Lung Ultrasound is Comparable with Chest Roentgenogram for Diagnosis of Community-Acquired Pneumonia in Hospitalised Children

Abstract

LUS can be considered to be used first before radiography in children with suspected CAP. This will reduce the exposure of radiation.

Lung ultrasound compared to chest X‐ray for diagnosis of pediatric pneumonia: A meta‐analysis

“…From this set of articles, 99 (12.6%) abstracts were identified for further analysis based on PRISMA analysis (Figure ). QUADAS review was applied to the 99 articles and 12 (1.5%) (Table ) were selected for inclusion in the meta‐analysis based on inclusion criteria, data collection, and lack of bias. All studies were observational.…”

“…Two studies did not specify sonographer experience. One study included only novice radiologist sonographers following 4 h of LUS training and performance of 15 LUS exams . One study evaluated both expert and novice pediatric emergency medicine sonographers, with novice being defined as fewer than 25 LUS exams .…”

“…As is frequently seen in the ultrasound literature, experienced sonographers performed the majority of the LUS studies included in this meta‐analysis. However, two of the studies included novice sonographers, defined as having fewer than 25 thoracic ultrasounds in one study and 4 h of training with only 15 thoracic ultrasounds in the other . In the Shah et al study, this novice group was slightly less accurate with a total of four errors out of a total 131 LUS exams, but still more accurate than CXR read by an expert radiologist.…”

“…QUADAS review was applied to the 99 articles and 12 [17][18][19][20][21][31][32][33][34][35][36][37] (1.5%) ( Table 1) were selected for inclusion in the meta-analysis based on inclusion criteria, data collection, and lack of bias. All studies were observational.…”

Emergency Department Resource Use in Pediatric Pneumonia: Point‐of‐Care Lung Ultrasonography versus Chest Radiography

“…Previous studies have shown that pediatric lung US can be performed quickly. Performance times of 2 to 15 minutes for radiologists and 4 to 10 minutes for nonradiologist clinicians have been reported. Our study found a mean time of 2.9 (SD, 1.4) minutes to perform the point‐of‐care lung US examinations.…”