Hutt Airyn,  Shaffer Laura,  Chandra Tushar,  Hayes Laura

Final Pr. ID: Poster #: SCI-024

The growing skeleton has a radiographically different appearance from an adult’s until late adolescence when the physes fuse. If unfamiliar with recognizing these differences on a radiograph, it is common for normal variants to be misinterpreted as fractures and referred to subspecialty orthopedic care. The arising consequences are avoidable; however, to educate caregivers providing interpretations of pediatric orthopedic radiographs we must first understand why and how often these misinterpretations occur. Read More

Authors:  Hutt Airyn , Shaffer Laura , Chandra Tushar , Hayes Laura

Keywords:  Radiography, Normal Variants, Misinterpretations

Wermers Joshua,  Batlivala Sarosh,  Li Yinan,  Zhang Bin,  Towbin Alexander

Final Pr. ID: Poster #: SCI-004

Diffuse serosal and soft tissue enhancement (SSTE) is a unique pattern of contrast enhancement seen on abdominal radiographs after cardiac catheterization in newborns. While thought to be benign, SSTE can be misdiagnosed as pneumoperitoneum, resulting in unnecessary and potentially invasive diagnostic procedures. The purpose of this study is to describe the incidence of SSTE on abdominal radiograph performed in infants within 2 days of cardiac catheterization and identify clinical features associated with this imaging finding. Read More

Authors:  Wermers Joshua , Batlivala Sarosh , Li Yinan , Zhang Bin , Towbin Alexander

Keywords:  Radiography, Contrast, Renal

Cho Yeon Jin,  Park Hyoung Suk,  Jeon Kiwan,  Choi Young Hun,  Choi Gayoung,  Lee Seul Bi,  Lee Seunghyun,  Cheon Jung-eun,  Kim Woo Sun,  Ryu Young Jin,  Hwang Jae-yeon

Final Pr. ID: Paper #: 060

The purpose of this study was to develop a convolutional neural network (CNN)-based deep learning algorithm for the automated detection of developmental dysplasia of the hip (DDH) on conventional radiography and to assess its feasibility and diagnostic performance. Read More

Authors:  Cho Yeon Jin , Park Hyoung Suk , Jeon Kiwan , Choi Young Hun , Choi Gayoung , Lee Seul Bi , Lee Seunghyun , Cheon Jung-eun , Kim Woo Sun , Ryu Young Jin , Hwang Jae-yeon

Keywords:  Artificial intelligence, Developmental dysplasia of the hip, Conventional radiography

Iles Benjamin,  Samora Julie,  Singh Satbir,  Ruess Lynne

Final Pr. ID: Poster #: SCI-035

Treatment pathways for isolated distal radius fractures in children are evolving and becoming more tailored to specific fracture types, including different management plans for stable buckle fractures (BFs) versus unstable distal radius fractures (DRFs). We propose a measurement rule to aid differentiation of stable BFs from unstable DRFs in children.
Read More

Authors:  Iles Benjamin , Samora Julie , Singh Satbir , Ruess Lynne

Keywords:  Quality Improvement, Radiography, Children

Don Steven,  Macdougall Robert,  Gress Dustin,  Burleson Judy

Final Pr. ID: Paper #: 137

The American College of Radiology (ACR) Dose Index Registry (DIR) compares site or practice exposure indices among regional and national values. While the CT DIR was established in 2011, Digital Radiography (DR) is only in the pilot phase. This single-site, single-vendor experience will inform the pediatric radiology community of the establishment of the ACR DIR DR module. Read More

Authors:  Don Steven , Macdougall Robert , Gress Dustin , Burleson Judy

Keywords:  Registry, Digital Radiography, Quality

Ruess Lynne,  Samora Julie

Final Pr. ID: Poster #: SCI-026

To test radiographic diagnostic accuracy for distinguishing between stable distal radius buckle fractures (BF) from other distal radius fractures (DRF) after introducing a measurement guideline.
Background: Management of pediatric forearm fractures has become fracture specific, as treatment of the common stable BF is trending toward home management with a removable wrist splint while other potentially unstable, DRF require immobilization and orthopaedic follow-up. Diagnostic accuracy between BF and DRF is therefore imperative. We developed and suggested our radiologists use a measurement guideline to aid diagnosis with this general rule: an isolated distal radius fracture in a child > 7y is not likely to be a BF if the fracture-to-physis distance is < 1 cm. Read More

Authors:  Ruess Lynne , Samora Julie

Keywords:  Quality Improvement, fracture, radiography

Tsai Andy,  Kleinman Paul

Final Pr. ID: Paper #: 061

Radiologic diagnosis of rib fractures in suspected infant abuse is often challenging, and costochondral junction (CCJ) rib fractures can be particularly problematic. In an effort to enhance diagnostic accuracy and dating, we studied the dynamic radiologic spectrum of CCJ rib fractures on serial skeletal surveys (SSs). Read More

Authors:  Tsai Andy , Kleinman Paul

Keywords:  Abuse, Fractures, Radiography

Messer Diana,  Adler Brent,  Ruess Lynne,  Brink Farah,  Xiang Henry,  Agnew Amanda

Final Pr. ID: Paper #: 055

Healing fractures are a common radiographic finding in cases of child physical abuse. Accurate time since injury estimation of healing fractures may provide an opportunity for identification and characterization of physical abuse, especially in young children unable to verbalize. This study examines patterns of long bone fracture healing in a modern sample of young children. Read More

Authors:  Messer Diana , Adler Brent , Ruess Lynne , Brink Farah , Xiang Henry , Agnew Amanda

Keywords:  Child Abuse, Fracture Healing, Radiography

Pfeifer Cory

Final Pr. ID: Poster #: SCI-003

Given the relative sensitivity of pediatric patients to radiation, the need to limit exposure to the region of interest is of the utmost importance in pediatric radiography. This study assesses the practice of acquiring pediatric chest radiographs at a community hospital in which the imaging contract was acquired by a radiology practice with subspecialty-certified pediatric radiologists. Pediatric radiologists in the new radiology practice saw a need for improved collimation of pediatric chest radiographs at the community hospital. Many radiographs exhibited poor collimation and included much of the abdomen. This study examines an initiative to measure and improve radiograph quality. Read More

Authors:  Pfeifer Cory

Keywords:  ALARA, radiography, thoracic

Butler Nikki,  Brinson Dana

Final Pr. ID: Poster #: EDU-04 (R)

In a Radiology Department that solely cares for pediatric patients, transitioning from computed radiography (CR) to digital radiography (DR) was a challenge. The software for the DR system is designed for imaging adults and has limited pediatric processing features. In the CR system, technologists would manually adjust the imaging technique to child appropriate values based on a technique chart and the usage of a vast array of processing tools. With DR, these charts and processing tools became obsolete. In addition, for the DR wireless flat panel detector to process the image correctly, four percent of the surface area must be exposed to radiation; a challenge in pediatric imaging. Therefore in order to achieve significant reduction in radiation exposure with DR equipment, extensive staff education, algorithm and technique chart modification is required. Read More

Authors:  Butler Nikki , Brinson Dana

Keywords:  Radiation Reduction, Digital Radiography, Computed Radiography, Education, ALARA