Comparison of bedside abdominal ultrasonography and abdominal radiography in predicting surgical intervention in neonatal necrotising enterocolitis

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The study evaluated bedside ultrasonography and abdominal radiography for predicting surgical needs in neonatal necrotising enterocolitis.
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A total of 509 neonates diagnosed with NEC underwent both imaging modalities within 24 hours for comparison.
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Five signs were identified as independent predictors of surgical intervention, with specific odds ratios calculated for each.
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The area under the curve (AUC) for the combined model was 0.862, indicating superior discrimination compared to AXR alone.
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The study concluded that bedside US was superior to AXR, although both modalities could complement each other in NEC assessment.

Frontiers In Pediatrics

by Hongwei Huang, Yang Yuan, Fanyue Qin, Huifang Dong, Xuanxuan Chen, Xiangyang Chu, Qi Liu, Hua Huang
July 9, 2026

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