Perfusion Patterns of Peripheral Pulmonary Lesions in COVID-19 Patients Using Contrast-Enhanced Ultrasound (CEUS): A Case Series
In: Journal of ultrasound in medicine : official journal of the American Institute of Ultrasound in Medicine, Jg. 40 (2020-12-16), Heft 11
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Zugriff:
PURPOSE: To describe perfusion patterns of peripheral pulmonary lesions (PPLs) in COVID-19 patients using contrast-enhanced ultrasound (CEUS). PATIENTS AND METHODS: From April 2020 until July 2020, 11 consecutive patients with RT-PCR-confirmed COVID-19 and PPLs sized over 5 mm were investigated by B-mode ultrasound (B-US) and CEUS. The homogeneity of enhancement (homogeneous and inhomogeneous) was examined retrospectively using CEUS. An inhomogeneous enhancement was defined as a perfused lesion with coexisting non-perfused areas (NPA). RESULTS: On B-US, all 11 patients showed an interstitial syndrome (B-lines) with PPLs between 0.5 and 6 cm. On CEUS, all cases showed peripheral NPA during the complete CEUS examination. One patient underwent a partial lung resection with subsequent histopathological examination. The histological examination showed vasculitis, microthrombus in the alveolar capillary, and small obliterated vessels. CONCLUSION: In our case series, PPLs in patients with RT-PCR-confirmed COVID-19 infection presented a CEUS pattern with NPA during the complete CEUS examination. Our findings suggest a peripheral pulmonary perfusion disturbance in patients with COVID-19 infection. In 1 case, the histopathological correlation with the perfusion disturbance in the PPL was proven.
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Perfusion Patterns of Peripheral Pulmonary Lesions in COVID-19 Patients Using Contrast-Enhanced Ultrasound (CEUS): A Case Series
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Autor/in / Beteiligte Person: | Trenker, Corinna ; Corinna U Keber ; Katharina Paulina Huber ; Görg, Christian ; Ehsan Safai Zadeh ; Dietrich, Christoph F. ; Beutel, Björn |
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Zeitschrift: | Journal of ultrasound in medicine : official journal of the American Institute of Ultrasound in Medicine, Jg. 40 (2020-12-16), Heft 11 |
Veröffentlichung: | 2020 |
Medientyp: | unknown |
ISSN: | 1550-9613 (print) |
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