“It is essential that the interventional radiologist caring for pediatric patients be familiar with the relevant spectrum of pediatric disease, and be well versed in the principles of pediatric interventions and related care.” -Kevin M. Baskin MD
Pediatric Interventions Service Line
Service Line Chairs:
Rajat Chand and Emily Ochmanek
Active Service Line Members:
Alejandra Maria Bedoya
Maria A. Bedoya
David P Duncan
Josi L. Herren
Travis Stuart Scharr
Joel M Raborn
Former Service Line Chairs:
Rizwan Assad (2016-2017)
Alex Copelan (2015-2016)
Imaging Protocol and Radiation Safety
- Recommended Reading:
- The ALARA (as low as reasonably achievable) concept in pediatric interventional and fluoroscopic imaging: striving to keep radiation doses as low as possible during fluoroscopy of pediatric patients—a white paper executive summary
- Practice of ALARA in the pediatric interventional suite
- Entrance skin dosimetry and size-specific dose estimate from pediatric chest CTA.
Pediatric Interventional Procedures
In general, most of the techniques applied to adults can be performed in children, although the indications in children generally differ from those in adults.
- Central Venous Access
- Needle Biopsy
- Organ Transplantation and Oncologic Interventions
- Interventional radiology in the treatment of the complications of organ transplant in the pediatric population-part 1: the kidneys, heart, lungs, and intestines
- Interventional radiology in the treatment of the complications of organ transplant in the pediatric population-part 2: the liver.
- Long-Term Venous Complications After Full-Size and Segmental Pediatric Liver Transplantation
- 3DCT angiography for detection of vascular complications in pediatric liver transplantation
- Long-term results of the percutaneous transhepatic venoplasty of portal vein stenoses after pediatric liver transplantation
- Endovascular interventions for hepatic artery complications immediately after pediatric liver transplantation
- Paediatric interventional oncology
- Percutaneous Gastrostomy and Gastrojejunostomy
- Interventional Radiology Placement of a Gastrostomy tube
- Multidisciplinary Practical Guidelines for Gastrointestinal Access for Enteral Nutrition and Decompression From the Society of Interventional Radiology and American Gastroenterological Association (AGA) Institute, With Endorsement by Canadian Interventional Radiological Association (CIRA) and Cardiovascular and Interventional Radiological Society of Europe (CIRSE)
- Vascular Malformations
Interventional radiology in the pediatric population not only provides therapeutic intervention for a wide variety of pediatrics conditions, it also requires a mastery of diagnostic pediatric imaging. Diagnostic radiology is the backbone of any interventional radiological procedure, whether in the adult or the pediatric. This section focuses on radiologic imaging of a variety of diseases/modalities that a pediatric interventionalist may encounter.
Pediatric Vascular Malformations
- Pediatric Vascular Malformations: Pathophysiology, Diagnosis, and the Interventional Radiology
- Vascular Malformations: Classification and Terminology the Radiologist Needs to Know
- Imaging Focal Liver Masses in Children
- Pediatric Liver Masses- Radiologic-Pathologic Correlation, Part 1. Benign Tumors
- Pediatric Liver Masses- Radiologic-Pathologic Correlation, Part 2. Malignant Tumors
- Imaging Children with Abdominal Trauma
- Pediatric nonaccidental abdominal trauma: what the radiologist should know
- Cleveland Clinic Pediatric Radiology Imaging Modules: comprehensive online learning curriculum and resource online learning curriculum and resource for pediatric radiology. The curriculum covers ‘core concepts’ in pediatric radiology and has become required course material in many radiology residency programs across North America.
- CTisUS: Great website covering most pediatric radiology protocol
Peds Survival Guides:
Click here for Pediatric Survival Guides
Venous Access (non-tunneled)
Venous Access (ports, tunneled lines)
Vascular Interventions (arterial)
Vascular Interventions (venous)
Enteric Tube Placement
Useful Mobile Apps:
- Current Guidelines: ACP has an app for that!
- Doctor’s Dilemma: Jeopardy style app
- Prognosis: Interactive cases where you review the H&P and select the appropriate tests and therapy followed by an explanation
- QuantiaMD: Interactive cases with community responses
- OnExam App: To help maintain and refine physical exam skills. Nicely detailed.
- Harriet Lane: Harriet Lane is the authoritative pediatric resource for residents, interns, and practitioners.
Other Suggested Resources:
The Pediatric Interventional Radiologists must have the clinical and medical knowledge base in Pediatrics to properly treat their patients. Below are some suggested resources for maintaining and enhancing your clinical knowledge base of Pediatric medicine during Radiology Residency.
Multiple Choice Question Banks: This is a standard way of simply building your knowledge-base over the course of residency. Doing at least 10-20 questions a week is a feasible way to augment and maintain your clinical knowledge through radiology residency.
Pediatric Medicine Intensive Review Courses: Typically about 5 days in length, these courses would be a great way (after the core exam is taken) to provide a knowledge boost to get ready for a career of patient care in the pediatric population.
- Cleveland Clinic Children’s Hospital Pediatric Board Review: From $1295MM
- UCLA Pediatric Board Review Course: From $1195
- Osler Pediatrics Board Reviews: $780 Resident Price
- Pediatric Emergency Medicine: From $795
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