Showing 5 Abstracts.
Urinary tract dilation (UTD) is a common finding in fetal and neonatal imaging, and accurate classification is essential for guiding management and determining prognosis. This educational exhibit provides a comprehensive review of the UTD classification system, with a focus on the findings on fetal ultrasound (US), fetal MRI and postnatal imaging. In addition to the classification system, we will explore the etiologies of UTD, including obstructive and non-obstructive causes such as vesicoureteral reflux, ureteropelvic junction obstruction, and posterior urethral valves. Special emphasis will be placed on the role of prenatal and postnatal imaging in monitoring progression and guiding management decisions, including when surgical intervention may be necessary. We aim to enhance the understanding of the diagnostic criteria for UTD, provide insight into the correlation between imaging findings and clinical outcomes, and equip pediatric radiologists with the tools to make informed management recommendations. This review will aid in the accurate diagnosis and treatment of UTD, ultimately improving outcomes for affected neonates. Read More
Meeting name: SPR 2025 Annual Meeting , 2025
Authors: Illimoottil Mathew, Errampalli Eric, Kosaraju Sriya, Illimoottil Sarah, Leland Kristin
Keywords: Urinary Tract Dilation, UTD Classification, Fetal Imaging
Hemophagocytic Lymphohistiocytosis (HLH) presents unique challenges for diagnosis and management. This educational exhibit aims to elucidate the multifaceted nature of HLH through a comprehensive exploration of multimodality imaging techniques. HLH is a rare, potentially life-threatening hyperinflammatory disorder often affecting pediatric patients, necessitating early diagnosis and intervention. Through a variety of radiological modalities, including computed tomography (CT), magnetic resonance imaging (MRI), ultrasound, and positron emission tomography (PET) we will highlight the complexity of HLH manifestations and the utility of different imaging methods in facilitating early and accurate diagnosis. Furthermore, we will delve into the role of functional imaging in assessing HLH. The exhibit will emphasize the dynamic nature of HLH and its capacity to evolve rapidly, underscoring the need for timely and accurate imaging to guide clinical management. This educational exhibit invites participants to engage with complex HLH cases and explore the pivotal role of multimodality imaging in the diagnosis and management of this challenging disease. By presenting a spectrum of cases and highlighting the strengths of different imaging techniques, we aim to equip radiologists with the knowledge and confidence needed to tackle HLH effectively in pediatric patients. Read More
Meeting name: SPR 2024 Annual Meeting & Postgraduate Course , 2024
Authors: Illimoottil Mathew, Errampalli Eric, Kosaraju Sriya, Priya Lakshmi, Orscheln Emily
Keywords: hemophagocytic lymphohistiocytosis
Ankle fractures in the pediatric population pose unique diagnostic and therapeutic challenges due to the evolving anatomy of the child. However, when knowledge of this anatomic evolution intersects with knowledge of injury mechanisms that are often at play, the radiologist can understand that pediatric ankle fractures often occur in predictable patterns. This educational exhibit explores the various classifications of pediatric ankle injuries, encompassing Dias-Tachdjian, Salter Harris, and transitional fractures. Recognizing the significant anatomical and developmental differences between skeletally immature and mature ankles, we investigate the dissimilarities in fracture patterns that emerge in these two populations. Our exhibit explores the influence of the physis, ossification centers, supporting soft tissue structures, and differing anatomical proportions on fracture patterns in these populations, providing pediatric radiologists with valuable insights into the interpretation of pediatric ankle fractures. This comprehensive overview ensures a well-rounded understanding of the unique injury patterns and facilitates improved decision-making for treatment. Read More
Meeting name: SPR 2024 Annual Meeting & Postgraduate Course , 2024
Authors: Illimoottil Mathew, Errampalli Eric, Kosaraju Sriya, Priya Lakshmi, Orscheln Emily
Osteogenesis imperfecta (OI) is a rare genetic disorder that affects bone development and structure, resulting in bone fragility and susceptibility to fractures. This educational exhibit offers a comprehensive examination of OI, with particular emphasis on the clinical types I, II, III, IV, and V. With a focus on diagnostic tools, management strategies, and emerging treatments, this exhibit aims to enhance the understanding of OI within the pediatric radiology community. We will present a detailed overview of OI types, emphasizing the genetic and clinical variations that distinguish them. Attendees will gain insights into the pathophysiology of OI and its impact on bone health, growth, and overall well-being in affected children. We will highlight imaging techniques and genetic testing that facilitate accurate diagnosis and characterization of OI types. Through case studies, we will demonstrate the pivotal role of radiologists in early detection and improved patient outcomes. Treatment modalities for OI, including bisphosphonates, orthopedic interventions, and emerging therapies, will be explored. Our goal is to empower pediatric radiologists with the knowledge and tools necessary to provide accurate and timely diagnosis as well as to contribute to optimal disease management, ongoing research, and advancements in the field. By focusing on OI in all its diverse manifestations, this exhibit aims to strengthen the expertise of pediatric radiologists in identifying, characterizing, and managing this complex condition. Our collective effort in enhancing the care of children with OI will ultimately improve their quality of life and future prospects. Read More
Meeting name: SPR 2024 Annual Meeting & Postgraduate Course , 2024
Authors: Illimoottil Mathew, Errampalli Eric, Kosaraju Sriya, Priya Lakshmi, Orscheln Emily
Keywords: Osteogenesis Imperfecta
The diagnosis of non accidental trauma (NAT) has significant clinical, therapeutic and social implications for the patient and the family. The recognition of suspicious fractures and fracture patterns, in conjunction with the clinical findings, plays an important role in the accurate diagnosis. However, there are congenital, metabolic and infectious processes that can mimic skeletal findings of NAT. Radiologists must be cognizant of these mimics and recognize the imaging and clinical findings that differentiate them from NAT to ensure accurate diagnosis and appropriate intervention. This educational exhibit aims to elucidate the key radiographic features and clinical presentations that distinguish NAT from conditions that can mimic its appearance, such as osteogenesis imperfecta, rickets, and metabolic bone diseases. Through a series of case studies and imaging examples, we will explore the skeletal findings of NAT mimics and compare them with the common fracture patterns associated with NAT, highlighting the imaging and clinical findings that differentiate the two. We will emphasize the importance of a thorough patient history and multidisciplinary approach in evaluating suspected cases of abuse. By understanding the nuances of NAT mimics, radiologists can improve their diagnostic acumen, reduce the risk of misdiagnosis, and ultimately contribute to better patient outcomes. Read More
Meeting name: SPR 2025 Annual Meeting , 2025
Authors: Kosaraju Sriya, Errampalli Eric, Illimoottil Mathew, Illimoottil Sarah, Tran Noelle, Leland Kristin, Mardis Neil
Keywords: Fractures, Skeletal Survey, NAT/Abuse