It is important for radiologists to recognize and discuss with patients and families the potential risks and clinical manifestations of high Peak Skin Dose. In children undergoing complex Interventional procedures accurate Peak Skin Dose estimates are complicated and time consuming despite reference point doses being available. The availability of the Dose Structure Report (SR) on modern fluoroscopic equipment allows such estimates to be timely and consistent. The process of creating a Peak Skin Dose estimate using a validated radiation data management system (RDMS), capable of collecting detailed acquisition data and modeling will be discussed. Read More

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

Authors: Zhu Xiaowei, Whitaker Jayme, Shellikeri Sphoorti, Cahill Anne Marie

Keywords: Peak Skin Dose Estimation, Interventional fluoroscopic, Radiation Data Management System

The renal artery ostial anatomy, balloon profile, and stent deployment are all challenges of complex procedural RAS planning in children. In such cases there is an increased risk of renal artery rupture secondary to angioplasty requiring placement of a covered stent. This study aims to establish the feasibility of simulating renovascular stent deployment in three 3D printed pediatric patient-specific RAS endovascular phantoms. Read More

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

Authors: Smitthimedhin Anilawan, Silvestro Elizabeth, Shellikeri Sphoorti, Whitaker Jayme, Cahill Anne Marie

Keywords: 3D Printing, Stent, Simulation

Percutaneous interventions are increasingly being performed under MR-guidance due to the absence of ionizing radiation, the ability to visualize target lesion and the capability to monitor real-time treatment effect. Here we outline our experience with developing an interventional MRI (iMRI) service at a pediatric institution. Read More

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

Authors: Shellikeri Sphoorti, Setser Randolph, Acord Michael, Srinivasan Abhay, Vatsky Seth, Escobar Fernando, Whitaker Jayme, Cahill Anne Marie

Keywords: Interventional MRI, MR-guided procedures

Contrast-enhanced ultrasound (CEUS) and shear wave elastography (SWE) have been widely studied in adult thyroid disease. However, evaluation of thyroid nodules using these tools in pediatric patients has yet to be published. We aim to evaluate the feasibility and safety of CEUS and SWE for thyroid nodules in children at the time of cytologic biopsy. Read More

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

Authors: Smitthimedhin Anilawan, Krishnamurthy Ganesh, Sridharan Anush, Poznick Laura, Durand Rachelle, Whitaker Jayme, Escobar Fernando, Bauer Andrew, Cahill Anne Marie

Keywords: CEUS, Elastography, Thyroid