The radiological diagnosis of pneumonia in children

Kerry-Ann O'Grady, Paul Torzillo, Kieran Frawley, Anne Chang

    Research output: Contribution to journalArticleResearchpeer-review

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    Abstract

    Despite the importance of paediatric pneumonia as a cause of short and long-term morbidity and mortality worldwide, a reliable gold standard for its diagnosis remains elusive. The utility of clinical, microbiological and radiological
    diagnostic approaches varies widely within and between populations and is heavily dependent on the expertise and resources available in various settings. Here we review the role of radiology in the diagnosis of paediatric pneumonia.
    Chest radiographs (CXRs) are the most widely employed test, however, they are not indicated in ambulatory settings, cannot distinguish between viral and bacterial infections and have a limited role in the ongoing management of
    disease. A standardised definition of alveolar pneumonia on a CXR exists for epidemiological studies targeting bacterial pneumonias but it should not be extrapolated to clinical settings. Radiography, computed tomography and to a lesser extent ultrasonography and magnetic resonance imaging play an important role in complicated pneumonias but there are limitations that preclude their use as routine diagnostic tools. Large population-based studies are needed in different populations to address many of the knowledge gaps in the radiological diagnosis of pneumonia in children, however, the feasibility of such studies is an important barrier.
    Original languageEnglish
    Pages (from-to)38-51
    Number of pages14
    JournalPneumonia
    Volume5
    DOIs
    Publication statusPublished - 14 Oct 2014

    Fingerprint

    Pneumonia
    Pediatrics
    Population
    Bacterial Pneumonia
    Feasibility Studies
    Virus Diseases
    Bacterial Infections
    Radiology
    Radiography
    Epidemiologic Studies
    Ultrasonography
    Thorax
    Tomography
    Magnetic Resonance Imaging
    Morbidity
    Mortality

    Cite this

    O'Grady, Kerry-Ann ; Torzillo, Paul ; Frawley, Kieran ; Chang, Anne. / The radiological diagnosis of pneumonia in children. In: Pneumonia. 2014 ; Vol. 5. pp. 38-51.
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    The radiological diagnosis of pneumonia in children. / O'Grady, Kerry-Ann; Torzillo, Paul; Frawley, Kieran; Chang, Anne.

    In: Pneumonia, Vol. 5, 14.10.2014, p. 38-51.

    Research output: Contribution to journalArticleResearchpeer-review

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    AU - Frawley, Kieran

    AU - Chang, Anne

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    AB - Despite the importance of paediatric pneumonia as a cause of short and long-term morbidity and mortality worldwide, a reliable gold standard for its diagnosis remains elusive. The utility of clinical, microbiological and radiologicaldiagnostic approaches varies widely within and between populations and is heavily dependent on the expertise and resources available in various settings. Here we review the role of radiology in the diagnosis of paediatric pneumonia.Chest radiographs (CXRs) are the most widely employed test, however, they are not indicated in ambulatory settings, cannot distinguish between viral and bacterial infections and have a limited role in the ongoing management ofdisease. A standardised definition of alveolar pneumonia on a CXR exists for epidemiological studies targeting bacterial pneumonias but it should not be extrapolated to clinical settings. Radiography, computed tomography and to a lesser extent ultrasonography and magnetic resonance imaging play an important role in complicated pneumonias but there are limitations that preclude their use as routine diagnostic tools. Large population-based studies are needed in different populations to address many of the knowledge gaps in the radiological diagnosis of pneumonia in children, however, the feasibility of such studies is an important barrier.

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