Pediatric ultrasonography of the pancreas: normal and abnormal findings

Serafino, Marco Di; Vitale, Valerio; Severino, Rosa; Barbuto, Luigi; Vezzali, Norberto; Ferro, Federica; Rossi, Eugenio; Caprio, Maria Grazia; Raia, Valeria; Vallone, Gianfranco

doi:10.1007/s40477-018-0348-8

Cited by 19 publications

(10 citation statements)

References 30 publications

(77 reference statements)

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“…Ultrasound (US) can be used in the triage of symptomatic patients, in the assessment of the severity of lung damage, and in the assessment of the evolution of the disease [ 8 ]. It is a radiation-free method and can be safely used in children and pregnant women [ 8 , 12 , 13 ].…”

Section: Lung Ultrasoundmentioning

confidence: 99%

Diagnostic imaging in COVID-19 pneumonia: a literature review

et al. 2021

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In December 2019 in Wuhan (China), a bat-origin coronavirus (2019-nCoV), also known as severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), was identified, and the World Health Organization named the related disease COVID-19. Its most severe manifestations are pneumonia, systemic and pulmonary thromboembolism, acute respiratory distress syndrome (ARDS), and respiratory failure. A swab test is considered the gold standard for the diagnosis of COVID-19 despite the high number of false negatives. Radiologists play a crucial role in the rapid identification and early diagnosis of pulmonary involvement. Lung ultrasound (LUS) and computed tomography (CT) have a high sensitivity in detecting pulmonary interstitial involvement. LUS is a low-cost and radiation-free method, which allows a bedside approach and needs disinfection of only a small contact area, so it could be particularly useful during triage and in intensive care units (ICUs). High-resolution computed tomography (HRCT) is particularly useful in evaluating disease progression or resolution, being able to identify even the smallest changes.

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Section: Lung Ultrasoundmentioning

confidence: 99%

Diagnostic imaging in COVID-19 pneumonia: a literature review

et al. 2021

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“…For example, because of its location, pancreatitis usually presents as an inflammatory change around the duodenum that may be similar to those of gastric or duodenal ulcers. 24,25 Laboratory data, including an amylase test, may be useful for differentiating pancreatitis from gastric or duodenal ulcers. 26 Identifying the underlying disease is also useful for ulcer detection.…”

Section: Discussionmentioning

confidence: 99%

Diagnostic Accuracy of Ultrasound for Detecting Gastric or Duodenal Ulcers in Pediatric Patients

Hosokawa

Tanami

Sato

et al. 2021

J of Ultrasound Medicine

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Objective-Direct ultrasound imaging findings alone have low sensitivity for diagnosing duodenal (65%) and gastric ulcers (40%). This retrospective study evaluated the efficiency of ultrasound in detecting gastric/duodenal ulcers in pediatric patients through direct and indirect findings.Methods-We evaluated 244 children who underwent ultrasound and subsequent endoscopy within 4 weeks for direct and indirect imaging findings indicative of gastric/duodenal ulcers. Positive direct imaging findings revealed gastric or duodenal wall thickness >8 or 5 mm, respectively, and indirect findings revealed inflammatory changes, hyperechogenicity, and presence of lymph node around ulcers. Correspondingly, we calculated the sensitivity and specificity for diagnosing gastric/duodenal ulcers and used the Fisher's exact and Mann-Whitney U tests to compare the frequency of findings and gastroduodenal wall thicknesses in pediatric patients with gastric/duodenal ulcers.Results-Overall, 6 and 24 were diagnosed with gastric and duodenal ulcers, respectively. The sensitivities of direct and indirect findings were 60.0% (18/30) and 80.0% (24/30), respectively; the corresponding specificities were 98.1% (210/214) and 97.2% (208/214). The frequency of direct and indirect sonographic findings differed significantly between patients with gastric or duodenal ulcers (18/30 versus 24/30, P = .002). Gastric and duodenal wall thicknesses were greater in patients with gastric (6.6 ± 2.6 mm versus 3.6 ± 1.4 mm; P = .003) or duodenal ulcer (5.0 ± 1.4 mm versus 2.2 ± 1.0 mm; P <.0001), respectively, than in those without.Conclusions-The frequency of indirect finding was greater than that of direct finding in pediatric patients with gastric/duodenal ulcers. Therefore, sonographers should carefully evaluate indirect findings around the stomach or duodenum.

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“…KF transmembran regülatör (KFTR) proteinini kodlayan gendeki mutasyon sonucu gelişen, özellikle ekzokrin gland fonksiyonlarını etkileyen, otozomal resesif, EĞİTİCİ NOKTA EĞİTİCİ NOKTA herediter bir hastalıktır [32]. İnsidansı 100 000 canlı doğumda 19,9 olarak bildirilmiştir.…”

Section: Kistik Fibrozis (Kf)unclassified

“…USG ilk başvurulacak görüntüleme yöntemidir. Pankreasta fokal ya da diffüz volüm artışı, ödeme bağlı hipoekoik görünüm, pankreatik kanalda çap artışı ve peripankreatik sıvı tespit edilmesi, pankreatiti düşündüren tipik USG bulgularıdır [32].…”

Section: Pankreatitunclassified