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Updated: Aug 9, 2026
06:15
Protocol and Guidelines for Point-of-Care Lung Ultrasound in Diagnosing Neonatal Pulmonary Diseases Based on International Expert Consensus
Published on: March 6, 2019
[Congenital cystic lung malformations]
1Abteilung Pädiatrische Radiologie, Charite, Klinik für Strahlenheilkunde, Berlin. brigitte.stoever@charite.de
Rofo : Fortschritte Auf Dem Gebiete Der Rontgenstrahlen Und Der Nuklearmedizin
|April 12, 2006
Summary
Prenatal diagnosis of congenital cystic lung malformations aids in determining prognosis and optimizing perinatal management. Accurate postnatal evaluation is crucial for surgical intervention and preventing complications.
Area of Science:
- Pediatric Surgery
- Fetal Medicine
- Neonatology
Background:
- Congenital cystic lung malformations (CCLM) are a spectrum of developmental abnormalities.
- Prenatal diagnosis allows for early identification and planning of management.
Purpose of the Study:
- To evaluate the postnatal accuracy of prenatal diagnoses for CCAM.
- To identify prognostic factors for CCAM.
- To define optimized perinatal management strategies for CCAM.
Main Methods:
- Retrospective review of 45 prenatal ultrasound examinations of fetal cystic lung lesions.
- Analysis of postnatal outcomes, including surgical intervention and histological confirmation.
- Correlation of imaging findings with clinical presentation and surgical results.
Main Results:
- CCAM was diagnosed prenatally in 4 cases and sequestration in 7 cases.
- Surgical intervention was required in 4 neonates due to respiratory insufficiency.
- Histological confirmation was obtained for 14 operated children, with high diagnostic accuracy.
Conclusions:
- Accurate perinatal management is essential for CCAM.
- Timely surgical intervention is indicated for neonates with respiratory insufficiency.
- Management should be tailored to clinical relevance to prevent post-neonatal complications.
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