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Journals / Anadolu Tıp Dergisi / 2001 / Cilt: 3 - Sayı: 2

Pleural exudates and transudates. A sonographic approach

Plevral sıvının transüda-eksüda ayrımında sonografik yaklaşım

Akif ŞİRİKÇİ
Ayhan ÖZKÜR
Öner DİKENSOY
Belgin İKİDAĞ
Selim KERVANCIOĞLU
Pages
95–99
Publication Date
2022-10-10
DOI
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Only one of grade 2 pleural effusion was transudate (p

📌 3 Key Takeaways

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Objective & Hypothesis:To asses the accuracy of ultrasonography (US) in differentation of pleural exudates from transudates, fifty-nine patients with pleural effusion due to various causes (28 transudates and 31 exudates) were prospectively examined with US by two radiologists, before histopathologic evaluation.
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Key Findings & Data:Internal echogenicities of the pleural effusion were graded according to their echogenicities: grade 0, anechoic; grade 1, slight internal echo; grade 2, less echoic than grade 3 and grade 3, has the same echogenicity with the liver paranchyma.
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Conclusion & Impact:Only one of grade 2 pleural effusion was transudate (p
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

To asses the accuracy of ultrasonography (US) in differentation of pleural exudates from transudates, fifty-nine patients with pleural effusion due to various causes (28 transudates and 31 exudates) were prospectively examined with US by two radiologists, before histopathologic evaluation. Internal echogenicities of the pleural effusion were graded according to their echogenicities: grade 0, anechoic; grade 1, slight internal echo; grade 2, less echoic than grade 3 and grade 3, has the same echogenicity with the liver paranchyma. Of the 59 patients with pleural effusion, US revealed that 18.6% had grade 0, 38.9% had grade 1, 25.4% had grade 2 and 16.9% had grade 3 echogenecity. In all of the patients with grade 3 internal echogenecity pleural effusion was exudate. Only one of grade 2 pleural effusion was transudate (p

Özet

Plevral sıvının transüda-eksüda ayırımını yapmada ultrasonografinin yararını belirlemek amacı ile plevral efuzyonlu olgular ultrasonografîk olarak değerlendirildi. Farklı etyolojik nedenlere bağlı plevral efüzyonu olan 59 olgu (28 transüda, 31 eksüda) ultrasonografîk olarak incelendi ve bulgular perkütan transtorasik ince iğne aspirasyon biyopsi sonuçlan ile karşılaştırıldı. İncelemede plevral sıvısı anekoik-homojen olanlar 'grade 0', karaciğer parankim ekosuna yakın olanlar 'grade3', aradaki eko değerleri ise göreceli olarak 'grade 1 veya 'grade 2' olarak kabul edildi (hafif internal eko içerenler grade 1, karaciğer parankiminden daha düşük homojen ekojeniteler grade 2). Karaciğerde yağlanma yada viral hepatit gibi karaciğer ekojenitesini değiştiren durumlar inceleme dışında tutuldu. Gruplar arasındaki farklar istatistiksel olarak Fisher's exact testi ile karşılaştırıldı. Plevral efuzyonlu 59 hastanın sonografik incelemesinde 11 olguda grade 0 (%18.6), 23 olguda grade 1 (%38.9), 15 olguda grade 2 (%25.4) ve 10 olguda grade 3 (%16.9) ekojenite izlendi. Grade 3 düzeyinde internal homojen ekojenite izlenen tüm olgular eksüda ile uyumlu idi. Grade 2 plevral efüzyon izlenen 15 olgunun sadece 1'inde transüda 14'ünde eksüda saptandı. Plevral efüzyonda, ekojenite artışının, eksüda lehine değerlendirilmesi, istatistisel olarak belirgin anlamlı (p

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Cite This Article

ŞİRİKÇİ, A., ÖZKÜR, A., DİKENSOY, Ö., İKİDAĞ, B., KERVANCIOĞLU, S. (2022). Pleural exudates and transudates. A sonographic approach. Anadolu Tıp Dergisi, Cilt: 3 - Sayı: 2, 95–99. https://ajindex.com/articles/438153

References (16)

  1. Jimenez JA, Charterina S A, Sanchez PJ.Evaluation of CT findings for diagnosis of pleural effusions. Eur Radiol 2000; 10 (4): 681-90
  2. Light RW. Pleural disease, 3rd edn.Williams &Wilkins, 1995, Baltimore
  3. HeffnerJE, Brown LK, Barbieri CA. Diagnostic,value of tests that discriminate between exudative and transudative pleural. effusions. Chest 1997; 111: 970-980
  4. Doust BD, BaumJK, Maklad NF, Doust VL. Ultrasonicevaluation of pleural opacities. Radiology 1975; 114: 134-140
  5. Yang PC, Sheu JC, Luh KT, Kuo SH, Yang SP.Clinical application of real-time ultrasonography in pleural and subpleural lesions. Taiwan I Hsueh Hui Tsa Chih 1984;3 (7): 646-657
  6. Limpscomb DT, Flower CDR. Ultrasound in the diagnosisand management of pleural disease. Br J Dis Chest 1980; 74: 353-361
  7. Yang PC, Luh KT, Chang DB et al. Value of sonography in determining the nature of pleural effusion: Analysis of 320 cases. AJR 1992;159:29-32
  8. Mc Load TC, Flower CDR. Imaging the pleura: sonography, CT and MR imaging. AJR 1991;156:1145-1153
  9. Henschke CL. The pathogenesis radiolbgic evaluation and threapy of pleural effusion.Radiol Clin North Am 1989;27:1241-1255
  10. Hirsh JH, Rogers JV, Mack LA. Real-time sonographyof pleural opacities. AJR 1981;136:295-301
  11. Martinez OC, Serrano BV, Romero RR. Real-time ultrasound evaluation of tuberculous pleural effisions. J Clin Ultrasound 1989; 17:407-410
  12. Aquino SL, Webb WR, Gushika BT. Pleural exudatesand transudates: diagnosis with contrast-enhanced CT. Radiology İ994; 192:803-808
  13. StarkDD, Fedele MP, Goodmen PC, Podrosky AE, Webb WR. Differentiating lung abscess and empyema: radiography and computed tomography. AJR 1983;141: 163-167
  14. Donnellyn LF, Klostermen LA. CT appearance of parapneumonic effusions in children: findings are not spesific for empyema. AJR 1997; 163: 179-182
  15. Waite RJ, Carbonneau RJ, Bolihia JP, Umeli CB, Pezzelle AT, Nosh G. Parietal pleura changesin empyema: appearances at CT. Radiology 1990; 175: 145-150
  16. Takosugi JE, Godwin JD, Teefey SA. The extrapleural fat in empyema: CT appearance. Br J Radiol 1991; 64: 580-583.