1) Determine differences in characteristics of studies published within high impact radiology and medical journals journals in comparison to a Pediatric Radiology journal. 2) Outline factors that may have contributed to differences in quality of design of studies and components that could be incorporated into the design of future pediatric radiology research studies in order to improve their quality. Read More

Meeting name: IPR 2016 Conjoint Meeting & Exhibition , 2016

Authors: Shelmerdine Susan, Lacroix Caroline, Chavhan Govind, Doria Andrea

Keywords: Research, Publication, Study Design, Pediatric Radiology journal

Juvenile Idiopathic Arthritis (JIA) is the most common musculoskeletal disorder in children. The temporomandibular joints (TMJs) are involved in majority of cases, and detection of early arthritic changes in these joints relies on contrast enhanced magnetic resonance imaging (MRI). However, with the paucity of evidence and consensus on the normal and pathologic changes in this small but complex joint, interpretation of TMJ MRIs remains to be difficult. This exhibit presents the normal growth related and arthritis related variations in the disease progression in TMJ MRIs of JIA patients. Read More

Meeting name: SPR 2017 Annual Meeting & Categorical Course , 2017

Authors: Junhasavasdikul Thitiporn, Kellenberger Christian, Tolend Mirkamal, Doria Andrea

Keywords: Temporomandibular joint, Juvenile idiopathic arthritis, Magnetic resonance imaging atlas

Accurate and reproducible sacroiliac joint (SIJ) assessment on MRI in pediatric patients is challenging, often with high inter-observer variation. To facilitate consistent SIJ assessment, numerous scoring systems have been proposed. We sought to systematically review articles that evaluated diagnostic accuracy and reliability of existing MRI-based SIJ scoring systems for the evaluation of spondyloarthropathy in children and adults, and assess their applicability to pediatric patients. Read More

Meeting name: SPR 2018 Annual Meeting & Postgraduate Course , 2018

Authors: Swami Vimarsha, Jaremko Jacob Lester, Rumsey Dax, Doria Andrea

Keywords: Sacroiliac Joint, MRI, Spondyloarthropathy

Increased fracture risk is a complication that occurs in the context of primary bone diseases such as osteogenesis imperfecta (OI). Despite being considered as the reference-standard, the use of dual-energy X-ray absorptiometry (DXA) to evaluate fragility fractures in OI has not been validated by prior systemic review. Identifying patients at greatest risk for bone fragility fractures and determining skeletal health markers that can monitor bone mass concerning response to bone-active treatments are important issues for clinicians. In this systematic review we assessed the clinical utility of DXA for evaluating osteoporotic bone in OI pediatric patients according to the U.S. Preventive Services Task Force guidelines. Read More

Meeting name: IPR 2016 Conjoint Meeting & Exhibition , 2016

Authors: Yacoub Daniel, Wang Kuan Chung, Shah Prakeshkumar, Moineddin Rahim, Doria Andrea

Keywords: Dual-energy X-ray absorptiometry (DXA), Osteogenesis imperfecta, Systematic review, Fracture, Clinimetric property

1) To systematically review the uses of AI for magnetic resonance (MR) imaging assessment of primary pediatric cancer and identify common literature topics and knowledge gaps. 2) To assess the adherence of the existing literature to the Checklist for Artificial Intelligence in Medical Imaging (CLAIM) guidelines. Read More

Meeting name: SPR 2023 Annual Meeting & Postgraduate Course , 2023

Authors: Tsang Brian, Gupta Aaryan, Takahashi Marcelo, Ola Tolulope, Baffi Henrique, Doria Andrea

Keywords: Artificial intelligence, Pediatric cancer, Magnetic resonance imaging

To evaluate the T2 map relaxation times in healthy male children and adolescent ankle cartilage under altered magnetic resonance image (MRI) protocols and to document trends in these T2 relaxation times with varying ages and body mass index (BMI). Read More

Meeting name: SPR 2019 Annual Meeting & Postgraduate Course , 2019

Authors: Majeed Haris, Sussman Marshall, Feldman Brian, Man Carina, Blanchette Victor, Doria Andrea

Keywords: Hemophilia, Optimization Protocol, T2 Map MRI

1. To review the contemporary literature and present an updated list of musculoskeletal and non-musculoskeletal imaging findings of patients with autoinflammatory diseases in our hospital. Most of these patients are found to have a genetic mutation that is responsible for their disease. 2. To present follow-up imaging findings, when available, and correlate those with patients’ symptoms and type of treatment administered in approximately 40 patients with autoinflammatory diseases such as Cryopyrin-associated autoinflammatory syndrome, familial Mediterranean fever, PAPA (pyogenic arthritis, pyoderma gangrenousum, and acne) syndrome and much more. These findings can be related to disease progression, treatment response or treatment-induced changes. Read More

Meeting name: SPR 2018 Annual Meeting & Postgraduate Course , 2018

Authors: Alsharief Alaa, Laxer Ronald, Stimec Jennifer, Babyn Paul, Man Carina, Doria Andrea

Keywords: Autoinflammation, fever, Rheumatology

X-Ray based manual Cobb angle measurement is inherently time-consuming and associated with high inter- and intra-observer variability. The existing automated scoliosis measurement methods suffer from insufficient accuracy. We propose a two-step segmentation-based deep architecture to automate Cobb angle measurement for scoliosis assessment. Read More

Meeting name: SPR 2023 Annual Meeting & Postgraduate Course , 2023

Authors: Wu Yujie, Namdar Khashayar, Chen Chaojun, Hosseinpour Shahob, Shroff Manohar, Doria Andrea, Khalvati Farzad

Keywords: Scoliosis, Deep Learning, Cobb Angle

Scoliosis is a deformity of the spine that affects 2-3% of the population. Currently, the reference standard for assessing scoliosis is the manual assignment of Cobb angles at the site of the curvature center using X-ray images. This process is time consuming and unreliable as it is affected by inter- and intra-observer variability. To overcome these inaccuracies, machine learning (ML) methods can be used to automate the Cobb angle measurement process. Read More

Meeting name: SPR 2023 Annual Meeting & Postgraduate Course , 2023

Authors: Chen Chaojun, Namdar Khashayar, Wu Yujie, Hosseinpour Shahob, Shroff Manohar, Doria Andrea, Khalvati Farzad

Keywords: Scoliosis, Cobb Angle, Deep Learning

Virtual reality (VR) and augmented reality (AR) technologies hold potential for extensive applications in entertainment and simulation of healthcare procedures. These technologies offer solutions to various healthcare challenges including treatment planning, pain management, and surgical simulations, leading to more efficient and cost-effective patient care. Ongoing advancements have made VR and AR more accessible, particularly in medical education, procedural planning, and therapeutic interventions. This scoping review aims to examine the current state of knowledge regarding applications of VR and AR as a clinical tool, interventional aid, or alternative management approach in radiology for pediatric and adult populations to guide further research, inform evidence-based guidelines, and identify gaps in existing literature. This review followed the PICO (Patient, Intervention, Comparison, Outcome) framework, Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA), and Standards for Reporting of Diagnostic Accuracy (STARD) to assess the reporting quality of referenced literature. The initial search was conducted in MEDLINE, EMBASE, and Cochrane Library, supplemented with manual screening of reference lists. The search terms were adapted for specific databases (MEDLINE, EMBASE, Cochrane Library) and focused on the intersection of VR and AR with diagnostic imaging in pediatric and adult populations. Out of 1,120 references, 14 primary studies were included in this systematic review, encompassing a total of 478 patients. 6/14 (42.9%) focused on children only and 8/14 (57.1%) on children and adults. The studies featured prospective (N=12) and retrospective (N=2) research designs mainly exploring VR and AR applications in preoperative planning, surgical navigation, intraoperative support, pain management, and patient education. The use of VR and AR in radiology in the selected primary papers showed promising results in improving patient experiences and surgical outcomes and indicated potential benefits in terms of patient satisfaction, reduced pain and anxiety, and enhanced surgical precision. This scoping review highlights potential clinical applications of VR and AR in radiology in pediatric and adult populations. However, more rigorous research is needed to assess cost-effectiveness of these technologies. Standardized reporting guidelines like STARD should be more consistently followed in future studies to enhance research reporting quality. Read More

Meeting name: SPR 2024 Annual Meeting & Postgraduate Course , 2024

Authors: Lee Somin, Ola Tolulope, Baffi Henrique, Tsang Brian, Gupta Aaryan, Stimec Jennifer, Doria Andrea

Keywords: Virtual Reality, Augmented Reality, Clinical Application

Acoustic radiation force imaging (ARFI) is a type of quantitative sonoelastography (SE) that has been used to determine tissue stiffness in many disorders including liver fibrosis, breast cancer, thyroid nodules and more recently, cutaneous scleroderma. However the use of this technology for the assessment of skin lesions in the paediatric population has not yet been investigated. The purpose of this study is to test the feasibility of using ARFI SE to quantify the stiffness of morphea or localized scleroderma (LS) and hypertrophic burn scars (HTS), two skin conditions in which there is excessive deposition of collagenous and non-collagenous extracellular matrix causing fibrosis. Read More

Meeting name: SPR 2019 Annual Meeting & Postgraduate Course , 2019

Authors: Perez Matta Maria Manuela, Zuccaro Jennifer, Mohanta Arun, Fish Joel, Pope Elena, Laxer Ronald, Doria Andrea

Keywords: Sonoelastography, Scars, Scleroderma

Whole-body (WB) magnetic resonance (MR) imaging in children is of special interest because it is radiation free and can be used to evaluate systemic conditions, exploiting the advantage of the superior soft-tissue contrast provided by MR imaging. An important clinical application of whole-body MR imaging in children is its use for screening of oncologic conditions, tumor characterization, and staging. However, the list of non-oncologic applications of WB MRI has recently expanded to include the evaluation of numerous multisystemic conditions. This is a pictorial review of different oncologic applications of WB MRI including cancer predisposition syndromes, solid neoplasias and lymphomas, as well as of non-oncologic applications of WB MRI including chronic recurrent osteomyelitis (CRMO), enthesitis related arthritis (ERA), vascular malformations and benign tumors. In this review we discuss the advantages and challenges of conventional and functional MRI sequences including the use of diffusion weighted imaging (DWI), color-encoded DWI enhanced with iron supplement Ferumoxytol as blood pool contrast agent, as well as the advantages and disadvantages of the recently introduced WB positron emission tomography (PET)/MRI. Read More

Meeting name: IPR 2016 Conjoint Meeting & Exhibition , 2016

Authors: Martinez-rios Claudia, Malkin David, Vali Reza, Shammas Amer, Tijerin Bueno Marta, Greer Mary-louise, Doria Andrea

Keywords: MRI, DWI, STIR, PET/MRI, oncology

Despite being recognized as a secondary sign of appendicitis, no clear definition exists about the amount of intra-abdominal fluid considered physiologic in children. The purpose is (1) to assess the amount of intra-abdominal free fluid by US and MRI in children with suspected appendicitis, (2) to detect the performance characteristics of US for detecting free fluid, and (3) to determine the association between fluid volume and perforated appendicitis. An additional ex-vivo study was done to assess the validity of US measurement abdominal free fluid volume using phantoms. Read More

Meeting name: SPR 2023 Annual Meeting & Postgraduate Course , 2023

Authors: Rodriguez Takeuchi Sara, Doria Andrea, Sousa-plata Karen, Man Carina, Vidarsson Logi, Rayner Tammy, Mohanta Arun, Amirabadi Afsaneh, Schuh Suzanne

Keywords: Appendicitis, ascites, ultrasonography

Scoliosis is a complex spine deformity with direct functional and cosmetic impacts on the individual. The reference standard for assessing scoliosis severity is the Cobb angle which is measured on radiographs by human specialists, carrying interobserver variability and inaccuracy of measurements. These limitations may result in lack of timely referral for management at a time the scoliotic deformity progression can be saved from surgery. We aimed to create a machine learning (ML) model for automatic calculation of Cobb angles on 3-foot standing spine radiographs of children and adolescents with clinical suspicion of scoliosis (AIS) across two clinical scenarios (idiopathic, group 1 and congenital scoliosis, group 2). Read More

Meeting name: SPR 2024 Annual Meeting & Postgraduate Course , 2024

Authors: Stott Samantha, Wu Yujie, Hosseinpour Shahob, Chen Chaojun, Namdar Khashayar, Amirabadi Afsaneh, Shroff Manohar, Khalvati Farzad, Doria Andrea

Keywords: Radiograph, Children

1. To determine short-term interval changes in T2 maps of knee cartilage of healthy boys before and after a 2-minute knee-squat exercise at 1.5T and 3T MRI; 2. To determine interval changes in T2 maps pre-exercise at 1.5T vs. 3T, and post-exercise at 1.5T vs. 3T; 3. To determine interval changes pre- and post-exercise among minimal-, moderate-, and high-activity subjects at 1.5T and 3T; and 4. To determine inter- and intra-reader reliability of 1.5 and 3T values. Read More

Meeting name: IPR 2016 Conjoint Meeting & Exhibition , 2016

Authors: Ahmed Humayun, Wang Kuan Chung, Sussman Marshall, Amirabadi Afsaneh, Moineddin Rahim, Wells Greg, Man Carina, Blanchette Victor, Doria Andrea

Keywords: Hemophilia, Arthropathy, Pediatrics, Inherited bleeding disorders, T2 mapping MRI

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

Meeting name: IPR 2016 Conjoint Meeting & Exhibition , 2016

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

An international Task Force from International Myositis Assessment and Clinical Studies Group (IMACS) conducted a comprehensive scoping review of the literature on analyzing MRI indications for patients with JDM, MRI techniques and protocols, and the adopted scoring systems. We also analyzed whether MRI was comparable to other measures used to assess disease activity, remission, or flares and whether MRI was accurate in achieving the proposed goals. Read More

Meeting name: SPR 2024 Annual Meeting & Postgraduate Course , 2024

Authors: Paula Vitor, Carvalho Clarissa, Day Jessica, Essouma Mickael, Conticini Edoardo, Riopel Mary Anne, Shenoi Susan, Marrani Edoardo, Doria Andrea, Omori Clarissa, Elias Adriana, Guimaraes Julio, Shinjo Samuel, Araujo Daniel, Magalhaes Claudia, Appenzeller Simone, Arabi Tamima

Keywords: magnetic ressonance, juvenile, dermatomyositis

Whole body (WB) MRI is a valuable method for surveying the overall burden of systemic diseases such as juvenile idiopathic arthritis (JIA), directing further diagnostic and treatment approaches. Consensus-driven development and validation of a standardized WB-MRI scoring system for JIA has important clinical utility in timely detection and monitoring of disease activity, and serves as an outcome measure in research. We describe our experience utilizing a formal consensus approach amongst imaging and/or clinical JIA experts towards developing a novel WB MRI scoring system to assess disease activity in JIA. Read More

Meeting name: SPR 2018 Annual Meeting & Postgraduate Course , 2018

Authors: Panwar Jyoti, Kirkhus Eva, Meyers Arthur, Patel Hiten, Van Rossum Marion, Stimec Jennifer, Tse Shirley, Twilt Marinka, Tzaribachev Nikolay, Doria Andrea, Tolend Mirkamal, Akikusa Jonathan, Herregods Nele, Highmore Kerri, Inarejos Clemente Emilio, Jans Lennart, Jaremko Jacob Lester, Von Kalle Thekla

Keywords: Consensus, WB-MRI scoring system, Juvenile idiopathic arthritis

Clinical assessment of the Sacroiliac Joint (SIJ) is limited due to the location and anatomy of the joint.<b> </b>Magnetic Resonance Imaging is a sensitive, non- invasive tool in detecting early SIJ inflammatory changes and structural damage in Juvenile Idiopathic Arthritis (JIA). The quantification of interval change of pediatric SIJs using MRI based scoring methods will serve as an important objective outcome measure for the assessment of disease severity and treatment effectiveness in JIA. Read More

Meeting name: SPR 2019 Annual Meeting & Postgraduate Course , 2019

Authors: Otobo Tarimobo, Rumsy Dax, Inarejos Emilio, Kirkhus Eva, Stimec Jennifer, Panwar Jyoti, Thorpe Kevin, Jans Lennart, Van Rossum Marion, Tolend Mirkamal, Perez Manuela, Conaghan Philip, Tzaribachev Nikolay, Sandhya Pulukool, Tse Shirley, Simone Appenzeller, Swami Vimarsha, Touma Zahi, Lambert Robert, Doria Andrea, Maksymowych Walter, Van Der Heijde Desiree, Weiss Pamela, Sudol-szopinska Iwona, Herregods Nele, Jaremko Jacob, Meyers Arthur

Keywords: Juvenile idiopathic arthritis, OMERACT, outcome measure

Optimization of ultrasound (US) scanning planes for evaluation of different joint components of subjects with blood-induced arthropathy can decrease scanning time without compromising diagnostic information. The purpose of this study was to identify the most diagnostically informative set of US planes for assessment of arthropathy in growing joints of persons with hemophilia based on frequency of findings. Read More

Meeting name: SPR 2024 Annual Meeting & Postgraduate Course , 2024

Authors: Panwar Jyoti, Negrao Jose, Fernandes Artur, Antunes Sandra, Dertkigil Sergio, Sakuma Emerson, Ozelo Margareth, Zhang Ningning, Huo Aihua, Peng Yun, Wu Runhui, Tolend Mirkamal, Zhou Fang, Li Yingjia, Sun Jing, Zhou Alex, Mohanta Arun, Jarrin Jose, Panwar Sanuj, Luke Koon Hung, Blanchette Victor, Doria Andrea, Daruge Paulo, Bordalo Rodrigues Marcelo, Carneiro Jorge, D’amico Elbio, Villaça Paula, De Ávila Fernandes Eloy, De Aguiar Vilela Mitraud Sonia

Keywords: Hemophilia, Ultrasound, Protocol