Neoplasms

Respiratory Tract (Lung and Bronchial) Diseases

All Conditions

Heart and Blood Diseases

Symptoms and General Pathology

Infections

Nervous System Diseases

Lung Neoplasms

Pulmonary Embolism

Embolism

Pain

Pneumonia

Chest Pain

Pleurisy

Lung Diseases

Respiratory Tract Diseases

Communicable Diseases

Respiratory Tract Infections

Thrombosis

Embolism and Thrombosis

Vascular Diseases

Neurologic Manifestations

Pleural Diseases

Study investigators will perform lung ultrasound in each patient with pleuritic chest pain at inclusion

Lung ultrasonography performed and interpreted by a physician (Pulmonologist or Emergency Physician) possessing specific knowledge in the procedure and a training of at least 100 thoracic ultrasonographies in accordance to a prespecified protocol.

Lung ultrasound

Giuseppe Francesco Sferrazza Papa, M.D.

Stefano Centanni, M.D, Ph.D.

Giovanni Volpicelli, M.D.

Chest pain is an alarming symptom and one of the most frequent causes of access to the Emergency Departement. Although chest X-ray remains an essential step in the diagnostic process, several studies showed numerous limitations of radiography which frequently is inconclusive. Ultrasonography is a non-radiating imaging technique. Albeit a wide use of ultrasound, the utilization of ultrasound in the study of the lung has only recently been introduced in the clinical practice. Several studies proved that lung ultrasound is useful in the diagnosis of lung consolidation in community acquired pneumonia. Nowadays, ultrasound is not routinely used in the presence of chest pain. Our hypothesis based on clinical experience is that, in patients with pleuritic chest pain, lung ultrasound is very sensitive in detecting pneumonia and other lung diseases (such as pneumothorax) thus performing better than radiography. The primary aim of this study is to verify, in patients affected by pleuritic chest pain, the accuracy of lung ultrasound compared to chest-X-ray. The secondary aim is to evaluate the accuracy of lung ultrasound consolidations in distinguishing lung consolidation in pneumonia, atelectasis, pulmonary infarction, or tumors.

Lung Ultrasound in Pleuritic Chest Pain

Lung Ultrasound in Pleuritic Chest Pain: a Multicenter, Prospective, Diagnostic Accuracy Study.

Sensitivity and specificity, positive and negative predictive values of lung ultrasound in pneumonia, chest wall pain, lung cancer, pulmonary embolism or other causes in patients presenting with pleuritic chest pain.

Accuracy of ultrasound in differentiating consolidation in distinguishing lung consolidation in pneumonia, atelectasis, pulmonary infarction, tumors or other diseases with respect to the final diagnosis stated by a scientific committee.

University of Milan

M.D., Ph.D.

Study title	NCT ID	Conditions	Interventions	Eligibility	Organization	Link
Lung Ultrasound in Pleuritic Chest Pain	NCT02107001	Community Acqui... Pleuritis Pulmonary Embol... Lung Cancer	Lung ultrasound	18 Years -	University of Milan
Lung Ultrasound in Pleuritic Chest Pain	NCT02107001	Community Acqui... Pleuritis Pulmonary Embol... Lung Cancer	Lung ultrasound	18 Years -	University of Milan

Spots Global Cancer Trial Database for community acquired pneumonia