Technical aspects of mediastinal ultrasound for pediatric pulmonary tuberculosis

Kara-Lee Pool¹, Charlotte C Heuvelings^{2

3}, Sabine Bélard^{2

3

4

5}, Martin P Grobusch³, Heather J Zar², Dorothy Bulas⁶, Brian Garra^{7

8}, Savvas Andronikou^{2

9}

Affiliations

¹ Department of Radiological Sciences, David Geffen School of Medicine at UCLA, UCLA Medical Center, 757 Westwood Blvd., Los Angeles, CA, 90095-7437, USA. kpool@mednet.ucla.edu.
² Department of Pediatrics and Child Health, Red Cross War Memorial Children's Hospital and MRC Unit on Child & Adolescent Health, University of Cape Town, Cape Town, South Africa.
³ Center of Tropical Medicine and Travel Medicine, Department of Infectious Diseases, Division of Internal Medicine, Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands.
⁴ Charité - Universitätsmedizin Berlin, Berlin, Germany.
⁵ Department of Pediatric Pneumology and Immunology, Berlin Institute of Health, Berlin, Germany.
⁶ Department of Diagnostic Imaging and Radiology, Children's National Health System, George Washington University, Washington, DC, USA.
⁷ Department of Radiology Veterans Affairs Medical Center, Washington, DC, USA.
⁸ Division of Imaging, Diagnostics and Software Reliability, Office of Science and Engineering Laboratories,Center for Devices and Radiological Health,U.S. Food & Drug Administration, Silver Spring, MD, USA.
⁹ Department of Pediatric Radiology,Bristol Royal Hospital for Children, University of Bristol, Bristol, UK.

PMID: 28852808
DOI: 10.1007/s00247-017-3954-2

Review

Technical aspects of mediastinal ultrasound for pediatric pulmonary tuberculosis

Kara-Lee Pool et al. Pediatr Radiol. 2017 Dec.

. 2017 Dec;47(13):1839-1848.

doi: 10.1007/s00247-017-3954-2. Epub 2017 Aug 29.

Authors

Kara-Lee Pool¹, Charlotte C Heuvelings^{2

3}, Sabine Bélard^{2

3

4

5}, Martin P Grobusch³, Heather J Zar², Dorothy Bulas⁶, Brian Garra^{7

8}, Savvas Andronikou^{2

9}

Affiliations

¹ Department of Radiological Sciences, David Geffen School of Medicine at UCLA, UCLA Medical Center, 757 Westwood Blvd., Los Angeles, CA, 90095-7437, USA. kpool@mednet.ucla.edu.
² Department of Pediatrics and Child Health, Red Cross War Memorial Children's Hospital and MRC Unit on Child & Adolescent Health, University of Cape Town, Cape Town, South Africa.
³ Center of Tropical Medicine and Travel Medicine, Department of Infectious Diseases, Division of Internal Medicine, Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands.
⁴ Charité - Universitätsmedizin Berlin, Berlin, Germany.
⁵ Department of Pediatric Pneumology and Immunology, Berlin Institute of Health, Berlin, Germany.
⁶ Department of Diagnostic Imaging and Radiology, Children's National Health System, George Washington University, Washington, DC, USA.
⁷ Department of Radiology Veterans Affairs Medical Center, Washington, DC, USA.
⁸ Division of Imaging, Diagnostics and Software Reliability, Office of Science and Engineering Laboratories,Center for Devices and Radiological Health,U.S. Food & Drug Administration, Silver Spring, MD, USA.
⁹ Department of Pediatric Radiology,Bristol Royal Hospital for Children, University of Bristol, Bristol, UK.

PMID: 28852808
DOI: 10.1007/s00247-017-3954-2

Abstract

Diagnosing childhood pulmonary tuberculosis (TB) may be challenging due to difficulties in obtaining adequate sputum samples, paucibacillary disease and the low sensitivity of diagnostic tests. Chest radiography is an important diagnostic tool for pulmonary TB, but it involves radiation exposure, requires facilities that can house X-ray equipment and has poor inter-reader agreement. The cardinal radiologic finding of mediastinal lymphadenopathy may be detected using mediastinal ultrasound (US). We describe technical aspects of performing mediastinal US, which may assist diagnosis of paediatric pulmonary TB.

Keywords: Chest; Children; Lungs; Lymph nodes; Mediastinum; Tuberculosis; Ultrasound.

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References

1. Pediatr Radiol. 2004 Nov;34(11):895-900 - PubMed
1. Pediatr Radiol. 2014 Jun;44(6):681-4 - PubMed
1. J Clin Ultrasound. 2007 Mar-Apr;35(3):118-24 - PubMed
1. Pediatr Radiol. 2017 Sep;47(10 ):1283-1291 - PubMed
1. S Afr Med J. 2014 Mar;104(3):181-2 - PubMed

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Technical aspects of mediastinal ultrasound for pediatric pulmonary tuberculosis

Affiliations

Technical aspects of mediastinal ultrasound for pediatric pulmonary tuberculosis

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Abstract

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