Effectiveness of Thoracic Ultrasonography in the Evaluation of the Severity of Pulmonary Involvement in Patients With Systemic Sclerosis

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dc.authorwosid, osman/HRD-6024-2023
dc.authorwosid, Osman/AGR-7980-2022
dc.authorwosidAKTOZ, MERYEM/M-9023-2018
dc.contributor.authorCakir Edis, Ebru
dc.contributor.authorHatipoglu, Osman N.
dc.contributor.authorPamuk, Omer N.
dc.contributor.authorMutlucan Eraslan, Renginar
dc.contributor.authorAktoz, Meryem
dc.contributor.authorTuncel, Sedat Alpaslan
dc.date.accessioned2024-06-12T11:03:15Z
dc.date.available2024-06-12T11:03:15Z
dc.date.issued2016
dc.departmentTrakya Üniversitesien_US
dc.description.abstractObjectives: This study aims to investigate the effectiveness of thoracic ultrasonography (USG) in a single session in the evaluation of the severity of pulmonary involvement in systemic sclerosis. Patients and methods: A total of 48 consecutive systemic sclerosis patients (2 males, 46 females; mean age 50.8 +/- 11.9 years; range 21 to 76 years) followed-up in our center were included. A thoracic USG using a linear probe was performed for each patient to evaluate the parenchymal involvement by two pulmonary disease specialists. The number of B-lines (B-lines described USG sign of interstitial lung fibrosis) was recorded. Systolic pulmonary artery pressure was measured by means of using a phase probe to evaluate pulmonary hypertension in the same sequence. The same day, pulmonary function tests were conducted. Warrick score was calculated according high resolution computed tomography (HRCT) images which were evaluated independently from each other by a radiologist and a pulmonary disease specialist. Medsger severity scale was calculated for each patient according to the results of HRCT findings, pulmonary function test, and systolic pulmonary artery pressure. Results: The number of B-lines detected on thoracic USG was correlated with the Warrick score (r=0.89; p=0.0001) and Medsger disease scale (r=0.55; p=0.0001) and negatively correlated with diffusing capacity of carbon monoxide (r=-0.56; p=0.0001) and forced vital capacity (r=-0.46; p=0.001). When HRCT was accepted as the gold standard; the sensitivity, specificity, positive predicted value, and negative predicted value for thoracic USG were 100%, 84.2%, 90.6%, and 100%, respectively. If thoracic USG was used instead of HRCT for the evaluation of Medsger scale, the results changed in only one of the 48 patients. Conclusion: Thoracic USG showed good correlation with HRCT findings for the evaluation of pulmonary parenchymal involvement in systemic sclerosis. Therefore, USG might be a noninvasive and useful tool for the long-term follow-up of systemic sclerosis patients after initial examination with USG and HRCT.en_US
dc.identifier.doi10.5606/ArchRheumatol.2016.5849
dc.identifier.endpage370en_US
dc.identifier.issn1309-0291
dc.identifier.issn2148-5046
dc.identifier.issue4en_US
dc.identifier.pmid30375580en_US
dc.identifier.scopus2-s2.0-85006312555en_US
dc.identifier.scopusqualityQ4en_US
dc.identifier.startpage364en_US
dc.identifier.trdizinid219561en_US
dc.identifier.urihttps://doi.org/10.5606/ArchRheumatol.2016.5849
dc.identifier.urihttps://search.trdizin.gov.tr/yayin/detay/219561
dc.identifier.urihttps://hdl.handle.net/20.500.14551/21585
dc.identifier.volume31en_US
dc.identifier.wosWOS:000392980100011en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakTR-Dizinen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherTurkish League Against Rheumatismen_US
dc.relation.ispartofArchives Of Rheumatologyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectHigh Resolution Computed Tomographyen_US
dc.subjectMedsger Scaleen_US
dc.subjectSystemic Sclerosisen_US
dc.subjectThoracic Ultrasonographyen_US
dc.subjectHigh-Resolution Cten_US
dc.subjectLung-Diseaseen_US
dc.subjectSclerodermaen_US
dc.subjectUltrasounden_US
dc.subjectHypertensionen_US
dc.titleEffectiveness of Thoracic Ultrasonography in the Evaluation of the Severity of Pulmonary Involvement in Patients With Systemic Sclerosisen_US
dc.typeArticleen_US

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