Comparative Analysis of Effectiveness of Lung Sonography and Chest Radiography for Diagnosis of Lung Diseases in Infants

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Abstract

The study included 39 children with pulmonary diseases (respiratory distress syndrome, bronchopulmonary dysplasia, and neonatal pneumonia) of both sexes, aged 1-111 days (experimental group) and 84 children aged 1-166 days with diseases not associated with heart and lung lesions (control group). Group of children with lung disorders included respiratory distress syndrome, bronchopulmonary dysplasia and congenital pneumonia. Children with respiratory distress syndrome and congenital pneumonia were examined in the first days after birth. Children in this group were underweight at birth (from 680 g, the majority with a weight of up to 1600 g), their state at the time of the first survey was qualified as severe. About a quarter of children with lung disorders and had a congenital heart disease. The most informative dates for the description of a condition of newborn’s lungs is were the strengthening of pulmonary drawing on the roentgenogram at the expense of an interstitial component, decrease of pneumatization of lung tissue and the size of total area of airless subpleural lung tissue at ultrasound investigation. Lung ultrasound provides accurate information about the amount density of B-lines and areas of consolidation in the lungs and is comparable with the radiological diagnostic characteristics which become the basis for more complicated differential diagnostics of the pulmonary disorders. This will allow physicians to specify certain indications for an ultrasonic exam of the lungs, optimize diagnostic means, and more clearly formulate conclusive rules in the differential diagnostic process.

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About the authors

Ivan I Akinshin

St Petersburg State Pediatric Medical University, Ministry of Healthcare of the Russian Federation

Author for correspondence.
Email: akinshinivan87@gmail.com
Postgraduate Student, Department of Radiology and Biomedical Imaging, Faculty of Postgraduate Education Russian Federation

Elena V Sinelnikova

St Petersburg State Pediatric Medical University, Ministry of Healthcare of the Russian Federation

Email: sinelnikavae@gmail.com
MD, PhD, Dr Med Sci, Professor, Head, Department of Radiology and Biomedical Imaging, Faculty of Postgraduate Education Russian Federation

Ahlam A Mohammad

St Petersburg State Pediatric Medical University, Ministry of Healthcare of the Russian Federation

Email: d.ahlam@mail.ru
Postgraduate Student, Department of Radiology and Biomedical Imaging, Faculty of Postgraduate Education Russian Federation

Alla Yu Rotar

St Petersburg State Pediatric Medical University, Ministry of Healthcare of the Russian Federation

Email: A_lepenchuk@mail.ru
Student, Department of Radiology and Biomedical Imaging, Faculty of Postgraduate Education Russian Federation

Emilia N Stolova

St Petersburg State Pediatric Medical University, Ministry of Healthcare of the Russian Federation

Email: emilinast@mail.ru
MD, PhD, Assistant, Department of Radiology and Biomedical Imaging, Faculty of Postgraduate Education Russian Federation

Irina V Solodkova

St Petersburg State Pediatric Medical University, Ministry of Healthcare of the Russian Federation

Email: isolodkova@mail.ru
MD, PhD, Associate Professor, Department of Hospital Pediatrics Russian Federation

Vyacheslav G Chasnyk

St Petersburg State Pediatric Medical University, Ministry of Healthcare of the Russian Federation

Email: chasnyk@gmail.com
MD, PhD, Dr Med Sci, Professor, Head, Department of Hospital Pediatrics Russian Federation

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Copyright (c) 2016 Akinshin I.I., Sinelnikova E.V., Mohammad A.A., Rotar A.Y., Stolova E.N., Solodkova I.V., Chasnyk V.G.

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