Critser Paul,  Higano Nara,  Kingma Paul,  Fleck Robert,  Lang Sean,  Hirsch Russel,  Taylor Michael,  Woods Jason

Final Pr. ID: Paper #: 017

BPD is associated with pulmonary hypertension (PH) and patients with BPD-associated PH (BPD-PH) have increased morbidity and mortality. Noninvasive assessment of BPD-PH has traditionally relied on echocardiograms. However, recent advances have allowed the use of MRI in the assessment of respiratory and cardiac disease in infants with BPD. In adults and older pediatric patients, increased left ventricular eccentricity index (MR-EI) and decreased MRI septal curvature correlate with increased mean pulmonary artery pressure and pulmonary vascular resistance. The current study sought to determine the relationship of MR-EI and septal curvature in neonates with BPD and BPD-PH with short term respiratory outcomes and need for pulmonary vasodilator therapies. Read More

Authors:  Critser Paul , Higano Nara , Kingma Paul , Fleck Robert , Lang Sean , Hirsch Russel , Taylor Michael , Woods Jason

Keywords:  Outcomes, Neonatal, lungs

Iordanou James,  Kelsch Ryan

Final Pr. ID: Poster #: EDU-077

Hypoxic ischemic encephalopathy (HIE) is one of the most common causes of neurological injury in neonates. Given the variability of clinical manifestations, ranging from normal neurological outcomes to profound neurocognitive impairment or death, precise characterization is critical in prognostication. Evaluation is made more challenging by the unique morphologic features of the neonatal brain which constantly evolve as the nervous system matures. With this in mind, the timing of disease and duration of insult can produce characteristic imaging patterns. The timing of imaging is also crucial, as typical patterns may become occult or obscure in the subacute/chronic setting. Unexplained signal abnormalities seen in the neonate may also be erroneously attributed to HIE, when in fact another underlying disease process may be the etiology. The goal after viewing this exhibit is to have a clear and concise pattern based approach for the diagnosis and prognostication of HIE while highlighting important differentials that may mimic this disease.

The exhibit will review the most common morphologic patterns of hypoxic ischemic encephalopathy in neonates with perinatal HIE using sample brain MRI and ultrasound studies from our institution over the last 3 years. Initially focus will be placed on discussing subtypes and mechanisms of classic HIE based on the severity of the insult and duration of ischemia (mild/moderate acute, mild/moderate prolonged, severe acute, and severe prolonged). Characteristic schematic and imaging examples will be provided for each category. Additionally, for each pattern of injury several alternative diagnoses will be discussed which can mimic HIE in the term neonate, and imaging examples will be provided. The potential mimics will include developmental, vascular, infectious, metabolic, and congenital etiologies.

Understanding the variable patterns of HIE is paramount in providing both an accurate report and aiding in prognostication. Equally important is knowing and considering differential diagnoses for common mimics of HIE, which may dramatically alter management. Read More

Authors:  Iordanou James , Kelsch Ryan

Keywords:  Hypoxic Ischemic Encephalopathy (HIE), Neonatal Outcomes, MRI Brain

Asmar Julia,  Singhal Hannah,  Lypka Michael,  Chan Sherwin

Final Pr. ID: Paper #: 023

Many studies have shown that patient education with interactive, multimedia design can enhance information retention. Merge Cube is a commercially available interactive object that allows one to use a phone or iPad to display and manipulate 3D images via an app. The purpose of this study is to determine if reviewing personalized 3D computerized tomography (CT) images via Merge Cube improves patients’ education and understanding versus reviewing the images on a monitor. Read More

Authors:  Asmar Julia , Singhal Hannah , Lypka Michael , Chan Sherwin

Keywords:  3D Visualization, Maxillofacial, Patient Outcomes

Otobo Tarimobo,  Rumsy Dax,  Inarejos Emilio,  Kirkhus Eva,  Stimec Jennifer,  Panwar Jyoti,  Thorpe Kevin,  Jans Lennart,  Van Rossum Marion,  Tolend Mirkamal,  Perez Manuela,  Conaghan Philip,  Tzaribachev Nikolay,  Sandhya Pulukool,  Tse Shirley,  Simone Appenzeller,  Swami Vimarsha,  Touma Zahi,  Lambert Robert,  Doria Andrea,  Maksymowych Walter,  Van Der Heijde Desiree,  Weiss Pamela,  Sudol-szopinska Iwona,  Herregods Nele,  Jaremko Jacob,  Meyers Arthur

Final Pr. ID: Poster #: EDU-061

Clinical assessment of the Sacroiliac Joint (SIJ) is limited due to the location and anatomy of the joint. Magnetic Resonance Imaging is a sensitive, non- invasive tool in detecting early SIJ inflammatory changes and structural damage in Juvenile Idiopathic Arthritis (JIA). The quantification of interval change of pediatric SIJs using MRI based scoring methods will serve as an important objective outcome measure for the assessment of disease severity and treatment effectiveness in JIA. Read More

Authors:  Otobo Tarimobo , Rumsy Dax , Inarejos Emilio , Kirkhus Eva , Stimec Jennifer , Panwar Jyoti , Thorpe Kevin , Jans Lennart , Van Rossum Marion , Tolend Mirkamal , Perez Manuela , Conaghan Philip , Tzaribachev Nikolay , Sandhya Pulukool , Tse Shirley , Simone Appenzeller , Swami Vimarsha , Touma Zahi , Lambert Robert , Doria Andrea , Maksymowych Walter , Van Der Heijde Desiree , Weiss Pamela , Sudol-szopinska Iwona , Herregods Nele , Jaremko Jacob , Meyers Arthur

Keywords:  Juvenile idiopathic arthritis, OMERACT, outcome measure

El-ali Alexander,  Sameer Mittal,  Calle Toro Juan,  Shah Jay,  Lawton Brendan,  Kolon Thomas,  Long Christopher,  Back Susan

Final Pr. ID: Paper #: 094

There is no standardized system for assessment of which pediatric tumors are amenable to partial nephrectomy – a surgery that is considered in pediatric patients with bilateral renal masses and those with predisposition syndromes. The RENAL Nephrometry score is the most widely used system to assess renal tumor complexity for surgical decision making in adults. We evaluated the RENAL Nephrometry score and imaging features that might predict perioperative clinical outcomes. Read More

Authors:  El-ali Alexander , Sameer Mittal , Calle Toro Juan , Shah Jay , Lawton Brendan , Kolon Thomas , Long Christopher , Back Susan

Keywords:  Partial Nephrectomy, Wilms Tumor, Patient Outcomes

Dennison Chelsea,  Cummiskey Amy,  Baumgartner James,  Williams Jennifer

Final Pr. ID: Paper #: 158

Single stage corpus callosotomy is a surgery utilized in patients with intractable epilepsy that prevents the spread of seizure impulses to the contralateral hemisphere. This study aimed to evaluate post corpus callosotomy findings on fluorodeoxyglucose (FDG) positron emission tomography (PET)-computed tomography (CT), specifically a finding noted in which a cerebral hemisphere demonstrated new (compared to baseline PET-CT) hypometabolism without corresponding magnetic resonance imaging (MRI) lesion. Our aim was to determine if this finding had clinical relevance in predicting post procedure seizure rates. Read More

Authors:  Dennison Chelsea , Cummiskey Amy , Baumgartner James , Williams Jennifer

Keywords:  Epilepsy, Seizure outcomes