CHEST Guidelines-Time-for-a-New-Consensus on Lung-Ultraso

Time-for-a-New-Consensus on Lung-Ultraso

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The text discusses two primary topics: the integration of EUS-FNA (Endoscopic Ultrasound-Guided Fine Needle Aspiration) procedures by pulmonologists and the application of lung ultrasonography in clinical diagnostics.<br /><br />Firstly, the article acknowledges the efforts of Drs. Annema and Konge in implementing EUS-FNA procedures conducted by pulmonologists, advocating for standardized training under expert supervision. Drs. Masahide Oki and Hideo Saka express hope that this practice will increase among pulmonologists, enhancing the diagnostic process for mediastinal lesions, such as in lung cancer staging, and that standardized training will be developed to maintain the procedure’s effectiveness. They highlight multiple studies supporting the clinical utility of EUS-FNA and emphasize the need for thorough training and supervision to optimize outcomes.<br /><br />Secondly, the text critiques a study by Bataille et al. which explored the diagnostic value of combined lung and cardiac ultrasonography. Drs. Martin Girard and Gabrielle Migner-Laurin from Montréal address concerns related to the diagnostic accuracy of lung ultrasonography when used alone, specifically for pneumonia and cardiogenic pulmonary edema. They note that specific echographic criteria might affect diagnostic outcomes, and emphasize the necessity for detailed imaging settings, as improper settings can affect the appearance of ultrasound findings like B lines, which are crucial for diagnosing pulmonary conditions. The authors question the imaging settings used in Bataille et al.'s study, suggesting this may have impacted the study’s results, and argue for clear standards to enhance diagnostic precision and prevent misdiagnoses in clinical practice.<br /><br />Overall, both discussions underline the importance of precise, standardized procedures and training in enhancing the effectiveness and reliability of diagnostic techniques in respiratory medicine.

Keywords

EUS-FNA

pulmonologists

lung ultrasonography

mediastinal lesions

lung cancer staging

standardized training

diagnostic accuracy

pneumonia

cardiogenic pulmonary edema

ultrasound findings