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Protocol and Guidelines for Point-of-Care Lung Ultrasound in Diagnosing Neonatal Pulmonary Diseases Based on International Expert Consensus
Published on: March 6, 2019
[Thoracic sonography in infancy and childhood]
1Abt. für Kinderradiologie, Univ.-Klinik für Radiologie Graz, Austria. michael.riccabona@kfunigraz.ac.at
Insights
Thoracic sonography is a valuable, non-radiating imaging tool for diagnosing pediatric thoracic conditions like thymomegaly and pleural effusion. Experienced professionals can effectively use ultrasound for accurate diagnosis in children.
Area of Science:
- Pediatric Radiology
- Medical Imaging
- Ultrasound Technology
Background:
- Thoracic sonography is increasingly recognized for evaluating pediatric chest conditions.
- It offers a non-ionizing alternative to traditional imaging modalities.
- Accurate diagnosis of conditions like thymomegaly and pleural effusion is crucial in pediatric care.
Purpose of the Study:
- To review the indications and limitations of thoracic sonography in pediatric patients.
- To provide guidance on the effective use of ultrasound for chest queries in neonates, infants, and children.
- To highlight thoracic sonography as a useful, non-radiating imaging tool.
Main Methods:
- Review of established disease entities indicated for thoracic ultrasound.
- Description of important requisites for performing thoracic sonography.
- Discussion of restrictions, setbacks, and an algorithm for additional imaging.
Main Results:
- Thoracic sonography reliably addresses conditions such as thymomegaly, pleural effusion, and pulmonary sequestration.
- It can diagnose these conditions without ionizing radiation.
- Ultrasound aids in evaluating equivocal findings on chest X-rays.
Conclusions:
- Thoracic sonography is an effective and applicable imaging tool for pediatric chest evaluations when indicated.
- It provides a safe, non-ionizing alternative for diagnosing various thoracic pathologies in children.
- This review offers an overview of indications and limitations to encourage efficient use of thoracic ultrasound.
Abstract:
Thoracic sonography has become an established imaging tool for evaluating specific paediatric thoracic diseases; particularly queries such as thymomegaly, pleural effusion, pulmonal sequester or thoracic small part pathology may be reliably addressed. Using appropriate ultrasound equipment the well trained and experienced investigator may diagnose these conditions without the need for a radiating imaging modality or help to evaluate equivocal findings on chest plain films. The important requisites as well as the established disease entities that pose an indication for thoracic ultrasound are listed and described. The restrictions and setbacks are discussed, and an algorithm for additional imaging and typical scenarios is supposed in order to help and encourage the meaningful and efficient use of this non-ionising, easy applicable imaging tool to chest queries. In conclusion, this review tries to give an overview of the restrictions and indications for thoracic sonography in neonates, infants and children as a useful imaging tool when indicated.
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