Elastography Versus B-Mode Lung Ultrasound for the Diagnosis of Iatrogenic Pneumothorax: An Observational, Monocentric, Prospective Study Article Swipe
Gian Piero Bandelli
,
Ilaria Bassi
,
Alessandro Zanforlin
,
Riccardo Inchingolo
,
Martina Ferioli
,
Alessandro Cipolli
,
Arianna Johanna De Grauw
,
Marco Ferrari
,
Thomas Galasso
,
Filippo Natali
,
Tommaso Abbate
,
Francesco Buia
,
Domenico Attinà
,
Fabio Niro
,
Luciana Ingraldi
,
Elena Nardi
,
Luigi Lovato
,
Piero Candoli
·
YOU?
·
· 2025
· Open Access
·
· DOI: https://doi.org/10.3390/jcm14092978
YOU?
·
· 2025
· Open Access
·
· DOI: https://doi.org/10.3390/jcm14092978
Background: Thoracic ultrasound (TUS) has emerged as a viable alternative of computed tomography (CT) for pneumothorax diagnosis. Ultrasound elastography (USE), a technique assessing tissue elasticity, has recently been proposed as a novel tool for pneumothorax evaluation. Methods: This prospective, monocentric, observational study aimed to compare the diagnostic accuracy of static and dynamic USE with TUS in detecting iatrogenic pneumothorax after CT-guided transthoracic needle aspiration (TTNA). Results: Thirty-two patients were enrolled, with pneumothorax confirmed via CT in 40.63% of cases. The results showed that elastographic-mode images had significantly higher sensitivity (76.9% vs. 21.2%, p < 0.001) and improved positive and negative predictive values (67.8% vs. 52.4%, p-value 0.01, 82.6% vs. 61.7%, p-value < 0.001, respectively), compared to B-mode images. Concordance between expert and non-expert evaluators was also higher for elastographic images, suggesting improved interpretability. However, dynamic USE did not demonstrate a statistically significant advantage over B-mode videos. Conclusions: These findings suggest that USE may enhance static ultrasound-based pneumothorax detection and provide an objective imaging marker for reports. Further multicenter studies are needed to confirm these findings and explore the potential role of USE in other settings.
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Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.3390/jcm14092978
- OA Status
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- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4409804866
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W4409804866Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.3390/jcm14092978Digital Object Identifier
- Title
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Elastography Versus B-Mode Lung Ultrasound for the Diagnosis of Iatrogenic Pneumothorax: An Observational, Monocentric, Prospective StudyWork title
- Type
-
articleOpenAlex work type
- Language
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enPrimary language
- Publication year
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2025Year of publication
- Publication date
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2025-04-25Full publication date if available
- Authors
-
Gian Piero Bandelli, Ilaria Bassi, Alessandro Zanforlin, Riccardo Inchingolo, Martina Ferioli, Alessandro Cipolli, Arianna Johanna De Grauw, Marco Ferrari, Thomas Galasso, Filippo Natali, Tommaso Abbate, Francesco Buia, Domenico Attinà, Fabio Niro, Luciana Ingraldi, Elena Nardi, Luigi Lovato, Piero CandoliList of authors in order
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https://doi.org/10.3390/jcm14092978Publisher landing page
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YesWhether a free full text is available
- OA status
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goldOpen access status per OpenAlex
- OA URL
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https://doi.org/10.3390/jcm14092978Direct OA link when available
- Concepts
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Medicine, Pneumothorax, Observational study, Lung ultrasound, Radiology, Prospective cohort study, Ultrasound, Lung, Surgery, Internal medicineTop concepts (fields/topics) attached by OpenAlex
- Cited by
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0Total citation count in OpenAlex
- Related works (count)
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10Other works algorithmically related by OpenAlex
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| abstract_inverted_index.82.6% | 107 |
| abstract_inverted_index.These | 147 |
| abstract_inverted_index.after | 59 |
| abstract_inverted_index.aimed | 42 |
| abstract_inverted_index.novel | 31 |
| abstract_inverted_index.other | 183 |
| abstract_inverted_index.study | 41 |
| abstract_inverted_index.these | 173 |
| abstract_inverted_index.(67.8% | 102 |
| abstract_inverted_index.(76.9% | 89 |
| abstract_inverted_index.(USE), | 19 |
| abstract_inverted_index.0.001) | 94 |
| abstract_inverted_index.0.001, | 112 |
| abstract_inverted_index.21.2%, | 91 |
| abstract_inverted_index.40.63% | 76 |
| abstract_inverted_index.52.4%, | 104 |
| abstract_inverted_index.61.7%, | 109 |
| abstract_inverted_index.B-mode | 116, 144 |
| abstract_inverted_index.cases. | 78 |
| abstract_inverted_index.expert | 120 |
| abstract_inverted_index.higher | 87, 126 |
| abstract_inverted_index.images | 84 |
| abstract_inverted_index.marker | 163 |
| abstract_inverted_index.needed | 170 |
| abstract_inverted_index.needle | 62 |
| abstract_inverted_index.showed | 81 |
| abstract_inverted_index.static | 49, 154 |
| abstract_inverted_index.tissue | 23 |
| abstract_inverted_index.values | 101 |
| abstract_inverted_index.viable | 8 |
| abstract_inverted_index.(TTNA). | 64 |
| abstract_inverted_index.Further | 166 |
| abstract_inverted_index.between | 119 |
| abstract_inverted_index.compare | 44 |
| abstract_inverted_index.confirm | 172 |
| abstract_inverted_index.dynamic | 51, 134 |
| abstract_inverted_index.emerged | 5 |
| abstract_inverted_index.enhance | 153 |
| abstract_inverted_index.explore | 176 |
| abstract_inverted_index.images, | 129 |
| abstract_inverted_index.images. | 117 |
| abstract_inverted_index.imaging | 162 |
| abstract_inverted_index.p-value | 105, 110 |
| abstract_inverted_index.provide | 159 |
| abstract_inverted_index.results | 80 |
| abstract_inverted_index.studies | 168 |
| abstract_inverted_index.suggest | 149 |
| abstract_inverted_index.videos. | 145 |
| abstract_inverted_index.However, | 133 |
| abstract_inverted_index.Methods: | 36 |
| abstract_inverted_index.Results: | 65 |
| abstract_inverted_index.Thoracic | 1 |
| abstract_inverted_index.accuracy | 47 |
| abstract_inverted_index.compared | 114 |
| abstract_inverted_index.computed | 11 |
| abstract_inverted_index.findings | 148, 174 |
| abstract_inverted_index.improved | 96, 131 |
| abstract_inverted_index.negative | 99 |
| abstract_inverted_index.patients | 67 |
| abstract_inverted_index.positive | 97 |
| abstract_inverted_index.proposed | 28 |
| abstract_inverted_index.recently | 26 |
| abstract_inverted_index.reports. | 165 |
| abstract_inverted_index.CT-guided | 60 |
| abstract_inverted_index.advantage | 142 |
| abstract_inverted_index.assessing | 22 |
| abstract_inverted_index.confirmed | 72 |
| abstract_inverted_index.detecting | 56 |
| abstract_inverted_index.detection | 157 |
| abstract_inverted_index.enrolled, | 69 |
| abstract_inverted_index.objective | 161 |
| abstract_inverted_index.potential | 178 |
| abstract_inverted_index.settings. | 184 |
| abstract_inverted_index.technique | 21 |
| abstract_inverted_index.Thirty-two | 66 |
| abstract_inverted_index.Ultrasound | 17 |
| abstract_inverted_index.aspiration | 63 |
| abstract_inverted_index.diagnosis. | 16 |
| abstract_inverted_index.diagnostic | 46 |
| abstract_inverted_index.evaluators | 123 |
| abstract_inverted_index.iatrogenic | 57 |
| abstract_inverted_index.non-expert | 122 |
| abstract_inverted_index.predictive | 100 |
| abstract_inverted_index.suggesting | 130 |
| abstract_inverted_index.tomography | 12 |
| abstract_inverted_index.ultrasound | 2 |
| abstract_inverted_index.Background: | 0 |
| abstract_inverted_index.Concordance | 118 |
| abstract_inverted_index.alternative | 9 |
| abstract_inverted_index.demonstrate | 138 |
| abstract_inverted_index.elasticity, | 24 |
| abstract_inverted_index.evaluation. | 35 |
| abstract_inverted_index.multicenter | 167 |
| abstract_inverted_index.sensitivity | 88 |
| abstract_inverted_index.significant | 141 |
| abstract_inverted_index.Conclusions: | 146 |
| abstract_inverted_index.elastography | 18 |
| abstract_inverted_index.monocentric, | 39 |
| abstract_inverted_index.pneumothorax | 15, 34, 58, 71, 156 |
| abstract_inverted_index.prospective, | 38 |
| abstract_inverted_index.elastographic | 128 |
| abstract_inverted_index.observational | 40 |
| abstract_inverted_index.significantly | 86 |
| abstract_inverted_index.statistically | 140 |
| abstract_inverted_index.transthoracic | 61 |
| abstract_inverted_index.respectively), | 113 |
| abstract_inverted_index.ultrasound-based | 155 |
| abstract_inverted_index.interpretability. | 132 |
| abstract_inverted_index.elastographic-mode | 83 |
| cited_by_percentile_year | |
| countries_distinct_count | 1 |
| institutions_distinct_count | 18 |
| citation_normalized_percentile.value | 0.1820725 |
| citation_normalized_percentile.is_in_top_1_percent | False |
| citation_normalized_percentile.is_in_top_10_percent | False |