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Improved Diagnostic Sensitivity of Bowel Disease of Prematurity on Contrast-Enhanced Ultrasound
Authors:Jamaal L Benjamin MD  PhD  Rebecca Dennis DO  Stacy White Jr MD  David Munson MD  Sudha A Anupindi MD  Maciej Piskunowicz MD  Kassa Darge MD  PhD  Ami Gokli MD  Misun Hwang MD
Affiliation:1. Department of Radiology, Hospital of the University of Pennsylvania, Perelman School of Medicine, Philadelphia, Pennsylvania, USA;2. Department of Radiology, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA;3. Department of Neonatology, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA;4. Department of Radiology, Hospital of the University of Pennsylvania, Perelman School of Medicine, Philadelphia, Pennsylvania, USA

Department of Radiology, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA;5. Department of Radiology, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA

Department of Radiology, Medical University of Gdansk, Gdansk, Poland

Abstract:Bowel diseases of prematurity, including necrotizing enterocolitis, are dreaded ailments of neonates. Early diagnosis is difficult, with clinical and radiographic findings often inconclusive. We present a novel use of contrast-enhanced ultrasound in detection of pediatric bowel disease. Early identification of compromised blood flow or an at-risk bowel can be quantitatively detected and monitored. This ability has implications for guidance of emerging therapies, allowing targeting of inflammation. These findings represent an advancement in detection of bowel disease in neonates.
Keywords:bowel disease of prematurity  contrast-enhanced ultrasound  necrotizing enterocolitis  neonate
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