The future of pediatric US

Coley, Brian D.

doi:10.1007/s00247-011-1991-9

Cited by 9 publications

(8 citation statements)

References 58 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Hikaye ve fizik muayene sonucu apandisitten şüphe edilen olgularda genellikle ilk başvurulan görüntüleme yöntemi ultrasonografidir (8,18,19). Pediatrik apandisit skoru da çoğu zaman tanıda ve cerrahi kararın verilmesi aşamasında faydalı olmaktadır (12,13).…”

Section: Discussionunclassified

The Importance of the Pediatric Appendicitis Score and Ultrasonographic Findings for the Diagnosis of Acute Appendicitis in the Pediatric Emergency Department

Taşar¹,

Taşar²,

Ayyildiz³

et al. 2014

Turkish J Pediatr Dis

View full text Add to dashboard Cite

Akut apandisit, pediatrik yaş grubunda sık karşılaşılan ve tanı konmasında güçlük yaşanabilen acil cerrahi durumlardan biridir. Akut apandisit tanısında pediatrik apandisit skorlaması ve ultrasonografi bulgularının değerlendirilmesi amaçlandı.Gereç ve Yöntemler: Çocuk acile akut karın ağrısı şikayeti ile başvuran, klinisyen tarafından öykü ve fizik muayene ile akut apandisit düşünülen 2-18 yaş arasında 220 olgu prospektif olarak çalışmaya kabul edildi. Pediatrik apandisit skorlaması tek hekim tarafından uygulandı. Ultrasonografide dıştan dışa ölçülen apandiks çapı 6 milimetre ve üstündeki değerler patolojik kabul edildi. Histopatolojik olarak tanı konan olgular akut apandisit, diğer grup tıbbi nedenler olarak gruplandı. İki grup arasında skorlama sistemi ve ultrasonografi sonuçları karşılaştırıldı.Bulgular: Akut apandisit ön tanısı ile kabul edilen 220 olgunun %42.3'üne (93 hasta) cerrahi uygulandı. Cerrahi uygulanan olguların 81'inin (%87.1) histopatolojik tanısı akut apandisit olarak geldi. Akut apandisit tanısı alan olguların pediatrik apandisit skoru ortancası 8 (1-10), diğer grubun ortancası 3 (0-9) olarak bulundu (p=0.001). Pediatrik apandisit skoru duyarlılığı %58.0, seçiciliği %94.9 bulundu. Ultrasonografide apandisit saptanan ve klinik skor sekiz ve üzerinde olan 43 (% 19.5) olgu mevcuttu. İkisi de (+) olan olgularda duyarlılık %44.4, seçicilik %94.9 olarak saptandı.Sonuç: Akut apandisit tanısı konan çocuklarda pediatrik apandisit skoru değeri belirgin yüksek saptandı. Çocuk acil servisinde, pediatrik apandisit skoru ve ultrasonografinin hem tek tek ve hem de beraber olarak akut apandisit tanısını koymada değeri düşük bulundu. Fakat akut apandisiti dışlamada, pediatrik apandisit skoru tek başına veya ultrasonografi ile beraber güvenli bir şekilde kullanılabilir.

show abstract

Section: Discussionunclassified

The Importance of the Pediatric Appendicitis Score and Ultrasonographic Findings for the Diagnosis of Acute Appendicitis in the Pediatric Emergency Department

Taşar¹,

Taşar²,

Ayyildiz³

et al. 2014

Turkish J Pediatr Dis

View full text Add to dashboard Cite

show abstract

“…A továbbiakban azokat a lehetőségeket ismertetjük, ahol a modern ultrahangkészülékek birtokában elegendő az ultrahangvizsgálat, amely noninvazív, altatást nem igénylő, relatíve olcsó, ágy mellett végezhető mód-szer [16,17].…”

Section: öSszefoglaló Közleményunclassified

Ultrasound examination in childhood: opportunities and new ways

Kis

2014

Orvosi Hetilap

View full text Add to dashboard Cite

Az ultrahangvizsgálat jelentősége és fontossága a modern képalkotó vizsgálatok (CT, MR, izotóp, PET/CT) elterjedésével csökkent, nemritkán csak mint első tájékozódó vizsgálat jelenik meg. A legújabb sokszeletes spirál-CT-kkel a képalkotás másodpercek alatt elvégezhető, ami a jelentős sugárterheléssel járó vizsgálatok számának drámai növe-kedéséhez vezetett, gyermekkorban is. Ugyanakkor nem feledkezhetünk meg arról, hogy az elmúlt években jelentős fejlődés történt az ultrahang-technológiában, a képminőség egyre jobb. A gyermekek ideális alanyai a vizsgálatnak, miután az esetek nagy részében testtömegük kisebb, kevesebb zsírt tartalmaz, így könnyen vizsgálhatók magas frekvenciájú transzducerrel, aminek következtében sokkal részletgazdagabb, jobb felbontású képek nyerhetők, mint ál-talában felnőtteknél. Megfelelő készülék és gyakorlott, gyermekradiológiában tapasztalt vizsgáló esetében csaknem valamennyi testtájék vizsgálható, mindenképpen első választandó módszer, amely legtöbbször elegendő (esetleg röntgenvizsgálattal kiegészítve) a megfelelő diagnózis felállítására. A közlemény azokkal a lehetőségekkel foglalkozik, ahol a modern ultrahangkészülékek birtokában az ultrahangvizsgálat elegendő a pontos diagnózishoz. Orv. Hetil., 2014, 155(4), 132-140. Kulcsszavak: ultrahangvizsgálat, szonocisztográfi a, nekrotizáló enterocolitis Ultrasound examination in childhood: opportunities and new waysEveryday use of the modern imaging techniques such as CT, MRI, isotope, PET/CT decreased the reputation and importance of ultrasound. In some cases, ultrasound is only the fi rst exploratory imaging method. Using the latest multi-slice CT, imaging can be performed in seconds, which led to a dramatic increase in the number of CT exams. However, this also means a signifi cant radiation exposure to children, while US still harmless in this regard. In addition, signifi cant progress has been made in ultrasound technology in recent years, which led an improvement in image quality. Children are ideal subjects for US examination as they usually have smaller weight with less body fat. Thus, ultrasound examination is easy to perform with a high frequency transducer resulting in much more detailed and higher resolution than in adults. With adequate equipment and experienced examiner in pediatric radiology, almost all parts of the body can be examined, making this technique as the fi rst (sometimes together with X-ray) and, in most cases, the ultimate imaging exam for the diagnosis. This article will discuss the possibilities where ultrasound performed with a modern device is suffi cient for an accurate diagnosis. Keywords: ultrasound, urosonography, necrotising enterocolitisKis, É. [Ultrasound examination in childhood: opportunities and new ways]. Orv. Hetil., 2014, 155(4), 132-140. (Beérkezett: 2013 elfogadva: 2013. december 12.) A szerkesztőség felkérésére készült közlemény. Rövidítések CCAM = congenitalis cysticus adenomatoid malformatio; CPAM = congenitalis pulmonalis légúti malformatio; HIE = hypoxiás-ischaemiás encephalopathia; ...

show abstract

“…Conventional ultrasound has the advantages of high resolution, real-time evaluation, relatively low cost and no radiation. As a recommended imaging method for the examination of cervical lymph node (LN) diseases, conventional ultrasound is more suitable for children with CTBL [7,8].…”

Section: Introductionmentioning

confidence: 99%

Role of ultrasound in the diagnosis of cervical tuberculous lymphadenitis in children

Zhang

et al. 2021

World J Pediatr

View full text Add to dashboard Cite

Background To describe sonographic characteristics of cervical tuberculous lymphadenitis (CTBL) in children, clinical information, and sonograms of 348 lymph nodes (LNs) from 57 children with CTBL were retrospectively analyzed in this study. Methods We retrospectively reviewed the clinical data and sonograms of 348 LNs from 31 boys and 26 girls with CTBL, who were confirmed by pathology or laboratory examination, at the Hangzhou Red Cross Hospital between June 2014 and December 2020. The age of the children ranged from 1 to 14 years (average 7.1 ± 2.9 years). Results Night sweats, fatigue and loss of appetite were the most common clinical symptoms observed in children with CTBL. Unilateral LN involvements were common. Occasionally, CTBL was found in healthy children with no symptoms. On sonography, the hilus was absent or unclear in all LNs. The short-to-long axis (S/L) ratio was ≥ 0.5, and the edges were unclear in most LNs. Other accompanying findings included necrosis (47.4%), an echogenic thin layer (36.8%), surrounding soft-tissue edema (38.5%), multiple intra-nodal strong echo (28.2%), sinus (22.7%) and abscess formation (6.9%). The Doppler ultrasound showed that the majority of vascularity patterns of CTBL were capsular or peripheral (33.3%). Conclusions Ultrasound is a recommended examination method for children from different age groups with cervical lymphadenitis. The ultrasonic signs of hilus absence, S/L ratio ≥ 0.5, unclear edge, necrosis, echogenic thin layer, strong echoes and capsular or peripheral vascularity may aid in the diagnosis of cervical tuberculous lymphadenitis.

show abstract

The future of pediatric US

Cited by 9 publications

References 58 publications

The Importance of the Pediatric Appendicitis Score and Ultrasonographic Findings for the Diagnosis of Acute Appendicitis in the Pediatric Emergency Department

The Importance of the Pediatric Appendicitis Score and Ultrasonographic Findings for the Diagnosis of Acute Appendicitis in the Pediatric Emergency Department

Ultrasound examination in childhood: opportunities and new ways

Role of ultrasound in the diagnosis of cervical tuberculous lymphadenitis in children

Contact Info

Product

Resources

About