Cielma Tara,  Bandarkar Anjum,  Adeyiga Adebunmi

Final Pr. ID: Poster #: EDU-001 (R)

Background: Infantile hypertrophic pyloric stenosis (IHPS) is a condition affecting young infants in which the circular muscle layer of pylorus becomes thickened, leading to narrowing and elongation of the pyloric channel. The pyloric mucosa becomes redundant and appears hypertrophic. On ultrasound, the thickened pylorus is often seen adjacent to the gallbladder and anteromedial to the right kidney. Infants with IHPS are asymptomatic at birth but, in the first few weeks of life, develop nonbilious forceful vomiting described as “projectile emesis” and present with partial gastric outlet obstruction. Surgical pyloromyotomy is curative.
Standard sonographic criteria include measurement of pyloric muscle >3 mm and elongation of pyloric canal >14 mm. Normal pyloric muscle thickness measures <2 mm. When pyloric muscle thickness measures between 2-3 mm, the exam is called as equivocal or borderline. Factors leading to equivocal exam may include incorrect technique that involves over measuring the pyloric muscle thickness, obliquely oriented section of pylorus and transient pylorospasm.
Purpose: The goals of this exhibit are-
1. To review the sonographic anatomy of normal and abnormal pylorus.
2. To illustrate our technical approach to diagnose IHPS with specific attention on how to accurately measure the muscle thickness and channel length.
3. To describe tips and tricks to minimize equivocal exams. Read More

Authors:  Cielma Tara,  Bandarkar Anjum,  Adeyiga Adebunmi

Keywords:  Infantile hypertrophic pyloric stenosis ,  ultrasound ,  muscularis externa

Brinson Dana,  Butler Nikki

Final Pr. ID: Poster #: EDU-002 (R)

Educating adult learners, while competing with a busy clinical environment, limited staffing, and differences in learning styles can be challenging. To combat these challenges, a delivery format that is memorable, engaging and adaptive is essential to the safety of the environment for patients, visitors and staff. Read More

Authors:  Brinson Dana,  Butler Nikki

Keywords:  Education

Karl Barbara,  Le Judy,  Sammet Christina

Final Pr. ID: Poster #: EDU-003 (R)

To maximize the usage of our dose monitoring system, we will demonstrate different reports and dashboards that can be created to measure staff productivity, resource usage, protocol deviation and dose alerts. We are able to calculate cumulative dose to the patient on exams performed within our network. We will also discuss the electronic protocol book that is available in the dose monitoring program. Read More

Authors:  Karl Barbara,  Le Judy,  Sammet Christina

Keywords:  dose ,  productivity ,  dashboards

Weisel Scott,  Jones Richard,  Palasis Susan

Final Pr. ID: Poster #: EDU-004 (R)

Diffusion Weighted Imaging (DWI) of the spine is used to identify and characterize the spinal cord, and in particular diagnose drop metastases whose subtle appearance may cause them to be missed on conventional imaging. It has also proved useful for characterization of spinal cord lesions. Proper positioning and technique by the technologist are crucial in obtaining images suitable for an accurate assessment of disease. Read More

Authors:  Weisel Scott,  Jones Richard,  Palasis Susan

Keywords:  Diffusion ,  Spine ,  RESOLVE

Chin Nicole,  Weisel Melissa,  Alazraki Adina,  Milla Sarah

Final Pr. ID: Poster #: EDU-005 (R)

Whole body MR imaging is now widely utilized in the diagnosis and staging of pediatric patients with systemic disorders and diseases such as Chronic nonbacterial osteomyelitis (CNO), Neuroblastoma, Langerhans cell histocytosis (LCH) and fever of unknown origin (FUO). This technique allows the radiologist to visualize the entire body thereby, providing information regarding the full extent of disease allowing clinicians to direct the patient’s treatment. As an alternative to CT and Nuclear medicine, MR whole body imaging produces superior results without exposing the patient to ionizing radiation. We present an educational guide to practical positioning of the patient, coil positioning and protocol optimization. Read More

Authors:  Chin Nicole,  Weisel Melissa,  Alazraki Adina,  Milla Sarah

Keywords:  Whole Body Imaging ,  MRI ,  Technologist

Cielma Tara,  Bandarkar Anjum

Final Pr. ID: Poster #: EDU-006 (R)

Background:
Lumbar puncture (LP) is used during the initial work-up of a febrile infant for diagnosis of central nervous system (CNS) abnormalities such as neoplasm, and infectious processes. In children, the L3-L4 and L4-L5 intervertebral space can be used to access the subarachnoid space. Collection of cerebral spinal fluid (CSF) is then tested for any markers of infection. At times, a lumbar puncture may fail and create a leak of CSF and hematoma within the meningeal space.

Purpose:
Through this case series, we will describe normal sonographic anatomy of the spinal canal and effective techniques to best demonstrate epidural hematoma post lumbar puncture. Retrospective review of ultrasound B-mode and cine loop images was performed with respect to the three cases. Typical imaging features include heterogenously echogenic material within the dorsal and ventral epidural space that may move with real-time patient motion. Additionally, the collection of material may compress the thecal sac, obliterating flow of CSF.
High frequency linear sonography of the spinal canal and epidural space after unsuccessful lumbar puncture in experienced hands can adequately demonstrate anatomic detail of the spine and meningeal spaces and identify the epidural hematoma. Ultrasound allows expedited diagnosis of traumatic epidural hematoma after failed lumbar puncture and facilitates ultrasound-guided CSF collection. Read More

Authors:  Cielma Tara,  Bandarkar Anjum

Keywords:  Spine Ultrasound ,  Epidural Hematoma ,  Lumbar Puncture

Poznick Laura,  Morgan Trudy,  Kozak Brandi,  Madara Kate

Final Pr. ID: Poster #: EDU-007 (R)

Contrast enhanced voiding urosonography (ceVUS) is a radiation free, highly sensitive imaging modality for vesicoureteral reflux (VUR) detection and urethral imaging in children. CeVUS uses ultrasound (US) technology in combination with US contrast agent (UCA). The UCA is administered intravesically via a bladder catheter. These are composed of gas-filled microbubbles. This educational exhibit has the aim to describe the procedure and imaging in ceVUS from the sonographers’ perspective.
Read More

Authors:  Poznick Laura,  Morgan Trudy,  Kozak Brandi,  Madara Kate

Keywords:  Ultrasound ,  Contrast ,  ceVUS

Raymer Trista,  Jones Richard,  Grattan-smith Damien

Final Pr. ID: Poster #: EDU-008 (R)

MRI safety guidelines are established by the American College of Radiology. Maintaining these strict guidelines in the intra-operative environment presents unique challenges. The purpose of this submission is to outline and explain the additional safety measures required when using an IMRI in which the scanner moves in and out of the operating room.
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Authors:  Raymer Trista,  Jones Richard,  Grattan-smith Damien

Keywords:  MRI Safety ,  IMRI

Poznick Laura,  Morgan Trudy,  Kozak Brandi,  Madara Kate

Final Pr. ID: Poster #: EDU-009 (R)

Contrast enhanced ultrasonography (CEUS) is a radiation free, highly sensitive imaging modality for pathology detection in children. CEUS uses ultrasound (US) technology in combination with US contrast agent (UCA). The UCA is administered intravenously via an IV catheter. The UCA is composed of gas-filled microbubbles. This educational exhibit has the aim to describe the procedure and imaging in CEUS from the sonographers’ perspective.
Read More

Authors:  Poznick Laura,  Morgan Trudy,  Kozak Brandi,  Madara Kate

Keywords:  Ultrasound ,  Contrast ,  CEUS

Elliott Lauren,  Alazraki Adina,  Milla Sarah

Final Pr. ID: Poster #: EDU-010 (R)

Fetal MRI is a unique method which allows clinicians to diagnose or exclude abnormalities during pregnancy. MR images are acquired when details from an ultrasound may not be sufficient to make a complete prenatal diagnosis or when there are concerns for additional findings. This method of imaging is optimal due to the diagnostic quality of the images and the absence of ionizing radiation. We present an educational exhibit to discuss the methodology in performing a fetal MRI as well as demonstrating common findings in fetal MRI. Read More

Authors:  Elliott Lauren,  Alazraki Adina,  Milla Sarah

Keywords:  Fetal ,  MRI ,  Technologist

Gandor Patricia

Final Pr. ID: Poster #: EDU-011 (R)

A nine year old female presents to the emergency room with midline forehead soft tissue swelling. One month prior she experienced a period of identical swelling without any other associated event. After three days, the swelling spontaneously resolved. She continued to be asymptomatic until the morning of this admission when she woke up with swelling in the same location as one month prior. She again denied any other symptoms. Read More

Authors:  Gandor Patricia

Keywords:  Osteomyelitis ,  Pott's Puffy Tumor