PMID- 34277772
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20220424
IS  - 2305-5839 (Print)
IS  - 2305-5847 (Electronic)
IS  - 2305-5839 (Linking)
VI  - 9
IP  - 12
DP  - 2021 Jun
TI  - The role of ultrasound in determining the amount of pleural effusion.
PG  - 972
LID - 10.21037/atm-21-2214 [doi]
LID - 972
AB  - BACKGROUND: There is no standardized system to evaluate pleural effusion size on 
      ultrasound (US). We aimed to explore the role of US in determining the amount of 
      pleural effusion, with an attempt to provide evidence for clinical efficacy 
      evaluation and treatment program selection. METHODS: A total of 98 patients 
      undergoing thoracoscopy at our center were enrolled in this study. The patients 
      take a sitting position, then the maximum depths of the pleural effusion by US at 
      the subscapular line, posterior axillary line, midaxillary line, anterior 
      axillary line, and midclavicular line, as well as the maximum thickness of the 
      pleural effusion at the subscapular line, were measured before pleural effusion 
      drainage. Then, the corresponding values in the lateral position were also 
      measured. The relationships between the actual pleural effusion amounts and the 
      measurements at these lines were analyzed using the multivariate linear 
      regression model (MLRM). RESULTS: The regression equation of the group with a 
      pleural effusion amount of 500-1,000 mL in the sitting position showed 
      statistical significance (P=0.001). The P values of the maximum depths at the 
      subscapular line (X(1)) and midclavicular line (X(5)) and the maximum thickness 
      at the subscapular line (X(6)) were below 0.05. Thus, a final model was 
      established using X(1), X(5), and X(6) as the independent variables. CONCLUSIONS: 
      The combination of US examination and MLRM enables the quantitative determination 
      of pleural effusion.
CI  - 2021 Annals of Translational Medicine. All rights reserved.
FAU - Liang, Xiao-Ning
AU  - Liang XN
AD  - Departments of Ultrasound Medicine, Beijing Chaoyang Hospital, Capital Medical 
      University, Beijing, China.
FAU - Lv, Chao-Yang
AU  - Lv CY
AD  - Departments of Ultrasound Medicine, Beijing Chaoyang Hospital, Capital Medical 
      University, Beijing, China.
FAU - Shi, Huan-Zhong
AU  - Shi HZ
AD  - Departments of Respiratory, Beijing Chaoyang Hospital, Capital Medical 
      University, Beijing, China.
FAU - Guo, Rui-Jun
AU  - Guo RJ
AD  - Departments of Ultrasound Medicine, Beijing Chaoyang Hospital, Capital Medical 
      University, Beijing, China.
FAU - Li, Shuo
AU  - Li S
AD  - Departments of Ultrasound Medicine, Beijing Chaoyang Hospital, Capital Medical 
      University, Beijing, China.
LA  - eng
PT  - Journal Article
PL  - China
TA  - Ann Transl Med
JT  - Annals of translational medicine
JID - 101617978
PMC - PMC8267331
OTO - NOTNLM
OT  - Pleural effusion
OT  - logistic regression
OT  - ultrasound (US)
COIS- Conflicts of Interest: All authors have completed the ICMJE uniform disclosure 
      form (available at https://dx.doi.org/10.21037/atm-21-2214). The authors have no 
      conflicts of interest to declare.
EDAT- 2021/07/20 06:00
MHDA- 2021/07/20 06:01
PMCR- 2021/06/01
CRDT- 2021/07/19 06:01
PHST- 2021/03/31 00:00 [received]
PHST- 2021/06/15 00:00 [accepted]
PHST- 2021/07/19 06:01 [entrez]
PHST- 2021/07/20 06:00 [pubmed]
PHST- 2021/07/20 06:01 [medline]
PHST- 2021/06/01 00:00 [pmc-release]
AID - atm-09-12-972 [pii]
AID - 10.21037/atm-21-2214 [doi]
PST - ppublish
SO  - Ann Transl Med. 2021 Jun;9(12):972. doi: 10.21037/atm-21-2214.