Henry M Katherine,  White Ammie,  Servaes Sabah,  Wood Joanne

Final Pr. ID: Poster #: EDU-031

Infants are at risk for fatal physical abuse yet may present to care multiple times with inflicted trauma before abuse is diagnosed and the infant is protected. Prompt identification of at-risk infants is essential to protection from ongoing abuse. Sentinel injuries are unexplained minor injuries in young infants that are appreciable on physical exam. Examples of sentinel injuries include bruising, subconjunctival hemorrhages, and intra-oral trauma. These injuries can be a subtle external sign of concurrent clinically occult internal injuries (e.g., skeletal, abdominal, intracranial injuries) in a well-appearing infant or may be an early warning that foretells more significant trauma in the future. Identification and evaluation of these infants with appropriate imaging has been highlighted as one approach to ensure that abuse is promptly detected, injuries are addressed, and the infant is protected.

In this multidisciplinary educational presentation made in collaboration with child abuse pediatricians and pediatric radiologists, we will: (1) review different types of sentinel injuries; (2) discuss current evidence and guidance for performance of imaging (skeletal survey, abdominal CT, neuroimaging with MRI or CT) when a sentinel injury is identified; (3) discuss the interpretation and significance of imaging findings; (4) provide imaging examples of these injuries; and (5) discuss gaps in the literature while highlighting opportunities for collaboration between child abuse pediatricians and pediatric radiologists to improve the care of these infants.

Following completion of this educational module, our goals are that the participant will better understand the clinical context of sentinel injuries and have a baseline knowledge to make an appropriate imaging plan for these infants. Read More

Authors:  Henry M Katherine , White Ammie , Servaes Sabah , Wood Joanne

Keywords:  Child Abuse, Sentinel Injuries, Skeletal Survey

Parnell Shawn

Final Pr. ID: Poster #: EDU-080

The skeletal dysplasias are a large diverse group of several hundred disorders which are marked by abnormal bone and cartilage growth with resultant short stature. Dysplasias have been divided into larger groups according to common radiographic and/or genetic mutations. The purpose of this educational exhibit is to highlight one of these major groups, which are characterized by mutations of type 2 collagen. Read More

Authors:  Parnell Shawn

Keywords:  skeletal dysplasia, musculoskeletal, type 2 collagen, skeletal survey, dwarfism

Stanescu A. Luana,  Otto Randolph,  Iyer Ramesh

Final Pr. ID: Poster #: SCI-028

Peer review is an essential component of quality improvement in radiology departments. Over the last years, several papers described a shift towards peer learning, emphasizing that feedback in the form of comments and peer learning conferences creates a more productive environment for reviewing and understanding perceptual or interpretive errors of peer radiologists, with improved diagnostic performance as the objective.
At our institution, we instituted a three-month scoreless peer review pilot period. Radiologists’ impressions regarding the current comment-enhanced numerical system and the pilot scoreless, comments-only period were collected through an online survey. Read More

Authors:  Stanescu A. Luana , Otto Randolph , Iyer Ramesh

Keywords:  peer review, scoreless, survey

Aboagye Rosemond,  Bajno Lydia,  Nadel Helen,  Potts James,  Bray Heather

Final Pr. ID: Poster #: SCI-063

Purpose: ¹⁸F-FDG Positron Emission Tomography (PET-CT) has been shown to be superior to other imaging modalities in assessment of soft tissue involvement with Langerhans Cell Histiocytosis (LCH) and is now commonly included in the staging workup of LCH. Our purpose is to analyze the utility of skeletal survey in addition to PET-CT scan for detecting bone lesions in children with LCH and to evaluate if skeletal survey can be eliminated from the staging workup of LCH in order to reduce radiation exposure. Read More

Authors:  Aboagye Rosemond , Bajno Lydia , Nadel Helen , Potts James , Bray Heather

Keywords:  Langerhans Cell Histiocytosis, PET-CT, Skeletal Survey

Hwang Misun,  Servaes Sabah

Final Pr. ID: Poster #: EDU-088

Many normal variants in the skeletal survey can be misconceived as signs of child abuse. Accurate differentiation between the two is crucial in subjecting only the perpetrators to trial. The present exhibit educates on the radiographic signs and techniques that can help differentiate between normal variants and child abuse on the skeletal survey. Read More

Authors:  Hwang Misun , Servaes Sabah

Keywords:  Child abuse, Skeletal Survey, Normal variants

Marine Megan,  Smith Jessica,  Wanner Matthew,  Jennings Samuel,  Hibbard Roberta,  Karmazyn Boaz

Final Pr. ID: Poster #: SCI-030

The purpose is to evaluate how well hospitals comply with ACR-SPR guidelines for skeletal surveys in the cases of possible child abuse. Read More

Authors:  Marine Megan , Smith Jessica , Wanner Matthew , Jennings Samuel , Hibbard Roberta , Karmazyn Boaz

Keywords:  Skeletal Survey, Child Abuse, Nonaccidental Trauma

Paddock Michael,  Offiah Amaka,  Sprigg Alan

Final Pr. ID: Poster #: EDU-004

Recognising the skeletal manifestations of inflicted injury (II) in infants and young children is of crucial importance. There are specific fracture patterns that are highly suspicious of II and common differential diagnoses with which radiologists should be familiar. Read More

Authors:  Paddock Michael , Offiah Amaka , Sprigg Alan

Keywords:  Inflicted injury, Non-accidental injury, Physical abuse, Skeletal survey, Child abuse

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

Revia Richard,  Patel Pushpak,  Johnson Craig

Final Pr. ID: Poster #: SCI-006

Three-dimensional (3D) printed models of patient anatomy are increasingly becoming a component of the healthcare practice of many physicians. Here, we investigate physician perceptions of an in-house high-fidelity medical 3D-printing service in a large pediatric health system. We aim to elucidate how physicians perceive 3D-printed models assist in their roles as healthcare providers and to illustrate how a 3D-printing service may add value to a healthcare system. Read More

Authors:  Revia Richard , Patel Pushpak , Johnson Craig

Keywords:  3D Printing, Model, Survey

Vasireddi Anil,  Bradley Helen,  Shah Amisha

Final Pr. ID: Paper #: 111

EOS^TM is a biplanar radiographic imaging system that can simultaneously acquire whole-body frontal and lateral standing radiographs with moving x-ray tubes and detectors. EOS has been shown to reduce radiation exposure and study time in comparison to standard digital radiography. While it has primarily found utility in evaluation of scoliosis, there has been limited study of EOS in performing pediatric skeletal surveys, which can be time-consuming and challenging given the age of the patient and the large number of images required. This study evaluates how implementing EOS in combination with digital radiography (DR) can reduce the number of images acquired and improve patient/family experience. Read More

Authors:  Vasireddi Anil , Bradley Helen , Shah Amisha

Keywords:  Skeletal Survey, EOS, Xray

Sammer Marla,  Kan J.,  Donnelly Lane

Final Pr. ID: Paper #: 088

To evaluate the peer collaborative improvement (PCI) process used in our pediatric radiology department since January 2016, differences in sequential surveys and temporal change in types of submissions were assessed. Read More

Authors:  Sammer Marla , Kan J. , Donnelly Lane

Keywords:  Peer Learning, Survey

Birkemeier Krista,  Ward Erica,  Salman Sehar,  Blazovic Sarah,  Mallett Lea

Final Pr. ID: Paper #: 065

Imaging during the evaluation of suspected child abuse victims may be requested 24 hours a day, however, pediatric radiologists may not always be available to interpret these studies. Timely reporting is important for treatment and disposition in this vulnerable population. In addition, the accuracy of detection of subtle injuries is critical for patient safety. The current protocol at our institution consists of an immediate preliminary interpretation by an adult radiologist when a skeletal survey is obtained after hours, and final interpretation by one of three pediatric radiologists during normal business hours. Read More

Authors:  Birkemeier Krista , Ward Erica , Salman Sehar , Blazovic Sarah , Mallett Lea

Keywords:  Skeletal Survey, Discrepancy, Child Abuse

Marine Megan,  Smith Jessica,  Wanner Matthew,  Jennings Samuel,  Hibbard Roberta,  Karmazyn Boaz

Final Pr. ID: Poster #: SCI-029

The purpose is to evaluate how well non-pediatric radiologists interpret skeletal surveys in the cases of possible child abuse. Read More

Authors:  Marine Megan , Smith Jessica , Wanner Matthew , Jennings Samuel , Hibbard Roberta , Karmazyn Boaz

Keywords:  Skeletal Survey, Child Abuse, Nonaccidental Trauma