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06:22 CET
VoE 32 - Paediatric
Paediatric
Wednesday, February 28, 10:00 - 11:00
Moderator: B. Ahuja (Agra/IN)


C-0751
10:00
Step by step in the brain US in children with meningitis
M. Diez Blanco, M. Fajardo Puentes, A. MONTES TOME, C. Mostaza Sariñena, S. Rizzo Raza, M. Velasco Casares, M. Hernandez Herrero, G. Fernandez Perez; Valladolid/ES

Learning objectives:
To analize the main US brain findings in meningitis and its complications in pediatric patients. To emphasize the relationship between imaging findings and underlying pathological changes.
Background:
- INTRODUCTION: Bacterial and viral meningitis is an uncommon but serious condition in the newborn and infant child. Despite the recent advances in neonatal intensive care units and a wide range of potent antibiotics, neonatal meningitis remains an important cause of neurological disability worldw[...]
Findings and procedure details:
SONOGRAPHIC FINDINGS IN MENINGITIS: Ultrasound abnormalities are present in approximately 65% of infants with acute bacterial meningitis. However, the frequency of imaging abnormalities in patients with a clinical presentation complicated by persistent seizures, abnormal neurological findings and [...]
Conclusion:
Cranial sonography plays an important role in the initial evaluation of infants with suspected bacterial meningitis and in monitoring for complications of the disease. Its utility is enhanced by the use of alternative scanning approaches and Doppler techniques for identification of ventriculitis, ex[...]
Personal information:
Thank you very much for your interest in our poster!. Please do not hesitate to contact us should you have any questions in: maria.diez.blanco@gmail.com
References:
- Ali Yikilmaz, George A. Taylor (2008) Sonographic findings in bacterial meningitis in neonates and young infants. Pediatr Radiol 38:129–137 - Daneman A, Epelman M, Blaser S et al (2006) Imaging of the brain in full-term neonates: does sonography still play a role? Pediatr Radiol 36:636–646 - Kastr[...]

C-0767
10:07
Acute lateral patellar dislocation in the pediatric population - common injury patterns on 3T MRI
M. Akhlebinina, I. Melnikov, T. Karmanova, I. Blokhin, T. Akhadov; Moscow/RU

Learning objectives:
- To demonstrate characteristic aspects of patient positioning in acute patellar dislocation for damage evaluation using 3T MRI - To describe main anatomical structures prone to injuries in pediatric acute patellar dislocation - To highlight treatment options depending on the detected lesions and to[...]
Background:
Acute lateral patellardislocation accounts for about 2-3% of all knee injuries [1]. The prevalence of acute patellar dislocation is 6–77 per 100,000 population [4]. Patellar dislocation typically initially occurs with twisting knee movement during which the medial ligamentous stabilizers rupture and[...]
Findings and procedure details:
Since 2004, 2522 children with knee joint injuries have been hospitalized at the Clinical and Research Institute of Emergency Pediatric Surgery and Trauma.1160 (46%) of them had acute lateral patellar dislocation (55% boys, 33% girls). The most common injury mechanism was internal rotation of a flex[...]
Conclusion:
Diagnostics and treatment tactics in patients with lateral patellar dislocation depend on: - assessment of MPFL (all three portions) and medial retinaculum for partial and full-thickness tears - detection of loose intra-articular or non-displaced osteochondral or cartilaginous fragments - detection [...]
Personal information:
Address correspondence to M.Akhlebinina (e-mail: akhlebinina.m.i@gmail.com).
References:
1. Stefancin, John J., and Richard D. Parker. "First-time traumatic patellar dislocation: a systematic review." Clinical orthopaedics and related research 455 (2007): 93-101. 2. Fithian, D. C., E. W. Paxton, and M. L. Stone. "Epidemiology and Natural History of Acute Patellar Dislocation." Journal o[...]

C-0924
10:14
Pediatric Epilepsy: “A Radiological Diagnosis”
A. Taori, D. MALPANI; Indore/IN

Learning objectives:
To ascertain the role of radiologist in diagnosing cause of pediatric epilepsy. Discuss the clinical and imaging findings of various pathologic conditions seen in patients with pediatric epilepsy.
Background:
Seizures are an excessive burst of abnormally synchronized neuronal activity affecting small or large neuronal networks that results in clinical manifestations that are sudden, transient, and usually brief. The term epilepsy is used, when there are recurrent unprovoked seizures. Pediatric populati[...]
Findings and procedure details:
Procedure Details: Routine MR imaging was used as first line investigation for complete anatomical and morphological assessment of lesions in pediatric population presenting with seizures. In very young children where motion artefact and compliance could be an issue, sedation was used. CT was prim[...]
Conclusion:
Radiologist in association with clinical history and imaging findings usually suggests diagnosis in pediatric epilepsy. We hope that these cases of Pediatric epilepsy will be “Aunt Minnies”, the next time they show up on our consoles.
Personal information:
Dr. Abhijeet Taori MD, DNB Fellowship in Musculoskeletal Imaging and Sports Medicine, LA, USA. Fellowship in Abdominal and Oncological imaging, TTSH, Singapore. Consultant Radiologist Suyash Hospital, Indore, India. Dr. Divya Malpani MD, DNB Fellowship in Musculoskeletal Imaging and Sports Medicin[...]
References:
Rastogi S et al. Neuroimaging in Pediatric Epilepsy: A Multimodality Approach RadioGraphics 2008; 28:1079–1095 Osborn AG et al Diagnostic Imaging: Brain 3e, Amirsys, 2016 Barkovich AJ Diagnostic Imaging: Pediatric Neuroradiology 2e, Amirsys, 2015.

C-2121
10:21
Inflammatory Bowel Disease in Paediatrics- A review of relevant gastro-intestinal imaging modalities
V. Dattani1, F. Din2, A. Quddus2, F. C. Adams2, J. Russell2, A. El-Shater Bosaily2, I. Beal2, J. Maclachlan2; 1Hampstead/UK 2London/UK

Learning objectives:
To appreciate the imaging appearances of paediatric inflammatory bowel disease on various imaging modalities, including ultrasound, MRI and fluoroscopy, as illustrated by cases from our tertiary referral centre. To understand the advantages and disadvantages of each of the imaging modalities describ[...]
Background:
Inflammatory bowel disease is an umbrella term encompassing ulcerative colitis and Crohn’s disease as well as unclassified inflammatory bowel disease where features do not fit well into either category. Both are chronic, progressive inflammatory conditions resulting from inappropriate immune respons[...]
Findings and procedure details:
In this section, we use cases from our tertiary referral centre in London (UK) to discuss the use of various imaging modalities for inflammatory bowel disease in paediatric patients. We detail from our experience the imaging appearances as well as advantages and disadvantages of each. Modalities dis[...]
Conclusion:
Imaging plays an important role in the diagnosis of inflammatory bowel disease as well as in the investigation of acute flare, assessment of intra and extra-luminal complications, follow up of disease post treatment and in the identification of extra-intestinal manifestations. In the paediatric popu[...]
Personal information:
Dr Vruti Dattani. Radiology Trainee, Royal Free Hospital, Pond Street, Hampstead, London, NW3 2QG. Email: vruti.dattani@nhs.net
References:
De Mattos BRR, Garcia MPG, Nogueira JB, et al. Inflammatory Bowel Disease: An Overview of Immune Mechanisms and Biological Treatments. Mediators of Inflammation. (2015) 2015:493012. Ng SC, et al. Worldwide Incidence and Prevalence of inflammatory bowel disease in the 21st century: a systematic revie[...]

C-2598
10:28
Malignant causes of periosteal reaction in paediatrics: part 2
S. M. Ando, M. Takahashi, F. Sakamoto, L. B. Q. Rodrigues, J. Nogueira Junqueira, L. N. d. Oliveira; São Paulo/BR

Learning objectives:
To describe the types and patterns of periosteal reactions. To review the main differential diagnosis of periosteal reactions in the setting of malignant pediatric diseases. To illustrate imaging findings in plain radiography, computed tomography and magnetic resonance imaging.
Background:
The periosteum is a membrane that covers the surface of most bones, being composed of two layers (outer and the inner). Periosteal reaction is an osteogenic response of the cortical bone, and is usually related to some kind of stress or injury. The type of the periosteal reaction will usually be r[...]
Findings and procedure details:
Differential diagnosis en malignant diseases Osteosarcoma (figure 4, 5, 6, 7, 8) Most common primary malignant bone tumor (conventional osteosarcoma). Most of cases occur in patients younger than 30 years of age. Metaphysis of long bones are the most common site, specially femur and ti[...]
Conclusion:
Periosteal reaction, which is usually a response of the cortical bone to some kind of stress, can have a varied radiographical appearance. Many diseases can have overlapping periosteal reaction presentations, and this can make differentiating malignant from benign causes of periosteal reaction a c[...]
Personal information:
References:
Bisseret D, Kaci R, Lafage-Proust MH, Alison M, Parlier-Cuau C, Laredo JD, Bousson V. Periosteum: Characteristic imaging findings with emphasis on radiologic-pathologic comparisions. Skeletal Radiology. 44 (3): 321-338, 2015. Wenadem AET, Szyszko TA, Saifuddin A. Imaging of periosteal reactions as[...]

C-3164
10:35
Cut-off points for ultrasonographic measures of abdominal fat in children
L. d. S. Piber, P. Souza, J. Armond, Y. Juliano, N. Novo, M. Wanderley; São Paulo/BR

Learning objectives:
To identify cut-off points for ultrasonographic measures considered to be at risk for overweight and obesity.
Background:
In 1997, the World Health Organization (WHO) formally recognized obesity as a global epidemic [1]; not limited to just one age group or country [2]. Obesity is defined as excess body fat and not only excess weight [3]. Its prevalence has increased in all age groups. Childhood obesity, the most[...]
Findings and procedure details:
This is a cross-sectional study. It was evaluated 100 schoolchildren, aged between 6 and 10 years of a public school in the city of São Paulo, Brazil. The research was approved by the Ethics and Research Committee of the Santo Amaro University, whose number is 1,103,468 dated 06/11/2015 and CAAE[...]
Conclusion:
This study aimed to set a limit of normality. These data are of clinical relevance, because they help in the early diagnosis of excess abdominal fat; however, the size of the eutrophic population of this research limits these results to be extrapolated. Therefore, the continuity of these studies is [...]
Personal information:
Contact details: Dr. Leonardo de Souza Piber; Department of Ultrasonography/CDB Medicina Diagnóstica; Physician-researcher in Nutritional Disorders and Associated Factors/Santo Amaro University; São Paulo, Brazil E-mail: leonardopiber@yahoo.com.br
References:
Caballero, B. The global epidemic of obesity: an overview. Epidemiologic reviews. 2007;29(1):1-5. Troiano RP, Flegal KM. Overweight children and adolescents: description, epidemiology, and demographics. Pediatrics. 1998;101(s 2):497-504. Pereira PF, Serrano HMS, Carvalho GQ, Lamounier JA, Peluzio MD[...]

C-3191
10:42
Paediatric Skull and Scalp Masses- A Pictorial Review
A. Chattopadhyay, D. J. Warren, I. Craven, M. Igra; Leeds/UK

Learning objectives:
To provide a comprehensive review of the common and more unusual pathologies affecting the paediatric skull and scalp, emphasising the key imaging features.
Background:
Children presenting with a scalp or skull mass form an important part of paediatric neuroradiology practice. Early diagnosis of these lesions and accurate characterisation is an essential part of their treatment pathway. However, establishing the definite diagnosis on a radiological basis is often[...]
Findings and procedure details:
The characteristic imaging features of a wide range of scalp and skull lesions are illustrated across a range of imaging modalities. Parietal Foramina Background: Congenital calvarial defects which are a result of delayed/incomplete ossification of the parietal bones, specifically around th[...]
Conclusion:
The diverse pathological conditions giving rise to paediatric skull and scalp masses are reflected in the wide range of clinical presentations and the need for a multimodality imaging approach. Having an understanding of the key imaging findings associated with each pathology can aid the radiologi[...]
Personal information:
References:
Moron FE, Morriss MC, Jones JJ and Hunter JV. Lumps and Bumps on the Head in Children: Use of CT and MR Imaging in Solving the Clinical Diagnostic Dilemma. RadioGraphics. 2004. 24:6, 1655-1674 Lloret I, Server A and Taksdal I. Calvarial Lesions: A Radiological Approach to Diagnosis, Acta Radiologica[...]

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