Evidence map›Paper›PMID 38472994›Full record

ArticleDiagnostics (Basel, Switzerland)2024

Parenchymal Cavitations in Pulmonary Tuberculosis: Comparison between Lung Ultrasound, Chest X-ray and Computed Tomography.

Diletta Cozzi, Maurizio Bartolucci, Federico Giannelli, Edoardo Cavigli, Irene Campolmi, Francesca Rinaldi, Vittorio Miele

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Diagnostics (Basel, Switzerland), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06409780 (Comparative Efficacy of Chest Ultrasound, Chest X-Ray and Computer-aided Diagnostic), which is not on this map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.3field-weighted citation impact, top 23% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT06409780 naunknown statusnot on this map

Comparative Efficacy of Chest Ultrasound, Chest X-Ray and Computer-aided Diagnostic (CAD) for Tuberculosis Diagnosis in Low-Resource Setting: A Cross-Sectional Study From Ethiopia (CUSTB)

TypeinterventionalSponsorUniversity of BariRan2024 to 2025Enrolled136ConditionsTuberculosis, PulmonaryArmsComparative analysis of CUS, CAD and CXR in pulmonary TB
3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 3 citations in OpenAlex.

  1. Article
  2. Review
  3. Review
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 1 country.

Diletta CozziRadiology Emergency Department, Careggi University Hospital, 50139 Florence, Italy.ORCID 0000-0001-7028-9047
Maurizio BartolucciDepartment of Radiology, Azienda USL Toscana Centro, 59100 Prato, Italy.
Federico GiannelliDepartment of Radiology, Azienda USL Toscana Centro, Mugello Hospital, 50032 Borgo San Lorenzo, Italy.
Edoardo CavigliRadiology Emergency Department, Careggi University Hospital, 50139 Florence, Italy.ORCID 0000-0002-2078-0222
Irene CampolmiDepartment of Infectious and Tropical Diseases, Careggi University Hospital, 50134 Florence, Italy.
Francesca RinaldiDepartment of Infectious Diseases, Azienda Ospedaliero Universitaria Maggiore della Carità, 28100 Novara, Italy.
Vittorio MieleRadiology Emergency Department, Careggi University Hospital, 50139 Florence, Italy.ORCID 0000-0002-7848-1567
Azienda Ospedaliero-Universitaria Careggi · ITAzienda Usl Toscana Centro · ITUniversità degli Studi del Piemonte Orientale “Amedeo Avogadro” · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This article aims to detect lung cavitations using lung ultrasound (LUS) in a cohort of patients with pulmonary tuberculosis (TB) and correlate the findings with chest computed tomography (CT) and chest X-ray (CXR) to obtain LUS diagnostic sensitivity. Patients with suspected TB were enrolled after being evaluated with CXR and chest CT. A blinded radiologist performed LUS within 3 days after admission at the Infectious Diseases Department. Finally, 82 patients were enrolled in this study. Bronchoalveolar lavage (BAL) confirmed TB in 58/82 (71%). Chest CT showed pulmonary cavitations in 38/82 (43.6%; 32 TB patients and 6 non-TB ones), LUS in 15/82 (18.3%; 11 TB patients and 4 non-TB ones) and CXR in 27/82 (33%; 23 TB patients and 4 non-TB ones). Twelve patients with multiple cavitations were detected with CT and only one with LUS. LUS sensitivity was 39.5%, specificity 100%, PPV 100% and NPV 65.7%. CXR sensitivity was 68.4% and specificity 97.8%. No false positive cases were found. LUS sensitivity was rather low, as many cavitated consolidations did not reach the pleural surface. Aerated cavitations could be detected with LUS with relative confidence, highlighting a thin air crescent sign towards the pleural surface within a hypoechoic area of consolidation, easily distinguishable from a dynamic or static air bronchogram.

Indexed as

chest X-raycomputed tomographyinfectionlung ultrasoundtuberculosis

Identifiers

PMID38472994
PMCPMC10930917
OpenAlexW4392358407

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.