Showing 5 Abstracts.
RADPEER has been criticized for lack of clinical implications, yet few studies have compared RADPEER to alternative peer-review systems or correlated peer review scores with changes in patient management. We aimed to implement a pediatric subspecialty over-read program and compare RADPEER to a Clinical Outcomes Scale, which graded impact on patient outcomes. Read More
Meeting name: SPR 2017 Annual Meeting & Categorical Course , 2017
Authors: Shah Summit, Rusin Jerome, Krishnamurthy Rajesh, Adler Brent H.
Keywords: Quality, Safety, Neuroradiology
Skeletal fractures may go undetected and untreated in physically abused children for significant periods of time. When discovered later through radiographic survey, the time since injury (TSI) may be important for the medical diagnosis of physical abuse and have implications for child protection. Prior research suggests that clinical and biological variables, such as fracture location and age, may influence pediatric fracture healing. However, radiographic determination of TSI has been poorly studied until recently. It has been commonly understood that in general younger patients heal faster and lower extremity fractures heal slower than upper extremity fractures. However, the influence of patient age and fracture location on fracture healing has only been explored on a limited scale and not between pediatric age groups. This study examines the effect of age on specific features of pediatric fracture healing through radiographic analysis. Read More
Meeting name: SPR 2018 Annual Meeting & Postgraduate Course , 2018
Authors: Messer Diana, Adler Brent H., Brink Farah, Xiang Henry, Agnew Amanda
Children with Duchene muscular dystrophy (DMD) have increased risk for osteoporosis and fragility fractures due to progressive muscle weakness with eventual loss of ambulation and chronic corticosteroid therapy. Their fracture prevalence is 40-60%, and increases with age. Bone Mineral Density (BMD) is not reflective of fracture risk. Recent studies showed that cortical thickness and area were associated with increased facture risk. Digital X-ray measurement of the cortical thickness of the metacarpal bones can be used as a marker for metacarpal cortical health. To our knowledge, this marker of bone health has not been evaluated in DMD patients. The purpose of this study was to assess bone age (BA), cortical thickness and area of metacarpal bones in relation to age in children with DMD. Read More
Meeting name: SPR 2019 Annual Meeting & Postgraduate Course , 2019
Authors: Bowden Jonathan, Bowden Sasigarn, Adler Brent, Hu Houchun, Krishnamurthy Rajesh, Krishnamurthy Ramkumar
Keywords: Bone health, DMD, Duchenne
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
Meeting name: SPR 2020 Annual Meeting & Postgraduate Course , 2020
Authors: Messer Diana, Adler Brent, Ruess Lynne, Brink Farah, Xiang Henry, Agnew Amanda
Keywords: Child Abuse, Fracture Healing, Radiography
Free-breathing MRI scans are attractive in pediatric imaging as they reduce the need for sedation and breath-holds. In this work, we evaluate a 3D T1w radial "stack of stars" gradient echo (GRE) acquisition (RAVE-RAdial Volumetric Encoding) in post-contrast abdomen and spine protocols and compare results with conventional Cartesian MRI of similar spatial resolution and volume coverage. Read More
Meeting name: SPR 2018 Annual Meeting & Postgraduate Course , 2018
Authors: Hu Houchun, Block Kai Tobias, Benkert Thomas, Krishnamurthy Ramkumar, Smith Mark, Rusin Jerome, Young Cody, Adler Brent H., Milks Kathryn, Krishnamurthy Rajesh
Keywords: Motion Insensitive, Accelerated MRI, Free-Breathing MRI