Pediatric radiology
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Pediatric radiology · Oct 2018
Comparative StudyImplementation of the Amsterdam Pediatric Wrist Rules.
The Amsterdam Pediatric Wrist Rules have been developed and validated to reduce wrist radiographs following wrist trauma in pediatric patients. However, the actual impact should be evaluated in an implementation study. ⋯ Implementing the Amsterdam Pediatric Wrist Rules resulted in a significant reduction in wrist radiographs and time spent at the emergency department. The Amsterdam Pediatric Wrist Rules were able to correctly identify 98% of all clinically relevant distal forearm fractures.
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Pediatric radiology · Oct 2018
Ultrasound assessment of pubertal breast development in girls: intra- and interobserver agreement.
Clinical assessment of pubertal breast development using Tanner staging is subjective. This has led to the introduction of ultrasound (US), aiming for a more objective analysis. However, information regarding its reliability is lacking. ⋯ US using a scale from 0 to 5 is a reliable method to stage the development of glandular breast tissue during puberty in healthy girls. Measurements of glandular depth and diameter were found to be imprecise.
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Pediatric radiology · Oct 2018
Preoperative sonographic evaluation of the defect size and the diaphragm rim in congenital diaphragmatic hernia - preliminary experience.
Sonographic assessment before congenital diaphragmatic hernia repair has rarely been studied. ⋯ There was good concordance between ultrasound findings and operative findings regarding the size of the defect and presence or absence of the diaphragm rim.