The role of imaging in the management of necrotising enterocolitis: a multispecialist survey and a review of the literature.
The role of imaging in the management of necrotising enterocolitis: a multispecialist survey and a review of the literature.
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DOI：
10.1007/s00330-018-5362-x
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发表时间：
2018-09
影响因子：
5.9
通讯作者：
Rubesova E
中科院分区：
文献类型：
--
作者：
Ahle M;Ringertz HG;Rubesova E
根据相关专家调查坏死性小肠结肠炎（NEC）成像的当前实践和看法，将其置于当前文献的背景下，并确定进一步调查的需求。202名妇产科医生、儿科外科医生和放射科医生回答了一份基于网络的调查问卷，内容涉及他们所在医院的NEC影像学。使用比例估计值和95%置信区间对结果进行了连续分析。有超过90%的同意的价值，影像学的确认诊断，监测和指导手术的决定，以及腹部X线摄影作为首选的方式和最重要的放射学征象。在一些手术适应症和一些超声征象的使用方面观察到更多的变化。58%的人说，他们的医院使用超声波诊断NEC。检查频率，通常每天一次或更多次，但有相当大的变化，以及在AR中使用的预测通常是单独决定的，而不是根据固定的时间表。预测手术的需要被认为比正式分期更重要。尽管在NEC的影像学目的和疾病的最重要的放射学征象上达成了很大的一致，但常规检查存在相当大的差异，特别是关于检查频率和超声的使用。除了继续验证超声，未来研究的重要目标包括定义两种成像方式与其他诊断参数的补充作用，以及评价与手术时机、并发症和死亡率相关的各种成像程序。·成像是坏死性小肠结肠炎管理中不可或缺的工具·预测手术需求被认为比正式分期更重要·腹部X光检查中NEC的重要体征达成了广泛共识·关于超声的作用存在更多不确定性·个性化管理优于标准化诊断算法本文的在线版本（10.1007/s 00330 -018-5362-x）包含授权用户可用的补充材料。
To investigate current practices and perceptions of imaging in necrotising enterocolitis (NEC) according to involved specialists, put them in the context of current literature, and identify needs for further investigation. Two hundred two neonatologists, paediatric surgeons, and radiologists answered a web-based questionnaire about imaging in NEC at their hospitals. The results were descriptively analysed, using proportion estimates with 95% confidence intervals. There was over 90% agreement on the value of imaging for confirmation of the diagnosis, surveillance, and guidance in decisions on surgery as well as on abdominal radiography as the first-choice modality and the most important radiographic signs. More variation was observed regarding some indications for surgery and the use of some ultrasonographic signs. Fifty-eight per cent stated that ultrasound was used for NEC at their hospital. Examination frequency, often once daily or more but with considerable variations, and projections used in AR were usually decided individually rather than according to fixed schedules. Predicting the need of surgery was regarded more important than formal staging. Despite great agreement on the purposes of imaging in NEC and the most important radiographic signs of the disease, there was considerable diversity in routines, especially regarding examination frequency and the use of ultrasound. Apart from continuing validation of ultrasound, important objectives for future studies include definition of the supplementary roles of both imaging modalities in relation to other diagnostic parameters and evaluation of various imaging routines in relation to timing of surgery, complications, and mortality rate. • Imaging is an indispensable tool in the management of necrotising enterocolitis • Predicting the need of surgery is regarded more important than formal staging • There is great consensus on important signs of NEC on abdominal radiography • There is more uncertainty regarding the role of ultrasound • Individualised management is preferred over standardised diagnostic algorithms The online version of this article (10.1007/s00330-018-5362-x) contains supplementary material, which is available to authorized users.
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DOI：
10.1016/j.pathophys.2013.11.006
发表时间：
2014-03
期刊：
Pathophysiology : the official journal of the International Society for Pathophysiology
影响因子：
--
作者：
Clark DA;Munshi UK
通讯作者：
Munshi UK
影响因子：
5
作者：
KOSLOSKE, AM;MUSEMECHE, CA;BHATTACHARYYA, N
通讯作者：
BHATTACHARYYA, N
影响因子：
2.3
作者：
Kim, WY;Kim, WS;Lee, EK
通讯作者：
Lee, EK
影响因子：
5
作者：
Coursey, Courtney A.;Hollingsworth, Caroline L.;Bisset, George, III
通讯作者：
Bisset, George, III
影响因子：
19.7
作者：
KOGUTT, MS
通讯作者：
KOGUTT, MS