Abdomen (GI & GU) Task Force
– To present and discuss (new) recommendations for paediatric GU and GI imaging so as to provide guidance on how to adequately image children’s urogenital tracts and abdomen in a standardised manner, to complete and supplement existing recommendations, and thus to provide a common base for future meta-analysis that may provide more evidence on how best to image the GI and GU tracts during (early) childhood;
– To promote high level non-invasive imaging for neonates, infants and children and provide support, education and refresher content as well as updates on state of the art paediatric radiology, including the promotion of paediatric drug licensing aspects, CM-use in children, procedural adaptations, standardisation etc.
– To foster multicenter research on and data collection for paediatric uroradiology and abdominal topics, e.g. collecting rare entities to increase knowledge and evidence, to combine individual knowledge to optimised planned research on yet unanswered questions (e.g. functional MRU / animal lab plan).
Ongoing work on recommendations and projects
• Collect data from group members on MRU – ongoing project, mainly driven be Damasio and Vivier; first results to be presented at ESPR 2o17 in Davos in the internal task force meeting
• Collect data of (late) deteriorating dilatation/PUJO in the group – not realised yet, under discussion
• Collect paediatric CEUS cases & examples via task force – in progress –lead by Bruno
• Gadolinium in childhood: new aspects concerning safety considerations – publication in preparation for 2018
• Pediatric gastrointestinal ultrasound procedural recommendations – publication in preparation for 2018
• Follow-up in children with testicular microlithiasis – publication in preparation for 2018
• IBD imaging the very young child – Ording agreed to coordinate this undertaking
Lil-Sofie Ording Müller, Chairperson
Philippe Petit, Vice-Chairperson
- Riccabona M. Avni F, Damasio B, Ordning-Mueller LS, Lobo ML, Darge K, Papadopoulou F, Willi U, Blickmann J, Vivier PH. ESPR Uroradiology Task Force and ESUR Paediatric Working Group – Imaging recommendations in Paediatric Uroradiology, Part V: Childhood cystic kidney disease, childhood renal transplantation, and contrast-enhanced ultrasound in children. Pediatr Radiol 2012 Oct;42(10):1275-83.
- Riccabona M. Application of a second generation ultrasound contrast agent in infants and children – a European questionnaire-based survey . Pediatr Radiol 2012 Dec;42(12):1471-80.
- Riccabona M, Avni F, Dacher JN, Damasio B, Darge K, Lobo ML, Ording-Müller LS, Papadopoulou F, Vivier P, Willi U. ESPR uroradiology task force and ESUR paediatric working group: imaging recommendations in paediatric uroradiology, part IV Minutes of the ESPR uroradiology task force mini-symposium on imaging in childhood renal hypertension and imaging of renal trauma in children . Pediatr Radiol 2011 Jul;41(7):939-44.
- Riccabona M, Avni FE, Dacher JN, Damasio B, Darge K, Lobo ML, Ording-Müller LS, Papadopolos F, Willi U. ESPR uroradiology task force and ESUR paediatric working group: Imaging and procedural recommendations in paediatric uroradiology, Part III. Minutes of the ESPR uroradiology task force mini-symposium on intravenous urography, uro-CT and MR-urography in childhood . Pediatr Radiol 2010 Jul;40(7):1315-20.
- Riccabona M, Avni FE, Blickman JG, Dacher JN, Darge K, Lobo ML, Willi U. Imaging recommendations in paediatric uroradiology. Minutes of the ESPR uroradiology task force session on childhood obstructive uropathy, high-grade fetal hydronephrosis, childhood haematuria, and urolithiasis in childhood. ESPR Annual Congress, Edinburgh, UK, June 2008 . Pediatr Radiol 2009 Aug;39(8):891-8
- Riccabona M, Avni FE, Blickman JG, Darge K, Dacher JN, Lobo LM, Willi U. Imaging recommendations in paediatric uroradiology: minutes of the ESPR workgroup session on urinary tract infection, fetal hydronephrosis, urinary tract ultrasonography and voiding cystourethrography, Barcelona, Spain, June 2007. Pediatr Radiol 2008 Feb;38(2):138-45.
Procedural recommendations in paediatric uroradiology
These recommendations have been published in above mentioned publications, except for contrast enhanced US which have been published in the book Pediatric Uroradiology .
Recommendations regarding contrast safety have been published in ‘Contrast Media Use in Pediatrics: Safety Issues’.
- How to do paediatric urosonography
- How to do Contrast Enhanced-VUS
- How to do VCUG
- Intravenous Urography (IVU) in childhood
- CT in the paediatric urinary tract (uro-CT)
- „Anatomic“ paediatric MR-Urography (MRU)
- Gadolinium & NSF in children: What to consider for paediatric MR-imaging
- Renal biopsy in children
- How to do neonatal female genital US
- How to do US – genitography
- How to do fluoroscopic genitography in infants
- Neonatal HN grading system
- Cystic kidney disease – typical US appearances
- Potential indications for ce-US in infants and children
- CEUS of the paediatric urogenital tract
Recommendations for imaging algorithms in paediatric uroradiology
These recommendations have been published in above mentioned publications.
- Imaging algorithm in childhood UTI
- Imaging algorithm in mild fetal HN
- Postnatal imaging in newborns with fetally diagnosed high grade hydronephrosis
- Imaging algorithm in infants & children with suspected obstructive uropathy
- Imaging algorithm for haematuria in infants & children
- Imaging algorithm for infants & children with suspected urolithiasis
- Imaging algorithm for infants & children with potential reno-vascular hypertension
- Imaging algorithm in mild paediatric urinary tract trauma
- Imaging algorithm in severe pediatric urinary tract trauma
- Imaging in suspected childhood cystic kidney disease
- Renal transplantation in childhood – Pre-transplant imaging
- Renal transplantation in childhood – Post-transplant imaging
- Post-transplant imaging in children – Routine imaging for follow-up
- Post-transplant imaging in children – When to do what
- Imaging of neonatal & infant female genitalia
The Uroradiology task force has an annual meeting during the annual congress of the European Society of Paediatric Radiology. Additional meetings have been held at e.g. the IPR and ESUR meetings.
Reports of previous meetings
- Report IV – 2014 – ECR Vienna
- Report III – 2013 – Budapest
- Report II – 2012 – Athens
- ESUR Sept. 2012 – Edinburgh
- Uroradiology TF – report of the meeting IPR 2011
- Uroradiology TF – report of the Sonovue meeting IPR 2011
- ESUR 2011
- Protocol – work group meeting October 2011 Dubrovnik
Research questionnaire about NEC – Necrotizing Enterocolitis
Start your questionnaire here!
The role of imaging in the management of Necrotizing Enterocolitis:
Necrotizing Enterocolitis (NEC) remains a clinical and diagnostic challenge in neonatal care. Imaging is an important part of its management, but routines and methods vary between hospitals and countries. This survey aims at mapping current perceptions of the role that medical imaging plays and should (or could) play in caring for patients with known or suspected NEC, as well as the interaction between radiologists and clinicians in this respect. A similar questionnaire will be distributed to neonatologists and pediatric surgeons for comparison of perspectives between the different specialties involved. The result can hopefully be used as a base for further discussion on the optimal use of medical imaging for diagnosing and monitoring the disease.