Showing 4 Abstracts.
The discussion of physician burnout and burnout mitigation is a hot topic, intensified as the global community emerges from the COVID-19 pandemic. Like many physicians, pediatric radiologists were affected by the burdens and fears of providing high-quality care in an already strained healthcare system worsened by the demands of the pandemic. Couple this with increasing imaging study volumes, the natural isolation associated with radiology, and the general shortage of pediatric radiologists, and the perfect storm for burnout emerges. The study of positive physiology or “the science of happiness” has progressively gained public attention since its initial inception by Martin Seligman while serving as the elected director of the American Physiological Association in the 1990s. The current trend in happiness research is demonstrated in the plethora of peer-reviewed social science articles on a wide array of topics and has been popularized by several online courses taught by physiologists at top-tier academic institutions. The basic tenets have been further disseminated through podcasts and books, designed to help improve well-being. Although these topics are not unique to pediatric radiology, they fully apply to the Homo sapiens trained as a pediatric radiologist. In this exhibit, we will review a wide array of subjects ranging from cultivating self-compassion, reframing our negative emotions as data points, developing mindfulness, discovering gratitude, and understanding the importance of social connection. Diving into the peer-reviewed research, we will demonstrate that sometimes what our beleaguered brains think we need after a long day at the reading station (eg. a pint of ice cream and binge movie streaming) may not be the best solution for our long-term well-being. The study of happiness will help even the most frazzled pediatric radiologist have more meaningful career. This exhibit will further provide pediatric radiologists with simple ways to recognize when they have shifted into survival mode and assist them in recovery. Targeted to the most skeptical physician, these tools are aimed to improve career satisfaction and help pediatric radiologist rediscover the "joie de vivre." Read More
Meeting name: SPR 2024 Annual Meeting & Postgraduate Course , 2024
Authors: Pryor William, Milla Sarah, Guimaraes Carolina
Eosinophilic esophagitis (EOE) is the most common esophageal disorder in children and adolescents, with a prevalence of approximately 1 in 1,000. Pathologically characterized by eosinophilic infiltration of the esophageal mucosa, EOE can cause a variety of symptoms, including dysphagia, food refusal, vomiting, and pain. Complications include strictures, dysmotility, and failure to thrive. When clinical providers are concerned for potential EOE, often an Esophagram or Upper GI is the initial imaging study requested before performing the gold standard, but more invasive evaluation, endoscopy with biopsy. This educational poster will review the background and current standard-of-care imaging for EOE, including fluoroscopic esophagrams and endoscopy. We will review diagnostic tips and tricks for performing and interpreting esophagrams, and highlight the importance and techniques for timed pill-esophagrams, particularly in the evaluation for EOE. We will include emerging information on normative esophageal measurements in pediatric age ranges for reference, as well as highlight subtle fluoroscopic features of EOE to help improve our diagnostic sensitivity and specificity. Our poster will review findings in a case-based format with fluoroscopic and endoscopic images, individual patient treatment plans, with post therapy images in select cases. Radiologists play an important role in the initial diagnosis and are partners in management and follow-up of patients with EOE. Understanding optimal fluoroscopic techniques and identifying key imaging findings are critical to improving early diagnosis and monitoring response to therapy. Read More
Meeting name: SPR 2024 Annual Meeting & Postgraduate Course , 2024
Authors: Gardner Colin, Hayes Kari, Life Chelsea, Milla Sarah
Keywords: Eosinophilic esophagitis
Fluoroscopy is a valuable diagnostic tool, but it also exposes patients to radiation. Our study assesses variation in pediatric fluoroscopy radiation dose performance by hospital site and radiologist experience. Read More
Meeting name: SPR 2024 Annual Meeting & Postgraduate Course , 2024
Authors: Yang Ronald, Hayes Kari, Milla Sarah, Zhou Wei
Keywords: Fluoroscopy, Radiation Dose, Alara
Intracranial hypotension is a condition caused by the loss of cerebrospinal fluid through either a dural defect, ruptured meningeal diverticulum, or CSF-venous fistula. In the past decade, this condition has been increasingly diagnosed in individuals suffering from orthostatic headaches. In adults, CSF leaks are commonly caused by dural defects due to a degenerative disc osteophyte violating the ventral dura. In the pediatric population, spontaneous leaks may occur in individuals with underlying connective tissue disease, or from venous/lymphatic malformations which approximate the spinal subarachnoid space. Most commonly, a CSF leak results in an “orthostatic headache” characterized by head pain which worsens upon sitting or standing and improves when lying flat. In addition to headache, patients can experience vestibulocochlear symptoms, changes in vision, forgetfulness, or personality changes. CSF leak localization usually requires dynamic myelography, performed using either digital subtraction or CT techniques. However, specific tailored MRI protocols can aid in the detection and characterization of leaks. Treatment options include percutaneous injection of autologous blood or fibrin sealant into the epidural space, embolization of draining veins, or primary surgical repair. The goal of this exhibit is to provide an illustrative review of the various pathologies that can cause CSF leak in the pediatric population. A review of anatomy and pathophysiology followed by a case-based presentation including congenital, iatrogenic, traumatic, and idiopathic causes will be presented. Both noninvasive and invasive imaging protocols will be discussed with a focus on minimizing radiation dose in the pediatric population. Read More
Meeting name: SPR 2024 Annual Meeting & Postgraduate Course , 2024
Authors: Jordan Gregory, Hampton Erica, Stence Nicholas, Milla Sarah, Callen Andrew
Keywords: CSF Leak, Intracranial hypotension, CSF-venous fistula