Lung ultrasound in children with pneumonia: interoperator agreement on specific thoracic regions
Conclusion: Even when performed by operators with very distinct degrees of experience, LUS had a good interoperator reliability for detecting sonographic patterns on specific thoracic regions.What is Known:• Lung ultrasound is feasible, safe, and highly accurate for the diagnosis of pneumonia in children; however, it does not allow global visualization of the thorax in a single moment as in chest X-rays, and, similar to the stethoscope, partial thorax assessments must be performed sequentially.What is New:• This is the first study evaluating the agreement of LUS on specific thoracic regions between operators with distinct degrees of experience performing the sonograms.• There is a good agreement between an expert operator and a novice operator who underwent a brief theoretical-practical training program on LUS.
Lung ultrasound is a viable alternative to chest x-ray and CT for diagnosing...Read more on AuntMinnie.comRelated Reading: Canada-U.S. duo wins RSNA pneumonia AI challenge C-MIMI: Radiologists 'swarm' with AI to detect pneumonia RSNA launches AI challenge to detect pneumonia on x-rays Ultrasound finds more pneumonia than x-ray Can AI diagnose pneumonia better than radiologists?
Seventy-five percent of trauma injuries involve some kind of thoracic insult, a quarter of which need a procedural intervention like a chest tube. (Surg Clin North Am 2007;87:95; http://bit.ly/2HaoX90.) Long-term illness, lung disease, and post-operative complications may cause pleural effusions or a pneumothorax, so treating these conditions quickly can significantly decrease patient morbidity and mortality. Other indications for chest tube placement include:Trauma: Pneumothorax, hemopneumothorax, or tension pneumothoraxLong-term illness: Pleural effusion (cancer, pneumonia)Infection: Empyema, purulent pleuriti...
Conclusion: Bed side Ultrasound Chest can be safely used for routine diagnosis with great confidence, in day to day Pulmonology practice especially in critically ill patients, as a better alternative to chest x-ray and CT chest.
ConclusionsLUS seems to be a promise tool for diagnosing pneumonia in children. However, the high heterogeneity found across the individual studies, and the absence of a reliable reference standard, make the finding questionable. More methodologically rigorous studies are needed.
Christine Butts, MD, notes that chest x-rays are known to have significant deficiencies in diagnosing pneumonia because the radiographic appearance of infection lags behind the onset of symptoms, sometimes by several days. The answer? Ultrasound, of course! Read more in Dr. Butts’ column at http://bit.ly/SpeedSound.
Lung ultrasound finds more cases of pneumonia in children and young adults...Read more on AuntMinnie.comRelated Reading: Can AI diagnose pneumonia better than radiologists? AIUM: Lung US can handle diagnosis of pediatric pneumonia Most pediatric chest x-rays appear unnecessary DR tomo holds promise for fungal pneumonia surveillance H7N9 bird flu pneumonia scans show common imaging findings
By HUGH HARVEY, MD Artificial intelligence requires data. Ideally that data should be clean, trustworthy and above all, accurate. Unfortunately, medical data is far from it. In fact medical data is sometimes so far removed from being clean, it’s positively dirty. Consider the simple chest X-ray, the good old-fashioned posterior-anterior radiograph of the thorax. One of the longest standing radiological techniques in the medical diagnostic armoury, performed across the world by the billions. So many in fact, that radiologists struggle to keep up with the sheer volume, and sometimes forget to read the odd 23,000 of the...
A prospective study of 109 patients with non-classical symptoms of appendicitis using the standard ultrasound (US) machine and plain abdominal x-rays demonstrated that US was superior to plain x-ray with a sensitivity, specificity and overall accuracy of 89%, 96% and 91%, respectively as compared with plain x-ray with 48%, 93% and 67% respectively. The negative appendectomy rate was 7%. In the alternative diagnosis, plain x-ray was superior to US due to the prevalence of intestinal diseases, ureteric calculi and basal pneumonia which were best shown in plain x-rays. US was, however, most useful in detecting female pelvic p...
CONCLUSIONS: Of 10 studies that assessed the diagnostic accuracy of gastric tube placement, few studies had a low risk of bias. Based on limited evidence, ultrasound does not have sufficient accuracy as a single test to confirm gastric tube placement. However, in settings where X-ray is not readily available, ultrasound may be useful to detect misplaced gastric tubes. Larger studies are needed to determine the possibility of adverse events when ultrasound is used to confirm tube placement. PMID: 28414415 [PubMed - as supplied by publisher]
Conclusion. The utilization of ultrasound is a suitable method to estimate the complication of pneumonia. PMID: 28316665 [PubMed]