Many normal variants in the skeletal survey can be misconceived as signs of child abuse. Accurate differentiation between the two is crucial in subjecting only the perpetrators to trial. The present exhibit educates on the radiographic signs and techniques that can help differentiate between normal variants and child abuse on the skeletal survey. Read More

Meeting name: IPR 2016 Conjoint Meeting & Exhibition , 2016

Authors: Hwang Misun, Servaes Sabah

Keywords: Child abuse, Skeletal Survey, Normal variants

Intra-abdominal injuries are a less common manifestation of child abuse, but can be associated with high mortality. These injuries may be difficult to detect on physical exam alone, as many children do not have external cutaneous signs of abdominal injury, and symptomatology may be non-specific. Once detected, no specific intra-abdominal injury is pathognomonic for abuse, though some are more common in physical abuse. Determination of the likelihood of abuse as a mechanism relies on the plausibility of the history provided in the context of the constellation of identified injuries. In this multidisciplinary educational presentation made in collaboration with pediatric radiologists and child abuse pediatricians, we will: (1) review physical exam and laboratory indicators to obtain abdominal imaging; (2) review imaging examples of intra-abdominal solid organ injuries; (3) review imaging examples of hollow viscus injuries; (4) discuss the types of trauma that causes solid organ and hollow viscus injuries; (5) review imaging modalities available, and (6) briefly discuss medical management. Read More

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

Authors: Henry M Katherine, Bennett Colleen, Servaes Sabah

Keywords: Child Abuse, Trauma, Abdominal

We aim to evaluate qualitative and quantitative image quality of low-dose PET-MRI in young patients. Read More

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

Authors: Davis James, Servaes Sabah, Nevo Elad, States Lisa

Keywords: PET/MRI, dose reduction

Experience in pediatric nuclear medicine is limited and not uniform across residency and pediatric fellowship training programs. At our tertiary care pediatric hospital, emergent nuclear medicine exams performed after hours are currently read by radiologists with expertise in pediatric nuclear medicine. A decision to shift this responsibility to in-house faculty has prompted creation of a continuing medical education (CME) learning module as part of an institutional comprehensive learning management system (LMS). The goal of this module is to train faculty, fellows and residents in the indications, protocols, diagnostic criteria, potential pitfalls and problem-solving techniques when reading emergent pediatric nuclear medicine exams. The purpose of this study is to better understand the volume of nuclear medicine cases on-call and the potential need for a dedicated pediatric nuclear medicine curriculum. Read More

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

Authors: Gillman Jennifer, Reid Janet, Servaes Sabah, Zhuang Hongming, States Lisa

Keywords: Education

There is little data describing imaging sedation and anesthesia practice patterns in pediatric radiology. The purpose of this study was to understand current imaging sedation and anesthesia practice patterns based on a survey of member institutions of the Society of Chairs of Radiology at Children’s Hospitals (SCORCH) in conjunction with the American College of Radiology’s Pediatric Imaging Sedation and Anesthesia Committee. Read More

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

Authors: Dillman Jonathan, Gee Michael, Ward Christopher, Drum Elizabeth, Servaes Sabah, Jaimes Camilo, States Lisa

Keywords: Imaging, Anesthesia, Sedation

The use of feed and swaddle (FS) technique in infants has increased in popularity due to the concern for neurotoxicity from medications used for anesthesia or sedation. The purpose for evaluating the age group < 6 months of age was to understand current imaging sedation and anesthesia practice patterns based on a survey of member institutions of the Society of Chairs of Radiology at Children’s Hospitals (SCORCH) in conjunction with the American College of Radiology’s Pediatric Imaging Sedation and Anesthesia Committee. Read More

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

Authors: States Lisa, Gee Michael, Servaes Sabah, Jaimes Camilo, Ward Christopher, Drum Elizabeth, Dillman Jonathan

Keywords: Feed and Swaddle, sedation, anesthesia

With advances in intensive care, increasing numbers of premature neonates with severe respiratory distress have led to major challenges related to prolonged mechanical ventilation and chronic bronchopulmonary dysplasia. Acute lung injury and acute respiratory distress syndrome in children still confer significant morbidity and mortality despite advances in ventilation and resuscitative therapies. Much of the damage attributed to mechanical ventilation in critically ill infants and children is due to surface tension and ventilation of atelectatic lung. First reported clinically in neonates in 1989, partial liquid ventilation involves the endotracheal administration of an inert volatile perfluorochemical liquid. These perfluorocarbons aid in gas exchange due to their large oxygen and carbon dioxide carrying capacity. In addition, these chemicals possess low surface tension that allows for greater alveolar recruitment and improved lung compliance through clearance of debris and secretions. Early trials in preterm neonates and neonates with congenital diaphragmatic hernia suggested a role for liquid ventilation as salvage therapy for patients not responding to conventional mechanical ventilation and extracorporeal membrane oxygenation. Currently, efforts are underway to reassess its clinical utility in bronchopulmonary dysplasia. With this renewed clinical interest, it is important for pediatric radiologists at institutions utilizing these perfluorocarbons to be familiar with the clinical use and radiographic appearance of liquid ventilation. Read More

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

Authors: Degnan Andrew, Biko David, White Ammie, Servaes Sabah, Otero Hansel, Fox William, Shaffer Thomas, Zhang Huayan, Saul David

Keywords: liquid ventilation, chest radiographs

<b>Pediatric radiology focuses on appropriate and safe diagnostic imaging and intervention in children of all ages. In Ethiopia, a sub-Saharan developing country in East Africa, almost 60% of the population is in the pediatric age group. In the main referral general hospital of the country children make up 48% of the patient population. Currently, there is no pediatric radiologist in the country. The aim of this presentation is to describe the undertakings of the International Outreach in Pediatric Radiology Education Program in Ethiopia of the Department of Radiology, The Children’s Hospital of Philadelphia (CHOP), which is aiming to improve the existing situation. This program is carried out under the auspices of the World Federation of Pediatric Imaging (WFPI).</b> Read More

Meeting name: IPR 2016 Conjoint Meeting & Exhibition , 2016

Authors: Darge Kassa, Tomlinson Chris, Debebe Tequam, Gorfu Yocabel, Zewdneh Daniel, Bedane Alemayehu, Kebede Tesfaye, Renjen Pooja, Boechat Ines, Dehaye Amanda, Reid Janet, Cahill Anne Marie, Jaramillo Diego, Keller Marc, Mahboubi Soroosh, Mong Andrew, Servaes Sabah, Shekdar Karuna, Victoria Teresa

Keywords: Education, Fellowship, International Outreach, Continuing Medical Education, Ethiopia, Africa