Ultrasound and interstitial lung disease: use and limitations

  • Elisabettamaria FrongilloEmail author
  • Giulia Gaudioso
  • Beatrice Feragalli
Letter to the Editor


The Connective Tissue Diseases (CTDs)-related Interstitial Lung Disease (ILD) early diagnosis by Transthoracic Ultrasound (TUS) still arises several issues. Gutierrez et al. clearly underlined the current role of ultrasound artifacts for ILD definition according to some Authors. In this Letter to the Editor, we would like to highlight the proper role of TUS and its pitfalls.


Ultrasound Interstitial lung disease B-lines 


Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interest

Ethical approval

This article does not contain any studies with human participants or animals performed by any of the authors.

Informed consent

No informed consent collection was necessary for this article


  1. 1.
    Gutierrez M, Tardella M, Rodriguez L, Mendoza J, Clavijo-Cornejo D, García A, Bertolazzi C (2019) Ultrasound as a potential tool for the assessment of interstitial lung disease in rheumatic patients. Where are we now? Radiol Med. CrossRefPubMedGoogle Scholar
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    Sperandeo M, De Cata A, Molinaro F, Trovato FM, Catalano D, Simeone A, Varriale A, Martines GF, Trovato G (2015) Ultrasound signs of pulmonary fibrosis in systemic sclerosis as timely indicators for chest computed tomography”. Scand J Rheumatol 44(5):389–398. CrossRefPubMedGoogle Scholar
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    Sperandeo M, Rotondo A, Guglielmi G, Catalano D, Feragalli B, Trovato GM (2014) Transthoracic ultrasound in the assessment of pleural and pulmonary diseases: use and limitations. Radiol Med 119(10):729–740CrossRefPubMedGoogle Scholar
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    Cavaliere F, Zamparelli R, Soave MP, Gargaruti R, Scapigliati A, De Pauli S (2014) Ultrasound artifacts mimicking pleural sliding after pneumonectomy. J. Clin Anesthesiol. 26:131–135CrossRefGoogle Scholar
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    Sperandeo M, Frongillo E, Dimitri LMC, Simeone A, De Cosmo S, Taurchini M, Cipriani C (2019) Video-assisted thoracic surgery ultrasound (VATS-US) in the evaluation of subpleural disease: preliminary report of a systematic study. J Ultrasound. CrossRefPubMedGoogle Scholar

Copyright information

© Italian Society of Medical Radiology 2019

Authors and Affiliations

  1. 1.Unit of Thoracic SurgeryCliniche Humanitas GavazzeniBergamoItaly
  2. 2.Department of Respiratory DiseasesUniversity of BariBariItaly
  3. 3.Unit of Interventional Ultrasound of Internal MedicineIRCCS Fondazione Casa Sollievo della SofferenzaSan Giovanni RotondoItaly
  4. 4.Department of Medical ScienceChieti-Pescara UniversityChietiItaly

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