Sher Andrew,  Hayatghaibi Shireen,  Kan J.,  Sammer Marla

Final Pr. ID: Paper #: 077

To analyze the effect of point-of-care ACR-clinical decision support (CDS) software embedded in the electronic health records (EHR) on CT ordering patterns in a quaternary care pediatric emergency center (EC). Read More

Authors:  Sher Andrew,  Hayatghaibi Shireen,  Kan J.,  Sammer Marla

Keywords:  decision support ,  pediatric ,  informatics

Sher Andrew,  Hayatghaibi Shireen,  Sammer Marla

Final Pr. ID: Paper #: 078

The purpose of this study is to share our experience implementing a clinical decision support (CDS) solution for imaging at a quaternary care pediatric academic hospital. Read More

Authors:  Sher Andrew,  Hayatghaibi Shireen,  Sammer Marla

Keywords:  decision support ,  pediatric ,  informatics

Afonya Boma,  Kandil Ali,  Mahmoud Mohamed,  Das Bobby,  Fleck Robert

Final Pr. ID: Paper #: 079

Administering oral contrast less than two hours before sedation/anesthesia is often needed for computed tomography (CT) studies of the abdomen in children, but violates the American Society of Anesthesiologists (ASA) nothing-by-mouth guidelines and may increase the risk of aspiration pneumonia. ASA guidelines are based on gastric aspiration. Oral contrast is best administered 1 hour prior to imaging for optimal abdominal CT evaluation. The aim of our study was to measure residual gastric fluid volume (RGV) by CT and with manual aspiration in subjects undergoing general anesthesia (GA) less than 2 hours after oral contrast. Read More

Authors:  Afonya Boma,  Kandil Ali,  Mahmoud Mohamed,  Das Bobby,  Fleck Robert

Keywords:  Anesthesia ,  Enteric Contrast ,  Safety

Kring Donna,  Suman Garima,  Morrison Jessica,  Krishnamurthy Rajesh

Final Pr. ID: Paper #: 080

To report a single institutional experience with intravenous iodinated contrast extravasations (ICE) occurring during CT at a free-standing academic pediatric medical center. Read More

Authors:  Kring Donna,  Suman Garima,  Morrison Jessica,  Krishnamurthy Rajesh

Keywords:  extravasation ,  pediatrics ,  contrast

Hayatghaibi Shireen,  Sher Andrew,  Varghese Varsha,  Sammer Marla,  Bales Brandy,  Cano Melissa,  Nguyen Haithuy

Final Pr. ID: Paper #: 081

While a definitive conclusion regarding the optimal diagnostic strategy for midgut volvulus remains elusive, value can also be derived from cost. The purpose is to quantify and compare the monetary and time costs, from a provider perspective of imaging with Upper GI (UGI) versus Ultrasound (US) of children with suspected midgut volvulus. Read More

Authors:  Hayatghaibi Shireen,  Sher Andrew,  Varghese Varsha,  Sammer Marla,  Bales Brandy,  Cano Melissa,  Nguyen Haithuy

Keywords:  cost ,  volvulus ,  value

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

Final Pr. ID: Paper #: 082

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

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

Keywords:  Imaging ,  Anesthesia ,  Sedation

Mcenneny Jamie,  Morrison Jessica,  Mesi Erin,  Young Cody,  Martin Lisa

Final Pr. ID: Paper #: 083

Repeat imaging is often a result of unnecessary errors in 1 or more diagnostic categories. To minimize the number of Head and Abdominal CTs with suboptimal diagnostic quality, we set out to create a standardized list of criteria that assess the quality of the study. This list of standards and evaluation criteria successfully provided the technologists knowledge and insight into what our radiologists require to diagnose our pediatric patients. Read More

Authors:  Mcenneny Jamie,  Morrison Jessica,  Mesi Erin,  Young Cody,  Martin Lisa

Keywords:  QA ,  technologist

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

Final Pr. ID: Paper #: 084

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

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

Keywords:  Feed and Swaddle ,  sedation ,  anesthesia

Stanescu Arta,  Maloney Ezekiel,  Shaw Dennis

Final Pr. ID: Paper #: 085

The long term effects of retained Gadolinium (Gd) are still under investigation, but may be of greater concern in pediatric patients.
So far several factors that appear to influence Gd retention have been described. The chemical structure of the Gadolinium based contrast agents (GBCA) plays an important role, with linear agents showing greater deposition compared with macrocyclics, attributed to lower chelate affinity. Differences in GBCA washout may also play a role.
In this study we investigated and quantified the presence of Gd bone deposits in pediatric patients receiving GBCA as well as in controls with no known exposure. Read More

Authors:  Stanescu Arta,  Maloney Ezekiel,  Shaw Dennis

Keywords:  Gadolinium ,  Deposition ,  bone

Shah Summit,  Krishnamurthy Ramkumar,  Wang Ling,  Krishnamurthy Rajesh

Final Pr. ID: Paper #: 086

To evaluate patterns of advanced imaging utilization and associated costs over an 8-year period in one of the largest pediatric Accountable Care Organizations (ACO) in the US covering over 300,000 children. Read More

Authors:  Shah Summit,  Krishnamurthy Ramkumar,  Wang Ling,  Krishnamurthy Rajesh

Keywords:  Utilization ,  Cost ,  Radiation

Sher Andrew,  Hayatghaibi Shireen,  Kan J.,  Sammer Marla

Final Pr. ID: Paper #: 087

At our children’s hospital, we deployed clinical decision support (CDS) software to support appropriate use of imaging. The software is primarily based on ACR appropriateness criteria. To determine if by using CDS, lower rates of payer claim denials could be expected, we evaluated rates of payer claim denials based on CDS score prior to CDS go-live. Read More

Authors:  Sher Andrew,  Hayatghaibi Shireen,  Kan J.,  Sammer Marla

Keywords:  CT

Sammer Marla,  Kan J.,  Donnelly Lane

Final Pr. ID: Paper #: 088

To evaluate the peer collaborative improvement (PCI) process used in our pediatric radiology department since January 2016, differences in sequential surveys and temporal change in types of submissions were assessed. Read More

Authors:  Sammer Marla,  Kan J.,  Donnelly Lane

Keywords:  Peer Learning ,  Survey