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1.
Pediatr Radiol ; 53(2): 273-281, 2023 02.
Artículo en Inglés | MEDLINE | ID: mdl-36097227

RESUMEN

BACKGROUND: Perinatal and childhood postmortem imaging has been accepted as a noninvasive alternative or adjunct to autopsy. However, the variation in funding models from institution to institution is a major factor prohibiting uniform provision of this service. OBJECTIVE: To describe current funding models employed in European and non-European institutions offering paediatric postmortem imaging services and to discuss the perceived barriers to future postmortem imaging service provision. MATERIALS AND METHODS: A web-based 16-question survey was distributed to members of the European Society of Paediatric Radiology (ESPR) and ESPR postmortem imaging task force over a 6-month period (March-August 2021). Survey questions related to the radiologic and autopsy services being offered and how each was funded within the respondent's institute. RESULTS: Eighteen individual responses were received (13/18, 72.2% from Europe). Only one-third of the institutions (6/18, 33.3%) have fully funded postmortem imaging services, with the remainder receiving partial (6/18, 33.3%) or no funding (5/18, 27.8%). Funding (full or partial) was more commonly available for forensic work (13/18, 72%), particularly where this was nationally provided. Where funding was not provided, the imaging and reporting costs were absorbed by the institute. CONCLUSION: Increased access is required for the expansion of postmortem imaging into routine clinical use. This can only be achieved with formal funding on a national level, potentially through health care commissioning and acknowledgement by health care policy makers and pathology services of the value the service provides following the death of a fetus or child. Funding should include the costs involved in training, equipment, reporting and image acquisition.


Asunto(s)
Diagnóstico por Imagen , Radiología , Embarazo , Femenino , Niño , Humanos , Autopsia/métodos , Diagnóstico por Imagen/métodos , Medicina Legal , Encuestas y Cuestionarios
2.
Klin Padiatr ; 232(5): 228-248, 2020 Sep.
Artículo en Alemán | MEDLINE | ID: mdl-32659844

RESUMEN

This consensus-based guideline was developed by all relevant German pediatric medical societies. Ultrasound is the standard imaging modality for pre- and postnatal kidney cysts and should also exclude extrarenal manifestations in the abdomen and internal genital organs. MRI has selected indications. Suspicion of a cystic kidney disease should prompt consultation of a pediatric nephrologist. Prenatal management must be tailored to very different degrees of disease severity. After renal oligohydramnios, we recommend delivery in a perinatal center. Neonates should not be denied renal replacement therapy solely because of their age. Children with unilateral multicystic dysplastic kidney do not require routine further imaging or nephrectomy, but long-term nephrology follow-up (as do children with uni- or bilateral kidney hypo-/dysplasia with cysts). ARPKD (autosomal recessive polycystic kidney disease), nephronophthisis, Bardet-Biedl syndrome and HNF1B mutations cause relevant extrarenal disease and genetic testing is advisable. Children with tuberous sclerosis complex, tumor predisposition (e. g. von Hippel Lindau syndrome) or high risk of acquired kidney cysts should have regular ultrasounds. Even asymptomatic children of parents with ADPKD (autosomal dominant PKD) should be monitored for hypertension and proteinuria. Presymptomatic diagnostic ultrasound or genetic examination for ADPKD in minors should only be done after thorough counselling. Simple cysts are very rare in children and ADPKD in a parent should be excluded. Complex renal cysts require further investigation.


Asunto(s)
Quistes/patología , Neoplasias Renales , Riñón Poliquístico Autosómico Dominante , Riñón Poliquístico Autosómico Recesivo , Guías de Práctica Clínica como Asunto , Niño , Femenino , Humanos , Recién Nacido , Neoplasias Renales/patología , Neoplasias Renales/terapia , Masculino , Riñón Poliquístico Autosómico Dominante/diagnóstico , Riñón Poliquístico Autosómico Dominante/genética , Riñón Poliquístico Autosómico Dominante/terapia , Riñón Poliquístico Autosómico Recesivo/diagnóstico , Riñón Poliquístico Autosómico Recesivo/genética , Riñón Poliquístico Autosómico Recesivo/terapia , Embarazo , Sociedades Médicas
3.
Rofo ; 191(7): 618-625, 2019 Jul.
Artículo en Inglés, Alemán | MEDLINE | ID: mdl-30900227

RESUMEN

Whole-body MRI is an imaging method that uses advanced modern MRI equipment to provide high-resolution images of the entire body. The goal of these guidelines is to specify the indications for which whole-body MRI can be recommended in children and adolescents and to describe the necessary technical requirements. CITATION FORMAT: · Schaefer JF, Berthold LD, Hahn G et al. Whole-Body MRI in Children and Adolescents - S1 Guidelines. Fortschr Röntgenstr 2019; 191: 618 - 625.


Asunto(s)
Imagen por Resonancia Magnética/métodos , Imagen de Cuerpo Entero/métodos , Adolescente , Síndrome del Niño Maltratado/diagnóstico por imagen , Niño , Enfermedad Crónica , Medios de Contraste , Fiebre de Origen Desconocido/diagnóstico por imagen , Adhesión a Directriz , Histiocitosis de Células de Langerhans/diagnóstico por imagen , Histiocitosis de Células de Langerhans/patología , Humanos , Aumento de la Imagen/métodos , Estadificación de Neoplasias , Neoplasias/diagnóstico por imagen , Neoplasias/patología , Osteomielitis/diagnóstico por imagen , Osteonecrosis/diagnóstico por imagen , Grupo de Atención al Paciente , Guías de Práctica Clínica como Asunto , Lesiones Precancerosas/diagnóstico por imagen , Enfermedades Reumáticas/diagnóstico por imagen
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