Abstract：
:Our aim in this study was to determine whether delaying the initial screening cranial ultrasound on infants of low birth weight until the 2nd week of life affects clinical diagnosis and cost of patient care. Data were reviewed on all premature infants of less than 33 weeks gestation or less than 1500 g birth weight admitted to the Neonatal Intensive Care Unit between January 1989 and August 1992. Babies admitted before August 1991 were screened on day 4 or 5 with a second scan frequently performed on day 14; babies admitted after that date were screened once between days 10-14. Populations were compared for (1) proportion of ultrasound findings considered normal on final diagnosis; (2) incidence of major and minor abnormalities; (3) periventricular leukomalacia (PVL); (4) change in diagnosis from 1st to 2nd week; and (5) number of studies performed per patient. The study group was composed of 499 eligible infants. Demographic features of infants screened in the 1st vs. 2nd week of life were similar, with comparable diagnoses of major and minor intracranial hemorrhage and ventricular dilatation; however, more patients screened in the 1st week had questionable PVL diagnosed (p = 0.04). There was a significant decrease in the number of scans per patient in the group screened in the 2nd week (p < 0.004). Routine screening may be delayed until the 2nd week without compromising patient care. Widespread use of a similar screening protocol would result in significantly fewer studies being performed, with an estimated saving, in the USA, of more than $3 million annually.
journal_name
Pediatr Radioljournal_title
Pediatric radiologyauthors
Boal DK,Watterberg KL,Miles S,Gifford KLdoi
10.1007/BF02019054subject
Has Abstractpub_date
1995-01-01 00:00:00pages
425-8issue
6eissn
0301-0449issn
1432-1998journal_volume
25pub_type
杂志文章abstract：:Systemic hypertension after renal transplantation in children is frequent, occurring in 85% of the cases and may be the cause of severe neurologic complications. This can be due to multiple factors such as: rejection, recurrence of initial disease, steroid, etc. ... Among those factors, renal transplant artery stenosi...
journal_title：Pediatric radiology
pub_type： 杂志文章
doi：10.1007/BF02387633
更新日期：1989-01-01 00:00:00
abstract：BACKGROUND:Identification of osteoporotic vertebral fractures allows treatment opportunity reducing future risk. There is no agreed standardised method for diagnosing paediatric vertebral fractures. OBJECTIVE:To evaluate the precision of a modified adult algorithm-based qualitative (ABQ) technique, applicable to child...
journal_title：Pediatric radiology
pub_type： 评论,杂志文章
doi：10.1007/s00247-015-3537-z
更新日期：2016-05-01 00:00:00
abstract：:Seventeen children with adrenocortical neoplasms (13 carcinomas: four adenomas) are reviewed and attention is focused on the value of the newer imaging modalities in the management of these children. All the lesions were functioning tumors. CT is the single most important modality in assessing primary and metastatic d...
journal_title：Pediatric radiology
pub_type： 杂志文章
doi：10.1007/BF00975660
更新日期：1983-01-01 00:00:00
abstract：:One case of hemorrhage in the cavum septi pellucidi (CSP) is presented. This unusual location of intracranial hemorrhage was demonstrated by cranial sonography in a premature neonate. ...
journal_title：Pediatric radiology
pub_type： 杂志文章
doi：10.1007/BF02386822
更新日期：1986-01-01 00:00:00
abstract：:With the demand for fetal imaging and fetal care programs on the rise, the authors of this manuscript review the components of building a successful fetal imaging center. Creating an environment that engages a multidisciplinary team, utilizing a central coordinator to review clinical and psychosocial aspects of each p...
journal_title：Pediatric radiology
pub_type： 杂志文章,评审
doi：10.1007/s00247-020-04702-4
更新日期：2020-12-01 00:00:00
abstract：:Pseudoaneurysms (PAn) are uncommon in adults and even less common in children. They are most often encountered after iatrogenic arterial injury. Presentation may be substantially delayed after the iatrogenic event, and diagnosis can be difficult, especially when the PAn occurs in an unexpected location. Treatment of P...
journal_title：Pediatric radiology
pub_type： 杂志文章
doi：10.1007/s00247-004-1320-7
更新日期：2005-04-01 00:00:00
abstract：:Ectopic thyroid gland is a well-known developmental anomaly. We present a child with a unique anatomical variant of this anomaly, namely double ectopic thyroid. The purpose of this report is to demonstrate the scintigraphic findings and to emphasize the importance of performing a thyroid scan in every case of thyroid ...
journal_title：Pediatric radiology
pub_type： 杂志文章
doi：10.1007/s00247-002-0787-3
更新日期：2002-12-01 00:00:00
abstract：BACKGROUND:Alveolar rhabdomyosarcoma commonly arises in the extremities and is characterized by aggressive biology and high frequency of metastases. Whole-body imaging is increasingly employed in pediatric oncology but not recommended as standard in the staging of soft-tissue sarcomas. OBJECTIVE:After observing patien...
journal_title：Pediatric radiology
pub_type： 杂志文章
doi：10.1007/s00247-017-4066-8
更新日期：2018-05-01 00:00:00
abstract：:Three very low birth weight infants, treated with frusemide for broncho-pulmonary dysplasia are described. They all developed medullary nephrocalcinosis identifiable by real time ultrasound. The sonographic findings of diffuse medullary hyper-echogenicity appears to be specific for nephrocalcinosis. ...
journal_title：Pediatric radiology
pub_type： 杂志文章
doi：10.1007/BF02389002
更新日期：1988-01-01 00:00:00
abstract：:Two cases are presented of children who demonstrated complete absence of bone marrow signal on MR imaging of the spine following bone marrow transplantation. The possible causes for these appearances are discussed. ...
journal_title：Pediatric radiology
pub_type： 杂志文章
doi：10.1007/BF02018628
更新日期：1991-01-01 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：BACKGROUND:Methylmalonic acidemia (MMA) is an autosomal-recessive inborn error of metabolism. OBJECTIVE:To recognize the CT and MR brain sectional imaging findings in children with MMA. MATERIALS AND METHODS:Brain imaging studies (47 MR and 5 CT studies) from 52 children were reviewed and reported by a neuroradiologi...
journal_title：Pediatric radiology
pub_type： 杂志文章,评审
doi：10.1007/s00247-008-0940-8
更新日期：2008-10-01 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：:Perlman syndrome is a rare autosomal recessive syndrome of macrosomia and nephromegaly associated with a significant predisposition to Wilms tumor. We report a premature infant with Perlman syndrome to demonstrate additional manifestations of this condition: large cisterna magna, intestinal malrotation, and skeletal a...
journal_title：Pediatric radiology
pub_type： 杂志文章
doi：
更新日期：1995-11-01 00:00:00
abstract：BACKGROUND:Primary placement of percutaneous radiologic button gastrostomy has been successfully performed in adults but research is lacking as to its success in children during cancer treatment. OBJECTIVE:To assess the safety and effectiveness of such treatment at a single center. MATERIALS AND METHODS:We conducted ...
journal_title：Pediatric radiology
pub_type： 杂志文章
doi：10.1007/s00247-015-3426-5
更新日期：2015-12-01 00:00:00
abstract：BACKGROUND:During the course of our routine renal ultrasound examinations, we noticed that some children who developed dilatation of a renal pelvis following voiding had reflux found on voiding cystourethrography (VCUG). PURPOSE:To determine if increase in renal pelvic size on post-void ultrasound is an accurate predi...
journal_title：Pediatric radiology
pub_type： 杂志文章
doi：10.1007/s002470050591
更新日期：1999-04-01 00:00:00
abstract：:The congenital subglottic hemangioma typically appears as an asymmetric subglottic narrowing or mass on frontal neck radiographs. Therefore, soft tissue neck radiography has been advocated as a definitive non-operative approach for diagnosing these lesions. However, we have noted similar asymmetric subglottic narrowin...
journal_title：Pediatric radiology
pub_type： 杂志文章
doi：10.1007/BF02388997
更新日期：1988-01-01 00:00:00
abstract：:Ferumoxytol is an ultra-small superparamagnetic iron oxide (USPIO) particle that is FDA-approved for parenteral treatment of iron deficiency anemia in adults with chronic kidney disease. Because of the association between gadolinium-based contrast agents and nephrogenic systemic fibrosis in patients with severe chroni...
journal_title：Pediatric radiology
pub_type： 杂志文章,评审
doi：10.1007/s00247-016-3605-z
更新日期：2016-08-01 00:00:00
abstract：:Seventy-five premature infants weighing between 600 and 3200 g were studied over a period of 1 year. All of the infants received surfactant therapy for hyaline membrane disease immediately after birth and, thereafter, up to four doses every 6 h. The roentgenographic findings in all patients were documented at birth an...
journal_title：Pediatric radiology
pub_type： 杂志文章
doi：10.1007/BF01372230
更新日期：1996-01-01 00:00:00
abstract：BACKGROUND:Resistivity index (RI) of the pericallosal artery as is commonly measured during head ultrasound (US) examination in neonates. Some studies have shown that RI measured with gentle compression of the fontanelle provides additional information in cases of neonatal brain anomalies. OBJECTIVE:The purpose of thi...
journal_title：Pediatric radiology
pub_type： 杂志文章
doi：10.1007/s00247-019-04347-y
更新日期：2019-05-01 00:00:00
abstract：BACKGROUND:Awareness and preparedness to handle sedation, analgesia, and contrast-media complications are key in the daily radiology practice. OBJECTIVE:The purpose is to create a computerized simulator (PC-Windows-based) that uses a graphical interface to reproduce critical incidents in pediatric and adult patients u...
journal_title：Pediatric radiology
pub_type： 杂志文章
doi：10.1007/s002470050744
更新日期：2000-05-01 00:00:00
abstract：:We present the case of a 4-year-old female with a complex fracture of the left hemipelvis who, on follow-up CT imaging, developed new ossific densities within the peripelvic soft tissues of the contralateral side. Three-dimensional surface reformations of the pelvis demonstrated myositis ossificans along the course of...
journal_title：Pediatric radiology
pub_type： 杂志文章
doi：10.1007/BF02012410
更新日期：1993-01-01 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：BACKGROUND:Reversed blood flow has been reported in the superior mesenteric artery (SMA) in 92% of healthy term newborns at 2 h of age. By 24 h after birth the end-diastolic velocity became positive in all of the infants. OBJECTIVE:To characterize hemodynamic changes in the coeliac artery and superior mesenteric arter...
journal_title：Pediatric radiology
pub_type： 杂志文章
doi：10.1007/s00247-013-2825-8
更新日期：2014-03-01 00:00:00
abstract：:We report a case of multifocal metachronous giant cell tumor (GCT) that involved the fibula, tibia, and sacrum of a 15-year-old boy. Multifocal GCT of bone presenting in children is an exceedingly rare phenomenon; however, there is evidence that multifocal GCT presents, on average, at a younger age than solitary GCT. ...
journal_title：Pediatric radiology
pub_type： 杂志文章
doi：10.1007/s00247-004-1346-x
更新日期：2005-04-01 00:00:00
abstract：:During halothane anaesthesia the hepatic blood flow may be reduced. This effect interferes with the angiographic investigation of the liver and this is demonstrated by the case presented. ...
journal_title：Pediatric radiology
pub_type： 杂志文章
doi：10.1007/BF00973989
更新日期：1977-03-17 00:00:00
abstract：BACKGROUND:A pull-back tube esophagogram (PBTE) is widely accepted in the literature as the radiological investigation of choice for the diagnosis of tracheoesophageal fistula without esophageal atresia. However, PBTE is rarely performed in our institution, as we have been successful in confirming the presence of such ...
journal_title：Pediatric radiology
pub_type： 杂志文章
doi：10.1007/s00247-006-0269-0
更新日期：2006-11-01 00:00:00
abstract：:It is essential to diagnose thyroid dysfunction at an early stage because congenital hypothyroidism (CH) represents one of the most common preventable causes of delayed physical and psychological development, including mental retardation. US evaluates the shape of the thyroid gland. CT and scintigraphic examinations d...
journal_title：Pediatric radiology
pub_type： 杂志文章
doi：10.1007/s00247-004-1145-4
更新日期：2004-07-01 00:00:00
abstract：:In pediatric oncology, therapeutic decisions are made based on tumor response to chemotherapeutic agents. Sequential measurement of tumor bulk and its percent change on therapy must be accurately assessed. Will 3-dimensional (3-D) volumetric determination improve our ability to assess tumor response to therapy? Forty-...
journal_title：Pediatric radiology
pub_type： 杂志文章
doi：10.1007/BF02020828
更新日期：1995-01-01 00:00:00
abstract：BACKGROUND:CT optimization has a special importance in children. Smaller body size accentuates the importance of patient positioning affecting both radiation dose and image quality. OBJECTIVE:To determine the effect of vertical positioning on organ dose, image noise and contrast in pediatric chest CT examination. MAT...
journal_title：Pediatric radiology
pub_type： 杂志文章
doi：10.1007/s00247-012-2611-z
更新日期：2013-06-01 00:00:00
