Showing 12 Abstracts.
General Emergency Departments (ED) continue to have a high usage of CT for the diagnosis of appendicitis in children. Purpose of this project was to see if an interdisciplinary approach in a small community ED could increase the usage of US for the evaluation of appendicitis in children. Read More
Meeting name: SPR 2020 Annual Meeting & Postgraduate Course , 2020
Authors: Layton Katherine, Rayne Florence, Cao Wen, Bulas Dorothy
Keywords: appendicitis, ultrasound, community hospital
Background: Median Arcuate Ligament Syndrome (MALS) has a long and controversial past. Currently a diagnosis of exclusion, MALS is considered in patients suffering from functional abdominal pain who have typically had extensive prior workups. More common in slender, young women, MALS patients classically present with postprandial epigastric pain, nausea, weight loss, and occasional diarrhea. Since it was first described in 1963, debate has continued as to the pathophysiology of the disease with authors disagreeing whether symptoms are due to mesenteric ischemia and vascular steal phenomenon or compression of the celiac plexus and resulting neuropathy. The association with Postural Orthostatic Tachycardia Syndrome (POTS) in the pediatric population adds further speculation to the exact etiology. Surgical treatment for MALS is becoming more common, particularly in the pediatric population. Recent technical advances in ultrasound and cross sectional imaging have led to an increased role of diagnostic radiologists in the diagnosis of MALS. Imaging provides an objective measurement in a sea of subjective complaints, with the results often dictating whether surgery is even considered. Read More
Meeting name: IPR 2016 Conjoint Meeting & Exhibition , 2016
Authors: Lewis Paul, Bandarkar Anjum, Bulas Dorothy, Kane Timothy
The purpose of this study is to describe the MR and US prenatal imaging features and associated anomalies of unilateral pulmonary agenesis, as well as characterize the morbidity and mortality in postnatal life. Read More
Meeting name: SPR 2017 Annual Meeting & Categorical Course , 2017
Authors: Rubio Eva, Blask Anna, Loomis Judyta, Bulas Dorothy
To describe the prenatal imaging appearance of Congenital Vertical Talus (CVT) by US and MRI and detail the associated anomalies and outcome. The postnatal imaging appearance will also be discussed. Read More
Meeting name: IPR 2016 Conjoint Meeting & Exhibition , 2016
Authors: Mehta Nimisha, Bulas Dorothy, Blask Anna, Rubio Eva
Keywords: Congenital Vertical Talus, Rocker bottom foot, Fetal anomalies, Congenital Talipes Equinovarus, Clubfoot
The purpose of this exhibit is to depict the prenatal imaging features of isolated intra-oral lesions, describe delivery course, and correlate with final diagnoses. Read More
Meeting name: SPR 2017 Annual Meeting & Categorical Course , 2017
Authors: Rubio Eva, Blask Anna, Loomis Judyta, Bulas Dorothy
Differentiating levels of small bowel obstruction in the fetus and predicting the outcome remain challenging. Our goal is to characterize imaging details which suggest the level of obstruction or a potentially complex postnatal course. Read More
Meeting name: IPR 2016 Conjoint Meeting & Exhibition , 2016
Authors: Rubio Eva, Blask Anna, Bulas Dorothy, Badillo Andrea
Keywords: jejunal, ileal, obstruction
Congenital eye malformations are relatively rare. However, they are often associated with complex clinical syndromes that require extensive prenatal evaluation and counseling. The purpose of this study is to provide a review of various congenital ocular anomalies that can be detected on prenatal ultrasound and/or MRI in isolation or as part of a syndromic findings and to address the importance of the prenatal genetic evaluation and parental counseling. Read More
Meeting name: SPR 2019 Annual Meeting & Postgraduate Course , 2019
Authors: Mahdi Eman, Whitehead Matthew, Al-samarraie Mohannad, Bulas Dorothy
Background: Duplex sonography is a critical portion of intracranial hemodynamics evaluation. Serial Doppler examination allows real-time assessment of disease progression or improvement. The goals of this exhibit are: 1. Describe the technical approach of performing neonatal/infant transcranial Doppler ultrasound. 2. Review tips, and up to date technology that assist in optimizing studies. 3. Discuss changes in flow patterns with various pathologies, providing examples of clinical indications. 4. Review future potential techniques and applications. Read More
Meeting name: SPR 2018 Annual Meeting & Postgraduate Course , 2018
Authors: Cielma Tara, Bandarkar Anjum, Demshur Lesley, Bulas Dorothy
Keywords: Neurosonography, Cerebral Doppler, Hypoxic Ischemic Encephalopathy
To assess if malrotation of the bowel can be detected on prenatal MRI. Read More
Meeting name: SPR 2018 Annual Meeting & Postgraduate Course , 2018
Authors: Fagen Kimberly, Blask Anna, Rubio Eva, Loomis Judyta, Bulas Dorothy
Keywords: Malrotation, Heterotaxy, Fetal MRI
Congenital anomalies causing lower extremity shortening can result from dysgenesis or agenesis of the bones of the thigh, leg or foot; they are generally a very uncommon occurrence, with an incidence on the order of one case per 1,000,000 to one case per 100,000 births. These conditions result in varying degrees of morbidity, ranging from gait dysfunction to complete lack of the ability to ambulate. The accurate characterization of such an anomaly may be challenging prenatally, but can have significant impact on prognosis and treatment planning. We present a collection of cases depicting the spectrum of prenatally diagnosed anomalies of limb development, including proximal focal femoral deficiency, multiple cases of varying degrees of fibular and tibial hemimelia, amniotic band syndrome, benign uterine packing, neurofibromatosis, clubfoot anomaly and rocker bottom foot, all of which were evaluated on prenatal ultrasound and/or fetal MRI. Accurate prenatal diagnosis is extremely important for prognosis, treatment planning and risk-stratification for associated congenital anomalies. The purpose of this poster will be to highlight the imaging features by both fetal MRI and prenatal US, discuss potential diagnostic pitfalls and review the clinical implications of this interesting spectrum of congenital disorders. We will describe a methodical approach to assessment of these patients. Our recommendations include: prenatal US to include a complete set of bilateral long bone and foot length measurements; lateral and footprint views of the fetal foot; views of both tibiae and fibulae bilaterally; views of the spine and upper extremities, a thorough search for other abnormalities; fetal MRI for complex cases or when US findings are limited; and a complete family and maternal history, including notation of family stature. Examples of the classic appearance of these conditions will be presented. Several missed diagnoses and the lessons learned will also be discussed. Counseling points addressed by the orthopedic surgeon will be included. Outcome management will be reviewed. Read More
Meeting name: SPR 2019 Annual Meeting & Postgraduate Course , 2019
Authors: Becker Richard, Rubio Eva, Bulas Dorothy, Blask Anna, Loomis Judyta, Oetgen Matthew
Bowel ultrasound is a critical component of gastrointestinal evaluation. Serial examination allows real-time assessment of disease progression or improvement, and assists the clinician in therapeutic decision making and clinical management. The goals of this exhibit are: 1. Describe the technical approach of performing bowel ultrasound. 2. Review tips, and up to date technology that assist in optimizing studies. 3. Discuss sonographic appearance of various pathologies. 4. Review future potential techniques and applications including utility of Doppler flow and contrast enhanced ultrasound. Read More
Meeting name: SPR 2019 Annual Meeting & Postgraduate Course , 2019
Authors: Cielma Tara, Durfee Teela, Bulas Dorothy, Loomis Judyta, Adeyiga Adebunmi, Bandarkar Anjum
Keywords: gastrointestinal disorder, inflammatory bowel disease, bowel
Background: Disorders of sexual development (DSD) resulting in ambiguous genitalia are a rare spectrum of anomalies that have the potential to be diagnosed prenatally using a combination of genetic testing and imaging. The incidence of prenatal detection is rising with the increased use of noninvasive prenatal testing, which can reveal discordance between genotype and phenotype. Sonographic and MR imaging contribute to prenatal assessment of disorders of DSD and may narrow the differential diagnosis and facilitate prenatal testing and postnatal evaluation. The goals of this exhibit are: 1. Review imaging features of normal prenatal male and female genitalia. 2. Review imaging patterns of ambiguous genitalia. 3. Discuss changes in appearance with various pathologies, providing imaging examples. 4. Review different categories of disorders of sexual differentiation and see how imaging may narrow the differential diagnosis. Read More
Meeting name: SPR 2019 Annual Meeting & Postgraduate Course , 2019
Authors: Cielma Tara, Blask Anna, Rubio Eva, Loomis Judyta, Menzel Meg, Bulas Dorothy
Keywords: ambiguous genitalia, dsd, prenatal