Showing 5 Abstracts.
Intestinal failure is a rare but devastating condition in pediatric patients that is often caused by short bowel syndrome (SBS) secondary to necrotizing enterocolitis, volvulus, or intestinal atresia. Patients require the use of total parenteral nutrition (TPN) to survive, which can lead to cholestasis and end stage liver disease (ESLD). Treatment of intestinal failure in pediatric patients who have developed subsequent liver failure from TPN with multivisceral (MVTx) transplantation has progressed dramatically in the past two decades as a result of improvements in immunosuppression, surgical technique, and post-transplant care. The number of transplantations has always been relatively low due to a lack of appropriate donors and the rarity of intestinal failure. However, given the high acuity of patients that do ultimately undergo these procedures, recognition of post-operative complications is critical for graft survival and improved outcomes. This educational exhibit will review the indications and relevant anatomy for these types of transplantations. Magnetic resonance (MR) findings related to post-transplantation complications will be presented with imaging correlates from other modalities (CT, PET/CT, US) as needed. Read More
Meeting name: SPR 2017 Annual Meeting & Categorical Course , 2017
Authors: Loo Jerry, Iskander Paul, Chen Johnathan, Hall Theodore, Boechat Ines, Ghahremani Shahnaz
Keywords: intestinal, liver, magnetic resonance
We developed a free iOS application, RADiDOC, with the goal of simplifying the complex subject of medical radiation risk for pediatric patients and their parents. Utilization of medical imaging has risen over the past decade, making the topic of radiation safety an increasingly important issue that is increasingly featured in the popular media. Furthermore, given the unique risk profile of radiation exposure in the pediatric age group, there has been increased focus on the judicious use of ionizing radiation in the imaging of children. These efforts have resulted in the Image Gently campaign, which has offered an immense contribution to pediatric radiation safety issues. In keeping with these efforts, we created the RADiDOC application to help pediatric patients and their parents understand key radiation safety information in a simple, intuitive way. To meet these ends, RADiDOC was created with three core functionality modes: (1) Consultation, (2) Radiation Log, and (3) Radiation 101. Consultation mode allows users to explore a multitude of imaging studies and image-guided procedures and learn about their associated radiation risk, including quantitative cancer risk estimated using the BIER VII dataset. To be more meaningful to patients, dose is described not only in terms of “effective dose” and its associated ACR category, but also in terms of intuitive measures such as the equivalent number of transatlantic flights and days of natural sun exposure. The Radiation Log mode allows patients or their parents to log additive radiation risk from all imaging received in their lifetime, creating a longitudinal radiation log of lifetime exposure. This may be of particular interest to pediatric oncology patients who receive long-term serial imaging. Finally, Radiation 101 offers a primer on the basics of radiation safety and radiation physics aimed at a broad audience of laypeople. RADiDOC offers a free resource to facilitate the discussion of radiation risk between pediatric radiologists, clinicians, pediatric patients, and their parents. In this Technical Development presentation, we review key radiation safety concepts and elaborate on the core functionalities of this application and how it can be of use to pediatrics radiologists and their patients. Read More
Meeting name: SPR 2017 Annual Meeting & Categorical Course , 2017
Authors: Seals Kevin, Tesoriero Joseph, Cagnon Christopher, Boechat Ines, Ghahremani Shahnaz, Iskander Paul
Keywords: Radiation, Radiation Dose, Radiation Safety
Purpose: Created in 2011, WFPI has spent the last 5 years overcoming geographic, temporal, cultural and linguistic distances to define its added value in the global imaging arena. Have the efforts been worth it? Read More
Meeting name: IPR 2016 Conjoint Meeting & Exhibition , 2016
Authors: Dehaye Amanda, Silva Cicero, Darge Kassa, Prabhu Sanjay, Andronikou Savvas, Laya Bernard, Coley Brian, Boechat Ines
Keywords: World Federation of Pediatric Imaging, Global Pediatric Imaging, International Collaboration
Five years ago the leaders of the world’s regional pediatric imaging societies launched the World Federation of Pediatric Imaging (WFPI), a pediatric imaging body with global overview. According to its mission statement "WFPI provides an international platform for pediatric radiology organizations united to address the challenges in global pediatric imaging training and the delivery of services". To guide WFPI's outreach endeavors as well as of other organizations interested in improving pediatric radiology services worldwide a project to better define the needs and gaps of pediatric radiologists and training centers worldwide was undertaken. The project aims to: -Establish the number of Pediatric Radiologists (as regionally defined) per country/region around the world -Outline the training pediatric radiologists receive and availability of training centers -Highlight major disparities and gaps in availability of pediatric radiologists and pediatric imaging training -Based on this information create a roadmap for WFPI’s global efforts. Read More
Meeting name: SPR 2017 Annual Meeting & Categorical Course , 2017
Authors: Soto Gloria, Nievelstein Rutger, Boechat Ines, Pool Kara-lee, Dehaye Amanda, Ducou Le Pointe Hubert, Halliday Kath, Lam Wendy, Lopez Pino Miguel, Mentzel Hans-joachim, Mwango Gladys
<b>Pediatric radiology focuses on appropriate and safe diagnostic imaging and intervention in children of all ages. In Ethiopia, a sub-Saharan developing country in East Africa, almost 60% of the population is in the pediatric age group. In the main referral general hospital of the country children make up 48% of the patient population. Currently, there is no pediatric radiologist in the country. The aim of this presentation is to describe the undertakings of the International Outreach in Pediatric Radiology Education Program in Ethiopia of the Department of Radiology, The Children’s Hospital of Philadelphia (CHOP), which is aiming to improve the existing situation. This program is carried out under the auspices of the World Federation of Pediatric Imaging (WFPI).</b> Read More
Meeting name: IPR 2016 Conjoint Meeting & Exhibition , 2016
Authors: Darge Kassa, Tomlinson Chris, Debebe Tequam, Gorfu Yocabel, Zewdneh Daniel, Bedane Alemayehu, Kebede Tesfaye, Renjen Pooja, Boechat Ines, Dehaye Amanda, Reid Janet, Cahill Anne Marie, Jaramillo Diego, Keller Marc, Mahboubi Soroosh, Mong Andrew, Servaes Sabah, Shekdar Karuna, Victoria Teresa
Keywords: Education, Fellowship, International Outreach, Continuing Medical Education, Ethiopia, Africa