{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T01:57:59Z","timestamp":1788227879983,"version":"build-2803163510"},"reference-count":34,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2020,10,21]],"date-time":"2020-10-21T00:00:00Z","timestamp":1603238400000},"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":["J Vet Emergen Crit Care"],"published-print":{"date-parts":[[2020,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To determine the accuracy of lung ultrasound (LUS) using the Veterinary Bedside Lung Ultrasound Examination (VetBLUE) protocol and 3\u2010view thoracic radiographs (TXR) compared to thoracic computed tomography (TCT) for diagnosing the presence and quantification of pulmonary contusions (PC).<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>Prospective cohort study conducted from February 2017 to June 2018.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting<\/jats:title><jats:p>Private emergency and referral center.<\/jats:p><\/jats:sec><jats:sec><jats:title>Animals<\/jats:title><jats:p>Thirty\u2010two dogs having sustained motor vehicle trauma were consecutively enrolled. Three dogs were excluded from statistical analysis. All dogs survived to hospital discharge.<\/jats:p><\/jats:sec><jats:sec><jats:title>Interventions<\/jats:title><jats:p>Within 24\u00a0hours of sustaining trauma, dogs had LUS, TXR, and TCT performed. Using the VetBLUE protocol, LUS PC were scored according to the presence and number of B\u2010lines and C\u2010lines, indicating extravascular lung water. Thoracic radiographs and TCT were scored for PC in a similar topographical pattern to the VetBLUE protocol. Lung ultrasound and TXR were compared to \u201cgold standard\u201d TCT for the presence and quantification of PC.<\/jats:p><\/jats:sec><jats:sec><jats:title>Measurements and Main Results<\/jats:title><jats:p>On TCT, 21 of 29 (72.4%) dogs were positive and 8 of 29 (27.6%) dogs were negative for PC. When LUS was compared to TCT, 19 of 21 dogs were positive for PC (90.5% sensitivity) and 7 of 8 dogs were negative (87.5% specificity) for PC. LUS PC score correlated strongly with TCT PC score (R\u00a0=\u00a00.8, <jats:italic>P\u00a0<\/jats:italic>&lt;\u00a00.001). When TXR was compared to TCT, 14 of 21 dogs were positive for PC (66.7% sensitivity) and 7 of 8 dogs were negative (87.5% specificity) for PC. TXR PC score correlated strongly with TCT PC score (R\u00a0=\u00a00.74, <jats:italic>P\u00a0<\/jats:italic>&lt;\u00a00.001).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>In this population of dogs with motor vehicle trauma, LUS had high sensitivity for diagnosis of PC when compared to \u201cgold standard\u201d TCT. LUS provides reliable diagnosis of PC after trauma. More patients with PC were identified with LUS than with TXR, and additional studies are warranted to determine whether this increased sensitivity is statistically significant.<\/jats:p><\/jats:sec>","DOI":"10.1111\/vec.13021","type":"journal-article","created":{"date-parts":[[2020,10,21]],"date-time":"2020-10-21T14:00:01Z","timestamp":1603288801000},"page":"638-646","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":30,"title":["Diagnosis of pulmonary contusions with point\u2010of\u2010care lung ultrasonography and thoracic radiography compared to thoracic computed tomography in dogs with motor vehicle trauma: 29 cases (2017\u20102018)"],"prefix":"10.1111","volume":"30","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2662-7907","authenticated-orcid":false,"given":"Samuel A.","family":"Dicker","sequence":"first","affiliation":[{"name":"Ocean State Veterinary Specialists  East Greenwich RI"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6266-3430","authenticated-orcid":false,"given":"Gregory R.","family":"Lisciandro","sequence":"additional","affiliation":[{"name":"Hill Country Veterinary Specialists  Spicewood TX"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Susan M.","family":"Newell","sequence":"additional","affiliation":[{"name":"Ocean State Veterinary Specialists  East Greenwich RI"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Justine A.","family":"Johnson","sequence":"additional","affiliation":[{"name":"Ocean State Veterinary Specialists  East Greenwich RI"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,10,21]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1476-4431.1999.tb00074.x"},{"issue":"11","key":"e_1_2_10_3_1","doi-asserted-by":"crossref","first-page":"1054","DOI":"10.1177\/000313480907501105","article-title":"Critical evaluation of pulmonary contusion in the early post\u2010traumatic period: risk of assisted ventilation","volume":"75","author":"Hamrick MC","year":"2009","journal-title":"Am Surg"},{"issue":"6","key":"e_1_2_10_4_1","doi-asserted-by":"crossref","first-page":"1977","DOI":"10.1016\/j.athoracsur.2011.05.020","article-title":"The value of pulmonary contusion volume measurements with three\u2010dimensional computed tomography in predicting acute respiratory distress syndrome development","volume":"92","author":"Wang S","year":"2009","journal-title":"Ann Thorac Surg"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1476-4431.2004.04024.x"},{"issue":"3","key":"e_1_2_10_6_1","doi-asserted-by":"crossref","first-page":"417","DOI":"10.1097\/00004728-198905000-00008","article-title":"Pulmonary contusion: CT vs plain radiogram","volume":"13","author":"Schild H","year":"1989","journal-title":"J Comput Assist Tomogr"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1378\/chest.11-0208"},{"issue":"3","key":"e_1_2_10_8_1","doi-asserted-by":"crossref","first-page":"361","DOI":"10.1097\/00005373-199903000-00001","article-title":"Early and late acute respiratory distress syndrome: two distinct clinical entities","volume":"46","author":"Croce MA","year":"1999","journal-title":"J Trauma"},{"issue":"6","key":"e_1_2_10_9_1","first-page":"1173","article-title":"Do we really need routine computed tomographic scanning in the primary evaluation of blunt chest trauma in patients with \u201cnormal\u201d chest radiograph?","volume":"51","author":"Exadaktylos AK","year":"2001","journal-title":"J Trauma"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajem.2006.02.013"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1378\/chest.130.2.533"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1378\/chest.07-2800"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00134-012-2513-4"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1097\/TA.0b013e3180600949"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1476-4431.2011.00626.x"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.1111\/vru.12122"},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cvsm.2013.03.011"},{"key":"e_1_2_10_18_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1476-4431.2008.00312.x"},{"key":"e_1_2_10_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjcard.2004.02.012"},{"key":"e_1_2_10_20_1","doi-asserted-by":"publisher","DOI":"10.1111\/jvim.14692"},{"key":"e_1_2_10_21_1","doi-asserted-by":"publisher","DOI":"10.1111\/vec.12637"},{"key":"e_1_2_10_22_1","doi-asserted-by":"publisher","DOI":"10.1002\/9781118760772"},{"key":"e_1_2_10_23_1","doi-asserted-by":"publisher","DOI":"10.2460\/javma.250.6.666"},{"key":"e_1_2_10_24_1","doi-asserted-by":"publisher","DOI":"10.1111\/vec.12750"},{"key":"e_1_2_10_25_1","doi-asserted-by":"publisher","DOI":"10.1111\/vru.12151"},{"key":"e_1_2_10_26_1","doi-asserted-by":"publisher","DOI":"10.1111\/jsap.12968"},{"issue":"2","key":"e_1_2_10_27_1","doi-asserted-by":"crossref","first-page":"251","DOI":"10.4103\/0974-2700.82215","article-title":"Ventilation in chest trauma","volume":"4","author":"Richter T","year":"2011","journal-title":"J Emerg Trauma Shock"},{"key":"e_1_2_10_28_1","doi-asserted-by":"publisher","DOI":"10.2460\/ajvr.71.8.867"},{"issue":"5","key":"e_1_2_10_29_1","doi-asserted-by":"crossref","first-page":"496","DOI":"10.2460\/ajvr.79.5.496","article-title":"Respiratory effects of low versus high tidal volume with or without positive end\u2010expiratory pressure in anesthetized dogs with healthy lungs","volume":"79","author":"Monte VD","year":"2018","journal-title":"Am J Vet Res"},{"key":"e_1_2_10_30_1","first-page":"S15","article-title":"Use of Vet BLUE protocol for the detection of lung atelectasis and sonographic gallbladder wall evaluation for anaphylaxis and volume overload in 63 dogs undergoing general anesthesia","volume":"28","author":"Lisciandro GR","year":"2018","journal-title":"J Vet Emerg Crit Care"},{"key":"e_1_2_10_31_1","first-page":"S8","article-title":"Pilot study: vet BLUE profiles pre\u2010 and post\u2010anesthesia in 31 dogs undergoing surgical sterilization","volume":"25","author":"Lisciandro GR","year":"2015","journal-title":"J Vet Emerg Crit Care"},{"issue":"2","key":"e_1_2_10_32_1","first-page":"S11","article-title":"Evaluation of initial and serial combination focused assessment with sonography for trauma (CFAST) examination of the thorax (TFAST) and abdomen (AFAST) with the application of an abdominal fluid scoring system in 49 traumatized cats","volume":"22","author":"Lisciandro GR","year":"2012","journal-title":"J Vet Emerg Crit Care"},{"key":"e_1_2_10_33_1","doi-asserted-by":"publisher","DOI":"10.1111\/vec.12732"},{"issue":"10","key":"e_1_2_10_34_1","first-page":"985","article-title":"Radiographic evaluation of positional atelectasis in sedated dogs breathing room air versus 100% oxygen","volume":"55","author":"Barletta M","year":"2014","journal-title":"Can Vet J"},{"key":"e_1_2_10_35_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.tvjl.2018.10.007"}],"container-title":["Journal of Veterinary Emergency and Critical Care"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/vec.13021","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/vec.13021","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/vec.13021","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,4]],"date-time":"2023-09-04T08:14:13Z","timestamp":1693815253000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/vec.13021"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,10,21]]},"references-count":34,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2020,11]]}},"alternative-id":["10.1111\/vec.13021"],"URL":"https:\/\/doi.org\/10.1111\/vec.13021","archive":["Portico"],"relation":{},"ISSN":["1479-3261","1476-4431"],"issn-type":[{"value":"1479-3261","type":"print"},{"value":"1476-4431","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,10,21]]},"assertion":[{"value":"2018-11-27","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2019-05-10","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2020-10-21","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}