Identification of neonatal necrotizing enterocolitis using a noninvasive optical and thermographic imaging method

Kaelyn Fann; Caroline Sims; Dustin Hipp; Isaura Diaz; Patrick O'Neal Maynord; Justin S. Baba

doi:10.1117/12.3001592

27 March 2024 Identification of neonatal necrotizing enterocolitis using a noninvasive optical and thermographic imaging method

Kaelyn Fann, Caroline Sims, Dustin Hipp, Isaura Diaz, Patrick O'Neal Maynord, Justin S. Baba

Author Affiliations +

Proceedings Volume 12850, Optical Diagnostics and Sensing XXIV: Toward Point-of-Care Diagnostics; 1285002 (2024) https://doi.org/10.1117/12.3001592
Event: SPIE BiOS, 2024, San Francisco, California, United States

Abstract

Necrotizing enterocolitis (NEC) is a gastrointestinal disease that affects 2% to 5% of premature infants and is responsible for almost 8% of all neonatal intensive care unit (NICU) admissions. NEC is caused by inflammation of the intestine, leading to an invasion of bacteria that can cause necrosis of the colon and intestine. Patients with NEC can suffer from a wide range of symptoms such as apnea, diarrhea and bloody stools, unstable body temperature, trouble feeding, discoloration of the abdominal region, and a swollen abdominal region. These symptoms of NEC often coincide with other gastrointestinal diseases, meaning that it can be difficult to definitively diagnose NEC without the use of radiographic imaging. Current diagnostic procedures utilize Bell’s staging system, which many believe is unreliable and inefficient practice. The progression of NEC occurs quickly and results in a mortality rate as high as 50%, yet the mortality rate can still increase when emergency surgical procedures are performed for more severe cases. Previous studies motivate our development of a noninvasive sensing and monitoring method that can be used in real-time. The proposed method utilizes both optical and thermal images to detect temperature differences in upper (thorax) and lower (abdomen) regions as an early indicator for NEC. We report on promising preliminary data from early studies at the Vanderbilt University Medical Center, Monroe Carell Jr. Children’s Hospital, under an approved IRB, investigating point-of-care NICU image-based thermographic trends of neonates at risk for NEC.

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Kaelyn Fann, Caroline Sims, Dustin Hipp, Isaura Diaz, Patrick O'Neal Maynord, and Justin S. Baba "Identification of neonatal necrotizing enterocolitis using a noninvasive optical and thermographic imaging method", Proc. SPIE 12850, Optical Diagnostics and Sensing XXIV: Toward Point-of-Care Diagnostics, 1285002 (27 March 2024); https://doi.org/10.1117/12.3001592

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KEYWORDS

Thermography

Body temperature

Abdomen

Diagnostics

Image segmentation

Infrared cameras

Point-of-care devices

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