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Noninvasive Imaging Methods for Quantification of Pulmonary Edema and Congestion : A Systematic Review

Lindow, Thomas LU ; Quadrelli, Scott and Ugander, Martin LU (2023) In JACC: Cardiovascular Imaging 16(11). p.1469-1484
Abstract

Quantification of pulmonary edema and congestion is important to guide diagnosis and risk stratification, and to objectively evaluate new therapies in heart failure. Herein, we review the validation, diagnostic performance, and clinical utility of noninvasive imaging modalities in this setting, including chest x-ray, lung ultrasound (LUS), computed tomography (CT), nuclear medicine imaging methods (positron emission tomography [PET], single photon emission CT), and magnetic resonance imaging (MRI). LUS is a clinically useful bedside modality, and fully quantitative methods (CT, MRI, PET) are likely to be important contributors to a more accurate and precise evaluation of new heart failure therapies and for clinical use in conjunction... (More)

Quantification of pulmonary edema and congestion is important to guide diagnosis and risk stratification, and to objectively evaluate new therapies in heart failure. Herein, we review the validation, diagnostic performance, and clinical utility of noninvasive imaging modalities in this setting, including chest x-ray, lung ultrasound (LUS), computed tomography (CT), nuclear medicine imaging methods (positron emission tomography [PET], single photon emission CT), and magnetic resonance imaging (MRI). LUS is a clinically useful bedside modality, and fully quantitative methods (CT, MRI, PET) are likely to be important contributors to a more accurate and precise evaluation of new heart failure therapies and for clinical use in conjunction with cardiac imaging. There are only a limited number of studies evaluating pulmonary congestion during stress. Taken together, noninvasive imaging of pulmonary congestion provides utility for both clinical and research assessment, and continued refinement of methodologic accuracy, validation, and workflow has the potential to increase broader clinical adoption.

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author
; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
extravascular lung water, grading, lung water, pulmonary edema, review
in
JACC: Cardiovascular Imaging
volume
16
issue
11
pages
16 pages
publisher
Elsevier
external identifiers
  • pmid:37632500
  • scopus:85176508096
ISSN
1936-878X
DOI
10.1016/j.jcmg.2023.06.023
language
English
LU publication?
yes
id
6b493c7c-7f37-4cdc-be9a-c84386c9371c
date added to LUP
2024-01-08 14:01:25
date last changed
2024-04-23 09:38:24
@article{6b493c7c-7f37-4cdc-be9a-c84386c9371c,
  abstract     = {{<p>Quantification of pulmonary edema and congestion is important to guide diagnosis and risk stratification, and to objectively evaluate new therapies in heart failure. Herein, we review the validation, diagnostic performance, and clinical utility of noninvasive imaging modalities in this setting, including chest x-ray, lung ultrasound (LUS), computed tomography (CT), nuclear medicine imaging methods (positron emission tomography [PET], single photon emission CT), and magnetic resonance imaging (MRI). LUS is a clinically useful bedside modality, and fully quantitative methods (CT, MRI, PET) are likely to be important contributors to a more accurate and precise evaluation of new heart failure therapies and for clinical use in conjunction with cardiac imaging. There are only a limited number of studies evaluating pulmonary congestion during stress. Taken together, noninvasive imaging of pulmonary congestion provides utility for both clinical and research assessment, and continued refinement of methodologic accuracy, validation, and workflow has the potential to increase broader clinical adoption.</p>}},
  author       = {{Lindow, Thomas and Quadrelli, Scott and Ugander, Martin}},
  issn         = {{1936-878X}},
  keywords     = {{extravascular lung water; grading; lung water; pulmonary edema; review}},
  language     = {{eng}},
  number       = {{11}},
  pages        = {{1469--1484}},
  publisher    = {{Elsevier}},
  series       = {{JACC: Cardiovascular Imaging}},
  title        = {{Noninvasive Imaging Methods for Quantification of Pulmonary Edema and Congestion : A Systematic Review}},
  url          = {{http://dx.doi.org/10.1016/j.jcmg.2023.06.023}},
  doi          = {{10.1016/j.jcmg.2023.06.023}},
  volume       = {{16}},
  year         = {{2023}},
}