Majeed Haris,  Sussman Marshall,  Feldman Brian,  Man Carina,  Blanchette Victor,  Doria Andrea

Final Pr. ID: Poster #: SCI-051

To evaluate the T2 map relaxation times in healthy male children and adolescent ankle cartilage under altered magnetic resonance image (MRI) protocols and to document trends in these T2 relaxation times with varying ages and body mass index (BMI). Read More

Authors:  Majeed Haris , Sussman Marshall , Feldman Brian , Man Carina , Blanchette Victor , Doria Andrea

Keywords:  Hemophilia, Optimization Protocol, T2 Map MRI

Stewart Zachary,  Elmore Kate,  Thompson Allison,  Pham Huy

Final Pr. ID: Poster #: SCI-002

Delayed phase imaging increases the sensitivity of detection of injuries to the urinary tract and also assists in characterizing solid visceral organ injuries at the expense of doubling the radiation dose to the patient. If institutions can lower the rate of these examinations, the cumulative radiation exposure reduction would be substantial. Here we evaluate the rate of delayed phase imaging in the pediatric trauma population at our Level I trauma center as well as the frequency with which these patients demonstrate an indication on portal venous imaging for delayed phase acquisition. Finally, there are minimal guidelines dictating the appropriateness of delayed imaging in pediatric trauma. We include a review of the literature in order to elucidate appropriate indications and help guide clinicians to make evidenced based decisions. Read More

Authors:  Stewart Zachary , Elmore Kate , Thompson Allison , Pham Huy

Keywords:  Trauma, ALARA, Protocol

Dennison Chelsea B,  Onnis Carlotta,  Ali Sumera,  Huang Hui,  Jergel Andrew,  Alazraki Adina,  Parikh Ashishkumar

Final Pr. ID: Poster #: SCI-072

Foreign body (FB) aspiration is a common medical emergency in children, which can be fatal. Prompt diagnosis is crucial to avoid complication. Bronchoscopy represents the gold standard for diagnosis; however, false negatives can lead to unnecessary invasive testing and exposes children to procedural risks. While lateral decubitus radiographs can assess for air trapping, this exam has low sensitivity for detecting airway foreign bodies. Thus, there is a need for a sensitive and specific diagnostic imaging test in the detection of airway FB. We developed and implemented a FB chest CT protocol that is characterized by low-dose relative to a standard chest CT and no intravenous contrast. We hypothesize that low-dose chest CT is a sensitive and specific modality for detection of airway FB in the pediatric population that may ultimately decrease the negative bronchoscopy rate. Read More

Authors:  Dennison Chelsea B , Onnis Carlotta , Ali Sumera , Huang Hui , Jergel Andrew , Alazraki Adina , Parikh Ashishkumar

Keywords:  Chest Computed Tomography (CT), Foreign Body Ingestion, Low Dose Protocol

Flowers Colleen,  Kaplan Summer,  Zhu Xiaowei

Final Pr. ID: Poster #: EDU-014 (T)

The objective for a low dose imaging protocol was to eliminate patient risks and to reduce radiation doses. Tube placements are confirmed via imaging thereby avoiding utilization of malpositioned tubes. Reduced technical parameters lessen the absorbed skin dose. A limited field of view which includes distal espohagus and airway allows accurate assessment of feeding tube position. The new region of interest eliminates unnecessary exposure to hypersensitive organs including, thyroid and reproductive structures. This coned down view requires a lower image quality thereby allowing a lower dose approach. Read More

Authors:  Flowers Colleen , Kaplan Summer , Zhu Xiaowei

Keywords:  Low Dose Protocol, Feeding tube confirmation

Chaker Salama,  Reid Janet,  Lopez-rippe Julian

Final Pr. ID: Poster #: EDU-041

The purpose of this educational exhibit is to present a systematic 4-sequence hanging protocol and search pattern as an effective method to initially review a pediatric MR enterography (MRE) study prior to thorough interpretation. By analyzing frequently referenced sequences in MRE reports with positive inflammatory bowel disease findings, we identified novel 4-sequence hanging protocol: coronal T2-weighted HASTE (for anatomic orientation), axial fat-saturated fluid-sensitive sequence (for bowel wall thickening/edema), axial diffusion-weighted high b-value sequences (for bowel inflammation and complications), and coronal gradient-recall echo T1-weighted post-contrast (for enhancement). This structured 4-sequence hanging protocol highlights the most pertinent findings and allows for rapid first-pass evaluation to orient novice readers. The exhibit provides an efficient framework for radiology trainees to streamline review of pediatric MREs before proceeding to full detailed interpretation. Read More

Authors:  Chaker Salama , Reid Janet , Lopez-rippe Julian

Keywords:  inflammatory bowel disease, magnetic resonance enterography, hanging protocol

Panwar Jyoti,  Negrao Jose,  Fernandes Artur,  Antunes Sandra,  Dertkigil Sergio,  Sakuma Emerson,  Ozelo Margareth,  Zhang Ningning,  Huo Aihua,  Peng Yun,  Wu Runhui,  Tolend Mirkamal,  Zhou Fang,  Li Yingjia,  Sun Jing,  Zhou Alex,  Mohanta Arun,  Jarrin Jose,  Panwar Sanuj,  Luke Koon Hung,  Blanchette Victor,  Doria Andrea,  Daruge Paulo,  Bordalo Rodrigues Marcelo,  Carneiro Jorge,  D’amico Elbio,  Villaça Paula,  De Ávila Fernandes Eloy,  De Aguiar Vilela Mitraud Sonia

Final Pr. ID: Poster #: SCI-022

Optimization of ultrasound (US) scanning planes for evaluation of different joint components of subjects with blood-induced arthropathy can decrease scanning time without compromising diagnostic information. The purpose of this study was to identify the most diagnostically informative set of US planes for assessment of arthropathy in growing joints of persons with hemophilia based on frequency of findings. Read More

Authors:  Panwar Jyoti , Negrao Jose , Fernandes Artur , Antunes Sandra , Dertkigil Sergio , Sakuma Emerson , Ozelo Margareth , Zhang Ningning , Huo Aihua , Peng Yun , Wu Runhui , Tolend Mirkamal , Zhou Fang , Li Yingjia , Sun Jing , Zhou Alex , Mohanta Arun , Jarrin Jose , Panwar Sanuj , Luke Koon Hung , Blanchette Victor , Doria Andrea , Daruge Paulo , Bordalo Rodrigues Marcelo , Carneiro Jorge , D’amico Elbio , Villaça Paula , De Ávila Fernandes Eloy , De Aguiar Vilela Mitraud Sonia

Keywords:  Hemophilia, Ultrasound, Protocol

Dillard Austin,  Kraus Steve

Final Pr. ID: Poster #: EDU-026

Bowel obstruction in the neonate is common. When neonatal intestinal obstruction is suspected, initial workup may include abdominal radiographs or ultrasound; however, in most busy pediatric radiology practices fluoroscopy is indicated to diagnose the cause, which helps the surgeon make management decisions. Accurate diagnosis is key to the successful management of these neonates. The fluoroscopist should be mindful of the methods and techniques which make evaluation of distal bowel obstruction straightforward and efficient. This exhibit will detail the rationale and protocol to perform the optimal contrast enema, which is essential to have a chance to reliably distinguish the several causes of distal bowel obstruction in neonates. Will include examples with imaging findings and differential diagnoses. Read More

Authors:  Dillard Austin , Kraus Steve

Keywords:  Fluoroscopy, Protocol

Rigsby Devyn,  Lenehan Patrick,  Gupta Alejandro,  Lorusso Jessica,  Sagar Pallavi

Final Pr. ID: Poster #: SCI-023

Health system integration presents challenges for radiology departments, especially in standardizing imaging protocols across new affiliate sites. In pediatric radiology, these challenges are amplified when adult-focused centers begin serving children, as pediatric imaging often requires protocol modifications. Per ACR-SPR-SSR guidelines, pediatric dual-energy x-ray absorptiometry (DXA) should include lumbar spine and total body images, which provide a more accurate measurement of bone mineral density in children than the standard adult DXA protocol. In our integrated health system, radiologists noted inconsistent use of the pediatric DXA protocol at new affiliate sites. This quality improvement (QI) study evaluated adherence to pediatric DXA protocols across imaging sites to inform targeted interventions to improve national guideline compliance. Read More

Authors:  Rigsby Devyn , Lenehan Patrick , Gupta Alejandro , Lorusso Jessica , Sagar Pallavi

Keywords:  Quality Improvement, DEXA, Protocol

Hayes Kari,  Kraus Steve

Final Pr. ID: Poster #: EDU-017

The purpose of our presentation is to discuss the UGI protocols, tips and tricks, standardized reports we obtained by consensus of the 17 member, multi-institutional, multi-continenetal SPR fluoroscopy committee. We present our standarized UGI protocols along with acceptable variations in practice. We also present tips and tricks to tailor the study to specific indications. Discussion includes case examples of recommended protocols and special modifications based on specific clinical presentation. Read More

Authors:  Hayes Kari , Kraus Steve

Keywords:  Fluoroscopy, Consensus, Protocol

Ngo Anh-vu,  Otto Randolph

Final Pr. ID: Poster #: EDU-043

1. To review clinical strategies for reducing the anesthesia exposure for magnetic resonance imaging exams.
2. To review magnetic resonance imaging protocols to reduce examination time. Read More

Authors:  Ngo Anh-vu , Otto Randolph

Keywords:  MRI, Anesthesia, Protocol, Sedation

Berlin Sheila,  Guedes Bianca,  Vasavada Pauravi,  Wien Michael,  Albuquerque Pedro,  Ugas Carlos

Final Pr. ID: Poster #: SCI-013

A near-miss event is characterized by detection and correction of a gap in care before harm reaches the patient. After a near-miss event in which midgut volvulus (MGV) was identified on an ultrasound (US) performed for suspected hypertrophic pyloric stenosis (HPS), we implemented a new Vomiting Infant Protocol to capture cases of malrotation (MR)/MGV presenting with nonbilious emesis (NBE). Read More

Authors:  Berlin Sheila , Guedes Bianca , Vasavada Pauravi , Wien Michael , Albuquerque Pedro , Ugas Carlos

Keywords:  Qualitiy Initiative, Protocol Optimization, Mid-Gut Volvulus

Lee Jason,  Bokhari Danial

Final Pr. ID: Poster #: EDU-024

Physician Associates (PAs), Nurse Practitioners (NPs), and Radiologist Assistants (RAs) have functioned as physician extenders by delivering patient care in areas that are suffering from a physician shortage. While physician extenders have filled the void in areas lacking adequate physician coverage, they have also become a significant part of medical professionals' education. Each physician extender has unique roles, education, licensing, and supervision levels. They also can provide more than patient care and procedures in the clinical setting.

Having an RA can be advantageous as they already know basic radiology principles and have the required knowledge to perform procedures. Not only do they provide continuity of care, but they are also highly educated, knowledgeable, and work in various modalities. Besides enhancing patient care in the academic setting, they can provide numerous tasks that are beneficial to a radiology department at an academic medical center.
We plan to demonstrate how learning through simulation training and the creation and following of protocols can demonstrate the value of an RA. We also plan to discuss RA satisfaction surveys from our institution as well as show how fellow RA colleagues doing their various duties have demonstrated the value of RAs in the academic organization. Read More

Authors:  Lee Jason , Bokhari Danial

Keywords:  Pediatric Radiology, Protocol Optimization, Productivity