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Writer's pictureJacqueline van Druten(RD)

Our manuscript on advantages of AUS versus AR in NEC has been published in BMJ ADC

We are delighted to announce the publication of our manuscript in the BMJ Archives of Diseases in Childhood.

We want to thank the editorial team at BMJ for publishing our article that highlights the emerging evidence for the role of ultrasound imaging in the assessment of Necrotising Enterocolitis(NEC). Thank you Dr Ben J Stenson for highlighting our article in your August 2019 and giving readers a recommendation of the illustrations of your article.


In this article we aimed to highlight how the pathophysiology is highlighted in imaging and how Abdominal Ultrasound (AUS) has a district advantage over Abdominal Radiograph(AR) to detect more sooner. AR is also limited in its insight into disease progression. AR is also not without risk, during close monitoring for NEC (very 6 hours), AR exposes vulnerable neonates to ionising radiation, which may potentially increase lifetime cancer mortality risk up to 4.3 to 20-fold.

But NEC can also visualise differently at various stages. Here we decided to highlight the visual findings of NEC according to the modified Bell's classification. In the article we wished to make readers aware that AUS has distinct advantages to detect NEC much sooner than AR.



We hope that highlighting the work of various authors in this review will help decision makers to relook the evidence of using AR and its risks to update guidelines to use AUS. Hopefully this will lead to widespread adoption that the risks of AR and late detection of NEC can be mitigated.


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