Articles
Articles are a collaborative effort to provide a single canonical page on all topics relevant to the practice of radiology. As such, articles are written and continuously improved upon by countless contributing members. Our dedicated editors oversee each edit for accuracy and style. Find out more about articles.
27 results found
Article
Polydactyly
Polydactyly (less commonly called hyperdactyly) refers to the situation where there are more than the usual number of digits (five) in a hand or foot. It can be broadly classified as:
preaxial polydactyly: extra digit(s) towards the thumb/hallux (radially)
postaxial polydactyly: extra digit(s)...
Article
Neonatal pneumothorax
Neonatal pneumothorax describes pneumothoraces occurring in neonates. It is a life-threatening condition, associated with high morbidity and mortality. The diagnosis is a challenge especially when the amount of air is small and may accumulate along the anterior or medial pleural space.
Epidemio...
Article
Left atrial enlargement
Left atrial enlargement (LAE) may result from many conditions, either congenital or acquired. It has some characteristic findings on a frontal chest radiograph. CT or MRI may also be used for diagnosis.
Clinical presentation
An enlarged left atrium can have many clinical implications, such as:...
Article
Pyrexia of unknown origin
A pyrexia of unknown origin, commonly shortened to PUO, and also known as a fever of unknown origin (FUO), was originally defined in 1961 as the condition in which the core body temperature is >38.3oC for a period of three weeks or more, with no diagnosis reached after one week of inpatient inve...
Article
Isomerism
Isomerism is a term which in general means 'mirror-image' and refers to finding normally-asymmetric bilateral structures to be similar. It is used in the context of heterotaxy and is of two types:
left isomerism
right isomerism
Left isomerism
Mirror image of the structures on the left side o...
Article
Metaphyseal diaphyseal angle
The metaphyseal-diaphyseal angle (of Drennan) is an important measurement used to distinguish between tibia vara (Blount disease) and physiological bowleg.
Measurement
This angle is measured by drawing a line along the long axis of the tibia, creating a perpendicular to this line, and drawing...
Article
Lateral humeral line
The lateral humeral line is used to confirm the alignment of the pediatric radiocapitellar joint in the coronal plane 1. This is particularly important in injuries such as a Monteggia fracture-dislocation or in a radial neck fracture.
Measurement
The lateral humeral line is drawn on a pediatri...
Article
Neonatal chest radiograph in the exam setting
The neonatal chest radiograph in the exam setting may strike fear into the heart of many radiology registrars, but it need not!
There are only a limited number of diagnoses that will be presented on such films and they are often highlighted by the history.
Gestation
First of all, have a look ...
Article
Head ultrasound
Head ultrasound (HUS), also called cranial ultrasound (CUS), is obtained for the diagnosis and follow-up of premature and sick neonates.
Advantages
Head ultrasound has the advantages of:
accessibility
mobility, i.e. bedside scanning at the NICU and neonatal ward
requiring no sedation
enabl...
Article
Liver lesions (pediatric)
Pediatric liver lesions are a heterogeneous group that includes infiltrative lesions and those that demonstrate mass-effect. Moreover, they may be solitary or multiple, benign or malignant:
benign liver tumors
malignant liver tumors
Epidemiology
There are differing frequencies of both benign...
Article
Extrusion index
The extrusion index, also known as the (Reimers) hip migration index, is a radiographic measurement of femoral head bony coverage by the acetabulum. It is useful in assessing for developmental dysplasia of the hip, femoroacetabular impingement, and assessment of hip subluxation in cerebral palsy...
Article
Pediatric urinary tract infection (NICE guideline)
The British National Institute for Health and Care Excellence (NICE) published the “Urinary tract infection in under 16s: diagnosis and management” in 2007 as a guideline for pediatric urinary tract infection (UTI) management, including imaging, prophylaxis and follow-up 1.
This article intend...
Article
Voiding cystourethrography
Voiding cystourethrography (VCUG), also known as a micturating cystourethrography (MCU), is a fluoroscopic study of the lower urinary tract in which contrast is introduced into the bladder via a catheter. The purpose of the examination is to assess the bladder, urethra, postoperative anatomy an...
Article
Clothing artifact
Clothing artifacts, like jewelry artifacts, are a regular feature on imaging examinations, especially plain radiographs, but in general are recognized for what they are, either at the time the image is taken by the radiographer, or later by the reporting radiologist. The radiographer will often ...
Article
M-line of Cremin
M-line of Cremin is an imaginary line that can be used to determine the level at which the blind pouch ends in anal atresia, determining whether the anal atresia is a high or a low type.
The line is drawn perpendicular to the long axis of the ischium on the lateral view and passes through the j...
Article
Congenital heart disease chest x-ray (an approach)
With the advent of echocardiography, and cardiac CT and MRI, the role of chest x-rays in evaluating congenital heart disease has been largely relegated to one of historical and academic interest. However, they continue to crop up in radiology exams. In most instances a definite diagnosis cannot ...
Article
Pediatric appendicitis score
The Pediatric Appendicitis Score (PAS) is a clinical decision rule and predictor of the likelihood of acute appendicitis in the pediatric population 1.
Criteria
cough/percussion/hopping tenderness in right lower quadrant (+2)
anorexia (+1)
fever (+1)
nausea or emesis (+1)
tenderness in rig...
Article
Bone age assessment
Bone age assessment is used to radiologically assess the biological and structural maturity of immature patients from their hand and wrist x-ray appearances. It forms an important part of the diagnostic and management pathway in children with growth and endocrine disorders. It is helpful in the ...
Article
Hindfoot equinus
Hindfoot equinus describes abnormal plantarflexion (calcaneotibial angle >90°) of the foot that occurs in the hindfoot. It occurs in congenital talipes equinovarus and congenital vertical talus.
Article
Pediatric Appendicitis Risk Calculator
The Pediatric Appendicitis Risk Calculator (pARC) is a clinical decision rule and predictor of the likelihood of acute appendicitis in pediatric patients. Due to the non-categorical data of some variables within the criteria, an integrated calculator is required to use this tool.
Criteria 1,2
...