Comparison of chest X-ray with lung ultrasound in the diagnosis of pneumonia in children aged 02 months to 12 years

Sharif, Mudassar; Saeed, Tariq; Saheel, Khalid; Khan, Khushdil; Hussain, Muhammad; Hussain, Abid

doi:10.37939/jrmc.v25i1.1510

Cited by 3 publications

(1 citation statement)

References 17 publications

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“…In the study done by Emilia Urbankowska a et al 27 it was 100%. In present study sensitivity of chest Xray was 83.4% while in study done by Reali F et al, 29 Shah VP et al 19 and sharif Met al 22 it was 82%, 80 % and 81.9% respectively. While in study done by Biagi C et al 30 it was 96% which maybe because as in this study patient of bronchiolitis with concomitant pneumonia were included which may be affect the results.…”

Section: And Susannamentioning

confidence: 39%

Diagnosis of pneumonia in paediatric age group by comparing two modalities chest x-ray versus ultrasonography at tertiary care hospital

Chawda,

Tollawala,

Khasavat

et al. 2024

IJMPO

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: Up to 20 million cases of pneumonia in children ages 0 to 5 years require hospitalization each year, from total 150 million cases of pneumonia. The most common cause of death in children worldwide is pneumonia. Due to the general non-specificity of the signs and symptoms, clinical history and physical examination cannot reliably distinguish between the causes of respiratory cases. As a result, accurate diagnosis frequently requires medical imaging, but two-thirds of the world's population lack access to diagnostic imaging, which lead to increasing the consequences of respiratory illnesses. : To know the characteristic of pneumonia in x-ray and ultrasonography. To compare X-ray chest and USG for early diagnosis. : A Prospective observational study was conducted among 100 paediatric patients diagnosed with pneumonia and admitted in paediatric ward, at New Civil Hospital, Surat. : Out of total, 52.7% and 47.3% patients were Males and Females, respectively. 87.2% cases were fully immunized, while remaining were partially immunized. Sensitivity and specificity of chest X-ray is 83.4 % and 86.8 % respectively. Sensitivity and specificity of USG thorax is 96.8 % and 90.5 % respectively. Young children are at least four times more susceptible to radiation damage than adults.: In comparison to chest radiography, lung ultrasound has the potential advantages of being more sensitive and specific, radiation-free, subject to less regulatory constraints, relatively less expensive so it can be used in diagnosis in patients with pneumonia.

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Section: And Susannamentioning

confidence: 39%

Diagnosis of pneumonia in paediatric age group by comparing two modalities chest x-ray versus ultrasonography at tertiary care hospital

Chawda,

Tollawala,

Khasavat

et al. 2024

IJMPO

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Systematic review and meta‐analysis of the accuracy of lung ultrasound and chest radiography in diagnosing community acquired pneumonia in children

Shi,

Xu,

2024

Pediatric Pulmonology

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Chest radiography (CXR) is commonly used for diagnosing childhood pneumonia, but concerns about radiation exposure have raised interest in using radiation‐free lung ultrasound (LUS) as an alternative imaging modality. Therefore, we designed this meta‐analysis to compare the accuracy of LUS and CXR for diagnosing childhood pneumonia. We searched 8 databases and 1 clinical trial registry for studies published from inception to March 2023. Studies assessing lung ultrasound and chest radiography for diagnosing childhood pneumonia were included. Two reviewers independently screened literature, extracted data, and assessed the risk of bias using the QUADAS‐2 tool for each study. Meta‐analysis was conducted using a random‐effects model, and pooled sensitivity, specificity, positive likelihood ratio, negative likelihood ratio, diagnostic odds ratio, and summary receiver operating characteristic (SROC) curve were assessed. Statistical analyses were performed using Meta‐Disc 1.4, RevMan 5.4, and Stata 17.0 software. Heterogeneity was examined, and subgroup analysis was conducted to explore the accuracy of lung ultrasound in diagnosing childhood pneumonia. Out of the 4089 screened articles, 30 studies were included, encompassing a total of 4546 children. Of those, 3257 were diagnosed with pneumonia, 3190 through LUS, and 2925 via CXR. The meta‐analysis showed that the sensitivity, specificity, positive and negative likelihood ratios, and diagnostic odds ratio of LUS were 0.940 (95% CI 0.930–0.949), 0.855 (95% CI 0.835–0.873), 7.561 (95% CI 4.956–11.536), 0.08 (95% CI 0.056–0.113), and 110.77 (95% CI 62.156–197.40), respectively. The combined area under the SROC curve was 0.9712, Q index = 0.9218. For CXR, the sensitivity, specificity, positive and negative likelihood ratios, and diagnostic odds ratio were 0.893 (95% CI 0.881–0.905), 0.906 (95% CI 0.889–0.921), 18.742 (95% CI 7.551–46.520), 0.105 (95% CI 0.062–0.180), and 237.43 (95% CI 74.080–760.99), respectively. The combined area under the SROC curve was 0.9810, Q index = 0.9391. Subgroup analysis showed that the implementation location, interval between lung ultrasound and chest radiography, and operator experience had no impact on the accuracy of lung ultrasound in diagnosing childhood pneumonia. Existing evidence suggests that lung ultrasound has high accuracy for diagnosing childhood community‐acquired pneumonia. Compared with chest radiography, lung ultrasound has higher sensitivity, similar specificity, and advantages such as radiation‐free, lower cost, simplicity of operation, and ease of follow‐up, making it an important imaging modality for diagnosing childhood pneumonia.

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A deep learning feature extraction-based hybrid approach for detecting pediatric pneumonia in chest X-ray images

Bal,

Moral

et al. 2023

Phys Eng Sci Med

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Comparison of chest X-ray with lung ultrasound in the diagnosis of pneumonia in children aged 02 months to 12 years

Cited by 3 publications

References 17 publications

Diagnosis of pneumonia in paediatric age group by comparing two modalities chest x-ray versus ultrasonography at tertiary care hospital

Diagnosis of pneumonia in paediatric age group by comparing two modalities chest x-ray versus ultrasonography at tertiary care hospital

Systematic review and meta‐analysis of the accuracy of lung ultrasound and chest radiography in diagnosing community acquired pneumonia in children

A deep learning feature extraction-based hybrid approach for detecting pediatric pneumonia in chest X-ray images

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