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Society for Pediatric Radiology – Poster Archive


Rheumatology
Showing 4 Abstracts.

Alsharief Alaa,  Laxer Ronald,  Stimec Jennifer,  Babyn Paul,  Man Carina,  Doria Andrea

Final Pr. ID: Poster #: EDU-069

1. To review the contemporary literature and present an updated list of musculoskeletal and non-musculoskeletal imaging findings of patients with autoinflammatory diseases in our hospital. Most of these patients are found to have a genetic mutation that is responsible for their disease.

2. To present follow-up imaging findings, when available, and correlate those with patients’ symptoms and type of treatment administered in approximately 40 patients with autoinflammatory diseases such as Cryopyrin-associated autoinflammatory syndrome, familial Mediterranean fever, PAPA (pyogenic arthritis, pyoderma gangrenousum, and acne) syndrome and much more. These findings can be related to disease progression, treatment response or treatment-induced changes.
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Authors:  Alsharief Alaa , Laxer Ronald , Stimec Jennifer , Babyn Paul , Man Carina , Doria Andrea

Keywords:  Autoinflammation, fever, Rheumatology

Tierradentro-garcia Luis,  Alizai Hamza

Final Pr. ID: Poster #: EDU-058

Background:

Juvenile idiopathic arthritis (JIA) is the most common rheumatic condition in the pediatric population, with a prevalence of up to 150 cases per 100,000 children. Although the diagnosis of JIA is clinical, imaging plays a crucial role in the monitoring and stratification of disease, such as detecting growth disturbances, chronic joint structural changes, or treatment response. Conventional radiography has low accuracy for detection of acute synovitis or enthesitis, whereas ultrasound provides real-time assessment of inflammatory changes. Magnetic resonance imaging (MRI) is the most sensitive modality to discern early inflammatory or destructive changes in JIA, with the potential to visualize soft tissue and osteochondral abnormalities.

Education goals:

1) To describe the diagnostic criteria for the 7 subtypes of JIA.
2) To illustrate the more common imaging findings in JIA (e.g. swelling, bone mineral density, loss of joint space, erosions, growth disturbances, joint malalignment, ankylosis, enthesitis) using conventional radiography, ultrasound, and MRI.
3) To highlight the importance of early imaging changes that can support the clinical diagnosis of JIA.
4) To present the role of multimodality imaging in the evaluation of complex joint involvement (e.g. atlanto-occipital, atlanto-axial, temporomandibular, spinal, sacroiliac) in JIA.
5) To emphasize the role of imaging in characterizing conditions that can mimic JIA.
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Authors:  Tierradentro-garcia Luis , Alizai Hamza

Keywords:  Juvenile Idiopathic Arthritis, Multimodality, Rheumatology

Salman Rida

Final Pr. ID: Poster #: EDU-099

Pediatric rheumatologic diseases are common in children and can have a significant negative impact on children's health and well-being. Juvenile idiopathic arthritis is the most common type of arthritis in pediatric patients worldwide. However, multiple other entities can be encountered in these patients and can be first presenting with lung manifestations. Therefore, pediatric radiologists should consider the possibility of underlying rheumatologic disease when they see certain chest imaging findings.
The purpose of this educational exhibit is to review the imaging findings of pediatric rheumatologic diseases with a focus on chest imaging to illustrate the lung manifestions that can be seen in the presence of these diseases.
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Authors:  Salman Rida

Keywords:  Rheumatology, CT, chest

Sato T Shawn,  Bajaj Manish,  Ferguson Polly

Final Pr. ID: Poster #: EDU-058

Chronic Recurrent Multifocal Osteomyelitis (CRMO) is an auto-inflammatory disease that can affect multiple locations. Whole body MRI is an important tool to help identify subclinical multifocal disease and help monitor disease. As a referral center for CRMO, we have developed a successful CRMO whole body MRI imaging protocol which maximizes diagnostic information while minimizing scanner time. Read More

Authors:  Sato T Shawn , Bajaj Manish , Ferguson Polly

Keywords:  Rheumatology, CRMO, Whole Body MRI