Comparing the Results of Chest X-ray with Chest Ultrasound in Neonates Admitted in Neonatal Intensive Care Unit
Journal Title: Journal of Clinical and Diagnostic Research - Year 2018, Vol 6, Issue 2
Abstract
ABSTRACT Introduction: Chest X-ray (CXR) is the potential method for the diagnosis of pulmonary disorders. It has been using in respiratory distress syndrome detection in neonates. Aim: To compare the diagnostic accuracy of lung sonography against the CXR in Acute Respiratory Distress Syndrome (ARDS) in newborn babies admitted in Neonatal Intensive Care Unit (NICU). Materials and Methods: This cross-sectional study was conducted on newborns admitted in NICU ward during July 2016 to April 2017. The recorded data includes gender, gestational age at birth and bedside trans-thoracic chest ultrasonography from the neonates, which were undergone anterior-posterior CXR by the clinical physician. The chest sonography was accomplished longitudinally from anterior and lateral chest. Two different expert radiologists performed the interpretation of CXR and sonography without knowledge about the results of other test. Results: Total 134 newborns were enrolled in this study containing 75 males (55.9%). Seven cases had congenital abnormality including diaphragmatic hernia and situs inversus. Pneumothorax and pleural effusion were detected in eight and four cases, respectively. All these diagnoses were confirmed by both CXR and chest sonography. The most prevalent findings in CXR were haziness and consolidation. Chest sonography showed abnormal pleural line in 55 newborns (41%), more than three B-lines in 44 cases (32.8%), white lung in 31 newborns (23.1%) and consolidation in 38 patients (8.4%). Chest ultrasonography had 89.09% (95% CI, 81.72%-94.23%) sensitivity and 95% (95% CI, 75.13%- 99.87%) specificity for diagnosis of chest abnormalities in NICU-admitted neonates. Conclusion: Although, sonography has good potential for diagnosis of chest pathologies in newborns, it seems it is not the first step for assessing the newborns’ chest, instead of CXR. However, chest sonography is so valuable for serial follow-ups and as a supplementary technique in suspicious CXRs.
Authors and Affiliations
Elham Zarei
Keywords
Related Articles
- EP ID EP521133
- DOI 10.7860/IJNMR/2017/34686.2231
- Views 34
- Downloads 0
Primary Ewing Sarcoma of Sphenoid Bone with Intracranial Extension: A Common Tumour at an Uncommon Location
Primary Ewing Sarcoma of the cranial bone is rare, contributing to only 1% of all Ewing Sarcomas. Primary cranial Ewing Sarcoma occurs most commonly in temporal bone followed by parietal and occipital bones. Sphenoid bon...
Radiological Biometric Study of Metatarsals and Phalanges
Introduction: Several diseases affect the forefoot bones. Relative dimensions of the forefoot bones are important considerations for preoperative and postoperative assessment of surgeries. The choice of a particular surg...
Clinical Significance of the Forsaken aVR in Evaluation of Tachyarrhythmias: A Reminder
Introduction: Mechanism of a regular, monomorphic Wide QRS Complex Tachycardia (WCT) is an important diagnostic challenge in day to day practice for the clinicians and affects further management and prognosis. Many of th...
Cross Cultural Adaptation, into Gujarati, of the English version, Strengths and Difficulties Questionnaire
Introduction: Adolescent mental health is a neglected entity today which needs to be addressed at the earliest. Several mental health screening questionnaires and tools are available for the same. Aim: To translate and v...
Paracervical Block and Paracetamol for Pain Reduction During IUD Insertion: A Randomized Controlled Study
Introduction: Unintended pregnancies and its consequences are a considerable public health problem. Intrauterine Devices (IUDs) are reversible, safe and effective contraceptive method for most women. Aim: The aim of this...