European Society of Paediatric Radiology abdominal imaging task force recommendations in paediatric uroradiology, part IX: Imaging in anorectal and cloacal malformation, imaging in childhood ovarian torsion, and efforts in standardising paediatric uroradiology terminology

Riccabona, Michael; Lobo, Maria; Ording-Müller, Lil-Sofie; Augdal, A. Thomas; Avni, Efraim; Blickman, Johan G.; Constanza, Bruno; Damasio, Maria Beatrice; Darge, Kassa; Ntoulia, Akaterina; Papadopoulou, Frederica; Vivier, P.-H.

doi:10.1007/s00247-017-3837-6

Cited by 52 publications

(24 citation statements)

References 34 publications

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“…Out of 9500 cases undergoing anomaly scan at 18 to 23 weeks, cases meeting PCD criteria as European Society for Pediatric Radiology were included and followed wherever necessary. [1] The European Society for Pediatric Radiology has come up come with more accurate sonographic grading of postnatal pelvi-calyceal distention / dilatation. These criteria have been used in present antenatal study.…”

Section: Methodsmentioning

confidence: 99%

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Clinical Course of Fetal Pelvi-Calyceal Dilatation Diagnosed on Early Second Trimester Ultrasound.

Dhawane

2020

IJMBS

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Aims and Objectives: Incidental finding of fetal pelvi-calyceal dilatation is common finding on early second trimester anomaly scan. [18 to 23 weeks] It causes significant parental anxiety. The present study aims to apply stringent criteria for accurate assessment. It also studies the natural course of such findings, pathological cause for such findings and its postnatal outcomes. Study Design: This study includes 9500 cases that underwent anomaly at 18 to 23 weeks gestation period. 1. The fetal pelvi-calyceal dilatation [PCD] was diagnosed and categorized according to criteria set by European Society for Pediatric Radiology [ 1]. PCD 0 -renal calyces and pelvis not or hardly visible. PCD 1 -renal calyces not visible and axial renal pelvis diameter is less than 7 mm. PCD 2 -some calices are visible but with normal forniceal and papillary shape, axial renal pelvis less than 10 mm. PCD 3 -marked dilatation of calices and pelvis. Pelvic axial width usually more than 10 mm with flattened papilla and rounded fornices but without parenchymal thinning. PCD 4-gross dilatation of entire collecting system and thinning of renal parenchyma. PCD 5-Only thin membrane like residual renal parenchymal rim. Result: Among 9500 women who underwent routine anomaly scan at 18 to 23 weeks gestation, total 390 had PCD findings [4.1 %] Single kidney taken as one case while bilateral findings were taken as 2 cases. 98 [25.1 %] pregnancies had bilateral PCD findings and rest 292[74.9%] had unilateral PCD changes. These findings correlate well with as shown by S Sairam et al, Livera et al, Gunn et al [2, 3, 4]PCD 1 findings were noted in 317 cases, PCD2 findings were noted in 38 cases, PCD3 findings in 23 cases and PCD4 findings in 12 cases. All these fetuses were followed till either PCD findings resolved naturally or till 2 years of their life. These findings also compare well with S Sairam et al, and Persutte et al [ 2,5] About 00 cases of PCD1, 3 cases of PCD2 and 2 cases of PCD3 were lost for follow up for various reasons. Two cases of PCD1 were lost due to additional diagnosis of Down syndrome in one case and multiple anomalies in other cases. Both were excluded from the present study. Rest of them [383] were studied and analyzed for this paper. Out of 315 PCD1 cases, all turned out to be normal Out of 35 PCD2 cases, 19 were resolved, 12 remain unchanged at second year of child age rest were 4 worsened Out of 21 PCD 3, 2 cases resolved spontaneously, 5 remain unchanged and 14 cases worsened Out of 12 PCD 4 cases, all needed and underwent surgical intervention. 04 kidneys were saved and rest 8 had nephrectomies.

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Section: Methodsmentioning

confidence: 99%

“…1. The fetal pelvi-calyceal dilatation [PCD] was diagnosed and categorized according to criteria set by European Society for Pediatric Radiology [ 1]. PCD 0 -renal calyces and pelvis not or hardly visible.…”

mentioning

confidence: 99%

Clinical Course of Fetal Pelvi-Calyceal Dilatation Diagnosed on Early Second Trimester Ultrasound.

Dhawane

2020

IJMBS

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“…We appreciate their valuable comments and suggestions concerning our imaging recommendations for patients with cloacal and anorectal malformations [2].…”

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confidence: 99%

“…Volumetric images can be achieved if rotational threedimensional fluoroscopy equipment is available, as mentioned in Fig. 7 of our recommendations [2].…”

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confidence: 99%

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Reply to Reck-Burneo et al.: imaging anorectal and cloacal malformations

2018

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Clinical and CT features of ovarian torsion in infants, children and adolescents

Zhang

Kiryu

et al. 2021

Intl J Gynecology & Obste

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Objective: To investigate the clinical features and computed tomography (CT) findings of pediatric ovarian torsion. Methods:A retrospective analysis of the clinical and CT data of 61 newborns, infants, children, and adolescents with ovarian torsion confirmed by histopathology was performed.Results: Clinical features included abdominal mass, abdominal pain, nausea and vomiting, and fever. The tumor marker α-fetoprotein was increased in five cases. Ovarian enlargement was found in 26 cases, and follicles were detected in the peripheral region of the ovary in 21 cases. Twenty-one cases presented as solid mixed-density masses on CT images. A total of 30 cases of ovarian torsion were associated with a benign ovarian mass. Among 27 cases of cystic or predominantly cystic masses, the mass had a thickened wall in 26 cases and showed an uneven density in 23 cases. Among all 61 patients, a torsed pedicle was detected in 47 cases. A torsed ovary or mass exhibited mild contrast enhancement in seven cases. Uterine deviation toward the involved side, blurred fat space around lesions, and pelvic free fluid were also found. Conclusion:Pediatric ovarian torsion presents a relatively characteristic CT appearance. Correct diagnosis can be established based on clinical and imaging features.

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European Society of Paediatric Radiology abdominal imaging task force recommendations in paediatric uroradiology, part IX: Imaging in anorectal and cloacal malformation, imaging in childhood ovarian torsion, and efforts in standardising paediatric uroradiology terminology

Cited by 52 publications

References 34 publications

Clinical Course of Fetal Pelvi-Calyceal Dilatation Diagnosed on Early Second Trimester Ultrasound.

Clinical Course of Fetal Pelvi-Calyceal Dilatation Diagnosed on Early Second Trimester Ultrasound.

Reply to Reck-Burneo et al.: imaging anorectal and cloacal malformations

Clinical and CT features of ovarian torsion in infants, children and adolescents

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