Pediatric Radiology最新文献

{"title":"Quantitative ultrasound-derived fat fraction for identifying pediatric patients with metabolic dysfunction-associated steatotic liver disease: a prospective study.","authors":"Yunlin Huang, Chao Sun, Juan Cheng, Ying Wang, Yijie Qiu, Shiwen Wang, Ming Wang, Li Wei, Rui Cheng, Jian-Gao Fan, Yi Dong","doi":"10.1007/s00247-025-06349-5","DOIUrl":"https://doi.org/10.1007/s00247-025-06349-5","url":null,"abstract":"<p><strong>Background: </strong>Metabolic dysfunction-associated steatotic liver disease is increasingly affecting younger populations. Ultrasound-derived fat fraction is a technique used in ultrasound to quantify liver fat content. The diagnostic performance of ultrasound-derived fat fraction in pediatric patients with metabolic dysfunction-associated steatotic liver disease is yet to be evaluated.</p><p><strong>Objective: </strong>To evaluate the diagnostic performance of ultrasound-derived fat fraction measurement in detecting and grading hepatic steatosis in pediatric patients with metabolic dysfunction-associated steatotic liver disease.</p><p><strong>Materials and methods: </strong>In this prospective study, pediatric patients diagnosed with metabolic dysfunction-associated steatotic liver disease were enrolled. Six acquisitions of ultrasound-derived fat fraction were obtained. Taking magnetic resonance imaging (MRI)-proton density fat fraction as a reference standard, the area under the receiver operating characteristic curve (AUC) was performed to evaluate the diagnostic performance of ultrasound-derived fat fraction. Youden index was used to determine the cutoff value of ultrasound-derived fat fraction. Correlation coefficient and Bland-Altman plot were performed.</p><p><strong>Results: </strong>From April 2024 to March 2025, 32 patients (median age, 12 years; median body mass index, 29.7 kg/m²) were included. The ultrasound-derived fat fraction values showed a positive correlation with MRI-proton density fat fraction (r = 0.72). The ultrasound-derived fat fraction values and MRI-proton density fat fraction had a mean bias of 3.3% (95% limits of agreement: -16.4, 23.1). Using MRI-proton density fat fractions ≥ 5%, ≥ 15%, and ≥ 25% as the reference standard for diagnosing hepatic steatosis grade ≥ S1, ≥ S2, and S3, the AUCs of ultrasound-derived fat fraction were 0.84, 0.88, and 0.88, with the cutoff values of 9.5%, 10.5%, and 12.8%, respectively.</p><p><strong>Conclusion: </strong>Ultrasound-derived fat fraction demonstrates promising diagnostic performance for detecting and grading hepatic steatosis in pediatric patients with metabolic dysfunction-associated steatotic liver disease within this cohort.</p>","PeriodicalId":19755,"journal":{"name":"Pediatric Radiology","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144760753","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":"Pediatric tonsillar pathology: a comprehensive ultrasonographic approach.","authors":"Eleni Koutrouveli, Athina Panagiotopoulou, Rodanthi Sfakiotaki, Dimitra Boviatsi, Valentinos Sofokleous, Anna Chountala, Panagiota Giamarelou, Marina Vakaki","doi":"10.1007/s00247-025-06322-2","DOIUrl":"10.1007/s00247-025-06322-2","url":null,"abstract":"<p><p>Palatine tonsils are part of the Waldeyer's ring and consist of lymphoid tissue. As a first-line immune system mechanism, they act against entering pathogens. They recognize and initiate an immune response to exogenous antigens. Tonsillar disease in children, particularly inflammatory conditions, is well known in the medical community. Inflammatory diseases include conditions such as tonsillitis and peritonsillar cellulitis and other more complicated diseases such as intratonsillar abscess, peritonsillar abscess, and parapharyngeal abscess. Their treatment varies, with more severe cases often requiring intervention when antibiotic therapy is insufficient. Prompt differential diagnosis should be performed to prevent the misdiagnosis of life-threatening conditions, including neoplastic disease, which may present with clinical and imaging findings mimicking an inflammatory process. An intraoral or transcutaneous ultrasonographic approach in such patients can help differentiate cases that eventually require intervention, without the risk of ionizing radiation. This article aims to analyze the ultrasound findings of normal tonsillar tissue and to categorize abnormal findings indicative of tonsillar disease.</p>","PeriodicalId":19755,"journal":{"name":"Pediatric Radiology","volume":" ","pages":"1783-1797"},"PeriodicalIF":2.3,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144584494","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":"Temporary transvenous external pacing for cardiac MRI in a pediatric patient.","authors":"Mehrad Rokni, Shotaro Naganawa, Misagh Piran, Daniel Cortez, Ahmadreza Ghasemiesfe","doi":"10.1007/s00247-025-06325-z","DOIUrl":"https://doi.org/10.1007/s00247-025-06325-z","url":null,"abstract":"<p><p>This report discusses the use of temporary transvenous external cardiac pacing during cardiac magnetic resonance imaging (MRI). Despite its feasibility having been explored in adults, its application in pediatric patients is not well established. We present a case of a 6-year-old female with a high-degree atrioventricular (AV) block managed with an externalized temporary pacing system for MRI. This system enabled cardiac MRI for further treatment planning, eliminating the immediate need for permanent pacemaker implantation. This case underscores the feasibility of conducting cardiac MRI in pediatric patients requiring temporary pacing, contingent upon the utilization of appropriate equipment and protocols.</p>","PeriodicalId":19755,"journal":{"name":"Pediatric Radiology","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144753971","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":"Bidimensional shear wave spleen elastography for diagnosis and grading of esophageal varices in children with portal hypertension.","authors":"Cecilia Mackintosh, Julio Sebastian Kaplan, Alejandra Yanet Prati, Silvina Denise Ruvinsky, Macarena Roel, Adriana Bottero, Esteban Pablo Dardanelli","doi":"10.1007/s00247-025-06351-x","DOIUrl":"https://doi.org/10.1007/s00247-025-06351-x","url":null,"abstract":"<p><strong>Background: </strong>Portal hypertension in children can result from a wide range of liver diseases, both cirrhotic and non-cirrhotic. Non-invasive diagnosis of esophageal varices, a potentially life-threatening complication, is of utmost importance in these patients.</p><p><strong>Objective: </strong>To assess the agreement between spleen stiffness by bidimensional shear wave elastography (2D SWE) and endoscopic findings (presence and grading of esophageal varices) in pediatric patients with portal hypertension.</p><p><strong>Materials and methods: </strong>Single-center retrospective observational study between February 2021 and August 2024. Data from pediatric patients (< 18 years old) who underwent esophagogastroduodenoscopy within a month of a grayscale ultrasound including spleen elastography were collected. Patients were divided into three groups: varices-free, low-risk varices, and high-risk varices (enlarged tortuous varices with red color sign, or large size varices). The area under the receiver operating characteristic curve (AUROC), positive predictive value (PPV), and negative predictive value (NPV) were estimated.</p><p><strong>Results: </strong>We included 163 patients (86 males, 77 females; median age: 9 years (interquartile range (IQR) 6-13 years)). The sample included 80 varices-free (49%), 38 low-risk varices (23%), and 45 high-risk varices (28%) cases. The median spleen elastography was 20 kPa (2.58 m/s), 34 kPa (3.36 m/s), and 40 kPa (3.65 m/s) in the varices-free, low-risk, and high-risk varices groups, respectively. When a cut-off value of 28.5 kPa (3.08 m/s) was used to detect varices of any grade, the sensitivity was 93% (95% confidence interval: 85-97), the specificity was 94% (86-98), PPV 94% (86-98), and NPV 93% (85-97). An AUROC of 0.93 (0.90-0.98) was obtained. When comparing the high versus low-risk varices groups, using a cut-off point of 35.35 kPa (3.43 m/s), we obtained an AUROC of 0.66, with a sensitivity of 71%, specificity of 61%, PPV 68%, and NPV of 64%.</p><p><strong>Conclusion: </strong>Spleen stiffness by bidimensional shear wave elastography showed excellent diagnostic performance for detecting esophageal varices in children with portal hypertension and a moderate performance for distinguishing patients with low-risk varices from those with high-risk varices.</p>","PeriodicalId":19755,"journal":{"name":"Pediatric Radiology","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144743851","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":"Developmental dysplasia of the hip: ultrasound evaluation.","authors":"Jillian Krauss, Marcelo Straus Takahashi, Jonathan Samet","doi":"10.1007/s00247-025-06334-y","DOIUrl":"https://doi.org/10.1007/s00247-025-06334-y","url":null,"abstract":"<p><p>Developmental dysplasia of the hip (DDH) is a commonly encountered pathology in everyday pediatric radiology practice. Early detection of the condition and early institution of therapy are crucial in optimizing patient outcomes and preventing long-term morbidity. Ultrasound is the imaging modality of choice in evaluating DDH in patients less than 4 months of age and is also used to evaluate infants undergoing treatment with an abduction device to monitor therapy response. This article will begin with a general review of DDH, including the underlying pathophysiology of the condition and which patients meet screening criteria for developmental hip dysplasia ultrasound assessment. The paper will then describe the ultrasound techniques utilized in screening for DDH and how to apply the Graf classification system to determine if a hip is normal or dysplastic, as well as how to grade the severity of dysplasia. Finally, the paper will address specialized ultrasound techniques used to follow patients undergoing treatment with an abduction device to monitor therapy response.</p>","PeriodicalId":19755,"journal":{"name":"Pediatric Radiology","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144732634","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":"Development and validation of a cranial ultrasound imaging-based deep learning model for periventricular-intraventricular haemorrhage detection and grading: a two-centre study.","authors":"Yahui Peng, Zhensheng Hu, Mianmian Wen, Yishu Deng, Dan Zhao, Yuwei Yu, Weixiang Liang, Xianhua Dai, Yi Wang","doi":"10.1007/s00247-025-06327-x","DOIUrl":"https://doi.org/10.1007/s00247-025-06327-x","url":null,"abstract":"<p><strong>Background: </strong>Periventricular-intraventricular haemorrhage (IVH) is the most prevalent type of neonatal intracranial haemorrhage. It is especially threatening to preterm infants, in whom it is associated with significant morbidity and mortality. Cranial ultrasound has become an important means of screening periventricular IVH in infants. The integration of artificial intelligence with neonatal ultrasound is promising for enhancing diagnostic accuracy, reducing physician workload, and consequently improving periventricular IVH outcomes.</p><p><strong>Objectives: </strong>The study investigated whether deep learning-based analysis of the cranial ultrasound images of infants could detect and grade periventricular IVH.</p><p><strong>Materials and methods: </strong>This multicentre observational study included 1,060 cases and healthy controls from two hospitals. The retrospective modelling dataset encompassed 773 participants from January 2020 to July 2023, while the prospective two-centre validation dataset included 287 participants from August 2023 to January 2024. The periventricular IVH net model, a deep learning model incorporating the convolutional block attention module mechanism, was developed. The model's effectiveness was assessed by randomly dividing the retrospective data into training and validation sets, followed by independent validation with the prospective two-centre data. To evaluate the model, we measured its recall, precision, accuracy, F1-score, and area under the curve (AUC). The regions of interest (ROI) that influenced the detection by the deep learning model were visualised in significance maps, and the t-distributed stochastic neighbour embedding (t-SNE) algorithm was used to visualise the clustering of model detection parameters.</p><p><strong>Results: </strong>The final retrospective dataset included 773 participants (mean (standard deviation (SD)) gestational age, 32.7 (4.69) weeks; mean (SD) weight, 1,862.60 (855.49) g). For the retrospective data, the model's AUC was 0.99 (95% confidence interval (CI), 0.98-0.99), precision was 0.92 (0.89-0.95), recall was 0.93 (0.89-0.95), and F1-score was 0.93 (0.90-0.95). For the prospective two-centre validation data, the model's AUC was 0.961 (95% CI, 0.94-0.98) and accuracy was 0.89 (95% CI, 0.86-0.92).</p><p><strong>Conclusion: </strong>The two-centre prospective validation results of the periventricular IVH net model demonstrated its tremendous potential for paediatric clinical applications. Combining artificial intelligence with paediatric ultrasound can enhance the accuracy and efficiency of periventricular IVH diagnosis, especially in primary hospitals or community hospitals.</p>","PeriodicalId":19755,"journal":{"name":"Pediatric Radiology","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144732633","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":"Fetal and neonatal postmortem magnetic resonance imaging clinical protocol: recommendations from the European society of paediatric radiology postmortem task force.","authors":"Aurélie D'Hondt, Susan Shelmerdine, Michael Aertsen, Marie Cassart, Elka Miller, Willemijn Klein, Stacy Goergen, Teresa Victoria, Eléonore Blondiaux, Marianne Alison, Christian Abel, Ajay Taranath, Monica Rebollo Polo, Mariana L Meyers, Marta Gomez-Chiari, Padma Rao, Rick R van Rijn, Owen Arthurs","doi":"10.1007/s00247-025-06337-9","DOIUrl":"https://doi.org/10.1007/s00247-025-06337-9","url":null,"abstract":"<p><strong>Background: </strong>Postmortem magnetic resonance imaging (PMMRI) following fetal and perinatal demise is increasingly used in clinical practice as a non-invasive adjunct or alternative to autopsy. Imaging protocols vary widely between centers and there is currently no consensus.</p><p><strong>Objective: </strong>From expert consensus, we aimed to develop two PMMRI protocols for pragmatic clinical perinatal imaging: first, a standardized \"minimal\" PMMRI clinical protocol (with the minimum essential sequences needed per body part), and second, an \"ideal\" PMMRI clinical protocol with the ideal full protocol, time allowing.</p><p><strong>Materials and methods: </strong>A modified Delphi survey was conducted, between July and November 2024, among members of the European Society of Paediatric Radiology (ESPR) postmortem (PM) Task Force, of the PM imaging committee of the Society for Pediatric Radiology (SPR) and the Australian and New Zealand Society for Paediatric Radiology (ANZSPR). The survey was based on two pre-existing published PMMRI protocols and consisted of two multiple-choice tables which included all the MRI sequences in different planes according to each body part with an additional 10 PMMRI organizational questions (three of which were free text, seven multiple choice). An email containing the link to the survey was sent to 22 members of the different international PM imaging taskforces, recruited on a voluntary basis, given their clinical interest and experience in practicing perinatal PM imaging. The results were collected and analyzed in a descriptive manner, and a point-of-care PMMRI clinical protocol was established based on the recommendations of our expert panelists.</p><p><strong>Results: </strong>Nineteen PM imaging specialists from 17 centers worldwide (Europe, the USA, Canada, Australia, and New Zealand) completed the survey and formed our expert panel. By consensus (defined as > 60% agreement), the final \"minimal\" PMMRI clinical protocol includes three-dimensional (3-D) isovolumetric T2- and T1-weighted sequences of brain (72.2% and 77.8% respectively) and chest-abdomen-pelvis (83.3% and 77.8% respectively). The \"ideal\" PMMRI clinical protocol includes 3-D isovolumetric T2- and T1-weighted sequences of the whole body (66.7-100%; 61.1 - 91.7% respectively) with axial susceptibility-weighted imaging (SWI) (81.3%) and diffusion-weighted imaging (DWI) (68.8%) of the brain. Additional sequence if time allows is axial T2 turbo spin echo (TSE) (56.3%) of the brain.</p><p><strong>Conclusion: </strong>As a minimum, 3-D isovolumetric T1- and T2-weighted sequences of the brain and body, acquired together in a single station, should be performed as part of a perinatal clinical PMMRI protocol. We hope these recommendations will facilitate the standardization and globalization of perinatal PMMRI in clinical practice.</p>","PeriodicalId":19755,"journal":{"name":"Pediatric Radiology","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144675454","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":"Tenosynovial giant cell tumor and its differential diagnosis in children.","authors":"Emilio J Inarejos Clemente, David Moreno Romo, Ignasi Barber, Enrique Ladera Gonzalez, Oscar M Navarro","doi":"10.1007/s00247-025-06338-8","DOIUrl":"https://doi.org/10.1007/s00247-025-06338-8","url":null,"abstract":"<p><p>Tenosynovial giant cell tumor (TGCT) is a benign but locally aggressive synovial neoplasm that affects both adults and children. In pediatric patients, it commonly involves the knee and ankle, presenting with pain, swelling, and mechanical symptoms, which can mimic other joint disorders. Early and accurate identification is crucial to prevent joint damage and functional impairment. Ultrasound is the first-line imaging modality due to its accessibility and ability to assess synovial proliferation and vascularity, but MRI is the reference standard for diagnosis, showing characteristic low signal intensity on T1- and T2-weighted images and blooming artifact on gradient-echo images due to hemosiderin deposition. Advanced imaging techniques, such as diffusion-weighted imaging and dynamic contrast-enhanced MRI, further enhance lesion characterization. Treatment is primarily surgical, with arthroscopic resection preferred for localized TGCT and open synovectomy required for diffuse disease. This review explores the epidemiology, clinical presentation, imaging features, and treatment of pediatric TGCT, with an emphasis on the differential diagnosis, which includes juvenile idiopathic arthritis, hemophiliac arthropathy, venous malformation, primary synovial chondromatosis, synovial sarcoma, fibroma of the tendon sheath, desmoid-type fibromatosis, and epithelioid sarcoma. The role of multimodal imaging in diagnosis and management is also discussed.</p>","PeriodicalId":19755,"journal":{"name":"Pediatric Radiology","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-07-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144668084","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":"Feasibility and accuracy of the fully automated three-dimensional echocardiography right ventricular quantification software in children: validation against cardiac magnetic resonance.","authors":"Qian Liu, Zhiwei Zheng, Yiwei Zhang, Anjun Wu, Jie Lou, Xin Chen, Yating Yuan, Mingxing Xie, Li Zhang, Peng Sun, Wei Sun, Qing Lv","doi":"10.1007/s00247-025-06330-2","DOIUrl":"https://doi.org/10.1007/s00247-025-06330-2","url":null,"abstract":"<p><strong>Background: </strong>Previous studies have confirmed that fully automated three-dimensional echocardiography (3DE) right ventricular (RV) quantification software can accurately assess adult RV function. However, data on its accuracy in children are scarce.</p><p><strong>Objective: </strong>This study aimed to test the accuracy of the software in children using cardiac magnetic resonance (MR) as the gold standard.</p><p><strong>Materials and methods: </strong>This study prospectively enrolled 82 children who underwent both echocardiography and cardiac MR within 24 h. The RV end-diastolic volume (EDV), end-systolic volume (ESV), and ejection fraction (EF) were obtained using the novel 3DE-RV quantification software and compared with cardiac MR values across different groups.</p><p><strong>Results: </strong>The novel 3DE-RV quantification software was feasible in all 82 children (100%). Fully automated analysis was achieved in 35% patients with an analysis time of 8 ± 2 s and 100% reproducibility. Manual editing was necessary in the remaining 65% patients. The 3DE-derived RV volumes and EF correlated well with cardiac MR measurements (RVEDV, r=0.93; RVESV, r=0.90; RVEF, r=0.82; all P <0.001). Although the automated approach slightly underestimated RV volumes and overestimated RVEF compared with cardiac MR in the entire cohort, the bias was smaller in children with RVEF ≥ 45%, normal RV size, and good 3DE image quality.</p><p><strong>Conclusion: </strong>Fully automated 3DE-RV quantification software provided accurate and completely reproducible results in 35% children without any adjustment. The RV volumes and EF measured using the automated 3DE method correlated well with those from cardiac MR, especially in children with RVEF ≥ 45%, normal RV size, and good 3DE image quality. Therefore, the novel automated 3DE method may achieve rapid and accurate assessment of RV function in children with normal heart anatomy.</p>","PeriodicalId":19755,"journal":{"name":"Pediatric Radiology","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144659782","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":"Computed tomography of pediatric abdominal trauma: optimizing utilization and enhancing diagnostic interpretation.","authors":"Shaimaa AbdelSattar Mohammad, Reem Abdelhamed Elsayed, Nouran Esam Arafa, Esraa Yahia Ragab, Nesma Naguib Elsayed, Mirna Eehab Hassan, Marwa Mohammad Abdulghaffar, Ghada Samir Ibrahim","doi":"10.1007/s00247-025-06321-3","DOIUrl":"https://doi.org/10.1007/s00247-025-06321-3","url":null,"abstract":"<p><p>Abdominal trauma is the leading cause of fatal injuries in pediatric patients, affecting approximately 25% of children with major trauma. Computed tomography (CT) remains the gold standard imaging modality for assessing stable patients with potential abdominal injuries. This review outlines CT protocols specifically adapted for the pediatric population in the context of blunt abdominal trauma, with a focus on strategies to mitigate radiation exposure. It also highlights the 2018 update of the American Association for the Surgery of Trauma Organ Injury Scale-a detailed classification system ranging from grade I (minor) to grade V (severe)-and explores its relevance and impact on the management of pediatric patients compared to adults. A series of CT images illustrating the different grades of abdominal injuries along with a structured interpretation algorithm are provided to act as a pocket guide for radiology residents in emergency settings.</p>","PeriodicalId":19755,"journal":{"name":"Pediatric Radiology","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2025-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144659779","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}