The LUCI-FLR Project: Lung Ultrasound in the Critically Ill – A Bedside Alternative to Irradiating Techniques, Radiographs and CT

  • Daniel A. Lichtenstein


The most severely ill patients are the ones who can benefit less from CT or MRI. Critical ultrasound and lung ultrasound neatly solve this weird paradox while limiting medical radiations.

The target of the LUCI-FLR project is to decrease in the three next decades bedside radiographies by 1/3 and urgent CT by 2/3.


Pleural Effusion Lung Ultrasound Maxillary Sinusitis Chest Tube Insertion Lung Consolidation 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


  1. 1.
    Mueller NL (1993) Imaging of the pleura, state of the art. Radiology 186:297–309CrossRefGoogle Scholar
  2. 2.
    McLoud TC, Flower CDR (1991) Imaging the pleura: sonography, CT and MR imaging. Am J Roentgenol 156:1145–1153CrossRefGoogle Scholar
  3. 3.
    Matalon TA, Neiman HL, Mintzer RA (1983) Noncardiac chest sonography, the state of the art. Chest 83:675–678CrossRefPubMedGoogle Scholar
  4. 4.
    Desai SR, Hansel DM (1997) Lung imaging in the adult respiratory distress syndrome: current practice and new insights. Intensive Care Med 23:7–15CrossRefPubMedGoogle Scholar
  5. 5.
    Ivatury RR, Sugerman HJ (2000) Chest radiograph or computed tomography in the intensive care unit? Crit Care Med 28:1033–1039CrossRefGoogle Scholar
  6. 6.
    Roentgen WC (1895) Ueber eine neue art von Strahlen. Vorlaüfige Mittheilung Sitzungsberichte der Wurzburger Physik-mediz Gesellschaft 28:132–141Google Scholar
  7. 7.
    Williams FH (1901) The Roentgen rays in medicine and surgery. Macmillan, New YorkGoogle Scholar
  8. 8.
    van der Werk TS, Zijlstra JG (2004) Ultrasound of the lung: just imagine. Intensive Care Med 30:183–184CrossRefGoogle Scholar
  9. 9.
    Greenbaum DM, Marschall KE (1982) The value of routine daily chest X-rays in intubated patients in the medical intensive care unit. Crit Care Med 10:29–30CrossRefPubMedGoogle Scholar
  10. 10.
    Henschke CI, Pasternack GS, Schroeder S, Hart KK, Herman PG (1983) Bedside chest radiography: diagnostic efficacy. Radiology 149:23–26CrossRefPubMedGoogle Scholar
  11. 11.
    Janower ML, Jennas-Nocera Z, Mukai J (1984) Utility and efficacy of portable chest radiographs. AJR Am J Roentgenol 142:265–267CrossRefPubMedGoogle Scholar
  12. 12.
    Peruzzi W, Garner W, Bools J, Rasanen J, Mueller CF, Reilley T (1988) Portable chest roentgenography and CT in critically ill patients. Chest 93:722–726CrossRefPubMedGoogle Scholar
  13. 13.
    Wiener MD, Garay SM, Leitman BS, Wiener DN, Ravin CE (1991) Imaging of the intensive care unit patient. Clin Chest Med 12:169–198PubMedGoogle Scholar
  14. 14.
    Winer-Muram HT, Rubin SA, Ellis JV, Jennings SG, Arheart KL, Wunderink RG, Leeper KV, Meduri GU (1993) Pneumonia and ARDS in patients receiving mechanical ventilation: diagnostic accuracy of chest radiography. Radiology 188:479–485CrossRefPubMedGoogle Scholar
  15. 15.
    Tocino IM, Miller MH, Fairfax WR (1985) Distribution of pneumothorax in the supine and semi-recumbent critically ill adult. Am J Roentgenol 144:901–905CrossRefGoogle Scholar
  16. 16.
    Hendrikse K, Gramata J, ten Hove W, Rommes J, Schultz M, Spronk P (2007) Low value of routine chest radiographs in a mixed medical-surgical ICU. Chest 132:823–828CrossRefPubMedGoogle Scholar
  17. 17.
    United Nations Scientific Committee on the Effects of Atomic Radiation (2000) Source and effects of ionizing radiation. United Nations, New YorkGoogle Scholar
  18. 18.
    Brenner DJ, Elliston CD, Hall EJ, Berdon WE (2001) Estimated risks of radiation-induced fatal cancer from pediatric CT. Am J Roentgenol 176:289–296CrossRefGoogle Scholar
  19. 19.
    Berrington de Gonzales A, Darby S (2004) Risk of cancer from diagnostic X-Rays. Lancet 363:345–351CrossRefGoogle Scholar
  20. 20.
    Brenner DJ, Hall EJ (2007) Computed tomography – an increasing source of radiation exposure. N Engl J Med 357(22):2277–2284CrossRefPubMedGoogle Scholar
  21. 21.
    Lauer MS (2009) Elements of danger – the case of medical imaging. N Engl J Med 361:841–843CrossRefPubMedGoogle Scholar
  22. 22.
    Felten ML, Mercier FJ, Benhamou D (1999) Development of acute and chronic respiratory diseases during pregnancy. Rev Pneumol Clin 55:325–334PubMedGoogle Scholar
  23. 23.
    Hopper KD, King SH, Lobell ME, Tentlave TR, Weaver JS (1997) The breast: in-plane X-ray protection during diagnostic thoracic CT. Radiology 205:853–858CrossRefPubMedGoogle Scholar
  24. 24.
    Di Marco AF, Briones B (1993) Is chest CT performed too often ? Chest 103:985–986CrossRefGoogle Scholar
  25. 25.
    Akhan O, Demirkazik FB, Ozmen MN et al (1992) Tuberculous pleural effusions: ultrasonic diagnosis. J Clin Ultrasound 20:461–65CrossRefPubMedGoogle Scholar
  26. 26.
    Lichtenstein D, Peyrouset O (2006) Lung ultrasound superior to CT? The example of a CT-occult necrotizing pneumonia. Intensive Care Med 32:334–335CrossRefPubMedGoogle Scholar
  27. 27.
    Czarnecki F (1998). Diagnostic et surveillance radiologique des patients atteints de pneumothorax. Intérêt potentiel de l’échographie pulmonaire. Thèse (doctorat en médecine), Faculté Necker, ParisGoogle Scholar
  28. 28.
    Sahn SA, Heffner JE (2000) Spontaneous pneumothorax. N Engl J Med 342(12):868–874CrossRefPubMedGoogle Scholar

Copyright information

© Springer International Publishing Switzerland 2016

Authors and Affiliations

  • Daniel A. Lichtenstein
    • 1
  1. 1.Hôpital Ambroise Paré Service de Réanimation MédicaleBoulogne (Paris-West University)France

Personalised recommendations