Technical aspects of mediastinal ultrasound for pediatric pulmonary tuberculosis

Pediatr Radiol. 2017 Dec;47(13):1839-1848. doi: 10.1007/s00247-017-3954-2. Epub 2017 Aug 29.

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.

Publication types

  • Review

MeSH terms

  • Anatomic Landmarks
  • Child
  • Diagnosis, Differential
  • Humans
  • Mediastinal Diseases / diagnostic imaging*
  • Tuberculosis, Lymph Node / diagnostic imaging
  • Tuberculosis, Pulmonary / diagnostic imaging*
  • Ultrasonography / methods*