Value of emergent pediatric cardiac computed tomographic angiography service: initial experience at a large children's hospital.

Abstract:

BACKGROUND:Demand for pediatric cardiac computed tomography (CT) angiography is increasing due to recent advances that reduce the need for sedation and radiation exposure while enhancing diagnostic accuracy. This has resulted in the increasing use of cardiac CT angiography emergently during weekends and after hours. The unexpected demand for these services can be challenging, as most hospitals are not staffed to provide 24/7 pediatric cardiovascular imaging. OBJECTIVE:To describe a large single-center experience of providing emergent cardiac CT angiography services in children. MATERIALS AND METHODS:We identified all patients who underwent after--hours weekday and weekend emergent cardiac CT angiography between January 2017 and August 2018. Cardiac CT angiography in the settings of congenital heart disease and coronary imaging were included. Data collected included day and time of cardiac CT angiography, patient age, referral unit, indication, surgical history, need for sedation, need for surgery, intervention and/or change in medical management based on the cardiac CT angiography. RESULTS:Forty-seven studies were identified, 26 (55%) of which were performed on a weekend or holiday and 21 (45%) after 5 p.m. on a weekday. Based on cardiac CT angiography findings, 20 (43%) patients underwent either surgery or an interventional procedure, and 9 (19%) had a change in medical management. The time between cardiac CT angiography and the related surgery/intervention ranged from 0 to 29 days with a median of 3.5 days. CONCLUSION:Emergent pediatric cardiac CT angiography is a valuable service. Larger multi-institutional studies with standardized referral and utilization patterns are needed to determine if outcomes are affected by this service, which in turn will influence hospital staffing patterns for emergent imaging.

journal_name

Pediatr Radiol

journal_title

Pediatric radiology

authors

May LA,More SR,Masand PM,Ketwaroo PD,Krishnamurthy R,Jadhav SP

doi

10.1007/s00247-020-04659-4

subject

Has Abstract

pub_date

2020-07-01 00:00:00

pages

1095-1101

issue

8

eissn

0301-0449

issn

1432-1998

pii

10.1007/s00247-020-04659-4

journal_volume

50

pub_type

杂志文章
  • Systemic arterial collateral esophageal indentations in pseudotruncus arteriosus.

    abstract::Barium esophagrams were obtained in two patients with respiratory problems whose underlying congenital heart disease was pseudotruncus arteriosus type I. The esophagrams revealed vascular indentations on the esophagus, one posteriorly, and the other anteriorly. Both types of indentations were secondary to aorto-pulmon...

    journal_title:Pediatric radiology

    pub_type: 杂志文章

    doi:10.1007/BF02021532

    authors: Comerci SC,Berdon WE,Ruzal-Shapiro C,Levin TL,Krongrad E,Bisset GS 3rd,Strife JL

    更新日期:1995-01-01 00:00:00

  • MRI anatomy of anteriorly displaced anus: what obstructs defecation?

    abstract:BACKGROUND:Anteriorly displaced anus is an anomaly that is debated with regard to its nomenclature, diagnosis and management. OBJECTIVE:To describe MRI anatomy of the anal canal in children with anteriorly displaced anus and its impact on the process of defecation. MATERIALS AND METHODS:We prospectively examined ten ...

    journal_title:Pediatric radiology

    pub_type: 杂志文章

    doi:10.1007/s00247-014-2897-0

    authors: AbouZeid AA,Mohammad SA,Khairy KT

    更新日期:2014-07-01 00:00:00

  • Lung T1 mapping magnetic resonance imaging in the assessment of pulmonary disease in children with cystic fibrosis: a pilot study.

    abstract:BACKGROUND:Assessment tools for early cystic fibrosis (CF) lung disease are limited. Detecting early pulmonary disease is crucial to increasing life expectancy by starting interventions to slow the progression of the pulmonary disease with the many treatment options available. OBJECTIVE:To compare the utility of lung ...

    journal_title:Pediatric radiology

    pub_type: 杂志文章

    doi:10.1007/s00247-020-04638-9

    authors: Neemuchwala F,Ghadimi Mahani M,Pang Y,Lee E,Johnson TD,Galbán CJ,Fortuna AB,Sanchez-Jacob R,Flask CA,Nasr SZ

    更新日期:2020-06-01 00:00:00

  • Utilization of low-dose multidetector CT and virtual bronchoscopy in children with suspected foreign body aspiration.

    abstract:BACKGROUND:Foreign body aspiration is common in children, especially those under 3 years of age. Chest radiography and CT are the main imaging modalities for the evaluation of these children. Management of children with suspected foreign body aspiration (SFBA) mainly depends on radiological findings. OBJECTIVE:To inve...

    journal_title:Pediatric radiology

    pub_type: 杂志文章

    doi:10.1007/s00247-006-0331-y

    authors: Adaletli I,Kurugoglu S,Ulus S,Ozer H,Elicevik M,Kantarci F,Mihmanli I,Akman C

    更新日期:2007-01-01 00:00:00

  • Childhood idiopathic chondrolysis of the hip: MRI features.

    abstract:BACKGROUND:Childhood idiopathic chondrolysis of the hip (ICH) causes progressive destruction of the articular cartilage of the hip joint with associated bone remodelling. The MRI features of this disease have not previously been described. OBJECTIVE:To document the MRI features of childhood ICH and determine which fea...

    journal_title:Pediatric radiology

    pub_type: 杂志文章

    doi:10.1007/s00247-002-0853-x

    authors: Johnson K,Haigh SF,Ehtisham S,Ryder C,Gardner-Medwin J

    更新日期:2003-03-01 00:00:00

  • 123I-Metaiodobenzylguanidine accumulation in a urinoma and cortex of an obstructed kidney after surgical resection of an abdominal neuroblastoma.

    abstract::Surgical ureteric injury is rare and often unsuspected for a long time. We present a child in whom an abdominal neuroblastoma was completely excised, but during surgery the left ureter was transected and anastomosed. One month later, during postoperative disease staging, abnormal (123)I-MIBG accumulation was observed ...

    journal_title:Pediatric radiology

    pub_type: 杂志文章

    doi:10.1007/s00247-007-0628-5

    authors: Moralidis E,Arsos G,Papakonstantinou E,Badouraki M,Koliouskas D,Karakatsanis C

    更新日期:2008-01-01 00:00:00

  • Barium enema findings in a case of Langerhans cell histiocytosis involving the colon.

    abstract::Gastrointestinal (GI) tract involvement in Langerhans cell histiocytosis is probably not uncommon [1,2], but reports of radiologic findings have been limited to the small intestine and mesenteric lymph nodes [3-5]. We report a 16-month-old child with known Langerhans cell histiocytosis, who was found to have mucosal i...

    journal_title:Pediatric radiology

    pub_type: 杂志文章

    doi:10.1007/BF02014971

    authors: Gilmore BS,Cohen M

    更新日期:1993-01-01 00:00:00

  • Gray-scale echography of traumatic pancreatic cysts in children.

    abstract::We report two cases of pancreatic pseudocysts in children developing after blunt trauma to the abdomen. Gray-scale echography provides a safe and exact method in establishing the diagnosis and in the follow-up of the disease. In one case the pancreatic pseudocyst resolved spontaneously justifying our opinion that not ...

    journal_title:Pediatric radiology

    pub_type: 杂志文章

    doi:10.1007/BF00971784

    authors: Harkányi Z,Végh M,Hittner I,Popik E

    更新日期:1981-01-01 00:00:00

  • Imaging of the transplant liver.

    abstract::As the number of patients with liver transplants continues to increase, radiologists need to be aware of the normal post-operative appearance of the different liver transplants currently performed along with the wide variety of complications encountered. The complications commonly affect the biliar and vascular system...

    journal_title:Pediatric radiology

    pub_type: 杂志文章,评审

    doi:10.1007/s00247-010-1545-6

    authors: Babyn PS

    更新日期:2010-04-01 00:00:00

  • Normal size left ventricle on antenatal scan in lethal hypoplastic left heart syndrome.

    abstract::We present a case of lethal hypoplastic left heart syndrome missed at routine 20-week antenatal ultrasound examination because the left ventricle was of normal size on the standard four-chamber cardiac view. Hypoplastic left heart syndrome includes a spectrum of cardiac malformations. This case illustrates the difficu...

    journal_title:Pediatric radiology

    pub_type: 杂志文章

    doi:10.1007/BF02026682

    authors: Anderson NG,Brown J

    更新日期:1991-01-01 00:00:00

  • Peritoneal metastatic disease in a child after excision of a solid pseudopapillary tumour of the pancreas: a unique case.

    abstract::We present a 15-year-old girl with peritoneal metastases from a solid pseudopapillary tumour of the pancreas, which had been excised 6 years previously. This is the third paediatric case with metastases to be reported and the fourth patient with peritoneal carcinomatosis. ...

    journal_title:Pediatric radiology

    pub_type: 杂志文章

    doi:10.1007/s00247-003-0875-z

    authors: Andronikou S,Moon A,Ussher R

    更新日期:2003-04-01 00:00:00

  • Ct in the surveillance and current control of children with extracranial malignant tumours.

    abstract::The clinical value of computerized body tomography (CT) was analysed in 221 consecutive examinations performed in the evaluation and surveillance of 74 children with various types of extracranial solid malignant tumours. CT was performed as part of a routine diagnostic reassessment in 104 cases and was clinically indi...

    journal_title:Pediatric radiology

    pub_type: 杂志文章

    doi:10.1007/BF00999310

    authors: Damgaard-Pedersen K,Yssing M

    更新日期:1982-01-01 00:00:00

  • Perinatally lethal short rib-polydactyly syndromes. 1. Variability in known syndromes.

    abstract::Thirteen newborns with lethal short rib-polydactyly (SRP) have been reviewed, 11 with SRP type III (Verma-Naumoff) and 2 with SRP type II (Majewski). In the former group there were three sets of siblings. The excess of males with SRP type III (Verma-Naumoff) is confirmed in this present study. A high frequency of phen...

    journal_title:Pediatric radiology

    pub_type: 杂志文章

    doi:10.1007/BF02388282

    authors: Sillence D,Kozlowski K,Bar-ziv J,Fuhrumann-Rieger A,Fuhrmann W,Pascu F

    更新日期:1987-01-01 00:00:00

  • Outcomes in children with deep vein thrombosis managed with percutaneous endovascular thrombolysis.

    abstract:BACKGROUND:Our center has developed a multidisciplinary approach to percutaneous endovascular thrombolysis with the goal of improving outcomes in children with thrombosis. There is little data describing the safety and efficacy of endovascular thrombolysis and the frequency of post-thrombotic syndrome after thrombolysi...

    journal_title:Pediatric radiology

    pub_type: 杂志文章

    doi:10.1007/s00247-014-3209-4

    authors: Dandoy CE,Kukreja KU,Gruppo RA,Patel MN,Tarango C

    更新日期:2015-04-01 00:00:00

  • Fractional anisotropy and mean diffusivity parameters of the brain white matter tracts in preterm infants: reproducibility of region-of-interest measurements.

    abstract:BACKGROUND:Diffusion tensor parameters can be analysed by fitting regions of interest (ROIs) to selected brain structures. The clinical usefulness of these measurements is influenced by their reproducibility and validity. OBJECTIVE:To investigate the reproducibility of fractional anisotropy (FA) and mean diffusivity (...

    journal_title:Pediatric radiology

    pub_type: 杂志文章

    doi:10.1007/s00247-011-2234-9

    authors: Lepomäki VK,Paavilainen TP,Hurme SA,Komu ME,Parkkola RK,PIPARI study group.

    更新日期:2012-02-01 00:00:00

  • Reversible acute methotrexate leukoencephalopathy: atypical brain MR imaging features.

    abstract:BACKGROUND:Unusual acute symptomatic and reversible early-delayed leukoencephalopathy has been reported to be induced by methotrexate (MTX). OBJECTIVE:We aimed to identify the occurrence of such atypical MTX neurotoxicity in children and document its MR presentation. MATERIALS AND METHODS:We retrospectively reviewed ...

    journal_title:Pediatric radiology

    pub_type: 杂志文章

    doi:10.1007/s00247-005-0015-z

    authors: Ziereisen F,Dan B,Azzi N,Ferster A,Damry N,Christophe C

    更新日期:2006-03-01 00:00:00

  • Lumbar translaminar fenestration for insertion of intrathecal baclofen catheter: a novel technique.

    abstract::Intrathecal baclofen has long been known to be an efficacious treatment of spasticity in children with cerebral palsy. Test bolus administration is often necessary to ensure patients will benefit from this treatment. The introduction of a intrathecal catheter for test bolus administration can prove challenging in a su...

    journal_title:Pediatric radiology

    pub_type: 杂志文章

    doi:10.1007/s00247-017-3816-y

    authors: Heran MKS,Al-Shikarchy H,Chowne C

    更新日期:2017-05-01 00:00:00

  • Abnormal paranasal sinuses in patients with cystic fibrosis of the pancreas. Radiological findings.

    abstract::Radiographic examinations of the paranasal sinuses and chests of 187 patients with C.F. from five months to 27 years of age were reviewed. One hundred eight-five patients consistently had opaque maxillary and ethmoidal sinuses. Forty-five patients had normal chest radiographs. These observations show that the paranasa...

    journal_title:Pediatric radiology

    pub_type: 杂志文章

    doi:10.1007/BF00977665

    authors: Ledesma-Medina J,Osman MZ,Girdany BR

    更新日期:1980-02-01 00:00:00

  • Intramural esophageal pseudodiverticulosis. A report in a child with a sixteen-year follow up.

    abstract::A case of intramural esophageal pseudodiverticulosis in a five-year-old with a 16-year follow up is presented. ...

    journal_title:Pediatric radiology

    pub_type: 杂志文章

    doi:10.1007/BF00971777

    authors: Peters ME,Crummy AB,Wojtowycz MM,Toussaint JB

    更新日期:1982-01-01 00:00:00

  • Birth-related mid-posterior rib fractures in neonates: a report of three cases (and a possible fourth case) and a review of the literature.

    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

    authors: van Rijn RR,Bilo RA,Robben SG

    更新日期:2009-01-01 00:00:00

  • Gadolinium-based contrast agents in pediatric magnetic resonance imaging.

    abstract::Gadolinium-based contrast agents can increase the accuracy and expediency of an MRI examination. However the benefits of a contrast-enhanced scan must be carefully weighed against the well-documented risks associated with administration of exogenous contrast media. The purpose of this review is to discuss commercially...

    journal_title:Pediatric radiology

    pub_type: 杂志文章,评审

    doi:10.1007/s00247-017-3806-0

    authors: Gale EM,Caravan P,Rao AG,McDonald RJ,Winfeld M,Fleck RJ,Gee MS

    更新日期:2017-05-01 00:00:00

  • Pediatric multiple sclerosis: from clinical basis to imaging spectrum and differential diagnosis.

    abstract::Pediatric multiple sclerosis (MS) deserves special attention because of its impact on cognitive function and development. Although knowledge regarding pediatric MS has rapidly increased, understanding the peculiarities of this population remains crucial for disease management. There is limited expertise about the effi...

    journal_title:Pediatric radiology

    pub_type: 杂志文章,评审

    doi:10.1007/s00247-019-04582-3

    authors: Padilha IG,Fonseca APA,Pettengill ALM,Fragoso DC,Pacheco FT,Nunes RH,Maia ACM Jr,da Rocha AJ

    更新日期:2020-05-01 00:00:00

  • Leiomyomas of the gallbladder and splenic calcifications in an HIV-infected child.

    abstract::Smooth muscle neoplasms seem to be particularly frequent in children with AIDS, and several cases of such lesions, both benign and malignant (leiomyomas and leiomyosarcomas), have recently been reported in the literature. We describe here the imaging findings in a boy with AIDS who developed two leiomyomas of the gall...

    journal_title:Pediatric radiology

    pub_type: 杂志文章

    doi:10.1007/s002470050074

    authors: Tomà P,Loy A,Pastorino C,Derchi LE

    更新日期:1997-01-01 00:00:00

  • The effect of dexamethasone on respirator-dependent very-low-birth-weight infants is best predicted by chest X-ray.

    abstract:BACKGROUND:Chronic lung disease (CLD) in premature infants shows a variable clinical course with different radiological manifestations. OBJECTIVE:To evaluate the correlation between parameters of trans-membrane permeability [albumin/secretory component (SC)] and oxidative stress [malondialdehyde (MDA)/SC] in tracheal ...

    journal_title:Pediatric radiology

    pub_type: 杂志文章

    doi:10.1007/s002470100444

    authors: Schrod L,Neuhaus T,Horwitz AE,Speer CP

    更新日期:2001-05-01 00:00:00

  • Retroperitoneal aspergilloma.

    abstract::We report a previously healthy 8-year-old boy who presented to the hospital with a palpable abdominal mass, fever and abdominal pain. CT and MRI scans confirmed a large mass that was centered in the retroperitoneum. The lesion was biopsied and the histology showed branching hyphae. Tissue cultures grew Aspergillus fum...

    journal_title:Pediatric radiology

    pub_type: 杂志文章

    doi:10.1007/s00247-013-2629-x

    authors: Butros SR,Tierce ML 4th,Marks A,Rongkavilit C,Joshi A

    更新日期:2013-07-01 00:00:00

  • Computed tomographic (CT) scans in cerebral palsy (CP).

    abstract::The CT findings in 120 cerebral palsied children are analysed. The 72.5% positive findings are correlated with the clinical types, as well as the aetiological basis for the cerebral palsy. The spastic type, 83.3% of the total number of children, had the highest positive findings. The yield was increased in children wi...

    journal_title:Pediatric radiology

    pub_type: 杂志文章

    doi:10.1007/BF02010628

    authors: Kolawole TM,Patel PJ,Mahdi AH

    更新日期:1989-01-01 00:00:00

  • Observer variability assessing US scans of the preterm brain: the ELGAN study.

    abstract:BACKGROUND:Neurosonography can assist clinicians and can provide researchers with documentation of brain lesions. Unfortunately, we know little about the reliability of sonographically derived diagnoses. OBJECTIVE:We sought to evaluate observer variability among experienced neurosonologists. MATERIALS AND METHODS:We ...

    journal_title:Pediatric radiology

    pub_type: 杂志文章,多中心研究

    doi:10.1007/s00247-007-0605-z

    authors: Kuban K,Adler I,Allred EN,Batton D,Bezinque S,Betz BW,Cavenagh E,Durfee S,Ecklund K,Feinstein K,Fordham LA,Hampf F,Junewick J,Lorenzo R,McCauley R,Miller C,Seibert J,Specter B,Wellman J,Westra S,Leviton A

    更新日期:2007-12-01 00:00:00

  • Measurements of cervical lymph nodes in children on computed tomography.

    abstract:BACKGROUND:No normal measurements or specific size criteria have been described for cervical lymph nodes in children. OBJECTIVE:To determine the normal measurements of cervical lymph nodes in children on CT. MATERIALS AND METHODS:We included 142 children (ages 1-17 years) who underwent cervical CT examination after h...

    journal_title:Pediatric radiology

    pub_type: 杂志文章

    doi:10.1007/s00247-019-04595-y

    authors: Spijkers S,Littooij AS,Nievelstein RAJ

    更新日期:2020-04-01 00:00:00

  • The association of malrotation and Hirschsprung's disease.

    abstract::malrotation and Hirschsprung's disease are common gastrointestinal abnormalities in neonates and infants. Four patients with the association of malrotation and Hirschsprung's disease are reported. A delay in diagnosis may be complicated by midgut volvulus or enterocolitis. The diagnostic and therapeutic implications o...

    journal_title:Pediatric radiology

    pub_type: 杂志文章

    doi:10.1007/BF01221703

    authors: Filston HC,Kirks DR

    更新日期:1982-01-01 00:00:00

  • Assessment of the adequacy of bronchial stenting by flow-volume loops.

    abstract::Airway compression is a common problem in children with certain forms of congenital heart disease. Although various surgical approaches are available to overcome this form of airway obstruction, internal stenting is necessary in a minority of patients. It can be difficult to assess the success of stenting at the time ...

    journal_title:Pediatric radiology

    pub_type: 杂志文章

    doi:10.1007/s00247-006-0174-6

    authors: McLaren CA,Pigott N,Dunne C,Elliott MJ,Roebuck DJ

    更新日期:2006-08-01 00:00:00