Cerebral edema goes beyond just cytotoxic and vasogenic, and an understanding of the different types of brain edema can lead to recognizable phenotypes and distinct topographical patterns that may aid in diagnosis.
#IPNTN
#pedineurorad
#neurorad
An MRI-based approach to the diagnosis of white matter disorders
“comprehensive practical algorithm that relies mainly on the characteristics of brain MRI.”
#PediNeuroRad
Imaging Patterns of Toxic and Metabolic Brain Disorders
"The most important imaging patterns are presented, and the main differential diagnosis for each pattern is discussed."
@RadioGraphics
#PediNeurorad
#NeuroRad
#ASPNR21
: Fornix divides hypothalamus into medial & lateral subdivisions. Lateral division contains fewer neurons. Medial division has nuclei that impact & regulate important functions, with their locations & functions annotated on slides below:
Continuing with more post-traumatic findings of the globe. Retinoschisis is highly suggestive of abusive head trauma in the absence of appropriate history of non-accidental severe head injury. Scrutinize your axial T2 weighted images to not miss splitting of the retinal layers.
Punctate periventricular white matter lesions in the full-term infant aren't always related to hypoxic-ischemic injury.
Consider genetic testing in a full-term infant with PVWML. -Dr. Linda de Vries
#pedineurorad
#neurorad
#neonatology
#IPNTN
Spotlight Series featuring the one and only Dr. Kish Mankad!
ASPNR: What is one thing people would be surprised to know about you?
KM: I have an IMDb rating of 8 based on starring in a short film titled The Shades of Temptation.
More🤩 info👇🏽
Non-congenital viral infections of the central nervous system: from the immunocompetent to the immunocompromised child
Purpose of this pictorial essay = suggest a schematic representation of different radiologic patterns
#PediNeuroRad
@PedRadJournal
Cerebellar mutism syndrome
Dr. Zoltan Patay was a world educator, leader, & mentor in the field of Neuro-Oncology. His dedication to the improved care of children w/ CNS tumors will always be impactful. Here is just 1 example of his exquisite knowledge!
Congratulations to William (“Bill”) T. O’Brien, Sr., DO, FAOCR
@WmOBrienDO
, he has been appointed Chief of Neuroradiology at Arnold Palmer Children’s Hospital in Orlando, FL, in support of Orlando Health’s Pediatric Neuroscience Center of Excellence⭐️
👇
Imaging Findings of Pediatric Orbital Masses and Tumor Mimics
“compartment-based approach, radiologists can diagnose a spectrum of masses and masslike lesions encountered in the pediatric globe”
#PediNeuroRad
@RadioGraphics
We’re excited to announce our 2023 Gold Medal Awardee,
@AndreaRossi_NRX
. This award recognizes Dr. Rossi’s immense contributions to the field of pediatric neuroradiology and his dedication to the neuroimaging care of children. He will be honored at the GMA ceremony at
#ASPNR23
!
Neuroimaging manifestations in children with SARS-CoV-2 infection: a multinational, multicentre collaborative study
Funding: thanks to American Society of Pediatric Neuroradiology (ASPNR), University of Manchester
@LancetChildAdol
#PediNeuroRad
#COVID19
Congratulation to the 2022 ASPNR-Guerbet Award Recipient Dr. Yi Li
@YiLiMD
from
@UCSFimaging
🥇
Her proposal is Hypoxic Ischemic Encephalopathy Outcome Prediction with Quantitative ADC Analysis (HIP-ADC)
Thank you
@GuerbetGroup
for the
#PediNeuroRad
#Research
support!
Different patterns of gyration anomalies (diffuse or partial), agyria-pachygyria/ varying cortical/band thickness, presence of certain gradients (anterior predominant, posterior predominant, or temporal predominant), or other anomalies can be seen in the setting of lissencephaly.
Case of the Week: 5 yo girl with episodes of unresponsiveness, clenching of fists, and right temporal slowing on EEG
FULL CASE:
Thank you, Ed Yang MD PhD, Boston Children’s Hospital, for sharing this case!
@BostonChildrens
A Practical Approach to Diagnosis of Spinal Dysraphism
Spinal dysraphisms are congenital malformations of the spinal cord, determined by derangement in the complex cascade of embryologic events involved in spinal development
#PediNeuroRad
@RadioGraphics
Dr. Grace Chan demonstrates impressive hemispheric Wallerian degeneration in a case of basal ganglia germinoma. Important to have a high index of suspicion.
Understanding Pediatric Neuroimmune Disorder Conflicts: A Neuroradiologic Approach in the Molecular Era
-A review of MOG antibody–associated disease
-Outline differential diagnosis from other neuroimmune disorders in children
@RadioGraphics
#PediNeuroRad
Deadly Fungi: Invasive Fungal Rhinosinusitis in the Head and Neck
"The authors summarize the epidemiology, etiology, risk factors, and complications of IFRS and review the anatomy and key diagnostic imaging features of IFRS beyond the sinonasal regions."
#ASPNR21
- Dr. Anne Osborn gives us a sneak peek into the upcoming 2021 CNS tumor classification update. IDH-mutant astrocytomas don’t change IDH status and now graded WHO 2 through 4 with removal of former classification of IDH mutant glioblastoma.
Leukodystrophies: a proposed classification system based on pathological changes and pathogenetic mechanisms
“We here propose a novel classification of leukodystrophies that takes into account the primary involvement of any white matter component.”
Please join this amazing collaboration of pediatric neuroradiologists around the world
International Paediatric Neuroradioogy Teaching Network
Thanks to
@drmankad
and organizing members
#PediNeuroRad
Honor
#BlackHistoryMonth
Dr. Tina Young Poussaint
@TYPoussaintMD
was the 1st African American woman to complete her residency in diagnostic radiology & fellowship at Massachusetts General Hospital
⭐️In 1989 she became the 1st African American attending in Radiology at MGH ⭐️
Congratulations to Dr. Michelle Silvera
@VMSilvera
for becoming Chief of Pediatric Neuroradiology at Mayo Clinic
An amazing leader and mentor, we are happy and proud of this well deserved promotion
@MayoRadiology
#PediNeuroRad
The many faces of posterior reversible encephalopathy syndrome
This paper reviews variable presentations of PRES, including cases with atypical imaging findings, such as variations of hemorrhage and restricted diffusion
#PediNeuroRad
Getting into neonatal encephalopathy. Describing certain imaging features of Hypoxic Ischemic Injury (HII).
Note the pattern of involvement and time of the the MRI.
#ASPNR
#PedRad
#MedEd
#pedineurorad
Diagnosis of Skull Base Osteomyelitis
SBO is an infection of temporal, sphenoid, or occipital bone that can be a challenge to diagnose b/c of nonspecific symptoms, long clinical course, & radiologic findings that mimic other entities
#PediNeuroRad
Arterial Spin Labeling in Pediatric Neuroimaging
A noninvasive tool to evaluate cerebral blood flow
Is anyone currently using ASL at their institution? If not, here is a good start to learn more
#PediNeuroRad
Pediatric Retroclival Epidural Hematoma in the Acute Trauma Setting: A Sign of Tectorial Membrane Stripping Injury
"All patients with a retroclival epidural hematoma who underwent subsequent cervical MRI had a stripping injury of the tectorial membrane"
Imaging the External Ear: Practical Approach to Normal and Pathologic Conditions
"imaging is needed when extensive disease that limits full visualization of the external ear is present and/or surrounding tissue invasion is suspected."
#PediNeuroRad
The International Pediatric Neuroradiology Teaching Network is now sponsored by the ASPNR
Pediatric Neuroradiologists from around the world presenting over a web meeting
Every Saturday, please click the link below for more information
#PediNeuroRad
Hindbrain Malformations
Redefining the Etiologic Landscape of Cerebellar Malformations - Dr. Dobyns
The spectrum of brainstem malformations associated to mutations of the tubulin genes family: MRI and DTI analysis - Dr. Arrigoni
#ASPNR21
: Dr. Barkovich. Focal cortical dysplasia (FCD) is the most common malformation of cortical development responsible for medically refractory epilepsy. FCD can be difficult to detect, but important to find – surgical resection can be life-changing.
3rd Annual ASPNR Scientific Meeting
Saturday, January 9, 2021
ASPNR will host a one day “One and Done” virtual, but ALL LIVE meeting extravaganza that promises to be a one-of-a-kind educational blast w/ an exciting line up of speakers
#PediNeuroRad
Please join us in congratulating Dr. Sumit Pruthi, Professor of Radiology
@sumsnet
, in his new appointment as Chief of Pediatric Radiology and Medical Director of Diagnostic Imaging at Monroe Carell Jr. Children’s Hospital
@VUMCradiology
#ASPNR21
: Hypothalamic hamartomas may be pedunculated (precocious puberty) or sessile (gelastic sz). Iso on T1 & iso-hyperintense on T2 with NO enhancement. Majority sporadic; or may be associated with syndromes (e.g. Pallister-Hall, X-linked stapes gusher & POU3F4 mutations).
The 2021 WHO Classification of Tumors of the Central Nervous System: a summary
"this summary provides an overview to facilitate more in-depth exploration of the entire fifth edition of the WHO Classification of Tumors of the Central Nervous System."
SPECIAL EDITION – International Pediatric Neuroradiology Teaching Network
Repeat Performance by Dr. James Barkovich – LIVE!
Malformations of the Midbrain and Hindbrain
Wednesday, June 24 (*June 25 for Eastern Hemisphere)
Local Times:
The Glymphatic System: A Review of the Challenges in Visualizing its Structure and Function with MR Imaging
“In this review, we aim to summarize these in vivo MR imaging studies and discuss the significance, current limitations, and future directions.”
Back by popular demand... (🥁)
Season II of the IPNTN kicks off next Saturday!!!
Chapter I: Hindbrain Malformations
Featuring: Dr. Bill Dobyns and Dr. Filippo Arrigoni
Register at
(no registration required if signed up for Season I)
Not all low attenuation of the tonsils = abscess. Tonsillitis will show striations. Differentiating phlegmon from abscess on CT can be challenging. Focus on accurate anatomic localization and assess for complications (airway narrowing, thrombophlebitis).
#pedineurorad
#neurorad
IPNTN Season V, Chapter XI with Dr. Edward Yang: Appreciating normal: Our ability to detect hypomyelinating disorders depends on our ability to differentiate normal from abnormal myelination. Remember 3 key stages - Birth, 7-8 months, 16-18 months
@BostonChildrens
#ASPNR22
: Session 7 Pediatric Vascular is underway!
First up, Dr. Mark Mamlouk (
@MarkMamloukMD
) from Kaiser Permanente Santa Clara (
@KPSantaClara
) elegantly reviews the classification of vascular anomalies. Imaging tips, protocols, and more to aid with diagnosis! -DM
Getting into leukodystrophies.
Cannavan --> macrocephaly and elevated NAA helpful.
Alexander--> frontal predominant; periventricular garland helpful
Vanishing White matter--> Diffusion restriction early and white matter "melts away" on follow up
#pedineurorad
#PedsRad
#FOAMrad
Saturday’s video on Hindbrain Malformations is available now free on the ASPNR website for everyone to view 👇
Featuring: Dr. Bill Dobyns and Dr. Filippo Arrigoni
#PediNeuroRad
Essentials for Interpreting Intracranial Vessel Wall MRI Results: State of the Art
“The purpose of this article is to review concepts essential for accurate interpretation of intracranial VW MRI results.”
@radiology_rsna
#NeuroRad
#PediNeuoRad
CT of Skull Base Fractures: Classification Systems, Complications, and Management
“In patients with skull base fractures, CT often plays a complementary, supportive, or confirmatory role in management”
@RadioGraphics
Primary Mitochondrial Disorders of the Pediatric Central Nervous System: Neuroimaging Findings
Primary mitochondrial disorders constitute most common cause of inborn errors of metabolism in children & frequently affect CNS
@RadioGraphics
#PediNeuroRad
#AI
System Approaching Neuroradiologist-level Differential Diagnosis Accuracy on Brain MRI
AI approached overall top 1-3 differential diagnoses accuracy of neuroradiologists
#PediNeuroRad
@radiology_rsna