Variables in N, Median, IQR, (%) . | All Participants (n = 102) . | PTB Cases (MRS Positive) (n = 57) . | TB Cases (CRS Positive) (n = 73) . | Unlikely TB (n = 29) . | Sensitivity (95% CI) . | Specificity (95% CI) . |
---|---|---|---|---|---|---|
FASH | ||||||
FASHoriginala | 42/101 (42%) | 25/56 (45%) | 29/72 (40%) | 13/29 (45%) | 0.4 [0.3–0.52] | 0.55 [0.38–0.72] |
FASHascites | 44/101 (44%) | 27/56 (48%) | 31/72 (43%) | 13/29 (45%) | 0.43 [0.32–0.55] | 0.55 [0.38–0.72] |
FASHpericardium | 44/101 (44%) | 26/56 (46%) | 31/72 (43%) | 13/29 (45%) | 0.43 [0.32–0.55] | 0.55 [0.38–0.72] |
FASHpleura600ml | 22/101 (22%) | 13/56 (23%) | 16/72 (22%) | 6/29 (21%) | 0.22 [0.14–0.33] | 0.79 [0.62–0.9] |
Pleural effusion present, any | 32/101 (32%) | 19/56 (34%) | 21/72 (29%) | 11/29 (38%) | 0.29 [0.2–0.41] | 0.62 [0.44–0.77] |
Pleural effusion estimated volume | 346 [247–542] (N = 32) | 350 [250–596] (N = 19) | 350 [252–595] (N = 21) | 308 [149–430] (N = 11) | … | … |
Pericardial effusion ≥10 mm | 5/101 (5%) | 2/56 (4%) | 3/72 (4%) | 2/29 (7%) | 0.04 [0.01–0.12] | 0.93 [0.78–0.98] |
Hypoechoic spleen lesions <1.5 cm present | 4/101 (4%) | 1/56 (2%) | 1/72 (1%) | 3/29 (10%) | 0.01 [0–0.07] | 0.9 [0.74–0.96] |
Hyperechoic spleen lesions present with or without calcification | 4/101 (4%) | 3/56 (5%) | 3/72 (4%) | 1/29 (3%) | … | … |
Hypoechoic liver lesions | 2/101 (2%) | 0/56 (0%) | 0/72 (0%) | 2/29 (7%) | 0 [0–0.05] | 0.93 [0.78–0.98] |
Abdominal lymph nodes ≥1.5 cm present | 9/101 (9%) | 6/56 (11%) | 8/72 (11%) | 1/29 (3%) | 0.11 [0.06–0.2] | 0.97 [0.83–1] |
Ascites present | 6/101 (6%) | 3/56 (5%) | 4/72 (6%) | 2/29 (7%) | 0.06 [0.02–0.13] | 0.93 [0.78–0.98] |
Lung ultrasound | ||||||
consolidations | ||||||
Subpleural consolidations (SPC) < 1 cm present | 84/101 (83%) | 51/56 (91%) | 60/72 (83%) | 24/29 (83%) | 0.83 [0.73–0.9] | 0.17 [0.08–0.35] |
Number of subpleural consolidations <1 cm | single: 6/84 (7) 2–5: 35/84 (42) > 5: 43/84 (51) | single: 2/56 (4) 2–5: 18/56 (32) > 5: 31/56 (55) | single: 3/60 (5) 2–5: 24 24/60 (40) > 5: 33/60 (55) | single: 3/24 (13) 2–5: 11/24 (46) > 5: 10/24 (42) | … | … |
>5 SPCs <1 cm with at least one ≥5 mm | 36/101 (36%) | 27/56 (48%) | 28/72 (39%) | 8/29 (28%) | 0.39 [0.29–0.51] | 0.72 [0.54–0.85] |
Subpleural consolidations ≥1 cm present | 54/101 (53%) | 39/56 (70%) | 41/72 (57%) | 13/29 (45%) | 0.57 [0.45–0.68] | 0.55 [0.38–0.72] |
Any subpleural consolidation present, regardless of size? | 87/101 (86%) | 53/56 (95%) | 63/72 (88%) | 24/29 (83%) | 0.88 [0.78–0.93] | 0.17 [0.08–0.35] |
Any consolidation in the apical regions | 42/101 (42%) | 31/56 (55%) | 33/72 (46%) | 9/29 (31%) | 0.46 [0.35–0.57] | 0.69 [0.51–0.83] |
Any consolidations <1 cm in the apical regions | 35/101 (35%) | 24/56 (43%) | 26/72 (36%) | 9/29 (31%) | 0.36 [0.26–0.48] | 0.69 [0.51–0.83] |
Any consolidations ≥1 cm in the apical regions | 15/101 (15%) | 13/56 (23%) | 14/72 (19%) | 1/29 (3%) | 0.19 [0.12–0.3] | 0.97 [0.83–1] |
Other LUS findings | ||||||
Miliary pattern present | 2/101 (2%) | 1/56 (2%) | 1/72 (1%) | 1/29 (3%) | 0.01 [0–0.07] | 0.97 [0.83–1] |
B-lines (>2) in at least 1 lung zone | 81/101 (80%) | 47/56 (84%) | 57/72 (79%) | 24/29 (83%) | 0.79 [0.68–0.87] | 0.17 [0.08–0.35] |
LUS findings in at least … lung zones | ||||||
SPC < 1cm in at least 1 lung zone | 84/101 (83%) | 51/56 (91%) | 60/72 (83%) | 24/29 (83%) | 0.83 [0.73–0.9] | 0.17 [0.08–0.35] |
≥2 lung zones | 72/101 (71%) | 46/56 (82%) | 54/72 (75%) | 18/29 (62%) | 0.75 [0.64–0.84] | 0.38 [0.23–0.56] |
≥3 lung zones | 61/101 (60%) | 39/56 (70%) | 44/72 (61%) | 17/29 (59%) | 0.61 [0.5–0.72] | 0.41 [0.26–0.59] |
≥4 lung zones | 52/101 (51%) | 34/56 (61%) | 37/72 (51%) | 15/29 (52%) | 0.51 [0.4–0.63] | 0.48 [0.31–0.66] |
≥5 lung zones | 39/101 (39%) | 29/56 (52%) | 30/72 (42%) | 9/29 (31%) | 0.42 [0.31–0.53] | 0.69 [0.51–0.83] |
≥6 lung zones | 22/101 (22%) | 14/56 (25%) | 14/72 (19%) | 8/29 (28%) | 0.19 [0.12–0.3] | 0.72 [0.54–0.85] |
≥7 lung zones | 14/101 (14%) | 9/56 (16%) | 9/72 (12%) | 5/29 (17%) | 0.12 [0.07–0.22] | 0.83 [0.65–0.92] |
SPC ≥ 1cm in at least 1 lung zone | 54/101 (53%) | 39/56 (70%) | 41/72 (57%) | 13/29 (45%) | 0.57 [0.45–0.68] | 0.55 [0.38–0.72] |
≥2 lung zones | 29/101 (29%) | 25/56 (45%) | 25/72 (35%) | 4/29 (14%) | 0.35 [0.25–0.46] | 0.86 [0.69–0.95] |
≥3 lung zones | 20/101 (20%) | 18/56 (32%) | 18/72 (25%) | 2/29 (7%) | 0.25 [0.16–0.36] | 0.93 [0.78–0.98] |
≥4 lung zones | 12/101 (12%) | 11/56 (20%) | 11/72 (15%) | 1/29 (3%) | 0.15 [0.09–0.25] | 0.97 [0.83–1] |
B-lines in at least 1 lung zone | 81/101 (80%) | 47/56 (84%) | 57/72 (79%) | 24/29 (83%) | 0.79 [0.68–0.87] | 0.17 [0.08–0.35] |
≥2 lung zones | 57/101 (56%) | 35/56 (62%) | 39/72 (54%) | 18/29 (62%) | 0.54 [0.43–0.65] | 0.38 [0.23–0.56] |
≥3 lung zones | 43/101 (43%) | 28/56 (50%) | 31/72 (43%) | 12/29 (41%) | 0.43 [0.32–0.55] | 0.59 [0.41–0.74] |
≥4 lung zones | 29/101 (29%) | 20/56 (36%) | 20/72 (28%) | 9/29 (31%) | 0.28 [0.19–0.39] | 0.69 [0.51–0.83] |
≥5 lung zones | 19/101 (19%) | 15/56 (27%) | 15/72 (21%) | 4/29 (14%) | 0.21 [0.13–0.32] | 0.86 [0.6–0.95] |
≥6 lung zones | 13/101 (13%) | 9/56 (16%) | 9/72 (12%) | 4/29 (14%) | 0.12 [0.07–0.22] | 0.86 [0.69–0.95] |
Combinations of FASH and LUS | ||||||
FASH or SPC ≥ 1 cm | 69/101 (68%) | 45/56 (80%) | 51/72 (71%) | 18/29 (62%) | 0.71 [0.59–0.8] | 0.38 [0.23–0.56] |
FASH or SPC ≥ 5 mm | 84/101 (83%) | 52/56 (93%) | 61/72 (85%) | 23/29 (79%) | 0.85 [0.75–0.91] | 0.21 [0.1–0.38] |
Other targets | ||||||
IMNs ≥0.5 cm present | 18/101 (18%) | 12/56 (21%) | 15/72 (21%) | 3/29 (10%) | 0.21 [0.13–0.32] | 0.9 [0.74–0.96] |
Pleural laminar thickening | 14/101 (14%) | 10/56 (18%) | 10/72 (14%) | 4/29 (14%) | … | … |
Intestinal thickening in the right lower quadrant >4 mm | 1/98 (1%) | 0/55 (0%) | 0/70 (0%) | 1/28 (4%) | 0 [0–0.05] | 0.96 [0–82;1] |
Any peritoneal thickening (parietal, visceral, omental) | 2/101 (2%) | 1/56 (2%) | 2/72 (3%) | 0/29 (0%) | 0.03 [0.01–0.1] | 1 [0.88–1] |
Mediastinal lymph nodes seen from suprasternal viewb | 1/85 (1%) | 1/44 (2%) | 1/56 (2%) | 0/29 (0%) | … | … |
Peripheral lymph nodes present (only if clinical suspicion) | 12/99 (12%) | 4/55 (7%) | 11/70 (16%) | 1/29 (3%) | 0.16 [0.09–0.26] | 0.97 [0.83–1] |
Variables in N, Median, IQR, (%) . | All Participants (n = 102) . | PTB Cases (MRS Positive) (n = 57) . | TB Cases (CRS Positive) (n = 73) . | Unlikely TB (n = 29) . | Sensitivity (95% CI) . | Specificity (95% CI) . |
---|---|---|---|---|---|---|
FASH | ||||||
FASHoriginala | 42/101 (42%) | 25/56 (45%) | 29/72 (40%) | 13/29 (45%) | 0.4 [0.3–0.52] | 0.55 [0.38–0.72] |
FASHascites | 44/101 (44%) | 27/56 (48%) | 31/72 (43%) | 13/29 (45%) | 0.43 [0.32–0.55] | 0.55 [0.38–0.72] |
FASHpericardium | 44/101 (44%) | 26/56 (46%) | 31/72 (43%) | 13/29 (45%) | 0.43 [0.32–0.55] | 0.55 [0.38–0.72] |
FASHpleura600ml | 22/101 (22%) | 13/56 (23%) | 16/72 (22%) | 6/29 (21%) | 0.22 [0.14–0.33] | 0.79 [0.62–0.9] |
Pleural effusion present, any | 32/101 (32%) | 19/56 (34%) | 21/72 (29%) | 11/29 (38%) | 0.29 [0.2–0.41] | 0.62 [0.44–0.77] |
Pleural effusion estimated volume | 346 [247–542] (N = 32) | 350 [250–596] (N = 19) | 350 [252–595] (N = 21) | 308 [149–430] (N = 11) | … | … |
Pericardial effusion ≥10 mm | 5/101 (5%) | 2/56 (4%) | 3/72 (4%) | 2/29 (7%) | 0.04 [0.01–0.12] | 0.93 [0.78–0.98] |
Hypoechoic spleen lesions <1.5 cm present | 4/101 (4%) | 1/56 (2%) | 1/72 (1%) | 3/29 (10%) | 0.01 [0–0.07] | 0.9 [0.74–0.96] |
Hyperechoic spleen lesions present with or without calcification | 4/101 (4%) | 3/56 (5%) | 3/72 (4%) | 1/29 (3%) | … | … |
Hypoechoic liver lesions | 2/101 (2%) | 0/56 (0%) | 0/72 (0%) | 2/29 (7%) | 0 [0–0.05] | 0.93 [0.78–0.98] |
Abdominal lymph nodes ≥1.5 cm present | 9/101 (9%) | 6/56 (11%) | 8/72 (11%) | 1/29 (3%) | 0.11 [0.06–0.2] | 0.97 [0.83–1] |
Ascites present | 6/101 (6%) | 3/56 (5%) | 4/72 (6%) | 2/29 (7%) | 0.06 [0.02–0.13] | 0.93 [0.78–0.98] |
Lung ultrasound | ||||||
consolidations | ||||||
Subpleural consolidations (SPC) < 1 cm present | 84/101 (83%) | 51/56 (91%) | 60/72 (83%) | 24/29 (83%) | 0.83 [0.73–0.9] | 0.17 [0.08–0.35] |
Number of subpleural consolidations <1 cm | single: 6/84 (7) 2–5: 35/84 (42) > 5: 43/84 (51) | single: 2/56 (4) 2–5: 18/56 (32) > 5: 31/56 (55) | single: 3/60 (5) 2–5: 24 24/60 (40) > 5: 33/60 (55) | single: 3/24 (13) 2–5: 11/24 (46) > 5: 10/24 (42) | … | … |
>5 SPCs <1 cm with at least one ≥5 mm | 36/101 (36%) | 27/56 (48%) | 28/72 (39%) | 8/29 (28%) | 0.39 [0.29–0.51] | 0.72 [0.54–0.85] |
Subpleural consolidations ≥1 cm present | 54/101 (53%) | 39/56 (70%) | 41/72 (57%) | 13/29 (45%) | 0.57 [0.45–0.68] | 0.55 [0.38–0.72] |
Any subpleural consolidation present, regardless of size? | 87/101 (86%) | 53/56 (95%) | 63/72 (88%) | 24/29 (83%) | 0.88 [0.78–0.93] | 0.17 [0.08–0.35] |
Any consolidation in the apical regions | 42/101 (42%) | 31/56 (55%) | 33/72 (46%) | 9/29 (31%) | 0.46 [0.35–0.57] | 0.69 [0.51–0.83] |
Any consolidations <1 cm in the apical regions | 35/101 (35%) | 24/56 (43%) | 26/72 (36%) | 9/29 (31%) | 0.36 [0.26–0.48] | 0.69 [0.51–0.83] |
Any consolidations ≥1 cm in the apical regions | 15/101 (15%) | 13/56 (23%) | 14/72 (19%) | 1/29 (3%) | 0.19 [0.12–0.3] | 0.97 [0.83–1] |
Other LUS findings | ||||||
Miliary pattern present | 2/101 (2%) | 1/56 (2%) | 1/72 (1%) | 1/29 (3%) | 0.01 [0–0.07] | 0.97 [0.83–1] |
B-lines (>2) in at least 1 lung zone | 81/101 (80%) | 47/56 (84%) | 57/72 (79%) | 24/29 (83%) | 0.79 [0.68–0.87] | 0.17 [0.08–0.35] |
LUS findings in at least … lung zones | ||||||
SPC < 1cm in at least 1 lung zone | 84/101 (83%) | 51/56 (91%) | 60/72 (83%) | 24/29 (83%) | 0.83 [0.73–0.9] | 0.17 [0.08–0.35] |
≥2 lung zones | 72/101 (71%) | 46/56 (82%) | 54/72 (75%) | 18/29 (62%) | 0.75 [0.64–0.84] | 0.38 [0.23–0.56] |
≥3 lung zones | 61/101 (60%) | 39/56 (70%) | 44/72 (61%) | 17/29 (59%) | 0.61 [0.5–0.72] | 0.41 [0.26–0.59] |
≥4 lung zones | 52/101 (51%) | 34/56 (61%) | 37/72 (51%) | 15/29 (52%) | 0.51 [0.4–0.63] | 0.48 [0.31–0.66] |
≥5 lung zones | 39/101 (39%) | 29/56 (52%) | 30/72 (42%) | 9/29 (31%) | 0.42 [0.31–0.53] | 0.69 [0.51–0.83] |
≥6 lung zones | 22/101 (22%) | 14/56 (25%) | 14/72 (19%) | 8/29 (28%) | 0.19 [0.12–0.3] | 0.72 [0.54–0.85] |
≥7 lung zones | 14/101 (14%) | 9/56 (16%) | 9/72 (12%) | 5/29 (17%) | 0.12 [0.07–0.22] | 0.83 [0.65–0.92] |
SPC ≥ 1cm in at least 1 lung zone | 54/101 (53%) | 39/56 (70%) | 41/72 (57%) | 13/29 (45%) | 0.57 [0.45–0.68] | 0.55 [0.38–0.72] |
≥2 lung zones | 29/101 (29%) | 25/56 (45%) | 25/72 (35%) | 4/29 (14%) | 0.35 [0.25–0.46] | 0.86 [0.69–0.95] |
≥3 lung zones | 20/101 (20%) | 18/56 (32%) | 18/72 (25%) | 2/29 (7%) | 0.25 [0.16–0.36] | 0.93 [0.78–0.98] |
≥4 lung zones | 12/101 (12%) | 11/56 (20%) | 11/72 (15%) | 1/29 (3%) | 0.15 [0.09–0.25] | 0.97 [0.83–1] |
B-lines in at least 1 lung zone | 81/101 (80%) | 47/56 (84%) | 57/72 (79%) | 24/29 (83%) | 0.79 [0.68–0.87] | 0.17 [0.08–0.35] |
≥2 lung zones | 57/101 (56%) | 35/56 (62%) | 39/72 (54%) | 18/29 (62%) | 0.54 [0.43–0.65] | 0.38 [0.23–0.56] |
≥3 lung zones | 43/101 (43%) | 28/56 (50%) | 31/72 (43%) | 12/29 (41%) | 0.43 [0.32–0.55] | 0.59 [0.41–0.74] |
≥4 lung zones | 29/101 (29%) | 20/56 (36%) | 20/72 (28%) | 9/29 (31%) | 0.28 [0.19–0.39] | 0.69 [0.51–0.83] |
≥5 lung zones | 19/101 (19%) | 15/56 (27%) | 15/72 (21%) | 4/29 (14%) | 0.21 [0.13–0.32] | 0.86 [0.6–0.95] |
≥6 lung zones | 13/101 (13%) | 9/56 (16%) | 9/72 (12%) | 4/29 (14%) | 0.12 [0.07–0.22] | 0.86 [0.69–0.95] |
Combinations of FASH and LUS | ||||||
FASH or SPC ≥ 1 cm | 69/101 (68%) | 45/56 (80%) | 51/72 (71%) | 18/29 (62%) | 0.71 [0.59–0.8] | 0.38 [0.23–0.56] |
FASH or SPC ≥ 5 mm | 84/101 (83%) | 52/56 (93%) | 61/72 (85%) | 23/29 (79%) | 0.85 [0.75–0.91] | 0.21 [0.1–0.38] |
Other targets | ||||||
IMNs ≥0.5 cm present | 18/101 (18%) | 12/56 (21%) | 15/72 (21%) | 3/29 (10%) | 0.21 [0.13–0.32] | 0.9 [0.74–0.96] |
Pleural laminar thickening | 14/101 (14%) | 10/56 (18%) | 10/72 (14%) | 4/29 (14%) | … | … |
Intestinal thickening in the right lower quadrant >4 mm | 1/98 (1%) | 0/55 (0%) | 0/70 (0%) | 1/28 (4%) | 0 [0–0.05] | 0.96 [0–82;1] |
Any peritoneal thickening (parietal, visceral, omental) | 2/101 (2%) | 1/56 (2%) | 2/72 (3%) | 0/29 (0%) | 0.03 [0.01–0.1] | 1 [0.88–1] |
Mediastinal lymph nodes seen from suprasternal viewb | 1/85 (1%) | 1/44 (2%) | 1/56 (2%) | 0/29 (0%) | … | … |
Peripheral lymph nodes present (only if clinical suspicion) | 12/99 (12%) | 4/55 (7%) | 11/70 (16%) | 1/29 (3%) | 0.16 [0.09–0.26] | 0.97 [0.83–1] |
Denominators provided for all individuals with available data for each line.
Abbreviations: 95% CI, 95% confidence interval; CRS, composite reference standard; eMRS, extended MRS; EPTB, extrapulmonary tuberculosis; FASH, focused assessment with sonography for HIV-associated tuberculosis; IQR, interquartile range; IMN, internal mammary lymph node; LUS, lung ultrasound; MRS, microbiological reference standard; SPC, subpleural consolidation; TB, tuberculosis.
aIn n = 31 cases of EPTB, FASHoriginal had a sensitivity of 12/31 (39%).
bParasternal only negative.
Variables in N, Median, IQR, (%) . | All Participants (n = 102) . | PTB Cases (MRS Positive) (n = 57) . | TB Cases (CRS Positive) (n = 73) . | Unlikely TB (n = 29) . | Sensitivity (95% CI) . | Specificity (95% CI) . |
---|---|---|---|---|---|---|
FASH | ||||||
FASHoriginala | 42/101 (42%) | 25/56 (45%) | 29/72 (40%) | 13/29 (45%) | 0.4 [0.3–0.52] | 0.55 [0.38–0.72] |
FASHascites | 44/101 (44%) | 27/56 (48%) | 31/72 (43%) | 13/29 (45%) | 0.43 [0.32–0.55] | 0.55 [0.38–0.72] |
FASHpericardium | 44/101 (44%) | 26/56 (46%) | 31/72 (43%) | 13/29 (45%) | 0.43 [0.32–0.55] | 0.55 [0.38–0.72] |
FASHpleura600ml | 22/101 (22%) | 13/56 (23%) | 16/72 (22%) | 6/29 (21%) | 0.22 [0.14–0.33] | 0.79 [0.62–0.9] |
Pleural effusion present, any | 32/101 (32%) | 19/56 (34%) | 21/72 (29%) | 11/29 (38%) | 0.29 [0.2–0.41] | 0.62 [0.44–0.77] |
Pleural effusion estimated volume | 346 [247–542] (N = 32) | 350 [250–596] (N = 19) | 350 [252–595] (N = 21) | 308 [149–430] (N = 11) | … | … |
Pericardial effusion ≥10 mm | 5/101 (5%) | 2/56 (4%) | 3/72 (4%) | 2/29 (7%) | 0.04 [0.01–0.12] | 0.93 [0.78–0.98] |
Hypoechoic spleen lesions <1.5 cm present | 4/101 (4%) | 1/56 (2%) | 1/72 (1%) | 3/29 (10%) | 0.01 [0–0.07] | 0.9 [0.74–0.96] |
Hyperechoic spleen lesions present with or without calcification | 4/101 (4%) | 3/56 (5%) | 3/72 (4%) | 1/29 (3%) | … | … |
Hypoechoic liver lesions | 2/101 (2%) | 0/56 (0%) | 0/72 (0%) | 2/29 (7%) | 0 [0–0.05] | 0.93 [0.78–0.98] |
Abdominal lymph nodes ≥1.5 cm present | 9/101 (9%) | 6/56 (11%) | 8/72 (11%) | 1/29 (3%) | 0.11 [0.06–0.2] | 0.97 [0.83–1] |
Ascites present | 6/101 (6%) | 3/56 (5%) | 4/72 (6%) | 2/29 (7%) | 0.06 [0.02–0.13] | 0.93 [0.78–0.98] |
Lung ultrasound | ||||||
consolidations | ||||||
Subpleural consolidations (SPC) < 1 cm present | 84/101 (83%) | 51/56 (91%) | 60/72 (83%) | 24/29 (83%) | 0.83 [0.73–0.9] | 0.17 [0.08–0.35] |
Number of subpleural consolidations <1 cm | single: 6/84 (7) 2–5: 35/84 (42) > 5: 43/84 (51) | single: 2/56 (4) 2–5: 18/56 (32) > 5: 31/56 (55) | single: 3/60 (5) 2–5: 24 24/60 (40) > 5: 33/60 (55) | single: 3/24 (13) 2–5: 11/24 (46) > 5: 10/24 (42) | … | … |
>5 SPCs <1 cm with at least one ≥5 mm | 36/101 (36%) | 27/56 (48%) | 28/72 (39%) | 8/29 (28%) | 0.39 [0.29–0.51] | 0.72 [0.54–0.85] |
Subpleural consolidations ≥1 cm present | 54/101 (53%) | 39/56 (70%) | 41/72 (57%) | 13/29 (45%) | 0.57 [0.45–0.68] | 0.55 [0.38–0.72] |
Any subpleural consolidation present, regardless of size? | 87/101 (86%) | 53/56 (95%) | 63/72 (88%) | 24/29 (83%) | 0.88 [0.78–0.93] | 0.17 [0.08–0.35] |
Any consolidation in the apical regions | 42/101 (42%) | 31/56 (55%) | 33/72 (46%) | 9/29 (31%) | 0.46 [0.35–0.57] | 0.69 [0.51–0.83] |
Any consolidations <1 cm in the apical regions | 35/101 (35%) | 24/56 (43%) | 26/72 (36%) | 9/29 (31%) | 0.36 [0.26–0.48] | 0.69 [0.51–0.83] |
Any consolidations ≥1 cm in the apical regions | 15/101 (15%) | 13/56 (23%) | 14/72 (19%) | 1/29 (3%) | 0.19 [0.12–0.3] | 0.97 [0.83–1] |
Other LUS findings | ||||||
Miliary pattern present | 2/101 (2%) | 1/56 (2%) | 1/72 (1%) | 1/29 (3%) | 0.01 [0–0.07] | 0.97 [0.83–1] |
B-lines (>2) in at least 1 lung zone | 81/101 (80%) | 47/56 (84%) | 57/72 (79%) | 24/29 (83%) | 0.79 [0.68–0.87] | 0.17 [0.08–0.35] |
LUS findings in at least … lung zones | ||||||
SPC < 1cm in at least 1 lung zone | 84/101 (83%) | 51/56 (91%) | 60/72 (83%) | 24/29 (83%) | 0.83 [0.73–0.9] | 0.17 [0.08–0.35] |
≥2 lung zones | 72/101 (71%) | 46/56 (82%) | 54/72 (75%) | 18/29 (62%) | 0.75 [0.64–0.84] | 0.38 [0.23–0.56] |
≥3 lung zones | 61/101 (60%) | 39/56 (70%) | 44/72 (61%) | 17/29 (59%) | 0.61 [0.5–0.72] | 0.41 [0.26–0.59] |
≥4 lung zones | 52/101 (51%) | 34/56 (61%) | 37/72 (51%) | 15/29 (52%) | 0.51 [0.4–0.63] | 0.48 [0.31–0.66] |
≥5 lung zones | 39/101 (39%) | 29/56 (52%) | 30/72 (42%) | 9/29 (31%) | 0.42 [0.31–0.53] | 0.69 [0.51–0.83] |
≥6 lung zones | 22/101 (22%) | 14/56 (25%) | 14/72 (19%) | 8/29 (28%) | 0.19 [0.12–0.3] | 0.72 [0.54–0.85] |
≥7 lung zones | 14/101 (14%) | 9/56 (16%) | 9/72 (12%) | 5/29 (17%) | 0.12 [0.07–0.22] | 0.83 [0.65–0.92] |
SPC ≥ 1cm in at least 1 lung zone | 54/101 (53%) | 39/56 (70%) | 41/72 (57%) | 13/29 (45%) | 0.57 [0.45–0.68] | 0.55 [0.38–0.72] |
≥2 lung zones | 29/101 (29%) | 25/56 (45%) | 25/72 (35%) | 4/29 (14%) | 0.35 [0.25–0.46] | 0.86 [0.69–0.95] |
≥3 lung zones | 20/101 (20%) | 18/56 (32%) | 18/72 (25%) | 2/29 (7%) | 0.25 [0.16–0.36] | 0.93 [0.78–0.98] |
≥4 lung zones | 12/101 (12%) | 11/56 (20%) | 11/72 (15%) | 1/29 (3%) | 0.15 [0.09–0.25] | 0.97 [0.83–1] |
B-lines in at least 1 lung zone | 81/101 (80%) | 47/56 (84%) | 57/72 (79%) | 24/29 (83%) | 0.79 [0.68–0.87] | 0.17 [0.08–0.35] |
≥2 lung zones | 57/101 (56%) | 35/56 (62%) | 39/72 (54%) | 18/29 (62%) | 0.54 [0.43–0.65] | 0.38 [0.23–0.56] |
≥3 lung zones | 43/101 (43%) | 28/56 (50%) | 31/72 (43%) | 12/29 (41%) | 0.43 [0.32–0.55] | 0.59 [0.41–0.74] |
≥4 lung zones | 29/101 (29%) | 20/56 (36%) | 20/72 (28%) | 9/29 (31%) | 0.28 [0.19–0.39] | 0.69 [0.51–0.83] |
≥5 lung zones | 19/101 (19%) | 15/56 (27%) | 15/72 (21%) | 4/29 (14%) | 0.21 [0.13–0.32] | 0.86 [0.6–0.95] |
≥6 lung zones | 13/101 (13%) | 9/56 (16%) | 9/72 (12%) | 4/29 (14%) | 0.12 [0.07–0.22] | 0.86 [0.69–0.95] |
Combinations of FASH and LUS | ||||||
FASH or SPC ≥ 1 cm | 69/101 (68%) | 45/56 (80%) | 51/72 (71%) | 18/29 (62%) | 0.71 [0.59–0.8] | 0.38 [0.23–0.56] |
FASH or SPC ≥ 5 mm | 84/101 (83%) | 52/56 (93%) | 61/72 (85%) | 23/29 (79%) | 0.85 [0.75–0.91] | 0.21 [0.1–0.38] |
Other targets | ||||||
IMNs ≥0.5 cm present | 18/101 (18%) | 12/56 (21%) | 15/72 (21%) | 3/29 (10%) | 0.21 [0.13–0.32] | 0.9 [0.74–0.96] |
Pleural laminar thickening | 14/101 (14%) | 10/56 (18%) | 10/72 (14%) | 4/29 (14%) | … | … |
Intestinal thickening in the right lower quadrant >4 mm | 1/98 (1%) | 0/55 (0%) | 0/70 (0%) | 1/28 (4%) | 0 [0–0.05] | 0.96 [0–82;1] |
Any peritoneal thickening (parietal, visceral, omental) | 2/101 (2%) | 1/56 (2%) | 2/72 (3%) | 0/29 (0%) | 0.03 [0.01–0.1] | 1 [0.88–1] |
Mediastinal lymph nodes seen from suprasternal viewb | 1/85 (1%) | 1/44 (2%) | 1/56 (2%) | 0/29 (0%) | … | … |
Peripheral lymph nodes present (only if clinical suspicion) | 12/99 (12%) | 4/55 (7%) | 11/70 (16%) | 1/29 (3%) | 0.16 [0.09–0.26] | 0.97 [0.83–1] |
Variables in N, Median, IQR, (%) . | All Participants (n = 102) . | PTB Cases (MRS Positive) (n = 57) . | TB Cases (CRS Positive) (n = 73) . | Unlikely TB (n = 29) . | Sensitivity (95% CI) . | Specificity (95% CI) . |
---|---|---|---|---|---|---|
FASH | ||||||
FASHoriginala | 42/101 (42%) | 25/56 (45%) | 29/72 (40%) | 13/29 (45%) | 0.4 [0.3–0.52] | 0.55 [0.38–0.72] |
FASHascites | 44/101 (44%) | 27/56 (48%) | 31/72 (43%) | 13/29 (45%) | 0.43 [0.32–0.55] | 0.55 [0.38–0.72] |
FASHpericardium | 44/101 (44%) | 26/56 (46%) | 31/72 (43%) | 13/29 (45%) | 0.43 [0.32–0.55] | 0.55 [0.38–0.72] |
FASHpleura600ml | 22/101 (22%) | 13/56 (23%) | 16/72 (22%) | 6/29 (21%) | 0.22 [0.14–0.33] | 0.79 [0.62–0.9] |
Pleural effusion present, any | 32/101 (32%) | 19/56 (34%) | 21/72 (29%) | 11/29 (38%) | 0.29 [0.2–0.41] | 0.62 [0.44–0.77] |
Pleural effusion estimated volume | 346 [247–542] (N = 32) | 350 [250–596] (N = 19) | 350 [252–595] (N = 21) | 308 [149–430] (N = 11) | … | … |
Pericardial effusion ≥10 mm | 5/101 (5%) | 2/56 (4%) | 3/72 (4%) | 2/29 (7%) | 0.04 [0.01–0.12] | 0.93 [0.78–0.98] |
Hypoechoic spleen lesions <1.5 cm present | 4/101 (4%) | 1/56 (2%) | 1/72 (1%) | 3/29 (10%) | 0.01 [0–0.07] | 0.9 [0.74–0.96] |
Hyperechoic spleen lesions present with or without calcification | 4/101 (4%) | 3/56 (5%) | 3/72 (4%) | 1/29 (3%) | … | … |
Hypoechoic liver lesions | 2/101 (2%) | 0/56 (0%) | 0/72 (0%) | 2/29 (7%) | 0 [0–0.05] | 0.93 [0.78–0.98] |
Abdominal lymph nodes ≥1.5 cm present | 9/101 (9%) | 6/56 (11%) | 8/72 (11%) | 1/29 (3%) | 0.11 [0.06–0.2] | 0.97 [0.83–1] |
Ascites present | 6/101 (6%) | 3/56 (5%) | 4/72 (6%) | 2/29 (7%) | 0.06 [0.02–0.13] | 0.93 [0.78–0.98] |
Lung ultrasound | ||||||
consolidations | ||||||
Subpleural consolidations (SPC) < 1 cm present | 84/101 (83%) | 51/56 (91%) | 60/72 (83%) | 24/29 (83%) | 0.83 [0.73–0.9] | 0.17 [0.08–0.35] |
Number of subpleural consolidations <1 cm | single: 6/84 (7) 2–5: 35/84 (42) > 5: 43/84 (51) | single: 2/56 (4) 2–5: 18/56 (32) > 5: 31/56 (55) | single: 3/60 (5) 2–5: 24 24/60 (40) > 5: 33/60 (55) | single: 3/24 (13) 2–5: 11/24 (46) > 5: 10/24 (42) | … | … |
>5 SPCs <1 cm with at least one ≥5 mm | 36/101 (36%) | 27/56 (48%) | 28/72 (39%) | 8/29 (28%) | 0.39 [0.29–0.51] | 0.72 [0.54–0.85] |
Subpleural consolidations ≥1 cm present | 54/101 (53%) | 39/56 (70%) | 41/72 (57%) | 13/29 (45%) | 0.57 [0.45–0.68] | 0.55 [0.38–0.72] |
Any subpleural consolidation present, regardless of size? | 87/101 (86%) | 53/56 (95%) | 63/72 (88%) | 24/29 (83%) | 0.88 [0.78–0.93] | 0.17 [0.08–0.35] |
Any consolidation in the apical regions | 42/101 (42%) | 31/56 (55%) | 33/72 (46%) | 9/29 (31%) | 0.46 [0.35–0.57] | 0.69 [0.51–0.83] |
Any consolidations <1 cm in the apical regions | 35/101 (35%) | 24/56 (43%) | 26/72 (36%) | 9/29 (31%) | 0.36 [0.26–0.48] | 0.69 [0.51–0.83] |
Any consolidations ≥1 cm in the apical regions | 15/101 (15%) | 13/56 (23%) | 14/72 (19%) | 1/29 (3%) | 0.19 [0.12–0.3] | 0.97 [0.83–1] |
Other LUS findings | ||||||
Miliary pattern present | 2/101 (2%) | 1/56 (2%) | 1/72 (1%) | 1/29 (3%) | 0.01 [0–0.07] | 0.97 [0.83–1] |
B-lines (>2) in at least 1 lung zone | 81/101 (80%) | 47/56 (84%) | 57/72 (79%) | 24/29 (83%) | 0.79 [0.68–0.87] | 0.17 [0.08–0.35] |
LUS findings in at least … lung zones | ||||||
SPC < 1cm in at least 1 lung zone | 84/101 (83%) | 51/56 (91%) | 60/72 (83%) | 24/29 (83%) | 0.83 [0.73–0.9] | 0.17 [0.08–0.35] |
≥2 lung zones | 72/101 (71%) | 46/56 (82%) | 54/72 (75%) | 18/29 (62%) | 0.75 [0.64–0.84] | 0.38 [0.23–0.56] |
≥3 lung zones | 61/101 (60%) | 39/56 (70%) | 44/72 (61%) | 17/29 (59%) | 0.61 [0.5–0.72] | 0.41 [0.26–0.59] |
≥4 lung zones | 52/101 (51%) | 34/56 (61%) | 37/72 (51%) | 15/29 (52%) | 0.51 [0.4–0.63] | 0.48 [0.31–0.66] |
≥5 lung zones | 39/101 (39%) | 29/56 (52%) | 30/72 (42%) | 9/29 (31%) | 0.42 [0.31–0.53] | 0.69 [0.51–0.83] |
≥6 lung zones | 22/101 (22%) | 14/56 (25%) | 14/72 (19%) | 8/29 (28%) | 0.19 [0.12–0.3] | 0.72 [0.54–0.85] |
≥7 lung zones | 14/101 (14%) | 9/56 (16%) | 9/72 (12%) | 5/29 (17%) | 0.12 [0.07–0.22] | 0.83 [0.65–0.92] |
SPC ≥ 1cm in at least 1 lung zone | 54/101 (53%) | 39/56 (70%) | 41/72 (57%) | 13/29 (45%) | 0.57 [0.45–0.68] | 0.55 [0.38–0.72] |
≥2 lung zones | 29/101 (29%) | 25/56 (45%) | 25/72 (35%) | 4/29 (14%) | 0.35 [0.25–0.46] | 0.86 [0.69–0.95] |
≥3 lung zones | 20/101 (20%) | 18/56 (32%) | 18/72 (25%) | 2/29 (7%) | 0.25 [0.16–0.36] | 0.93 [0.78–0.98] |
≥4 lung zones | 12/101 (12%) | 11/56 (20%) | 11/72 (15%) | 1/29 (3%) | 0.15 [0.09–0.25] | 0.97 [0.83–1] |
B-lines in at least 1 lung zone | 81/101 (80%) | 47/56 (84%) | 57/72 (79%) | 24/29 (83%) | 0.79 [0.68–0.87] | 0.17 [0.08–0.35] |
≥2 lung zones | 57/101 (56%) | 35/56 (62%) | 39/72 (54%) | 18/29 (62%) | 0.54 [0.43–0.65] | 0.38 [0.23–0.56] |
≥3 lung zones | 43/101 (43%) | 28/56 (50%) | 31/72 (43%) | 12/29 (41%) | 0.43 [0.32–0.55] | 0.59 [0.41–0.74] |
≥4 lung zones | 29/101 (29%) | 20/56 (36%) | 20/72 (28%) | 9/29 (31%) | 0.28 [0.19–0.39] | 0.69 [0.51–0.83] |
≥5 lung zones | 19/101 (19%) | 15/56 (27%) | 15/72 (21%) | 4/29 (14%) | 0.21 [0.13–0.32] | 0.86 [0.6–0.95] |
≥6 lung zones | 13/101 (13%) | 9/56 (16%) | 9/72 (12%) | 4/29 (14%) | 0.12 [0.07–0.22] | 0.86 [0.69–0.95] |
Combinations of FASH and LUS | ||||||
FASH or SPC ≥ 1 cm | 69/101 (68%) | 45/56 (80%) | 51/72 (71%) | 18/29 (62%) | 0.71 [0.59–0.8] | 0.38 [0.23–0.56] |
FASH or SPC ≥ 5 mm | 84/101 (83%) | 52/56 (93%) | 61/72 (85%) | 23/29 (79%) | 0.85 [0.75–0.91] | 0.21 [0.1–0.38] |
Other targets | ||||||
IMNs ≥0.5 cm present | 18/101 (18%) | 12/56 (21%) | 15/72 (21%) | 3/29 (10%) | 0.21 [0.13–0.32] | 0.9 [0.74–0.96] |
Pleural laminar thickening | 14/101 (14%) | 10/56 (18%) | 10/72 (14%) | 4/29 (14%) | … | … |
Intestinal thickening in the right lower quadrant >4 mm | 1/98 (1%) | 0/55 (0%) | 0/70 (0%) | 1/28 (4%) | 0 [0–0.05] | 0.96 [0–82;1] |
Any peritoneal thickening (parietal, visceral, omental) | 2/101 (2%) | 1/56 (2%) | 2/72 (3%) | 0/29 (0%) | 0.03 [0.01–0.1] | 1 [0.88–1] |
Mediastinal lymph nodes seen from suprasternal viewb | 1/85 (1%) | 1/44 (2%) | 1/56 (2%) | 0/29 (0%) | … | … |
Peripheral lymph nodes present (only if clinical suspicion) | 12/99 (12%) | 4/55 (7%) | 11/70 (16%) | 1/29 (3%) | 0.16 [0.09–0.26] | 0.97 [0.83–1] |
Denominators provided for all individuals with available data for each line.
Abbreviations: 95% CI, 95% confidence interval; CRS, composite reference standard; eMRS, extended MRS; EPTB, extrapulmonary tuberculosis; FASH, focused assessment with sonography for HIV-associated tuberculosis; IQR, interquartile range; IMN, internal mammary lymph node; LUS, lung ultrasound; MRS, microbiological reference standard; SPC, subpleural consolidation; TB, tuberculosis.
aIn n = 31 cases of EPTB, FASHoriginal had a sensitivity of 12/31 (39%).
bParasternal only negative.
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