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Society for Pediatric Radiology – Poster Archive

Showing Results from 1 to 30 of 177.

Riemann Monique,  Bell Denise

Final Pr. ID: Poster #: CR-026

15 y/o female with congenital glaucoma presents to the emergency room with right eye pain, redness and swelling. She has baseline corneal opacifications and can see light and shadows but is otherwise visually impaired. The symptoms started 2 weeks prior foreign body sensation her right eye. Antibiotic drops were prescribed but symptoms continued to worsen. A week later another topical antibiotic was added but the eye began to swell, have increased pain, and developed discharge. Her opthomalogist referred her to the ER with concern of endophthalmitis (serious intraocular infection that affects the vitreous and/or aqueous humors of the eye).
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Authors:  Riemann Monique , Bell Denise

Keywords:  ultrasound, orbits, cellulitis

Shellikeri Sphoorti,  Back Susan,  Poznick Laura,  Darge Kassa

Final Pr. ID: Poster #: EDU-050

ceVUS is a radiation-free and sensitive examination to detect vesicoureteral reflux and image the urethra in children using ultrasound (US) and intravesical administration of an ultrasound contrast agent (UCA). Due to the growing interest to perform ceVUS in children, a urinary bladder phantom was developed to teach the technical aspects of the ceVUS examination. Here we describe the preparation and utility of this reusable phantom as a tool to simulate the UCA administration, distribution and the effect of different US parameters on the UCA appearance in the bladder. Read More

Authors:  Shellikeri Sphoorti , Back Susan , Poznick Laura , Darge Kassa

Keywords:  Ultrasound contrast, bladder phantom, contrast enhanced voiding urosonography

Venkatakrishna Shyam Sunder,  Sultan Laith,  Gabbert Morgan,  Morgan Trudy,  Anupindi Sudha

Final Pr. ID: Poster #: SCI-014

Pediatric chronic liver disease (CLD) poses a significant clinical challenge, necessitating precise diagnostic tools for comprehensive evaluation. Microvascular perfusion abnormalities play a pivotal role in disease progression. Contrast-enhanced ultrasound (CEUS) detects the flow in the micro-vessels, however, objective means are needed for better understanding. In this study we evaluate a novel quantitative method utilizing CEUS for assessing microvascular perfusion in pediatric patients with CLD. Read More

Authors:  Venkatakrishna Shyam Sunder , Sultan Laith , Gabbert Morgan , Morgan Trudy , Anupindi Sudha

Keywords:  Liver microvasculature, Contrast enhanced ultrasound, image analysis

Brady Darragh

Final Pr. ID: Poster #: EDU-044

Learning muculoskeletal ultrasound is challenging. We provide an interactive, problem based approach to learning how to ultrasound the shoulder in a pediatric patient, focusing on key anatomy, static positioning, and dynamic maneuvres, using a stepwise logical approach. Photographs with tranducer positions are provided. Cine images are provided for dynamic maneuvers. This approach may provide a framework for musculoskeletal ultraound workhops that can be adapted for the pediatric radiology trainee, or ultrasound technician. Read More

Authors:  Brady Darragh

Keywords:  ultrasound, shoulder

Schneeman Libby,  Khwaja Asef,  Bloom Glenn,  Otero Hansel

Final Pr. ID: Poster #: EDU-004 (T)

Ultrasound has become a powerful tool for the evaluation of bowel pathology in the children. In the newborn, ultrasound (US) can be used to diagnose, stage, and follow up necrotizing enterocolitis (NEC) and its complication. US has excellent sensitivity and specificity for the identification of bowel wall thickening, peristalsis, pneumatosis, portal venous gas and free air and has become an integral evaluation tool for the newborn with abdominal distention. Our educational poster will:
1. Summarize proper US equipment, technique and protocol for diagnosing and following up NEC
2. Discuss advantages and benefits of incorporating US in the evaluation of bowel in newborns
3. Illustrate the sonographic findings of mild, moderate and severe NEC through cases
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Authors:  Schneeman Libby , Khwaja Asef , Bloom Glenn , Otero Hansel

Keywords:  Necrotizing Enterocolitis, Newborn, Ultrasound

Martin Camden,  Cassella Katharyn,  Johnstone Lindsey,  Leschied Jessica

Final Pr. ID: Poster #: EDU-028

Anorectal malformations (ARMs) are a heterogenous group of congenital anomalies involving the distal rectum and anus that are often associated with other anomalies. Neonates with ARMs may be identified at birth or prenatally and, upon delivery, receive a myriad of imaging tests to characterize the type of ARM and associated anomalies. Recent literature supports the use of transperineal ultrasound in the initial assessment of neonates with ARMs, with the Society of Pediatric Radiology recommending its use in the imaging algorithm for ARMs. Transperineal ultrasound, if adequately performed, allows evaluation of the location of the distal rectal pouch and the anatomy and location of any rectourogenital fistulas. In this educational poster, we review the clinical presentation and classification ARMs and discuss the role of transperineal ultrasound in the initial assessment of cases. We then describe common sonographic findings of ARMs on transperineal ultrasound using examples from our own institution. Our goal is to familiarize pediatric radiologists with this heterogenous group of congenital anomalies and the clinical utility of transperineal ultrasound in characterizing this pathology. Read More

Authors:  Martin Camden , Cassella Katharyn , Johnstone Lindsey , Leschied Jessica

Keywords:  Gastrointestinal, Anorectal, Ultrasound

El Hawari Mohamad,  Joshi Akash,  Zarchan Adam,  Dobbs-desilet Debbie,  Ornelas Samuel

Final Pr. ID: Poster #: EDU-101

Congenital high airways obstruction sequence (CHAOS) refers to a relatively rare fetal anomaly caused by high airway obstruction (tracheal or laryngeal) caused by atresia or stenosis. Similar imaging findings can be seen with airway obstruction due to oropharyngeal or neck masses such as teratoma. Antenatal imagining findings include but not limited to dilated fluid filled trachea and proximal bronchi, bilateral enlarged echogenic lungs with relative small sized midline heart, flattening or eversion of the diaphragm, feta ascites and anasarca and polyhydramnios. The prognosis is overall poor, however it is improved after planning for delivery and performing EXIT procedure (ex utero intrapartum treatment) with tracheostomy.
We present a case of a 20-year-old female G1P0 at 25 weeks of gestation diagnosed with Congenital high airways obstruction sequence (CHAOS) with typical features on prenatal ultrasound and fetal MR. Delivery was planned and an EXIT procedure was performed and the newborn survived.
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Authors:  El Hawari Mohamad , Joshi Akash , Zarchan Adam , Dobbs-desilet Debbie , Ornelas Samuel

Keywords:  Congenital High Airway Obstruction Sequence, Ultrasound, MRI

Li Jason,  Betke Margaret,  Gill Christopher,  Thompson Russell,  Wang Kaihong,  Etter Lauren,  Camelo Ingrid,  Chang Hailey,  Setty Bindu,  Castro Ilse,  Pieciak Rachel

Final Pr. ID: Poster #: SCI-015

Point of Care Lung ultrasound has proven in multiple studies to be superior to CXR to diagnose pneumonia in children especially in limited resource settings. This non-radiating, portable and adaptable technique, brings an opportunity to detect pneumonia with higher accuracy than CXR. Ultrasound imaging interpretation is challenging. To deal with this complexity, we created a "brightness profiles" data reduction technique to identify specific anatomical structures identified by lung ultrasound using artificial intelligence. We use this technique to demonstrate how data reduction can help identify common anatomical landmarks and abnormal findings, and aid in the interpretation of ultrasound diagnosed pediatric pneumonia. Read More

Authors:  Li Jason , Betke Margaret , Gill Christopher , Thompson Russell , Wang Kaihong , Etter Lauren , Camelo Ingrid , Chang Hailey , Setty Bindu , Castro Ilse , Pieciak Rachel

Keywords:  Artificial intelligence, pneumonia, ultrasound

Sultan Laith,  Morales-tisnés Tatiana,  Rouet Laurence,  Jago James,  Sridharan Anush,  Otero Hansel,  Darge Kassa,  Back Susan

Final Pr. ID: Poster #: SCI-016

Pediatric kidney abnormalities, such as urinary tract dilation (UTD), are common, and current reporting methods vary significantly. There's a need for more precise evaluation methods. Using automated 3D kidney volume measurements from ultrasound (US) offers an alterantive objective approach. Our aim is to evaluate the diagnostic potential of automated 3D kidney volume measurements for detecting and categorizing UTD, comparing their accuracy with clinical assessment. Read More

Authors:  Sultan Laith , Morales-tisnés Tatiana , Rouet Laurence , Jago James , Sridharan Anush , Otero Hansel , Darge Kassa , Back Susan

Keywords:  Urinary tract dilation, 3D ultrasound, Diagnostic model

Kim Kevin,  Nowrangi Rajeev,  Mcgehee Arianna,  Joshi Neil,  Acharya Patricia

Final Pr. ID: Paper #: 020

To assess whether a convolutional neural network (CNN) can be trained via transfer learning to accurately diagnose germinal matrix hemorrhage-intraventricular hemorrhage (GMH-IVH) on cranial ultrasound (CUS) by comparing its performance to that of a board-certified radiologist. Secondary endpoints will include the ability of CNN to grade GMH-IVH severity, identify GMH-IVH on MRI, and assess low-grade GMH-IVH on CUS that cannot reliably be seen by a radiologist. Read More

Authors:  Kim Kevin , Nowrangi Rajeev , Mcgehee Arianna , Joshi Neil , Acharya Patricia

Keywords:  AI, Cranial ultrasound, germinal matrix hemorrhage

Nguyen Derek,  Dunn Emily

Final Pr. ID: Poster #: SCI-014

Children and young adults can present with breast complaints in the emergency setting and ultrasound is typically the initial imaging modality of choice for work-up. While many sonographic findings are benign, there are rare presentations of indeterminate and suspicious masses. In these cases, radiologists and clinicians involved in these patient's care may be unfamiliar with the diagnosis and management of lesions that warrant follow-up with dedicated breast imagers. This study is designed to analyze the common characteristics of pediatric breast complaints from the emergency department and if follow-up care was recommended and pursued. Read More

Authors:  Nguyen Derek , Dunn Emily

Keywords:  Emergency, Breast, Ultrasound

Patil Kedar,  Gorelik Natalia,  Kumalo Zonah,  Bure Lionel,  Albuquerque Pedro,  Faingold Ricardo

Final Pr. ID: Poster #: SCI-059

There is no standardized evidence-based neonatal head ultrasound (HUS) training guidelines within the literature. Simulation models have previously shown to improve resident proficiency in performing ultrasound-guided procedures. We developed an ultrasound-compatible neonatal brain phantom from polyvinyl alcohol cryogel (Figure 1) with the relevant cross-sectional anatomy.

The purpose of this study was to determine whether resident performance in HUS improves with the use of this novel brain phantom training model.
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Authors:  Patil Kedar , Gorelik Natalia , Kumalo Zonah , Bure Lionel , Albuquerque Pedro , Faingold Ricardo

Keywords:  Neonatal Head Ultrasound

Saez Fermin,  Vazquez Victor,  Saez Javier,  Pijoan Jose

Final Pr. ID: Poster #: SCI-036

To assess the relevance of asymmetrical skin folds as a clinical sign for the diagnosis of developmental dysplasia of the hip (DDH). Read More

Authors:  Saez Fermin , Vazquez Victor , Saez Javier , Pijoan Jose

Keywords:  developmental dysplasia of the hip, hip ultrasound screening, hip dysplasia

Poot Jeffrey,  Subramanian Subramanian,  Gumus Serter,  Squires Judy

Final Pr. ID: Poster #: EDU-078

Ultrasound is a common screening examination performed in infants prior to closure of osseous posterior elements. Although radiologists with pediatric neuroradiology subspecialty training may be very familiar with many abnormalities encountered sonographically, pediatric radiologists without pediatric neuroradiology subspecialty training are often less familiar. Further, the ultrasound appearance of abnormalities of infant spine may be less well known than appearance on MRI. The purpose of this educational review is to demonstrate normal appearance of infant spine and illustrate abnormalities that are frequently and infrequently encountered during screening ultrasound evaluation, with MRI for comparison. Read More

Authors:  Poot Jeffrey , Subramanian Subramanian , Gumus Serter , Squires Judy

Keywords:  Spine, Ultrasound, MRI

Eliades Sarah,  Pomeranz Christy,  Baad Michael,  Roytman Michelle,  Kovanlikaya Arzu

Final Pr. ID: Poster #: EDU-056

Ultrasound is typically the first-line imaging modality for the evaluation of superficial soft tissue masses in the pediatric population. While certain superficial soft tissue masses have a classic appearance on ultrasound, others may have a nonspecific appearance and may vary in their sonographic characteristics. This can make a definitive diagnosis and follow-up recommendations difficult, especially for trainees.

We aim to provide a basic overview of some of the common and less common superficial soft tissue masses that may be encountered in pediatric imaging, and introduce a novel, structured algorithmic approach for evaluating these lesions on ultrasound. The algorithm will assist the radiologist in reaching a definitive diagnosis or narrowing the differential such that a helpful recommendation for further workup can be made. For example, the algorithm will include internal vascularity, border distinctness, cystic or solid components, presence or absence of calcifications, and location in the body and within the superficial soft tissue layers. Pictorial examples of each sonographic feature in the algorithm will provide further assistance.

Pathologies will include but not be limited to: pilomatricoma, glanuloma annulare, epidermal inclusion cyst, ganglion cyst, abscess/infection, lipoma, hematoma, lymph nodes, vascular anomalies, and soft tissue sarcomas. When a definitive diagnosis is not achievable, this algorithm will help the radiologist determine the likelihood of benignity, a short differential diagnosis, and a recommendation for any further imaging workup.
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Authors:  Eliades Sarah , Pomeranz Christy , Baad Michael , Roytman Michelle , Kovanlikaya Arzu

Keywords:  Soft tissue mass, Ultrasound, Superficial

Daneff Monica,  Casalis Claudia,  Bruno Claudio,  Bruno Didier

Final Pr. ID: Poster #: SCI-070

Radiographic bone age determination is part of the routine evaluation of suspected growth disorders. Simplicity and low cost are its major advantages but ionizing radiation should be taken into consideration. Conventional ultrasonography (US) has proven effective to identify ossification centers of the hand and wrist between 0 and 24 months of age. It may become an innocuous follow-up tool for patients with growth disorders. We aimed to asses the chronological US emergence of the ossification centers of the hand and wrist in healthy infants between 2 and 4 years of age. Read More

Authors:  Daneff Monica , Casalis Claudia , Bruno Claudio , Bruno Didier

Keywords:  Bone age, ultrasound, Growth, ULTRASOUND

Gleason Miranda,  Moredock Elisabeth,  Parish David,  Pfeifer Cory

Final Pr. ID: Poster #: SCI-021

The practice of performing dedicated breast ultrasounds in the pediatric emergency department varies according to institution. In the adult population, breast ultrasounds are commonly interpreted by dedicated breast imagers and/or radiologists appropriately qualified to interpret mammograms. Children's hospitals with dedicated pediatric radiology faculty are less likely to have such individuals on staff. This paper examines the practice of breast ultrasounds ordered in the emergency department throughout a large children's health system. Read More

Authors:  Gleason Miranda , Moredock Elisabeth , Parish David , Pfeifer Cory

Keywords:  Breast Abscess, Breast Ultrasound, Emergency Radiology

Singh Jasmeet,  Milks Kathryn

Final Pr. ID: Poster #: EDU-033

Ultrasound carries high sensitivity in diagnosing acute appendicitis in pediatric patients and is increasingly being used as the preferred method of diagnosis since it does not use ionizing radiation. Although an enlarged diameter of the appendix and non-compressibility are the primary indicators of appendicitis, they do not have perfect specificity. Therefore, secondary features of appendicitis are crucial in supporting the diagnosis of appendicitis. The most sensitive secondary finding of appendicitis is inflammatory echogenic periappendiceal fat. Other secondary signs of appendicitis are either infrequently present, like wall hyperemia, or entirely nonspecific, like periappendiceal free fluid. Improving diagnostic accuracy of appendicitis with additional secondary supportive signs would be helpful. We have subjectively observed that appendix shape may be a helpful secondary sign of appendicitis, and that in certain cases it forms a C-shape or curved appearance when inflamed. It mimics the appearance of the letter ‘C’ and hence, we termed it, the “C sign.” Retrospective review of 999 ultrasound appendix studies that were conducted in our hospital from January 1, 2022, to March 31, 2022, with 150 sonographically positive acute appendicitis cases, we found 10 patients with the positive C sign and deemed positive by US and pathologically to be acute appendicitis. It seems by observation that this sign is not sensitive but specific when found, for acute appendicitis. One probable explanation for this configuration is loop separation that occurs when the proximal and distal ends of the appendix are separated either by inflamed fat or wall thickening. Herein, we show a few examples of the appendiceal “C-sign”, describe our observations, and suggest its potential use as an additional secondary sign of appendicitis. Read More

Authors:  Singh Jasmeet , Milks Kathryn

Keywords:  Appendicitis, Ultrasound, C sign

Schold Andrew,  Marine Megan,  Brown Brandon,  Gray Brian,  Karmazyn Boaz

Final Pr. ID: Poster #: SCI-014

Radiographic findings of right diaphragmatic eventration may overlap with true hernia if only liver herniates without bowel. We thus wanted to know the accuracy of ultrasonography (US) in the diagnosis of right diaphragmatic hernia. Read More

Authors:  Schold Andrew , Marine Megan , Brown Brandon , Gray Brian , Karmazyn Boaz

Keywords:  Diaphragm, Hernia, Ultrasound

Abdulla Sarah,  Tadros Sameh,  Squires Judy

Final Pr. ID: Poster #: CR-058

The female anatomic equivalent of the male processus vaginalis is the canal of Nuck. The canal is formed from a small peritoneal protuberance from the round ligament that extends through the inguinal ring, into the inguinal canal, and terminates in the labia majora. Obliteration of the canal occurs in a superior to inferior direction and usually completes within the first year of life. Non-closure results in a persistent canal of Nuck. Very rarely herniation of abdominal and pelvic contents into the canal of Nuck can occur, much less commonly in females than in the male equivalent. Hernias can present at any age but are most common in children. Recognition of this entity is especially important in cases of ovarian herniation due to the risk of incarceration.
We will provide a review normal anatomy, potential canal contents, the imaging appearance on ultrasound, CT, as well as MRI, and discuss differential diagnosis using cases of canal of Nuck hernia in 4 patients aged 22 days though 17 years.
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Authors:  Abdulla Sarah , Tadros Sameh , Squires Judy

Keywords:  Canal of Nuck, hernia, ultrasound, MRI, CT

Poznick Laura,  Morgan Trudy,  Back Susan,  Darge Kassa

Final Pr. ID: Poster #: EDU-007 (T)

Contrast enhanced voiding urosonography (ceVUS) is a radiation free, highly sensitive imaging modality for vesicoureteral reflux (VUR) detection and urethral imaging in children. CeVUS uses ultrasound (US) technology and an US contrast agent (UCA) that is instilled in the bladder via a catheter. This educational exhibit provides step-by-step instructions of our institutional protocol for performing ceVUS exams.
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Authors:  Poznick Laura , Morgan Trudy , Back Susan , Darge Kassa

Keywords:  Ultrasound, Contrast, VoidingContrast

Mohamed Ezzelarab Soliman Magdy,  Doria Andrea,  Bouskill Vanessa,  Mohanta Arun,  Zhang Ningning,  Zhou Alex,  Jarrin Jose,  Huo Ai Hua,  Wu Runhui,  Peng Yun

Final Pr. ID: Poster #: SCI-058

POC-US aims at shortening the scanning and interpretation time being easy to use by clinicians and allied health professionals at the time of patients’ physical examination. Our purposes are: 1. To compare POC-US to detailed US and MRI in evaluating hemophilic arthropathy. 2. To point out limitations of POC-US that can decrease its accuracy. 3. To propose strategies to refine protocols. Read More

Authors:  Mohamed Ezzelarab Soliman Magdy , Doria Andrea , Bouskill Vanessa , Mohanta Arun , Zhang Ningning , Zhou Alex , Jarrin Jose , Huo Ai Hua , Wu Runhui , Peng Yun

Keywords:  hemophilic arthropathy, imaging, point of care ultrasound

Djuricic Goran,  Medovic Rasa,  Dasic Ivana,  Pavicevic Polina,  Furtula Dubravka,  Radovic Tijana

Final Pr. ID: Poster #: SCI-010

Craniosynostosis is the premature fusion of one or more cranial sutures, leading to deformed head shape, increased intracranial pressure and restricted brain growth. The most reliable diagnostic method to use is computed tomography (3D–CT). Aim of this study was to present the characteristics of children with craniosynostosis and to compare US findings with 3D–CT as “gold standard”. Read More

Authors:  Djuricic Goran , Medovic Rasa , Dasic Ivana , Pavicevic Polina , Furtula Dubravka , Radovic Tijana

Keywords:  craniosynostosis, suture fusion, ultrasound, 3D–CT

Wanous Amanda,  Monahan Hannah,  Javed Asma

Final Pr. ID: Poster #: SCI-013

Accurate diagnosis of Polycystic Ovary syndrome (PCOS) in adolescents relies on clinical, biochemical and radiographic criteria. The traditionally utilized Rotterdam criteria define polycystic ovarian morphology (PCOM) as the presence of 12 or more follicles, measuring 2-9 mm in either ovary and/or an ovarian volume >10 cm3. Due to advancement in imaging techniques and resolution, it has been proposed by the Androgen Excess Society Taskforce to update criteria for diagnosis of PCOM to presence of 25 or more follicles per ovary. The aim of this study was to correlate the diagnosis of PCOM using ovarian volume and follicle number criteria in adolescents with confirmed PCOS based on NIH criteria. The NIH criteria are stringent and require the presence of both menstrual irregularity and clinical or biochemical evidence of hyperandrogenism for a diagnosis of PCOS. Read More

Authors:  Wanous Amanda , Monahan Hannah , Javed Asma

Keywords:  Ultrasound, Ovary, Adolescent

Collins Lee,  Pomeranz Christy,  Cohen Sara,  Baad Michael,  Kovanlikaya Arzu

Final Pr. ID: Poster #: EDU-016

Congenital portosystemic shunts represent a rare congenital malformation which diverts portal blood to the systemic circulatory system. These malformations can either be intrahepatic or extrahepatic. The intrahepatic portosystemic shunts have been classified into four types. Intrahepatic congenital portosystemic shunts demonstrates a persistent communication between the portal and hepatic venous structures, which were derived from the embryonic vitelline veins or between the vitelline and subcardinal veins. A ductus venosus, a normal structure in neonates, represents an intrahepatic congenital portosystemic shunt between the left portal vein and left hepatic vein. It typically closes between 2-17 days of postnatal life. In our institution, since April 2020, there have been five separate cases of intrahepatic congenital portosystemic shunts in newborns. We will review the imaging for each of these cases, as well as review the current literature and classification of portosystemic shunts. Read More

Authors:  Collins Lee , Pomeranz Christy , Cohen Sara , Baad Michael , Kovanlikaya Arzu

Keywords:  Portosystem Shunt, Liver, Ultrasound

Wermers Joshua,  Fickenscher Kristin,  Robinson Amie,  Dahl Amy

Final Pr. ID: Poster #: EDU-086

The purpose of this educational exhibit is to educate the radiologist regarding the fetal and postnatal imaging findings of Zika Virus (ZikV) in order to include congenital ZikV in the differential diagnosis when the maternal history and geography are compatible. We present a patient who emigrated from Central America during her third trimester of pregnancy with maternal ZikV. Read More

Authors:  Wermers Joshua , Fickenscher Kristin , Robinson Amie , Dahl Amy

Keywords:  Zika Virus, MRI, Ultrasound

Didier Ryne,  Martin-saavedra Juan,  Sridharan Anush,  Larson Abby,  Coons Barbara,  Coleman Beverly,  Davey Marcus,  Hedrick Holly,  Flake Alan

Final Pr. ID: Paper #: 118

Assessment of fetal brain perfusion with contrast-enhanced ultrasound (CEUS) has not been performed in vivo in congenital diaphragmatic hernia (CDH). The development of the EXTra-uterine Environment for Neonatal Development allows investigation of CEUS and fetal brain perfusion parameters. The purpose of this study was to assess for aberrations in brain perfusion using CEUS in fetal lambs with CDH and correlate with cardiac output data. Read More

Authors:  Didier Ryne , Martin-saavedra Juan , Sridharan Anush , Larson Abby , Coons Barbara , Coleman Beverly , Davey Marcus , Hedrick Holly , Flake Alan

Keywords:  Congenital Diaphragmatic Hernia, Brain Perfusion, Contrast Enhanced Ultrasound

Iles Benjamin,  Rubesova Erika,  Neumann Brittney,  Barth Richard

Final Pr. ID: Paper #: 005

Contrast-Enhanced ultrasound (CEUS) is being increasingly used in children as it offers the advantage over CT/MRI of real time imaging, low cost, lack of radiation, easy access, and no need for anesthesia. In our study, we evaluate CEUS for characterization of liver lesions in children and compared the enhancement patterns and diagnosis based on CEUS to MRI/CT in the pediatric population with liver lesions. Read More

Authors:  Iles Benjamin , Rubesova Erika , Neumann Brittney , Barth Richard

Keywords:  Ultrasound

Colleran Gabrielle,  Barnewolt Carol,  Chow Jeanne,  Paltiel Harriet

Final Pr. ID: Poster #: EDU-122

Fluoroscopic voiding cystourethrography (VCUG) and radionuclide cystography (RNC) are conventional techniques used for the diagnosis of vesicoureteral reflux (VUR) in children. Contrast-enhanced voiding urosonography (ceVUS) is a radiation-free alternative to the traditional VCUG. ceVUS has gained acceptance in Europe, but has not yet been widely adopted in the USA.

The purpose of this educational review is to describe our initial experience with ceVUS using the second generation US contrast agent Optison™, with a focus on optimization of examination technique, utility in the depiction of a variety of pathological entities, and a discussion of potential pitfalls.
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Authors:  Colleran Gabrielle , Barnewolt Carol , Chow Jeanne , Paltiel Harriet

Keywords:  contrast enhanced voiding urosonography, VCUG, ALARA, ultrasound contrast, Optison