Pediatric Ultrasound — МЕДТРЕЙН Asia

Pediatric UltrasoundPediatric Ultrasound

Neurosonography, hip joints, children's organs — standards and screening.

Ultrasound Diagnostics in Pediatrics

Necrotizing Enterocolitis: Ultrasound Signs (Pneumatosis, Portal Venous Gas, Wall Perfusion)

Ultrasound diagnosis of NEC is based on detection of intramural gas (intestinal wall pneumatosis), gas in the portal venous system, and assessment of wall perfusion using …

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Ultrasound Diagnostics in Pediatrics

Bowel Ultrasound in Crohn's Disease in Children: Wall Thickness Thresholds and Activity Markers

Intestinal ultrasound (GIUS) is a validated method for assessing the extent and activity of Crohn's disease; key parameters are bowel wall thickness and its microvascularity. However, …

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Ultrasound Diagnostics in Pediatrics

Meckel's Diverticulum on Ultrasound: Differential Diagnosis with Appendicitis and Intussusception

Meckel's diverticulum is a heterotopic displacement of tissue from its normal anatomical location; its inflammation can mimic appendicitis and is clinically indistinguishable from acute appendicitis. The …

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Ultrasound Diagnostics in Pediatrics

Transient Synovitis and Septic Arthritis of the Hip in Children: Ultrasound Differential Diagnosis of Effusion

Ultrasound detects effusion in the hip joint space in both conditions, but does not verify the cellular composition of the fluid. To differentiate transient synovitis from …

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Ultrasound Diagnostics in Pediatrics

Congenital Muscular Torticollis: Ultrasound of the Sternocleidomastoid Muscle

The source materials do not contain specific data on ultrasound of the sternocleidomastoid muscle (SCM) in congenital muscular torticollis (types, echographic criteria, thickness threshold values). We …

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Ultrasound Diagnostics in Pediatrics

Neonatal Spinal Ultrasound in Occult Spinal Dysraphism: Conus Level and Terminal Filum

Spinal ultrasound in neonates with suspected occult spinal dysraphism is primarily directed at determining the level of the conus medullaris and measuring the thickness of the …

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Ultrasound Diagnostics in Pediatrics

Normal kidney length in children: percentile nomograms by age and height

Kidney length in children varies depending on age, with the left kidney typically being somewhat longer than the right. A size difference between the right and …

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Ultrasound Diagnostics in Pediatrics

Obstructive vs Non-obstructive Pelvicalyceal Dilatation in Children: Doppler Ultrasound Capabilities

The available source fragments do not contain data on Doppler criteria (RI, resistive indices, diuretic challenge tests) for differentiating obstructive and non-obstructive pelvicalyceal dilatation in children, …

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Ultrasound Diagnostics in Pediatrics

Posterior Urethral Valves in Boys: Ultrasound Features in Megacystis and Hydronephrosis

Posterior urethral valves (PUV) are a key cause of obstructive uropathy in boys. The characteristic ultrasound triad includes a dilated urinary bladder with widening of the …

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Ultrasound Diagnostics in Pediatrics

Biliary Atresia: Ultrasound Diagnosis, Gallbladder Assessment and Associated Findings

Biliary atresia in a newborn presents with persistent jaundice, acholic (pale) stools, dark urine, and hepatomegaly. On ultrasound, the liver is enlarged and homogeneous; the gallbladder …

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Ultrasound Diagnostics in Pediatrics

Cystic Transformation of Bile Ducts in Children: Todani Classification by Ultrasound

The Todani classification divides cystic transformation of bile ducts into five main types: Type I — fusiform dilatation of the common bile duct, Type II — …

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Ultrasound Diagnostics in Pediatrics

Intestinal Malrotation in Infants: Whirlpool Sign and SMA/SMV Assessment on Ultrasound

On ultrasound in infants, evaluation of midgut malrotation is performed by documenting the spatial relationship between the superior mesenteric artery (SMA) and vein (SMV). Normal anatomy …

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Ultrasound Diagnostics in Pediatrics

Ultrasound Diagnosis of Acute Appendicitis in Children: Appendiceal Diameter and Incompressibility

In acute appendicitis in children, key ultrasound criteria include appendiceal incompressibility and maximum outer diameter (MOD) ≥7 mm on compression, measured from outer to outer wall. …

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Ultrasound Diagnostics in Pediatrics

Appendix Not Visualized in a Child: Secondary Ultrasound Signs and Management Strategy

When the appendix is not visualized in a child, probable causes include: obscuration by bowel loops, retrocecal or deep pelvic position, excessive or insufficient urinary bladder …

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Ultrasound Diagnostics in Pediatrics

Grades of Vesicoureteral Reflux on ceVUS: Capabilities of the Method

Contrast-enhanced voiding urosonography (ceVUS) introduces microbubble contrast through a urethral catheter for sonographic assessment of vesicoureteral reflux (VUR). The method is one of two approaches for …

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Ultrasound Diagnostics in Pediatrics

ceVUS for VUR in Children Instead of Cystography: ESPR 2024

The ESPR Urogenital Task Force in its 2024 update strongly recommends contrast-enhanced voiding urosonography (ceVUS) as the non-radiative method of choice for assessing vesicoureteral reflux in …

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Ultrasound Diagnostics in Pediatrics

Graf Method in DDH: Standard Plane, Angles, and Errors

The Graf method is a static ultrasound assessment of the infant hip joint in a single standard coronal plane: the image is suitable for measurements only …

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Ultrasound Diagnostics in Pediatrics

Intestinal Ultrasound in Pediatric Ulcerative Colitis: ESPGHAN/ECCO 2025

In the ESPGHAN/ECCO 2025 consensus, intestinal ultrasound is considered a key non-invasive tool for monitoring the activity of ulcerative colitis in children within a treat-to-target strategy. …

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Ultrasound Diagnostics in Pediatrics

Ultrasound of the Liver in Pediatric Steatosis: MASLD Instead of NAFLD, ESPGHAN 2024

In 2024, ESPGHAN endorsed a new nomenclature: NAFLD in children should be reframed within the SLD framework, and in cases of liver steatosis with at least …

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Ultrasound Diagnostics in Pediatrics

Neonatal Neurosonography According to AIUM 2024: Windows, Sections, Protocol

AIUM 2024 has updated the practical parameter for neonatal and infant neurosonography, replacing the 2020 edition. For preterm infants, screening is primarily indicated at a gestational …

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Ultrasound Diagnostics in Pediatrics

Ultrasound of the Hip Joints in DDH in Infants: AIUM 2024

The AIUM 2024 parameter for DDH combines static assessment by Graf and dynamic Harcke test: the joint is evaluated in the coronal plane with measurement of …

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Ultrasound Diagnostics in Pediatrics

Ultrasound Training in Pediatrics for Physicians: Online Courses with Certification

Distance learning in pediatric ultrasound for physicians at Medtrain is based on online courses and a blended format (online theory, in-person practice) within the 'Ultrasound Diagnostics' …

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Ultrasound Diagnostics in Pediatrics

Ultrasound of the Thymus in Children: Calculation of Mass/Volume, CTTI Index, and Degrees of Thymomegaly

The provided source fragments do not contain data on ultrasound of the thymus in children: formulas for calculating thymus mass and volume, CTTI index values, criteria, …

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Ultrasound Diagnostics in Pediatrics

Lung Ultrasound in Children: B-lines, Pleural Line, and Consolidation

In the practical protocol for lung ultrasound in children, the key targets are three signs: the pleural line, B-lines, and subpleural consolidation. According to the ESPR …

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Ultrasound Diagnostics in Pediatrics

Ultrasound of Joints in Children: ESPR 2022 Standard Positions

The ESPR MSK Task Force 2022 document highlights pediatric joint ultrasound as a separate protocol: standard approaches are defined for large and small joints of the …

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Ultrasound Diagnostics in Pediatrics

Acute Scrotal Syndrome in Children: Ultrasound Signs of Torsion

When testicular torsion is suspected, scrotal ultrasound is performed as an emergency examination: both sides are compared, and the testis, epididymis, and spermatic cord are evaluated …

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Ultrasound Diagnostics in Pediatrics

Ultrasound of the Newborn Spine: Conus, Filum, and Dysraphism

Key landmarks according to AIUM: the conus medullaris is normally located above the L2–L3 disc, and the filum terminale is less than 2 mm thick. Ultrasound …

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Ultrasound Diagnostics in Pediatrics

Acute Scrotum Syndrome in Children: Ultrasound Differentiation of Testicular Torsion, Torsion of the Appendix Testis, and Epididymitis

In cases of acute scrotum in children, the key task of Doppler ultrasound is to distinguish between testicular torsion, torsion of the appendix testis, and epididymitis/orchitis. …

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Ultrasound Diagnostics in Pediatrics

Z-score in Pediatric Echocardiography: Calculation by BSA and Interpretation of Borderline Values

The provided source fragments do not contain data on the topic of Z-score in pediatric echocardiography, its calculation method by body surface area (BSA), or threshold …

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Ultrasound Diagnostics in Pediatrics

Norms of Abdominal Organ and Kidney Sizes in Children by Ultrasound: Age Guidelines

The source fragments present the norms of the hepatobiliary system in children: boundaries of the right liver lobe, diameter of the portal vein and common bile …

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Ultrasound Diagnostics in Pediatrics

Hydronephrosis and Pyelectasis in Children: SFU Classification, AP Pelvic Measurement, and Observation Strategy

The assessment of the dilation of the collecting system in children relies on measuring the anteroposterior diameter of the renal pelvis (APD) with the patient in …

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Ultrasound Diagnostics in Pediatrics

Intussusception in Children on Ultrasound: 'Target' and 'Pseudokidney' Signs

On ultrasound, intussusception in children appears as a concentric 'target' (bull's eye/target) structure in the transverse plane and a 'pseudokidney' in the longitudinal plane. Ultrasound also …

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Ultrasound Diagnostics in Pediatrics

Ultrasound Diagnosis of Hypertrophic Pyloric Stenosis: Criteria, Technique, and Errors

Attention: The provided source fragments do not contain data on ultrasound diagnosis of hypertrophic pyloric stenosis—neither numerical criteria for muscle thickness and pyloric channel length, nor …

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Ultrasound Diagnostics in Pediatrics

Ultrasound Screening of Infant Hip Joints: Timing, Indications, and Methods Graf/Terjesen/Harcke

Optimal ultrasound screening of hip joints should be conducted at 4–6 weeks in the presence of a stable click; in cases of joint instability (positive Barlow/Ortolani …

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Ultrasound Diagnostics in Pediatrics

Graf Classification of Hip Dysplasia: Types 1–4 (α/β Angles and Management)

The Graf classification (modified) categorizes hip joints based on the values of the bony angle α and the cartilaginous angle β. A mature joint (type I) …

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Ultrasound Diagnostics in Pediatrics

Ultrasound of Hip Joints by Graf: Positioning, Standard Section, and Measurement of Angles α and β

The standard Graf section is a coronal view in the physiological neutral position of the thigh (flexion 15–20°). The plane is defined by the straight line …

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Ultrasound Diagnostics in Pediatrics

Intraventricular Hemorrhages in Premature Infants: Papile Classification (I–IV) and Dynamic NSG Monitoring

Intraventricular hemorrhages (IVH) in premature infants are traditionally assessed using the Papile classification (grades I–IV) during neurosonography (NSG). This method allows for the detection of hemorrhages, …

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Ultrasound Diagnostics in Pediatrics

Neonatal Neurosonography: Standard Planes, Norms, and Protocol Structure

Neonatal neurosonography is predominantly performed transfontanellar through the anterior fontanelle, obtaining standard coronal and sagittal/parasagittal planes. The protocol includes the assessment of the parenchyma, ventricular system, …

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