Schaiberger Gregory,  Sharma Priya,  Batmunh Bayar,  Rajderkar Dhanashree,  Slater Roberta,  Mancuso Anthony

Final Pr. ID: Poster #: SCI-015

The Wisdom in Diagnostic Imaging SIMulation (WIDI SIM) is a strategically designed computer aided simulation of an emergency imaging experience, which rigorously tests residents’ readiness to diagnose various Radiology emergencies. It has proven to be a reliable means for assessing resident preparedness to competently and independently cover radiology call. The residents are provided with a total of 65 cases of varying difficulty, including normal studies. The residents respond using free text which is then scored by faculty members utilizing a robust grading rubric. The identification of pertinent GU emergencies by the “on-call” resident is of the utmost importance as it the resident who must then notify the clinicians of this concern and so that emergent treatment can be expedited. Read More

Authors:  Schaiberger Gregory , Sharma Priya , Batmunh Bayar , Rajderkar Dhanashree , Slater Roberta , Mancuso Anthony

Keywords:  WIDI, GU, Emergencies

Sellers Emily,  Stahoviak Katherine,  Ong Seng,  Feinstein Kate

Final Pr. ID: Poster #: EDU-037

In this exhibit, we will describe the synergistic effect of urodynamics and imaging. Bladder dysfunction, a common problem in children, accounts for up to 40 percent of pediatric urology clinic visits. Urodynamics is a key study to determine the etiology of bladder dysfunction yet, many radiologists are unfamiliar with this exam. Urodynamics is a fluoroscopic evaluation of the bladder with contrast during which abdominal and bladder pressures are measured while the bladder fills and empties. It uses a combination of electromyogram to evaluate pelvic floor contractions, cystometrogram to evaluate bladder pressures and capacity, and voiding cystourethrography to evaluate lower urinary tract anatomy. This exhibit will explain the indications for urodynamics, the basics of its interpretation including detrusor function and pressure flow studies, and the types of pathologies which may be diagnosed. Neurogenic bladder, congenital abnormalities, and how to differentiate between subsets of overactive bladder and underactive bladder will be explained. We will show imaging findings which correlate with these urodynamic diagnoses and describe ways to enhance voiding cystourethrograms and sonograms to better evaluate children with lower urinary tract dysfunction. Read More

Authors:  Sellers Emily , Stahoviak Katherine , Ong Seng , Feinstein Kate

Keywords:  VCUG, GU

Harris Debra,  Maniyar Jenny,  Dixon Rachel,  Kapadia Tejas

Final Pr. ID: Poster #: EDU-054

Endometriosis remains an important cause of pelvic pain in menstruating individuals. At our tertiary Paediatric hospital, we have seen a year-on-year rise in requests to exclude endometriosis using MRI scan. This rise is reflective of the increased awareness around endometriosis widely published recently which includes the importance of the MDT to reach diagnosis and shape treatment i.e. medical and/or surgical. As a result of this, our institution has optimised the paediatric gynaecology MR protocols to better align with that of our adult colleagues to support the benign teenage gynaecology clinic recently merged within our services since 2022 to achieve smooth transition from paediatric to adult services. The limitations of diagnosing endometriosis are widely published, and scans are performed to detect those signal changes which directly but also indirectly indicate endometriosis. For instance, direct signs may be adenomyosis, focal plaques or endometriotic deposits whilst indirect signs would be those related to adhesions, ovarian position, haematosalpinx etc. Out of this cohort we present salient findings in adolescent endometriosis using our enhanced imaging protocol which includes narrow field of view, axial, coronal and sagittal fast spin echo T2, axial T1 with and without fat saturation, an axial T2 fat saturated sequence and diffusion weighted imaging. The latter added to characterise any suspicious adnexal lesions. In comparison to the adult service, we do not use intravaginal gels in children. We do not include contrast or buscopan to facilitate scan time, reduce potential side effects and eliminate needle usage in younger patients. As reporters, we regularly attend the Endometriosis MDTs held at our institution to develop our skills. Using our inbuilt secure chat and messaging system we are now in better contact with our gynaecology colleagues. To build on this soon we aim to set up our own adolescent benign gynaecology meeting. Read More

Authors:  Harris Debra , Maniyar Jenny , Dixon Rachel , Kapadia Tejas

Keywords:  Magnetic Resonance Imaging MRI, GU, Improvement