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Background <p>Neonatal lung ultrasound is a rapidly emerging imaging modality with increasing impact, but lacks standardized protocols and curricula, resulting in inconsistent dissemination and quality assurance.</p> Results <p>We present a structured protocol for documentation and interpretation of lung ultrasound. For each lung region, the acronym Pleura-ABCDE is used to analyze the pleura (sliding, morphology), A-Lines, B-Lines, Consolidation, Dynamics (lung point, double lung point) and Effusion. The structured documentation and interpretation could provide clues to differentiate respiratory diseases in newborns.</p> Conclusion <p>The Pleura-ABCDE protocol provides structured documentation and interpretation support for lung ultrasound in neonates. In contrast to flowchart-based protocols, a pattern-based approach and link to clinical presentation allows an integrative perspective on the use of neonatal lung ultrasound. Therefore, with this expert-based proposal, we aim to improve documentation and thereby support diagnostic quality and reproducibility, as recommended by international ultrasound societies.</p>

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Pleura-ABCDE - a structured expert-based protocol for neonatal lung ultrasound documentation and interpretation

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2025年10月6日

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  • Jan Sandig,
  • Erik Küng,
  • Lukas Aichhorn,
  • Bernhard Schwaberger,
  • Mathias Klemme,
  • Natascha Wagner,
  • Christoph Bührer,
  • Fabian Sternal

摘要

Background

Neonatal lung ultrasound is a rapidly emerging imaging modality with increasing impact, but lacks standardized protocols and curricula, resulting in inconsistent dissemination and quality assurance.

Results

We present a structured protocol for documentation and interpretation of lung ultrasound. For each lung region, the acronym Pleura-ABCDE is used to analyze the pleura (sliding, morphology), A-Lines, B-Lines, Consolidation, Dynamics (lung point, double lung point) and Effusion. The structured documentation and interpretation could provide clues to differentiate respiratory diseases in newborns.

Conclusion

The Pleura-ABCDE protocol provides structured documentation and interpretation support for lung ultrasound in neonates. In contrast to flowchart-based protocols, a pattern-based approach and link to clinical presentation allows an integrative perspective on the use of neonatal lung ultrasound. Therefore, with this expert-based proposal, we aim to improve documentation and thereby support diagnostic quality and reproducibility, as recommended by international ultrasound societies.