Prenatal imaging of the normal and abnormal spinal cord: recommendations from the Fetal Task Force of the European Society of Paediatric Radiology (ESPR) and the European Society of Neuroradiology (ESNR) Pediatric Neuroradiology Committee
AbstractSpinal dysraphisms are amenable to diagnosis in utero. The prognosis and the neonatal management of these conditions differ significantly depending on their types, mainly on the distinction between open and closed defects. A detailed evaluation not only of the fetal spine, but also of the brain, skull, and lower limbs is essential in allowing for the right diagnosis. In this article, recommendations from the Fetal Task Force of  the European Society of Paediatric Radiology (ESPR) and the European Society of Neuroradiology (ESNR) Pediatric Neuroradiology Committee will be presented. The aim of this paper is to revi...
Source: Pediatric Radiology - October 7, 2023 Category: Radiology Source Type: research

First experience with real-time magnetic resonance imaging-based investigation of respiratory influence on cardiac function in pediatric congenital heart disease patients with chronic right ventricular volume overload
ConclusionIn pediatric patients with CHD and chronic RV volume overload, cardiac real-time MRI during free breathing in combination with respiratory-based binning indicates an impaired Frank-Starling relationship of the RV.Graphical Abstract (Source: Pediatric Radiology)
Source: Pediatric Radiology - October 5, 2023 Category: Radiology Source Type: research

Clinical application of magnetic resonance elastography in pediatric neurological disorders
AbstractMagnetic resonance elastography is a relatively new, rapidly evolving quantitative magnetic resonance imaging technique which can be used for mapping the viscoelastic mechanical properties of soft tissues. MR elastography measurements are akin to manual palpation but with the advantages of both being quantitative and being useful for regions which are not available for palpation, such as the human brain. MR elastography is noninvasive, well tolerated, and complements standard radiological and histopathological studies by providing in vivo measurements that reflect tissue microstructural integrity. While brain MR el...
Source: Pediatric Radiology - October 5, 2023 Category: Radiology Source Type: research

Disparities in paediatric radiology research publications from low- and lower middle-income countries: Pediatric Radiology editors as advocates
(Source: Pediatric Radiology)
Source: Pediatric Radiology - October 4, 2023 Category: Radiology Source Type: research

Conflicting views of physicians and surgeons concerning pediatric urinary tract infection: a comparative review
ConclusionThere are two distinct directions in the literature regarding the investigation of an uncomplicated first febrile UTI in a child. In general, when presented with a first febrile UTI in a child, physicians recommend fewer investigations and less treatment, in contrast to surgeons who advocate extensive investigation and aggressive intervention in the event that imaging detects an abnormality. This has the potential to confuse the carers of affected children. (Source: Pediatric Radiology)
Source: Pediatric Radiology - September 30, 2023 Category: Radiology Source Type: research

Expanding the reach of nuclear medicine by bringing imaging to the patient
(Source: Pediatric Radiology)
Source: Pediatric Radiology - September 30, 2023 Category: Radiology Source Type: research

Pediatric hepatic hemangiomas: spectrum and prognostic significance of initial ultrasound findings
ConclusionDiffuse subtype, large tumor volume, elevated hepatic arterial PSV, and hepatic vein dilation are risk factors for complications of hepatic hemangiomas.Graphical abstract (Source: Pediatric Radiology)
Source: Pediatric Radiology - September 29, 2023 Category: Radiology Source Type: research

Frequency of technical success of ultrasound-guided arthrogram injections in children
ConclusionUltrasound guidance is a reliable, effective, and safe approach to arthrography in children.Graphical Abstract (Source: Pediatric Radiology)
Source: Pediatric Radiology - September 29, 2023 Category: Radiology Source Type: research

Use of ionizing radiation in a Norwegian cohort of children with congenital heart disease: imaging frequency and radiation dose for the Health Effects of Cardiac Fluoroscopy and Modern Radiotherapy in Pediatrics (HARMONIC) study
ConclusionThis study shows that CT  made the largest contribution to the radiation dose from imaging (excluding cardiac intervention). However, although the dose per conventional radiograph was low, the large number of examinations resulted in a substantial total effective dose. Therefore, it is important to consider the frequency o f conventional radiography while calculating cumulative dose for individuals. The findings of this study will help the HARMONIC project to improve risk assessment by minimizing the uncertainty associated with cumulative dose calculations.Graphical Abstract (Source: Pediatric Radiology)
Source: Pediatric Radiology - September 29, 2023 Category: Radiology Source Type: research

Disparities in paediatric radiology research publications from low- and lower middle-income countries: a time for change
AbstractThe positive impact of diversity on health research and outcomes is well-recognised and widely published. Despite this, published evidence shows that at every step of the research pathway, issues of equity, diversity and inclusion (EDI) arise. There is evidence of a lack of diversity within research teams, in the research questions asked/research participants recruited, on grant review/funding panels, amongst funded researchers and on the editorial boards and reviewer pools of the journals to which results are submitted for peer-reviewed publication. Considering the journalPediatricRadiology, while its editorial bo...
Source: Pediatric Radiology - September 29, 2023 Category: Radiology Source Type: research

MR features of primary bone lymphoma in children
ConclusionOur results in this series of pediatric primary lymphoma of bone identified several frequent MR imaging features. Multifocality, epiphyseal involvement (especially about the knee), infarct-like enhancement pattern, sharp T1 margins, and surrounding soft tissue edema should raise suspicion for primary lymphoma of bone. Following treatment, residual osseous abnormality is expected on MRI.Graphical abstract (Source: Pediatric Radiology)
Source: Pediatric Radiology - September 29, 2023 Category: Radiology Source Type: research

Imaging biomarkers and radiomics in pediatric oncology: a view from the PRIMAGE (PRedictive In silico Multiscale Analytics to support cancer personalized diaGnosis and prognosis, Empowered by imaging biomarkers) project
AbstractThis review paper presents the practical development of imaging biomarkers in the scope of the PRIMAGE (PRedictive In silico Multiscale Analytics to support cancer personalized diaGnosis and prognosis, Empowered by imaging biomarkers) project, as a noninvasive and reliable way to improve the diagnosis and prognosis in pediatric oncology. The  PRIMAGE project is a European multi-center research initiative that focuses on developing medical imaging-derived artificial intelligence (AI) solutions designed to enhance overall management and decision-making for two types of pediatric cancer: neuroblastoma and diffuse in...
Source: Pediatric Radiology - September 25, 2023 Category: Radiology Source Type: research

Being a leader is more than just a title
(Source: Pediatric Radiology)
Source: Pediatric Radiology - September 25, 2023 Category: Radiology Source Type: research

Use of intraoperative bone scintigraphy for resection of spinal osteoid osteoma
ConclusionsIOBS is a useful tool for real-time localization and assessment of spinal osteoid osteoma resection. In all cases, IOBS was able to localize the lesion and changed surgical planning in 75% of cases. Ninety percent of patients achieved complete resection and remain recurrence free.Graphical abstract (Source: Pediatric Radiology)
Source: Pediatric Radiology - September 23, 2023 Category: Radiology Source Type: research

Virtual 3D femur model to assess femoral version: comparison to the 2D axial slice approach
ConclusionThe 3D femur model technique is more reliable than the Murphy's 2D axial slice technique in measuring femoral version, especially in children with hip flexion and apparent coxa valga deformities. (Source: Pediatric Radiology)
Source: Pediatric Radiology - September 23, 2023 Category: Radiology Source Type: research