To evaluate the peer collaborative improvement (PCI) process used in our pediatric radiology department since January 2016, differences in sequential surveys and temporal change in types of submissions were assessed. Read More

Meeting name: SPR 2020 Annual Meeting & Postgraduate Course , 2020

Authors: Sammer Marla, Kan J., Donnelly Lane

Keywords: Peer Learning, Survey

At our children’s hospital, we deployed clinical decision support (CDS) software to support appropriate use of imaging. The software is primarily based on ACR appropriateness criteria. To determine if by using CDS, lower rates of payer claim denials could be expected, we evaluated rates of payer claim denials based on CDS score prior to CDS go-live. Read More

Meeting name: SPR 2020 Annual Meeting & Postgraduate Course , 2020

Authors: Sher Andrew, Hayatghaibi Shireen, Kan J., Sammer Marla

Keywords: CT

To analyze the effect of point-of-care ACR-clinical decision support (CDS) software embedded in the electronic health records (EHR) on CT ordering patterns in a quaternary care pediatric emergency center (EC). Read More

Meeting name: SPR 2020 Annual Meeting & Postgraduate Course , 2020

Authors: Sher Andrew, Hayatghaibi Shireen, Kan J., Sammer Marla

Keywords: decision support, pediatric, informatics

This technical innovation describes our institution’s standardized technique for palliative steroid injections in children with symptomatic neuromuscular hip dysplasia. Children with neuromuscular hip dysplasia are at risk for developing painful hip dislocation, which can dramatically affect their quality of life. Read More

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

Authors: Amaral Jason, Schultz Rebecca, Rosenfeld Scott, Kan J.

Keywords: Hip Dysplasia, Cerebral Palsy, Steroid Injection

To illustrate the discrepancies between knee MRI reports and arthroscopy findings of posterior horn medial meniscal and meniscocapsular tears (ramp lesions) in children and adolescents. We retrospectively reviewed the available data from 912 patients between January 2018 and October 2022 from multidisciplinary monthly arthroscopic-MR correlation conferences, where we discussed discrepant findings between MRI knee reports and intra-operative arthroscopy findings, with focus on presence, location and type of posterior horn medial meniscal and posterior meniscocapsular tears. Results of secondary reviews of the MRI scans regarding under or over called diagnoses based on an arthroscopic reference standard were also available. By sharing our experience and the lessons we have learned from these multidisciplinary conferences, we highlight the challenges that radiologists might face while diagnosing pediatric meniscal tears on MRI. Read More

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

Authors: Salman Rida, Kan J., Jadhav Siddharth, Schallert Erica, Ditzler Matthew

Keywords: Meniscal tear, ramp, arthroscopy

Percutaneous ultrasound-guided fenestration of ganglia (PUGG) of the pediatric wrist is a minimally invasive, safe alternative to surgical excision which does not require sedation or leave a scar. The purpose of this study is to assess relative risk for recurrence based on pre-procedural ultrasound imaging variables and procedural factors. Read More

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

Authors: Namireddy Meera, Kan J., Ditzler Matthew, Schallert Erica, Ngan Esther, Bell Bryce

Keywords: Musculoskeletal, Ultrasound, Pediatric

Bassett's ligament is an accessory fascicle of the anterior tibiofibular ligament that is not well addressed in pediatric patients. In the adult literature, it is known that the ligament is not present in some patients, but may be thickened in the setting of talar dome osteoarthritis. The purpose of our study was to determine the prevalence of Bassett’s ligament and measure its thickness in pediatric patients with MRI findings of lateral talar osteochondral lesions (OCLs), medial talar OCLs, and posterior ankle impingement and compare these measurements with patients with a normal ankle MRI. Read More

Meeting name: SPR 2020 Annual Meeting & Postgraduate Course , 2020

Authors: Utturkar Atul, Kan J., Ditzler Matthew, Schallert Erica, Jadhav Siddharth, Smith Brian, Gladstein Aharon

Keywords: osteochondral lesion

SPICA MRI with gadolinium contrast administration is routinely performed after closed reduction for the treatment of developmental dysplasia of the hip (DDH). Quantifying the degree of femoral head enhancement and abduction angles are routinely performed to identify and stratify those patients who may be at risk for epiphyseal osteonecrosis. The purpose of our study is to evaluate predictors for epiphyseal osteonecrosis based on percentage enhancement and abduction angles evaluated based on SPICA MRI. Read More

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

Authors: Haruno Lee, Kan J., Rivlin Michael, Rosenfeld Scott, Shenava Vinitha, Zhu Huirong, Schallert Erica

Keywords: spica mri, ddh, osteonecrosis

Our institution employs the modified Gartland classification system for operative and non-operative supracondylar humeral fracture (SCHF) communication. The purpose of our study is to assess the inter-observer reliability of the Gartland classification between pediatric radiologists, orthopedic surgeons, and pediatric emergency physicians. Read More

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

Authors: Schultz Rebecca, Henkel Erin, Smith Brian, Kan J., Amaral Jason, Bridges Callie, Gladstein Aharon, Wall Jon, Bih Eric, Kraus Steven, Cruz Andrea, Allen Joseph

Keywords: supracondylar humerus fracture, interobserver reliability