Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Guideline
. 2023 Apr 25;13(9):1535.
doi: 10.3390/diagnostics13091535.

Thoracic UltrasONOgraphy Reporting: The TUONO Consensus

Italo Calamai  1 , Massimiliano Greco  2   3 , Marzia Savi  2   3 , Gaia Vitiello  4 , Elena Garbero  4 , Rosario Spina  1 , Luigi Pisani  5   6 , Silvia Mongodi  7 , Stefano Finazzi  8 , On Behalf Of The Tuono Study Investigators  8
Affiliations
Guideline

Thoracic UltrasONOgraphy Reporting: The TUONO Consensus

Italo Calamai et al. Diagnostics (Basel). .

Abstract

The widespread use of the lung ultrasound (LUS) has not been followed by the development of a comprehensive standardized tool for its reporting in the intensive care unit (ICU) which could be useful to promote consistency and reproducibility during clinical examination. This work aims to define the essential features to be included in a standardized reporting tool and provides a structured model form to fully express the diagnostic potential of LUS and facilitate intensivists in the use of a LUS in everyday clinical ICU examination. We conducted a modified Delphi process to build consensus on the items to be integrated in a standardized report form and on its structure. A committee of 19 critical care physicians from 19 participating ICUs in Italy was formed, including intensivists experienced in ultrasound from both teaching hospitals and referral hospitals, and internationally renowned experts on the LUS. The consensus for 31 statements out of 33 was reached at the third Delphi round. A structured model form was developed based on the approved statements. The development of a standardized model as a backbone to report a LUS may facilitate the guidelines' application in clinical practice and increase inter-operator agreement. Further studies are needed to evaluate the effects of standardized reports in critically ill patients.

Keywords: consensus; lung ultrasound; modified Delphi; point-of-care; report.

PubMed Disclaimer

Conflict of interest statement

The authors declare no conflict of interest.

Figures

Figure 1
Figure 1
Modified Delphi process.
See this image and copyright information in PMC

Similar articles

See all similar articles

Cited by

  • Advancing healthcare through thoracic ultrasound research in older patients.
    Scarlata S, Okoye C, Zotti S, Lauretani F, Nouvenne A, Cerundolo N, Bruni AA, Torrini M, Finazzi A, Mazzarone T, Lunian M, Zucchini I, Maccioni L, Guarino D, Fabbri Della Faggiola S, Capacci M, Bianco MG, Guarona G, Bellelli G, Monzani F, Virdis A, Antonelli Incalzi R, Ungar A, Ticinesi A; GRETA research group on thoracic ultrasound in the older patient, Italian Society of Geriatrics and Gerontology (SIGG). Scarlata S, et al. Aging Clin Exp Res. 2023 Dec;35(12):2887-2901. doi: 10.1007/s40520-023-02590-w. Epub 2023 Nov 11. Aging Clin Exp Res. 2023. PMID: 37950845 Free PMC article. Review.

References

    1. Lichtenstein D.A. Lung Ultrasound in the Critically Ill. Ann. Intensive Care. 2014;4:1–12. doi: 10.1186/2110-5820-4-1. - DOI - PMC - PubMed
    1. Laursen C.B., Sloth E., Lassen A., Christensen R.D., Lambrechtsen J., Madsen P.H., Henriksen D.P., Davidsen J.R., Rasmussen F. Point-of-care ultrasonography in patients admitted with respiratory symptoms: A single-blind, randomised controlled trial. Lancet Respir. Med. 2014;2:638–646. doi: 10.1016/S2213-2600(14)70135-3. - DOI - PubMed
    1. Davenport M.S., Rcc F.T.S.D.-F.P.O., Hu E.M., Zhang A., Shinagare A.B., Smith A.D., Pedrosa I., Kaffenberger S.D., Silverman S.G. Standardized report template for indeterminate renal masses at CT and MRI: A collaborative product of the SAR Disease-Focused Panel on Renal Cell Carcinoma. Abdom. Imaging. 2018;44:1423–1429. doi: 10.1007/s00261-018-1851-2. - DOI - PMC - PubMed
    1. Demi L., Wolfram F., Klersy C., De Silvestri A., Ferretti V.V., Muller M., Miller D., Feletti F., Wełnicki M., Buda N., et al. New International Guidelines and Consensus on the Use of Lung Ultrasound. J. Ultrasound Med. 2022;42:309–344. doi: 10.1002/jum.16088. - DOI - PMC - PubMed
    1. Calamai I., Greco M., Finazzi S., Savi M., Vitiello G., Garbero E., Spina R., Montisci A., Mongodi S., Bertolini G. Thoracic UltrasONOgraphy Reporting: The TUONO Study. J. Clin. Med. 2022;11:7126. doi: 10.3390/jcm11237126. - DOI - PMC - PubMed

Publication types

LinkOut - more resources