Smitthimedhin Anilawan,  Krishnamurthy Ganesh,  Sridharan Anush,  Poznick Laura,  Durand Rachelle,  Whitaker Jayme,  Escobar Fernando,  Bauer Andrew,  Cahill Anne Marie

Final Pr. ID: Paper #: 140

Contrast-enhanced ultrasound (CEUS) and shear wave elastography (SWE) have been widely studied in adult thyroid disease. However, evaluation of thyroid nodules using these tools in pediatric patients has yet to be published.
We aim to evaluate the feasibility and safety of CEUS and SWE for thyroid nodules in children at the time of cytologic biopsy. Read More

Authors:  Smitthimedhin Anilawan , Krishnamurthy Ganesh , Sridharan Anush , Poznick Laura , Durand Rachelle , Whitaker Jayme , Escobar Fernando , Bauer Andrew , Cahill Anne Marie

Keywords:  CEUS, Elastography, Thyroid

Davda Sunit,  Kyaw Tun Jimmy,  Jaffer Ounali,  Ljutikov Anoushka

Final Pr. ID: Poster #: EDU-003

Contrast Enhanced Ultrasound (CEUS) has a proven utility in the adult population. It is a safe, accurate and easily accessible technique of pathology assessment. Within the Pediatric cohort, CEUS offers a significant advantage as it potentially negates the need for repetitive radiation exposure resultant of multiple CT examinations. Read More

Authors:  Davda Sunit , Kyaw Tun Jimmy , Jaffer Ounali , Ljutikov Anoushka

Keywords:  CEUS

Davis Laura,  Morales-tisnés Tatiana,  Lerebo Wondwossen,  Barz Leahy Allison,  Ntoulia Aikaterini,  Dennis Rebecca,  Anupindi Sudha,  Darge Kassa,  Back Susan

Final Pr. ID: Poster #: CR-013

Infantile myofibromatosis is rare. The generalized form affects the integument and musculoskeletal system as well as multiple visceral organs and can impair organ function, thus requiring prompt diagnosis and treatment at an early age. As a disease that presents before the age of two years, minimizing use of CT and MRI is imperative to reduce radiation and gadolinium contrast use, respectively.
We present a case of a neonate in whom multiple cutaneous and an appendiceal lesion raised the suspicion of infantile myofibromatosis. Multiple liver lesions were seen on gray-scale ultrasound. On contrast-enhanced ultrasound (CEUS), there were multiple, differently-enhancing liver lesions, a finding which was confirmed on MRI with hepatocyte specific contrast. These were all thought to represent myofibromas with complete involution following low dose chemotherapy. Read More

Authors:  Davis Laura , Morales-tisnés Tatiana , Lerebo Wondwossen , Barz Leahy Allison , Ntoulia Aikaterini , Dennis Rebecca , Anupindi Sudha , Darge Kassa , Back Susan

Keywords:  myofibromatosis, contrast ultrasound, CEUS

Marie Eman,  Navallas María,  Gerrie Samantha,  Olkh Juhi,  Elghamudi Taha,  Inarejos Clemente Emilio J,  Navarro Oscar,  Martinez-rios Claudia,  Vali Reza

Final Pr. ID: Poster #: EDU-094

Thyroid cancer is the most prevalent endocrine malignancy in the pediatric population. Accurate diagnosis and staging of thyroid carcinoma demand a multimodality approach, including anatomic imaging with US, CT, and MRI, alongside functional or metabolic nuclear imaging. Novel imaging techniques such as US elastography, contrast-enhanced US (CEUS), superb microvascular imaging (SMI) and dual-source dual-energy thyroid CT have offered non-invasive tools to assess disease status. Furthermore, the emerging field of radiomics/radiogenomics and artificial intelligence is continuously growing, creating models to classify or predict disease behaviour. We provide a comprehensive overview of the essential imaging characteristics of pediatric thyroid carcinoma using conventional and novel imaging techniques. In addition, we illustrate the multimodality, multidisciplinary, and collaborative approach across pediatric radiology and nuclear medicine in pre-operative, post-operative and post-treatment imaging surveillance of cancer thyroid in children. Read More

Authors:  Marie Eman , Navallas María , Gerrie Samantha , Olkh Juhi , Elghamudi Taha , Inarejos Clemente Emilio J , Navarro Oscar , Martinez-rios Claudia , Vali Reza

Keywords:  Thyroid, CEUS, Nodules

Sridharan Anush,  Darge Kassa

Final Pr. ID: Poster #: EDU-042

The ability to provide quick, real-time, easily accessible and radiation free diagnostic assessment makes ultrasound (US) imaging one of the most versatile imaging modalities. With the introduction and development of microbubble based ultrasound contrast agents (UCAs) in the early 90’s the ability to detect and visualize complex vascular structures became a reality, overcoming some of the limitations that were existent with grayscale and Doppler imaging. UCA’s are used extensively in the adult population for visualization of vasculature and evaluating vascular kinetics in solid organs and lesions. Although contrast-enhanced ultrasound (CEUS) can provide a powerful alternative approach to evaluate various pathologies in the pediatric population that would otherwise require radiation-based computed tomography (CT) or strenuous magnetic resonance imaging (MRI), it is important to understand the interaction between US and the microbubbles to optimize imaging and derive clinically relevant quantitative measures of vascularity. Read More

Authors:  Sridharan Anush , Darge Kassa

Keywords:  CEUS, Ultrasound, microbubbles

Smitthimedhin Anilawan,  Sridharan Anush,  Darge Kassa,  Back Susan,  Cahill Anne Marie

Final Pr. ID: Paper #: 142

Conventional Doppler US is known to have low sensitivity for the diagnosis of renal artery stenosis (RAS), in particular segmental renovascular disease. This study aims to determine if contrast-enhanced US (CEUS) can quantitatively provide assessment of renal arterial and parenchymal perfusion pre- and post- renal artery angioplasty in children and potentially be used as a follow-up imaging tool. Read More

Authors:  Smitthimedhin Anilawan , Sridharan Anush , Darge Kassa , Back Susan , Cahill Anne Marie

Keywords:  CEUS, Renal Artery Stenosis, Contrast-Enhanced Ultrasound

Poznick Laura,  Morgan Trudy,  Kozak Brandi,  Madara Kate

Final Pr. ID: Poster #: EDU-009 (R)

Contrast enhanced ultrasonography (CEUS) is a radiation free, highly sensitive imaging modality for pathology detection in children. CEUS uses ultrasound (US) technology in combination with US contrast agent (UCA). The UCA is administered intravenously via an IV catheter. The UCA is composed of gas-filled microbubbles. This educational exhibit has the aim to describe the procedure and imaging in CEUS from the sonographers’ perspective.
Read More

Authors:  Poznick Laura , Morgan Trudy , Kozak Brandi , Madara Kate

Keywords:  Ultrasound, Contrast, CEUS