Abstract:
BACKGROUND:Children are better served by radiologists and technical personnel trained in the care of pediatric patients. However, a variety of obstacles may limit the access of children to dedicated pediatric imaging facilities. OBJECTIVE:We designed and implemented two models for providing community-based imaging by academic pediatric radiologists. MATERIALS:and methods. The first site was an outpatient clinic staffed by physicians from the university-affiliated children's hospital. Imaging services included radiography, fluoroscopy, and ultrasound. The second site was a full-service community hospital radiology department staffed by a group practice, with pediatric imaging covered by the children's hospital radiologists. Facility, equipment, and protocol modifications were required to maintain quality standards. Success of these models was determined by volume statistics, referring physician/patient satisfaction surveys, and quality-assurance (QA) programs. RESULTS:The outpatient satellite had a 48 % increase in total examinations from the first year to the second year and 87 % the third year. Pediatric examinations in the community hospital increased over 1000 % the first 7 months. Referring physicians reported increased diagnostic information and patient satisfaction compared to previous service. QA efforts revealed improved image quality when pediatric radiologists were present, but some continuing difficulties off-hours. CONCLUSION:We successfully implemented pediatric imaging programs in previously underserved communities. This resulted in increased pediatric radiologist supervision and interpretation of examinations performed on children and improved referring physician and patient satisfaction.
journal_name
Pediatr Radioljournal_title
Pediatric radiologyauthors
Ecklund K,Share JCdoi
10.1007/s002470050003keywords:
subject
Has Abstractpub_date
2000-01-01 00:00:00pages
3-6issue
1eissn
0301-0449issn
1432-1998pii
00300003.247journal_volume
30pub_type
杂志文章abstract::The neurosonograms of fifty-eight patients treated over a four-year period with ECMO support were retrospectively reviewed for analysis of changes in interhemispheric (IHF) width while on ECMO. To correlate these measurements with patterns of development of total body edema as reflected by chest wall thickening on por...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/BF02010805
更新日期:1990-01-01 00:00:00
abstract::The aim of this review is to emphasize the role of fetal MR in the evaluation of the supratentorial space. The advantages of MRI compared to US are stressed in three fields of application: cerebral biometry, sulcation and cerebral parenchyma. In each field, normal data are displayed and MR applications with patterns o...
journal_title:Pediatric radiology
pub_type: 杂志文章,评审
doi:10.1007/s00247-004-1249-x
更新日期:2004-09-01 00:00:00
abstract::We sonographically investigated the internal jugular veins of 40 children who had undergone catheterization of the vein (group A: silastic catheter, n = 24; group B: polyurethane catheter, n = 16) in the neonatal period. The average age at catheter implantation was 43 +/- 73 days, the average birthweight 2414 +/- 1145...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/BF02012737
更新日期:1994-01-01 00:00:00
abstract::We report an 18-year-old boy with occipital horn syndrome who developed aneurysms of the splenic and hepatic arteries. Occipital horn syndrome, also called X-linked cutis laxa or Ehlers-Danlos syndrome (EDS) type IX, is characterised by a skeletal dysplasia which includes occipital horns, broad clavicles, deformed rad...
journal_title:Pediatric radiology
pub_type: 杂志文章,评审
doi:10.1007/s002470050526
更新日期:1999-01-01 00:00:00
abstract::We report neuroimaging findings of intracranial hemorrhage and cerebral edema in an infant with obtundation and seizures, initially suspected to be secondary to non-accidental trauma but finally attributed to hypernatremic dehydration. Neuroimaging findings due to hypernatremic dehydration have not been previously des...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/s002470050232
更新日期:1997-10-01 00:00:00
abstract:BACKGROUND:Fluoroscopy is an important, sometimes vital radiological procedure in paediatric patients with high variability in frequency and technique. OBJECTIVE:To obtain data on paediatric fluoroscopy practice in Europe using a simple questionnaire mailed to 191 children's hospitals. RESULTS:Eighty-eight radiology ...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/s002470100429
更新日期:2001-04-01 00:00:00
abstract::A case of the Hajdu-Cheney syndrome in a 15 year old boy is described. The manifestations were: 1. isiopathic progressive acro-osteotions; 2. mutiple cranio-skeletal abnormalities; and 3. polycystic kidneys complicated by a rapidly progressive glomerulonephritis. ...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/BF00973535
更新日期:1977-09-01 00:00:00
abstract:BACKGROUND:Posterior rib fractures in young children have a high positive predictive value for non-accidental injury (NAI). Combined data of five studies on birth trauma (115,756 live births) showed no cases of rib fractures resulting from birth trauma. There have, however, been sporadic cases reported in the literatur...
journal_title:Pediatric radiology
pub_type: 杂志文章,评审
doi:10.1007/s00247-008-1035-2
更新日期:2009-01-01 00:00:00
abstract::The need for X-ray investigations of the urinary tract at the time of the first proven urinary infection, even in older girls, is stressed. This policy is the best way to detect chronic pyelonephritis and congenital anomalies of the urinary tract and provide timely and appropriate treatment. These conclusions are supp...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/BF00972109
更新日期:1977-10-28 00:00:00
abstract:BACKGROUND:Fetal MRI can be performed in the second and third trimesters. During this time, the fetal brain undergoes profound structural changes. Interpretation of appropriate development might require comparison with normal age-based models. Consultation of a hard-copy atlas is limited by the inability to compare mul...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/s00247-009-1411-6
更新日期:2010-02-01 00:00:00
abstract::Peripheral primitive neuroectodermal tumour in the kidney is a rare entity with high malignant potential. The distinctive demographic, clinical and radiological findings, as described in the present case, should suggest this aggressive tumour in the differential diagnosis of renal neoplasms in adolescents. ...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/s002470000392
更新日期:2001-02-01 00:00:00
abstract::Kidney length (KL), renal area and renal parenchymal area were measured on i.v. urograms of 255 children without apparent kidney disease age 0 to 14 years. These parameters were compared with age, body height, body surface area and the distance between the 1st and 4th lumbar vertebral body. In addition, renal parenchy...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/BF01464310
更新日期:1980-04-01 00:00:00
abstract::Purpose. To determine whether gadolinium-enhanced MR imaging can detect early reversible ischemia of the capital femoral epiphysis and physis induced by hip hyperabduction in piglets. Materials and methods. Thirteen 1- to 3-week-old piglets were placed in maximal abduction of both hips and studied with dynamic gadolin...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/BF02011824
更新日期:1995-01-01 00:00:00
abstract::Congenital cardiac malformations (CCM) are the commonest congenital anomalies. Using ultrasonography (US), the incidence of CCM in a selected group of fetuses and the impact of CCM on perinatal and postnatal care was evaluated. The indication for fetal echocardiography (F-ECHO) in 152 pregnancies was a positive family...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/BF02387894
更新日期:1989-01-01 00:00:00
abstract::58 paediatric patients with pneumonia, in whom an etiological agent had been isolated, were reviewed. The patients were designated to have either viral or bacterial pneumonia on the basis of proposed clinical and radiological criteria. These presumed diagnoses were then compared to the microbiologically proven diagnos...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/BF00974077
更新日期:1988-01-01 00:00:00
abstract:BACKGROUND:Takayasu's arteritis (TA) is a chronic idiopathic inflammatory disease affecting primarily the aorta, its proximal branches and the pulmonary arteries. OBJECTIVES:To retrospectively review the angiograms of children with TA so as to describe the patterns of vascular involvement. PATIENTS AND METHODS:Twenty...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/s00247-002-0817-1
更新日期:2003-04-01 00:00:00
abstract:BACKGROUND:While several studies have investigated the dose from scattered radiation from X-ray procedures in a pediatric nursery, they examined scatter from chest procedures only, or the types of examination were not specified. OBJECTIVE:The aim of this study was to collect scatter and transmission data from several ...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/s00247-003-0999-1
更新日期:2003-10-01 00:00:00
abstract::Muscle inflammation is a relatively common pathological process in childhood. The diagnosis of the underlying cause relies on an appreciation of the pattern of clinical features, as well as the results of biochemical, histological and radiological investigations. Often the clinical and biochemical features are non-spe...
journal_title:Pediatric radiology
pub_type: 杂志文章,评审
doi:10.1007/s00247-006-0166-6
更新日期:2006-10-01 00:00:00
abstract::In a group of 70 premature and newborn infants, treated with artificial ventilation, 24.3% developed bronchopulmonary dysplasia (BPD). Only in a very few cases did the typical radiological stages, as described by Northway, succeed each other in a chronological order. It is impossible to differentiate BPD stage I or II...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/BF00973978
更新日期:1977-03-17 00:00:00
abstract::Primary idiopathic chylopericardium is rare and represents a fraction of all pericardial effusions in the pediatric population. Most cases of chylopericardium occur as a complication of cardiac surgery or after trauma. They may also be caused by tuberculosis, neoplasm, or congenital lymphangiomatosis. Primary idiopath...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/s00247-003-0885-x
更新日期:2003-05-01 00:00:00
abstract::Cutis verticis gyrata (CVG) is a skin condition characterized by thick folds and deep furrows, resembling a cortical gyral pattern. There is a recognized but rare association with Noonan syndrome. We report the antenatal imaging, including three-dimensional surface-rendered sonography and MRI, of a fetus with CVG who ...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/s00247-008-0747-7
更新日期:2008-05-01 00:00:00
abstract::Rib fractures are a common skeletal manifestation of non-accidental injury (NAI) in infants and young children and are generally considered to be highly specific for abuse. There are, however, relatively few descriptions of fractures involving the costochondral junctions in NAI. We present three children (two boys, on...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/s002470050436
更新日期:1998-09-01 00:00:00
abstract:BACKGROUND:Different iterative reconstruction techniques are available for use in pediatric computed tomography (CT), but these techniques have not been systematically evaluated in infants. OBJECTIVE:To determine the effect of iterative reconstruction on diagnostic performance, image quality and radiation dose in infa...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/s00247-015-3281-4
更新日期:2015-07-01 00:00:00
abstract::An extralobar pulmonary sequestration in an infant was diagnosed by ultrasound. The sequestration appeared as an echogenic mass interpositioned between the liver and the right lung. The main feeding vessel of the sequestration was demonstrable. Ultrasound should be the first diagnostic modality used for evaluation of ...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/BF01042246
更新日期:1984-01-01 00:00:00
abstract:BACKGROUND:It is debated whether iso-osmolar and low-osmolar contrast media are associated with different incidences of contrast medium-induced nephropathy (CIN) in patients with renal insufficiency. OBJECTIVE:To compare the incidence of CIN in children undergoing contrast-enhanced multidetector computer tomography (M...
journal_title:Pediatric radiology
pub_type: 临床试验,杂志文章,多中心研究,随机对照试验
doi:10.1007/s00247-011-2164-6
更新日期:2011-11-01 00:00:00
abstract:BACKGROUND:Recently a 320-detector-row CT (MDCT) scanner has become available that allows axial volumetric scanning of a 16-cm-long range (50 cm field of view) in a single 0.35-s rotation. For imaging neonates and small children, volume scanning is potentially of great advantage as the entire scan range can be acquired...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/s00247-009-1436-x
更新日期:2010-03-01 00:00:00
abstract::Goiter secondary to amyloidosis is rare in clinical practice and only a few descriptions of its radiologic features have been reported. We present the ultrasound and MRI findings of thyroid amyloidosis in a 7-year-old Turkish boy with familial Mediterranean fever. ...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/BF02012155
更新日期:1993-01-01 00:00:00
abstract:BACKGROUND:Aortic dilatation and dissection are rare but important complications of Turner syndrome that increase the risk of sudden death in young patients. OBJECTIVE:To assess the value of aortic MRI in patients with Turner syndrome; in particular to demonstrate early aortic dilatation. MATERIALS AND METHODS:A tota...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/s00247-004-1359-5
更新日期:2005-03-01 00:00:00
abstract::The prevalence of Inferior Right Hepatic Veins (IRHVs) in 82 children who had magnetic resonance imaging (MRI) of the abdomen was assessed. IRHVs larger than or equal in size to the Superior Right Hepatic Vein were found in 23% (19/82). In two patients with radiological evidence of Superior Hepatic Venous occlusion an...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/BF02129069
更新日期:1990-01-01 00:00:00
abstract::A case of thanatophoric dwarfism living for 10 weeks with minimal supportive care is presented. Although early death is usual, survival for months is compatible with the diagnosis. ...
journal_title:Pediatric radiology
pub_type: 杂志文章
doi:10.1007/BF00975319
更新日期:1976-12-15 00:00:00