Sameshima Yoshino Tamaki, García-Bayce Andrés, Oranges Fabiana Gual, Rocha Marcelo Assis, Matsuoka Márcia Wang, Lovrenski Jovan
Diagnostic Imaging Department, Hospital Israelita Albert Einstein, Av. Albert Einstein, 627/701, 05652-900, São Paulo, SP, Brazil.
Imaging Department, Centro Hospitalario Pereira Rossell, Montevideo, Uruguay.
Pediatr Radiol. 2025 Jul 1. doi: 10.1007/s00247-025-06300-8.
Lung ultrasound has emerged as a transformative imaging modality in neonatal and pediatric pulmonary care, offering a radiation-free, bedside, and versatile tool that complements traditional chest radiography. Despite its recognized value in the detection, monitoring, and management of various conditions in neonatal and pediatric intensive care units, the routine application of lung ultrasound for monitoring pneumonia remains underutilized by radiologists. In recent years, lung ultrasound has demonstrated its effectiveness in monitoring disease progression without the need for repeated chest computed tomography scans, particularly in cases of complicated pneumonia. This essay reviews the fundamental principles, key sonographic patterns, and essential applications of lung ultrasound in neonatal and pediatric intensive care units. Case-based experiences are shared to illustrate how lung ultrasound is shaping clinical decision-making and redefining best practices in pulmonary care by minimizing invasive procedures and reducing radiation exposure.
肺部超声已成为新生儿和儿科肺部护理中一种变革性的成像方式，提供了一种无辐射、床边可用且多功能的工具，可作为传统胸部X线摄影的补充。尽管其在新生儿和儿科重症监护病房各种病症的检测、监测和管理方面的价值已得到认可，但放射科医生对肺部超声用于监测肺炎的常规应用仍未充分利用。近年来，肺部超声已证明其在无需重复胸部计算机断层扫描的情况下监测疾病进展的有效性，尤其是在复杂性肺炎病例中。本文综述了肺部超声在新生儿和儿科重症监护病房的基本原理、关键超声图像特征及重要应用。通过分享基于病例的经验来说明肺部超声如何通过减少侵入性操作和降低辐射暴露来塑造临床决策并重新定义肺部护理的最佳实践。
