Podcasts about pediatric radiology

Dr. Panigrahy is board certified in both Pediatric Radiology and Neuroradiology. He is a Professor of Radiology, Radiologist-in-Chief at Children's Hospital of Pittsburgh and Vice Chair of Clinical and Translational Imaging Research at UPMC. He has been continuously funded by the NIH since 2009 including both a K23 and current multi-center Ro1. He also has active funding from the Department of Defense, Society for Pediatric Radiology and private foundations. Dr. Panigrahy's research focuses on applying advanced MR techniques to the study of fetal/neonatal/pediatric brain development and injury in those diagnosed with congenital heart disease and its impact on neuro-developmental across the lifespan.

Artificial intelligence (AI) has the potential to transform healthcare and disrupt the field of medicine in significant ways. We have already seen remarkable progress in areas such as diagnostics and data analysis, but what could broader use in patient care looks like? A little over a year ago, the arrival of ChatGPT got everyone talking about AI — how realistic it is, how well it understands certain concepts and, specifically in medicine, how it can benefit our care systems. In this episode, we explore the overarching needs for AI in pediatrics and medical education, as well as where we stand in implementing it. We are joined by two guests from Children's Hospital Colorado who are leading the way in understanding how AI could be incorporated into pediatric care. Jim Barry, MD, specializes in neonatal/perinatal medicine at Children's Colorado and is an associate professor of pediatric neonatology at the University of Colorado School of Medicine. He is also the Medical Director of the UC Health NICU. He co-founded NeoMIND-AI, a learning collaborative for neonatologists and data scientists interested in AI within neonatal and pediatric critical medicine. Sarah Milla, MD, specializes in pediatric radiology and is the John D. Strain Endowed Chair for Radiology, Chief of Pediatric Radiology and Vice Chair of Radiology at Children's Colorado and the University of Colorado School of Medicine. She is also a visiting professor. Some highlights from this episode include:    Examples of how AI is currently being used in medicine  Ways providers can get started with AI  Ideas on how we can advance care in the future with this tool  For more information on Children's Colorado, visit: childrenscolorado.org.    

Did you know that undiagnosed developmental dysplasia of the hip (DDH) is the most common cause of arthritis in women under 40? Dr. Melissa Allen, a Pediatric Orthopedic Surgeon, joins 3rd year Pediatric Resident Erica DeMaagd and 4th year medical student Jacob Weiser to discuss the evaluation and management for DDH.  Specifically, they will teach how to:  Recognize common history and physical exam findings associated with hip dysplasia. Be able to formulate a differential diagnosis for hip dysplasia. Understand the initial diagnostic approach to hip dysplasia. Select appropriate imaging to evaluate for hip dysplasia. Help parents understand initial treatment. Create an appropriate disposition for patients with abnormal hip exams. Recognize when to refer patients with hip dysplasia (condition) to orthopedic surgery (specialists). Special thanks to Dr. Lisa Leggio and Dr. Rebecca Yang for peer reviewing this episode. CME Credit (requires free sign up):  Link coming soon! References: Auriemma, J., & Potisek, N. M. (2018). Developmental dysplasia of the hip. Pediatrics In Review, 39(11), 570–572. https://doi.org/10.1542/pir.2017-0239 Barrera, C. A., Cohen, S. A., Sankar, W. N., Ho-Fung, V. M., Sze, R. W., & Nguyen, J. C. (2019). Imaging of Developmental Dysplasia of the hip: Ultrasound, Radiography and Magnetic Resonance Imaging. Pediatric Radiology, 49(12), 1652–1668. https://doi.org/10.1007/s00247-019-04504-3 Centers for Disease Control and Prevention. (2022, December 8). Important Milestones: Your Baby by One Year. Centers for Disease Control and Prevention. https://www.cdc.gov/ncbddd/actearly/milestones/milestones-1yr.html Imrie, M., Scott, V., Stearns, P., Bastrom, T., & Mubarak, S. J. (2010). Is Ultrasound Screening for DDH in Babies Born Breech Sufficient? Journal of Children's Orthopaedics, 4(1), 3–8. Larson, J. E., Patel, A. R., Weatherford, B., & Janicki, J. A. (2019). Timing of Pavlik Harness Initiation: Can We wait? Journal of Pediatric Orthopaedics, 39(7), 335–338. https://doi.org/10.1097/bpo.0000000000000930 Mahan, S. T., Katz, J. N., & Kim, Y.-J. (2009). To Screen or Not to Screen? A Decision Analysis of the Utility of Screening for Developmental Dysplasia of the Hip. The Journal of Bone and Joint Surgery-American Volume, 91(7), 1705–1719. https://doi.org/10.2106/jbjs.h.00122 Nemeth, B. A., & Narotam, V. (2012). Developmental Dysplasia of the Hip. Pediatrics in Review, 33(12), 553–561. https://doi.org/10.1542/pir.33-12-553 Novais, E. (2018). Pavlik Harness. Boston, MA; Boston Children's Hospital Child and Young Adult Hip Preservation Program. Shaw BA, Segal LS, AAP SECTION ON ORTHOPAEDICS. Evaluation and Referral for                                    Developmental Dysplasia of the Hip in Infants. Pediatrics. 2016;138(6):e20163107 Scott Yang, Natalie Zusman, Elizabeth Lieberman, Rachel Y. Goldstein; Developmental Dysplasia of the Hip. Pediatrics January 2019; 143 (1): e20181147. 10.1542/peds.2018-1147  

Dr. Richard Towbin is a Board Certified Radiologist and Pediatrician trained in Pediatric Neuroradiology and Pediatric Interventional Radiology. He is a SIR Gold Medalist. He is one of the founders of the specialty of Pediatric Interventional Radiology, pioneering procedures for over four decades. He served as the Chief of Pediatric Radiology at Children's Hospital of Pittsburgh, Children's Hospital of Philadelphia and Phoenix Children's Hospital. He established Subspecialty Pediatric Radiology practices at each institution. He published the first textbook in Pediatric Interventional Radiology in 2015, and has served as President and Chairman of the Board of the Society for Pediatric Radiology, Treasurer of the Society of Interventional Radiology, and received numerous distinctions. He is a Gold Medal and Pioneer Award recipient from the Society for Pediatric Interventional Radiology. He mentors University of Arizona medical students in a pediatric radiology initiative which combines mentorship and academic work, which can be found at Applied Radiology, and he would be delighted to hear from interested students: rtowbin@gmail.com. Finally, THANK YOU to all our listeners who contribute to the rads conversation! Keep it up!

Dr. Grace Mitchell discusses the latest pediatric radiology trends and technology.

Dr. Jose Campos is back, this time helping us review some of the latest literature on the diagnosis and management of intussusception in children. In this podcast, we're reviewing a typical case with Dr. Todd Ponsky and incorporating literature from the last few years. Hosts: Rod Gerardo and Ellen Encisco Tsou, Po-Yang, et al. "Accuracy of point-of-care ultrasound and radiology-performed ultrasound for intussusception: a systematic review and meta-analysis." The American Journal of Emergency Medicine 37.9 (2019): 1760-1769. Accuracy of point-of-care ultrasound and radiology-performed ultrasound for intussusception: A systematic review and meta-analysis Liu, Shu Ting, et al. "Ultrasound-guided hydrostatic reduction versus fluoroscopy-guided air reduction for pediatric intussusception: a multi-center, prospective, cohort study." World Journal of Emergency Surgery 16.1 (2021): 1-7. Ultrasound-guided hydrostatic reduction versus fluoroscopy-guided air reduction for pediatric intussusception: a multi-center, prospective, cohort study - World Journal of Emergency Surgery Patel, Dhruv M., et al. "Radiographic findings predictive of irreducibility and surgical resection in ileocolic intussusception." Pediatric Radiology 50.9 (2020): 1249-1254. Radiographic findings predictive of irreducibility and surgical resection in ileocolic intussusception Gondek, Andrea Soria, et al. "Ileocolic intussusception: Predicting the probability of success of ultrasound guided saline enema from clinical and sonographic data." Journal of Pediatric Surgery 53.4 (2018): 599-604. https://doi.org/10.1016/j.jpedsurg.2017.10.050 Feldman, Oren, et al. "Success rate of pneumatic reduction of intussusception with and without sedation." Pediatric Anesthesia 27.2 (2017): 190-195. https://doi.org/10.1111/pan.13045 van de Bunt, Jascha A., et al. "Effects of esketamine sedation compared to morphine analgesia on hydrostatic reduction of intussusception: A case‐cohort comparison study." Pediatric Anesthesia 27.11 (2017): 1091-1097. https://doi.org/10.1111/pan.13226 Litz, Cristen N., et al. "Outpatient management of intussusception: a systematic review and meta-analysis." Journal of pediatric surgery 54.7 (2019): 1316-1323. https://doi.org/10.1016/j.jpedsurg.2018.09.019 Vo, Andrea, et al. "Management of intussusception in the pediatric emergency department: risk factors for recurrence." Pediatric Emergency Care 36.4 (2020): e185-e188. Pediatric Emergency Care Ferrantella, Anthony, et al. "Incidence of recurrent intussusception in young children: A nationwide readmissions analysis." Journal of pediatric surgery 55.6 (2020): 1023-1025. https://doi.org/10.1016/j.jpedsurg.2020.02.034

Dr. Sadaf Bhutta is a pediatric interventional radiologist at Seattle Children's and associate professor of radiology at the University of Washington. She is ABR certified jointly in diagnostic radiology and pediatric radiology. Listen as she shares her journey to radiology, highlighting how diverse the interests and training pathways of a radiologist can be, and urges students to know themselves and ask questions about the work radiologists do at their own institutions. She has special interest in congenital cardiac imaging and has been invited faculty at national and international meetings on the subject, and is also a founding member of the Society of Pediatric Interventional Radiology. Dr. Bhutta earned her bachelor's in medicine from King Edward Medical College in Pakistan and trained in diagnostic radiology and pediatric radiology at University of Arkansas for Medical Sciences, UAMS. After nearly 10 years as a faculty member there, she is now enjoying the Northwest and her work at UW and Seattle Children's. Mentioned in the episode: - RSNA reigstration 2021 https://rsna.21annual.com/ - American Roentgen Ray Society https://www.arrs.org/ - Society of Pediatric Interventional Radiology https://www.spir.org/

This is the 46th episode of planned multiple lectures hoping to cover random high-yield topics for the radiology core examination. Random facts that can be asked on the Core Exam, FRCR or any other radiology board exam. Please feel free to rate, subscribe and share. Twitter: MohmdHalaibeh Email: mhalaibeh@gmail.com Errata:

This is the 45th episode of planned multiple lectures hoping to cover random high-yield topics for the radiology core examination. Random facts that can be asked on the Core Exam, FRCR or any other radiology board exam. Please feel free to rate, subscribe and share. Twitter: MohmdHalaibeh Email: mhalaibeh@gmail.com Errata:

This is the 44th episode of planned multiple lectures hoping to cover random high-yield topics for the radiology core examination. Random facts that can be asked on the Core Exam, FRCR or any other radiology board exam. Please feel free to rate, subscribe and share. Twitter: MohmdHalaibeh Email: mhalaibeh@gmail.com Errata:

Dr. Grace Mitchell discusses the latest pediatric radiology trends and technology.

Dr. Panigrahy is board certified in both Pediatric Radiology and Neuroradiology.  He is a Professor of Radiology, Radiologist-in-Chief at  Children’s Hospital of Pittsburgh and Vice Chair of Clinical and Translational Imaging Research at UPMC. He has been continuously funded by the NIH since 2009 including both a K23 and current multi-center Ro1. He also has active funding from the Department of Defense, Society for Pediatric Radiology and private foundations.  Dr. Panigrahy’s research focuses on applying advanced MR techniques to the study of fetal/neonatal/pediatric brain development and injury in those diagnosed with congenital heart disease and its impact on neuro-developmental across the lifespan.

Join us today as we speak with Dr. Randy Richardson from Dignity Health about the future of pediatric radiology

Ovarian torsion is like the MI of the pelvis.  Sometimes all it takes is a good story to investigate. When to worry, when to walk it off, and when to work it up:     What is the typical presentation of ovarian torsion? There is none.  The presentation varies so much, we need a rule to live by: Unilateral pelvic pain in a girl is ovarian torsion until proven otherwise.  This includes the cases in which you are concerned about appendicitis.  They both can be fake-outs. Often the pain is severe and abrupt, but trying to tease this out is often not fruitful. Here are the often-reported signs and symptoms associated with ovarian torsion: Stabbing pain, 70% Nausea and vomiting, 70% Sudden, sharp pain in the lower abdomen, 59% Pain radiating to the back, flank, or groin, 51% Peritoneal signs, 3% Fever, less than 2% And of course…no pain on presentation…30%...intermittent torsion. What is the mechanism of ovarian torsion? Structurally abnormal ovary (including cysts) that causes the ovary to flop over and twist on its vascular axis Hypermobile ovary with vigorous movement twists on its vascular pedicle and cuts off blood supply The Dual Blood Supply to the Ovaries: Why Doppler Flow can Fool You What ultrasound findings suggest ovarian torsion? The enlarged hyper or hypoechoic ovary from generalized edema Peripherally displaced follicles with hyperechoic central stroma – this is called the string of pearls sign, because the stroma is edematous, leaving the follicles to stand out A midline ovary – if the ovary magically makes it to midline, something is up Free fluid in the pelvis – this is seen in the vast majority of cases As far as Doppler flow goes, you may see one of several scenarios: Little or no venous flow – this is very common, as we talked about, because the low pressure venous system is the first to take a hit in torsion Totally absent arterial flow – this is not as common, but totally diagnostic There may be no flow in diastole, or the flow may even be reversed. Rememver the red and blue of dopple does not correspond to arterial and venous.  Doppler is a vector.  Red is fluid coming towards the probe, blue is programmed to present flow away from the probe.  If you have just one or the other, then by definition there is a problem with the vascular circuit. Other things you may see on ultrasound include focal tenderness with the probe, or the whirlpool sign – this is a twisted vascular pedicle.   In children, is there an ovarian size (volume) that rules out torsion?” In the Journal of Pediatric Radiology, Servaes et al catalogued the ultrasound findings in children with surgically confirmed torsion over a 12 year period.  In this case series of 41 patients, the median age was 11.  The age range was one month old to 21 years of age.  They found that in torsed ovaries, the ovarian volume was 12 x that compared to the normal, non-torsed contralateral ovary. That is to say, in this case series all torsed ovaries were larger than the normal contralateral ovary.   Summary Sudden unilateral lower abdominal or pelvic pain in a female? Think torsion. Have a low threshold for investigation. Know the performance characteristics of ultrasound findings and involve a gynecologist early.   This post and podcast are dedicated to Stephanie Doniger, MD for her enthusiasm, spirit, and expertise in #MedEd #FOAMed #FOAMped #POCUS    References Abe M, Sarihan H. Oophoropexy in children with ovarian torsion. Eur. J. Pediatr. Surg. 2004;14:168. Aziz D, Davis V, Allen L, Langer J. Ovarian torsion in children: Is oophorectomy necessary? J. Pediatr. Surg. 2004;39:750-3. Bristow RE, Nugent AC, Zahurak ML, et al. Impact of surgeon specialty on ovarian-conserving surgery in young females with an adnexal mass. J. Adolesc. Health 2006;39:411. Chang YJ, Yan DC, Kong MS, et al. Adnexal torsion in children. Pediatr. Emerg. Care. 2008;24:534-7. Conforti A, Giorlandino C, Bagolan P. Fetal ovarian cysts management and ovarian prognosis: a report of 82 cases. J. Pediatr. Surg. 2009;44:868; author reply 868-9. Guthrie BD, Adler MD, Powell EC. Incidence and trends of pediatric ovarian torsion hospitalizations in the United States, 2000-2006. Pediatrics 2010;125:532-8. Epub 2010 Feb 1. Houry D, Abbott JT. Ovarian torsion: a fifteen-year review. Ann. Emerg. Med. 2001;38:156-9. Huang TY, Lau BH, Lin LW, Wang TL, Chong CF, Chen CC. Ovarian cyst torsion in a toddler. Am. J. Emerg. Med. 2009;27:632, e1-3. Hurh PJ, Meyer JS, Shaaban A. Ultrasound of a torsed ovary: characteristic gray-scale appearance despite normal arterial and venous flow on Doppler. Pediatr. Radiol. 2002;32:586-8. Epub 2002 May 25. Kokoska E, Keller M, Weber T. Acute ovarian torsion in children. Am. J. Surg. 2000;180:462-5. Oltmann SC, Fischer A, Barber R, Huang R, Hicks B, Garcia N. Cannot exclude torsion – a 15-year review. J. Pediatr. Surg. 2009;44:1212-6; discussion 1217. Chmitt ER et al. Twist and Shout! Pediatric Ovarian Torsion Clinical Update and Case Discussion. Pediatr Emerg Care. 2013; 29(4):518-523. Servaes S, Zurakowski D, Laufer MR, Feins N, Chow JS. Sonographic findings of ovarian torsion in children. Pediatr. Radiol. 2007;37:446-51. Epub 2007 Mar 15. Valsky DV. Added value of the gray-scale whirlpool sign in the diagnosis of adnexal torsion. Ultrasound Obstet. Gynecol. 2010;36:630-4.

Welcome to the May 2011 edition of the Developmental Medicine & Child Neurology podcast series. In this podcast, Dr Peter Baxter, Editor in Chief of the Journal, looks at the article ‘Spectrum of neurodevelopmental disabilities in children with cerebellar malformations' by Marie-Eve Bolduc, Adré J Du Plessis, Nancy Sullivan, Omar S Khwaja, Xun Zhang, Katherine Barnes, Richard L Robertson, Catherine Limperopoulos, and the accompanying commentary, also in the May 2011 issue: ‘Cognitive functions in children with cerebellar malformations' by Dr Andrea Poretti. Dr Peter Baxter talks to Professor Catherine Limperopoulos (Division of Diagnostic Imaging and Radiology, Children's National MedicalCenter, George Washington University, Washington, DC, USA), one of the authors of the article and Dr Andrea Poretti (Division of Pediatric Radiology, Russell H. Morgan Department of Radiology and Radiological Science, The Johns Hopkins School of Medicine, Baltimore, MD, USA). Read the paper here: http://onlinelibrary.wiley.com/doi/10.1111/j.1469-8749.2011.03929.x/abstract Read the commentary here: http://onlinelibrary.wiley.com/doi/10.1111/j.1469-8749.2011.03925.x/abstract

Part two of a two-part review of some of the "most commons" in Pediatric Radiology presented in flashcard format; can be used as either an audio only or audio/video podcast

Part one of a two-part review of some of the "most commons" in Pediatric Radiology presented in flashcard format; can be used as either an audio only or audio/video podcast