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A Novel Human Epithelial Enteroid Model of Necrotizing Enterocolitis
Published on: April 10, 2019
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Early detection of necrotizing enterocolitis using broadband optical spectroscopy
Seth D Goldstein1, Robert J Beaulieu1, Diego F Niño1
1Johns Hopkins School of Medicine, Baltimore, MD.
Journal of Pediatric Surgery
|April 1, 2018
Summary
Broadband optical spectroscopy (BOS) offers a new, noninvasive method for early necrotizing enterocolitis (NEC) detection. This technique achieved 100% accuracy in a mouse model, addressing limitations of current diagnostic approaches.
Area of Science:
- Biomedical Optics
- Medical Diagnostics
- Gastroenterology
Background:
- Necrotizing enterocolitis (NEC) diagnosis is often delayed, necessitating improved noninvasive methods.
- Near-infrared spectroscopy (NIRS) shows promise but lacks specificity due to limited spectral range.
Purpose of the Study:
- Introduce broadband optical spectroscopy (BOS) as a novel noninvasive diagnostic tool for NEC.
- Enhance diagnostic accuracy and specificity for early NEC detection.
Main Methods:
- Induced NEC in a mouse model using formula, enteric bacteria, and hypoxia.
- Applied transabdominal BOS daily, capturing spectral data from 400-1800nm.
- Developed a feature extraction algorithm for spectral waveform analysis.
Main Results:
- BOS detected NEC with 100% sensitivity and specificity in a blinded study.
- Spectral waveform analysis effectively differentiated between NEC and control groups.
- Demonstrated the potential of BOS for accurate NEC characterization.
Conclusions:
- Broadband optical spectroscopy (BOS) accurately and noninvasively identifies NEC in a preclinical model.
- BOS represents a promising new modality for early diagnosis of NEC.
- This approach could significantly improve outcomes for infants with NEC.
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