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 Radioljournal_title
Pediatric radiologyauthors
May LA,More SR,Masand PM,Ketwaroo PD,Krishnamurthy R,Jadhav SPdoi
10.1007/s00247-020-04659-4subject
Has Abstractpub_date
2020-07-01 00:00:00pages
1095-1101issue
8eissn
0301-0449issn
1432-1998pii
10.1007/s00247-020-04659-4journal_volume
50pub_type
杂志文章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
更新日期:1995-01-01 00:00:00
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
更新日期:2014-07-01 00:00:00
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
更新日期:2020-06-01 00:00:00
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
更新日期:2007-01-01 00:00:00
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
更新日期:2003-03-01 00:00:00
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
更新日期:2008-01-01 00:00:00
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
更新日期:1993-01-01 00:00:00
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
更新日期:1981-01-01 00:00:00
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
更新日期:2010-04-01 00:00:00
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
更新日期:1991-01-01 00:00:00
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
更新日期:2003-04-01 00:00:00
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
更新日期:1982-01-01 00:00:00
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
更新日期:1987-01-01 00:00:00
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
更新日期:2015-04-01 00:00:00
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
更新日期:2012-02-01 00:00:00
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
更新日期:2006-03-01 00:00:00
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
更新日期:2017-05-01 00:00:00
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
更新日期:1980-02-01 00:00:00
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
更新日期:1982-01-01 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::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
更新日期:2017-05-01 00:00:00
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
更新日期:2020-05-01 00:00:00
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
更新日期:1997-01-01 00:00:00
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
更新日期:2001-05-01 00:00:00
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
更新日期:2013-07-01 00:00:00
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
更新日期:1989-01-01 00:00:00
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
更新日期:2007-12-01 00:00:00
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
更新日期:2020-04-01 00:00:00
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
更新日期:1982-01-01 00:00:00
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
更新日期:2006-08-01 00:00:00