Preferred View and Transducer in Lumbar Ultrasound in Overweight and Obese Patients

Preferred View and Transducer in Lumbar Ultrasound in Overweight and Obese Patients Publisher

Farahmand S¹ ; Safavi S¹ ; Shahriarian S² ; Arbab M³ ; Basirghafoori H⁴ ; Bagherihariri S¹

Show Affiliations

1. Emergency Medicine Department, Tehran University of Medical Sciences, Tehran, Iran
2. Radiology Department, Tehran University of Medical Sciences, Tehran, Iran
3. Massachusetts General Hospital/Harvard Medical School, Boston, MA, United States
4. Emergency Department of Iran University of Medical Sciences, Tehran, Iran

Source: Ultrasound Published:2017

Abstract

Background: Ultrasound can be used to facilitate lumbar puncture, especially in obese patients. Methods: In this study, midline and paramedian approaches with curved and linear transducers were compared in patients with Body Mass Index (BMI) above 25 kg/m2 for the identification of spinal landmarks. In each view, six major landmarks, including spinous process, ligamentum flavum, laminae, epidural space, subarachnoid space and posterior longitudinal ligament, were detected by emergency medicine residents and were then reviewed by radiologists. Results: Sixty patients with a mean BMI of 29.18 enrolled in the study. This study showed that a curved transducer detected major landmarks more accurately compared to a linear transducer. There was also a poor kappa correlation between these transducers in the midline and paramedian approaches. Conclusion: This study showed that ultrasound can detect lumbar landmarks in overweight and obese patients, with the paramedian approach and a curved transducer being superior to the midline approach and a linear transducer in detecting these landmarks. © 2017, © The British Medical Ultrasound Society 2017.

Style	Citing Format
MLA	Farahmand S, et al.. "Preferred View and Transducer in Lumbar Ultrasound in Overweight and Obese Patients." Ultrasound, vol. 25, no. 1, 2017, pp. 45-52.
APA	Farahmand S, Safavi S, Shahriarian S, Arbab M, Basirghafoori H, Bagherihariri S (2017). Preferred View and Transducer in Lumbar Ultrasound in Overweight and Obese Patients. Ultrasound, 25(1), 45-52.
Chicago	Farahmand S, Safavi S, Shahriarian S, Arbab M, Basirghafoori H, Bagherihariri S. "Preferred View and Transducer in Lumbar Ultrasound in Overweight and Obese Patients." Ultrasound 25, no. 1 (2017): 45-52.
Harvard	Farahmand S et al. (2017) 'Preferred View and Transducer in Lumbar Ultrasound in Overweight and Obese Patients', Ultrasound, 25(1), pp. 45-52.
Vancouver	Farahmand S, Safavi S, Shahriarian S, Arbab M, Basirghafoori H, Bagherihariri S. Preferred View and Transducer in Lumbar Ultrasound in Overweight and Obese Patients. Ultrasound. 2017;25(1):45-52.
BibTex	@article{ author = {Farahmand S and Safavi S and Shahriarian S and Arbab M and Basirghafoori H and Bagherihariri S}, title = {Preferred View and Transducer in Lumbar Ultrasound in Overweight and Obese Patients}, journal = {Ultrasound}, volume = {25}, number = {1}, pages = {45-52}, year = {2017} }
RIS	TY - JOUR AU - Farahmand S AU - Safavi S AU - Shahriarian S AU - Arbab M AU - Basirghafoori H AU - Bagherihariri S TI - Preferred View and Transducer in Lumbar Ultrasound in Overweight and Obese Patients JO - Ultrasound VL - 25 IS - 1 SP - 45 EP - 52 PY - 2017 ER -

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