Publication:
Investigation of childhood pneumonia with thoracic ultrasound: a comparison between X-ray and ultrasound

dc.contributor.coauthorBuz Yaşar, Ayşenur
dc.contributor.coauthorTarhan, Merve
dc.contributor.coauthorAtalay, Basak
dc.contributor.coauthorGirit, Saniye
dc.contributor.departmentKUH (Koç University Hospital)
dc.contributor.departmentSchool of Medicine
dc.contributor.schoolcollegeinstituteKUH (KOÇ UNIVERSITY HOSPITAL)
dc.contributor.schoolcollegeinstituteSCHOOL OF MEDICINE
dc.date.accessioned2024-12-29T09:40:08Z
dc.date.issued2023
dc.description.abstractChildhood pneumonia is a common entity, and chest x-rays are widely used as an initial diagnostic step. To avoid radiation exposure in the pediatric age group, we assessed whether the diagnostic accuracy of ultrasound (US) imaging is sufficient in the diagnosis. One hundred thirty-three children with pneumonia (72 girls/61 boys) were participated to study between 2019 and 2021. All participants had a chest x-ray. Radiologists who perform the US scans and interpret the x-rays were blinded to each other. A comparative analysis was also done to assess US findings on pneumonia for different age groups. We compare the diagnostic accuracy of US and x-rays by McNemar test and receiver operating characteristic curves. Intraclass correlation coefficient values were calculated for the assessment of interobserver agreement of x-ray evaluation. The participants' ages ranged from 1 month to 17 years and 8 months with a median age of 24 months (Q1: 8 and Q3: 66 months). Hospital stay lengths were longer, consolidation depths were greater, and presence of air bronchogram or pleural effusion was more frequent in school-age children. The proportion of consolidation seen on chest x-ray and transthoracic US scan was significantly different (P < 0.001). The area under the curve was greater in the US than in the chest x-ray (area under the curve, 0.94 and 0.76 respectively). There was a good agreement between the 2 interpreters on chest x-ray assessment (κ = 0.661). The thoracic US can be used as a safe and efficient imaging tool in the diagnosis of pediatric pneumonia. © Wolters Kluwer Health, Inc. All rights reserved.
dc.description.indexedbyWOS
dc.description.indexedbyScopus
dc.description.indexedbyPubMed
dc.description.issue4
dc.description.publisherscopeInternational
dc.description.sponsoredbyTubitakEuN/A
dc.description.volume39
dc.identifier.doi10.1097/RUQ.0000000000000651
dc.identifier.eissn1536-0253
dc.identifier.issn0894-8771
dc.identifier.quartileQ4
dc.identifier.scopus2-s2.0-85178366558
dc.identifier.urihttps://doi.org/10.1097/RUQ.0000000000000651
dc.identifier.urihttps://hdl.handle.net/20.500.14288/23216
dc.identifier.wos1110928800010
dc.keywordsBronchiolitis
dc.keywordsChild
dc.keywordsPneumonia
dc.keywordsThorax
dc.keywordsUltrasonography
dc.language.isoeng
dc.publisherLippincott Williams and Wilkins
dc.relation.ispartofUltrasound Quarterly
dc.subjectGynecology
dc.subjectRadiology
dc.subjectNuclear medicine
dc.subjectMedical imaging
dc.titleInvestigation of childhood pneumonia with thoracic ultrasound: a comparison between X-ray and ultrasound
dc.typeConference Proceeding
dspace.entity.typePublication
local.contributor.kuauthorKabaalioǧlu, Adnan
local.publication.orgunit1SCHOOL OF MEDICINE
local.publication.orgunit1KUH (KOÇ UNIVERSITY HOSPITAL)
local.publication.orgunit2KUH (Koç University Hospital)
local.publication.orgunit2School of Medicine
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