Showing 6 Abstracts.
There is increasing concern regarding the decreasing number of graduates from pediatric radiology fellowships. In this educational exhibit, we will explore the numbers concerning medical students, residency applications, and fellowship application trends to identify underlying issues and to consider solutions. Using data available from the AAMC, ACR, and SPR, we will convey the status of overall applications to radiology and several fellowships with a focus on pediatric radiology and consider diversity issues. Trainee survey results will also be presented to discuss aspects of our field which can be used to bolster recruitment strategies. For over twenty years, diagnostic radiology has consisted of approximately 25% women, though the percentage of female pediatric radiologists is larger. Data also suggest that more female radiologists are minorities in comparison to men. Additional approaches to improve recruitment and retainment of a diverse workforce is crucial and will also be discussed. Read More
Meeting name: SPR 2023 Annual Meeting & Postgraduate Course , 2023
Authors: Servaes Sabah
Infants are at risk for fatal physical abuse yet may present to care multiple times with inflicted trauma before abuse is diagnosed and the infant is protected. Prompt identification of at-risk infants is essential to protection from ongoing abuse. Sentinel injuries are unexplained minor injuries in young infants that are appreciable on physical exam. Examples of sentinel injuries include bruising, subconjunctival hemorrhages, and intra-oral trauma. These injuries can be a subtle external sign of concurrent clinically occult internal injuries (e.g., skeletal, abdominal, intracranial injuries) in a well-appearing infant or may be an early warning that foretells more significant trauma in the future. Identification and evaluation of these infants with appropriate imaging has been highlighted as one approach to ensure that abuse is promptly detected, injuries are addressed, and the infant is protected. In this multidisciplinary educational presentation made in collaboration with child abuse pediatricians and pediatric radiologists, we will: (1) review different types of sentinel injuries; (2) discuss current evidence and guidance for performance of imaging (skeletal survey, abdominal CT, neuroimaging with MRI or CT) when a sentinel injury is identified; (3) discuss the interpretation and significance of imaging findings; (4) provide imaging examples of these injuries; and (5) discuss gaps in the literature while highlighting opportunities for collaboration between child abuse pediatricians and pediatric radiologists to improve the care of these infants. Following completion of this educational module, our goals are that the participant will better understand the clinical context of sentinel injuries and have a baseline knowledge to make an appropriate imaging plan for these infants. Read More
Meeting name: SPR 2022 Annual Meeting & Postgraduate Course , 2022
Authors: Henry M Katherine, White Ammie, Servaes Sabah, Wood Joanne
Keywords: Child Abuse, Sentinel Injuries, Skeletal Survey
Enchondroma is a common benign cartilaginous tumor, thirty-five percent of which arise in the hand. Radiologically, they appear as well-defined, geographic osteolytic lesion, usually centrally located within the metadiaphysis, with the cortex remaining intact. However, enchondromas can expand through the cortex, becoming enchondroma protuberans, a rare subtype, forming an exophytic mass in the surrounding soft tissue. Radiologically, enchondroma protuberans typically appear as well-defined geographic, osteolytic intramedullary lesion that may have poorly defined matrix calcification combined with a cortical defect and well-defined round soft tissue expansion. MR imaging clearly delineates the connection between the intramedullary lesion and the exophytic protrusion through the cortical defect, resulting in a diagnosis of enchondroma protuberans. We present the case of a 12 year old male who successfully underwent excision of a right index finger bony lesion pathologically proven to be enchondroma protuberans. Read More
Meeting name: SPR 2024 Annual Meeting & Postgraduate Course , 2024
Authors: Farhat Ahmed, Huang Pauline, Servaes Sabah, Hailemichael Eyassu
Keywords: Enchondroma Protuberans
A “pancake” kidney is a rare subtype of cross fused renal ectopia, in which there is both fusion of the upper and lower poles of the kidneys in the pelvis, resulting in a disc or cake shaped appearance of the fused kidneys. The cross fused renal ectopia is a rare congenital anomaly caused by abnormal growth of the ureteric bud and separation failure of metanephric tissues with an estimated incidence of 1 in 2000, with a male predominance. Patients are often asymptomatic, but urinary tract infections, ureteropelvic junction obstruction, vesicoureteric reflux, and renal stones can be associated with renal ectopia. We present a case of a 7 year old boy who initially presented to the ED with back pain and clinical concerns of hydronephrosis, with an incidental finding of a “pancake” kidney. Read More
Meeting name: SPR 2024 Annual Meeting & Postgraduate Course , 2024
Authors: Farhat Ahmed, Huang Pauline, Servaes Sabah, Hailemichael Eyassu
Keywords: Renal Ectopia, Pancake kidney
The urachus is a connection between the early fetal bladder and the allantois that functions to remove nitrogenous waste through the umbilical cord and placenta during gestation. During fetal development or early in the neonatal course, the urachus typically obliterates. Failure to obliterate can result in an abnormal persistence of an embryonic urachal remnant of multiple subtypes, including a patent urachus which has a completely patent lumen between the bladder and umbilicus. Recent studies support initial conservative management over prophylactic surgical excision of pediatric urachal anomalies, even in symptomatic cases, with the conservative approach becoming increasingly favored, especially in children 6 months to 1 year of age, where spontaneous resolution and involution are likely. We present the case of a 60 days old infant who initially presented with bloody umbilical discharge and ultrasound findings of a patent urachus. Read More
Meeting name: SPR 2024 Annual Meeting & Postgraduate Course , 2024
Authors: Farhat Ahmed, Huang Pauline, Servaes Sabah, Hailemichael Eyassu
Keywords: Patent Urachus
The number of pediatric radiology fellows has been in decline since 2013-2014. About forty-four percent of programs are currently without fellows. With an additional forty percent of pediatric radiologists expected to retire within 10 years, the current shortage is expected to worsen as only 20 percent of pediatric radiologists are under the age of forty-five. We review literature to determine trends amongst current pediatric radiologists, the factors which impact fellowship choice, additional areas of outreach by the ACR, and common misconceptions about the specialty. The purpose of this educational exhibit is to give an overview of issues hindering growth of the specialty and explore options for improving fellowship recruitment. Read More
Meeting name: SPR 2024 Annual Meeting & Postgraduate Course , 2024
Authors: Farhat Ahmed, Huang Pauline, Servaes Sabah, Hailemichael Eyassu, Sico Rita
Keywords: Shortage Pediatric Radiologists