{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,21]],"date-time":"2026-05-21T02:30:18Z","timestamp":1779330618038,"version":"3.51.4"},"reference-count":34,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2019,8,2]],"date-time":"2019-08-02T00:00:00Z","timestamp":1564704000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Respirology"],"published-print":{"date-parts":[[2020,5]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Background and objective<\/jats:title><jats:p>The aim of this study was to assess the role of lung ultrasound (LUS) in a diagnostic algorithm of respiratory diseases, and to establish the accuracy of LUS compared with chest radiography (CXR).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Over a period of 2\u2009years, 509 consecutive patients admitted for respiratory\u2010related symptoms to both emergency and general medicine wards were enrolled and evaluated using LUS and CXR. LUS was conducted by expert operators who were blinded to the medical history and laboratory data. Computed tomography (CT) of the chest was performed in case of discordance between the CXR and LUS, suspected lung cancer and an inconclusive diagnosis. Diagnosis made by CT was considered the gold standard.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The difference in sensitivity and specificity between LUS and CXR as demonstrated by ROC curve analyses (LUS\u2010AUROC: 0.853; specificity: 81.6%; sensitivity: 93.9% vs CXR\u2010AUROC: 0.763; specificity: 57.4%; sensitivity: 96.3%) was significant (<jats:italic>P<\/jats:italic> =\u20090.001). Final diagnosis included 240 cases (47.2%) of pneumonia, 44 patients with cancer (8.6%), 20 patients with chronic obstructive pulmonary disease (COPD, 3.9%), 24 patients with heart failure (4.7%) and others (6.1%). In 108 patients (21.2%) with any lung pathology, a CT scan was performed with a positive diagnosis in 96 cases (88.9%); we found that CXR and LUS detected no abnormality in 24 (25%) and 5 (5.2%) cases, respectively. LUS was concordant with the final diagnosis (<jats:italic>P<\/jats:italic> &lt; 0.0001), and in healthy patients, there was a low percentage of false positives (5.9%).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The results support the routine use of LUS in the clinical context.<\/jats:p><\/jats:sec>","DOI":"10.1111\/resp.13659","type":"journal-article","created":{"date-parts":[[2019,8,2]],"date-time":"2019-08-02T14:22:03Z","timestamp":1564755723000},"page":"535-542","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":26,"title":["Relevance of lung ultrasound in the diagnostic algorithm of respiratory diseases in a real\u2010life setting: A multicentre prospective study"],"prefix":"10.1111","volume":"25","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6541-3821","authenticated-orcid":false,"given":"Luca","family":"Rinaldi","sequence":"first","affiliation":[{"name":"Department of Advanced Medical and Surgical Sciences University of Campania Luigi Vanvitelli  Napoli Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stefania","family":"Milione","sequence":"additional","affiliation":[{"name":"Department of Advanced Medical and Surgical Sciences University of Campania Luigi Vanvitelli  Napoli Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maria Chiara","family":"Fascione","sequence":"additional","affiliation":[{"name":"Department of Advanced Medical and Surgical Sciences University of Campania Luigi Vanvitelli  Napoli Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pia Clara","family":"Pafundi","sequence":"additional","affiliation":[{"name":"Department of Advanced Medical and Surgical Sciences University of Campania Luigi Vanvitelli  Napoli Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Concetta","family":"Altruda","sequence":"additional","affiliation":[{"name":"Emergency Medicine S. M. della Misericordia Hospital  Udine Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mafalda","family":"Di Caterino","sequence":"additional","affiliation":[{"name":"Department of Advanced Medical and Surgical Sciences University of Campania Luigi Vanvitelli  Napoli Italy"},{"name":"C.O.U. Medicine New Hospital of Marcianise  Marcianise Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lucio","family":"Monaco","sequence":"additional","affiliation":[{"name":"Department of Advanced Medical and Surgical Sciences University of Campania Luigi Vanvitelli  Napoli Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alfonso","family":"Reginelli","sequence":"additional","affiliation":[{"name":"Department of Precision Medicine University of Campania Luigi Vanvitelli  Napoli Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fabio","family":"Perrotta","sequence":"additional","affiliation":[{"name":"Department of Medicine and Health Sciences \u201cV. Tiberio\u201d University of Molise  Campobasso Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Giovanni","family":"Porta","sequence":"additional","affiliation":[{"name":"C.O.U. Emergency Medicine S. 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