European Society of Paediatric Radiology Abdominal Imaging Task Force recommendations in paediatric uroradiology, part X: how to perform paediatric gastrointestinal ultrasonography, use gadolinium as a contrast agent in children, follow up paediatric testicular microlithiasis, and an update on paediatric contrast-enhanced ultrasound

e15105 Background: Up to 15–25% of patients with colorectal cancer (CRC) will develop metacronous liver metastases during the follow up. The management and prognosis of these patients depend heavily on the early detection of metastases. The most effective surveillance strategy has not yet being extablished. The introduction of second generation ultrasound contrast agents have improved the ability of contrast-enhanced ultrasound (CEUS) in detecting and characterizing liver lesions, showing that its accuracy is comparable to that of spiral CT and MRI with a liver contrast agent, with a cost and a time saving. We tested the sensitivity and specificity of CEUS in detecting liver metastases compared with the standard imaging modalities used in the follow up of CRC. Methods: We conducted a prospective study considering all patients with a diagnosis of CRC in high risk stage II, stage III or with a previous metastasectomy of the liver. In order to detect possible metastases, the patients were followed with a follow-up schedule including a six-monthly ultrasonography alternated to an annual CT, and a six-monthly CEUS with SonoVue contrast agent for the first 3 years. Results: From January 1st to December 2008 we executed 60 CEUS, identifying thirteen suspected liver lesions. 10/13 were confirmed metastases by CT, MRI or TC/PET. 2/13 resulted benign lesions. 1/13 resulted negative at the CT but positive with a MRI. Another additional case was missed by CEUS but detected by CT. CEUS improve specificity and sensitivity compared with baseline ultrasonography. We had an histological confirmation in all cases except one. The study is still recruiting patients. Conclusions: The clinical value of CEUS as a reliable alternative to CT or MRI in characterizing focal liver lesions has been expressed in various documents and guidelines. Our preliminary results confirm the similar diagnostic performance and confidence of CEUS compared to these imaging modalities in the follow up of CRC. Further clinical studies are still needed to strenghten the existing data. No significant financial relationships to disclose.

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European Society of Paediatric Radiology abdominal imaging task force recommendations in paediatric uroradiology, part IX: Imaging in anorectal and cloacal malformation, imaging in childhood ovarian torsion, and efforts in standardising paediatric uroradiology terminology

Pediatric Radiology ◽

10.1007/s00247-017-3837-6 ◽

2017 ◽

Vol 47 (10) ◽

pp. 1369-1380 ◽

Cited By ~ 20

Author(s):

Michael Riccabona ◽

Maria-Luisa Lobo ◽

Lil-Sofie Ording-Muller ◽

A. Thomas Augdal ◽

E. Fred Avni ◽

...

Keyword(s):

European Society ◽

Task Force ◽

Ovarian Torsion ◽

Abdominal Imaging ◽

Paediatric Radiology ◽

Cloacal Malformation

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European guideline for imaging in paediatric and adolescent rhabdomyosarcoma — joint statement by the European Paediatric Soft Tissue Sarcoma Study Group, the Cooperative Weichteilsarkom Studiengruppe and the Oncology Task Force of the European Society of Paediatric Radiology

Pediatric Radiology ◽

10.1007/s00247-021-05081-0 ◽

2021 ◽

Author(s):

Roelof van Ewijk ◽

Reineke A. Schoot ◽

Monika Sparber-Sauer ◽

Simone A. J. ter Horst ◽

Nina Jehanno ◽

...

Keyword(s):

Soft Tissue ◽

Soft Tissue Sarcoma ◽

Children And Adolescents ◽

European Society ◽

Task Force ◽

Study Group ◽

Paediatric Radiology ◽

European Paediatric ◽

Imaging Guideline

AbstractAppropriate imaging is essential in the treatment of children and adolescents with rhabdomyosarcoma. For adequate stratification and optimal individualised local treatment utilising surgery and radiotherapy, high-quality imaging is crucial. The paediatric radiologist, therefore, is an essential member of the multi-disciplinary team providing clinical care and research. This manuscript presents the European rhabdomyosarcoma imaging guideline, based on the recently developed guideline of the European Paediatric Soft Tissue Sarcoma Study Group (EpSSG) Imaging Committee. This guideline was developed in collaboration between the EpSSG Imaging Committee, the Cooperative Weichteilsarkom Studiengruppe (CWS) Imaging Group, and the Oncology Task Force of the European Society of Paediatric Radiology (ESPR). MRI is recommended, at diagnosis and follow-up, for the evaluation of the primary tumour and its relationship to surrounding tissues, including assessment of neurovascular structures and loco-regional lymphadenopathy. Chest CT along with [F-18]2-fluoro-2-deoxyglucose (FDG) positron emission tomography (PET)/CT or PET/MRI are recommended for the detection and evaluation of loco-regional and distant metastatic disease. Guidance on the estimation of treatment response, optimal long-term follow-up, technical imaging settings and standardised reporting are described. This European imaging guideline outlines the recommendations for imaging in children and adolescents with rhabdomyosarcoma, with the aim to harmonise imaging and to advance patient care.

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European Society of Paediatric Radiology abdominal imaging task force: statement on imaging in very early onset inflammatory bowel disease

Pediatric Radiology ◽

10.1007/s00247-019-04375-8 ◽

2019 ◽

Vol 49 (6) ◽

pp. 841-848 ◽

Cited By ~ 3

Author(s):

Tom A. Watson ◽

Philippe Petit ◽

Thomas A. Augdal ◽

E. Fred Avni ◽

Costanza Bruno ◽

...

Keyword(s):

Inflammatory Bowel Disease ◽

European Society ◽

Bowel Disease ◽

Early Onset ◽

Task Force ◽

Abdominal Imaging ◽

Paediatric Radiology ◽

Inflammatory Bowel

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Surveillance of Fontan-associated liver disease: current standards and a proposal from the European Society of Paediatric Radiology Abdominal Task Force

Pediatric Radiology ◽

10.1007/s00247-021-05173-x ◽

2021 ◽

Author(s):

Giulia Perucca ◽

Charlotte de Lange ◽

Stéphanie Franchi-Abella ◽

Marcello Napolitano ◽

Michael Riccabona ◽

...

Keyword(s):

Liver Disease ◽

European Society ◽

Task Force ◽

Fontan Procedure ◽

Neurologic Complications ◽

Paediatric Radiology ◽

Surgical Palliation ◽

Current Standards ◽

Heart Malformations

AbstractSince Francis Fontan first introduced the eponymous technique, the Fontan procedure, this type of surgical palliation has allowed thousands of children affected by specific heart malformations to reach adulthood. Nevertheless, abdominal, thoracic, lymphatic and neurologic complications are the price that is paid by these patients. Our review focuses on Fontan-associated liver disease; the purpose is to summarize the current understanding of its physiopathology, the aim of follow-up and the specific radiologic follow-up performed in Europe. Finally, we as members of the Abdominal Task Force of the European Society of Paediatric Radiology propose a consensus-based imaging follow-up algorithm.

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