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DIAGNOSTIC PROCEDURES |

Reflected Ultrasound in the Detection and Localization of Pleural Effusion

Claude R. Joyner, Jr., MD; Ronald J. Herman, MD; John M. Reid, PhD
[+] Author Affiliations

Reprint requests to 3400 Spruce St, Philadelphia 19104 (Dr. Joyner).


From the Cardiovascular Clinical Research Center, Robinette Foundation, Department of Medicine, Hospital of the University of Pennsylvania, and the Electromedical Division of the Moore School of Electrical Engineering, University of Pennsylvania, Philadelphia.


JAMA. 1967;200(5):399-402. doi:10.1001/jama.1967.03120180087013
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Reflected ultrasound, using the echo-ranging technique, has had increasing application as a diagnostic method over the past few years. Subsequent to the introduction of echoencephalography in 1955, the technique has been widely accepted as a diagnostic procedure in the determination of space-occupying lesions within the skull.1 The technique has also proved to be of value in the delineation of soft-tissue structures within the abdomen, the diagnosis of pelvic masses, and the measurement of fetal head size.2,3 In cardiology, ultrasound has provided a method of proved accuracy in the diagnosis of mitral valve disease and has been of value in the detection of pericardial effusion and atrial tumors.4-8 In 1964, Pell presented the ultrasound pattern obtained from the chest of one patient with pleural effusion and discussed the pattern which might be expected following thoracentesis.9 The present study was undertaken to determine the accuracy and reliability of the

REFERENCES

Leksell, L.:  Echoencephalography: I. Detection of Intercranial Complications Following Head Injury , Acta Chir Scand 110:301-315 ( (Feb) ) 1956;.
Holmes, J.H., and Howry, D.H.:  Ultrasonic Diagnosis of Abnormal Disease , Amer J Dig Dis 8:12-32 ( (Jan) ) 1963;.
Donald, I., and Brown, T.G.:  Demonstration of Tissue Interfaces Within the Body By Ultrasonic Echosounding , Brit J Radiol 32:539-546 ( (Sept) ) 1961;.
Edler, I.:  The Diagnostic Use of Ultrasound in Heart Disease , Acta Med Scand 152( (suppl 308) ): 1955;.
Edler, I., et al:  Ultrasound Cardiography, Mitral and Aortic Valve Movements Recorded by an Ultrasound Echo Method , Acta Med Scand 170( (suppl 370) ):67-82, 1961;.
Joyner, C.R., Jr.; Reid, J.M.; and Bond, J.P.:  Reflected Ultrasound in the Assessment of Mitral Valve Disease , Circulation 27:503-511 ( (April) ) 1963;.
Joyner, C.R., Jr., and Reid, J.M.:  Applications of Ultrasound in Cardiology and Cardiovascular Physiology , Prog Cardiov Dis 5:482-497 ( (March) ) 1963;.
Feigenbaum, H.; Waldhausen, J.A.; and Hyde, L.P.:  Ultrasound Diagnosis of Pericardial Effusion , JAMA 191:711-714 ( (March 1) ) 1965;.
Pell, R.L.:  Ultrasound for Routine Clinical Investigation , Ultrasonics 2:87-89, 1964;.
Kaunitz, J.:  Landmarks in Simple Pleural Effusion . JAMA 113:1312-1314 ( (Sept 30) ) 1939;.
Meschan, I.: Roentgen Signs in Clinical Diagnosis , Philadelphia: W. B. Saunders Co., 1956;.
Cardon, L.:  Significance of Small Pleural Effusions in Cardiopulmonary Disease and Some Other Observations on Pleural Fluid in General , Ann Intern Med 53:765-795 ( (Oct) ) 1960;.
Rubin, E.H., and Rubin, M.: Thoracic Diseases , Philadelphia: W. B. Saunders Co., 1961;.
Rigler, L.G.:  Roentgen Diagnosis of Small Pleural Effusion , JAMA 96:104-108 ( (Jan 10) ) 1931;.
Hessen, I.:  Roentgen Examination of Pleural Fluid , Acta Radiol 152( (suppl 86) ):1-80, 1951;.

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Leksell, L.:  Echoencephalography: I. Detection of Intercranial Complications Following Head Injury , Acta Chir Scand 110:301-315 ( (Feb) ) 1956;.
Holmes, J.H., and Howry, D.H.:  Ultrasonic Diagnosis of Abnormal Disease , Amer J Dig Dis 8:12-32 ( (Jan) ) 1963;.
Donald, I., and Brown, T.G.:  Demonstration of Tissue Interfaces Within the Body By Ultrasonic Echosounding , Brit J Radiol 32:539-546 ( (Sept) ) 1961;.
Edler, I.:  The Diagnostic Use of Ultrasound in Heart Disease , Acta Med Scand 152( (suppl 308) ): 1955;.
Edler, I., et al:  Ultrasound Cardiography, Mitral and Aortic Valve Movements Recorded by an Ultrasound Echo Method , Acta Med Scand 170( (suppl 370) ):67-82, 1961;.
Joyner, C.R., Jr.; Reid, J.M.; and Bond, J.P.:  Reflected Ultrasound in the Assessment of Mitral Valve Disease , Circulation 27:503-511 ( (April) ) 1963;.
Joyner, C.R., Jr., and Reid, J.M.:  Applications of Ultrasound in Cardiology and Cardiovascular Physiology , Prog Cardiov Dis 5:482-497 ( (March) ) 1963;.
Feigenbaum, H.; Waldhausen, J.A.; and Hyde, L.P.:  Ultrasound Diagnosis of Pericardial Effusion , JAMA 191:711-714 ( (March 1) ) 1965;.
Pell, R.L.:  Ultrasound for Routine Clinical Investigation , Ultrasonics 2:87-89, 1964;.
Kaunitz, J.:  Landmarks in Simple Pleural Effusion . JAMA 113:1312-1314 ( (Sept 30) ) 1939;.
Meschan, I.: Roentgen Signs in Clinical Diagnosis , Philadelphia: W. B. Saunders Co., 1956;.
Cardon, L.:  Significance of Small Pleural Effusions in Cardiopulmonary Disease and Some Other Observations on Pleural Fluid in General , Ann Intern Med 53:765-795 ( (Oct) ) 1960;.
Rubin, E.H., and Rubin, M.: Thoracic Diseases , Philadelphia: W. B. Saunders Co., 1961;.
Rigler, L.G.:  Roentgen Diagnosis of Small Pleural Effusion , JAMA 96:104-108 ( (Jan 10) ) 1931;.
Hessen, I.:  Roentgen Examination of Pleural Fluid , Acta Radiol 152( (suppl 86) ):1-80, 1951;.
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