Lane F Donnelly

..Herein the authors describe the components of a program implemented to promote professionalism and effective communication in their radiology department...

..To compare the patterns of dynamic airway motion depicted on cine magnetic resonance (MR) images obtained during sleep between young patients with and those without obstructive sleep apnea (OSA)...

..Even when news coverage is inaccurate or sensationalized, the attention of the general public can drive change not only generally in medicine but also specifically in radiology...

..In the 1970s in part to avoid inadvertent ingestion, the beverage-can industry changed can construction from pull-tabs to the stay-tabs (remain attached to can after opening) used today...

..With attention to these techniques, and appropriate application of MDCT, it is possible to maximize the yield while minimizing the risk to children...

..The authors review the background around such walk rounds, describe their particular program, and give multiple illustrative examples of issues identified and improvement plans put in place...

..Spontaneous pneumothorax (SPTX) is a relatively common condition. In patients with SPTX, CT has been advocated to identify blebs and bullae (BB) to help in management planning...

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..contrast material in central venous catheters, the potential danger of hand injection of central venous catheters should be considered when policies are made concerning the delivery of i.v. contrast material via central venous catheters...

..Emphasis is being placed on improving the safety performance of the health care delivery system. The purpose of this study was to evaluate the effects of a program on safety performance and culture in a pediatric radiology department...

..The article describes the horizontal interventions to improve patient safety used in our department...

..This review discusses multiple aspects of MR sleep studies including indications, patient preparation, MR protocols, and commonly made diagnoses...

..The use of such a scorecard can help develop a departmental culture of quality improvement, focus healthcare providers on specific quality improvement projects, and drive departmental performance...

..The authors encourage medical leaders to consider administrative simplicity when opportunities arise to reevaluate health care governance structures...

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..Unlike turf toe, in which the plantar plate is involved, skimboarder's toe involves structures dorsal to the metatarsophalangeal joint...

..This prospective study examines the dose-response effects of dexmedetomidine on upper airway morphology in children with no obstructive sleep apnea (OSA)...

..0035). CONCLUSIONS: Enlargement of the lingual tonsils is relatively common in children with persistent obstructive sleep apnea after palatine tonsillectomy and adenoidectomy. This is particularly true in patients with Down syndrome...

..The purpose of this study is to evaluate the airway dynamics of the upper airway as depicted on cine MRI in children with tracheotomy tubes during two states of airflow through the upper airway...

..We describe the use of safety coaches in radiology. Safety coaches are an important component of our comprehensive patient safety program...

..Both patterns may be seen in patients regardless of whether the left or the right arch has been ligated...

..We have recognized an increasing number of patients who are obese and have obstructive sleep apnea with enlarged lingual tonsils. The purpose of this study was to evaluate the frequency of enlarged lingual tonsils in obese children...

..Effective intervention for OSA in this high-risk group will result in reduction in morbidity and the public health concerns associated with OSA...

..We performed flow computations on an accurate upper airway model in a patient with obstructive sleep apnea and computed the velocity, static pressure, and wall shear stress distribution in the model...

..This has implications for the treatment of obstructive sleep apnea, which occurs at a relatively high rate among patients with Down syndrome...

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..CONCLUSION: Bismuth in-plane breast shielding for pediatric MDCT decreased radiation dose to the breast without qualitative or quantitative changes in image quality...

..The cine magnetic resonance image (MRI) is useful in evaluating the upper airway in those patients who have not achieved a normal polysomnogram after T&A surgery...

..CONCLUSION: In defining anatomic details of the hollow gastrointestinal tract, water is as effective as dilute Hypaque as an oral contrast agent for CT in the setting of acute blunt abdominal trauma in pediatric patients...

..For this reason, this article will summarize the issues with CT patterns of use and radiation risk, and provide dose reduction strategies pertinent to pediatric health care providers...

..0033) and a trend for increased frequency of the open mouth position (p = 0.0692). CONCLUSION: Large adenoid and palatine tonsil size affects breathing dynamics of the upper airway even in asymptomatic children...

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..This simulation technology can be applied to MDCT of other organ systems for systematic evaluation of radiation dose reduction...

..We conducted a quality improvement initiative to implement cultural and system changes with the goal of reducing serious safety events (SSEs) by 80% within 4 years at our large, urban pediatric hospital...

..The parameters chosen in each category were picked on the basis that they would contribute to quality improvement while creating minimal additional data collection beyond what was already occurring in the department...

..There was a wide range of airway volume measurements over the respiratory cycle with the lowest volume at end expiration and the highest at peak inspiration...

..CONCLUSION: Selective embolization decreases tumor size, prevents hemorrhage, and preserves kidney function in patients with tuberous sclerosis with renal angiomyolipomata...

..CONCLUSION: Multiple hepatic angiomyolipomas are often found in patients with tuberous sclerosis, particularly in those with bilateral diffuse renal angiomyolipomas...

..Transverse MR imaging demonstrates both airway distention and collapse in children with OSA...

..Regardless, radiologists may be missing an opportunity to play a role in disease prevention and early recognition by documenting findings of obesity and thereby bringing them to the attention of referring physicians...

..To determine whether computed tomographic (CT) findings can help differentiate between benign and clinically worrisome causes of pneumatosis intestinalis (PI) in children...

..Our subjective experience is that we see children with Meckel diverticulum who present with abdominal pain and are evaluated by CT...

..CONCLUSION: Evaluation for extrinsic compression of the airway in children can be accomplished using a low-tube-current multidetector CT protocol; in most pediatric patients, the examination can be performed without sedation...

..Once these areas are identified, they can be emphasized during training...

..Although round pneumonia is a well-known clinical entity, there have been no large case reviews, with most knowledge based on case reports and small series from the 1960s and 1970s...

..Further study of the safety of this practice should be undertaken...

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..Having practitioner-specific data compiled in an organized fashion helps meet the standards of the Joint Commission on Accreditation of Healthcare Organizations (JCAHO)...

..Our purpose is to describe the frequency and appearance of retropharyngeal lymph nodes in children with and without OSA...

..This article will describe the implementation of a comprehensive customer service program in a hospital-based radiology department...

..The most common causes include macroglossia, glossoptosis, recurrent enlargement of the adenoid tonsils, and enlarged lingual tonsils...

..018). CONCLUSION: Missing sternal ossification centers occur most commonly at segments 2 and 4. Such asynchronous non-ossifications become less common in older children...

..CONCLUSION: The MRI appearance of accessory breast tissue is of a mass discontinuous with-but with signal intensity and contrast enhancement characteristics similar to-normal breast parenchyma...

..Herein the authors discuss these topics within the context of characteristic bariatric patient profiles and the Roux-en-Y gastric bypass procedure, currently the authors' standard operative approach...

..To determine the proportion of children and young adults in whom the thymus extends superiorly above the level of the manubrium into the anterior cervical tissues on magnetic resonance (MR) imaging studies...

..We hypothesized that patients receiving ECM 1 hour before anesthesia/sedation would have residual gastric fluid volume (GFV) >0.4 mL/kg...

..To define the MRI findings of congenital high airway obstruction sequence (CHAOS) in a series of fetuses...

..To define normal upper airway motion in asymptomatic children during sleep by means of dynamic cine magnetic resonance (MR) techniques...

..The authors believe that these steps can be helpful to any institution, private or academic, seeking to recruit and retain radiologists...

..We assessed the use of MRI in the evaluation of abdominal fat distribution in a lysosomal acid lipase (LAL)-deficient mouse model...

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..The T1-weighted 3D spoiled gradient-echo sequence generated similar ratios of intraabdominal to subcutaneous adipose tissue in a fraction of the acquisition time...

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..8%). PICC placement with fluoroscopic guidance is highly successful, and the authors believe it is best performed in an angiography suite...

..The use of a short-term tapering dose of prednisone appeared to reduce PES compared with the reported literature and improved patient comfort...

..Abdominal fat is more related to health risk than is whole-body fat. Determining the factors related to children's visceral fat could result in interventions to improve child health...

..These serious health consequences affect nearly every organ system. Despite the increasing prevalence of obesity and the associated health hazards, pediatric obesity as a diagnosis is often overlooked by health care providers...

..This article highlights areas in which pathology or imaging approach in children differs from that seen in adults. Topics covered include imaging of a suspected hepatic mass, neonatal jaundice, and segmental liver transplantation...

..The MR appearance of a popliteal pterygium is that of a band of abnormal tissue extending from the ischium to the os calcis that has signal characteristics of fibrous tissue often attached to a belly of anomalous muscle...

..13). CONCLUSION: Both angiomyolipomas and cysts occur commonly in pediatric patients with TSC and tend to increase in size and number with increasing age. Angiomyolipomas are more common than cysts and tend to be numerous...

..Although most patients in this series eventually underwent surgical resection, initial treatment can be conservative. The decision to perform surgery may have reflected the local medical culture...