THE ULTRASONIC IMAGING METHOD OF THE LUNGS IN NEWBORNS (REVIEW)
https://doi.org/10.18705/2311-4495-2017-4-2-40-45
Abstract
Most radiologists and clinicians stay skeptical about lung ultrasound (US) examination, since they are sure that US visualization of pathological changes in lungs is poor.
According to other authors, lung US is a reliable method in different acute and chronic pathologies assessment and for quick diagnostics of such an urgent pathology as acute respiratory failure. It also helps to differentiate cardiogenic pulmonary edema, acute lung trauma, pneumothorax and pneumonia, interstitial lung disease and lung contusion.
Lung US takes only several minutes to perform and ensues emergency treatment. It is important that lung US is technically simple, can be performed in any position of the patient, shows high tissue contrast and can evaluate structures in motion. And last, but not least for the dynamic screening method – lung US has no radiation exposure.
About the Authors
Ekaterina N. Yampolskaya
Federal Almazov North-West Medical Research Centre, Saint Petersburg
Russian Federation
Russian Federation
PhD student, radiological department
Akkuratova str. 2, Saint Petersburg, 197341
Gennady E. Trufanov
Federal Almazov North-West Medical Research Centre, Saint Petersburg
MD, PhD, professor, head of research department of radiology
MD, PhD, professor, head of research department of radiology
References
1. Alyokhin MN. The Comet-tail Artifacts at Lungs Ultrasound in Cardiological Patients. Ultrasound and functional diagnostics. 2007; 5: 99 – 106. In Russian [Алехин М.Н. Артефакты по типу хвоста кометы при ультразвуковом исследовании легких у кардиологических больных. Ультразвуковая и функциональная диагностика. 2007; 5: 99–106.].
2. Berman RE, Vaughan VK. Guideline to Pediatrics. M.: Medicine, 1987. p. 234. In Russian [Берман Р.Е., Воган В.К. Руководство по педиатрии. М.:Медицина, 1987. с. 234 ].
3. Vasilyeva NP. Echography Opportunities in Diagnostics and the Tactics Selection for the Treatment of Lung Abscesses in Children. Ultrasound and Functional Diagnostics. 2005;4:58-63. In Russian. [Васильева Н.П. Возможности эхографии в диагностике и выборе тактики лечения абсцессов легких у детей. Ультразвуковая и функциональная диагностик. 2005;4:58–63].
4. Vasiliev A, Olhova EB. Ultrasound diagnosis in acute pediatric practice: a guide for physicians. M.: GEOTAR Media, 2010: 88-143. In Russian [Васильев А.Ю., Ольхова Е.Б. Ультразвуковая диагностика в неотложной детской практике: руководство для врачей. М.: ГЭОТАР-Медиа, 2010: 88–143].
5. Volodin NN (edit). Management of neonatal respiratory distress syndrome. Clinical guidelines, 2015: 10. In Russian [Ведение новорожденных с респираторным дистресс синдромом. Клинические рекомендации. Под ред. Володин Н.Н., 2015: 10].
6. Dvoryakovsky IV, Odinaeva ND, Potekhina TV. Lungs Echography of Newborn Infants. Ultrasound and functional diagnostics. 2010; 6: 41–49. In Russian [Дворяковский И.В., Одинаева Н.Д, Потехина Т.В. Эхография легких у новорожденных детей. Ультразвуковая и функциональная диагностика. 2010; 6: 41–49].
7. Klimova LI, Lewina NP, Kovalev VG. Clinical and radiological characteristics of respiratory distress syndrome in newborns. Respiratory distress syndrome in newborns. Coll. scientific. рroceedings. 1980; 15: 65-68. In Russian [Климова Л.И., Левина Н.П., Ковалёв В.Г. Клинико-рентгенологическая характеристика синдрома дыхательных расстройств у новорождённых детей. Синдром дыхательных расстройств у новорождённых. Сб. науч. трудов. 1980; 15: 65-68].
8. Myazin AA. Whether rendering the air lung tissue is possible? Ultrasound and functional diagnostics. 2002;1:138. In Russian [Мязин А.А. Возможна ли визуализация воздушной легочной ткани? Ультразвуковая и функциональная диагностика. 2002;1:138].
9. Michelson VA, Grebennikov VI. Intensive care in pediatrics. A Practical Guideline. M.: GEOTARMED, 2003: 93-96. In Russian [Михельсон В.А., Гребенников В.И. Интенсивная терапия в педиатрии. Практическое руководство. М.: ГЭОТАРМЕД, 2003: 93–96].
10. Osipov LV. The ultrasound diagnostic equipment. A practical guideline for users. M.: Vidar, 1999: 256. In Russian [Осипов Л.В. Ультразвуковые диагностические приборы. Практическое руководство для пользователей. М.: Видар, 1999: 256].
11. Pavlovich SV. Antenatal prevention of the neonatal respiratory distress syndrome. Obstetrics and Gynecology. 2011; 3:81-85. In Russian [Павлович С.В. Антенатальная профилактика респираторного дистресс-синдрома новорожденных. Акушерство и Гинекология. 2011; 3:81–85].
12. Perepelitsa SA, Golubev AM, Moroz VV. Lung X-ray changes in premature neonates with respiratory failure. General Reanimatology. 2011; 7(1): 25. In Russian [Перепелица С. А., Голубев А.М., Мороз В.В. Особенности рентгенологических изменений в легких у недоношенных новорожденных с дыхательной недостаточностью. Общая реаниматология. 2011; 7(1): 25].
13. Puzyreva NI, Lariushkina RM, Ryzhkova NK. Respiratory distress syndrome and surfactant in infants. M.: Medicine, 1987: 144. In Russian [Пузырева Н. И., Ларюшкина Р. М., Рыжкова Н. К. Синдром дыхательных расстройств и сурфактант легких у новорожденных. М.: Медицина, 1987: 144].
14. Repik VI. Ultrasound in the diagnosis of complex diseases of the pleura and lung. Russian Pulmonology. 2001;1:37-46. In Russian [Репик В.И. Ультразвуковое исследование в комплексной диагностике заболеваний плевры и легких. Пульмонология. 2001;1:37–46].
15. Safonov DV, Shakhov BE. Diagnostic options of transthoracic ultrasound investigation of the lungs. Rossijskie medicinskie vesti. 2003; 3: 31–38. In Russian [Сафонов Д.В., Шахов Б.Е. Диагностические возможности трансторакального ультразвукового исследования лёгких. Российские медицинские вести. 2003; 3: 31–38].
16. Safonov DV, Shakhov BE. Ultrasound diagnosis of inflammatory diseases of the lung. M:. Publishing House Vidar-M, 2011. p. 120. In Russian [Сафонов Д.В., Шахов Б.Е. Ультразвуковая диагностика воспалительных заболеваний лёгких. М.: Издательский дом Видар-М, 2011. с. 120].
17. Filippkin MA, Bosin VY, Baidin PS. Recommendations for X-ray examination of the chest in children. A practical guideline for physicians. Moscow, 2000: 8-9. In Russian [Филиппкин М.А. Босин В.Ю., Байдин П.С. Рекомендации по рентгенологическим исследованиям органов грудной клетки у детей. Практическое пособие для врачей. Москва, 2000: 8-9].
18. Cherkasov VA, Perepelitsyn VN, Chekletsova LI, et al. The possibilities of ultrasound diagnosis of pleural disease in patients with pleural effusion. Vestnik. Surgery them. II Grekov. 2003; 6: 11–15. In Russian [Черкасов В.А., Перепелицын В.Н., Чеклецова Л.И. и др. Возможности ультразвуковой диагностики патологии плевры у больных с плевральным выпотом. Вестник хирургии им. И.И. Грекова. 2003; 6: 11–15].
19. Shalamov VY. Evaluating the effectiveness of trigger artificial ventilation in the treatment of newborns with severe respiratory failure. Dissertation of the candidate of medical sciences. Moscow, 2000: 29. In Russian [Шаламов В.Ю. Оценка эффективности триггерной искусственной вентиляции легких в лечении новорожденных с тяжелой дыхательной недостаточностью. Автореф. канд. мед. наук. Москва, 2000: 29].
20. Shakhov BE, Safonov DV. Transthoracic ultrasound of lung and pleura. N. Novgorod: Publishing House of the Nizhny Novgorod State. med. Academy, 2002. p. 118. In Russian [Шахов Б.Е., Сафонов Д.В. Трансторакальное ультразвуковое исследование лёгких и плевры. Н. Новгород: Изд-во Нижегородской гос. мед. Академии, 2002. с. 118].
21. Agrons GA, Courtney SE, Thomas Stocker J.S., et.al. Lung Disease in Premature Neonates: Radiologic-Pathologic Correlation. RadioGraphics. 2005; 25: 4.
22. Bittner RC, Schnoy N, Schönfeld N, et al. Hochauflösende Magnetresonanztomographie (HR-MRT) von Pleura und Thoraxwand: Normalbefund und pathologische Veränderungen. Fortschr. Röntgenstr. 1995; 162: 296–303.
23. Bolliger CT, Herth FJF, Mayo PH, et al. Clinical Chest Ultrasound: From the ICU to the Bronchoscopy Suite. Basel: Karger, 2009. p. 221.
24. Caiulo VA, Gargani L, Caiulo S, et al. Lung ultrasound in bronchiolitis: comparison with chest X-ray. Eur J Pediatr, 2011: 170.
25. Copetti R, Cattarossi L. The Double Lung Point: An Ultrasound Sign Diagnostic of Transient Tachypnea of the Newborn. Neonatology. 2007; 91(3): 203–209.
26. Eibenberger KL, Dock WL, Ammann ME, et al. Quantification of pleural effusions: sonography versus radiography. Radiology. 1994; 191: 681–684.
27. Fauci AS. Harrison’s principles of internal medicine. New York: McGraw-Hill Medical, 2008.
28. Gargani L, Volpicelli G. How I do it: lung ultrasound. Cardiovasc Ultrasound. 2014 4;12:25.
29. Gehmacher O, Kopf A, Scheier M, et al. Ist eine Pleuritis sonographisch darstellbar? Ultraschall Med. 1997; 18(5): 214–219.
30. Liu J, Cao HY, Wang HW The Role of Lung Ultrasound in Diagnosis of Respiratory Distress Syndrome in Newborn Infants. Iran J Pediatr. 2014; 24 (2): 147–154.
31. Kroegel C, Reißig A. Transthorakale Sonographie: Grundlagen und Anwendung; ein Leitfaden für die Praxis. Stuttgart, New York: Thieme Verlag, 2000. p. 116.
32. Lichtenstein DA, Meziere G, Biderman P. The comet-tail artifact. An ultrasound sign of alveolar-interstitial syndrome. Am J Respir Crit Care Med, 1997; 156 (5): 1640- 1646.
33. Lichtenstein D, Goldstein I, Mourgeon E, et al. Comparative diagnostic performances of auscultation, chest radiography, and lung ultrasonographyin acute respiratory distress syndrome. Anesthesiology. 2004; 100 (1): 9–15.
34. Lichtenstein DA. General Ultrasound in the Critically ill. 2nd ed. Heidelberg: Springer Verlag, 2005. p 128.
35. Mathis G. Transthorakale Sonographie in der Pneumologie. Pneumologie. 1995; 49: 667–673.
36. Mathis G. Lungen- und Pleurasonographie. Berlin, Heidelberg, NewYork: Springer-Verlag, 1996. p. 117.
37. Mathis G, Lessnau KD. Atlas of Chest Sonography. Berlin Heidelberg, New-York: Springer Verlag, 2003: 72– 89.
38. Mathis G. Chest Sonography. Berlin, Heidelberg, New York: Springer Verlag, 2008. p. 242.
39. McLoud TC, Flower CD. Imaging the pleura: sonography, CT and MR imaging. AJR Am J Roentgenol. 1991; 156(6): 1145–1153.
40. Parlamento S, Copetti R, Stefano Di Bartolomeo. Evaluation of lung ultrasound for the diagnosis of pneumonia in the ED. Am J Emerg Med. 2009; 27(4):379-384.
41. Patrick Do. Respiratory Distress Syndrome Imaging. http://emedicine.medscape.com/article/409409-overview.
42. Raimondi F, Migliaro F, Sodano A, et al. Point-of care lung ultrasound in the NICU: uses and limitations of a new tool. Italian Journal of Pediatrics. 2014;40(Suppl 2): A25.
43. Reißig A, Görg C, Mathis G. Transthorakale Sonographie bei der Diagnostik pulmonaler Erkrankungen: ein systematischer Zugang. Ultraschall in Med. 2009; 30: 438–458.
44. Reissig A, Kroegel C. Sonographic diagnosis and follow up of pneumonia: a prospective study. Respiration. 2007; 74(5): 537–547.
45. Reuss J. Sonographic imaging of the pleura: nearly 30 years experience. Eur. J. Ultrasound. 1996; 3: 125–139.
46. Reuter S, Moser С, Baack М. Respiratory distress in the newborn. Pediatrics in Review. 2014; 35(10): 417– 428.
47. Sakai F, Sone S, Kiyono K, et al. High resolution ultrasound of the chest wall. Rofo. 1990; 153(4): 390– 394.
48. Chen SW, Zhang MY, Liu J. Application of Lung Ultrasonography in the Diagnosis of Childhood Lung Diseases. Chin Med J (Engl). 2015;128(19):2672-2678.
49. Soldati G, Copetti R, Sher S. Sonographic interstitial syndrome: the sound of lung water. J.Ultrasound Med. 2009; 28(2): 163–174.
50. Sweet DG, Carnielli V, Greisen G, et al. European consensus guidelines on the management of neonatal respiratory distress syndrome in preterm infants 2013 update. Neonatology. 2013;103(4):353–368.
51. Targhetta R, Chavagneux R, Balmes P, et.al. Sonographic lung surface evaluation in pulmonary sarcoidosis: preliminary results. J Ultrasound Med, 1994; 13(5): 381-388.
52. Thickman DI, Ziskin MC, Goldenberg NJ. Clinical manifestations of the comet tail artifact. J. Ultrasound Med. 1983; 2(5): 225–230.
53. Tooley J., Dyke M. Randomized study of nasal continuous positive airway pressure in the preterm infant with RDS. Acta Pediatr. 2003; 92(10): 1170–1174.
54. Ziskin MC, Thickman DI, Goldenberg NJ, et.al. The comet tail artifact. J Ultrasound Med. 1982; 1(1): 1–7.
Review
For citations:
Yampolskaya E.N., Trufanov G.E. THE ULTRASONIC IMAGING METHOD OF THE LUNGS IN NEWBORNS (REVIEW). Translational Medicine. 2017;4(2):40-45. (In Russ.) https://doi.org/10.18705/2311-4495-2017-4-2-40-45
Views:
1174
Email this article 