Potential of ultrasound in the pediatric chest

Panruethai Trinavarat1, Michael Riccabona2

  • 1Department of Radiology, Faculty of Medicine, Chulalongkorn University, Rama IV Road, Pathumwan, Bangkok 10330, Thailand.

Insights

Chest ultrasound (US) is a valuable tool for diagnosing pediatric chest conditions in neonates, infants, and children. This review covers techniques, indications, and applications, including common and rare findings.

Area of Science:

  • Pediatric Radiology
  • Medical Imaging
  • Pulmonology

Background:

  • Chest ultrasound (US) overcomes inherent limitations of US beam and air to aid in pediatric chest condition diagnosis.
  • The utility of chest US has expanded, leading to its widespread adoption by medical subspecialists.
  • This review focuses on the application of chest US in pediatric populations.

Purpose of the Study:

  • To provide a comprehensive overview of chest US techniques, indications, and applications in neonates, infants, and children.
  • To discuss common, rare, and modern aspects of chest US, including specific thoracic structures and pathologies.
  • To briefly compare chest US with other related imaging modalities.

Main Methods:

  • Literature review of techniques, indications, and applications of chest US in pediatric populations.
  • Inclusion of common, rare, and modern aspects of chest US.
  • Discussion encompasses pleural effusion, pneumothorax, pulmonary lesions, mediastinum, diaphragm, and chest wall.

Main Results:

  • Chest US is effective for diagnosing various pediatric chest conditions despite technical limitations.
  • The review details a broad spectrum of applications, from common findings like pleural effusion to rarer conditions.
  • Modern applications and specific anatomical regions (mediastinum, diaphragm, chest wall) are addressed.

Conclusions:

  • Chest ultrasound is a versatile and increasingly important imaging modality for pediatric thoracic evaluation.
  • Understanding its techniques and applications is crucial for subspecialists managing neonates, infants, and children with chest conditions.
  • Chest US complements other imaging modalities in the comprehensive assessment of pediatric thoracic diseases.

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