Advanced imaging use and payment trends in a large pediatric accountable care organization
ConclusionOver the study period, advanced imaging utilization at this large pediatric ACO serving the Medicaid population increased, especially with US use in the ED. Overall payments related to advanced imaging remained stable over this period. (Source: Pediatric Radiology)
Source: Pediatric Radiology - September 17, 2021 Category: Radiology Source Type: research

Improving the detection of ventricular shunt disruption using volume-rendered three-dimensional head computed tomography
AbstractHydrocephalus is the most common neurosurgical disorder in children, and cerebrospinal fluid (CSF) diversion with shunt placement is the most commonly performed pediatric neurosurgical procedure. CT is frequently used to evaluate children with suspected CSF shunt malfunction to assess change in ventricular size. Moreover, careful review of the CT images is important to confirm the integrity of the imaged portions of the shunt system. Subtle shunt disruptions can be missed on multiplanar two-dimensional (2-D) CT images, especially when the disruption lies in the plane of imaging. The use of volume-rendered CT images...
Source: Pediatric Radiology - September 17, 2021 Category: Radiology Source Type: research

Patient-level dose monitoring in computed tomography: tracking cumulative dose from multiple multi-sequence exams with tube current modulation in children
ConclusionOur methodology represents a novel approach for evaluating radiation exposure in recurring pediatric abdominal CT examinations, both at the individual and population levels. Under a wide range of patient variables and acquisition conditions, graphic depiction of the cumulative z-axis dose profile across and beyond scan ranges, including the peak dose of the profile, provides a better tool for cumulative dose documentation than simple summations of SSDE. ΣDLI is advantageous in characterizing overall energy absorption over ΣDLP, which significantly underestimated this in all children. (Source: Pediatric Radiology)
Source: Pediatric Radiology - September 17, 2021 Category: Radiology Source Type: research

Advanced imaging use and payment trends in a large pediatric accountable care organization
ConclusionOver the study period, advanced imaging utilization at this large pediatric ACO serving the Medicaid population increased, especially with US use in the ED. Overall payments related to advanced imaging remained stable over this period. (Source: Pediatric Radiology)
Source: Pediatric Radiology - September 17, 2021 Category: Radiology Source Type: research

Ultrasound of congenital spine anomalies
AbstractUltrasonography (US) is the first-line imaging modality for screening neonates and young infants with suspected spinal abnormalities. Whether performed for a suspicious congenital skin lesion, such as a lumbosacral tract or lipomatous mass, or abnormal neurological findings, US can help define spinal anatomy, characterize congenital spine malformations, and direct further work-up and management. The purpose of this article is to review the diagnostic imaging approach to infant spine US, including technique and indications, normal anatomy and variants with a focus on embryological origins, and classification and dia...
Source: Pediatric Radiology - September 16, 2021 Category: Radiology Source Type: research

Body mass index as a predictor of sonographic visualization of the pediatric appendix
ConclusionFindings show that as the BMI z-score increased, sonographic visualization of the appendix decreased even after adjusting for demographic differences. These findings have implications for pediatric radiology practice in light of the worsening obesity epidemic. (Source: Pediatric Radiology)
Source: Pediatric Radiology - September 15, 2021 Category: Radiology Source Type: research

Characterization of germinal matrix hemorrhage in extremely premature infants: recognition of posterior location and diagnostic pitfalls
ConclusionUnlike the older very preterm and moderately preterm infants that form the basis of our GMH-IVH description and classification, the extremely preterm infants now routinely surviving have a more fetal pattern of germinal matrix distribution, which is reflected in a different distribution and size of germinal matrix injury. We report the postnatal occurrence of subependymal GMH-IVH in extremely preterm infants in these more primitive, posterior locations, its potential imaging pitfalls and sonographic findings. (Source: Pediatric Radiology)
Source: Pediatric Radiology - September 15, 2021 Category: Radiology Source Type: research

Body mass index as a predictor of sonographic visualization of the pediatric appendix
ConclusionFindings show that as the BMI z-score increased, sonographic visualization of the appendix decreased even after adjusting for demographic differences. These findings have implications for pediatric radiology practice in light of the worsening obesity epidemic. (Source: Pediatric Radiology)
Source: Pediatric Radiology - September 15, 2021 Category: Radiology Source Type: research

Characterization of germinal matrix hemorrhage in extremely premature infants: recognition of posterior location and diagnostic pitfalls
ConclusionUnlike the older very preterm and moderately preterm infants that form the basis of our GMH-IVH description and classification, the extremely preterm infants now routinely surviving have a more fetal pattern of germinal matrix distribution, which is reflected in a different distribution and size of germinal matrix injury. We report the postnatal occurrence of subependymal GMH-IVH in extremely preterm infants in these more primitive, posterior locations, its potential imaging pitfalls and sonographic findings. (Source: Pediatric Radiology)
Source: Pediatric Radiology - September 15, 2021 Category: Radiology Source Type: research

Radiographic hip screening for children with cerebral palsy: an imaging and reporting update
AbstractChildren with cerebral palsy are at increased risk of hip dislocation. Detecting hip subluxation through radiographic hip screening is an essential component of hip surveillance and has been shown to prevent hip dislocations. Large-scale hip surveillance programs are being implemented nationwide, highlighting the importance of uniform technical and reporting standards. (Source: Pediatric Radiology)
Source: Pediatric Radiology - September 13, 2021 Category: Radiology Source Type: research

Hermes
(Source: Pediatric Radiology)
Source: Pediatric Radiology - September 13, 2021 Category: Radiology Source Type: research

Radiographic hip screening for children with cerebral palsy: an imaging and reporting update
AbstractChildren with cerebral palsy are at increased risk of hip dislocation. Detecting hip subluxation through radiographic hip screening is an essential component of hip surveillance and has been shown to prevent hip dislocations. Large-scale hip surveillance programs are being implemented nationwide, highlighting the importance of uniform technical and reporting standards. (Source: Pediatric Radiology)
Source: Pediatric Radiology - September 13, 2021 Category: Radiology Source Type: research

Hermes
(Source: Pediatric Radiology)
Source: Pediatric Radiology - September 13, 2021 Category: Radiology Source Type: research

Pediatric chest wall masses: spectrum of benign findings on ultrasound
AbstractA palpable finding along the chest wall is a frequent indication for pediatric US. Accurate identification of benign lesions can reassure families and appropriately triage children who need follow-up, cross-sectional imaging, or biopsy. In this pictorial essay, we review chest wall anatomy, illustrate US techniques and discuss key US imaging features of common benign lesions and normal variants. (Source: Pediatric Radiology)
Source: Pediatric Radiology - September 10, 2021 Category: Radiology Source Type: research