Annamaria Deganello MD, Presenter: Speaker, Bracco Group

Eleni Konstantatou MD, MSc, Abstract Co-Author: Nothing to Disclose

Anu Obaro MBBS, Abstract Co-Author: Nothing to Disclose

Maria E. Sellars MD, FRCR, Abstract Co-Author: Nothing to Disclose

Paul Singh Sidhu MRCP, FRCR, Abstract Co-Author: Speaker, Bracco Group Speaker, Siemens AG Speaker, Hitachi, Ltd

We illustrate the benefits of bedside use of CEUS in a variety of acute pediatric medical problems, in which it contributes to achieve immediate effective patient management, without recourse to CT and MR imaging, eliminating radiation exposure and the need for sedation.

CEUS is a rapid, safe, radiation-free and accurate technique that, despite remaining “off-label” in the context of pediatric imaging, proves to be extremely beneficial for this group of patients, and has an expanding role in children with the desire to reduce radiation exposure. This pictorial review illustrates a variety of unusual cases where CEUS was tremendously effective in the immediate diagnosis of abnormalities and in the acute management of pediatric patients. CEUS imaging findings of complicated pneumonias, biliary complications of liver transplant and inflammatory bowel disease are described. We also display examples of intra-cavitary use of CEUS, a novel application of this method, with diluted microbubbles being injected through thoracic and biliary catheters, which allows exact localization of the drains and accurate measurement and detection of complications of drained fluid collections or bile ducts.

http://abstract.rsna.org/uploads/2014/14013438/14013438_gu6z.pdf

Deganello, A, Konstantatou, E, Obaro, A, Sellars, M, Sidhu, P, Novel and Unique Applications of Contrast Enhanced Ultrasound (CEUS) as a Bedside Problem-solving Tool in the Management of the Acute Pediatric Patient.  Radiological Society of North America 2014 Scientific Assembly and Annual Meeting, - ,Chicago IL. http://archive.rsna.org/2014/14013438.html