAS–CRC-Mar, Servicio de Radiología, Hospital del Mar, Barcelona, Spain
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Abstract

Chest ultrasonography is a useful tool for assessing disease activity in the peripheral lung parenchyma, pleura, chest wall, diaphragm, and mediastinum. Ultrasound imaging also provides highly useful guidance in invasive diagnostic and therapeutic procedures. The main advantages of this imaging technology are the absence of ionizing radiation and the possibility of real-time bedside applications. The chief indications and limitations of chest ultrasonography and the principal sonographic signs are reviewed

Keywords:
Chest ultrasonography
Thoracic imaging
Pleural effusion
Pneumothorax
Pulmonary ultrasonography
Ultrasound guidance
Resumen

La ecografía torácica es útil en la valoración de enfermedades del parénquima pulmonar periférico, pleura, pared torácica, diafragma y mediastino, y también es de gran utilidad como guía en procedimientos intervencionistas diagnósticos y terapéuticos. Sus principales ventajas radican en la ausencia de radiaciones ionizantes, la capacidad de explorar en tiempo real y la posibilidad de realizar la exploración en la cabecera del paciente. En este artículo se revisan sus principales indicaciones y limitaciones, así como su semiología básica.

Palabras clave:
Ecografía torácica
Imagen torácica
Derrame pleural
Neumotórax
Ecografía pulmonar
Guía ecográfica
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References
[1.]
L.N. Nazarian.
The top 10 reasons musculoskeletal sonography is an important complementary or alternative technique to MRI.
AJR Am J Roentgenol, 190 (2008), pp. 1621-1626
[2.]
M.A. De Gregorio, H. D’Agostino.
La ultrasonografía en neumología: situación actual.
Arch Bronconeumol, 39 (2003), pp. 535-536
[3.]
D. Brenner, C. Elliston, E. Hall, W. Berdon.
Estimated risks of radiation-induced fatal cancer from pedriatric CT.
AJR Am J Roentgenol, 176 (2001), pp. 289-296
[4.]
M. Riccabona.
Ultrasound of the chest in children (mediastinum excluded).
Eur Radiol, 18 (2008), pp. 390-399
[5.]
D.A. Lichtenstein, G.A. Mezière.
Relevance of lung ultrasound in the diagnosis of acute respiratory failure: the BLUE protocol.
Chest, 134 (2008), pp. 117-125
[6.]
D.A. Lichtenstein.
Point-of-care ultrasound: infection control in the intensive care unit.
Crit Care Med, 35 (2007), pp. S262-S267
[7.]
G. Mathis.
Thoraxsonography – Part I: chest wall and pleura.
Ultrasound. Med Biol, 23 (1997), pp. 1131-1139
[8.]
F. Lapostolle, T. Petrovic, G. Lenoir, J. Catineau, M. Galinski, J. Metzger, et al.
Usefulness of hand-held ultrasound devices in out-of-hospital diagnosis performed by emergency physicians.
J Emerg Med, 24 (2006), pp. 237-242
[9.]
C. Kollmann.
New sonographic techniques for harmonic imaging – Underlying physical principles.
Eur J Radiol, 64 (2007), pp. 164-172
[10.]
F. Calliada, R. Campani, O. Bottinelli, A. Bozzini, M.G. Sommaruga.
Ultrasound contrast agents: basic principles.
Eur J Radiol, 27 (1998), pp. S157-S160
[11.]
F.J.F. Herth, H.D. Becker.
Transthoracic ultrasound.
Respiration, 70 (2003), pp. 87-94
[12.]
D.A. Lichtenstein.
Ultrasound in the management of thoracic disease.
Crit Care Med., 35 (2007), pp. S250-S261
[13.]
J. Gryminski, P. Krakówka, G. Lypacewicz.
The diagnosis of pleural effusion and radiologic techniques.
Chest, 70 (1976), pp. 33-37
[14.]
J.D. Collins, D. Burwell, S. Furmanski, P.S. Lorber.
Minimal detectable pleural effusions.
Radiology, 105 (1972), pp. 51-53
[15.]
D. Lichtenstein, I. Goldstein, E. Mourgeon, P. Cluzel, P. Grenier, J.J. Rouby.
Comparative diagnostic performances of auscultation, chest radiography, and lung ultrasonography in acute respiratory distress syndrome.
Anesthesiology, 100 (2004), pp. 9-15
[16.]
J. Lorenz, N. Börner, H.P. Nikolaus.
Sonographic volumetry of pleural effusions.
Ultraschall Med, 9 (1988), pp. 212-215
[17.]
K.L. Eibenberger, W.I. Dock, M.E. Ammann, R. Dorffner, M.F. Hörmann, F. Grabenwöger.
Quantification of pleural effusions: sonography versus radiography.
Radiology, 191 (1994), pp. 681-684
[18.]
N.A. Maskell, R.J. Butland, Pleural Diseases Group, Standards of Care Committee, British Thoracic Society.
BTS guidelines for the investigation of a unilateral pleural effusion in adults.
Thorax, 58 (2003), pp. 8-17
[19.]
P.C. Yang, K.T. Luh, D.B. Chang, H.D. Wu, C.J. Yu, S.H. Kuo.
Value of sonography in determining the nature of pleural effusion: analysis of 320 cases.
AJR Am J Roentgenol, 159 (1992), pp. 29-33
[20.]
K. Wernecke.
Ultrasound study of the pleura.
Eur Radiol, 10 (2000), pp. 1515-1523
[21.]
R.G. Wu, P.C. Yang, S.H. Kuo, K.T. Luh.
“Fluid color” sign: a useful indicator for discrimination between pleural thickening and pleural effusion.
J Ultrasound Med, 14 (1995), pp. 767-769
[22.]
C.F. Chian, W.L. Su, L.H. Soh, H.C. Yan, W.C. Perng, C.P. Wu.
Echogenic swirling pattern as predictor of malignant pleural effusions in patients with malignancies.
Chest, 126 (2004), pp. 129-134
[23.]
D.M. Koh, S. Burke, N. Davies, S.P.G. Padley.
Transthoracic US of the chest: clinical uses and applications.
[24.]
T. Saito, H. Kobayashi, S. Kitamura.
Ultrasonographic approach to diagnosing chest wall tumours.
Chest, 94 (1988), pp. 1271-1275
[25.]
G.R. Ferretti, C. Chiles, R.H. Choplin, M. Coulomb.
Localized benign fibrous tumors of the pleura.
AJR Am J Roentgenol, 169 (1997), pp. 683-686
[26.]
F. Herth.
Diagnosis and staging of mesothelioma transthoracic ultrasound.
Lung Cancer, 45 (2004), pp. 63-67
[27.]
G. Layer, H. Schmitteckert, A. Steudel, S. Tuengerthal, J. Schirren, G. Van Kaick, et al.
MRT, CT and sonography in the preoperative assessment of the primary tumor spread in malignant pleural mesothelioma.
Rofo, 170 (1999), pp. 365-370
[28.]
B. Bouhemad, M. Zhang, Q. Lu, J.J. Rouby.
Clinical review: bedside lung ultrasound in critical care practice.
Critical Care, 11 (2007), pp. 205
[29.]
F.M.N.H. Schramel, R.P. Golding, C.D.E. Haakman, T.G. Sutedja, K.A. De Jong, P.E. Postmus.
Expiratory chest radiographs do not improve visibility of small apical pneumothoraces by enhanced contrast.
Eur Respir J, 9 (1996), pp. 406-409
[30.]
A. Seow, E.A. Kazerooni, P.N. Cascade, P.G. Pernicano, M. Neary.
Comparison of upright inspiratory and expiratory chest radiographs for detecting pneumothoraces.
AJR Am J Roentgenol, 166 (1996), pp. 313-316
[31.]
F.M. Schramel, M. Wagenaar, T.G. Sutedja, R.P. Golding, P.E. Postmus.
Diagnosis of pneumothorax not improved by additional roentgen pictures of the thorax in the expiration phase.
Ned Tijdschr Geneeskd, 139 (1995), pp. 131-133
[32.]
D.A. Lichtenstein, G. Mezière, N. Lascols, P. Biderman, J.P. Courret, A. Gepner, et al.
Ultrasound diagnosis of occult pneumothorax.
Crit Care Med, 33 (2005), pp. 1231-1238
[33.]
D.A. Lichtenstein, G. Mezière, P. Biderman, A. Gepner.
The comet-tail artifact: an ultrasound sign ruling out pneumothorax.
Intensive Care Med, 25 (1999), pp. 383-388
[34.]
R. Targhetta, J.M. Bourgeois, R. Chavagneux, C. Marty-Double, P. Balmes.
Ultrasonographic approach to diagnosing hydropneumothorax.
Chest, 101 (1992), pp. 931-934
[35.]
D. Lichtenstein, Y. Menu.
A bedside ultrasound sign ruling out pneumothorax in the critically ill: lung sliding.
Chest, 108 (1995), pp. 1345-1348
[36.]
D.A. Lichtenstein, G. Mezière, P. Biderman, A. Gepner.
The “lung point”: an ultrasound sign specific to pneumothorax.
Intensive Care Med., 26 (2000), pp. 1434-1440
[37.]
U. Jaffer, D. McAuley.
Transthoracic ultrasonography to diagnose pneumothorax in trauma.
Emerg Med J, 22 (2005), pp. 504-505
[38.]
A.W. Kirkpatrick, M. Sirois, K.B. Laupland, D. Liu, K. Rowan, C.G. Bal, et al.
Hand-held thoracic sonography for detecting post-traumatic pneumothoraces: the extended focused assessment with sonography for trauma (EFAST).
J Trauma, 57 (2004), pp. 288-295
[39.]
M.J. Chung, J.M. Goo, J.G. Im, J.M. Cho, S.B. Cho, S.J. Kim.
Value of high-resolution ultrasound in detecting a pneumothorax.
Eur Radiol, 15 (2005), pp. 930-935
[40.]
Vollmer I, Gayete A, Maristany MT, Cordón A, Perich X, Ferrer F. Value of thoracic ultrasonography in patients with suspected pneumothorax. Proceedings of the 92nd Scientific Assembly and Annual Meeting of the Radiological Society of North America; 2006, November 26-December 1; Chicago. Oak Brook (IL): The Radiological Society of North America; 2006. p. 690.
[41.]
A. Slater, M. Goodwin, K.E. Anderson, F.V. Gleeson.
COPD can mimic the appearance of pneumothorax on thoracic ultrasound.
Chest, 129 (2006), pp. 545-550
[42.]
D.A. Lichtenstein, N. Lascols, G. Mezière, A. Gepner.
Ultrasound diagnosis of alveolar consolidation in the critically ill.
Intensive Care Med, 30 (2004), pp. 276-281
[43.]
P.C. Yang, K.T. Luh, D.B. Chang, C.J. Yu, S.H. Kuo, H.D. Wu.
Ultrasonographic evaluation of pulmonary consolidation.
Am Rev Respir Dis, 146 (1992), pp. 757-762
[44.]
P.C. Yang, D.B. Chang, C.J. Yu, Y.C. Lee, S.H. Kuo, K.T. Luh.
Ultrasound guided percutaneous cutting biopsy for the diagnosis of pulmonary consolidations of unknown aetiology.
Thorax, 47 (1992), pp. 457-460
[45.]
B. Weinberg, E.E. Diakoumakis, E.G. Kass, B. Seife, Z.B. Zvi.
The air bronchogram: sonographic demonstration.
AJR Am J Roentgenol, 147 (1986), pp. 593-595
[46.]
R. Targhetta, R. Chavagneux, J.M. Bourgeois, M. Dauzat, P. Balmes, L. Pourcelot.
Sonographic approach to diagnosing pulmonary consolidation.
J Ultrasound Med, 11 (1992), pp. 667-672
[47.]
G. Mathis.
Thoraxsonography – Part II: peripheral pulmonary consolidation.
Ultrasound Med Biol, 23 (1997), pp. 1141-1153
[48.]
D.A. Lichtenstein, O. Peyrouset.
Is lung ultrasound superior to CT? The example of a CT occult necrotizing pneumonia.
Intensive Care Med, 32 (2006), pp. 333-335
[49.]
B.D. Coley.
Pediatric chest ultrasound.
Radiol Clin N Am, 43 (2005), pp. 405-418
[50.]
P.C. Yang, K.T. Luh, Y.C. Lee, D.B. Chang, C.J. Yu, H.D. Wu, et al.
Lung abscesses: US examination and US-guided transthoracic aspiration.
Radiology, 180 (1991), pp. 171-175
[51.]
O. Gehmacher, G. Mathis, A. Kopf, M. Scheier.
Ultrasound imaging of pneumonia.
Ultrasound Med Biol, 21 (1995), pp. 1119-1122
[52.]
N. Suzuki, T. Saitoh, S. Kitamura.
Tumor invasion of the chest wall in lung cancer: diagnosis with US.
[53.]
N. Nakano, T. Yasumitsu, Y. Kotake, H. Morino, J. Ikezoe.
Preoperative histologic diagnosis of chest wall invasion by lung cancer using ultrasonically guided biopsy.
J Thorac Cardiovasc Surg, 107 (1994), pp. 891-895
[54.]
A. Briccoli, S. Galletti, M. Salone, A. Morganti, P. Pelotti, M. Rocca.
Ultrasonography is superior to computed tomography and magnetic resonance imaging in determining superficial resection margins of malignant chest wall tumors.
J Ultrasound Med, 26 (2007), pp. 157-162
[55.]
A. Reissig, J.P. Heyne, C. Kroegel.
Sonography of lung and pleura in pulmonary embolism: sonomorphologic characterization and comparison with spiral CT scanning.
Chest, 120 (2001), pp. 1977-1983
[56.]
A. Reissig, C. Kroegel.
Transthoracic ultrasound of lung and pleura in the diagnosis of pulmonary embolism: a novel non-invasive bedside approach.
Respiration, 70 (2003), pp. 441-452
[57.]
D. Lichtenstein, Y. Loubières, A. Reissig, C. Kroegel.
Lung sonography in pulmonary embolism.
Chest, 123 (2003), pp. 2154-2155
[58.]
G. Mathis, W. Blank, A. Reissig, P. Lechleitner, J. Reuss, A. Schuler, et al.
Thoracic ultrasound for diagnosing pulmonary embolism: a prospective multicenter study of 352 patients.
Chest, 128 (2005), pp. 1531-1538
[59.]
G. Mathis, K. Dirschmid.
Pulmonary infarction: sonographic appearance with pathologic correlation.
Eur J Radiol, 17 (1993), pp. 170-174
[60.]
L.R. Goodman.
Small pulmonary emboli: what do we know?.
Radiology, 234 (2005), pp. 654-658
[61.]
P.G. Kluetz, C.S. White.
Acute pulmonary embolism: imaging in the emergency department.
Radiol Clin North Am, 44 (2006), pp. 259-271
[62.]
K. Mohn, J.J. Quiot, M. Nonent, K. Lacut, G. Le Gall, F. Couturaud, et al.
Transthoracic sonography of the lung and pleura in view of a suspected pulmonary embolism. A pilot study.
J Ultrasound Med, 22 (2003), pp. 673-678
[63.]
M. Piccoli, P. Trambaiolo, A. Salustri, E. Cerquetani, A. Posteraro, G. Pastena, et al.
Bedside diagnosis and follow-up of patients with pleural effusion by a handcarried ultrasound device early after cardiac surgery.
Chest, 128 (2005), pp. 3413-3420
[64.]
C. Görg, R. Weide, W.B. Schwerk.
Sonographische befunde bei ausedehnten lungenatelektasen.
Ultraschall Klin Prax, 11 (1996), pp. 14-19
[65.]
D. Lichtenstein, G. Mézière, P. Biderman, A. Gepner, O. Barré.
The comet-tail artifact. An ultrasound sign of alveolar-interstitial syndrome.
Am J Respir Crit Care Med, 156 (1997), pp. 1640-1646
[66.]
G. Volpicelli, V. Caramello, L. Cardinale, A. Mussa, F. Bar, M.F. Francisco.
Detection of sonographic B-lines in patients with normal lung or radiographic alveolar consolidation.
Med Sci Monit, 14 (2008), pp. 122-128
[67.]
G. Volpicelli, A. Mussa, G. Garofalo, L. Cardinale, G. Casoli, F. Perotto, et al.
Bedside lung ultrasound in the assessment of alveolar-interstitial syndrome.
Am J Emerg Med, 24 (2006), pp. 689-696
[68.]
D.A. Lichtenstein, G. Mezière.
A lung ultrasound sign allowing bedside distinction between pulmonary edema and COPD: the comet-tail artifact.
Intensive Care Med, 24 (1998), pp. 1331-1334
[69.]
G. Volpicelli, L. Cardinale, G. Garofalo, A. Veltri.
Usefulness of lung ultrasound in the bedside distinction between pulmonary edema and exacerbation of COPD.
Emerg Radiol, 15 (2008), pp. 145-151
[70.]
D.A. Lichtenstein, G. Mezière.
Relevance of lung ultrasound in the diagnosis of acute respiratory failure: the BLUE protocol.
Chest, 134 (2008), pp. 117-125
[71.]
Z. Jambrik, S. Monti, V. Coppola, E. Agricola, G. Mottola, M. Miniati, et al.
Usefulness of ultrasound lung comets as nonradiologic sign of extravascular lung water.
Am J Cardiol, 93 (2004), pp. 1265-1270
[72.]
E. Agricola, T. Bove, M. Oppizi, G. Marino, A. Zangrillo, A. Margonato, et al.
“Ultrasound comet-tail images”: a marker of pulmonary edema: a comparative study with wedge pressure and extravascular lung water.
Chest, 127 (2005), pp. 1690-1695
[73.]
G. Volpicelli, V. Caramello, L. Cardinale, A. Mussa, F. Bar, M.F. Francisco.
Bedside ultrasound of the lung for the monitoring of acute decompensated heart failure.
J Emerg Med, 26 (2008), pp. 585-591
[74.]
P. Vassallo, K. Wernecke, N. Roos, P.E. Peters.
Differentiation of benign from malignant superficial lymphadenopathy: the role of high-resolution US.
Radiology, 183 (1992), pp. 215-220
[75.]
J.F. Griffith, T.H. Rainer, A.S. Ching, K.L. Law, R.A. Cocks, C. Metreweli.
Sonography compared with radiography in revealing acute rib fracture.
AJR Am J Roentgenol, 173 (1999), pp. 1603-1609
[76.]
S.H. Paik, M.J. Chung, J.S. Park, J.M. Goo, J.G. Im.
High-resolution sonography of the rib: can fracture and metastasis be differentiated?.
AJR Am J Roentgenol, 184 (2005), pp. 969-974
[77.]
M.E. Hurley, G.D. Keye, S. Hamilton.
Is ultrasound really helpful in the detection of rib fractures?.
[78.]
R. Targhetta, P. Balmes, C. Marty-Double, J.M. Mauboussin, J.M. Bourgeois, L. Pourcelot.
Ultrasonically guided aspiration biopsy in osteolytic bone lesions of the chest wall.
Chest, 103 (1993), pp. 1403-1408
[79.]
R. Baron, J. Lee, G. Melson.
Sonographic evaluation of right juxtadiaphragmatic masses in children using transhepatic approach.
J Clin Ultrasound, 8 (1980), pp. 156-159
[80.]
E. Gerscovich, M. Cronan, J. McGahan, K. Jain, C.D. Jones, C. McDonald.
Ultrasonographic evaluation of diaphragmatic motion.
J Ultrasound Med, 20 (2001), pp. 597-604
[81.]
K. Wernecke, P.E. Peters, M. Galanski.
Mediastinal tumors: evaluation with suprasternal sonography.
Radiology, 159 (1986), pp. 405-409
[82.]
K. Wernecke, R. Pötter, P.E. Peters, P. Koch.
Parasternal mediastinal sonography: sensitivity in the detection of anterior mediastinal and subcarinal tumors.
AJR Am J Roentgenol, 150 (1988), pp. 1021-1026
[83.]
K. Wernecke, P. Vassallo, R. Pötter, H.G. Lückener, P.E. Peters.
Mediastinal tumours: sensitivity of detection with sonography compared with CT and radiography.
Radiology, 175 (1990), pp. 137-143
[84.]
K. Wernecke, S. Diederich.
Sonographic features of mediastinal tumors.
AJR Am J Roentgenol, 163 (1994), pp. 1357-1364
[85.]
K. Wernecke, P. Vassallo, G. Hoffman, P.E. Peters, R. Poetter, E. Rummery, et al.
Value of sonography in monitoring the therapeutic response of mediastinal lymphoma: comparison with chest radiography and CT.
AJR Am J Roentgenol, 156 (1991), pp. 265-272
[86.]
X. Serres.
Utilitat de l’ecografia en l’estudi del mediastí [doctoral thesis].
Universidad de Barcelona, (1994),
[87.]
J.P. McGahan, J. Richards, M.LC. Fogata.
Emergency ultrasound in trauma patients.
Radiol Clin N Am, 42 (2004), pp. 417-425
[88.]
C. Görg.
Transcutaneous contrast-enhanced sonography of pleural-based pulmonary lesions.
Eur J Radiol, 64 (2007), pp. 213-221
[89.]
M. Hidalgo, E. Cases, J.L. Sanchís.
Utilidad de la ecografía torácica en una unidad de técnicas respiratorias.
Arch Bronconeumol, 39 (2003), pp. 253-255
[90.]
D. Feller-Kopman.
Ultrasound-guided thoracocentesis.
Chest., 129 (2006), pp. 1709-1714
[91.]
P.W. Jones, J.P. Moyers, J.T. Rogers, R.M. Rodríguez, Y.C.G. Lee, R.W. Light.
Ultrasound-guided thoracocentesis: is it a safer method?.
Chest, 123 (2003), pp. 418-423
[92.]
A.H. Diacon, M.H. Brutsche, M. Soler.
Accuracy of pleural puncture sites: a prospective comparison of clinical examination with ultrasound.
Chest, 123 (2003), pp. 436-441
[93.]
D. Lichtenstein, J.S. Hulot, A. Rabiller, I. Tostivint, G. Mezière.
Feasibility and safety of ultrasound-aided thoracocentesis in mechanically ventilated patients.
Intensive Care Med, 25 (1999), pp. 955-958
[94.]
C.Y. Tu, W.H. Hsu, T.C. Hsia, H.J. Chen, K.D. Tsai, C.W. Hung, et al.
Pleural effusions in febrile medical ICU patients: chest ultrasound study.
Chest, 126 (2004), pp. 1274-1280
[95.]
W.H. Hsu, C.D. Chiang, J.Y. Hsu, C.Y. Chen, C.S. Chiang, T. Lee.
Value of ultrasonically guided needle biopsy of pleural masses: an under-utilized technique.
J Clin Ultrasound, 25 (1997), pp. 119-125
[96.]
N.P. Barnes, J. Hull, A.H. Thomson.
Medical management of parapneumonic pleural disease.
Pediatr Pulmonol, 39 (2005), pp. 127-134
[97.]
C.Y. Chiu, K.S. Wong, Y.C. Huang, S.H. Lai, T.Z. Lin.
Echo-guided management of complicated parapneumonic effusion in children.
Pediatr Pulmonol, 41 (2006), pp. 1226-1232
[98.]
R.E. Benamore, K. Scott, C.J. Richards, J.J. Entwisle.
Image-guided pleural biopsy: diagnostic yield and complications.
Clin Radiol, 61 (2006), pp. 700-705
[99.]
D.B. Chang, P.C. Yang, K.T. Luh, S.H. Kuo, C.J. Yu.
Ultrasound-guided pleural biopsy with tru-cut needle.
Chest, 100 (1991), pp. 1328-1333
[100.]
A. Heilo, A.E. Stenwig, O.P. Solheim.
Malignant pleural mesothelioma: US-guided histologic core-needle biopsy.
[101.]
R.F. Adams, F.V. Gleeson.
Percutaneous image-guided cutting-needle biopsy of the pleura in the presence of a suspected malignant effusion.
[102.]
W.Y. Liao, M.Z. Chen, Y.L. Chang, H.D. Wu, C.J. Yu, P.H. Kuo, et al.
US-guided transthoracic cutting biopsy for peripheral thoracic lesions less than 3 cm in diameter.
[103.]
A. Yuan, P.C. Yang, D.B. Chang, C.J. Yu, Y.C. Lee, S.H. Kuo, et al.
Ultrasound-guided aspiration biopsy of small peripheral pulmonary nodules.
Chest, 101 (1992), pp. 926-930
[104.]
R. Targhetta, J.M. Bourgeois, R. Chavagneux, P. Balmes.
Diagnosis of pneumothorax by ultrasound immediately after ultrasonically guided aspiration biopsy.
Chest, 101 (1992), pp. 855-856
[105.]
P. Patradoon-Ho, D.A. Fitzgerald.
Lung abscess in children.
Paediatr Respir. Rev, 8 (2007), pp. 77-84
[106.]
J.B. Zwischenberger, C. Savage, S.K. Alpard, C.M. Anderson, S. Marroquin, B.W. Goodacre.
Mediastinal transthoracic needle and core lymph node biopsy: should it replace mediastinoscopy?.
Chest, 121 (2002), pp. 1165-1170
[107.]
K. Wernecke.
Percutaneous biopsy of mediastinal tumours under sonographic guidance.
Thorax, 46 (1991), pp. 157-159
[108.]
P.C. Yang, D.B. Chang, Y.C. Lee, C.J. Yu, S.H. Kuo, K.T. Luh.
Mediastinal malignancy: ultrasound guided biopsy through the supraclavicular approach.
Thorax, 47 (1992), pp. 377-380
[109.]
K. Wernecke, P. Vassallo, P.E. Peters, D.B. Von Bassewitz.
Mediastinal Tumors: Biopsy under US guidance.
Radiology, 172 (1989), pp. 473-476
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