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Society for Pediatric Radiology – Poster Archive



Scientific Session II-A: Thoracic

SPR Scientific Papers

Showing 10 Results.

Hook Marcus,  Barrera Ambika,  Biko David,  Dennis Rebecca,  Rapp Jordan

Final Pr. ID: Paper #: 029

Vaping associated pulmonary injury (VAPI) has recently received national attention as an epidemic resulting in cases of significant morbidity and mortality from electronic cigarette use. The purpose is to present the clinical and imaging findings in adolescents with pulmonary symptoms from suspected VAPI. Read More

Authors:  Hook Marcus,  Barrera Ambika,  Biko David,  Dennis Rebecca,  Rapp Jordan

Keywords:  Vaping Lung injury Pneumonia

El-ali Alexander,  Davis James,  Otero Hansel,  Biko David,  Rapp Jordan

Final Pr. ID: Paper #: 030

Dynamic Airway CT (DACT) has risen in popularity in recent years, however, studies of Tracheobronchomalacia (TBM) are hindered by inconsistent definitions which variously rely on airway area, airway diameter, and qualitative measures. We explore the interrater reliability of these measures. Read More

Authors:  El-ali Alexander,  Davis James,  Otero Hansel,  Biko David,  Rapp Jordan

Keywords:  dynamic airway imaging CT tracheobronchomalacia

Orman Gunes,  Sayad Edouard,  Silvacarmona Manuel,  Vogel Tiphanie P.,  Guillerman R

Final Pr. ID: Paper #: 031

The anti-neutrophil cytoplasmic antibody (ANCA)-associated vasculitides (AAV) are a group of autoimmune diseases characterized by vascular inflammation requiring immunosuppressive treatment. Involvement is most common of the kidneys and lungs, although there is a paucity of literature reporting the chest imaging findings in children. Our goal is to describe the salient chest imaging findings of pediatric AAV to promote recognition by radiologists. Read More

Authors:  Orman Gunes,  Sayad Edouard,  Silvacarmona Manuel,  Vogel Tiphanie P.,  Guillerman R

Keywords:  ANCA vasculitides chest CT

Somasundaram Elanchezhian,  Brady Samuel,  Crotty Eric,  Trout Andrew,  Anton Christopher,  Towbin Alexander,  Coley Brian,  Dillman Jonathan

Final Pr. ID: Paper #: 032

At our institution, airway radiographs are routinely checked by the radiologist to ensure diagnostic image quality prior to the technologist completing the examination. These checks interrupt the workflow for both the technologist and radiologist. In this study, we develop and validate a deep learning algorithm to detect non-diagnostic lateral airway radiographs. Read More

Authors:  Somasundaram Elanchezhian,  Brady Samuel,  Crotty Eric,  Trout Andrew,  Anton Christopher,  Towbin Alexander,  Coley Brian,  Dillman Jonathan

Keywords:  Deep learning Airway Xray

Wang Kevin,  Lee Stanley,  Yenduri Naga Jaya,  Farber Harold,  Guillerman R

Final Pr. ID: Paper #: 033

Electronic cigarette (e-cigarette) or vaping product associated lung injury (EVALI) has become epidemic across the United States. To assist in prompt diagnosis, we describe the imaging features of adolescent EVALI. Read More

Authors:  Wang Kevin,  Lee Stanley,  Yenduri Naga Jaya,  Farber Harold,  Guillerman R

Keywords:  Vaping E-cigarette

Deboer Emily,  Deterding Robin,  Lynch David,  Humphries Stephen,  Jacob Joseph,  Devaraj Anand,  Ley-zaporozhan Julia,  Griese Matthias,  Schiwek Marilisa,  Stowasser Susanne,  Clerisme-beaty Emmanuelle

Final Pr. ID: Paper #: 034

Children’s interstitial lung diseases (chILD) comprise a large spectrum of rare diffuse lung disorders, with a subset of patients developing chronic fibrosing lung disease. While imaging criteria for lung fibrosis are established for adults and correlate with prognosis and outcome, there are limited data on imaging for diagnosis, prognosis, and outcomes in children with fibrotic lung disease. To fill this gap, a group of ILD specialists aimed to define the imaging features for diagnosis of lung fibrosis for a forthcoming randomized trial of nintedanib versus placebo in pediatric patients with fibrosing ILD (1199-0337; NCT04093024). Read More

Authors:  Deboer Emily,  Deterding Robin,  Lynch David,  Humphries Stephen,  Jacob Joseph,  Devaraj Anand,  Ley-zaporozhan Julia,  Griese Matthias,  Schiwek Marilisa,  Stowasser Susanne,  Clerisme-beaty Emmanuelle

Keywords:  childhood interstitial lung disease computed tomography fibrosis criteria

Gunatilaka Chamindu,  Bates Alister,  Higano Nara,  Hahn Andrew,  Fain Sean,  Hysinger Erik,  Fleck Robert,  Woods Jason

Final Pr. ID: Paper #: 035



Tracheomalacia (TM) is a common morbidity associated with prematurity and manifests as dynamic collapse of the trachea lumen due to cyclic changes of intrathoracic pressure during breathing. Premature infants often have elevated work of breathing (WOB) related to their distal, small airway and lung abnormalities. The large airway contribution to WOB can be determined using computational fluid dynamics (CFD), which is a well-known technique to calculate the resistance and WOB in the human airway. However, previous studies are based on static airway geometry without motion. Using the novel technique of ultrashort echo time (UTE) magnetic resonance imaging (MRI), the tidal volume and airway motion can be used to create a dynamic model for use in CFD. Our aim is to calculate the estimated WOB in a dynamic trachea with neonatal TM compared with a stable, static trachea.
Read More

Authors:  Gunatilaka Chamindu,  Bates Alister,  Higano Nara,  Hahn Andrew,  Fain Sean,  Hysinger Erik,  Fleck Robert,  Woods Jason

Keywords:  Bronchopulmonary Dysplasia MRI Prematurity

Maier Pia,  Alam Aisha,  Acord Michael,  Cahill Anne Marie,  Vatsky Seth

Final Pr. ID: Paper #: 036

Evaluate patient demographics, current imaging patterns, extent of disease, and tumor types in pediatric patients with mediastinal masses to assist with developing an imaging algorithm to streamline patient care. Read More

Authors:  Maier Pia,  Alam Aisha,  Acord Michael,  Cahill Anne Marie,  Vatsky Seth

Keywords:  Mediastinal Mass Airway

Siegel Marilyn,  Ramirez Giraldo Juan Carlos

Final Pr. ID: Paper #: 037

To develop diagnostic reference ranges (DRRs) for pediatric contrast-enhanced dual-energy CT (DECT) examinations as a function of patient size and radiation output of the CT scanner with comparison to conventional single energy CT (SECT). Read More

Authors:  Siegel Marilyn,  Ramirez Giraldo Juan Carlos

Keywords:  Dual-Energy CT Chest CT Dose Reduction

Hoeksema Peter,  Betz Lisa,  Ledbetter Karyn

Final Pr. ID: Paper #: 038

Small airways disease (SAD) is a common pathology seen in pediatric patients. In suspected cases of SAD/RSV/bronchiolitis, chest radiographs are often ordered to diagnose disease and to rule out other conditions, such as bacterial pneumonia. While SAD and pneumonia have unique radiographic features, the threshold to diagnose such findings may depend on radiologist experience and training background. The purpose of this study is to investigate intra-radiologist precision and accuracy in diagnosing normal, SAD, and bacterial pneumonia on pediatric chest radiography. Read More

Authors:  Hoeksema Peter,  Betz Lisa,  Ledbetter Karyn

Keywords:  Pneumonia

Hoeksema Peter,  Betz Lisa,  Ledbetter Karyn

Final Pr. ID: Paper #: 038

Small airways disease (SAD) is a common pathology seen in pediatric patients. In suspected cases of SAD/RSV/bronchiolitis, chest radiographs are often ordered to diagnose disease and to rule out other conditions, such as bacterial pneumonia. While SAD and pneumonia have unique radiographic features, the threshold to diagnose such findings may depend on radiologist experience and training background. The purpose of this study is to investigate intra-radiologist precision and accuracy in diagnosing normal, SAD, and bacterial pneumonia on pediatric chest radiography. Read More

Authors:  Hoeksema Peter,  Betz Lisa,  Ledbetter Karyn

Keywords:  Pneumonia

Orman Gunes,  Sayad Edouard,  Silvacarmona Manuel,  Vogel Tiphanie P.,  Guillerman R

Final Pr. ID: Paper #: 031

The anti-neutrophil cytoplasmic antibody (ANCA)-associated vasculitides (AAV) are a group of autoimmune diseases characterized by vascular inflammation requiring immunosuppressive treatment. Involvement is most common of the kidneys and lungs, although there is a paucity of literature reporting the chest imaging findings in children. Our goal is to describe the salient chest imaging findings of pediatric AAV to promote recognition by radiologists. Read More

Authors:  Orman Gunes,  Sayad Edouard,  Silvacarmona Manuel,  Vogel Tiphanie P.,  Guillerman R

Keywords:  ANCA vasculitides chest CT

Deboer Emily,  Deterding Robin,  Lynch David,  Humphries Stephen,  Jacob Joseph,  Devaraj Anand,  Ley-zaporozhan Julia,  Griese Matthias,  Schiwek Marilisa,  Stowasser Susanne,  Clerisme-beaty Emmanuelle

Final Pr. ID: Paper #: 034

Children’s interstitial lung diseases (chILD) comprise a large spectrum of rare diffuse lung disorders, with a subset of patients developing chronic fibrosing lung disease. While imaging criteria for lung fibrosis are established for adults and correlate with prognosis and outcome, there are limited data on imaging for diagnosis, prognosis, and outcomes in children with fibrotic lung disease. To fill this gap, a group of ILD specialists aimed to define the imaging features for diagnosis of lung fibrosis for a forthcoming randomized trial of nintedanib versus placebo in pediatric patients with fibrosing ILD (1199-0337; NCT04093024). Read More

Authors:  Deboer Emily,  Deterding Robin,  Lynch David,  Humphries Stephen,  Jacob Joseph,  Devaraj Anand,  Ley-zaporozhan Julia,  Griese Matthias,  Schiwek Marilisa,  Stowasser Susanne,  Clerisme-beaty Emmanuelle

Keywords:  childhood interstitial lung disease computed tomography fibrosis criteria

Hook Marcus,  Barrera Ambika,  Biko David,  Dennis Rebecca,  Rapp Jordan

Final Pr. ID: Paper #: 029

Vaping associated pulmonary injury (VAPI) has recently received national attention as an epidemic resulting in cases of significant morbidity and mortality from electronic cigarette use. The purpose is to present the clinical and imaging findings in adolescents with pulmonary symptoms from suspected VAPI. Read More

Authors:  Hook Marcus,  Barrera Ambika,  Biko David,  Dennis Rebecca,  Rapp Jordan

Keywords:  Vaping Lung injury Pneumonia

Wang Kevin,  Lee Stanley,  Yenduri Naga Jaya,  Farber Harold,  Guillerman R

Final Pr. ID: Paper #: 033

Electronic cigarette (e-cigarette) or vaping product associated lung injury (EVALI) has become epidemic across the United States. To assist in prompt diagnosis, we describe the imaging features of adolescent EVALI. Read More

Authors:  Wang Kevin,  Lee Stanley,  Yenduri Naga Jaya,  Farber Harold,  Guillerman R

Keywords:  Vaping E-cigarette

Siegel Marilyn,  Ramirez Giraldo Juan Carlos

Final Pr. ID: Paper #: 037

To develop diagnostic reference ranges (DRRs) for pediatric contrast-enhanced dual-energy CT (DECT) examinations as a function of patient size and radiation output of the CT scanner with comparison to conventional single energy CT (SECT). Read More

Authors:  Siegel Marilyn,  Ramirez Giraldo Juan Carlos

Keywords:  Dual-Energy CT Chest CT Dose Reduction

Maier Pia,  Alam Aisha,  Acord Michael,  Cahill Anne Marie,  Vatsky Seth

Final Pr. ID: Paper #: 036

Evaluate patient demographics, current imaging patterns, extent of disease, and tumor types in pediatric patients with mediastinal masses to assist with developing an imaging algorithm to streamline patient care. Read More

Authors:  Maier Pia,  Alam Aisha,  Acord Michael,  Cahill Anne Marie,  Vatsky Seth

Keywords:  Mediastinal Mass Airway

El-ali Alexander,  Davis James,  Otero Hansel,  Biko David,  Rapp Jordan

Final Pr. ID: Paper #: 030

Dynamic Airway CT (DACT) has risen in popularity in recent years, however, studies of Tracheobronchomalacia (TBM) are hindered by inconsistent definitions which variously rely on airway area, airway diameter, and qualitative measures. We explore the interrater reliability of these measures. Read More

Authors:  El-ali Alexander,  Davis James,  Otero Hansel,  Biko David,  Rapp Jordan

Keywords:  dynamic airway imaging CT tracheobronchomalacia

Somasundaram Elanchezhian,  Brady Samuel,  Crotty Eric,  Trout Andrew,  Anton Christopher,  Towbin Alexander,  Coley Brian,  Dillman Jonathan

Final Pr. ID: Paper #: 032

At our institution, airway radiographs are routinely checked by the radiologist to ensure diagnostic image quality prior to the technologist completing the examination. These checks interrupt the workflow for both the technologist and radiologist. In this study, we develop and validate a deep learning algorithm to detect non-diagnostic lateral airway radiographs. Read More

Authors:  Somasundaram Elanchezhian,  Brady Samuel,  Crotty Eric,  Trout Andrew,  Anton Christopher,  Towbin Alexander,  Coley Brian,  Dillman Jonathan

Keywords:  Deep learning Airway Xray

Gunatilaka Chamindu,  Bates Alister,  Higano Nara,  Hahn Andrew,  Fain Sean,  Hysinger Erik,  Fleck Robert,  Woods Jason

Final Pr. ID: Paper #: 035



Tracheomalacia (TM) is a common morbidity associated with prematurity and manifests as dynamic collapse of the trachea lumen due to cyclic changes of intrathoracic pressure during breathing. Premature infants often have elevated work of breathing (WOB) related to their distal, small airway and lung abnormalities. The large airway contribution to WOB can be determined using computational fluid dynamics (CFD), which is a well-known technique to calculate the resistance and WOB in the human airway. However, previous studies are based on static airway geometry without motion. Using the novel technique of ultrashort echo time (UTE) magnetic resonance imaging (MRI), the tidal volume and airway motion can be used to create a dynamic model for use in CFD. Our aim is to calculate the estimated WOB in a dynamic trachea with neonatal TM compared with a stable, static trachea.
Read More

Authors:  Gunatilaka Chamindu,  Bates Alister,  Higano Nara,  Hahn Andrew,  Fain Sean,  Hysinger Erik,  Fleck Robert,  Woods Jason

Keywords:  Bronchopulmonary Dysplasia MRI Prematurity