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Paediatric Radiology

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https://www.readbyqxmd.com/read/29161909/dimitra-pediatric-skull-phantoms-development-of-age-specific-pediatric-models-for-dentomaxillofacial-radiology-research
#1
Anne Caroline Oenning, Benjamin Salmon, Karla de Faria Vasconcelos, Laura Nicolielo, Ivo Lambrichts, Gerard Sanderink, Ruben Pauwels, Reinhilde Jacobs
OBJECTIVES: This report aims to describe the development of age-specific phantoms for use in pediatric dentomaxillofacial radiology research. These phantoms are denoted DIMITRA pediatric skull phantoms as these have been primarily developed and validated for the DIMITRA European research project (Dentomaxillofacial paediatric imaging: an investigation towards low dose radiation induced risks). METHODS: To create the DIMITRA pediatric phantoms, six human pediatric skulls with estimated ages ranging between 4 - 10 years old were selected, protected with non-radiopaque tape and immersed in melted Mix-D soft tissue equivalent material, by means of a careful procedure (layer-by- layer)...
November 21, 2017: Dento Maxillo Facial Radiology
https://www.readbyqxmd.com/read/29146762/natural-history-of-primary-paediatric-optic-nerve-sheath-meningioma-case-series-and-review
#2
Daniel S Narayan, Ghislaine L Traber, Edwin Figueira, Adnan Pirbhai, Klara Landau, Garry Davis, John Crompton, Dinesh Selva
PURPOSE: To study the natural history, clinical and radiological characteristics of primary paediatric optic nerve sheath meningioma (PPONSM). METHODS: Retrospective study of eight paediatric patients who were treated between 1994 and 2016 at the University Hospital Zurich, Switzerland and the Royal Adelaide Hospital, Australia. Clinical records and imaging studies were reviewed. RESULTS: The mean age at presentation was 11 years (range: 6-17 years)...
November 16, 2017: British Journal of Ophthalmology
https://www.readbyqxmd.com/read/29138893/standardization-of-pediatric-uroradiological-terms-a-multidisciplinary-european-glossary
#3
REVIEW
Pierre-Hugues Vivier, Thomas A Augdal, Fred E Avni, Justine Bacchetta, Rolf Beetz, Anna K Bjerre, Johan Blickman, Pierre Cochat, Rosana Coppo, Beatrice Damasio, Kassa Darge, Alaa El-Ghoneimi, Piet Hoebeke, Göran Läckgren, Marc-David Leclair, Maria-Luisa Lobo, Gianantonio Manzoni, Stephen D Marks, Girolamo Mattioli, Hans-Joachim Mentzel, Pierre Mouriquand, Tryggve Nevéus, Aikaterini Ntoulia, Lil-Sofie Ording-Muller, Josef Oswald, Frederica Papadopoulou, Gabriella Porcellini, Ekkehard Ring, Wolfgang Rösch, Ana F Teixeira, Michael Riccabona
To promote the standardization of nephro-uroradiological terms used in children, the European Society of Paediatric Radiology uroradiology taskforce wrote a detailed glossary. This work has been subsequently submitted to European experts in pediatric urology and nephrology for discussion and acceptance to improve the quality of radiological reports and communication between different clinicians involved in pediatric urology and nephrology.
November 15, 2017: Pediatric Radiology
https://www.readbyqxmd.com/read/29130608/impact-of-web-based-clinical-practice-guidelines-on-paediatric-fracture-clinics
#4
Mark W Camp, James R Barnes, Mohita Damany, Leo T Donnan
BACKGROUND: In an effort to standardize management and reduce over-treatment of uncomplicated paediatric fractures, the Victorian Pediatric Orthopaedic Network and the Royal Children's Hospital, Melbourne, created publically available web-based paediatric fracture pathways. The aim of this study was to determine the impact of web-based fracture pathways on the clinic volume at a tertiary-care paediatric fracture clinic. METHODS: A comparative retrospective review was performed at a large, urban, tertiary-care children's hospital...
November 12, 2017: ANZ Journal of Surgery
https://www.readbyqxmd.com/read/29122688/lower-limb-lengths-and-angles-in-children-older-than-six-years-reliability-and-reference-values-by-eos-%C3%A2-stereoradiography
#5
V Rampal, P-Y Rohan, A Assi, I Ghanem, O Rosello, A-L Simon, E Gaumetou, V Merzoug, W Skalli, P Wicart
BACKGROUND: Lower-limb alignment in children is classically assessed clinically or based on conventional radiography, which is associated with projection bias. Low-dose biplanar radiography was described recently as an alternative to conventional imaging. The primary objective of this study was to assess the reliability of length and angle values inferred from 3D reconstructions in children seen in everyday practice. The secondary objective was to obtain reference values for goniometry parameters in children...
November 6, 2017: Orthopaedics & Traumatology, Surgery & Research: OTSR
https://www.readbyqxmd.com/read/29117964/clinical-characteristics-of-children-evaluated-for-suspected-pulmonary-embolism-with-d-dimer-testing
#6
Jessica Kanis, Jonathan Pike, Cassandra L Hall, Jeffrey A Kline
BACKGROUND: We sought to determine clinical variables in children tested for suspected pulmonary embolism (PE) that predict PE+ outcome for the development of paediatric PE prediction rule. METHODS: Data were collected by query of a laboratory database for D-dimer from January 2004 to December 2014 for a large multicentre hospital system and the radiology database for pulmonary vascular imaging in children aged 5-17. Using explicit, predefined methods, trained abstractors, determined if D-dimer was sent in the evaluation of PE and then recorded predictor data which was tested for association with PE+ outcome using univariate techniques...
November 8, 2017: Archives of Disease in Childhood
https://www.readbyqxmd.com/read/29115202/risk-factors-for-hospital-associated-venous-thromboembolism-in-critically-ill-children-following-cardiothoracic-surgery-or-therapeutic-cardiac-catheterisation
#7
Christie M Atchison, Ernest Amankwah, Jean Wilhelm, Shilpa Arlikar, Brian R Branchford, Arabela Stock, Michael Streiff, Clifford Takemoto, Irmel Ayala, Allen Everett, Gary Stapleton, Marshall L Jacobs, Jeffrey P Jacobs, Neil A Goldenberg
BACKGROUND: Paediatric hospital-associated venous thromboembolism is a leading quality and safety concern at children's hospitals. OBJECTIVE: The aim of this study was to determine risk factors for hospital-associated venous thromboembolism in critically ill children following cardiothoracic surgery or therapeutic cardiac catheterisation. METHODS: We conducted a retrospective, case-control study of children admitted to the cardiovascular intensive care unit at Johns Hopkins All Children's Hospital (St...
November 8, 2017: Cardiology in the Young
https://www.readbyqxmd.com/read/29076704/how-many-medical-specialists-do-ministry-of-health-sri-lanka-need-by-2025-use-of-system-dynamics-modelling-for-policy-decisions
#8
M D De Silva
Introduction: The Ministry of Health is the largest health care provider in Sri Lanka in terms of funding, coverage and human resources. Long duration and high training cost of a medical specialist highlights the importance of health human resource planning. Ministry of Health, Sri Lanka has no scientific cadre planning for medical specialists. Methods: System dynamics, an analytical modelling approach and a methodology for studying complex feedback systems was used...
September 30, 2017: Ceylon Medical Journal
https://www.readbyqxmd.com/read/28969145/wilms-tumour-in-an-adult-a-case-report-of-an-unusual-lesion
#9
Goutam Bera, Zeenat Ara, Moumita Sengupta, Uttara Chatterjee, Madhumita Mukhopadhyay
Wilms' tumour, a renal malignancy, primarily occurs in children with a peak incidence between 2 to 5 years age group and accounts for approximately 95% of childhood renal malignancies. Though rarely, it may also occur in adults with an incidence rate of less than 0.2 per million per year. Microscopically, there is no difference between Wilms' tumour of paediatric and adult age groups. But the prognosis for adults with Wilms' tumour is thought to be worse than that for children possibly due to more aggressive clinical course in case of adult Wilms' tumour...
August 2017: Journal of Clinical and Diagnostic Research: JCDR
https://www.readbyqxmd.com/read/28963665/locking-plate-and-fibular-strut-graft-augmentation-in-the-reconstruction-of-unicameral-bone-cyst-of-proximal-femur-in-the-paediatric-population
#10
Khodamorad Jamshidi, Masoud Mirkazemi, Azra Izanloo, Alireza Mirzaei
PURPOSE: Several therapeutic strategies have been used for managing unicameral bone cyst (UBC) of the proximal femur. However, there is insufficient evidence to support one treatment over another, and the optimal treatment is controversial. This study aims at describing our experience with surgical reconstruction of paediatric UBCs of the proximal femur using a proximal locking plate and fibular strut allograft. METHODS: In total, 14 consecutive paediatric patients with Dormans types IB (four cases) and IIB (10 cases) UBC were assessed...
September 30, 2017: International Orthopaedics
https://www.readbyqxmd.com/read/28951647/endovascular-management-of-traumatic-pseudoaneurysm-short-long-term-outcomes
#11
Bishav Mohan, Shekhar Singal, Akshdeep Singh Bawa, Pankaj Mahindra, Mohammad Yamin
BACKGROUND: Pseudoaneurysms as result of orthopaedic injuries are a known clinical entity. But with increase in operative interventions and use of implants, its incidence is bound to increase. It is important to detect this complication at the earliest to avoid any limb or life threatening problems. Selective angiography is a minimally invasive technique to pin point the diagnosis and at the same time allow for therapeutic embolization/stenting of the pseudo aneurysm. METHODS: A retrospective review of inpatients from January 2007 to January 2013 requiring transarterial embolization/stenting for pseudoaneurysm in the limbs...
July 2017: Journal of Clinical Orthopaedics and Trauma
https://www.readbyqxmd.com/read/28945678/arthroscopic-versus-open-treatment-for-acute-septic-arthritis-of-the-knee-in-children
#12
Brenton Johns, Mark Loewenthal, Eric Ho, David Dewar
BACKGROUND: Acute septic arthritis of the knee in children may be treated by arthroscopic or open methods however paediatric data comparing these methods is limited regarding both short and long-term outcomes. This study aimed to compare outcomes following arthroscopic versus open surgery for acute paediatric septic knee arthritis. METHODS: Paediatric patients with acute knee septic arthritis treated at our institution from 1996 to 2016 were retrospectively assessed...
September 21, 2017: Pediatric Infectious Disease Journal
https://www.readbyqxmd.com/read/28910815/the-outcome-and-patterns-of-traumatic-brain-injury-in-the-paediatric-population-of-a-developing-country-secondary-to-tv-trolley-tip-over
#13
Muhammad Waqas, Gohar Javed, Karim Rizwan Nathani, Badar Ujjan, Syed A Quadri, Muhammad Zubair Tahir
BACKGROUND: Television (TV) trolley tip-over incidences are common and can cause significant morbidity and mortality in children. This study was aimed at analyzing the pattern and outcomes of head injuries resulting from TV trolley tip-over. METHOD: We conducted a medical chart review of children with TV trolley tip-over head injuries from January 2009 to April 2016. We collected data on demographics, the mechanism of injury, clinical and radiological features of the injury, and outcomes...
September 15, 2017: Pediatric Neurosurgery
https://www.readbyqxmd.com/read/28893009/intracranial-aneurysms-involving-circle-of-willis-in-a-child-with-human-immunodeficiency-virus-associated-vasculitis-a-rare-case-report
#14
Amol Madanlal Lahoti, Abhijit Kishor Taori, Avinash Parashuram Dhok, Jitesh Subhash Rawat, Nihar Umakant Chandak
Intracranial Arterial Aneurysms (IAAs) are relatively rare in paediatric population and they account for at least 10%-15% of haemorrhagic strokes which occur during the first two decades of life. Here we present a unique and unusual case of Human Immunodeficiency Virus (HIV) infected child who presented with intracranial aneurysms with formation of collaterals and vasculopathy, demonstrating low viral count despite receiving adequate antiretroviral treatment. Intracranial vascular involvement, their complications and its incidence in these patients may become increasingly common as the management of human immunodeficiency virus infection continues to improve and afflicted patients survive for longer periods because of advancement in the antiretroviral treatment...
July 2017: Journal of Clinical and Diagnostic Research: JCDR
https://www.readbyqxmd.com/read/28878539/unusual-association-of-elbow-dislocation-with-humeral-biepicondylar-fracture-in-a-child-a-case-report-and-review-of-literature
#15
Prabhat Agrawal, Saubhik Das, Vikas Gupta, Sumit Arora
Humeral biepicondylar fracture with elbow dislocation is an unusual pattern of injury encountered in paediatric population. We reported a case of humeral biepicondylar fracture-dislocation of elbow in a 11-year-old boy, who presented with tender, swollen, and deformed left elbow following fall on his outstretched hand. Roentgenographic and CT evaluation confirmed the diagnosis, and also showed incarcerated medial epicondylar fragment. Closed reduction was unsuccessful; open reduction and internal fixation was performed with headless screws...
August 2017: Journal of Clinical Orthopaedics and Trauma
https://www.readbyqxmd.com/read/28875887/the-spectrum-and-outcome-of-paediatric-traumatic-brain-injury-in-kwazulu-natal-province-south-africa-has-not-changed-over-the-last-two-decades
#16
J J P Buitendag, V Y Kong, J L Bruce, G L Laing, D L Clarke, P Brysiewicz
OBJECTIVES: This retrospective review of a prospectively entered and maintained hybrid electronic trauma registry was intended to develop a comprehensive overview of traumatic brain injury (TBI) in children and adolescents and to compare it with previous audits from our local environment and from other developing world centres. All TBI patients admitted to hospital were included in this study. We reviewed the age, gender, outcomes, radiological findings and treatment of the patients. METHODS: All patients aged ≤18 years old who were admitted by the Pietermaritzburg Metropolitan Trauma Service (PMTS) with TBI between December 2012 and December 2016 were included in this audit...
August 25, 2017: South African Medical Journal, Suid-Afrikaanse Tydskrif Vir Geneeskunde
https://www.readbyqxmd.com/read/28852808/technical-aspects-of-mediastinal-ultrasound-for-pediatric-pulmonary-tuberculosis
#17
REVIEW
Kara-Lee Pool, Charlotte C Heuvelings, Sabine Bélard, Martin P Grobusch, Heather J Zar, Dorothy Bulas, Brian Garra, Savvas Andronikou
Diagnosing childhood pulmonary tuberculosis (TB) may be challenging due to difficulties in obtaining adequate sputum samples, paucibacillary disease and the low sensitivity of diagnostic tests. Chest radiography is an important diagnostic tool for pulmonary TB, but it involves radiation exposure, requires facilities that can house X-ray equipment and has poor inter-reader agreement. The cardinal radiologic finding of mediastinal lymphadenopathy may be detected using mediastinal ultrasound (US). We describe technical aspects of performing mediastinal US, which may assist diagnosis of paediatric pulmonary TB...
December 2017: Pediatric Radiology
https://www.readbyqxmd.com/read/28852767/european-society-of-paediatric-radiology-abdominal-imaging-task-force-recommendations-in-paediatric-uroradiology-part-ix-imaging-in-anorectal-and-cloacal-malformation-imaging-in-childhood-ovarian-torsion-and-efforts-in-standardising-paediatric-uroradiology
#18
REVIEW
Michael Riccabona, Maria-Luisa Lobo, Lil-Sofie Ording-Muller, A Thomas Augdal, E Fred Avni, Johan Blickman, Constanza Bruno, Beatrice Damasio, Kassa Darge, Akaterina Ntoulia, Frederica Papadopoulou, Pierre-Hugues Vivier
At the occasion of the European Society of Paediatric Radiology (ESPR) annual meeting 2015 in Graz, Austria, the newly termed ESPR abdominal (gastrointestinal and genitourinary) imaging task force set out to complete the suggestions for paediatric urogenital imaging and procedural recommendations. Some of the last missing topics were addressed and proposals on imaging of children with anorectal and cloacal malformations and suspected ovarian torsion were issued after intense discussions and a consensus finding process that considered all evidence...
September 2017: Pediatric Radiology
https://www.readbyqxmd.com/read/28836026/individual-radiation-exposure-from-computed-tomography-a-survey-of-paediatric-practice-in-french-university-hospitals-2010-2013
#19
Neige M Y Journy, Serge Dreuil, Nathalie Boddaert, Jean-François Chateil, Didier Defez, Hubert Ducou-le-Pointe, Jean-Marc Garcier, Joël Guersen, Bouchra Habib Geryes, Andreas Jahnen, Choonsik Lee, Jacqueline Payen-de-la-Garanderie, Jean-Pierre Pracros, Dominique Sirinelli, Isabelle Thierry-Chef, Marie-Odile Bernier
OBJECTIVES: To describe computed tomography (CT) scanning parameters, volume CT dose index (CTDIvol) and dose-length product (DLP) in paediatric practice and compare them to current diagnostic reference levels (DRLs). METHODS: The survey was conducted in radiology departments of six major university hospitals in France in 2010-2013. Data collection was automatised to extract and standardise information on scanning parameters from DICOM-header files. CTDIvol and DLP were estimated based on Monte Carlo transport simulation and computational reference phantoms...
August 23, 2017: European Radiology
https://www.readbyqxmd.com/read/28830898/primary-gastric-burkitt-lymphoma-a-rare-cause-of-life-threatening-haematemesis
#20
Fares Ayoub, Justin J Forde, Niraj Patel, Merry Markham
Lymphomas are the second most common gastric malignancy following gastric adenocarcinoma. The majority of gastric lymphomas are either mucosa-associated lymphoid tissue lymphomas or diffuse large B-cell lymphomas. Primary gastric Burkitt lymphoma is a subtype of non-Hodgkin's lymphoma and represents an aggressive and rare malignancy with only a small number of cases reported worldwide. Clinical and radiological presentation is non-specific and mimics other gastric lymphomas. Diagnosis is established with pathological evaluation...
August 22, 2017: BMJ Case Reports
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