Pediatric Radiology最新文献

{"title":"Children Centered Care: child and parent perspectives on a multi-faceted concept for magnetic resonance imaging without anesthesia - a survey.","authors":"Stine Bjerrum Runge, Helle Precht, Ib Erik Jensen, Kim Jensen, Tine Abildgaard Johannesen, Malene Roland Vils Pedersen, Nicolaj Lyhne Christensen","doi":"10.1007/s00247-024-06111-3","DOIUrl":"10.1007/s00247-024-06111-3","url":null,"abstract":"<p><strong>Background: </strong>Anxiety-provoking healthcare procedures require specific child-friendly approaches. Magnetic resonance imaging (MRI) can cause anxiety for children and general anesthesia (GA) is often used. We developed and tested a multi-faceted child-friendly concept, Children Centered Care, for MRI of children without GA.</p><p><strong>Objective: </strong>To investigate children's and parents' individual experiences with the concept using a survey. The main aim was to evaluate comfort for children and sense of security for parents during unsedated MRI.</p><p><strong>Materials and methods: </strong>In this prospective study of 265 children aged 4-10 years enrolled in 2016 and 2017, the Children Centered Care concept is compared to a standard setup. The concept included an interactive app, trained pediatric radiographers, a children's lounge with a toy-scanner, and a child-friendly multimedia environment in the scanner room. A 25-item survey was used including a mix of open and closed questions, free text, and a visual analogue scale to evaluate self-reported child comfort.</p><p><strong>Results: </strong>A total of 154 children were included in the Children Centered Care group and 111 in the standard group. Overall, the mean age was 8.5 years (range 4.0-10.9 years). With Children Centered Care, child comfort increased (88% vs. 77%), P = 0.02. The app and toy-scanner were popular among children. More parents felt \"very much\" prepared (80% vs. 57%), P < 0.01, and \"very much\" secure (92% vs. 79%), P < 0.01.</p><p><strong>Conclusion: </strong>With the use of a multi-faceted, child-friendly concept, MRI without GA is a feasible first choice for children aged 4-10 years, with high levels of comfort for children and parents.</p>","PeriodicalId":19755,"journal":{"name":"Pediatric Radiology","volume":" ","pages":"334-346"},"PeriodicalIF":2.1,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11805776/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142807601","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Chest radiographic finding of intact pulmonary hydatid cyst: Escudero-Nemerow sign.","authors":"Yener Aydin, Hayri Ogul","doi":"10.1007/s00247-024-06130-0","DOIUrl":"10.1007/s00247-024-06130-0","url":null,"abstract":"","PeriodicalId":19755,"journal":{"name":"Pediatric Radiology","volume":" ","pages":"358"},"PeriodicalIF":2.1,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142792120","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"State of original pediatric radiology research in major radiology journals other than Pediatric Radiology.","authors":"Pradipta Debnath, Jonathan R Dillman, Andrew T Trout","doi":"10.1007/s00247-024-06109-x","DOIUrl":"10.1007/s00247-024-06109-x","url":null,"abstract":"<p><strong>Background: </strong>Understanding distribution of published pediatric imaging research in radiology journals is relevant to understanding the state of research in the field.</p><p><strong>Objective: </strong>To understand the current state of published original pediatric imaging research in major clinical radiology journals other than Pediatric Radiology.</p><p><strong>Materials and methods: </strong>We reviewed clinical imaging journals from among the top 20 radiology journals according to the Google Scholar h5-index as of June 2024. Content pages were reviewed for the years 2019-2023 to identify pediatric original research. Study titles were reviewed to subclassify by pediatric subspecialty. The number of citations for each pediatric article and for all articles in the journal was documented, and a citation to article ratio was calculated. The Wilcoxon signed-rank test was used to assess differences in citation to article ratio.</p><p><strong>Results: </strong>Nine journals and 636 pediatric articles were included. The fraction of pediatric studies in each journal ranged from 0.9% (12/1,310) to 15.3% (244/1,594) (median 2.2% [88/3,983]). Pediatric neuroimaging studies were the most common (46.4% [295/636] of all pediatric studies, 23.2% [91/392] of pediatric studies in journals other than American Journal of Neuroradiology). The citation to article ratio for pediatric articles ranged from 3.3 to 25.2 across journals. Overall, the citation to article ratio for pediatric studies was not significantly different from non-pediatric studies (P=0.12).</p><p><strong>Conclusion: </strong>Pediatric research makes up a small fraction of original research in major clinical radiology journals, with neuroimaging reflecting the bulk of published work. The average number of citations per pediatric article is similar to that of non-pediatric articles.</p>","PeriodicalId":19755,"journal":{"name":"Pediatric Radiology","volume":" ","pages":"252-258"},"PeriodicalIF":2.1,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142792200","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Assessing the safety and effectiveness of endoscopic ultrasound for pediatric hepato-pancreatico-biliary disorders: a systematic review.","authors":"Omar Alomari, Khaled A Abualkhair, Khaled Saad, Sara Magdy, Janna A Omran, Mahmoud M AlSanafini, Loay A Hassan, Omar Y ElBasatiny, Djihane Machane, Marwan Abdulrahim, Hadeer G Abo-Elmaged, Mohamed Elshaieb, Mohamed Shawky Elfarargy, Amira Elhoufey, Hamad Ghaleb Dailah, Aya H Sayed, Alaa Ismail, Bassel Walid, Mahmoud Hashemy, Ahmed M Afifi, Anas Elgenidy","doi":"10.1007/s00247-024-06159-1","DOIUrl":"10.1007/s00247-024-06159-1","url":null,"abstract":"<p><strong>Background: </strong>Endoscopic ultrasound (US) has been established as a safe diagnostic tool for adults, but its use in children remains underexplored. The rising prevalence of pediatric hepato-pancreato-biliary disorders requires a closer examination of its utility. In this systematic review, we aimed to evaluate the efficacy, safety, and clinical impact of endoscopic US in the pediatric population, concentrating on its diagnostic accuracy and therapeutic applications.</p><p><strong>Methods: </strong>All related clinical studies were identified by searching the Web of Science databases, PubMed (MEDLINE), Scopus, Cochrane, and Embase. Data were extracted from relevant studies using a pre-planned Excel sheet.</p><p><strong>Results: </strong>Twenty-eight studies demonstrated that endoscopic US in children is safe, technically successful, and clinically impactful, offering valuable diagnostic and interventional competencies. Endoscopic US was frequently used for microlithiasis, choledocholithiasis, and pancreaticobiliary anomalies. It reliably outperformed other imaging modalities, effectively reducing the need for more invasive procedures. Endoscopic US had a remarkable clinical impact, with diverse diagnostic yields, highlighting its role in diagnosing and treating children with hepato-pancreato-biliary disorders. The safety profile of endoscopic US in children was excellent, with nominal reported complications.</p><p><strong>Conclusion: </strong>Our comprehensive review underlines the promising application of endoscopic US in pediatric hepato-pancreato-biliary diseases. The endoscopic US demonstrates its diagnostic accuracy and therapeutic potential in children, offering a non-invasive, safe, and efficient approach. As we move forward, addressing the identified limitations and expanding the pediatric-specific research on endoscopic US will enhance our ability to provide precise and patient-centered care in managing pediatric hepato-pancreato-biliary disorders.</p>","PeriodicalId":19755,"journal":{"name":"Pediatric Radiology","volume":" ","pages":"215-225"},"PeriodicalIF":2.1,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143009431","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Shark Tank: behind the scenes.","authors":"Raymond Sze, Sherwin Chan, Heike Daldrup-Link, Thierry A G M Huisman, Janet Reid, Jessica Whalen, Kassa Darge","doi":"10.1007/s00247-024-06128-8","DOIUrl":"https://doi.org/10.1007/s00247-024-06128-8","url":null,"abstract":"","PeriodicalId":19755,"journal":{"name":"Pediatric Radiology","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143059971","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Complex lymphatic anomalies.","authors":"Dana Alkhulaifat, Karen I Ramirez-Suarez, Hansel J Otero, Jordan B Rapp, Abhay S Srinivasan, Christopher L Smith, David M Biko","doi":"10.1007/s00247-025-06167-9","DOIUrl":"https://doi.org/10.1007/s00247-025-06167-9","url":null,"abstract":"<p><p>Complex lymphatic anomalies are unique diseases marked by abnormal lymphatic vessel development and growth. Imaging is crucial in the evaluation and management of complex lymphatic anomalies, with dynamic contrast-enhanced MR lymphangiography emerging as a valuable modality for visualizing abnormal lymphatic structures and informing treatment decisions. This article gives an overview of complex lymphatic anomalies and their management strategies, focusing specifically on generalized lymphatic anomaly, Gorham-Stout disease, Kaposiform lymphangiomatosis, and central conducting lymphatic anomalies. Simple lymphatic diseases are beyond the scope of this review.</p>","PeriodicalId":19755,"journal":{"name":"Pediatric Radiology","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143033926","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Imaging paediatric bone marrow in immunocompromised patients.","authors":"Sara I Sirvent Cerdá, Inés Solís Muñiz, Elena García Esparza","doi":"10.1007/s00247-024-06153-7","DOIUrl":"https://doi.org/10.1007/s00247-024-06153-7","url":null,"abstract":"<p><p>The bone marrow of immunocompromised patients may exhibit abnormalities due to the underlying disease, adverse treatment effects, and/or complications arising from either source. Such complexity poses a significant diagnostic challenge, particularly in children. Magnetic resonance imaging (MRI) is the modality of choice when evaluating bone marrow in these patients. The high soft tissue contrast of MRI studies allows for detailed evaluation of bone marrow composition, including fat content, cellularity, and vascularisation. During the early years of life, bone marrow undergoes physiological maturation manifesting as a wide range of MRI findings. Understanding the most common MRI features during this phase of development is essential. However, it is equally critical to recognise physiological variations that can mimic pathological changes, as distinguishing between variations and truly pathological abnormalities is crucial for accurate diagnosis and management. This article reviews normal bone marrow and its variations during childhood, as well as the most common alterations presenting in immunocompromised patients.</p>","PeriodicalId":19755,"journal":{"name":"Pediatric Radiology","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143024258","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Spleen stiffness in a healthy pediatric population undergoing liver magnetic resonance elastography.","authors":"Suraj D Serai, Alexandra Glenn, Andrew T Trout, Wondwossen T Lerebo, Michael S Gee, Geetika Khanna, Sudha A Anupindi","doi":"10.1007/s00247-024-06107-z","DOIUrl":"https://doi.org/10.1007/s00247-024-06107-z","url":null,"abstract":"<p><strong>Background: </strong>Splenic stiffness is a potential imaging marker of portal hypertension. Normative spleen stiffness values are needed to define diagnostic thresholds.</p><p><strong>Objective: </strong>To report stiffness measurements of the spleen in healthy children undergoing liver magnetic resonance (MR) elastography across MRI vendors and field strengths.</p><p><strong>Materials and methods: </strong>This was a post-hoc analysis of data collected under a prospective multicenter cross-sectional study. Volunteers aged 7-17.9 years without a known history of liver or spleen disease were recruited for a research MRI between February 2018 and October 2019. Gradient recalled echo (GRE) or spin-echo-echo-planar imaging (SE-EPI) MR elastography was performed on a total of three vendor platforms and at two field strengths (1.5 T (T) and 3 T) with standard right upper quadrant passive driver placement (frequency of 60 Hz). Two independent reviewers measured spleen stiffness, length, and volume. Descriptive statistics, independent sample t-tests or Mann-Whitney test, and Pearson's or Spearman's correlation were used.</p><p><strong>Results: </strong>From 101 study volunteers, 72 (34 female) had measurable splenic stiffness. Median age was 12 years (interquartile range [IQR], 9.9-14.9 years). Mean (± SD) spleen stiffness was 4.7 ± 0.9 kPa (IQR, 3.8-5.4 kPa) with 6.1 kPa reflecting the 95th percentile. Strong correlation was observed between reviewers (ICC = 0.89 [95%CI, 0.71-0.93; P < 0.001]). Male volunteers had slightly higher splenic stiffness compared to females: 4.9 ± 0.9 vs. 4.3 ± 0.8 kPa (P = 0.014). There was significant correlation between spleen stiffness and body mass index (r = 0.33 [95%CI, 0.06-0.56; P = 0.024]) but no other measure of patient size (r = 0.15-0.29). No significant difference in spleen stiffness was observed across vendors (P = 0.089) or field strengths (P = 0.236).</p><p><strong>Conclusion: </strong>MR elastography-based spleen stiffness, measured as part of a liver MR elastography acquisition, is < 6.1 kPa in a healthy pediatric population and does not vary with MRI vendor or field strength.</p>","PeriodicalId":19755,"journal":{"name":"Pediatric Radiology","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-01-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143009440","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Diagnostic imaging of Bacillus cereus brain infection in newborns.","authors":"Benjamin Feferman, Valentina Fernandez, Elsa Tavernier, Julie Fuseau, Catherine Sembély-Taveau, Ronan Boennec, Agathe Cremades, Zoha Maakaroun-Vermesse, Christelle Follet, Delphine Mitanchez, Philippe Lanotte, Cécile Le Brun, Laurent Brunereau, Laurent Mereghetti, Baptiste Morel","doi":"10.1007/s00247-025-06169-7","DOIUrl":"https://doi.org/10.1007/s00247-025-06169-7","url":null,"abstract":"<p><strong>Background: </strong>Cerebral infection with the opportunistic pathogen Bacillus cereus can lead to severe lesions, especially in premature newborns. Early diagnosis would be highly beneficial. The aim of this study was to describe the imaging findings associated with B. cereus infections.</p><p><strong>Materials and methods: </strong>We included all newborns with a positive B. cereus blood culture and transfontanellar ultrasound between 2012 and 2022 at the Tours University Hospital. Imaging was assessed by both a junior and a senior radiologist to differentiate between hemorrhages, leukomalacia, and lesions attributed to B. cereus.</p><p><strong>Results: </strong>Nineteen patients were enrolled (12 girls), of whom 18 were premature. Three patients did not survive. Six patients had normal ultrasound and brain magnetic resonance imaging (MRI) scans. Thirteen patients had ultrasound-detected lesions: 7 hemorrhages, 1 case of leukomalacia, 1 focal ischemic lesion, and 5 lesions attributed to B. cereus. The B. cereus lesions appeared as irregular (5/5), bilateral (4/5), asymmetric (5/5), and hyperechoic patches in the subcortical white matter. They were extensive, asynchronous, and rapidly progressive over a few days (central necrosis with peripheral enhancement, referred to as the \"bear scratch sign\"), while respecting the cortex and basal ganglia.</p><p><strong>Conclusion: </strong>The presence of rapidly evolving white matter lesions should raise suspicion of B. cereus infection in newborns' brains. Imaging plays a crucial role in estimating the progression of this pathology.</p>","PeriodicalId":19755,"journal":{"name":"Pediatric Radiology","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-01-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143009434","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Twenty years of the SPR Cardiac Imaging Course.","authors":"Taylor Chung, Gordon Culham, Shi-Joon Yoo","doi":"10.1007/s00247-024-06122-0","DOIUrl":"https://doi.org/10.1007/s00247-024-06122-0","url":null,"abstract":"","PeriodicalId":19755,"journal":{"name":"Pediatric Radiology","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-01-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143007844","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}