Huerta-Calpe Sergi, Salas Bárbara, Inarejos Clemente Emilio J, Guitart Carmina, Balaguer Mònica, Jordan Iolanda
Pediatric Intensive Care Unit, Hospital Sant Joan de Déu, 08950 Barcelona, Spain.
Immune and Respiratory Dysfunction Research Group, Institut de Recerca Sant Joan de Déu, 08950 Barcelona, Spain.
Children (Basel). 2023 Aug 1;10(8):1335. doi: 10.3390/children10081335.
Lung ultrasound (LUS) is, at present, a standard technique for the diagnosis of acute lower respiratory tract infections (ALRTI) and other lung pathologies. Its protocolised use has replaced chest radiography and has led to a drastic reduction in radiation exposure in children. Despite its undeniable usefulness, there are situations in which certain quantitative measurements could provide additional data to differentiate the etiology of some pulmonary processes and thus adapt the treatment. Our research group hypothesises that several lung processes such pneumonia may lead to altered lung tissue stiffness, which could be quantified with new diagnostic tests such as lung sono-elastography (SE). An exhaustive review of the literature has been carried out, concluding that the role of SE for the study of pulmonary processes is currently scarce and poorly studied, particularly in pediatrics. The aim of this review is to provide an overview of the technical aspects of SE and to explore its potential usefulness as a non-invasive diagnostic technique for ALRTI in children by implementing an institutional image acquisition protocol.
目前，肺部超声（LUS）是诊断急性下呼吸道感染（ALRTI）和其他肺部疾病的标准技术。其规范化应用已取代胸部X光检查，并大幅减少了儿童的辐射暴露。尽管其有用性不可否认，但在某些情况下，特定的定量测量可以提供额外数据，以区分某些肺部疾病的病因，从而调整治疗方案。我们的研究小组推测，诸如肺炎等几种肺部疾病可能会导致肺组织硬度改变，这可以通过肺超声弹性成像（SE）等新的诊断测试进行量化。我们对文献进行了详尽的综述，得出结论：目前，SE在肺部疾病研究中的作用尚不明确，研究也较少，尤其是在儿科领域。本综述的目的是概述SE的技术方面，并通过实施机构图像采集方案，探索其作为儿童ALRTI无创诊断技术的潜在用途。
