机构：[1]Department of Neonatology and NICU, Beijing Chaoyang District Maternal and Child Healthcare Hospital, Beijing, China.[2]The National Neonatal Lung Ultrasound Training Center, Chinese College of Critical Ultrasound &[3]the World Interactive Network Focused On Critical Ultrasound China branch, Beijing, China.[3]Department of Neonatology, The Fifth Medical Center of Chinese of PLA General Hospital, Beijing, China.[4]Division of Neonatal-Perinatal Medicine, Department of Pediatrics, Cohen Children's Medical Center, New York, NY, USA.[5]Department of Emergency Medicine, San Luigi Gonzaga University Hospital, Torino, Italy.[6]Division of Pediatric Radiology, Department of Radiology, Medical University Graz, Graz, Austria.[7]Radiology Department, Faculty of Medicine, Institute for Children and Adolescents Health Care of Vojvodina, University of Novi Sad, Novi Sad, Serbia.[8]Neonatal Intensive Care Unit, Puerta del Mar University Hospital, Cádiz, Spain.[9]Biomedical Research and Innovation Institute of Cádiz (INiBICA), Research Unit, Puerta del Mar University Hospital, Cádiz, Spain.[10]Department of Pediatrics, Shuangho Hospital, Taipei Medical University, New Taipei City, Taiwan.[11]Department of Pediatrics &[13]Community Health Sciences, University of Calgary, Foothills Medical Centre, Calgary, NW, Canada.[12]Division of Neonatology, Department of Pediatrics, Taipei Medical University, Taipei, Taiwan.[13]Department of Pediatrics, University Children's Hospital, Jagiellonian University Medical College, Krakow, Poland.[14]Department of Ultrasound, Zhumadian Center Hospital, Zhumadian City, China.[15]Intensive Care Unit, Zhejiang Hospital, Hangzhou, China.[16]Neonatal Medical Center, Children's Hospital of Nanjing Medical University, Nanjing, China.[17]Department of Ultrasound, Beijing Chaoyang Hospital, Capital Medical University, Beijing, China.北京朝阳医院[18]Department of Neonatology and NICU, Tai'an Central Hospital of Shandong Province, Taian City, China.[19]Neonatal Intensive Care Unit, Affiliated Shenzhen Maternity &[22]Child Healthcare Hospital, Southern Medical University, Shenzhen, China.南方医科大学深圳医院深圳市妇幼保健院深圳医学信息中心[20]Department of Neonatology and NICU, Huizhou Central Hospital of Guangdong Province, Huizhou City, China.[21]Department of Intensive Care Unit, The Second Affiliated Hospital of Heilongjiang University of Chinese Medicine, Haerbin, China.[22]Department of Neonatology, Yantai Yuhuangding Hospital Affiliated to Qingdao University School of Medicine, Yantai, Shandong Province, China.[23]Department of Emergency, University Hospital of Cattinara, Trieste, Italy.[24]Neonatology Unit, Hospital Germans Trias i Pujol, Badalona, Spain.[25]Unit of Radiology, Ospedale S. Maria delle Croci Ravenna, Ausl Romagna, Ravenna, Italy.
Lung ultrasound (LUS) is now widely used in the diagnosis and monitor of neonatal lung diseases.Nevertheless, in the published literatures,the LUS images may display a significant variation in technical execution,while scanning parameters may influence diagnostic accuracy.The inter- and intra-observer reliabilities of ultrasound exam have been extensively studied in general and in LUS.As expected,the reliability declines in the hands of novices when they perform the point-of-care ultrasound (POC US).Consequently,having appropriate guidelines regarding to technical aspects of neonatal LUS exam is very important especially because diagnosis is mainly based on interpretation of artifacts produced by the pleural line and the lungs.The present work aimed to create an instrument operation specification and parameter setting guidelines for neonatal LUS.Technical aspects and scanning parameter settings that allow for standardization in obtaining LUS images include (1)select a high-end equipment with high-frequency linear array transducer (12-14 MHz).(2)Choose preset suitable for lung examination or small organs.(3)Keep the probe perpendicular to the ribs or parallel to the intercostal space.(4)Set the scanning depth at 4-5 cm.(5)Set 1-2 focal zones and adjust them close to the pleural line.(6)Use fundamental frequency with speckle reduction 2-3 or similar techniques.(7)Turn off spatial compounding imaging.(8)Adjust the time-gain compensation to get uniform image from the near-to far-field.
基金：
Social Development
Projects, Beijing Chaoyang District Bureau of Science,
Technology and Information [CYSF1922 and CYSF1820] and
the Clinical Research Special Fund of Wu Jieping Medical
Foundation [320.6750.15072].
第一作者机构：[1]Department of Neonatology and NICU, Beijing Chaoyang District Maternal and Child Healthcare Hospital, Beijing, China.[2]The National Neonatal Lung Ultrasound Training Center, Chinese College of Critical Ultrasound &[*1]Department of Neonatology and NICU, Beijing Chaoyang District Maternal and Child Healthcare Hospital, Beijing, China
通讯作者：
通讯机构：[1]Department of Neonatology and NICU, Beijing Chaoyang District Maternal and Child Healthcare Hospital, Beijing, China.[2]The National Neonatal Lung Ultrasound Training Center, Chinese College of Critical Ultrasound &[25]Unit of Radiology, Ospedale S. Maria delle Croci Ravenna, Ausl Romagna, Ravenna, Italy.[*1]Department of Neonatology and NICU, Beijing Chaoyang District Maternal and Child Healthcare Hospital, Beijing, China[*2]Unit of Radiology, Ospedale S. Maria delle Croci Ravenna, Ausl Romagna, Ravenna, Italy
推荐引用方式(GB/T 7714)：
Liu Jing,Guo Guo,Kurepa Dalibor,et al.Specification and guideline for technical aspects and scanning parameter settings of neonatal lung ultrasound examination.[J].JOURNAL OF MATERNAL-FETAL & NEONATAL MEDICINE.2022,35(5):1003-1016.doi:10.1080/14767058.2021.1940943.
APA：
Liu Jing,Guo Guo,Kurepa Dalibor,Volpicelli Giovanni,Sorantin Erich...&Feletti Francesco.(2022).Specification and guideline for technical aspects and scanning parameter settings of neonatal lung ultrasound examination..JOURNAL OF MATERNAL-FETAL & NEONATAL MEDICINE,35,(5)
MLA：
Liu Jing,et al."Specification and guideline for technical aspects and scanning parameter settings of neonatal lung ultrasound examination.".JOURNAL OF MATERNAL-FETAL & NEONATAL MEDICINE 35..5(2022):1003-1016
