Ultrasonographic Evaluation of Diaphragm

Zusatztext

The diaphragm is a dome-shaped respiratory muscle separating the thoracic & abdominal cavities. A properly functioning diaphragm is necessary for lung aeration & survival. It is also involved in non-respiratory functions. Structure & functional status of diaphragm has clinical importance, can be studied by imaging & non-imaging tests. Fluoroscopy is the conventional imaging method to evaluate diaphragmatic movements, however it requires transportation & exposes the patients to the risk of ionizing radiation. Also,there are considerable limitations of other imaging tests like CT & MRI in evaluation of diaphragm. Ultrasound is radiation free, relatively inexpensive, readily accessible in ICU. B mode ultrasound can be used for assessment of diaphragmatic thickness,change in thickness during breathing & echogenecity. M mode allows quantifiable assessment of diaphragmatic excursion.These can be utilized in diagnosis, prognostic follow up of diaphragmatic paralysis & for assessment in various clinical conditions that affect diaphragmatic dysfunction.Present study aimed to evaluate feasibility & utility of ultrasonography in evaluation of diaphragmatic motion and diaphragmatic thickness.

Autorenportrait

Dr A. Mural, M.B.B.S (Seth GSMC & KEM hospital, Mumbai university) D.M.R.E with 12yrs of experience in radiology. He is certified by Fetal medicine Foundation (London). He has won 'spotlight speaker' award for his paper on ultrasound diaphragm at Ultrafest 2017. He is currently the director & consultant radiologist at Kasturi diagnostics, Mumbai.

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