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Published on: February 2, 2017
Ultrasound for assessing paediatric body composition and nutritional status: Scoping review and future directions
Bryan J Ranger1,2, Allison Lombardi2, Susie Kwon2
1Department of Engineering, Boston College, Chestnut Hill, Massachusetts, USA.
Insights
Point-of-care ultrasound shows promise for assessing pediatric body composition and nutritional status. Further research with diverse cohorts and AI integration is recommended for improved accuracy and efficiency.
Area of Science:
- Pediatric medicine
- Medical imaging
- Nutritional science
Background:
- Assessing body composition and nutritional status in children is crucial for monitoring growth and health.
- Traditional methods may have limitations in accuracy, accessibility, or invasiveness.
- Ultrasound technology offers a non-invasive, potentially portable alternative for these assessments.
Purpose of the Study:
- To conduct a scoping review on the utility of ultrasound for measuring body composition and nutritional status in the pediatric population.
- To summarize existing literature, identify research gaps, and suggest future research directions.
Main Methods:
- A systematic scoping review was performed following PRISMA Extension for Scoping Reviews guidelines.
- Included screening of titles and abstracts, followed by full-text review and data extraction.
- Synthesis of data from 34 relevant articles.
Main Results:
- Ultrasound has been utilized to assess pediatric body composition and bone properties.
- Significant literature gaps exist, including limited studies on ultrasound performance and sample characteristics.
- Current methods often rely on manual measurements, and sample diversity is limited.
Conclusions:
- Point-of-care ultrasound demonstrates considerable potential for pediatric body composition and nutritional status assessment.
- Further research is essential, focusing on larger, diverse cohorts and longitudinal studies.
- Development of AI for automated data interpretation is key to enhancing accuracy and efficiency.
Aim:
This scoping review aims to assess the utility of ultrasound as a prospective tool in measuring body composition and nutritional status in the paediatric population. We provide a comprehensive summary of the existing literature, identify gaps, and propose future research directions.
Methods:
We conducted a systematic scoping review following the PRISMA Extension for Scoping Reviews guidelines. This involved screening titles and abstracts of relevant studies, followed by a detailed full-text review and extraction of pertinent data.
Results:
We identified and synthesised 34 articles. The review revealed that while ultrasound has been used to assess body composition and bone properties in children, significant gaps remain in the literature. These include limited studies on ultrasound performance, insufficient attention to relevant sample characteristics, reliance on manual image measurements, and limited sample diversity.
Conclusion:
Point-of-care ultrasound shows significant promise for assessing paediatric body composition and nutritional status. To validate and enhance its effectiveness, further research is needed. Future studies should include larger and more diverse patient cohorts and conduct longitudinal investigations to evaluate nutritional interventions. Additionally, developing artificial intelligence (AI) for standardising and automating data interpretation will be crucial in improving the accuracy and efficiency of ultrasound assessments.
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