Huang Wendy E, Matifoll Joan A, Lord David, Haggie Stuart
Department of Medical Imaging, The Children's Hospital at Westmead, Westmead, NSW, Australia.
Faculty of Medicine, University of Wollongong, Wollongong, NSW, Australia; Department of Respiratory Medicine, The Children's Hospital at Westmead, Westmead, NSW, Australia.
Paediatr Respir Rev. 2025 Jun;54:12-18. doi: 10.1016/j.prrv.2024.12.001. Epub 2024 Dec 19.
Paediatric pneumonia and its complications present substantial health and economic challenges. While chest radiographs are commonly used as the initial imaging modality for diagnosing uncomplicated pneumonia, they are less effective for complicated cases. In response, various imaging techniques, such as lung ultrasound, computed tomography (CT), and chest MRI, have been integrated into clinical practice to enhance diagnosis and guide management decisions. No definitive gold standard exists for imaging complicated paediatric pneumonia and clinicians may find it challenging to choose the best imaging technique for a given clinical scenario. In this review we describe the available imaging options relevant for the management of paediatric pneumonia and evaluate the strengths and limitations of each modality.
小儿肺炎及其并发症带来了重大的健康和经济挑战。虽然胸部X光片通常作为诊断非复杂性肺炎的初始成像方式，但对于复杂性病例，其效果较差。作为应对措施，各种成像技术，如肺部超声、计算机断层扫描（CT）和胸部磁共振成像（MRI），已被纳入临床实践，以加强诊断并指导管理决策。目前尚无用于成像复杂性小儿肺炎的明确金标准，临床医生可能会发现在特定临床情况下选择最佳成像技术具有挑战性。在本综述中，我们描述了与小儿肺炎管理相关的可用成像选项，并评估了每种成像方式的优缺点。
