Antonescu, I.S. (Ioana) (2020) DIAGNOSTISCHE BETROUWBAARHEID LONGECHOGRAFIE BIJ ZWANGEREN VERGELIJKBAAR MET NIET-ZWANGEREN. thesis, Medicine.
Full text available on request.Abstract
Background Diagnostic tools for evaluating pulmonary and cardiovascular pathology based on radiation should be used with caution in pregnant women. Among alternative imaging tests, pulmonary ultrasound is a promising technique. It has less contraindications and can safely be applied on the bedside of the patient. However, this diagnostic tool is not yet validated in pregnant women. The aim of this study is to evaluate the specificity of pulmonary ultrasound in healthy pregnant women compared to healthy non-pregnant women. Methods Pulmonary ultrasound was performed in both pregnant and non-pregnant women. Presence of (complaints) of pulmonary or cardiovascular pathology and less than 20 weeks of pregnancy 5 were among the exclusion criteria. The following items were assessed: A-lines, B-lines, comet tails, pleural effusion, sub pleural consolidation and hepatization. Presence of three or more B-lines, pleural effusion and/or sub pleural consolidation was interpreted as a false positive outcome after review of an expert. Results A total of 60 pulmonary ultrasound images were analyzed. None showed presence of three or more 3 B-lines or sub pleural consolidation. One ultrasound showed a spine sign. Thus, one ultrasound result was considered false positive for pleural effusion based on the spine sign. The specificity of pulmonary ultrasound for pleural effusion in the pregnant population in this study is 0.97. De specificity for pneumonia and pulmonary edema is 1.0. Conclusion In this study no differences in specificity of pulmonary ultrasound were found in pregnant women compared to non-pregnant women. This suggests applicability of pulmonary ultrasound to the pregnant population.
| Item Type: | Thesis (UNSPECIFIED) |
|---|---|
| Supervisor name: | Stekelenburg, Prof. Dr. J. and Lameijer, Dr. H. |
| Faculty: | Medical Sciences |
| Date Deposited: | 01 Aug 2023 11:11 |
| Last Modified: | 01 Aug 2023 11:11 |
| URI: | https://umcg.studenttheses.ub.rug.nl/id/eprint/3607 |
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