Correlation between the lateral and anteroposterior sacral ratios in anorectal malformations
ConclusionEven though the AP and lateral sacral ratios had moderate positive correlation, the mean sacral ratio determined by images in the lateral plane was 0.07  units greater than the AP plane. AP and lateral sacral ratios concluded different risk categories relatively often. Future studies are needed to determine whether AP or lateral sacral ratios correlate better with continence in patients with anorectal malformations. (Source: Pediatric Radiology)
Source: Pediatric Radiology - September 1, 2021 Category: Radiology Source Type: research

Prognostic value of the nutmeg lung pattern/lymphangiectasia on fetal magnetic resonance imaging
ConclusionNutmeg lung pattern on fetal MRI is an independent risk factor associated with 30-day mortality in fetuses with CHD. (Source: Pediatric Radiology)
Source: Pediatric Radiology - September 1, 2021 Category: Radiology Source Type: research

Utilization of 3-T fetal magnetic resonance imaging in clinical practice: a single-institution experience
ConclusionWhile 3  T is a feasible alternative to 1.5 T for fetal MRI, the increased artifacts and longer exam times observed at 3 T without clear improvement in overall image quality make 1.5 T preferable for fetal MRI in routine clinical practice. (Source: Pediatric Radiology)
Source: Pediatric Radiology - September 1, 2021 Category: Radiology Source Type: research

Atypical pulmonary metastases in children: the spectrum of radiologic findings
AbstractPulmonary nodules present a diagnostic challenge when they appear as atypical metastases in pediatric oncology patients. Chest computed tomography (CT) is the primary imaging modality for assessing lung nodules. In pediatric populations, Wilms tumor and osteosarcoma are the cancers most likely to produce pulmonary metastasis, both typical and atypical. This pictorial essay provides a thorough description of the specific radiologic features of atypical pediatric pulmonary metastases, and their pathogenesis and differential diagnosis. We also address diagnostic approaches to incidental lung nodules in healthy childre...
Source: Pediatric Radiology - September 1, 2021 Category: Radiology Source Type: research

A founder ’s story: John Caffey
(Source: Pediatric Radiology)
Source: Pediatric Radiology - September 1, 2021 Category: Radiology Source Type: research

Bladder prolapse through a patent urachus presenting as an umbilical mass in the newborn: characteristic prenatal sonographic findings and the diagnostic benefit of postnatal cystography
We present a newborn with an unusual exophytic, erythematous umbilical mass. Voiding cystography readily demonstrated continuity of the bladder dome with the umbilical mass, confirming bladder prolapse through a patent urachus. The diagnosis of bladder prolapse was rapidly made in a second newborn with similar imaging and clinical findings and confirmed by cystography. We discuss the embryology of this condition including the association with a vesico-allantoic cyst in utero. Pre- and postnatal images are presented. The use of cystography in diagnosis is emphasized. (Source: Pediatric Radiology)
Source: Pediatric Radiology - September 1, 2021 Category: Radiology Source Type: research

Public Service Loan Forgiveness as a pediatric radiology recruiting tool
(Source: Pediatric Radiology)
Source: Pediatric Radiology - September 1, 2021 Category: Radiology Source Type: research

Hermes
(Source: Pediatric Radiology)
Source: Pediatric Radiology - September 1, 2021 Category: Radiology Source Type: research

The radiological diagnosis of midgut volvulus — wow, it’s difficult!
(Source: Pediatric Radiology)
Source: Pediatric Radiology - September 1, 2021 Category: Radiology Source Type: research

Current and emerging artificial intelligence applications in chest imaging: a pediatric perspective
AbstractArtificial intelligence (AI) applications for chest radiography and chest CT are among the most developed applications in radiology. More than 40 certified AI products are available for chest radiography or chest CT. These AI products cover a wide range of abnormalities, including pneumonia, pneumothorax and lung cancer. Most applications are aimed at detecting disease, complemented by products that characterize or quantify tissue. At present, none of the thoracic AI products is specifically designed for the pediatric population. However, some products developed to detect tuberculosis in adults are also applicable ...
Source: Pediatric Radiology - September 1, 2021 Category: Radiology Source Type: research

Cost evaluation of two types of gastrojejunal feeding tubes used in pediatric patients
ConclusionDespite being more expensive to purchase, balloon-retained tubes were noted to be the least costly device in a cost-per-day analysis. (Source: Pediatric Radiology)
Source: Pediatric Radiology - August 25, 2021 Category: Radiology Source Type: research

Multiparametric cardiac magnetic resonance imaging in pediatric and adolescent patients with acute myocarditis
ConclusionThe Lake Louise criteria have a high diagnostic performance for the diagnosis of acute myocarditis and are a valuable tool for follow-up in pediatric and adolescent patients. The mapping techniques enhance the diagnostic performance of the 2018 Lake Louise criteria. (Source: Pediatric Radiology)
Source: Pediatric Radiology - August 25, 2021 Category: Radiology Source Type: research

Prospective cost implications with a clinical decision support system for pediatric emergency head computed tomography
ConclusionSilent mode implementation of a clinical decision support tool resulted in 28% of head CT non-contrast exams on emergency patients being graded as low-utility studies. Prospective cost implications resulted in an annual base case cost of $188,902 to Texas Children ’s Hospital. (Source: Pediatric Radiology)
Source: Pediatric Radiology - August 25, 2021 Category: Radiology Source Type: research

Prenatal lung volumes in congenital diaphragmatic hernia and their effect on postnatal outcomes
AbstractLung volume measurement on fetal MRI is a component of the imaging workup for various prenatal conditions, but its use as a prognosticator has been most heavily studied in congenital diaphragmatic hernia (CDH). Pediatric radiologists who perform and interpret fetal MRI must be familiar with the technical aspects of lung volume measurement to guarantee accurate measurement and reporting. Variability in timing and type of measurement at different fetal centers also requires pediatric radiologists to be up-to-date with the literature and aware of their center ’s internal data. This paper provides both a how-to guide...
Source: Pediatric Radiology - August 25, 2021 Category: Radiology Source Type: research