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Value-Based Radiology in Pediatric Imaging

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Value-based Radiology

Part of the book series: Medical Radiology ((Med Radiol Diagn Imaging))

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Abstract

Based on five case scenarios encompassing common clinical questions in pediatric radiology the added value achieved through radiological expertise input will be highlighted. Clinic algorithms help in the imaging management of infants and children with urinary tract infection, like avoidance of urgent imaging in simple urinary tract infection. The scenarios address situations where the radiologist could help improve the outcomes, like the use of contrast-enhanced voiding urosonography as an alternative to voiding cystourethrogram, in detecting alterations in the urinary tract without the use of ionizing radiation. A case of pneumonia complicated with empyema highlights that ultrasound is the best method in the diagnosis and characterization of pleural effusions and can detect lung consolidation, necrotizing pneumonia and abscess (avoiding computed tomography in some cases). Pediatric cervical lymphadenopathies are common and radiologists can add value identifying the lymph nodes with suspicious US features that should prompt biopsy, helping in a faster diagnosis and reducing unnecessary follow-up US. A case of suspected appendicitis with a non-visualized appendix on US illustrates the added value of reporting the absence or presence of appendiceal secondary signs.

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Authors and Affiliations

  1. Department of Diagnostic and Interventional Radiology, University Hospital Centro Hospitalar São João, Porto, Portugal

    Daniela Pinto & Sílvia Costa Dias

Authors
  1. Daniela Pinto
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  2. Sílvia Costa Dias
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Correspondence to Daniela Pinto .

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Editors and Affiliations

  1. Diagnostic and Interventional Radiology, University Hospital Heidelberg, Heidelberg, Baden-Württemberg, Germany

    Carlos Francisco Silva

  2. Diagnostic and Interventional Radiology, University Hospital Heidelberg, Heidelberg, Baden-Württemberg, Germany

    Oyunbileg von Stackelberg

  3. Diagnostic and Interventional Radiology, University Hospital Heidelberg, Heidelberg, Baden-Württemberg, Germany

    Hans-Ulrich Kauczor

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Pinto, D., Dias, S.C. (2019). Value-Based Radiology in Pediatric Imaging. In: Silva, C., von Stackelberg, O., Kauczor, HU. (eds) Value-based Radiology. Medical Radiology(). Springer, Cham. https://doi.org/10.1007/174_2019_214

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  • DOI: https://doi.org/10.1007/174_2019_214

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-31554-2

  • Online ISBN: 978-3-030-31555-9

  • eBook Packages: MedicineMedicine (R0)

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