The application value of lung ultrasound findings in preterm infants with bronchopulmonary dysplasia

Gao, Shuqiang; Xiao, Tian; Ju, Rong; Ma, Rongchuan; Zhang, Xiaolong; Dong, Wei

doi:10.21037/tp.2020.03.14

Cited by 15 publications

(19 citation statements)

References 17 publications

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“…BPD can also be considered a common complication of RDS. The specific LUS pattern is based on inhomogeneous subpleural consolidations and fragment-like echoes, irregular pleural line, simultaneous presence of areas with normal parenchyma or compact B-lines, or white lung [90]. Considering that BPD occurs especially in the peripheral areas, a transabdominal approach is useful for the visualization of lung bases.…”

Section: Neonatal Pathologiesmentioning

confidence: 99%

Lung Ultrasound in Pediatrics and Neonatology: An Update

Ammirabile

Buonsenso

Mauro³

2021

Healthcare

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The potential role of ultrasound for the diagnosis of pulmonary diseases is a recent field of research, because, traditionally, lungs have been considered unsuitable for ultrasonography for the high presence of air and thoracic cage that prevent a clear evaluation of the organ. The peculiar anatomy of the pediatric chest favors the use of lung ultrasound (LUS) for the diagnosis of respiratory conditions through the interpretation of artefacts generated at the pleural surface, correlating them to disease-specific patterns. Recent studies demonstrate that LUS can be a valid alternative to chest X-rays for the diagnosis of pulmonary diseases, especially in children to avoid excessive exposure to ionizing radiations. This review focuses on the description of normal and abnormal findings during LUS of the most common pediatric pathologies. Current literature demonstrates usefulness of LUS that may become a fundamental tool for the whole spectrum of lung pathologies to guide both diagnostic and therapeutic decisions.

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Section: Neonatal Pathologiesmentioning

confidence: 99%

Lung Ultrasound in Pediatrics and Neonatology: An Update

Ammirabile

Buonsenso

Mauro³

2021

Healthcare

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“…Alonso-Ojembarrena et al recently published a prospective trial further showing that LUS scores increased in the first week after birth and then decreased in infants who did not develop BPD, but that elevated scores in the second week predicted BPD (74% sensitivity, 100% specificity, AUC 0.93) (27). Gao et al have described LUS findings in infants with the diagnosis of BPD, including an abnormal pleural line, pulmonary consolidations with irregular hyperechoic areas, and prominence of B-lines (42).…”

Section: Pulmonary Imaging Toolkitmentioning

confidence: 99%

“…A major limitation of neonatal LUS is the lack of a standardized acquisition protocol, including a lack of universally accepted guidelines for training, performing, and interpreting LUS. Most groups recommend utilizing lung zones for consistent assessment; however, there is discrepancy on how to divide the lung zones and how to assign the score (26,42). De Martino et al divides the lung into 6 zones (upper anterior, lower anterior, and lateral bilaterally) and then calculates a score of 0 to 3 based on aeration (26).…”

Section: Pulmonary Imaging Toolkitmentioning

confidence: 99%

Modern pulmonary imaging of bronchopulmonary dysplasia

2021

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Bronchopulmonary dysplasia (BPD) is a complex and serious cardiopulmonary morbidity in infants who are born preterm. Despite advances in clinical care, BPD remains a significant source of morbidity and mortality, due in large part to the increased survival of extremely preterm infants. There are few strong early prognostic indicators of BPD or its later outcomes, and evidence for the usage and timing of various interventions is minimal. As a result, clinical management is often imprecise. In this review, we highlight cutting-edge methods and findings from recent pulmonary imaging research that have high translational value. Further, we discuss the potential role that various radiological modalities may play in early risk stratification for development of BPD and in guiding treatment strategies of BPD when employed in varying severities and time-points throughout the neonatal disease course.

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“…LU could also contribute in future to the development of BPD diagnostic criteria and the classification of its severity. Like chest X‐ray, LU could probably identify those infants with a more severely disrupted lung anatomy, but with a higher spatial definition 13 . This approach could identify cases at higher risk of future rehospitalizations, and the consequent need for preventive strategies, or those at higher risk of chronic obstructive pulmonary diseases who may need chronic medication.…”

mentioning

confidence: 99%

“…Like chest X-ray, LU could probably identify those infants with a more severely disrupted lung anatomy, but with a higher spatial definition. 13 This approach could identify cases at higher risk of future rehospitalizations, and the consequent need for preventive strategies, or those at higher risk of chronic obstructive pulmonary diseases who may need chronic medication. This aspect should be investigated to help in the currently ongoing search for a comprehensive definition of BPD.…”

mentioning

confidence: 99%