Top

Published in:

01-11-2013 | Review

Chest ultrasound in children: critical appraisal

Authors: Paolo Tomà, Catherine M. Owens

Published in: Pediatric Radiology | Issue 11/2013

Abstract

We analyze the potential use of ultrasound in the study of the thorax in children. The physical limitations imposed on sonography by the ventilated lung and thoracic cage are well known. We want to discuss new US applications based on the clinical and methodological experience gained in adults as outlined by emergency and critical care specialists. These specialists take information from physical acoustic phenomena that is not directly convertible into images of the human body, starting with the interpretation and handling of artifacts. We give a critical assessment from a radiologic viewpoint that is both necessary and important.

Available only for authorised users

Kim OH, Kim WS, Kim MJ et al (2000) US in the diagnosis of pediatric chest diseases. Radiographics 20:653–671PubMed

Mong A, Epelman M, Darge K (2012) Ultrasound of the pediatric chest. Pediatr Radiol 42:1287–1297PubMedCrossRef

Lichtenstein D, Mézière G, Biderman P et al (1997) The comet-tail artifact. An ultrasound sign of alveolar-interstitial syndrome. Am J Respir Crit Care Med 156:1640–1646PubMedCrossRef

Copetti R, Cattarossi L (2008) Ultrasound diagnosis of pneumonia in children. Radiol Med 113:190–198PubMedCrossRef

Caiulo VA, Gargani L, Caiulo S et al (2013) Lung ultrasound characteristics of community-acquired pneumonia in hospitalized children. Pediatr Pulmonol 48:280–287PubMedCrossRef

Coley BD (2011) Chest sonography in children: current indications, techniques, and imaging findings. Radiol Clin North Am 49:825–846PubMedCrossRef

Lichtenstein DA, Mezière GA, Lagoueyte JF et al (2009) A-lines and B-lines: lung ultrasound as a bedside tool for predicting pulmonary artery occlusion pressure in the critically ill. Chest 136:1014–1020PubMedCrossRef

Reissig A, Kroegel C (2003) Transthoracic sonography of diffuse parenchymal lung disease: the role of comet tail artifacts. J Ultrasound Med 22:173–180PubMed

Yedururi S, Guillerman RP, Chung T et al (2008) Multimodality imaging of tracheobronchial disorders in children. Radiographics 28:e29PubMedCrossRef

10.

Avni EF, Braude P, Pardou A et al (1990) Hyaline membrane disease in the newborn: diagnosis by ultrasound. Pediatr Radiol 20:143–146PubMedCrossRef

11.

Raimondi F, Migliaro F, Sodano A et al (2012) Can neonatal lung ultrasound monitor fluid clearance and predict the need of respiratory support? Crit Care 16:R220PubMedCrossRef

12.

Copetti R, Cattarossi L, Macagno F et al (2008) Lung ultrasound in respiratory distress syndrome: a useful tool for early diagnosis. Neonatology 94:52–59PubMedCrossRef

13.

Copetti R, Cattarossi L (2007) The ‘double lung point’: an ultrasound sign diagnostic of transient tachypnea of the newborn. Neonatology 91:203–209PubMedCrossRef

14.

Agrons GA, Courtney SE, Stocker JT et al (2005) From the archives of the AFIP: lung disease in premature neonates: radiologic-pathologic correlation. Radiographics 25:1047–1073PubMedCrossRef

15.

Schmölzer GM, O’Reilly M, Davis PG et al (2013) Confirmation of correct tracheal tube placement in newborn infants. Resuscitation 84:731–737PubMedCrossRef

16.

Duetting T, Foerste B, Knoch T et al (1999) Radiation exposure during chest x-ray examinations in a premature intensive care unit: phantom studies. Pediatr Radiol 29:158–162PubMedCrossRef

17.

Clark RH (2005) The epidemiology of respiratory failure in neonates born at an estimated gestational age of 34 weeks or more. J Perinatol 25:251–257PubMedCrossRef

18.

Soldati G, Copetti R, Sher S (2009) Sonographic interstitial syndrome: the sound of lung water. J Ultrasound Med 28:163–174PubMed

19.

Schuler A (2011) Image artifacts and pitfalls. In: Mathis G (ed) Chest sonography. Springer, Berlin Heidelberg, pp 177–186CrossRef

20.

Soldati G, Copetti R, Sher S (2011) Can lung comets be counted as ‘objects’? JACC Cardiovasc Imaging 4:438–439PubMedCrossRef

21.

Parad RB (2012) Update on the diagnosis and management of bronchopulmonary dysplasia/chronic lung disease of infancy: what the radiologist should know. Pediatr Radiol 42:S92–100PubMedCrossRef

22.

Wilkerson RG, Stone MB (2010) Sensitivity of bedside ultrasound and supine anteroposterior chest radiographs for the identification of pneumothorax after blunt trauma. Acad Emerg Med 17:11–17PubMedCrossRef

23.

Volpicelli G, Elbarbary M, Blaivas M et al (2012) International Liaison Committee on Lung Ultrasound (ILC-LUS) for International Consensus Conference on Lung Ultrasound (ICC-LUS). International evidence-based recommendations for point-of-care lung ultrasound. Intensive Care Med 38:577–591PubMedCrossRef

24.

Havelock T, Teoh R, Laws D et al (2010) BTS Pleural Disease Guideline Group. Pleural procedures and thoracic ultrasound: British Thoracic Society pleural disease guideline 2010. Thorax 65:ii61–76PubMedCrossRef

25.

Scaife ER, Fenton SJ, Hansen KW et al (2009) Use of focused abdominal sonography for trauma at pediatric and adult trauma centers: a survey. J Pediatr Surg 44:1746–1749PubMedCrossRef

26.

Michelow IC, Olsen K, Lozano J et al (2004) Epidemiology and clinical characteristics of community-acquired pneumonia in hospitalized children. Pediatrics 113:701–707PubMedCrossRef

27.

Harris M, Clark J, Coote N et al (2011) British Thoracic Society Standards of Care Committee. British Thoracic Society guidelines for the management of community acquired pneumonia in children: update 2011. Thorax 66:ii1–23PubMedCrossRef

28.

Bramson RT, Griscom NT, Cleveland RH (2005) Interpretation of chest radiographs in infants with cough and fever. Radiology 236:22–29PubMedCrossRef

29.

Donnelly LF (2005) Imaging in immunocompetent children who have pneumonia. Radiol Clin North Am 43:253–265PubMedCrossRef

30.

Caiulo VA, Gargani L, Caiulo S et al (2011) Lung ultrasound in bronchiolitis: comparison with chest x-ray. Eur J Pediatr 170:1427–1433PubMedCrossRef

31.

Don M, Barillari A, Cattarossi L et al (2013) Lung ultrasound for paediatric pneumonia diagnosis: internationally officialized in a near future? Acta Paediatr 102:6–7PubMedCrossRef

32.

Iuri D, De Candia A, Bazzocchi M (2009) Evaluation of the lung in children with suspected pneumonia: usefulness of ultrasonography. Radiol Med 114:321–330PubMedCrossRef

33.

Lichtenstein D, Mezière G, Seitz J (2009) The dynamic air bronchogram. A lung ultrasound sign of alveolar consolidation ruling out atelectasis. Chest 135:1421–1425PubMedCrossRef

34.

Riccabona M (2008) Ultrasound of the chest in children (mediastinum excluded). Eur Radiol 18:390–399PubMedCrossRef

35.

Kiekara O, Korppi M, Tanska S et al (1996) Radiological diagnosis of pneumonia in children. Ann Med 28:69–72PubMedCrossRef

36.

Johnson J, Kline JA (2010) Intraobserver and interobserver agreement of the interpretation of pediatric chest radiographs. Emerg Radiol 17:285–290PubMedCrossRef

37.

Jaffe A, Calder AD, Owens CM et al (2008) Role of routine computed tomography in paediatric pleural empyema. Thorax 63:897–902PubMedCrossRef

38.

Calder A, Owens CM (2009) Imaging of parapneumonic pleural effusions and empyema in children. Pediatr Radiol 39:527–537PubMedCrossRef

39.

Balfour-Lynn IM, Abrahamson E, Cohen G et al (2005) Paediatric Pleural Diseases Subcommittee of the BTS Standards of Care Committee. BTS guidelines for the management of pleural infection in children. Thorax 60:i1–21PubMedCrossRef

40.

Kurian J, Levin TL, Han BK et al (2009) Comparison of ultrasound and CT in the evaluation of pneumonia complicated by parapneumonic effusion in children. AJR Am J Roentgenol 193:1648–1654PubMedCrossRef

Title: Chest ultrasound in children: critical appraisal
Authors: Paolo Tomà
Catherine M. Owens
Publication date: 01-11-2013
Publisher: Springer Berlin Heidelberg
Published in: Pediatric Radiology / Issue 11/2013
Print ISSN: 0301-0449
Electronic ISSN: 1432-1998
DOI: https://doi.org/10.1007/s00247-013-2756-4

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Chest ultrasound in children: critical appraisal

Abstract

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Please log in to get access to this content

Other articles of this Issue 11/2013

Prevalence and relevance of pediatric spinal fractures in suspected child abuse

Clinically useful dilution factors for iodine and gadolinium contrast material: an animal model of pediatric digital subtraction angiography using state-of-the-art flat-panel detectors

Pediatric radiology continuing medical education activity

Imaging features of pancreatic tumors in children: 13-year experience at a pediatric tertiary hospital

Magnetic resonance urography and laparoscopy in paediatric urology: a case series

‘Keller & Barnes’ after 5 years—still inadmissible as evidence