Ultrasound: Can it replace CT in the evaluation of pneumonia in pediatric age group?

Saraya, Samira; Bakry, Rehab El

doi:10.1016/j.ejrnm.2017.02.006

Cited by 5 publications

(3 citation statements)

References 23 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In comparison to other studies, Saraya et al 12 In the present study, 71% of cases of pneumonia and 83.3% of effusion cases were entirely resolved. This finding was comparable to the study by Saraya et al, 12 which showed almost complete resolution of the pneumonic hepatization in 53.8%. In comparison, associated pleural effusion was resolved in 94.1% of treated cases.…”

Section: Discussioncontrasting

confidence: 60%

“…Regarding general data of patient distribution, the current study shows results that are slightly different from other studies. [12][13][14][15] Different sample sizes, history of coexisting chronic respiratory diseases, such as asthma, socioeconomic status, and geographical factors, can determine the observed differences. In the current study, out of 90 patients with pneumonia, 48 (53.3%) patients had complicated pneumonia with pleural effusion, empyema, or abscess formation were confirmed equally by LUS and CT.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Diagnostic Ability of Chest Ultrasound in Selective Paediatric Pneumonia Alternative to CT scan: A single-center Comparative Observational Study

Thareeb,

Alghani Zghair,

Hassan

2022

J. Nepal Paedtr. Soc.

View full text Add to dashboard Cite

Introduction: Chest CT is the gold standard method of the diagnostic evaluation of patients with pneumonia. Lung sonography has been lately explored as an alternative modality to decrease radiation hazards. This study aimed to evaluate the diagnostic ability of lung ultrasonography in detecting paediatric pneumonia at presentation and follow up and comparing findings with chest CT scan. Methods: A cross-sectional observational study was performed at a paediatric hospital from August 2019 to April 2021. We studied 106 children (ages from 45 days to 14 years) referred by the paediatrician with clinical data of pneumonia. All children underwent CT chest examination; 90 showed positive, while 16 showed no pneumonia. Ultrasonography was performed on all patients within 24 hours after CT examination. Results: We found that lung ultrasound showed 100% specificity, 82.2%, sensitivity in the diagnosis of paediatric pneumonia, accuracy was 84.9%, positive predictive value was 100% and negative predictive value was 50%. Their sensitivity and specificity are 100% in complicated pneumonia by parapneumonic effusion, empyema, and abscess formation. Conclusions: Chest ultrasound is a simple technique that can be performed in everyday practice, with high specificity and sensitivity compared to a chest CT scan in diagnosis and follow up of pneumonia in the pediatric age group.

show abstract

Section: Discussioncontrasting

confidence: 60%

Section: Discussionmentioning

confidence: 99%

Diagnostic Ability of Chest Ultrasound in Selective Paediatric Pneumonia Alternative to CT scan: A single-center Comparative Observational Study

Thareeb,

Alghani Zghair,

Hassan

2022

J. Nepal Paedtr. Soc.

View full text Add to dashboard Cite

show abstract

“…Multiple studies have mainly focused on LUS accuracy compared with chest X-ray findings in diagnosing and evaluating pediatric CAP, offering very promising results (overall high sensitivity -up to 95% -and high specificity -up to 96%) [1,2,9,[16][17][18]. Also, few studies compared LUS with chest CT, claiming the accuracy of LUS in the evaluation of CAP and its complications inclusively in pediatric patients [19,20].…”

Section: Discussionmentioning

confidence: 99%

The role of lung ultrasonography in predicting the clinical outcome of complicated community-acquired pneumonia in hospitalized children

et al. 2022

View full text Add to dashboard Cite

Aims: This study’s objective was to analyze lung ultrasonography (LUS) characteristics in hospitalized pediatric patients with complicated community-acquired pneumonia (CAP). We hypothesized that LUS could be correlated with the clinical outcome in these cases.Materials and methods: In this retrospective study, we evaluated the LUS appearances (at admission and five days after the beginning of the treatment) and the progression of complicated CAP.Results: We identified 45 patients who fulfilled the inclusion criteria. Several complications occurred in these subjects during follow-up including: serofibrinous pleurisy (62.2%), empyema (15.6%), encapsulated pleurisy (11.1%), lung abscess (6.7%) and necrotizing pneumonia (2.2%). In addition, 22.2% of the patients required surgical treatment: draining tube (11.1%), decortication (6.7%) and resection (4.4%). Intensive care unit admission was needed in 8.9% of patients. The median duration of hospitalization was 14 [9.7; 19.7] days. The thickness of pleural effusion with a cut-off value of 10 mm seen by LUS was a predictor for the need for continuous thoracic drainage (p<0.01), segmentectomy or thoracoscopic surgery (p=0.03) and prolonged hospitalization over 10 days (p<0.01). Hyperechogenic pleural effusion, presence of septa and fluid bronchogram on 1st LUS evaluation were independent predictors of segmentectomy or thoracoscopic decortication (p<0.01) and of longer hospitalization (p=0.02, p<0.01, p<0.01 respectively).Conclusions: The ultrasound characteristics of complicated CAP can offer valuable information to predict the clinical evolution of CAP and so can help the development of personalized medical management plans in these patients.

show abstract

Chest ultrasound for the diagnosis of paediatric pulmonary diseases: a systematic review and meta-analysis of diagnostic test accuracy

Heuvelings

Bélard

Familusi

et al. 2018

British Medical Bulletin

View full text Add to dashboard Cite

Background Chest ultrasound is an emerging imaging modality, for several paediatric pulmonary diseases. Sources of data MEDLINE and EMBASE (1946–47 to 10 March 2017) were searched to collect evidence on the diagnostic accuracy of chest ultrasound, compared to other imaging modalities, for the diagnosis of paediatric pulmonary diseases. Areas of agreement Eighteen pneumonia studies, comprising 2031 children, were included for meta-analysis; the summary estimate sensitivity was 95.0% (95%CI: 90.7–97.3%) and specificity was 96.1% (95%CI: 89.1–98.7%). Areas of controversy Other pulmonary diseases also yielded high sensitivity and specificity, but a meta-analysis could not be conducted due to a limited number of studies includable, and their heterogeneity. Growing points Chest ultrasound should be considered as a first-line imaging modality for children with suspected pneumonia. Areas timely for developing research Further research should focus on the diagnostic accuracy of chest ultrasound for the diagnosis of paediatric pulmonary diseases, other than pneumonia, comparing against a valid gold standard.

show abstract

Ultrasound: Can it replace CT in the evaluation of pneumonia in pediatric age group?

Cited by 5 publications

References 23 publications

Diagnostic Ability of Chest Ultrasound in Selective Paediatric Pneumonia Alternative to CT scan: A single-center Comparative Observational Study

Diagnostic Ability of Chest Ultrasound in Selective Paediatric Pneumonia Alternative to CT scan: A single-center Comparative Observational Study

The role of lung ultrasonography in predicting the clinical outcome of complicated community-acquired pneumonia in hospitalized children

Chest ultrasound for the diagnosis of paediatric pulmonary diseases: a systematic review and meta-analysis of diagnostic test accuracy

Contact Info

Product

Resources

About