Gorelik Natalia,  Khumalo Zonah,  Saint-martin Christine,  Bure Lionel,  Faingold Ricardo

Final Pr. ID: Poster #: SCI-066

Our study aims to test for validity a recently developed scoring system for the assessment of resident proficiency at performing a head ultrasound (HUS) examination in infants. Read More

Authors:  Gorelik Natalia , Khumalo Zonah , Saint-martin Christine , Bure Lionel , Faingold Ricardo

Keywords:  Neurosonography, Training, Evaluation

Dayton Orrin,  Sharma Priya,  Rajderkar Dhanashree

Final Pr. ID: Poster #: EDU-119

In this educational exhibit we will present a series of neonatal head ultrasound cases from our institution and present the correlative magnetic resonance imaging (MRI) which followed. We will describe a wide variety of pathologies that are often encountered but under-reported. We will also review imaging pitfalls encountered when interpreting neonatal head ultrasound and provide suggestions on how to improve the quality of these challenging examinations. Read More

Authors:  Dayton Orrin , Sharma Priya , Rajderkar Dhanashree

Keywords:  Neurosonography, Germinal Matrix Hemorrhage, MRI

Binette Maliyan,  Dean Haley,  Barton Katherine

Final Pr. ID: Poster #: CR-007

Ultrasound is frequently utilized to screen for intracranial pathologies in neonates, including intracranial hemorrhage. There are several risk factors that predispose to neonatal intracranial hemorrhage including prematurity and bleeding diathesis (Tan 2018). Intracranial hemorrhage typically appears hyperechoic on ultrasound, although very rare cases of hypoechoic hemorrhage have been reported in patients receiving anticoagulation in the setting of ECMO (Bulas 1991, Svrckova 2020). Here we present a case of multifocal hypoechoic acute intracranial hemorrhages in a premature neonate with thrombocytopenia of unclear etiology. Though a connection between anticoagulation and echogenicity of hemorrhage has not been firmly established, this raises the question of how coagulation status can affect the ultrasound characteristics of hemorrhage.

Our patient is a premature female infant born at 35w1d via uncomplicated cesarean delivery to a 30-year-old G1P0 mother with routine prenatal care. Gestation was complicated by intrauterine growth restriction. Mother also had Covid-19 during the pregnancy and exposure to Zika virus without confirmed infection. After birth, APGAR scores were 8 and 8. A head ultrasound performed on the first day of life was unremarkable. Initial labs were notable for a platelet count of 13k requiring seven platelet transfusions. On day of life 12 the infant was found to have an increasing head circumference with full fontanelles. Follow up head ultrasound at this time revealed multifocal hypoechoic lesions in the brain parenchyma but no hyperechoic hemorrhage. On MRI obtained the same day those hypoechoic foci demonstrated heterogenous T1 isointensity and increased susceptibility consistent with intraparenchymal hemorrhage. Platelets at that time were 69k. Delayed head ultrasound 5 weeks later revealed significant cystic encephalomalacia with parenchymal volume loss and ventriculomegaly. Read More

Authors:  Binette Maliyan , Dean Haley , Barton Katherine

Keywords:  Neurosonography, Hemorrhage

Leschied Jessica,  Horst Kelly,  Lampl Brooke,  Hwang Misun

Final Pr. ID: Poster #: SCI-003

To survey active members of the Society for Pediatric Radiology regarding their utilization of various cranial ultrasound techniques and reporting practices in neonates. Read More

Authors:  Leschied Jessica , Horst Kelly , Lampl Brooke , Hwang Misun

Keywords:  SPR survey, neurosonography, neonatal imaging

Kurian Jessica,  Liszewski Mark,  Gomes William,  Hoffman Thomas,  Taragin Benjamin

Final Pr. ID: Poster #: EDU-052

The purpose of this exhibit is to describe 3D ultrasonography (3DUS) of the head in neonates. Traditionally, 2D ultrasonography has been used for evaluation of the neonatal brain. 3DUS is a more recent advanced technique in which a volume of tissue is scanned in a single acquisition, and the 3D data set is subsequently manipulated using specialized software. This exhibit reviews current literature relating to 3DUS, demonstrates basic technical aspects of 3DUS, describes 3DUS of normal brain, and illustrates 3DUS features of acquired and congenital neonatal brain disorders. Read More

Authors:  Kurian Jessica , Liszewski Mark , Gomes William , Hoffman Thomas , Taragin Benjamin

Keywords:  Three-dimensional ultrasound, Neurosonography, Neonatal

Cielma Tara,  Bandarkar Anjum,  Demshur Lesley,  Bulas Dorothy

Final Pr. ID: Poster #: EDU-002 (T)

Background: Duplex sonography is a critical portion of intracranial hemodynamics evaluation. Serial Doppler examination allows real-time assessment of disease progression or improvement.

The goals of this exhibit are:
1. Describe the technical approach of performing neonatal/infant transcranial Doppler ultrasound.
2. Review tips, and up to date technology that assist in optimizing studies.
3. Discuss changes in flow patterns with various pathologies, providing examples of clinical indications.
4. Review future potential techniques and applications. Read More

Authors:  Cielma Tara , Bandarkar Anjum , Demshur Lesley , Bulas Dorothy

Keywords:  Neurosonography, Cerebral Doppler, Hypoxic Ischemic Encephalopathy