The purpose of this educational exhibit is to educate the radiologist regarding the fetal and postnatal imaging findings of Zika Virus (ZikV) in order to include congenital ZikV in the differential diagnosis when the maternal history and geography are compatible. We present a patient who emigrated from Central America during her third trimester of pregnancy with maternal ZikV. Read More

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

Authors: Wermers Joshua, Fickenscher Kristin, Robinson Amie, Dahl Amy

Keywords: Zika Virus, MRI, Ultrasound

Pediatric patients are often sedated for MRI scans to ensure images are of diagnostic quality. However, access time for MRIs requiring sedation in is often long due to high patient volumes. In 2014, an MRI Try Without (MTW) program was established at our institution to facilitate eligible patients to ‘try’ their MRI without sedation with the help of a dedicated team comprised of child life specialists (CLS), radiology nurses and scheduling as well as MRI technologists. During their MTW appointment, patients and families met with a CLS who used various preparation tools and methods, such as showing videos and pictures, utilizing a mock MRI, listening to sample noises, rehearsing laying still, and choosing a movie to watch during the MRI. The goal of this program was to decrease the wait time for obtaining an MRI, while ensuring diagnostic-quality images for the interpreting radiologist. Read More

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

Authors: Rudder Barbra, Easley Sara, Robinson Amie, Nielsen David

Keywords: Child Life, MRI Try Without Sedation, Pediatric MRI

Foreign body (FB) ingestion can be a life threatening event for pediatric patients. The imaging for suspected FB is an esophagram. This procedure requires radiologist involvement, patient cooperation and has a higher dose of radiation than chest digital tomosynthesis (DTS). We want to describe usage of DTS in the pediatric population to aid in detection of radiolucent esophageal FB. Read More

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

Authors: Johansen Andrew, Lee Jacob, Robinson Amie, Chan Sherwin

Keywords: Digital Chest Tomosynthesis, Esophageal Foreign Body, Esophagram

Gastrostomy tube (GT) or gastrojejunostomy tube (GJT) checks are a frequently ordered radiographic procedure to confirm placement. The goal of this study was to evaluate the accuracy of after-hours examinations for GJ or GJT placement using abdominal radiographs after injection of contrast, as compared to traditional fluoroscopy exams, which utilize a radiologist to perform the procedure. Read More

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

Authors: Lee Gregory, Noel-macdonnell Janelle, Robinson Amie, Crockett Jay, Chan Sherwin

Keywords: G Tube, Fluoroscopy

Evaluation of foot anomalies is a common task charged to the Pediatric and General Radiologist. Knowledge of normal, as well as abnormal, morphology and angles in relation to foot alignment is important to accurately arrive at the correct diagnosis. Some of the most commonly encountered congenital pediatric foot abnormalities are:Telipas equinovarus (clubfoot), congenital vertical talus, and skewfoot. Additionally, more isolated anomalies can occur, hindfoot valgus, Hindfoot varus, Pes Planus, Pes Cavus, and Metatarsus adductus. The purpose of this exhibit is to describe and radiographically demonstrate how to completely evaluate congenital foot anomalies in comparison to the normal foot for the interpreting radiologist. Read More

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

Authors: Crockett Jay, Sinclair Mark, Robinson Amie, Lind Allison, Knowlton Joshua

Keywords: Clubfoot, Vertical Talus, Skewfoot

Sinusoidal obstruction syndrome (SOS) is a potentially fatal disease affecting children following bone marrow transplantation (BMT). SOS diagnosis is clinical because traditional ultrasound has poor sensitivity and specificity with portal vein flow reversal occurring well after the disease is clinically evident. Ultrasound elastography is a newer technology that measures liver stiffness, which should increase in SOS due to passive hepatic congestion. Our hypothesis is that quantitative shear wave ultrasound elastography will be more accurate in detecting this disease compared with conventional ultrasound parameters. Read More

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

Authors: Reddivalla Naresh, Opfer Erin, Robinson Amie, Reid Kimberly, Chan Sherwin

Keywords: Sinusoidal Obstruction Syndrome, Veno-Occlusive Disease, Ultrasound Elastography

Many diseases in pediatrics are relatively uncommon and imaging of these diseases is difficult to study due to small patient numbers at a single site. This limits the ability of single institutions to adequately power a study. Thus, there is a pressing need for a multi-site structure to combine data for rare diseases to appropriately power outcome studies. Our goal is to create an infrastructure to support pooling of imaging and clinical data across institutions to facilitate multi-institutional studies. Read More

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

Authors: Payne Erin, Martin-saavedra Juan, Victoria Teresa, Robinson Amie, Fickenscher Kristin, Chan Sherwin

Keywords: Registry, Multi-Institutional, imaging trials

Inflammatory bowel disease (IBD), including Crohn disease, is a cause of significant morbidity in the pediatric population. Perirectal disease is a Crohn related complication affecting as many as 62% of children. Magnetic resonance enterography (MRE) is being increasingly utilized in characterizing the extent of IBD. Dedicated perirectal disease imaging, such as a T2 SPACE, requires an additional 10-15 minutes of imaging time on an already time constrained modality. The goal of our study was to determine the best imaging protocol for patients without clinically suspicious perirectal disease based on the incidence in this population. Read More

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

Authors: Reddy Nidhi, Chan Sherwin, Robinson Amie, Mardis Neil, Dahl Amy, Fickenscher Kristin

Keywords: Perirectal Disease Imaging, MR Enterography, Pediatric MRI

Minimally invasive procedures are common practice for pain management in pediatrics. The use of image guided therapies for axial skeletal pain management have been proven to not only be safe and effective, but also can be performed routinely in the interventional radiology (IR) department. The goal of this educational exhibit is to illustrate image guided techniques for pain management in pediatric patients. Specifically, techniques involving image-guided injections for treatment of headache, back pain, and other axial skeletal sources will be highlighted. Read More

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

Authors: Reading Brenton, Cully Brent, Theut Stephanie, Robinson Amie, Anderson John, Rivard Douglas

Keywords: Pain Management, Steroid Injection, Nerve Block

Ultrasound guided percutaneous liver biopsy is frequently performed in pediatric patients. Published post-biopsy complication rates range between 0.3 - 3.3% according to Society of Interventional Radiology Standards of Practice. Post-biopsy tract embolization has been prophylactically used to theoretically decrease the bleeding risk, but is not the current standard of care at our institution. The goal of this study is to determine if there is a need for prophylactic biopsy tract-embolization after ultrasound guided liver biopsy in the pediatric population. Read More

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

Authors: Gondi Keerthi, Robinson Amie, Cully Brent, Reading Brenton, Theut Stephanie, Hendrickson Richard, Reid Kimberly, Rivard Douglas

Keywords: Pediatric Liver Biopsy, Embolization

Gastro-Jejunostomy (GJ) tubes are commonly placed and exchanged by interventional radiologists (IR) in pediatric patients requiring transpyloric feeds. GJ tubes with slight variations are available from different manufacturers, most frequently used are Avanos Medical, Inc. (previously Halyard Medical Devices) and Applied Medical Technology (AMT). There is currently no published data available comparing complication rates between the different GJ tubes. The goal of this study is to compare complication rates at two different pediatric institutions and reasons for non-elective required exchange/replacement of GJ tubes manufactured by Avanos and AMT in pediatric patients. Read More

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

Authors: Murari Karthi, Reading Brenton, Hayatghaibi Shireen, Ashton Daniel, Buckley Jennifer, Robinson Amie, Noel-macdonnell Janelle, Rivard Douglas, Theut Stephanie, Cully Brent

Keywords: Gastrojejunostomy, G-tube, Complications