Pediatric RadiologyPub Date : 2025-02-01Epub Date: 2024-11-27DOI: 10.1007/s00247-024-06108-y
Shyam Sunder B Venkatakrishna, Christelle Ackermann, Jelena Curic, Antrea Zouvani, Luis Octavio Tierradentro-Garcia, Savvas Andronikou
{"title":"The thalamus-L-sign in hypoxic-ischemic injury likely reflects secondary circuit injury and is only a feature on delayed magnetic resonance imaging in children with established cerebral palsy: reply to Merhav et al.","authors":"Shyam Sunder B Venkatakrishna, Christelle Ackermann, Jelena Curic, Antrea Zouvani, Luis Octavio Tierradentro-Garcia, Savvas Andronikou","doi":"10.1007/s00247-024-06108-y","DOIUrl":"10.1007/s00247-024-06108-y","url":null,"abstract":"","PeriodicalId":19755,"journal":{"name":"Pediatric Radiology","volume":" ","pages":"365-366"},"PeriodicalIF":2.1,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142731399","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}
Pediatric RadiologyPub Date : 2025-02-01Epub Date: 2024-12-20DOI: 10.1007/s00247-024-06110-4
Kylie Calderon, Aparna Sodhi, Ethan M I Johnson, Michael Markl, Joshua D Robinson, Cynthia K Rigsby
{"title":"Hemodynamic evaluation of the pulmonary arteries and aorta using 4D flow cardiac MRI in children and young adults with dextro-transposition of the great arteries after the arterial switch operation.","authors":"Kylie Calderon, Aparna Sodhi, Ethan M I Johnson, Michael Markl, Joshua D Robinson, Cynthia K Rigsby","doi":"10.1007/s00247-024-06110-4","DOIUrl":"10.1007/s00247-024-06110-4","url":null,"abstract":"<p><strong>Background: </strong>Pulmonary artery stenosis, neoaortic dilatation, and neoaortic valve insufficiency are among the most frequent complications of the arterial switch operation for repair of dextro-transposition of the great arteries (d-TGA). It remains difficult to predict which patients will require great arterial reintervention.</p><p><strong>Objective: </strong>We aimed to characterize hemodynamics within the great arteries using 4D flow MRI in patients with d-TGA after the arterial switch operation.</p><p><strong>Materials and methods: </strong>Patients with d-TGA after the arterial switch operation and controls with normal cardiac anatomy who underwent 4D flow MRI between 2012 and 2024 were included in this IRB-approved retrospective cohort study. Controls included patients undergoing MRI for other indications who consented or assented to the addition of a 4D flow sequence, as well as patients who underwent clinically indicated 4D flow MRI and were found to have normal cardiac anatomy and function. Velocity, stasis, kinetic energy, energy loss, wall shear stress, and pulse wave velocity were quantified in the aorta and pulmonary arteries. To compare each parameter between d-TGA patients and controls, unpaired t-tests were used for normally distributed data and Mann-Whitney tests for non-normal data. P < 0.05 was significant.</p><p><strong>Results: </strong>Patients with d-TGA after the arterial switch operation (15.7 years ± 2.4, 2 females) demonstrated significantly higher maximum and mean velocity, maximum and mean kinetic energy, energy loss, and maximum and mean wall shear stress within the pulmonary arteries (P < 0.0001 for all parameters) compared with age-matched controls (15.5 years ± 2.4, 14 females). Aortic maximum (P = 0.001) and mean (P = 0.048) velocity, maximum (P = 0.0008) and mean (P = 0.003) kinetic energy, energy loss (P < 0.0001), maximum wall shear stress in five of six regions (range P < 0.0001 to P = 0.002), and mean wall shear stress in three regions (range P = 0.005 to P = 0.03) were significantly higher in patients with d-TGA after the arterial switch operation patients compared with age-matched controls.</p><p><strong>Conclusion: </strong>Patients with d-TGA after the arterial switch operation demonstrate hemodynamic abnormalities within the great arteries, which may provide insight into the mechanisms underlying postoperative consequences of the arterial switch operation.</p>","PeriodicalId":19755,"journal":{"name":"Pediatric Radiology","volume":" ","pages":"280-296"},"PeriodicalIF":2.1,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142865070","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}
Pediatric RadiologyPub Date : 2025-02-01Epub Date: 2025-01-14DOI: 10.1007/s00247-024-06162-6
Barry S Schifrin, Douglas M Smith, Cyrille Rossant
{"title":"Reply to: Krishnan et al. \"Birth-related subdural hemorrhage in asymptomatic neonates: evolution over time and differentiation from traumatic subdural hemorrhage\".","authors":"Barry S Schifrin, Douglas M Smith, Cyrille Rossant","doi":"10.1007/s00247-024-06162-6","DOIUrl":"10.1007/s00247-024-06162-6","url":null,"abstract":"","PeriodicalId":19755,"journal":{"name":"Pediatric Radiology","volume":" ","pages":"367-368"},"PeriodicalIF":2.1,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142978755","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}
Pediatric RadiologyPub Date : 2025-02-01Epub Date: 2025-01-23DOI: 10.1007/s00247-025-06166-w
Ronja Riese, Simon Veldhoen, Corona Metz, Carolin Scale
{"title":"Metanephric stromal tumor as a rare differential diagnosis of a renal mass in children - a case report.","authors":"Ronja Riese, Simon Veldhoen, Corona Metz, Carolin Scale","doi":"10.1007/s00247-025-06166-w","DOIUrl":"10.1007/s00247-025-06166-w","url":null,"abstract":"<p><p>This report presents the case of a benign metanephric stromal tumor that occurred in the kidney of a 5-year-old boy and in which differentiation from a nephroblastoma was successful. Radiological assessment played the decisive role in this case, as the low initial volume, a high apparent diffusion coefficient, and lack of rapid tumor growth were considered atypical for a nephroblastoma. The boy underwent successful kidney-preserving resection without neoadjuvant chemotherapy, and intraoperative contrast-enhanced ultrasound examination helped to accurately define the tumor margins. The case is reported to provide information on the radiological picture of pediatric metanephric stromal tumor.</p>","PeriodicalId":19755,"journal":{"name":"Pediatric Radiology","volume":" ","pages":"352-355"},"PeriodicalIF":2.1,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11805839/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143024260","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}
Pediatric RadiologyPub Date : 2025-02-01Epub Date: 2024-12-11DOI: 10.1007/s00247-024-06111-3
Stine Bjerrum Runge, Helle Precht, Ib Erik Jensen, Kim Jensen, Tine Abildgaard Johannesen, Malene Roland Vils Pedersen, Nicolaj Lyhne Christensen
{"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}
Pediatric RadiologyPub Date : 2025-02-01Epub Date: 2024-12-07DOI: 10.1007/s00247-024-06109-x
Pradipta Debnath, Jonathan R Dillman, Andrew T Trout
{"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}