Transverse Scans Research Articles

Heart ventricles of the dromedary camel (Camelus dromedarius): new insights from sectional anatomy, 3D computed tomography, and morphometry

BackgroundDromedary camel heart morphology is a crucial research topic with clinical applications. The study aims to understand the dromedary camel anatomy, morphology, and architecture of the ventricular mass. Results: Sagittal and transverse gross sections were compared to sagittal, transverse, and 3D render volume reconstruction computed tomography (CT) scans. The subepicardial fat, which covered the heart base, the coronary groove (sulcus coronarius), the left longitudinal interventricular groove (sulcus interventricularis paraconalis), and the right longitudinal interventricular groove (sulcus interventricularis subsinuosus), had a relatively low density with a homogeneous appearance in the 3D render volume CT. The pericardium in the color cardiac window was identified better than the black and white window (ghost). Transverse and sagittal CT scans demonstrated the internal structures of the heart, including the right atrioventricular orifice (ostium atrioventriculare dextrum), right atrioventricular orifice (ostium atrioventriculare sinistrum), and aortic orifice (ostium aortae), chordae tendineae, the cusps of the valves (cuspis valvae), and the papillary muscles (musculi papillares). The papillary muscle (musculi papillares) was presented with a more moderate density than the rest of the heart, and the cusps of the valves (cuspis valvae) had a lower density. The ventricular wall (margo ventricularis) exhibited different densities: the outer part was hyperdense, while the inner part was hypodense. The thicknesses of the ventricular mural wall and the interventricular septum (septum atrioventriculare) were highest at the midpoint of the ventricular mass, and the lowest value was present toward the apical part. The coronary groove (sulcus coronarius) circumference measured 51.14 ± 0.72 cm, and the fat in the coronary groove (sulcus coronarius) (56 ± 6.55 cm2) represented 28.7% of the total cross-sectional area. Conclusion: The current study provided more information about ventricular mass measurements by gross and CT analysis on the heart, which provides a valuable guide for future cardiac CT investigations in camels in vivo.

Ultrasound diagnostics in the assessment of traumatic peripheral nerve damage in combat trauma

BACKGROUND: Traumatic peripheral nerve damage is a significant clinical and social problem, which is characterized by a high level of disability in young patients.
 AIM: To assess the diagnostic efficiency of ultrasound in the diagnosis of peripheral nerve damage in combat trauma.
 METHODS: A total of 163 patients (362 peripheral nerves) were examined. The duration of traumatic nerve damage was 2273 days. All patients were men aged 2048 years. Ultrasound was performed with 717 MHz linear transducers on an ACUSSON S2000 device using standard technique in B-mode, in longitudinal and transverse scanning planes, with the use of Doppler techniques. Statistical analysis was conducted to assess diagnostic efficiency. Calculation of operational (sensitivity and specificity) and integral (accuracy) characteristics was performed by the qualitative assessment of the reference method (surgical intervention) and the method under study (ultrasound).
 RESULTS: Peripheral nerve damage resulted from combat trauma. In 120 (73.6%) cases, injuries of the limbs were accompanied by injuries of the osteoarticular apparatus and vessels. A total of 274 (75.7%) nerves had signs of traumatic damage. Multiple nerve injuries were observed in 95 (58.3%) people. Nerves of the upper extremities were damaged more frequently (185 [67.5%]) compared to nerves of the lower extremities (89 [32.5%]). Contusional structural changes were observed in 181 (66%) nerves. Impairment of anatomical integrity was diagnosed in 46 (16.8%) nerves, while complete impairment was found in 29 (10.6%) cases with the presence of diastasis between the nerve ends. Early after injury, a wound canal and hematomas were visualized near the nerve. In 4 cases, a foreign body of metallic density was visualized in the nerve sheath. After 3 weeks from the moment of injury, terminal neuromas were observed. The neuroma sizes for the proximal and distal ends were 0.50.3 to 1.60.6 cm and 0.40.2 to 1.30.6 cm (avascular), respectively. Adjacent sections of the nerve over 35 cm were thickened and characterized by echo structure, however, with thickening of all fasciculi and blood flow observed along the periphery of the nerve. Marginal nerve damage was observed in 17 (6.2%) people. In case of marginal neuroma, a significant nerve thickening of 1.43.2 times over a short distance (from 0.4 cm to 1.5 cm) with loss of bundle differentiation of the part of the nerve, pronounced decrease in echogenicity, and absence of Doppler signal was detected. Nerve compression in 47 cases (17.1%) was accompanied by 1.22.3 times thickening of nerve trunks, indistinct contours, decreased echogenicity, and significant changes in the nerve structure. Compression was due to cicatricial changes, hematomas, foreign bodies, bone fragments, and in 2 cases spokes from external fixation devices. A total of 106 patients underwent surgery.
 CONCLUSIONS: The ultrasound sensitivity and specificity were 96% and 67%, respectively. The peculiarities of the examination included extensive soft tissue defects and external fixation devices, which significantly complicated the examination. The diagnostic accuracy was 91%. A pronounced cicatricial process (70%) was the main cause of false-positive (6.6%) and false-negative (2.8%) results.

Diagnostic imaging for elbow TRASH lesions in children and usefulness of ultrasonography using standard planes.

Fractures around the elbow in children should be carefully evaluated because the main portion is cartilaginous, and radiographs are not completely reliable. This study aimed to assess the diagnostic imaging for pediatric elbow fractures that require special attention and consider the usefulness of ultrasonography with seven standard planes for the diagnosis. Patients diagnosed with elbow fractures wherein TRASH (The Radiographic Appearance Seemed Harmless) lesions were evaluated retrospectively. The diagnoses on initial radiographs, final diagnoses, additional imaging excluding radiographs, and the treatments were investigated. The standard planes for ultrasonography to detect elbow fractures included an anterior transverse scan at the level of the capitellum and proximal radioulnar joint, an anterior longitudinal scan at the level of the humeroradial and humeroulnar joints, a longitudinal scan along the lateral and medial border of the distal humerus, and a posterior longitudinal scan at the level of the distal humerus. A total of 107 patients with an average age of 5.8 years (range, 0-12 years) at the time of diagnosis were included. Of 46 (43.0%) patients misdiagnosed at the initial radiograph, 19 (17.8%) needed additional treatments due to inappropriate initial management. Ultrasonography using the standard planes was useful for prompt diagnosis and appropriate treatment. Prompt and appropriate evaluation with ultrasonography can prevent the mismanagement of pediatric elbow injuries. Level of evidence: Level IV-retrospective case series.

Radiofrequency Echographic Multi Spectrometry (REMS) for the assessment of muscle strength

Objective: Due to the limitations of available methods for muscle strength evaluation, there is a need to develop more effective ways to quantify muscle function and performance in individuals suffering from musculoskeletal diseases. This study investigated the relationship between handgrip strength and a novel parameter derived from ultrasound scans of the forearm obtained using Radiofrequency Echographic Multi Spectrometry (REMS) technology. Estimations of muscle strength were performed in two study groups: healthy subjects and individuals affected by sarcopenia. Methods: A total of 58 Caucasian volunteers (30 healthy individuals and 28 subjects affected by sarcopenia) were recruited. A handgrip strength test was used to measure the Maximum Voluntary Contraction (MVC) of each subject’s dominant arm. Transversal echographic scans of the forearm were performed using an EchoStation device (Echolight S.p.a., Lecce, Italy) equipped with a 40 mm linear probe. A dedicated segmentation algorithm was designed and optimized for automatic identification of the ulnar and radius muscle profiles. The correlation between MVC values and REMS-based estimations of MVC (MVCREMS) was established using a linear regression approach. Results: MVCREMS showed excellent correlation with the MVC taken as ground truth. A high correlation value (r=0.95) was found in the overall population, and the corresponding values in the healthy and pathological subgroups were r=0.90 and r=0.83, respectively (p<0.0001). Conclusion: This technique allows reliable estimation of muscle strength in both pathological and healthy subjects, and is a valid alternative to conventional handgrip tests for use in primary care. In the future, this technique might help to enhance the assessment, screening and prevention of musculoskeletal diseases.

A low-cost confocal microscope for the undergraduate lab

We demonstrate a simple and cost-efficient scanning confocal microscope setup for use in advanced instructional physics laboratories. The setup is constructed from readily available commercial products, and the implementation of a 3D-printed flexure stage allows for further cost reduction and pedagogical opportunity. Experiments exploring the thickness of a microscope slide and the surface of solid objects with height variation are presented as foundational components of undergraduate laboratory projects and demonstrate the capabilities of a confocal microscope. This system allows observation of key components of a confocal microscope, including depth perception and data acquisition via transverse scanning, making it an excellent pedagogical resource.

PHOTO ELECTRIC SASH LOCK WITH OPTIC-ELECTRONIC ANALYZER

The article discusses a technical solution for improvement of alignment measurement tools by means of a laser beam as a reference baseline and photoelectrical recorder of high accuracy, wide range and capacity. It also provides a brief review of classifications of modern primary transducers of alignment measurements which forms the basis for a patented design and an electronic block diagram of a photoelectric alignment fixer with an opto-electronic analyzer. The proposed device, in contrast to modern analogs, has small weight and size parameters and provides high efficiency of retrieval of data re straightness deviations. The electronic block diagram and the mechanical design of the device are based on linear, transverse scanning with photoelectric fixation relative to the energy center of the laser beam and registration using the signal decay method.

The AIUM Practice Parameter for the Performance of the Musculoskeletal Ultrasound Examination.

The AIUM Practice Parameter for the Performance of the Musculoskeletal Ultrasound Examination.

Fungi in ant-plant interactions: a key to enhancing plant nutrient-acquisition strategies.

This article is a Commentary on Gegenbauer et al. (2023), 238: 2210–2223.

A comparative study between 10-MHz and 15-MHz ultrasound probes for retinal evaluation in silicone-oil-filled globes

PurposeTo compare 10-MHz and 15-MHz B-scan probes regarding the detection and localization of retinal detachment (RD) in silicone-oil-filled eyes.MethodsThis cross-sectional observational study included 100 eyes (98 patients) -having media opacity precluding fundus examination- scheduled for silicone-oil removal. Patients were examined in the sitting-position using both frequencies one week preoperatively. Longitudinal and transverse scans were taken in primary-gaze, inferior, inferonasal, and inferotemporal positions to detect the presence/absence and extent of RD. Patients were sub-grouped according to axial lengths (AXLs), state of silicone emulsification, and globe filling. Agreement between sonographic and intraoperative observations was compared.ResultsNo statistically significant differences were found between 15-MHz and intra-operative findings regarding RD detection (P = 0.752) and accurate localization of inferior, inferonasal, and inferotemporal RD (P = 0.279, 0.606, and 0.599). There were statistically significant differences between 10-MHz and intra-operative findings regarding RD detection and localization (P < 0.001). The 15-MHz probe was superior to 10-MHz probe regarding the accuracy of RD detection and localization (94% and 47%, respectively). The accuracy of 15-MHz probe was 88%, 83%, and 85% in detecting and localizing inferior, inferonasal, and inferotemporal RD compared to 45%, 60%, and 62% with 10-MHz probe. The 15-MHz probe showed better sensitivity while 10-MHz probe showed better accuracy in eyes with short AXLs. The 10-MHz probe showed better sensitivity in patients with sonographic emulsification while15-MHz probe had better sensitivity in detecting vitreoretinal-interface disorders.ConclusionThe 15-MHz B-scan probe is more accurate in detecting and localizing recurrent RD in silicone-oil-filled globes with higher sensitivity in detecting vitreoretinal-interface disorders.

An Acentric Archimedes Spiral Coil For Inspection of an Aluminium Plate with an Inhomogeneous Thickness

ABSTRACT Electromagnetic acoustic resonance (EMAR) technology has potential to improve signal-to-noise ratio (SNR) and reduce noise effects in metal plate thickness measurement. However, using traditional EMAR to detect inhomogeneous-thickness specimens can result in difficulties accurately determining thickness and identifying interfaces due to multiple resonant frequencies. This paper proposes a signal processing method called frequency-frequency energy density separation (FFEDS) to obtain the energy density ratio (EDR) for different thicknesses using EMAR. A new coil structure, the Acentric Archimedes Spiral Coil (A-AS-Coil), and two scanning schemes (transverse and rotational) are designed. Experimentally, transverse scanning with the A-AS-Coil shows a nonlinear change in EDR, improving sensitivity in identifying interfaces. Rotational scanning with the A-AS-Coil increases the change in EDR by 106.2%, different from the conventional spiral coil.

Ultrasonographic Assessment of Normal Achilles Tendon Thickness and Width in the Asymptomatic Sudanese Population

Background: The goal of this study was to measure normal Achilles tendon (AT) thickness and width in adult asymptomatic Sudanese people using high-resolution ultrasound. Methods and Results: The study was conducted on members of a healthy Sudanese population (120 volunteers: 73/60.8% women and 47/39.2% men), who were chosen using simple random sampling. The study cases were all healthy people with no history of AT injuries or abnormalities. All patients were examined using a Toshiba Xairo200 linear transducer with a frequency range of 7-10MHz. All measurements were taken from a transverse scan at the calcaneus bone level of the AT insertion and 2 to 3cm above the calcaneus. The age group 20-27 had the most participants (44.2%), followed by 36-43 years (19.2%), 28-35 years (15.8%), 52-60 years (14.2%), and 44-51 years (6.7%). The study revealed that the mean age of participants was 34.19±12.29 years, height - 164±0.081 cm, weight - 67.22±15.97 kg, and BMI - 24.38±5.84 kg/m2. The mean thickness and width of the AT were 4.36±0.81 mm and 21.85±3.23 mm, respectively, at its insertion into the calcaneus, and 4.63±0.77 mm and 12.20±1.37 mm, respectively, at the level 2-3 cm above the insertion. We found significant differences according to gender between the AT thickness and width at insertion into the calcaneus and above insertion and no statistically significant differences between the AT measurement's right and left side data. Conclusion: The study found gender differences in the AT thickness and width at insertion into the calcaneus and 2-3 cm above the insertion. No statistically significant differences were detected between the AT measurement’s right and left side data.Age, weight, height, and BMI correlated with the thickness and width of the AT at its insertion into the calcaneus and 2-3 cm above. Furthermore, additional research should be conducted using an extended field-of-view technology to measure the length of the AT tendon in the Sudanese population.

The Presence of a Single Nuchal Cord in the Third Trimester May Not Affect Tei Index in LGA Fetuses

(1) Background: The aim of this study was to assess the RV (right ventricle) and LV (left ventricle) Tei index in large for gestational age (LGA) fetuses with a single 360-degree umbilical coil of the umbilical cord around the fetal neck identified by ultrasound in the third trimester of gestation. (2) Methods: The RV and LV Tei index for the cardiac function were measured in 297 singleton pregnancies, and we identified 25 LGA fetuses. There were 48% of LGA fetuses with a nuchal umbilical cord-LGA/NC-larger for gestational age fetuses with a nuchal cord. NC was detected with a color Doppler during a transverse scan of the fetal neck, when the umbilical cord formed a U shape. All fetuses had normal anatomy and normal uterine, placental, umbilical, intracardiac and cerebral Doppler waveforms values for their gestational age. (3) Results: The RV Tei index was significantly higher in the LGA subgroup vs. AGA (0.6 ± 0.2 vs. 0.50 ± 0.2; p value = 0.01), but in LGA fetuses with a single coil of the nuchal cord, there were not any significant changes in the Tei indexes. (4) Conclusions: The Tei index might not be impacted by the presence of the nuchal cord in LGA fetuses.

Magnetic-field modulation of topological electronic state and emergent magneto-transport in a magnetic Weyl semimetal

The modulation of topological electronic state by an external magnetic field is highly desired for condensed-matter physics. Schemes to achieve this have been proposed theoretically, but few can be realized experimentally. Here, combining transverse transport, theoretical calculations, and scanning tunneling microscopy/spectroscopy (STM/S) investigations, we provide an observation that the topological electronic state, accompanied by an emergent magneto-transport phenomenon, was modulated by applying magnetic field through induced non-collinear magnetism in the magnetic Weyl semimetal EuB6. A giant unconventional anomalous Hall effect (UAHE) is found during the magnetization re-orientation from easy axes to hard ones in magnetic field, with a UAHE peak around the low field of 5 kOe. Under the reasonable spin-canting effect, the folding of the topological anti-crossing bands occurs, generating a strong Berry curvature that accounts for the observed UAHE. Field-dependent STM/S reveals a highly synchronous evolution of electronic density of states, with a dI/dV peak around the same field of 5 kOe, which provides evidence to the folded bands and excited UAHE by external magnetic fields. This finding elucidates the connection between the real-space non-collinear magnetism and the k-space topological electronic state and establishes a novel manner to engineer the magneto-transport behaviors of correlated electrons for future topological spintronics.

Fabrication and performance evaluation of magnetically driven double curved conical ribbon micro-helical robot

In this research, a magnetically driven double curved conical ribbon micro-helical robot was proposed to improve the swimming stability and swimming performance. Its swimming performance as well as magnetization characteristics were analyzed by fluid dynamics simulation. Meanwhile, a transverse bidirectional fold-line scanning method was proposed to fabricate the designed microrobots via voxel-modulation two-photon polymerization microfabrication technology. After optimizing the machining parameters, the length dimension error of the double curved conical ribbon micro-helical robot could be further reduced to less than 1%. Furthermore, a conical rotating three-dimensional uniform magnetic field was established to drive the microrobots. Microrobot driven experiment of the conical rotating three-dimensional uniform magnetic field was conducted and compared with the planar uniform magnetic field. It is proved that the micro-helical robot driven by the conical rotating three-dimensional uniform magnetic field can achieve high stability and no swing swimming in the low-frequency spiral propulsion state. This work may provide a reference for the future application of micro-helical robots in the fields of drug delivery, cell sorting, sensing and environmental repair in vivo.

Histopathology and Ultrasound Biomicroscopy Correlation in Conjunctival Intraepithelial Neoplasia

An 83-year-old man with squamous cell carcinoma of the left conjunctiva presented for tumor recurrence. Slit-lamp examination showed an amelanotic lesion on the left bulbar conjunctiva extending from the 5 to 9 o’clock meridians involving fornix and caruncule (A). Prominent feeder and intrinsic vessels were visible (white arrows). Ultrasound biomicroscopy (UBM) revealed a solid, well-circumscribed lesion, measuring 1.4 × 15 × 9 mm, without scleral invasion (B, C, longitudinal and transverse scan, respectively). Internally, multiple linear formations with high reflectivity (white arrows) were visible. Pathology confirmed a diagnosis of conjunctival intraepithelial neoplasia (CIN III). Large, dilated blood vessels (white arrow) were visible (D), consistent with the noted UBM findings. Therefore, UBM is a noninvasive aid in the diagnosis and management of CIN (Magnified version of Figure A-D is available online at www.aaojournal.org).

Inter-Rater Variability in the Evaluation of Lung Ultrasound in Videos Acquired from COVID-19 Patients

Lung ultrasound (LUS) allows for the detection of a series of manifestations of COVID-19, such as B-lines and consolidations. The objective of this work was to study the inter-rater reliability (IRR) when detecting signs associated with COVID-19 in the LUS, as well as the performance of the test in a longitudinal or transverse orientation. Thirty-three physicians with advanced experience in LUS independently evaluated ultrasound videos previously acquired using the ULTRACOV system on 20 patients with confirmed COVID-19. For each patient, 24 videos of 3 s were acquired (using 12 positions with the probe in longitudinal and transverse orientations). The physicians had no information about the patients or other previous evaluations. The score assigned to each acquisition followed the convention applied in previous studies. A substantial IRR was found in the cases of normal LUS (κ = 0.74), with only a fair IRR for the presence of individual B-lines (κ = 0.36) and for confluent B-lines occupying &lt; 50% (κ = 0.26) and a moderate IRR in consolidations and B-lines &gt; 50% (κ = 0.50). No statistically significant differences between the longitudinal and transverse scans were found. The IRR for LUS of COVID-19 patients may benefit from more standardized clinical protocols.

Superfast Scan of Focused X-Ray Luminescence Computed Tomography Imaging.

X-ray luminescence computed tomography (XLCT) is a hybrid molecular imaging modality having the high spatial resolution of x-ray imaging and high measurement sensitivity of optical imaging. Narrow x-ray beam based XLCT imaging has shown promise for high spatial resolution imaging of luminescent targets in deep tissues, but the slow acquisition speed limits its applications. In this work, we have introduced a superfast XLCT scan scheme based on the photon counter detector and a fly-scanning method. The new scan scheme is compared with three other scan methods. We have also designed and built a single-pixel x-ray detector to detect object boundaries automatically. With the detector, we can perform the parallel beam CT imaging with the XLCT imaging simultaneously. We have built the prototype XLCT imaging system to verify the proposed scan scheme. A phantom embedded with a set of four side-by-side cylindrical targets was scanned. With the proposed superfast scan scheme, we have achieved 43 seconds per transverse scan, which is 28.6 times faster than before with slightly better XLCT image quality. The superfast scan allows us to perform 3D pencil beam XLCT imaging in the future.

Systematic study on nail plate assessment: differences in nail plate shape, thickness, power Doppler signal and scanning approach

Ultrasonography (US) of the nail is raising interest in the last years and its feasibility, quickness and amount of descriptive data may provide valuable information. Different authors presented several scanning approaches to nail complex in different pathological conditions, such as psoriasis, but no scanning protocol was ever proposed using healthy subjects as population of reference. The aim of the study was to establish a protocol for the US of nail plate and to assess whether the measurement of the nail plate is influenced by longitudinal vs transverse scan, sex, digit and hand dominance. Using high frequency probe and a Canon Aplio i800 machine, ultrasonographers took scans of nail plates of the hands from healthy subjects. Nail plate shape, thickness and power Doppler signal (PDUS) were evaluated and scans were taken both on longitudinal and transverse axis, at distal, middle and proximal portion of the nail plate or at a fixed angles of − 45°, 0° or + 45°. All the images were then revised and scored using a DICOM software, in order to allow good standards of accuracy and reproducibility. A total of 27 subjects (14 females and 13 males) were assessed. The measures did not result to differ in different portions or angles. Furthermore, no difference appears in sex or dominant vs not dominant hand. A decreasing and significant trend for nail plate thickness was found from the first to the fifth finger. Doppler signal was found in all but one subjects, with a range from almost absent to very evident. No difference was found between groups regarding PDUS. The data provided suggest that a proper scan protocol should include all the nails and evaluation should be done both on longitudinal and transverse axis. Since Doppler signal is highly variable in healthy subjects, its presence should be carefully considered as pathological finding. Observations provided by this study clarify important points of the scanning technique and solve doubts related to which nails should be scanned and where to evaluate quantitative parameters.

Ultrasonographic changes in fetal gastrointestinal motility during the last ten days before parturition in dogs.

Fetal gastrointestinal motility (FGM) was suggested as useful to assess fetal maturity. Our study aimed to quantify FGM in relation to days before parturition (DBP), maternal size, and sex ratio of pups. During the last ten days of pregnancy, 23 clinically healthy pregnant bitches of 16 different breeds ranging in age from 2 to 9 years and body weight from 3.5 to 56.8 kg were monitored twice. The fetal intestine was observed in longitudinal and transversal scan on 3 of the most caudal fetuses in both uterine horns. Gestational age was counted backward from parturition day. The number of fetuses showing FGM was recorded in time in I (-11/-5 DBP) and II (-4/0 DBP). A Mann-Whitney test was performed to analyze variations of FGM% in relation to time and parity. A Kruskal-Wallis test was performed to identify variations of FGM% in relation to maternal size and sex ratio. Statistical significance was set at α = 0.05. A total of 147 FGM observations on 50 ultrasonographic monitoring points were performed. The FGM% was higher during time II compared to time I (median: 33%, range 0-100% vs. 100%, range 33-100%; P < 0.0001). FGM% was higher in small compared to large size bitches (median: 100%, range 67-100% vs. 67%, range 0-100%; P = 0.01). FGM% was not affected by parity and sex ratio. As previously reported, a significant increase in FGM% was observed in the last five DBP. FGM observation may be influenced by the maternal size, with easier evaluation in small size bitches, as well as ultrasound equipment and positioning.

Reliability and clinical correlations of semi-quantitative lung ultrasound on BLUE points in COVID-19 mechanically ventilated patients: The 'BLUE-LUSS'-A feasibility clinical study.

Bedside lung ultrasound has gained a key role in each segment of the treatment chain during the COVID-19 pandemic. During the diagnostic assessment of the critically ill patients in ICUs, it is highly important to maximize the amount and quality of gathered information while minimizing unnecessary interventions (e.g. moving/rotating the patient). Another major factor is to reduce the risk of infection and the workload of the staff. To serve these significant issues we constructed a feasibility study, in which we used a single-operator technique without moving the patient, only assessing the easily achievable lung regions at conventional BLUE points. We hypothesized that calculating this 'BLUE lung ultrasound score' (BLUE-LUSS) is a reasonable clinical tool. Furthermore, we used both longitudinal and transverse scans to measure their reliability and assessed the interobserver variability as well. University Intensive Care Unit based, single-center, prospective, observational study was performed on 24 consecutive SARS-CoV2 RT-PCR positive, mechanically ventilated critically ill patients. Altogether 400 loops were recorded, rated and assessed off-line by 4 independent intensive care specialists (each 7+ years of LUS experience). Intraclass correlation values indicated good reliability for transversal and longitudinal qLUSS scores, while we detected excellent interrater agreement of both cLUSS calculation methods. All of our LUS scores correlated inversely and significantly to the P/F values. Best correlation was achieved in the case of longitudinal qLUSS (r = -0.55, p = 0.0119). Summarized score of BLUE-LUSS can be an important, easy-to-perform adjunct tool for assessing and quantifying lung pathology in critically ill ventilated patients at bedside, especially for the P/F ratio. The best agreement for the P/F ratio can be achieved with the longitudinal scans. Regarding these findings, assessing BLUE-points can be extended with the BLUE-LUSS for daily routine using both transverse and longitudinal views.