Pediatric Radiology Continuing Medical Education Activity
(Source: Pediatric Radiology)
Source: Pediatric Radiology - November 12, 2021 Category: Radiology Source Type: research

Non-inferiority of a non-gadolinium-enhanced magnetic resonance imaging follow-up protocol for isolated optic pathway gliomas
ConclusionA non-GBCM-enhanced protocol was non-inferior to a GBCM-enhanced protocol for assessing change in size of isolated OPGs on follow-up MRI exams. (Source: Pediatric Radiology)
Source: Pediatric Radiology - November 9, 2021 Category: Radiology Source Type: research

Portomesenteric and portosystemic venous reconstructions in children using balloon-expandable endoprostheses
ConclusionPortomesenteric and portosystemic venous reconstruction using balloon-expandable stent grafts in pediatric patients was feasible and clinically successful in this preliminary experience. Additional studies are warranted. (Source: Pediatric Radiology)
Source: Pediatric Radiology - November 9, 2021 Category: Radiology Source Type: research

Active reviewers (from October 1, 2020, through September 30, 2021)
(Source: Pediatric Radiology)
Source: Pediatric Radiology - November 8, 2021 Category: Radiology Source Type: research

Changing the practice of routine gonadal shielding during radiography: ‘Y’?
(Source: Pediatric Radiology)
Source: Pediatric Radiology - November 6, 2021 Category: Radiology Source Type: research

Acute appendicitis and SARS-CoV-2 in children: imaging findings at a tertiary children ’s hospital during the COVID-19 pandemic
ConclusionIn pediatric patients with suspected appendicitis, no significant difference was found in the diagnostic performance of US, CT usage or perforation rates between SARS-CoV-2 positive and SARS-CoV-2 negative patients. (Source: Pediatric Radiology)
Source: Pediatric Radiology - November 5, 2021 Category: Radiology Source Type: research

Imaging of congenital genitourinary anomalies
AbstractCongenital genitourinary anomalies are among the most frequent types of birth defects in neonates. Some anomalies can be a significant cause of morbidity in infancy, while others remain asymptomatic even until adulthood and can be at times the only manifestation of a complex systemic disease. The spectrum of these anomalies results from the developmental insults that can occur at various embryologic stages, and an understanding of the formation of the genitourinary system is helpful in the evaluation and treatment of a child with a congenital genitourinary anomaly. Imaging plays an essential role in the diagnosis o...
Source: Pediatric Radiology - November 5, 2021 Category: Radiology Source Type: research

Coronary computed tomography angiography in children
AbstractImaging the coronary arteries of children, with their faster heart rates, small vessel size and common inability to lie still or breath-hold, has been a major challenge. With numerous advances in technology, CT examinations can now be performed quickly, often with children free-breathing and with much lower radiation doses than previously. This has led to increased use in children. Care must be taken with technique and choice of electrocardiogram (ECG)-gating technique to obtain adequate imaging for a diagnosis while keeping radiation dose as low as reasonably achievable (ALARA). In this paper, we discuss technique...
Source: Pediatric Radiology - November 4, 2021 Category: Radiology Source Type: research

Computed tomography of pulmonary veins: review of congenital and acquired pathologies
AbstractNewer-generation CT scanners with ultrawide detectors or dual sources offer millisecond image acquisition times and significantly decreased radiation doses compared to historical cardiac CT and CT angiography. This technology is capable of nearly freezing cardiac and respiratory motion. As a result, CT is increasingly used for diagnosing and monitoring cardiac and vascular abnormalities in the pediatric population. CT is particularly useful in the setting of pulmonary vein evaluation because it offers evaluation of the entire pulmonary venous system and lung parenchyma. In this article we review a spectrum of conge...
Source: Pediatric Radiology - November 4, 2021 Category: Radiology Source Type: research

Imaging features of hepatic sinusoidal obstruction syndrome or veno-occlusive disease in children
AbstractHepatic sinusoidal obstruction syndrome, also known as veno-occlusive disease, can occur as a complication of myeloablative chemotherapy, as a result of low-intensity chemotherapy-related liver toxicity or radiotherapy of the liver. Symptoms of sinusoidal obstruction syndrome can range from asymptomatic to liver dysfunction or severe disease with life-threatening acute multi-organ failure. Imaging features can suggest or support this clinical diagnosis. Familiarity with the imaging spectrum of sinusoidal obstruction syndrome is therefore important for both radiologists and clinical oncologists. Here, multi-modality...
Source: Pediatric Radiology - November 3, 2021 Category: Radiology Source Type: research

Pediatric craniosynostosis computed tomography: an institutional experience in reducing radiation dose while maintaining diagnostic image quality
ConclusionReplacing the routine pediatric brain CT protocol with a lower-dose CT craniosynostosis protocol substantially reduced radiation exposure without compromising image quality or diagnostic confidence. (Source: Pediatric Radiology)
Source: Pediatric Radiology - November 3, 2021 Category: Radiology Source Type: research

Congenital musculoskeletal anomalies — key radiographic findings
AbstractAlthough radiographs are generally performed in the neonatal period to evaluate for causes of respiratory distress or to evaluate line placement, close attention to the osseous structures can provide important clues to an underlying diagnosis. Although segmentation anomalies can be random, they are frequently associated with more complex entities such as VACTERL association. A butterfly vertebral body can hint at a possible diagnosis of Alagille syndrome even before jaundice develops in an infant with a murmur. Close evaluation of the sacrum can identify abnormalities that point to caudal regression or Currarino tr...
Source: Pediatric Radiology - November 3, 2021 Category: Radiology Source Type: research

Contrast-enhanced ultrasound for musculoskeletal indications in children
AbstractThe increasing use of contrast-enhanced ultrasound (CEUS) has opened exciting new frontiers for musculoskeletal applications in adults and children. The most common musculoskeletal-related CEUS applications in adults are for detecting inflammatory joint diseases, imaging skeletal muscles and tendon perfusion, imaging postoperative viability of osseous and osseocutaneous tissue flaps, and evaluating the malignant potential of soft-tissue masses. Pediatric musculoskeletal-related CEUS has been applied for imaging juvenile idiopathic arthritis and Legg –Calvé–Perthes disease and for evaluating femoral head perfus...
Source: Pediatric Radiology - November 1, 2021 Category: Radiology Source Type: research

Contrast-enhanced ultrasound: a comprehensive review of safety in children
This article reviews the existing pediatric CEUS literature and provides an overview of safety-related information reported from UCA uses in children. (Source: Pediatric Radiology)
Source: Pediatric Radiology - October 30, 2021 Category: Radiology Source Type: research

Intravascular ultrasound for endovascular precision in pediatrics
This article presents an overview of both the rotational and phased-array IVUS types and an in-depth discussion on the most common applications of these techniques in the pediatric setting across multiple procedure categories. (Source: Pediatric Radiology)
Source: Pediatric Radiology - October 30, 2021 Category: Radiology Source Type: research