Volume 40 Supplement 1

70th Congress of the Italian Society of Pediatrics

Open Access

Lung sonography

Italian Journal of Pediatrics201440(Suppl 1):A7

DOI: 10.1186/1824-7288-40-S1-A7

Published: 11 August 2014

New extensive use of thoracic ultrasound (TUS) takes information also from physical acoustic phenomena that are not directly convertible into images of the human body[1].This tendency also takes into account the classic patterns (based on the presence of an adequate acoustic window) emphasizing the role of TUS as an all-in-one approach in many conditions. We stated our perplexities [2] and we maintain that great caution is warranted when this procedure is used. The evidences on neonatology and paediatrics are based on few articles with different biases i.e.:

No evaluation on technical issues feasibly (the generation of artefacts is conditioned by the time gain compensation setting, the ratio of probe curvature to the curvature of the lung surface, and whether or not movement artefact suppression and tissue harmonics are used), no comparison of the results of TUS and those of a reference standard (i.e. CXR);

Diagnostic access bias (few cases, small hospital), bias from reader/training experience on CXR (no paediatric radiologists);

Imaging analysis bias i.e. absence of preliminary definition of the methods for imaging (CXR) interpretation, selection bias (patients from birth to adult undergoing chest radiography for suspected community acquired pneumonia).

Authors’ Affiliations

(1)
Department of Imaging, Bambino Gesù Children’s Hospital, IRCCS, Piazza S. Onofrio

References

  1. Volpicelli G, Elbarbary M, Blaivas M, Lichtenstein DA, Mathis G, Kirkpatrick AW, Melniker L, Gargani L, Noble E, Via G, Dean A, Tsung JW, Soldati G, Copetti R, Bouhemad B, Reissig A, Agricola E, Rouby JJ, Arbelot C, Liteplo A, Sargsyan A, Silva F, Hoppmann R, Breitkreutz R, Seibel A, Neri L, Storti E, Petrovic T, 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. 2012, 38: 577-591. 10.1007/s00134-012-2513-4.View ArticlePubMedGoogle Scholar
  2. Tomà P, Owens CM: Chest ultrasound in children: critical appraisal. Pediatr Radiol. 2013, 43: 1427-1434. 10.1007/s00247-013-2756-4.View ArticlePubMedGoogle Scholar

Copyright

© Tomà; licensee BioMed Central Ltd. 2014

This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.

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