What question did this study set out to answer?

This research aims to determine the sensitivity of contrast-enhanced ultrasound (CEUS) in detecting abdominal solid organ injuries in children compared to CT scans.

June 19, 2026Journal of Trauma and Acute Care Surgery

Contrast-enhanced ultrasound for the diagnosis of abdominal solid organ injuries in children

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Authors

ASAshley StoeckelBoston Children's Hospital EGE Garvey SBSmita Bailey

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Implication

Multicenter trial evaluates contrast-enhanced ultrasound effectiveness for detecting abdominal injuries in children, suggesting it may serve as a valuable initial imaging method.

Key Points

This research aims to determine the sensitivity of contrast-enhanced ultrasound (CEUS) in detecting abdominal solid organ injuries in children compared to CT scans.
Conducted a prospective multicenter trial with stable children who had abdominal injuries identified by CT.
Patients underwent grayscale/Doppler ultrasound and CEUS within 48 hours; results were interpreted by blinded radiologists.
Local and central CT results were compared against ultrasound findings.
CEUS identified 81.7% of injuries locally versus 67.1% with grayscale/Doppler.
Local CEUS sensitivity was 81.7% with specificity 98.0%; central CEUS sensitivity was 77.8% with specificity 96.9%.
CEUS missed injuries predominantly adjacent to CT-diagnosed injuries, emphasizing the need for careful interpretation.

Cite This Study

Stoeckel et al. (2026) studied this question.

synapsesocial.com/papers/6a34dd8765a5b0777af2d339 https://doi.org/10.1097/ta.0000000000005076

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Implication

Multicenter trial evaluates contrast-enhanced ultrasound effectiveness for detecting abdominal injuries in children, suggesting it may serve as a valuable initial imaging method.

Contrast-enhanced ultrasound for the diagnosis of abdominal solid organ injuries in children

Discussion

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Implication

Key Points

Cite This Study

Contrast-enhanced ultrasound for the diagnosis of abdominal solid organ injuries in children

Discussion

Member takes

Implication

Key Points

Cite This Study

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