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Updated: Jul 10, 2025

Protocol and Guidelines for Point-of-Care Lung Ultrasound in Diagnosing Neonatal Pulmonary Diseases Based on International Expert Consensus
Published on: March 6, 2019
Neonatal and Infant Lung Disorders: Glossary, Practical Approach, and Diagnoses.
Se-Young Yoon1, Nathan David P Concepcion2, Olivia DiPrete1
1Department of Radiology, Beth Israel Deaconess Medical Center, Harvard University.
Interpreting infant chest imaging requires a systematic approach to differentiate numerous lung disorders. Recognizing radiologic patterns and integrating clinical history aids diagnosis and management planning for neonates and infants.
Area of Science:
- Pediatric Radiology
- Thoracic Imaging
- Neonatal and Infant Lung Diseases
Background:
- Neonates and infants are susceptible to diverse lung disorders, including congenital, genetic, and iatrogenic conditions.
- Chest imaging, primarily radiography and CT, is crucial for diagnosing these conditions but faces challenges due to overlapping radiographic features.
Purpose of the Study:
- To outline a systematic and practical approach for interpreting neonatal and infant chest imaging.
- To enhance diagnostic accuracy and aid clinical management planning for pediatric thoracic conditions.
Main Methods:
- Emphasizes recognition of distinct radiologic patterns.
- Advocates for the use of standardized nomenclature and classification systems.
- Stresses the importance of correlating imaging findings with clinical history.
Main Results:
- A structured interpretation method assists radiologists in suggesting diagnoses for complex infant lung conditions.
- Facilitates better communication between radiologists and clinicians for improved patient care.
- Addresses the challenge of differentiating overlapping radiographic features in pediatric chest imaging.
Conclusions:
- A systematic approach to infant chest imaging interpretation is essential for accurate diagnosis and effective management.
- Integration of pattern recognition, standardized terminology, and clinical context improves diagnostic confidence.
- Endorsed by the World Federation of Pediatric Imaging (WFPI) and International Society of Pediatric Thoracic Imaging (ISPTI).
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