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Overview of current lung imaging in acute respiratory distress syndrome

Maurizio Zompatori, Federica Ciccarese, Luca Fasano
European Respiratory Review 2014 23: 519-530; DOI: 10.1183/09059180.00001314
Maurizio Zompatori
1Radiology Unit, Cardio-Thoracic-Vascular Dept, University Hospital S. Orsola-Malpighi, Bologna, Italy. 2Pneumology and Intensive Respiratory Care Unit, Cardio-Thoracic-Vascular Dept, University Hospital S. Orsola-Malpighi, Bologna, Italy
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  • For correspondence: maurizio.zompatori@unibo.it
Federica Ciccarese
1Radiology Unit, Cardio-Thoracic-Vascular Dept, University Hospital S. Orsola-Malpighi, Bologna, Italy. 2Pneumology and Intensive Respiratory Care Unit, Cardio-Thoracic-Vascular Dept, University Hospital S. Orsola-Malpighi, Bologna, Italy
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Luca Fasano
1Radiology Unit, Cardio-Thoracic-Vascular Dept, University Hospital S. Orsola-Malpighi, Bologna, Italy. 2Pneumology and Intensive Respiratory Care Unit, Cardio-Thoracic-Vascular Dept, University Hospital S. Orsola-Malpighi, Bologna, Italy
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Abstract

Imaging plays a key role in the diagnosis and follow-up of acute respiratory distress syndrome (ARDS). Chest radiography, bedside lung ultrasonography and computed tomography scans can provide useful information for the management of patients and detection of prognostic factors. However, imaging findings are not specific and several possible differential diagnoses should be taken into account. Herein we will review the role of radiological techniques in ARDS, highlight the plain radiological and computed tomography findings according to the pathological stage of the disease (exudative, inflammatory and fibroproliferative), and summarise the main points for the differential diagnosis with cardiogenic oedema, which is still challenging in the acute stage.

Footnotes

  • Previous articles in the Series. No. 1: Guérin C. Prone ventilation in acute respiratory distress. Eur Respir Rev 2014; 23: 249–257. No. 2: Finney SJ. Extracorporeal support for patients with acute respiratory distress syndrome. Eur Respir Rev 2014; 23: 379–389.

  • Provenance: Submitted article, peer-reviewed.

  • Conflict of interest: None declared.

  • Received February 9, 2014.
  • Accepted April 27, 2014.
  • ©ERS 2014

ERR articles are open access and distributed under the terms of the Creative Commons Attribution Non-Commercial Licence 4.0.

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Overview of current lung imaging in acute respiratory distress syndrome
Maurizio Zompatori, Federica Ciccarese, Luca Fasano
European Respiratory Review Dec 2014, 23 (134) 519-530; DOI: 10.1183/09059180.00001314

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Overview of current lung imaging in acute respiratory distress syndrome
Maurizio Zompatori, Federica Ciccarese, Luca Fasano
European Respiratory Review Dec 2014, 23 (134) 519-530; DOI: 10.1183/09059180.00001314
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