Diagnostic And Interventional Ultrasound In Ped...
Ultrasound is useful as a diagnostic tool in the evaluation of the pediatric spine, and can also help guide procedures in the interventional radiology suite or the operating room. This pictorial exhibit will display examples of diagnostic and interventional uses of ultrasound with respect to the pediatric spine.
Diagnostic and Interventional Ultrasound in Ped...
The indications and utility of flexible bronchoscopy have expanded over the past few decades with major innovations in design and development of new tools for endobronchial interventions and image-guided tissue sampling techniques. This review highlights the application of advanced diagnostic bronchoscopy (including endobronchial ultrasound and CT navigational techniques), cryotherapy and the use of one-way endobronchial valves for persistent air leak in the pediatric setting.
And our expertise is renowned. Some of our radiologists are among a few hundred in the nation who are fellowship-trained in both pediatric diagnostic and interventional radiology, or pediatric radiology and neuroradiology (imaging of the brain).
Musculoskeletal Ultrasound (MSKUS) is a cutting-edge procedure being utilized to rapidly diagnose and treat a multitude of musculoskeletal disorders. This comprehensive course will cover the most important practical aspects of MSKUS, including step-by-step instruction for diagnostic ultrasound and guided procedures followed by scanning demonstrations with a patient model where you will have the opportunity to ask questions and receive immediate feedback from our expert faculty. Learners of all levels will receive training on MSKUS utilization and techniques of the upper and lower extremities as well as indications in pediatrics, physiatry and sport medicine.
A complete range of diagnostic and interventional procedures are available in general radiology and in subspecialty areas. Our diagnostic imaging equipment reflects the latest advances in imaging science, including radiation dose reduction capabilities.
The Section of Pediatric radiology provides comprehensive diagnostic imaging in pediatric patients. This includes Fluroscopic exams, Ultrasound, CT and MR of the body including extremities and joints. Diagnostic neuro imaging, angiography, interventional radiologic procedures and nuclear medicine studies in pediatric patients are also provided by our neuroradiology, interventional and nuclear medicine services.
We provide a range of radiology procedures for children of all ages. We use methods including X-rays, interventional radiology, CT scans, ultrasounds, MRIs, fluoroscopy and nuclear medicine tests to diagnose and often treat a variety of medical conditions.
We work to create a safe and comfortable environment for our patients and families, following the guidelines of Image Gently, which is a national campaign to minimize radiation doses without compromising diagnostic quality. We work to ensure that your child is exposed to the lowest possible dose of radiation necessary to complete a diagnosis or procedure. Our state-of-the-art diagnostic equipment has special pediatric features, and our full range of diagnostic imaging and interventional radiology services are calibrated for safe use on infants, children and adolescents.
We use the latest imaging equipment to perform the diagnostic evaluation that your child needs. Our state-of-the-art ultrasound units are designed specifically for the evaluation of fetal and pediatric patients, including 3D and 4D capabilities. We have a complete assortment of ultrasound transducers or probes, uniquely suited to image the great variety of patient sizes and shapes that we image on a daily basis. Color and waveform Doppler techniques are also performed regularly, on patients of all ages.
Interventional radiology is a minimally invasive way of assessing disease and delivering targeted treatments. Interventional radiologists are board-certified physicians with advanced training in minimally invasive therapy guided by imaging tools such as fluoroscopy (x-ray), computed tomography (CT), and ultrasound. Many diseases that once required surgical treatment can be treated nonsurgically by interventional radiologists with less risk, less pain, and faster recovery time. It is routinely used to perform biopsies and to place shunts, feeding and drainage tubes, and peripherally inserted central catheters (PICCs). It can also be an alternative to surgery for serious medical conditions, such as vascular malformations, blood clots, and kidney or liver abnormalities.
SUNY Downstate's radiologists and staff work with our referring physicians to provide the highest quality diagnostic and interventional imaging services in an academic center serving the East Flatbush community. We have over 30 board certified faculty members and physicists that represent every subspecialty of radiology including neuroradiology, cardiothoracic, gastrointestinal, musculoskeletal, pediatric, ultrasound, breast and nuclear radiology. Every member of our staff is committed to patient safety and comfort.
The Department of Radiology provides a full range of diagnostic and interventional/therapeutic procedures. The department is equipped with state-of-the-art imaging technology in all of its divisions and is staffed with experienced radiologists practicing in subspecialty areas of diagnostic imaging. All of the physicians in the department are board certified.
718-270-3122The physicians perform consultative services in all aspects of diagnostic ultrasound. This includes standard anatomic imaging, duplex doppler, colorflow doppler and intracavitary imaging (e.g., transvaginal, transrectal, etc.).
We provide diagnostic and therapeutic services pertaining to the brain, spine, and head and neck. The scope of our responsibilities encompasses diagnostic and interventional procedures using MRI, CT, ultrasound, PET/CT, intra-operative and functional MR imaging. The Computational Neuroimaging Laboratory provides post-image processing and advanced analysis for clinicians throughout MD Anderson.
Interventional radiology (IR) is important to the delivery of safe,cost-effective pediatric care. Minimally invasive, image-guided vascularapplications include venous access and interventions for congenital andacquired disease (Figure 1). Diagnostic catheter-directed angiographyis used selectively in current algorithms, as ultrasound, magneticresonance imaging and angiography, and computed tomographic angiographyare now the principle noninvasive diagnostic vascular imagingmodalities. Nonvascular pediatric IR procedures include enteric access(eg, feeding and percutaneous gastrostomy tube placements), biopsies,diagnostic and therapeutic drainages, percutaneous transhepaticcholangiography and biliary drainage, percutaneous cholecystostomy, andpercutaneous nephrostomy.
Radiation exposure is a primary clinical risk in the performance ofpediatric interventional procedures. This is directly related to thefact that radiation-dependent fluoroscopy and computed tomography (CT)are principal modalities for image guidance. Nonradiation-dependentultrasound and MRI (in select centers) can also be utilized, dependingupon the disease process, interventional window and supportive equipmentand technology. Fluoroscopic guidance may be combined with ultrasoundto improve technical guidance and potentially decrease radiationexposure. Hybrid CT-fluoroscopy and MRI-fluoroscopy technologies arealso available and can be applied to minimize procedural time andradiation exposure.
Continuous quality reviews are fundamental to ensuring appropriatemodality utilization and compliance with control measures. They arenecessary to ensure that radiation-dependent image-guided procedures areof appropriate and sufficient diagnostic quality. Reviews should assessdeterminants which may impact exam quality, including, but not limitedto, radiation exposure settings, positioning, support devices, andmotion. Three-hundred-sixty-degree input and feedback from theinterventional team is essential to evaluating the quality of thepediatric interventional program, identifying areas for improvement, andimplementing changes that will yield the highest success in pediatricclinical care and safety.
Interventional radiology (IR) is important to the delivery of safe,\ncost-effective pediatric care. Minimally invasive, image-guided vascular\napplications include venous access and interventions for congenital and\nacquired disease (Figure 1). Diagnostic catheter-directed angiography\nis used selectively in current algorithms, as ultrasound, magnetic\nresonance imaging and angiography, and computed tomographic angiography\nare now the principle noninvasive diagnostic vascular imaging\nmodalities. Nonvascular pediatric IR procedures include enteric access\n(eg, feeding and percutaneous gastrostomy tube placements), biopsies,\ndiagnostic and therapeutic drainages, percutaneous transhepatic\ncholangiography and biliary drainage, percutaneous cholecystostomy, and\npercutaneous nephrostomy.
Radiation exposure is a primary clinical risk in the performance of\npediatric interventional procedures. This is directly related to the\nfact that radiation-dependent fluoroscopy and computed tomography (CT)\nare principal modalities for image guidance. Nonradiation-dependent\nultrasound and MRI (in select centers) can also be utilized, depending\nupon the disease process, interventional window and supportive equipment\nand technology. Fluoroscopic guidance may be combined with ultrasound\nto improve technical guidance and potentially decrease radiation\nexposure. Hybrid CT-fluoroscopy and MRI-fluoroscopy technologies are\nalso available and can be applied to minimize procedural time and\nradiation exposure. 041b061a72