8,620 results match your criteria Pediatric Radiology [Journal]


ESPR 2019.

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Pediatr Radiol 2019 May;49(Suppl 2):247-317

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http://dx.doi.org/10.1007/s00247-019-04365-wDOI Listing

Correction to: The spectrum of cloacal malformations: how to differentiate each entity prenatally with fetal MRI.

Pediatr Radiol 2019 Apr 5. Epub 2019 Apr 5.

Department of Diagnostic Radiology, Division of Pediatric Radiology, Children's Hospital Colorado, 13123 East 16th Ave., Mailbox B-463, Aurora, CO, 80045, USA.

The published version of this article unfortunately contained a mistake. Author name Mariana Z. Meyers was incorrect. Read More

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http://dx.doi.org/10.1007/s00247-019-04392-7DOI Listing

Frequency of technical success of two-dimensional ultrasound shear wave elastography in a large pediatric and young adult cohort: a clinical effectiveness study.

Pediatr Radiol 2019 Apr 4. Epub 2019 Apr 4.

Department of Radiology, Cincinnati Children's Hospital Medical Center, 3333 Burnet Ave., Cincinnati, OH, 45229, USA.

Background: There is a paucity of available literature describing the frequency of technical success of liver two-dimensional (2-D) ultrasound (US) shear wave elastography (SWE) in children and young adults.

Objective: To determine the frequency of technical success of liver 2-D ultrasound (US) SWE in children and young adults based on the interquartile range (IQR)/median of 10 shear wave speed (SWS) measurements.

Materials And Methods: Clinical 2-D US SWE exams performed between February 2016 and March 2018 were retrospectively identified. Read More

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http://dx.doi.org/10.1007/s00247-019-04396-3DOI Listing

SPR 2019.

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Pediatr Radiol 2019 Apr;49(Suppl 1):1-245

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http://dx.doi.org/10.1007/s00247-019-04376-7DOI Listing

Magnetic resonance and computed tomography imaging features of epithelioid sarcoma in children and young adults with pathological and clinical correlation: a report from Children's Oncology Group study ARST0332.

Pediatr Radiol 2019 Mar 30. Epub 2019 Mar 30.

Department of Pediatrics, Stanford University School of Medicine, Palo Alto, CA, USA.

Objective: To correlate imaging features of epithelioid sarcoma in children and young adults enrolled in Children's Oncology Group study ARST0332 with clinical and pathological findings.

Materials And Methods: Fifteen patients (6 males; median age 16.1 years, range 6. Read More

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http://dx.doi.org/10.1007/s00247-019-04389-2DOI Listing
March 2019
1 Read

High-resolution computed tomography findings of thyroid transcription factor 1 deficiency (NKX2-1 mutations).

Pediatr Radiol 2019 Mar 30. Epub 2019 Mar 30.

Department of Radiology, Children's Hospital Colorado, 13123 E. 16th Ave., Box 125, Aurora, CO, 80045, USA.

Background: The expression of the NKX2-1 gene and its encoded protein, thyroid transcription factor 1 (TTF-1), plays a role in pulmonary surfactant homeostasis and lung development. NKX2-1 mutations have been associated with neonatal respiratory distress, hypotonia, choreoathetosis and congenital hypothyroidism. These clinical findings have been coined brain-lung-thyroid syndrome, although not all three organs are always involved. Read More

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http://dx.doi.org/10.1007/s00247-019-04388-3DOI Listing
March 2019
1 Read

Evaluation of liver tissue by ultrasound elastography and clinical parameters in children with multiple blood cell transfusions.

Pediatr Radiol 2019 Mar 29. Epub 2019 Mar 29.

Section of Pediatric Radiology, Institute of Diagnostic and Interventional Radiology, University Hospital of Friedrich Schiller University Jena, Am Klinikum 1, 07747, Jena, Germany.

Background: Children receiving multiple blood cell transfusions are prone to iron overload and successive tissue damage in liver parenchyma, making noninvasive screening options desirable. Ultrasound (US) elastography using acoustic radiation force impulse (ARFI) imaging enables evaluation of liver parenchyma stiffness, and MRI allows for quantification of liver iron concentration.

Objective: The objective was to correlate US elastography with MRI in children who had undergone bone marrow transplantation and to evaluate the modification of liver tissue with US in combination with clinical parameters at follow-up. Read More

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http://dx.doi.org/10.1007/s00247-019-04382-9DOI Listing

Practical considerations when implementing peer learning conferences.

Pediatr Radiol 2019 Apr 29;49(4):526-530. Epub 2019 Mar 29.

Department of Radiology, Seattle Children's Hospital, University of Washington School of Medicine, 4800 Sand Point Way NE, Seattle, WA, 98105, USA.

Peer learning represents a shift away from traditional peer review. Peer learning focuses on improvement of diagnostic performance rather than on suboptimal performance. The shift in focus away from random selection and toward identification of cases with valuable teaching points can encourage more active radiologist engagement in the learning process. Read More

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http://dx.doi.org/10.1007/s00247-018-4305-7DOI Listing

Survey of peer review programs among pediatric radiologists: report from the SPR Quality and Safety Committee.

Pediatr Radiol 2019 Apr 29;49(4):517-525. Epub 2019 Mar 29.

Department of Radiology, MA.7.220, Seattle Children's Hospital, University of Washington School of Medicine, 4800 Sand Point Way NE, Seattle, WA, 98105, USA.

During the last 15 years, peer review has been widely incorporated into radiology quality improvement programs. However, current implementations are variable and carry concerns, including subjectivity of numerical scores and a sense of merely satisfying regulatory requirements. The Society for Pediatric Radiology (SPR) Quality and Safety Committee sought to evaluate the state of peer review programs in pediatric radiology practices, including implementation methods, perceived functions, strengths and weaknesses, and opportunities for improvement. Read More

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http://dx.doi.org/10.1007/s00247-018-4289-3DOI Listing

Machine learning concepts, concerns and opportunities for a pediatric radiologist.

Pediatr Radiol 2019 Apr 29;49(4):509-516. Epub 2019 Mar 29.

Department of Radiology, Seattle Children's Hospital, Seattle, WA, USA.

Machine learning, a subfield of artificial intelligence, is a rapidly evolving technology that offers great potential for expanding the quality and value of pediatric radiology. We describe specific types of learning, including supervised, unsupervised and semisupervised. Subsequently, we illustrate two core concepts for the reader: data partitioning and under/overfitting. Read More

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http://dx.doi.org/10.1007/s00247-018-4277-7DOI Listing

The state of structured reporting: the nuance of standardized language.

Pediatr Radiol 2019 Apr 29;49(4):500-508. Epub 2019 Mar 29.

Department of Radiology, Cincinnati Children's Hospital Medical Center, 3333 Burnet Ave., MLC 5031, Cincinnati, OH, 45229, USA.

Radiology reports are the principal form of communication with the referring provider. Unfortunately, they can be a form of communication riddled with errors and inscrutable statements burying the intended meaning, failing to achieve the main task for which it was made: communicating key imaging findings as they pertain to the clinical question being posed. Structured reporting is a multifaceted and modular solution to problematic reports, with variable iterations and benefits. Read More

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http://link.springer.com/10.1007/s00247-019-04345-0
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http://dx.doi.org/10.1007/s00247-019-04345-0DOI Listing
April 2019
2 Reads

If Disney ran your pediatric radiology department: a different approach to improving the patient and family experience.

Pediatr Radiol 2019 Apr 29;49(4):493-499. Epub 2019 Mar 29.

Department of Radiology, Seattle Children's Hospital, Seattle, WA, USA.

The concepts behind the patient experience and patient- and family-centered care have their roots in the 1980s. Prioritization and implementation of programs to improve the patient experience have received increased attention since the passage of legislation tying health insurance reimbursement to patient satisfaction surveys. Radiology has joined these efforts with the Radiology 3. Read More

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http://dx.doi.org/10.1007/s00247-018-4308-4DOI Listing

Clinical decision support: practical implementation at two pediatric hospitals.

Pediatr Radiol 2019 Apr 29;49(4):486-492. Epub 2019 Mar 29.

Department of Radiology, Vanderbilt University Medical Center, Monroe Carell Jr. Children's Hospital at Vanderbilt, Nashville, TN, USA.

Clinical decision support has been identified by the United States government as a method to decrease inappropriate imaging exams and promote judicious use of imaging resources. The adoption of this method will be incentivized by requiring appropriate use criteria to qualify for Medicare reimbursement starting in January 2020. While Medicare reimbursement is unlikely to directly impact pediatric imaging because of largely disparate patient populations, insurance providers typically use Medicare to benchmark their reimbursement guidelines. Read More

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http://dx.doi.org/10.1007/s00247-018-4322-6DOI Listing

Clinical decision support: the role of ACR Appropriateness Criteria.

Pediatr Radiol 2019 Apr 29;49(4):479-485. Epub 2019 Mar 29.

Department of Radiology and Imaging Sciences, Riley Hospital for Children, Indiana University School of Medicine, Indianapolis, IN, USA.

Clinical decision support is a way to decrease inappropriate imaging exams and promote judicious use of imaging resources. The adoption of clinical decision support will be incentivized by requiring the use of approved mechanisms to qualify for Medicare reimbursement starting in January 2020. Insurance providers base their reimbursement policies on Medicare, so clinical decision support could soon become relevant to pediatric imaging. Read More

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http://dx.doi.org/10.1007/s00247-018-4298-2DOI Listing

Pediatric CT radiation exposure: where we were, and where we are now.

Pediatr Radiol 2019 Apr 29;49(4):469-478. Epub 2019 Mar 29.

Department of Radiology and Biomedical Imaging, Yale University School of Medicine, 333 Cedar St., New Haven, CT, 06520-8042, USA.

Since the turn of the last millennium, the pediatric radiology community has blazed a patient-quality and safety trail in helping to effectively address the public and the news media's concerns about the implications of ionizing radiation from CT scanners in children. As such, this article (1) reviews the potential deleterious effects of ionizing radiation, (2) discusses why limiting radiation exposure in children is so important, (3) tells the history of pediatric CT radiation exposure concerns, (4) explains the interventions that took place to address these concerns and (5) touches on the current school of thought on pediatric CT dose reduction. Read More

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http://dx.doi.org/10.1007/s00247-018-4281-yDOI Listing

Practical considerations for establishing and maintaining a magnetic resonance imaging safety program in a pediatric practice.

Pediatr Radiol 2019 Apr 29;49(4):458-468. Epub 2019 Mar 29.

Department of Radiology, Seattle Children's Hospital, University of Washington School of Medicine, Seattle, WA, USA.

Magnetic resonance imaging is a multipurpose imaging modality that is largely safe, given the lack of ionizing radiation. However there are electromagnetic and biological effects on human tissue when exposed to magnetic environments, and hence there is a risk of adverse events occurring with these exams. It is imperative to understand these risks and develop methods to minimize them and prevent consequent adverse events. Read More

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http://dx.doi.org/10.1007/s00247-019-04359-8DOI Listing

Gadolinium-based contrast agents - review of recent literature on magnetic resonance imaging signal intensity changes and tissue deposits, with emphasis on pediatric patients.

Pediatr Radiol 2019 Apr 29;49(4):448-457. Epub 2019 Mar 29.

Department of Radiology, Seattle Children's Hospital, University of Washington School of Medicine, Seattle, WA, USA.

Gadolinium has been used as a base for contrast agents in MRI for the last three decades. Numerous studies over the last 4 years have reported increased signal intensity in deep brain nuclei in non-contrast MRI images following gadolinium-based contrast agent (GBCA) administration. Pathology studies performed on adults and children, and rodent necropsy studies have also shown gadolinium deposition in brain and other tissues after GBCA administration. Read More

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http://dx.doi.org/10.1007/s00247-018-4304-8DOI Listing

Practical administration of intravenous contrast media in children: screening, prophylaxis, administration and treatment of adverse reactions.

Pediatr Radiol 2019 Apr 29;49(4):433-447. Epub 2019 Mar 29.

Department of Radiology, Boston Children's Hospital, Boston, MA, USA.

Administration of intravenous contrast media to children is a routine practice at many clinical imaging centers, that can involve special considerations. In this paper, we provide practical information to facilitate optimal performance and oversight of this task. We provide targeted screening questions that can help to identify high-risk pediatric patients for both iodine-based and gadolinium-based intravenous contrast media administration. Read More

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http://dx.doi.org/10.1007/s00247-018-4306-6DOI Listing

Quality and safety in pediatric radiology.

Pediatr Radiol 2019 Apr 29;49(4):431-432. Epub 2019 Mar 29.

Department of Radiology, Stanford University School of Medicine, Stanford, CA, USA.

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http://dx.doi.org/10.1007/s00247-019-04353-0DOI Listing

Ultrasound findings in classic metaphyseal lesions: emphasis on the metaphyseal bone collar and zone of provisional calcification.

Pediatr Radiol 2019 Mar 28. Epub 2019 Mar 28.

Department of Radiology and Imaging Sciences, Riley Hospital for Children, Indiana University School of Medicine, 705 Riley Hospital Drive, Room 1053, Indianapolis, IN, 46202, USA.

Background: The classic metaphyseal lesion (CML) is highly specific for non-accidental trauma in infants. While the radiographic findings are well documented, there is little literature on the ultrasound (US) appearance.

Objective: To evaluate US findings in CMLs identified on radiographs. Read More

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http://dx.doi.org/10.1007/s00247-019-04373-wDOI Listing

Early proton magnetic resonance spectroscopy during and after therapeutic hypothermia in perinatal hypoxic-ischemic encephalopathy.

Pediatr Radiol 2019 Mar 28. Epub 2019 Mar 28.

Department of Obstetrics and Gynecology, Baylor College of Medicine, Texas Children's Hospital Pavilion for Women, Houston, TX, USA.

Background: Hypoxic-ischemic encephalopathy (HIE) remains a significant cause of mortality and neurodevelopmental impairment despite treatment with therapeutic hypothermia. Magnetic resonance H-spectroscopy measures concentrations of cerebral metabolites to detect derangements in aerobic metabolism.

Objective: We assessed MR spectroscopy in neonates with HIE within 18-24 h of initiating therapeutic hypothermia and at 5-6 days post therapeutic hypothermia. Read More

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http://dx.doi.org/10.1007/s00247-019-04383-8DOI Listing
March 2019
3 Reads

European Society of Paediatric Radiology abdominal imaging task force: statement on imaging in very early onset inflammatory bowel disease.

Pediatr Radiol 2019 Mar 27. Epub 2019 Mar 27.

Department of Radiology and Nuclear Medicine, Unit for Paediatric Radiology, Oslo University Hospital, Oslo, Norway.

Very early onset inflammatory bowel disease (VEO-IBD) is defined as disease presenting before the age of 6. These children require a tailored imaging approach because conventional imaging studies can be difficult to perform at such a young age. Unlike inflammatory bowel disease in older children and adults, colonic disease predominates in VEO-IBD, and small-bowel disease is rare. Read More

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http://dx.doi.org/10.1007/s00247-019-04375-8DOI Listing

Bone age for chronological age determination - statement of the European Society of Paediatric Radiology musculoskeletal task force group.

Pediatr Radiol 2019 Mar 26. Epub 2019 Mar 26.

Haukeland University Hospital/University of Bergen, Bergen, Norway.

Radiologists are sometimes requested to determine a person's age based on skeletal radiographs. Critical reviews demonstrate that this cannot be done with sufficient accuracy with existing methods. Read More

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http://dx.doi.org/10.1007/s00247-019-04379-4DOI Listing
March 2019
1.651 Impact Factor

What's missing? An analysis of pediatric radiology fellowship website utility and recruitment potential.

Pediatr Radiol 2019 Mar 25. Epub 2019 Mar 25.

Warren Alpert Medical School, Brown University, Providence, RI, USA.

Background: Pediatric radiology fellowship web pages convey practical information and provide an opportunity to impress upon visitors the mission and principles that are core to the program.

Objective: The goal of the study was to assess pediatric radiology fellowship program websites and identify potential areas for improvement because applications and enrollment have been steadily declining since 2013.

Materials And Methods: We evaluated 41 websites of pediatric radiology fellowship programs for 17 criteria. Read More

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http://dx.doi.org/10.1007/s00247-019-04381-wDOI Listing

Diagnostic accuracy of non-contrast magnetic resonance enterography in detecting active bowel inflammation in pediatric patients with diagnosed or suspected inflammatory bowel disease to determine necessity of gadolinium-based contrast agents.

Pediatr Radiol 2019 Mar 21. Epub 2019 Mar 21.

Department of Radiology, SSM Health Cardinal Glennon Children's Hospital, Saint Louis University School of Medicine, 1465 S. Grand Blvd., St. Louis, MO, 63104, USA.

Background: Pediatric patients with inflammatory bowel disease (IBD) are at increased risk of gadolinium deposition given the potential need for multiple contrast-enhanced magnetic resonance enterography (MRE) exams over their lifetime.

Objective: To determine whether gadolinium-based contrast agents are necessary in assessing active bowel inflammation on MRE in pediatric patients with known or suspected IBD.

Materials And Methods: We conducted a retrospective study of 77 patients (7-18 years; 68. Read More

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http://dx.doi.org/10.1007/s00247-019-04369-6DOI Listing

Review of paraneoplastic syndromes in children.

Pediatr Radiol 2019 Apr 16;49(4):534-550. Epub 2019 Mar 16.

Department of Radiology, Boston Children's Hospital, 300 Longwood Ave., Boston, MA, 02215, USA.

Paraneoplastic syndromes are defined as clinical syndromes that are not related to direct tumor invasion or compression but are secondary to tumor secretion of functional peptides/hormones or related to immune cross-reactivity with normal host tissue. Paraneoplastic syndromes have a wide range of presentations and can present before the primary malignancy or tumor recurrence is diagnosed. They can mimic non-neoplastic processes, making detection, diagnosis and treatment difficult. Read More

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http://dx.doi.org/10.1007/s00247-019-04371-yDOI Listing
April 2019
5 Reads

Correction to: A consensus response on the complete picture: reply to Lynøe and Eriksson.

Pediatr Radiol 2019 May;49(5):692-693

Paediatric Musculoskeletal Imaging, Academic Unit of Child Health, Sheffield, UK.

The original version on this paper contained an error. The COI statement is incorrectly presented. Read More

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http://dx.doi.org/10.1007/s00247-019-04380-xDOI Listing
May 2019
1.651 Impact Factor

Three-dimensional printed models of the rib cage in children with non-accidental injury as an effective visual-aid tool.

Pediatr Radiol 2019 Mar 15. Epub 2019 Mar 15.

Department of Radiology, The Children's Hospital of Philadelphia, 3401 Civic Center Blvd., Philadelphia, PA, 19104, USA.

Three-dimensional (3-D) printing is gaining terrain in medical education, presurgical evaluation and recently as forensic evidence in court. Physicians, including radiologists, often provide expert testimony in court cases involving children with rib fractures and other injuries concerning for child physical abuse. Effectively communicating the complexities of fractures and other skeletal findings to nonmedical personnel using standard radiology studies can be challenging, especially during medical courtroom testimony. Read More

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http://dx.doi.org/10.1007/s00247-019-04368-7DOI Listing

Acoustic shadowing in pediatric kidney stone ultrasound: a retrospective study with non-enhanced computed tomography as reference standard.

Pediatr Radiol 2019 Mar 14. Epub 2019 Mar 14.

Department of Paediatric Radiology, Great Ormond Street Hospital for Children, Great Ormond Street, London, WC1N 3JH, UK.

Background: The usefulness of acoustic shadowing as a feature of pediatric kidney stone ultrasound (US) may be underestimated.

Objective: The hypothesis was that the majority of stones in children have acoustic shadowing and that its specificity is high (>90%) in pediatric kidney stones.

Materials And Methods: Our retrospective observational study included children who had undergone abdominal non-enhanced computed tomography (CT) for kidney stones in a pediatric renal stone referral centre between 2015 and 2016. Read More

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http://dx.doi.org/10.1007/s00247-019-04372-xDOI Listing
March 2019
1 Read

Correction to: The value of postmortem computed tomography in paediatric natural cause of death: a Dutch observational study.

Pediatr Radiol 2019 Mar 13. Epub 2019 Mar 13.

Department of Radiology, Wilhelmina Children's Hospital, University Medical Centre Utrecht, Utrecht, the Netherlands.

When first published, this article inadvertently listed the Dutch NODO group individually within the author list without specifying the names of the collaborators. The collaborators have been listed within the Acknowledgements section only. The corrected author list is presented in this Correction. Read More

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http://dx.doi.org/10.1007/s00247-019-04362-zDOI Listing

Evaluation of incidental pelvic fluid in relation to physiological changes in healthy pubescent children using pelvic magnetic resonance imaging.

Pediatr Radiol 2019 Mar 12. Epub 2019 Mar 12.

Department of Radiology, Brigham and Women's Hospital, 75 Francis St., Boston, MA, 02115, USA.

Background: Peritoneal free fluid can indicate an underlying disease process; however detection of minimal peritoneal free fluid in healthy children is not uncommon.

Objective: To assess the significance of incidental peritoneal free fluid within healthy children by MRI and its relation to physiological changes during puberty.

Materials And Methods: This prospective study was performed on 32 healthy volunteers (20 boys) between the ages of 8 years and 13 years, with consecutive follow-ups every 8-10 months for an average of 3 years. Read More

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http://dx.doi.org/10.1007/s00247-019-04355-yDOI Listing

Lower extremity endovenous reconstruction for symptomatic occlusive disease in pediatric patients: techniques, clinical outcomes, and long-term stent patencies.

Pediatr Radiol 2019 Mar 9. Epub 2019 Mar 9.

Cardiovascular and Interventional Radiology, Inova Alexandria Hospital, 4320 Seminary Road, Alexandria, VA, USA.

Background: Endovascular stent reconstruction is the standard of care for chronic venous occlusive disease in adults, but it has not been reported in pediatric patients.

Objective: This study reports the technical success, complications, clinical outcomes, and stent patency of iliocaval stent reconstruction for chronic iliocaval thrombosis in pediatric patients.

Materials And Methods: Fourteen patients, 13 (93%) male with a mean age of 16. Read More

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http://dx.doi.org/10.1007/s00247-019-04357-wDOI Listing

Comparison of three oral contrast preparations for magnetic resonance enterography in pediatric patients with known or suspected Crohn disease: a prospective randomized trial.

Pediatr Radiol 2019 Mar 9. Epub 2019 Mar 9.

Department of Radiology, Massachusetts General Hospital, 55 Fruit St., Boston, MA, 02114, USA.

Background: Oral contrast preparation is fundamental to ensuring diagnostic examination quality for magnetic resonance enterography (MRE), yet little is known about the relative palatability and tolerability of various oral contrast agents in pediatric patients with known or suspected inflammatory bowel disease.

Objective: We prospectively compared three MRE oral preparations in pediatric patients with known or suspected Crohn disease with respect to patient-reported tolerability and radiologist-determined small-bowel distension and opacification.

Materials And Methods: Seventy-five pediatric patients (mean age 14. Read More

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http://dx.doi.org/10.1007/s00247-019-04378-5DOI Listing
March 2019
3 Reads

Joint European Society of Paediatric Radiology (ESPR) and International Society for Forensic Radiology and Imaging (ISFRI) guidelines: paediatric postmortem computed tomography imaging protocol.

Pediatr Radiol 2019 May 28;49(5):694-701. Epub 2019 Feb 28.

Department of Clinical Radiology, Great Ormond Street Hospital for Children, London, UK.

Postmortem CT for investigating childhood deaths is increasingly utilised as a noninvasive adjunct or alternative to standard autopsy; however there are no standardised published imaging protocols. This article describes a standardised imaging protocol that has been developed based on current practices of international postmortem imaging practitioners and experts. This recommendation is expected to be useful for postmortem imaging centres wishing to update their existing practices and for those starting paediatric postmortem CT as a new service. Read More

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http://dx.doi.org/10.1007/s00247-018-04340-xDOI Listing
May 2019
2 Reads

Percutaneous treatment of ranulas: ultrasound-guided drainage with salivary gland chemical ablation.

Pediatr Radiol 2019 Feb 27. Epub 2019 Feb 27.

Department of Radiology, Nationwide Children's Hospital, 700 Children's Drive, Columbus, OH, 43205, USA.

Background: Ranulas are salivary pseudocysts in the floor of the mouth adjacent to damaged salivary glands. Current surgical management is drainage of the ranula with removal of the offending gland. An analogous percutaneous procedure could potentially offer similar treatment efficacy in a more minimally invasive way. Read More

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http://link.springer.com/10.1007/s00247-019-04356-x
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http://dx.doi.org/10.1007/s00247-019-04356-xDOI Listing
February 2019
5 Reads

Is the procedure of diagnosing abusive head trauma a purely medical matter?

Pediatr Radiol 2019 Mar 19;49(3):422-423. Epub 2019 Feb 19.

Department of Community Medicine and Rehabilitation/Forensic Medicine, Umeå, Sweden.

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http://dx.doi.org/10.1007/s00247-019-04344-1DOI Listing

Consensus statement on abusive head trauma: additional endorsements.

Pediatr Radiol 2019 Mar 19;49(3):421. Epub 2019 Feb 19.

UMR 7268 ADÉS, Aix-Marseille Université-EFS-CNRS, Marseille, France.

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http://dx.doi.org/10.1007/s00247-019-04342-3DOI Listing

European Society of Paediatric Radiology Computed Tomography and Dose Task Force: European guidelines on diagnostic reference levels for paediatric imaging.

Pediatr Radiol 2019 May 19;49(5):702-705. Epub 2019 Feb 19.

Department of Radiology, Great Ormond Street Hospital for Children, NHS Foundation Trust, London, UK.

The recent European Council Directive 2013/59/EURATOM requires the establishment of diagnostic reference levels (DRLs) to optimise radiation dose in diagnostic and interventional radiology procedures. At the time this directive was enacted, just a few European countries had already set paediatric DRLs and many of these were outdated. For this reason, the European Commission launched a project addressing European Guidelines on Diagnostic Reference Levels for Paediatric Imaging that was awarded to a consortium led by the European Society of Radiology with the collaboration of the European Society of Paediatric Radiology and other European stakeholders involved in the radiation protection of children. Read More

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http://dx.doi.org/10.1007/s00247-019-04346-zDOI Listing

Visualization of the normal appendix in children: feasibility of a single contrast-enhanced radial gradient recalled echo MRI sequence.

Pediatr Radiol 2019 Feb 19. Epub 2019 Feb 19.

Department of Radiology, New York University School of Medicine, 660 First Ave., New York, NY, 10016, USA.

Background: Magnetic resonance imaging (MRI) assessment for appendicitis is limited by exam time and patient cooperation. The radially sampled 3-dimensional (3-D) T1-weighted, gradient recalled echo sequence (radial GRE) is a free-breathing, motion robust sequence that may be useful in evaluating appendicitis in children.

Objective: To compare the rate of detection of the normal appendix with contrast-enhanced radial GRE versus contrast-enhanced 3-D GRE and a multi-sequence study including contrast-enhanced radial GRE. Read More

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http://dx.doi.org/10.1007/s00247-019-04352-1DOI Listing
February 2019

Computed tomography texture features can discriminate benign from malignant lymphadenopathy in pediatric patients: a preliminary study.

Pediatr Radiol 2019 Feb 11. Epub 2019 Feb 11.

Department of Radiology, Massachusetts General Hospital, 55 Fruit St., Boston, MA, 02114, USA.

Background: Differentiation of benign from malignant lymphadenopathy remains challenging in pediatric radiology. Textural analysis (TA) quantitates heterogeneity of tissue signal intensities and has been applied to analysis of CT images.

Objective: The purpose of this study was to establish whether CT textural analysis of enlarged lymph nodes visualized on pediatric CT can distinguish benign from malignant lymphadenopathy. Read More

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http://dx.doi.org/10.1007/s00247-019-04350-3DOI Listing
February 2019

Arnold Shkolnik, MD (1930-2018).

Pediatr Radiol 2019 Apr 9;49(4):571-572. Epub 2019 Feb 9.

Ann & Robert H. Lurie Children's Hospital of Chicago, 225 E. Chicago Ave., Chicago, IL, 60614, USA.

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http://dx.doi.org/10.1007/s00247-019-04348-xDOI Listing

Clinical experience with two-point mDixon turbo spin echo as an alternative to conventional turbo spin echo for magnetic resonance imaging of the pediatric knee.

Pediatr Radiol 2019 Feb 6. Epub 2019 Feb 6.

Department of Diagnostic Imaging, UCSF Benioff Children's Hospital, 747 52nd Street, Oakland, CA, 94609, USA.

Background: Two-point modified Dixon (mDixon) turbo spin-echo (TSE) sequence provides an efficient, robust method of fat suppression. In one mDixon acquisition, four image types can be generated: water-only, fat-only, in-phase and opposed-phase images.

Objective: To determine whether PD mDixon TSE water-only and, by proxy, PD in-phase images generated by one acquisition can replace two conventional PD TSE sequences with and without fat suppression in routine clinical MR examination of the knee. Read More

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http://dx.doi.org/10.1007/s00247-019-04349-wDOI Listing
February 2019
5 Reads

Normal values of the resistivity index of the pericallosal artery with and without compression of the anterior fontanelle.

Pediatr Radiol 2019 May 2;49(5):646-651. Epub 2019 Feb 2.

Department of Pediatric Radiology, Stanford University, Stanford, CA, USA.

Background: Resistivity index (RI) of the pericallosal artery as is commonly measured during head ultrasound (US) examination in neonates. Some studies have shown that RI measured with gentle compression of the fontanelle provides additional information in cases of neonatal brain anomalies.

Objective: The purpose of this study was to establish normal RI values with and without compression in a large population of neonates with normal cranial ultrasound as a function of gestational age. Read More

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http://dx.doi.org/10.1007/s00247-019-04347-yDOI Listing

Prolonged time between intravenous contrast administration and image acquisition results in increased synovial thickness at magnetic resonance imaging in patients with juvenile idiopathic arthritis.

Pediatr Radiol 2019 May 1;49(5):638-645. Epub 2019 Feb 1.

Department of Radiology and Nuclear Medicine, Amsterdam UMC, University of Amsterdam, Meibergdreef 9, 1105, AZ, Amsterdam, The Netherlands.

Background: Post-contrast synovial thickness measurement is necessary for scoring disease activity in juvenile idiopathic arthritis (JIA). However, the timing of post-contrast sequences varies widely among institutions. This variation in timing could influence thickness measurements. Read More

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http://dx.doi.org/10.1007/s00247-018-04332-xDOI Listing
May 2019
3 Reads

Technique, pitfalls, quality, radiation dose and findings of dynamic 4-dimensional computed tomography for airway imaging in infants and children.

Pediatr Radiol 2019 May 25;49(5):678-686. Epub 2019 Jan 25.

Radiation Science Services, Medical Physics & Bioengineering, University Hospitals Bristol NHS Foundation Trust, Bristol, UK.

This retrospective review of 33 children's dynamic 4-dimensional (4-D) computed tomography (CT) images of the airways, performed using volume scanning on a 320-detector array without anaesthesia (free-breathing) and 1.4-s continuous scanning, was undertaken to report technique, pitfalls, quality, radiation doses and findings. Tracheobronchomalacia (airway diameter collapse >28%) was recorded. Read More

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http://dx.doi.org/10.1007/s00247-018-04338-5DOI Listing

Intrarenal reflux, an overlooked entity - retrospective analysis of 1,166 voiding cysturethrographies in children.

Pediatr Radiol 2019 May 25;49(5):617-625. Epub 2019 Jan 25.

Department of Pediatric Radiology, Klinikum der Universität München, Lindwurmstr. 4, 80337, Munich, Germany.

Background: The significance of intrarenal reflux as a risk factor for renal scarring and hypertension has been discussed. Fluoroscopic detection of intrarenal reflux depends on the equipment, the training of the radiologists and the timing of spot film acquisition.

Objective: To evaluate the prevalence of intrarenal reflux and its association with age, gender, grade of vesico-uretero-renal reflux and the renal segments affected. Read More

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http://dx.doi.org/10.1007/s00247-018-04330-zDOI Listing
May 2019
2 Reads

Correction to: Pediatric ileocolic intussusception: new observations and unexpected implications.

Pediatr Radiol 2019 Mar;49(3):429

Division of Pediatric Surgery, Mayo Clinic, Rochester, MN, USA.

In this article, the fourth author's name is misspelled. The correct spelling, as shown above, should be "Nadia F. Mahmood. Read More

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http://dx.doi.org/10.1007/s00247-019-04343-2DOI Listing
March 2019
1 Read

Comparison of diagnostic accuracy for fistulae at ultrasound and voiding cystourethrogram in neonates with anorectal malformation.

Pediatr Radiol 2019 May 21;49(5):609-616. Epub 2019 Jan 21.

Department of Radiology, Saitama Children's Medical Center, 1-2 Shintoshin Chuo-ku Saitama, Saitama, 330-8777, Japan.

Background: Recently, it has been reported that anorectal malformation with rectourethral fistula in male neonates can be managed by primary neonatal reconstruction without colostomy. To prevent urethral injury during anorectoplasty, the fistula's location is important. To date, the use of voiding cystourethrograms to determine the presence and location of fistulas in neonates with anorectal malformations has not been studied. Read More

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http://dx.doi.org/10.1007/s00247-018-04339-4DOI Listing

Pediatric ovarian volumes measured at ultrasound after contralateral unilateral oophorectomy.

Pediatr Radiol 2019 May 17;49(5):632-637. Epub 2019 Jan 17.

Department of Radiology, University of Pittsburgh Medical Center, Pittsburgh, PA, USA.

Background: Changes that occur in the remaining ovary after contralateral oophorectomy are not well described.

Objective: To determine average ovarian volume in pediatric patients after contralateral oophorectomy compared to age-matched controls with two normal ovaries.

Materials And Methods: We performed a retrospective review of ultrasound examinations and electronic medical records of patients ages 0-18 years who had unilateral oophorectomy from 2000 to 2017 (n=64). Read More

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http://link.springer.com/10.1007/s00247-018-04336-7
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http://dx.doi.org/10.1007/s00247-018-04336-7DOI Listing
May 2019
8 Reads