Harris Debra,  Maniyar Jenny,  Dixon Rachel,  Turnbull Louise,  Dominiak Kate,  Kapadia Tejas

Final Pr. ID: Poster #: EDU-020

TB remains one of the most significant causes of morbidity and mortality in children worldwide. In the Northwest of England, UK we report an incidence of approximately 1.4 per 100,000 under 15 years of age. Diagnosis and management are subtle and complex. We explain the insensitivity of the screening tests currently available and widely relied upon in the adult sector.
We highlight the importance of multidisciplinary team working exemplified by our Network model in the Northwest region of England. This virtual forum meets weekly and includes radiologists, pulmonologists, specialist nurses, infectious disease specialists and local clinicians. We discuss all new TB cases across the region, present imaging findings and document all decisions.
We review these cases until discharge encompassing imaging findings in the acute disease phase, treatment phase and post infectious stage. These may go on to affect quality and length of life and include but are not limited to fibrotic scarring, bronchiectasis and intrapulmonary/pleural calcifications.
We have extensive data from our virtual network (the largest in the United Kingdom) and will use this poster to show multiple high quality cases to highlight the importance of multidisciplinary team working. Read More

Authors:  Harris Debra , Maniyar Jenny , Dixon Rachel , Turnbull Louise , Dominiak Kate , Kapadia Tejas

Keywords:  Tuberculosis, Multidisciplinary Education, Thoracic

Maniyar Jenny,  Harris Debra,  Dixon Rachel,  Turnbull Louise,  Dominiak Kate,  Kapadia Tejas

Final Pr. ID: Poster #: EDU-117

As the regional referral centre for paediatric tuberculosis (TB) in Northwest England, we conducted a retrospective review of referrals to assess indications for CT imaging based on clinical presentation and chest X-ray (CXR) findings. A literature review was performed addressing latent TB detection, radiographic features in infants, the WHO End TB strategy, and NICE guidelines.
CXR sensitivity for latent TB detection is as low as 15%, whereas CT imaging, despite higher radiation exposure, offers superior diagnostic accuracy. Guidelines recommend contrast-enhanced CT when CXR findings are inconclusive or diagnostic uncertainty exists.
Our multicentre review identified CT indications including equivocal or abnormal CXRs, extrapulmonary lymphadenopathy, and suspected airway compression. Integral to our protocol is a region-wide multidisciplinary team (MDT) comprising paediatricians, radiologists, infectious disease, and respiratory specialists. The MDT convenes weekly to integrate clinical and radiological data, guiding imaging decisions and management.
This collaborative approach ensures tailored, low-dose CT protocols with expedited reporting, enhancing diagnostic confidence and patient outcomes. The MDT also facilitates consideration of differential diagnoses, including malignancy and steroid effects.
Our findings highlight the critical role of coordinated MDT discussion and protocol adherence in optimizing imaging strategies and improving paediatric TB care. Read More

Authors:  Maniyar Jenny , Harris Debra , Dixon Rachel , Turnbull Louise , Dominiak Kate , Kapadia Tejas

Keywords:  Tuberculosis, Multidisciplinary Education, Thoracic

Davis James,  David Bloom,  Gibson Donald,  Sokhandon Farnoosh

Final Pr. ID: Poster #: EDU-053

Despite countless hours of work by experts in radiology and other fields to create the ACR Appropriateness Criteria, there remains a lack of understanding by ordering physicians on how and when to access the guidelines. The goal of this project is to identify the areas of misunderstanding among the clinicians at our institution and provide lectures in an attempt to improve compliance with the ACR Appropriateness Criteria.
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Authors:  Davis James , David Bloom , Gibson Donald , Sokhandon Farnoosh

Keywords:  Appropriateness Criteria, Multidisciplinary Education

Uribe Jesus,  Sura Amit

Final Pr. ID: Poster #: EDU-016

Firework-related injuries are a serious cause of morbidity and permanent disability in children and young adults. Data from the National Electronic Injury Surveillance System (NEISS) suggests firework-related injuries are on the rise, following a long-term trend from 2008 to 2023. The pediatric population is an especially vulnerable population, representing a substantial number of emergency department visits for treatment of firework-related injuries.

We performed a retrospective review using PACS to identify firework-related injuries from years 2020-2024 at our institution–a level 1 trauma center. We identified 28 cases ranging from minor to severe injuries, most commonly involving the hands, ears, and eyes. This educational exhibit will provide images of common firework-related injury patterns and accompanying hospitalization data from the cases compiled in our review. Read More

Authors:  Uribe Jesus , Sura Amit

Keywords:  Trauma, Multidisciplinary Education