72 results on '"P. Caro-Domínguez"'
Search Results
2. Magnetic resonance imaging of fetal abdominal pathology: a complementary tool to prenatal ultrasound
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Caro-Domínguez, Pablo, Victoria, Teresa, Bueno Gomez, Marta, and Sainz-Bueno, José Antonio
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- 2023
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3. Computed tomography angiography features of children with ectopia cordis
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Ugas-Charcape, Carlos F., Cerrón Vela, Carmen, Melgar Humala, Eneida, Herrera Taquia, Renée, and Caro Domínguez, Pablo
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- 2023
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4. Imaging and surgical management of congenital heart diseases
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Caro-Domínguez, Pablo, Secinaro, Aurelio, Valverde, Israel, and Fouilloux, Virginie
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- 2023
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5. Neonatal cardiorespiratory imaging—a multimodality state-of-the-art review
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Kellenberger, Christian J., Lovrenski, Jovan, Semple, Thomas, and Caro-Domínguez, Pablo
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- 2023
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6. Indications for magnetic resonance imaging of the fetal body (extra-central nervous system): recommendations from the European Society of Paediatric Radiology Fetal Task Force
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Papaioannou, Georgia, Caro-Domínguez, Pablo, Klein, Willemijn M., Garel, Catherine, and Cassart, Marie
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- 2023
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7. Myocardial involvement in children with post-COVID multisystem inflammatory syndrome: a cardiovascular magnetic resonance based multicenter international study—the CARDOVID registry
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Florence A. Aeschlimann, Nilanjana Misra, Tarique Hussein, Elena Panaioli, Jonathan H. Soslow, Kimberly Crum, Jeremy M. Steele, Steffen Huber, Simona Marcora, Paolo Brambilla, Supriya Jain, Maria Navallas, Valentina Giuli, Beate Rücker, Felix Angst, Mehul D. Patel, Arshid Azarine, Pablo Caro-Domínguez, Annachiara Cavaliere, Giovanni Di Salvo, Francesca Ferroni, Gabriella Agnoletti, Laurent Bonnemains, Duarte Martins, Nathalie Boddaert, James Wong, Kuberan Pushparajah, and Francesca Raimondi
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SARS Cov-2 infection ,CMR ,Acute myocarditis ,Children ,MIS-C ,Diseases of the circulatory (Cardiovascular) system ,RC666-701 - Abstract
Abstract Background Recent evidence shows an association between coronavirus disease 2019 (COVID-19) infection and a severe inflammatory syndrome in children. Cardiovascular magnetic resonance (CMR) data about myocardial injury in children are limited to small cohorts. The aim of this multicenter, international registry is to describe clinical and cardiac characteristics of multisystem inflammatory syndrome in children (MIS-C) associated with COVID-19 using CMR so as to better understand the real extent of myocardial damage in this vulnerable cohort. Methods and results Hundred-eleven patients meeting the World Health Organization criteria for MIS-C associated with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), having clinical cardiac involvement and having received CMR imaging scan were included from 17 centers. Median age at disease onset was 10.0 years (IQR 7.0–13.8). The majority of children had COVID-19 serology positive (98%) with 27% of children still having both, positive serology and polymerase chain reaction (PCR). CMR was performed at a median of 28 days (19–47) after onset of symptoms. Twenty out of 111 (18%) patients had CMR criteria for acute myocarditis (as defined by the Lake Louise Criteria) with 18/20 showing subepicardial late gadolinium enhancement (LGE). CMR myocarditis was significantly associated with New York Heart Association class IV (p = 0.005, OR 6.56 (95%-CI 1.87–23.00)) and the need for mechanical support (p = 0.039, OR 4.98 (95%-CI 1.18–21.02)). At discharge, 11/111 (10%) patients still had left ventricular systolic dysfunction. Conclusion No CMR evidence of myocardial damage was found in most of our MIS-C cohort. Nevertheless, acute myocarditis is a possible manifestation of MIS-C associated with SARS-CoV-2 with CMR evidence of myocardial necrosis in 18% of our cohort. CMR may be an important diagnostic tool to identify a subset of patients at risk for cardiac sequelae and more prone to myocardial damage. Clinical trial registration: The study has been registered on ClinicalTrials.gov, Identifier NCT04455347, registered on 01/07/2020, retrospectively registered.
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- 2021
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8. Imaging findings of multisystem inflammatory syndrome in children associated with COVID-19
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Caro-Domínguez, Pablo, Navallas, María, Riaza-Martin, Lucia, Ghadimi Mahani, Maryam, Ugas Charcape, Carlos F., Valverde, Israel, D’Arco, Felice, Toso, Seema, Shelmerdine, Susan Cheng, van Schuppen, Joost, Secinaro, Aurelio, Gräfe, Daniel, Camacho, Marisol, Neth, Olaf, Goo, Hyun Woo, and Kellenberger, Christian J.
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- 2021
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9. Pulmonary imaging in coronavirus disease 2019 (COVID-19): a series of 140 Latin American children
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Ugas-Charcape, Carlos F., Ucar, María Elena, Almanza-Aranda, Judith, Rizo-Patrón, Emiliana, Lazarte-Rantes, Claudia, Caro-Domínguez, Pablo, Cadavid, Lina, Pérez-Marrero, Lizbet, Fazecas, Tatiana, Gomez, Lucía, Sánchez Curiel, Mariana, Pacheco, Walter, Rizzi, Ana, García-Bayce, Andrés, Bendeck, Efigenia, Montaño, Mario, Daltro, Pedro, and Arce-V, José D.
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- 2021
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10. Myocardial involvement in children with post-COVID multisystem inflammatory syndrome: a cardiovascular magnetic resonance based multicenter international study—the CARDOVID registry
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Aeschlimann, Florence A., Misra, Nilanjana, Hussein, Tarique, Panaioli, Elena, Soslow, Jonathan H., Crum, Kimberly, Steele, Jeremy M., Huber, Steffen, Marcora, Simona, Brambilla, Paolo, Jain, Supriya, Navallas, Maria, Giuli, Valentina, Rücker, Beate, Angst, Felix, Patel, Mehul D., Azarine, Arshid, Caro-Domínguez, Pablo, Cavaliere, Annachiara, Di Salvo, Giovanni, Ferroni, Francesca, Agnoletti, Gabriella, Bonnemains, Laurent, Martins, Duarte, Boddaert, Nathalie, Wong, James, Pushparajah, Kuberan, and Raimondi, Francesca
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- 2021
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11. Management strategies for children with COVID-19: ESPR practical recommendations
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Raissaki, Maria, Shelmerdine, Susan C., Damasio, Maria Beatrice, Toso, Seema, Kvist, Ola, Lovrenski, Jovan, Hirsch, Franz Wolfgang, Görkem, Süreyya Burcu, Paterson, Anne, Arthurs, Owen J., Rossi, Andrea, van Schuppen, Joost, Petit, Philippe, Argyropoulou, Maria I., Offiah, Amaka C., Rosendahl, Karen, and Caro-Domínguez, Pablo
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- 2020
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12. The role of sonography in differentiating congenital intrinsic duodenal anomalies from midgut malrotation: emphasizing the new signs of duodenal and gastric wall thickening and hyperechogenicity
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Hameed, Shema, Caro-Domínguez, Pablo, Daneman, Alan, Zani-Ruttenstock, Elke, Zani, Augusto, and Navarro, Oscar M.
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- 2020
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13. Encuesta sobre la situación actual de la resonancia magnética fetal en España
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M. Rebollo Polo, P. Caro-Domínguez, and L. García-Díaz
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03 medical and health sciences ,0302 clinical medicine ,business.industry ,Medicine ,Radiology, Nuclear Medicine and imaging ,Prenatal imaging ,business ,Humanities ,030217 neurology & neurosurgery ,030218 nuclear medicine & medical imaging ,Fetal medicine - Abstract
Resumen En junio de 2019 se organizo en Sevilla el primer curso de resonancia magnetica (RM) fetal, con el aval de las sociedades espanolas de Radiologia Medica (SERAM) y Radiologia Pediatrica (SERPE), y se fundo el grupo espanol de RM fetal. Para establecer este grupo, se diseno un cuestionario para radiologos que se dediquen a la imagen prenatal en Espana que anuncio la Sociedad Espanola de Radiologia a sus socios. Las preguntas estaban relacionadas con el tipo de hospital, con los estudios de RM (campo magnetico, edad gestacional, uso de sedacion, numero de estudios por ano, proporcion de estudios de neuroimagen fetal) y con la docencia e investigacion de la RM fetal. Recogimos 41 respuestas de 25 provincias (88% hospitales publicos). Muy pocos radiologos realizan ecografia (7%) o tomografia computarizada prenatal en Espana. La RM se realiza en el segundo trimestre (34%) o tercer trimestre (44%). En el 95% de los centros predominan los estudios del cerebro fetal. El 41% de los centros tienen la posibilidad de realizar sus estudios en RM 3 Tesla. La sedacion materna se usa en el 17% de los centros. El numero de estudios de RM fetal por ano es muy variable, siendo mucho mayor en Barcelona y Madrid que en el resto de Espana.
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- 2023
14. Survey about the current use of fetal MRI in Spain
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P. Caro-Domínguez, L. García-Díaz, and M. Rebollo Polo
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General Earth and Planetary Sciences ,General Environmental Science - Published
- 2023
15. Meconium peritonitis: the role of postnatal radiographic and sonographic findings in predicting the need for surgery
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Caro-Domínguez, Pablo, Zani, Augusto, Chitayat, David, and Daneman, Alan
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- 2018
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16. Enfermedad neuroinvasiva por el virus del Nilo Occidental: características clínicas y en neuroimagen de un patógeno reemergente
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P. Piñero-González de la Peña, C. Moreno-Reina, P. Caro-Domínguez, and M. Martínez-Moya
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medicine.diagnostic_test ,West Nile virus ,Philosophy ,medicine ,Radiology, Nuclear Medicine and imaging ,Computed tomography ,medicine.disease_cause ,Humanities - Abstract
Resumen El virus del Nilo Occidental es un arbovirus que puede infectar al ser humano y causar una enfermedad neuroinvasiva grave. Tomando como referencia el brote que tuvo lugar en Espana en 2020, se ha realizado una revision clinica y de neuroimagen de dicha patologia. Para ello, se han recogido datos demograficos, clinicos, analiticos y pruebas de imagen (tomografia computarizada y resonancia magnetica) de 30 pacientes diagnosticados de infeccion por virus del Nilo Occidental en nuestro centro. Las principales manifestaciones clinicas fueron fiebre, cefalea y alteracion del nivel de conciencia. Los estudios de neuroimagen, especialmente la resonancia, son de gran importancia para el diagnostico y seguimiento. Los hallazgos mas frecuentes fueron focos de aumento de senal en T2 en el talamo y tronco del encefalo, que ilustramos en esta revision con casos de nuestro centro hospitalario.
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- 2022
17. Resonancia magnética cerebral sin anestesia en niños menores de 3 meses
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A Pavón-Delgado, P Caro-Domínguez, J J Sánchez-Garduño, M Fajardo-Cascos, M Martínez-Moya, C Hernández-Herrera, and F Galván-Banqueri
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03 medical and health sciences ,0302 clinical medicine ,business.industry ,030225 pediatrics ,Brain mri ,Medicine ,Radiology, Nuclear Medicine and imaging ,business ,Humanities ,030218 nuclear medicine & medical imaging - Abstract
Resumen Introduccion El uso de anestesia general en ninos pequenos conlleva riesgos, a corto y largo plazo. El objetivo de este estudio fue evaluar la eficacia de la tecnica de resonancia magnetica (RM) cerebral sin anestesia mediante fijacion con colchon en ninos menores de 3 meses. Pacientes y metodos Estudio prospectivo de casos y controles realizado en el ano 2019. Los casos fueron pacientes menores de 3 meses con indicacion de RM craneal, estables y sin soporte ventilatorio; las resonancias se realizaron usando la tecnica de dar de comer y dormir y un colchon inmovilizador. Los controles fueron pacientes de la misma edad y sexo, inestables clinicamente, derivados para realizar RM craneal con anestesia general. Tres radiologos pediatricos evaluaron el exito de la RM (si respondia a la pregunta clinica), si era necesario repetirla y calificaron la presencia de artefactos de movimiento en una escala del 1 al 4. Resultados 47 casos fueron incluidos en este estudio (28 ninos, 19 ninas; media: 31 dias de vida), de los cuales (89%) 42 RM fueron llevadas a cabo de manera exitosa. Los estudios realizados de manera ambulatoria se asociaron a mayor posibilidad de fallo de la tecnica que los realizados a ingresados (valor de p 0,02). El 60% de las RM de los casos realizados tuvieron calidad optima y el 30%, suboptima (artefacto de movimiento en una o dos secuencias). No se detectaron problemas de seguridad con esta tecnica. La media de duracion de los estudios fue de 16,6 minutos (rango 6-30 minutos). El 100% de las RM de los controles bajo anestesia general se llevaron a cabo con exito, con una calidad optima en el 89% y suboptima en el 11% restante. En el primer ano de experiencia con esta tecnica, de 47 RM realizadas, se evito el uso de anestesia general a 42 recien nacidos. Conclusion La tecnica de dar de comer y dormir y fijacion con colchon neumatico para realizar RM sin anestesia puede realizarse de forma eficaz y segura en ninos menores de 3 meses.
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- 2022
18. Independent nursing actions in the mediate postoperative period of patients with infectious endocarditis
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Yusnei Ramos León, Georgina Caro Domínguez, and Ana M. Morales Ramón
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Diseases of the circulatory (Cardiovascular) system ,RC666-701 - Abstract
Independent nursing actions in the mediate postoperative period of patients with infectious endocarditis
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- 2018
19. Can diffusion-weighted imaging distinguish between benign and malignant pediatric liver tumors?
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Caro-Domínguez, Pablo, Gupta, Abha A., and Chavhan, Govind B.
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- 2017
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20. Bone tumors of the pediatric foot: imaging appearances
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Caro-Domínguez, Pablo and Navarro, Oscar M.
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- 2017
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21. Ileocolic intussusception: Ultrasound-guided hydrostatic reduction with sedation and analgesia
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V. Sánchez-Tatay, P. Caro-Domínguez, I Fernández-Pineda, C Le Cacheux-Morales, E Merchante-García, C Hernández-Herrera, and R. Vizcaíno
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Male ,medicine.medical_specialty ,Sedation ,medicine.medical_treatment ,Enema ,Sedoanalgesia ,Intussusception (medical disorder) ,medicine ,Humans ,Fluoroscopy ,Child ,Adverse effect ,Ultrasonography, Interventional ,Reduction (orthopedic surgery) ,Retrospective Studies ,General Environmental Science ,medicine.diagnostic_test ,business.industry ,Ultrasound ,Infant ,Ileocolic intussusception ,medicine.disease ,Surgery ,General Earth and Planetary Sciences ,Female ,Analgesia ,medicine.symptom ,business ,Intussusception - Abstract
Introduction The first-choice treatment for ileocolic intussusception is imaging-guided reduction with water, air, or barium. The objectives of the current study were to evaluate the efficacy and safety of ultrasound-guided reduction of intussusception using water in patients under sedation and analgesia. We compare this approach with our previous experience in reduction using barium under fluoroscopic guidance without sedation and analgesia and investigate what factors predispose to surgical correction. Material and methods We retrospectively reviewed cases of children with ileocolic intussusception treated in a third-level pediatric hospital during a 52-month period: during the first 24 months, reduction was done using barium and fluoroscopy without sedoanalgesia, and during the following 28 months, reduction was done using water and ultrasound with sedoanalgesia. A pediatric radiologist and a pediatrician reviewed the clinical history, surgical records, and imaging studies. Results In the 52-month period, 59 children (41 boys and 18 girls; mean age, 16.0 months) were diagnosed with ileocolic intussusception at our hospital. A total of 33 reductions (28 patients and 5 recurrences) were done using barium under fluoroscopic guidance, achieving a 61% success rate. A total of 38 reductions (31 patients and 7 recurrences) were done using water under ultrasound guidance with patients sedated, achieving a success rate of 76%. No significant adverse effects were observed in patients undergoing ultrasound-guided hydrostatic reduction under sedation, and the success rate in this group was higher (p = 0.20). The factors that predisposed to surgical reduction were greater length of the intussusception (p = 0.03), location in areas other than the right colon (p = 0.002), and a greater length of time between symptom onset and imaging tests (p = 0.08). Conclusion Ultrasound-guided hydrostatic reduction of ileocolic intussusception under sedoanalgesia is efficacious and safe.
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- 2021
22. Invaginación ileocólica: reducción hidrostática ecoguiada con sedoanalgesia
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P. Caro-Domínguez, I. Fernández, V. Sánchez-Tatay, R. Vizcaíno, E. Merchante, C. Hernández-Hernández, and C. Le Cacheux
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03 medical and health sciences ,0302 clinical medicine ,030225 pediatrics ,Radiology, Nuclear Medicine and imaging ,030218 nuclear medicine & medical imaging - Abstract
Resumen Introduccion La primera opcion de tratamiento de la invaginacion ileocolica es la reduccion con agua, aire o bario guiada por imagen. Los objetivos de este estudio fueron evaluar la eficacia y seguridad de la desinvaginacion usando agua guiada por ecografia bajo sedoanalgesia. La comparamos con nuestra experiencia previa con bario y guiada por fluoroscopia sin sedacion e investigamos que factores predispusieron a la correccion quirurgica. Material y metodos Revision retrospectiva de ninos con invaginacion ileocolica tratados en un hospital pediatrico de tercer nivel en un periodo de 52 meses; los primeros 24 meses, los ninos fueron sometidos a reduccion fluoroscopica con bario sin sedacion y los siguientes meses a reduccion hidrostatica ecoguiada con sedoanalgesia. Un radiologo pediatrico y una pediatra revisaron la historia clinica, hojas quirurgicas y estudios de imagen. Resultados 59 ninos (41 ninos y 18 ninas; edad media, 16,0 meses) fueron diagnosticados de invaginacion intestinal en nuestro hospital en un periodo de 52 meses. Se realizaron 33 reducciones (28 pacientes y 5 recurrencias) guiadas por fluoroscopia usando bario, con una tasa de exito del 61%. Treinta y ocho desinvaginaciones (31 pacientes y 7 recurrencias) utilizando agua, guiadas por ecografia bajo sedacion, tuvieron una tasa de exito del 76%. La tasa de exito fue superior en el segundo grupo en el que se uso sedacion (p = 0,20), sin que se detectaran efectos secundarios significativos. Los factores que predispusieron a la reduccion quirurgica fueron las invaginaciones de mayor longitud (p = 0,03), las que no se localizaron en colon derecho (p = 0,002) y en las que hubo un mayor intervalo desde el inicio de los sintomas a la prueba de imagen (p = 0,08). Conclusion La reduccion de la invaginacion ileocolica guiada por ecografia usando agua y sedoanalgesia es una tecnica eficaz y segura.
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- 2021
23. Factores que influyen en la satisfacción del paciente de diálisis con enfermería
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María Sanz Turrado, Luis Garrido Pérez, and Carmen Caro Domínguez
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SATISFACCIÓN DEL PACIENTE ,HEMODIÁLISIS ,GRUPO FOCAL ,Nursing ,RT1-120 ,Diseases of the genitourinary system. Urology ,RC870-923 - Abstract
Introducción: La satisfacción del paciente con los cuidados enfermeros se ha convertido en un determinante clave de la calidad de la atención sanitaria. Además, esto es especialmente relevante, sobre todo en pacientes crónicos, como es el caso del paciente con enfermedad renal crónica avanzada en hemodiálisis. Objetivo: Analizar los factores que intervienen en la satisfacción de los pacientes en hemodiálisis respecto al personal de enfermería. Metodología: Se ha llevado a cabo un estudio cualitativo, de tipo fenomenológico, mediante grupo focal de 7 pacientes en hemodiálisis de la Unidad de Gestión Clínica de Nefrología de Córdoba. Los sujetos fueron seleccionados mediante muestreo intencionado, tras su consentimiento informado. Resultados: Se han categorizado los resultados según las dimensiones de la calidad percibida. Respecto a la accesibilidad creen que son bien atendidos, pero pierden mucho tiempo en la unidad de diálisis. En cuanto a la fiabilidad, confían en las enfermeras con destreza para pinchar la fístula y desconfían de las enfermeras nuevas. Respecto a la comunicación, resaltan la buena relación existente entre ellos y el personal de enfermería. El trato es percibido como un punto fuerte, agradable y humano, en general. De forma generalizada destacan en las enfermeras un alto grado de competencia profesional, ligada al grado de fiabilidad que tengan con la enfermera. En general, califican el servicio asistencial que reciben de muy bueno e incluso excelente. Conclusiones: Este grupo de pacientes en hemodiálisis destaca la relación que se crea entre ellos y enfermería. Tienen un alto grado de confianza en el personal de enfermería, basado en su destreza para pinchar la fístula arteriovenosa y en su fiabilidad profesional.
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- 2017
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24. Pulmonary arterial hypertension in children: diagnosis using ratio of main pulmonary artery to ascending aorta diameter as determined by multi-detector computed tomography
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Caro-Domínguez, Pablo, Compton, Gregory, Humpl, Tilman, and Manson, David E.
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- 2016
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25. Variables de la desnutrición en pacientes en diálisis
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Luis Garrido Pérez, María Sanz Turrado, and Carmen Caro Domínguez
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DESNUTRICIÓN ,DIA´LISIS ,HEMODIÁLISIS ,DIÁLISIS PERITONEAL ,INFLAMACIÓN ,DESGASTE PROTEICO-ENERGÉTICOS ,Nursing ,RT1-120 ,Diseases of the genitourinary system. Urology ,RC870-923 - Abstract
Introducción: El paciente en diálisis va a sufrir una desnutrición proteico-calórica, con diferentes factores implicados en su aparición, lo cual se asocia con una elevadísima morbilidad cardiovascular y mortalidad. Se ha estimado una prevalencia de desnutrición en la población en hemodiálisis del 18-75%, siendo por tanto, un problema de especial relevancia en este tipo de pacientes. Objetivo: Realizar una revisión bibliográfica de los artículos científicos existentes sobre las variables que intervienen en la desnutrición del paciente en diálisis. Metodología: Se ha realizado una revisión bibliográfica mediante las bases de datos PubMed, Scielo, Pro- Quest. La búsqueda se ha realizado con términos Mesh, con una antigüedad no mayor de 5 años y con distintas palabras clave. Resultados: Se han revisado 19 artículos. La mayoría de los artículos fueron estudios observacionales y de revisión. Los factores que se asocian con desnutrición son la edad, pérdida de masa muscular, baja actividad física y dieta pobre en micronutrientes. Otro factor muy importante, es la inflamación. En cuanto a los métodos diagnósticos, son variados y diferentes, debido a la gran cantidad de variables que influyen en la desnutrición. Conclusiones: La desnutrición en pacientes en diálisis depende de distintas variables y no solamente de la dieta. Los factores que se asocian con desnutrición son mayor edad, pérdida de masa muscular, baja actividad física y dieta pobre en micronutrientes. Además, habría que añadir el doble papel que juega la inflamación en este proceso, pues puede ser tanto consecuencia como factor predisponente a la desnutrición.
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- 2016
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26. Influencia de la Consulta de Enfermedad Renal Crónica avanzada en la elección de modalidad de terapia renal sustitutiva
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Carmen Caro Domínguez, Luis Garrido Pérez, and María Sanz Turrado
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educación prediálisis ,terapia renal sustitutiva ,selección del paciente ,satisfacción del paciente ,Nursing ,RT1-120 ,Diseases of the genitourinary system. Urology ,RC870-923 - Abstract
Introducción: La enfermedad renal crónica constituye un problema de salud pública por su elevada incidencia y prevalencia, importante morbimortalidad y coste asistencial. Un aspecto fundamental para el paciente es la elección de modalidad de terapia sustitutiva renal. En este sentido, la consulta de enfermedad renal crónica avanzada o prediálisis, puede jugar un papel fundamental. Objetivo: Conocer producción científica sobre la influencia de la consulta de enfermedad renal crónica avanzada en la elección de modalidad de diálisis por parte del paciente. Metodología: Revisión bibliográfica para la que se realizaron búsquedas en las bases de datos de PubMed, Scielo, Science Direct, Proquest y Google Académico. Se analizaron los artículos que trataban la consulta prediálisis, variables que influyeran en la elección de modalidad de diálisis y satisfacción del paciente. Resultados: Se han revisado 25 artículos publicados en los años 2002-2014, de diseño observacional descriptivo y de cohortes. Se ha encontrado relación en la elección de las técnicas domiciliarias con la existencia de un programa de educación prediálisis, la información que ofrece enfermería, la entrada programada en diálisis, menor edad, menor comorbilidad y factores socioeconómicos o estructurales. Conclusion: Los factores que favorecen la elección de las técnicas de diálisis domiciliarias son la existencia de consulta de enfermedad renal crónica avanzada y la referencia oportuna del paciente a dicha consulta, ser joven, menor comorbilidad y la necesidad de contención de costes. Esta elección se ve perjudicada por factores estructurales. Las terapias domiciliarias producen mayor satisfacción en los pacientes.
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- 2016
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27. Extrathoracic manifestations of COVID-19 in adults and presentation of the disease in children☆
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E. García-Garrigós, J.M. Plasencia-Martínez, J.J. Arenas-Jiménez, I. Barber, P. Caro Domínguez, À. Rovira, [Plasencia-Martinez, J. M.] Hosp Gen Univ Jose Maria Morales Meseguer, Serv Radiodiagnost, Secc Radiol Urgencias & Imagen Cardiaca, Murcia, Spain, [Rovira, A.] Hosp Univ Vall dHebron, Serv Radiol, Secc Neurorradiol, Barcelona, Spain, [Caro Dominguez, P.] Hosp Univ Virgen del Rocio, Serv Radiodiagnost, Unidad Radiol Pediat, Seville, Spain, [Barber, I] Hosp St Joan de Deu, Serv Radiodiagnost, Unidad Radiol Pediat, Barcelona, Spain, [Garcia-Garrigos, E.] Hosp Gen Univ Alicante, Serv Radiodiagnost, Alicante, Spain, [Arenas-Jimenez, J. J.] Hosp Gen Univ Alicante, Serv Radiodiagnost, Alicante, Spain, [Garcia-Garrigos, E.] Inst Invest Sanitaria & Biomed Alicante ISABIAL, Alicante, Spain, and [Arenas-Jimenez, J. J.] Inst Invest Sanitaria & Biomed Alicante ISABIAL, Alicante, Spain
- Subjects
Adult ,medicine.medical_specialty ,Coronavirus disease 2019 (COVID-19) ,Heart Diseases ,diagnostic imaging ,Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) ,Diagnóstico por imagen ,Rayos X ,Disease ,World health ,030218 nuclear medicine & medical imaging ,03 medical and health sciences ,0302 clinical medicine ,Serie: Radiología y COVID-19 ,Pandemic ,X-rays ,medicine ,Humans ,Radiology, Nuclear Medicine and imaging ,Serie: Radiology and COVID-19 ,Intensive care medicine ,Child ,Computed tomography ,General Environmental Science ,business.industry ,COVID-19 ,Thrombosis ,computed tomography ,Systemic Inflammatory Response Syndrome ,Tomografía computarizada ,Diagnostic imaging ,General Earth and Planetary Sciences ,Presentation (obstetrics) ,Nervous System Diseases ,business ,030217 neurology & neurosurgery - Abstract
Resumen El sindrome de distres respiratorio grave por el virus coronavirus 2, conocido como SARS-CoV-2, fue declarado pandemia mundial en marzo de 2020 por la Organizacion Mundial de la Salud y sigue activo actualmente en casi todos los paises del mundo. Aunque los sintomas y manifestaciones en pruebas de imagen predominan en el aparato respiratorio, conocer las manifestaciones y posibles complicaciones en otros organos sera fundamental para ayudar al diagnostico y orientar hacia el pronostico de la enfermedad. Saber cuando estan indicadas las pruebas de imagen extratoracicas y cuales son mas rentables en cada circunstancia sera crucial para mejorar el proceso diagnostico sin aumentar innecesariamente el riesgo de contagio. En este trabajo hemos tratado de proporcionar estas respuestas, y hemos descrito iconograficamente las manifestaciones radiologicas de la enfermedad COVID-19 en regiones extratoracicas en adultos, asi como en su conjunto en el paciente pediatrico.
- Published
- 2021
28. Neuroinvasive disease due to West Nile virus: clinical and imaging findings associated with a re-emerging pathogen
- Author
-
C. Moreno-Reina, M. Martínez-Moya, P. Piñero-González de la Peña, and P. Caro-Domínguez
- Subjects
General Earth and Planetary Sciences ,Humans ,Neuroimaging ,Magnetic Resonance Imaging ,West Nile virus ,Hospitals ,West Nile Fever ,General Environmental Science - Abstract
The West Nile virus (WNV) is an arbovirus than can infect human beings and cause severe neuroinvasive disease. Taking the outbreak that occurred in Spain in 2020 as a reference, this article reviews the clinical and imaging findings for neuroinvasive disease due to WNV. We collected demographic, clinical, laboratory, and imaging (CT and MRI) variables for 30 patients with WNV infection diagnosed at our center. The main clinical findings were fever, headache, and altered levels of consciousness. Neuroimaging studies, especially MRI, are very useful in the diagnosis and follow-up of these patients. The most common imaging findings were foci of increased signal intensity in the thalamus and brainstem in T2-weighted sequences; we illustrate these findings in cases from our hospital.
- Published
- 2020
29. Survey about the current use of fetal MRI in Spain
- Author
-
P, Caro-Domínguez, L, García-Díaz, and M, Rebollo Polo
- Abstract
In June 2019 in Seville, at the first course in fetal MRI, endorsed by the Spanish Society of Medical Radiology (SERAM) and the Spanish Society of Pediatric Radiology (SERPE), the Spanish fetal MRI group was founded. To establish this group, a questionnaire was designed for radiologists dedicated to prenatal imaging in Spain and disseminated to the SERAM's members. The questions were related to the type of hospital, to MRI studies (magnetic field, gestational age, use of sedation, number of studies per year, proportion of fetal neuroimaging studies), and to teaching and research about fetal MRI. A total of 41 responses were received from radiologists in 25 provinces (88% working in public hospitals). Very few radiologists in Spain perform prenatal ultrasonography (7%) or prenatal CT. MRI is done in the second trimester (34%) or in the third trimester (44%). In 95% of centers, fetal brain MRI studies predominate. In 41% of the centers, studies can be done on 3 T MRI scanners. Maternal sedation is used in 17% of centers. The number of fetal MRI studies per year varies widely, being much higher in Barcelona and Madrid than in the rest of Spain.
- Published
- 2020
30. Brain MRI without anesthesia in children less than 3 months old
- Author
-
P. Caro-Domínguez, J.J. Sánchez-Garduño, M. Martínez-Moya, M. Fajardo-Cascos, F. Galván-Banqueri, C. Hernández-Herrera, and A. Pavón-Delgado
- Subjects
Male ,Case-Control Studies ,Infant, Newborn ,General Earth and Planetary Sciences ,Brain ,Humans ,Infant ,Female ,Anesthesia, General ,Artifacts ,Child ,Magnetic Resonance Imaging ,General Environmental Science - Abstract
The use of general anesthesia in infants involves both short-term and long-term risks. The aim of this study is to evaluate the efficacy of brain MRI without anesthesia in infants younger than 3-month-old immobilized with a pillow.This prospective case-control study was done in 2019. Cases were stable patients less than 3 months old who did not require ventilatory support for whom brain MRI was indicated. Patients were fed so they would fall asleep and placed in the scanner with an immobilizing pillow. Controls were clinically unstable patients matched for age and sex referred for brain MRI under general anesthesia. Three pediatric radiologists evaluated the success of the MRI study (whether it answered the clinical question), recorded whether it was necessary to repeat the study, and rated the presence of motion artifacts on a scale ranging from 1 to 4.A total of 47 cases were included (28 boys and 19 girls; mean age, 31 days). Of these, 42 (89%) MRI studies were considered successful. The proportion of successful MRI studies was lower in outpatients than in inpatients (p=0.02). The quality of MRI in cases was considered optimal in 60% and suboptimal (motion artifacts in one or two sequences) in 30%. No safety issues related with the technique were detected. The mean duration of the studies was 16.6minutes (range, 6-30minutes). All of the MRI studies in controls were considered successful; quality was considered optimal in 89% and suboptimal in 11%. In the first year in which we used this technique, we avoided the use of general anesthesia in 47 MRI studies in 42 newborns.Brain MRI using the feed and sleep technique in infants younger than 3-month-old immobilized with a pillow can be done safely and efficaciously without general anesthesia.
- Published
- 2020
31. Enfermedad neuroinvasiva por el virus del Nilo Occidental: características clínicas y en neuroimagen de un patógeno reemergente
- Author
-
Moreno-Reina, C., Martínez-Moya, M., Piñero-González de la Peña, P., and Caro-Domínguez, P.
- Abstract
El virus del Nilo Occidental es un arbovirus que puede infectar al ser humano y causar una enfermedad neuroinvasiva grave. Tomando como referencia el brote que tuvo lugar en España en 2020, se ha realizado una revisión clínica y de neuroimagen de dicha patología. Para ello, se han recogido datos demográficos, clínicos, analíticos y pruebas de imagen (tomografía computarizada y resonancia magnética) de 30 pacientes diagnosticados de infección por virus del Nilo Occidental en nuestro centro. Las principales manifestaciones clínicas fueron fiebre, cefalea y alteración del nivel de conciencia. Los estudios de neuroimagen, especialmente la resonancia, son de gran importancia para el diagnóstico y seguimiento. Los hallazgos más frecuentes fueron focos de aumento de señal en T2 en el tálamo y tronco del encéfalo, que ilustramos en esta revisión con casos de nuestro centro hospitalario.
- Published
- 2022
- Full Text
- View/download PDF
32. Resonancia magnética cerebral sin anestesia en niños menores de 3 meses
- Author
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Caro-Domínguez, P., Sánchez-Garduño, J.J., Martínez-Moya, M., Fajardo-Cascos, M., Galván-Banqueri, F., Hernández-Herrera, C., and Pavón-Delgado, A.
- Abstract
El uso de anestesia general en niños pequeños conlleva riesgos, a corto y largo plazo. El objetivo de este estudio fue evaluar la eficacia de la técnica de resonancia magnética (RM) cerebral sin anestesia mediante fijación con colchón en niños menores de 3 meses.
- Published
- 2022
- Full Text
- View/download PDF
33. Invaginación ileocólica: reducción hidrostática ecoguiada con sedoanalgesia
- Author
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Caro-Domínguez, P., Hernández-Hernández, C., Le Cacheux, C., Sánchez-Tatay, V., Merchante, E., Vizcaíno, R., and Fernández, I.
- Abstract
La primera opción de tratamiento de la invaginación ileocólica es la reducción con agua, aire o bario guiada por imagen. Los objetivos de este estudio fueron evaluar la eficacia y seguridad de la desinvaginación usando agua guiada por ecografía bajo sedoanalgesia. La comparamos con nuestra experiencia previa con bario y guiada por fluoroscopia sin sedación e investigamos qué factores predispusieron a la corrección quirúrgica.
- Published
- 2021
- Full Text
- View/download PDF
34. Prognostic factors and functional imaging in rectal cancer
- Author
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R. García Figueiras, R. García Dorrego, A. Gómez Caamaño, A. Vázquez Martín, and P. Caro Domínguez
- Subjects
medicine.medical_specialty ,medicine.diagnostic_test ,Angiogenesis ,Colorectal cancer ,business.industry ,Magnetic resonance imaging ,Rectal Tumors ,medicine.disease ,Total mesorectal excision ,Functional imaging ,medicine ,General Earth and Planetary Sciences ,In patient ,Radiology ,Radiation treatment planning ,business ,General Environmental Science - Abstract
The outcome of treatment for rectal cancer in recent years has been improved by diverse advances in the field of surgery and in neoadjuvant oncologic therapies. Heald's introduction of the concept of the mesorectum as an anatomical unit (total mesorectal excision) in 1982 and the generalization of preoperative radiochemotherapy have improved the prognosis in a significant number of patients. Owing to these advances, it has become necessary for imaging studies to define a series of prognostic factors for tumors, both before and after neoadjuvant treatment, to make it possible to tailor treatment for individual patients with rectal tumors. On the other hand, the advent of functional and molecular imaging techniques has provided a way to study a series of distinctive tumor characteristics in vivo, including the angiogenesis, metabolism, or cellularity of rectal tumors, and these techniques are making a growing contribution to the prognosis, staging, treatment planning, and evaluation of the response to therapy in patients with rectal cancer.
- Published
- 2012
35. Resonancia magnética de la ventriculomegalia cerebral fetal
- Author
-
Caro-Domínguez, P., Díaz, L. García, Antiñolo, G., Miller, E., Carvajo, M., and Sainz-Bueno, J.A.
- Abstract
La ventriculomegalia fetal es uno de los hallazgos más frecuentes que se encuentran en la ecografía prenatal y una de las indicaciones más comunes de resonancia magnética fetal. El propósito de este artículo es definir la diferente terminología utilizada para describir la dilatación del sistema ventricular cerebral fetal, explicar el impacto de la imagen (ecografía y resonancia magnética fetal) en este escenario clínico, ilustrar con casos las causas más comunes y mostrar la evidencia que existe sobre el pronóstico de estos niños, para proporcionar un consejo prenatal adecuado.
- Published
- 2024
- Full Text
- View/download PDF
36. [Prognostic factors and functional imaging in rectal cancer]
- Author
-
R, García Figueiras, P, Caro Domínguez, R, García Dorrego, A, Vázquez Martín, and A, Gómez Caamaño
- Subjects
Neovascularization, Pathologic ,Rectal Neoplasms ,Humans ,Prognosis ,Magnetic Resonance Imaging - Abstract
The outcome of treatment for rectal cancer in recent years has been improved by diverse advances in the field of surgery and in neoadjuvant oncologic therapies. Heald's introduction of the concept of the mesorectum as an anatomical unit (total mesorectal excision) in 1982 and the generalization of preoperative radiochemotherapy have improved the prognosis in a significant number of patients. Owing to these advances, it has become necessary for imaging studies to define a series of prognostic factors for tumors, both before and after neoadjuvant treatment, to make it possible to tailor treatment for individual patients with rectal tumors. On the other hand, the advent of functional and molecular imaging techniques has provided a way to study a series of distinctive tumor characteristics in vivo, including the angiogenesis, metabolism, or cellularity of rectal tumors, and these techniques are making a growing contribution to the prognosis, staging, treatment planning, and evaluation of the response to therapy in patients with rectal cancer.
- Published
- 2011
37. Factores que influyen en la satisfacción del paciente de diálisis con enfermería.
- Author
-
Sanz Turrado, María, Garrido Pérez, Luis, and Caro Domínguez, Carmen
- Published
- 2017
- Full Text
- View/download PDF
38. Influencia de la consulta de enfermedad renal crónica avanzada en la elección de modalidad de terapia renal sustitutiva.
- Author
-
Caro Domínguez, Carmen, Garrido Pérez, Luis, and Sanz Turrado, María
- Published
- 2016
- Full Text
- View/download PDF
39. Variables de la desnutrición en pacientes en diálisis.
- Author
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Garrido Pérez, Luis, Sanz Turrado, María, and Caro Domínguez, Carmen
- Published
- 2016
- Full Text
- View/download PDF
40. Diagnóstico inicial del osteosarcoma y sarcoma de Ewing en la edad pediátrica
- Author
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Moreno-Reina, C., Bueno-Gómez, M., Guitiérrez-Carrasco, J.I., and Caro-Domínguez, P.
- Abstract
[Display omitted]
- Published
- 2023
- Full Text
- View/download PDF
41. Encuesta sobre la situación actual de la resonancia magnética fetal en España
- Author
-
Caro-Domínguez, P., García-Díaz, L., and Rebollo Polo, M.
- Abstract
En junio de 2019 se organizó en Sevilla el primer curso de resonancia magnética (RM) fetal, con el aval de las sociedades españolas de Radiología Médica (SERAM) y Radiología Pediátrica (SERPE), y se fundó el grupo español de RM fetal. Para establecer este grupo, se diseñó un cuestionario para radiólogos que se dediquen a la imagen prenatal en España que anunció la Sociedad Española de Radiología a sus socios. Las preguntas estaban relacionadas con el tipo de hospital, con los estudios de RM (campo magnético, edad gestacional, uso de sedación, número de estudios por año, proporción de estudios de neuroimagen fetal) y con la docencia e investigación de la RM fetal. Recogimos 41 respuestas de 25 provincias (88% hospitales públicos). Muy pocos radiólogos realizan ecografía (7%) o tomografía computarizada prenatal en España. La RM se realiza en el segundo trimestre (34%) o tercer trimestre (44%). En el 95% de los centros predominan los estudios del cerebro fetal. El 41% de los centros tienen la posibilidad de realizar sus estudios en RM 3 Tesla. La sedación materna se usa en el 17% de los centros. El número de estudios de RM fetal por año es muy variable, siendo mucho mayor en Barcelona y Madrid que en el resto de España.
- Published
- 2021
- Full Text
- View/download PDF
42. Pediatric Cardiovascular Computed Tomography: Clinical Indications, Technique, and Standardized Reporting. Recommendations From the Cardiothoracic Taskforce of the European Society of Pediatric Radiology.
- Author
-
Kardos M, Curione D, Valverde I, van Schuppen J, Goo HW, Kellenberger CJ, Secinaro A, and Caro-Domínguez P
- Subjects
- Humans, Child, Heart, Tomography, X-Ray Computed methods, Echocardiography, Heart Defects, Congenital diagnostic imaging, Radiology
- Abstract
Congenital heart diseases affect 1% of all live births in the general population. The prognosis of these children is increasingly improving due to advances in medical care and surgical treatment. Imaging is also evolving rapidly to assess accurately complex cardiac anomalies prenatally and postnatally. Transthoracic echocardiography is the gold-standard imaging technique to diagnose and follow-up children with congenital heart disease. Cardiac computed tomography imaging plays a key role in the diagnosis of children with congenital heart defects that require intervention, due to its high temporal and spatial resolution, with low radiation doses. It is challenging for radiologists, not primarily specialized in this field, to perform and interpret these studies due to the difficult anatomy, physiology, and postsurgical changes. Technical challenges consist of necessary electrocardiogram gating and contrast bolus timing to obtain an optimal examination. This article aims to define indications for pediatric cardiac computed tomography, to explain how to perform and report these studies, and to discuss future applications of this technique., Competing Interests: The authors declare no conflict of interest., (Copyright © 2023 Wolters Kluwer Health, Inc. All rights reserved.)
- Published
- 2024
- Full Text
- View/download PDF
43. Imaging of pediatric cardiac tumors: A COG Diagnostic Imaging Committee/SPR Oncology Committee White Paper.
- Author
-
Morin CE, Griffin LM, Beroukhim RS, Caro-Domínguez P, Chan S, Johnson JN, Infante JC, Lam CZ, Malone LJ, Tang ER, Taylor MD, Wilkinson JC, and Masand PM
- Subjects
- Child, Humans, Surface Plasmon Resonance, Diagnostic Imaging, Heart Neoplasms diagnostic imaging, Heart Neoplasms complications, Rhabdomyoma diagnostic imaging, Rhabdomyoma complications, Tuberous Sclerosis
- Abstract
Cardiac tumors in children are rare and the majority are benign. The most common cardiac tumor in children is rhabdomyoma, usually associated with tuberous sclerosis complex. Other benign cardiac masses include fibromas, myxomas, hemangiomas, and teratomas. Primary malignant cardiac tumors are exceedingly rare, with the most common pathology being soft tissue sarcomas. This paper provides consensus-based imaging recommendations for the evaluation of patients with cardiac tumors at diagnosis and follow-up, including during and after therapy., (© 2022 Wiley Periodicals LLC.)
- Published
- 2023
- Full Text
- View/download PDF
44. Survey about the current use of fetal MRI in Spain.
- Author
-
Caro-Domínguez P, García-Díaz L, and Rebollo Polo M
- Subjects
- Pregnancy, Female, Child, Humans, Spain, Ultrasonography, Prenatal, Surveys and Questionnaires, Magnetic Resonance Imaging methods, Fetus diagnostic imaging
- Abstract
In June 2019 in Seville, at the first course in fetal MRI, endorsed by the Spanish Society of Medical Radiology (SERAM) and the Spanish Society of Pediatric Radiology (SERPE), the Spanish fetal MRI group was founded. To establish this group, a questionnaire was designed for radiologists dedicated to prenatal imaging in Spain and disseminated to the SERAM's members. The questions were related to the type of hospital, to MRI studies (magnetic field, gestational age, use of sedation, number of studies per year, proportion of fetal neuroimaging studies), and to teaching and research about fetal MRI. A total of 41 responses were received from radiologists in 25 provinces (88% working in public hospitals). Very few radiologists in Spain perform prenatal ultrasonography (7%) or prenatal CT. MRI is done in the second trimester (34%) or in the third trimester (44%). In 95% of centers, fetal brain MRI studies predominate. In 41% of the centers, studies can be done on 3 T MRI scanners. Maternal sedation is used in 17% of centers. The number of fetal MRI studies per year varies widely, being much higher in Barcelona and Madrid than in the rest of Spain., (Copyright © 2021 SERAM. Published by Elsevier España, S.L.U. All rights reserved.)
- Published
- 2023
- Full Text
- View/download PDF
45. Brain MRI without anesthesia in children less than 3 months old.
- Author
-
Caro-Domínguez P, Sánchez-Garduño JJ, Martínez-Moya M, Fajardo-Cascos M, Galván-Banqueri F, Hernández-Herrera C, and Pavón-Delgado A
- Subjects
- Anesthesia, General, Brain diagnostic imaging, Case-Control Studies, Child, Female, Humans, Infant, Infant, Newborn, Male, Artifacts, Magnetic Resonance Imaging methods
- Abstract
Introduction: The use of general anesthesia in infants involves both short-term and long-term risks. The aim of this study is to evaluate the efficacy of brain MRI without anesthesia in infants younger than 3-month-old immobilized with a pillow., Patients and Methods: This prospective case-control study was done in 2019. Cases were stable patients less than 3 months old who did not require ventilatory support for whom brain MRI was indicated. Patients were fed so they would fall asleep and placed in the scanner with an immobilizing pillow. Controls were clinically unstable patients matched for age and sex referred for brain MRI under general anesthesia. Three pediatric radiologists evaluated the success of the MRI study (whether it answered the clinical question), recorded whether it was necessary to repeat the study, and rated the presence of motion artifacts on a scale ranging from 1 to 4., Results: A total of 47 cases were included (28 boys and 19 girls; mean age, 31 days). Of these, 42 (89%) MRI studies were considered successful. The proportion of successful MRI studies was lower in outpatients than in inpatients (p = 0.02). The quality of MRI in cases was considered optimal in 60% and suboptimal (motion artifacts in one or two sequences) in 30%. No safety issues related with the technique were detected. The mean duration of the studies was 16.6 min (range, 6-30 min). All of the MRI studies in controls were considered successful; quality was considered optimal in 89% and suboptimal in 11%. In the first year in which we used this technique, we avoided the use of general anesthesia in 47 MRI studies in 42 newborns., Conclusion: Brain MRI using the feed and sleep technique in infants younger than 3-month-old immobilized with a pillow can be done safely and efficaciously without general anesthesia., (Copyright © 2020 SERAM. Published by Elsevier España, S.L.U. All rights reserved.)
- Published
- 2022
- Full Text
- View/download PDF
46. Neuroinvasive disease due to West Nile virus: Clinical and imaging findings associated with a re-emerging pathogen.
- Author
-
Moreno-Reina C, Martínez-Moya M, Piñero-González de la Peña P, and Caro-Domínguez P
- Subjects
- Hospitals, Humans, Magnetic Resonance Imaging, Neuroimaging, West Nile Fever complications, West Nile Fever diagnostic imaging, West Nile virus
- Abstract
The West Nile virus (WNV) is an arbovirus than can infect human beings and cause severe neuroinvasive disease. Taking the outbreak that occurred in Spain in 2020 as a reference, this article reviews the clinical and imaging findings for neuroinvasive disease due to WNV. We collected demographic, clinical, laboratory, and imaging (CT and MRI) variables for 30 patients with WNV infection diagnosed at our center. The main clinical findings were fever, headache, and altered levels of consciousness. Neuroimaging studies, especially MRI, are very useful in the diagnosis and follow-up of these patients. The most common imaging findings were foci of increased signal intensity in the thalamus and brainstem in T2-weighted sequences; we illustrate these findings in cases from our hospital., (Copyright © 2021 SERAM. Published by Elsevier España, S.L.U. All rights reserved.)
- Published
- 2022
- Full Text
- View/download PDF
47. Ileocolic intussusception: Ultrasound-guided hydrostatic reduction with sedation and analgesia.
- Author
-
Caro-Domínguez P, Hernández-Herrera C, Le Cacheux-Morales C, Sánchez-Tatay V, Merchante-García E, Vizcaíno R, and Fernández-Pineda I
- Subjects
- Child, Enema, Female, Humans, Infant, Male, Retrospective Studies, Ultrasonography, Interventional, Analgesia, Intussusception diagnostic imaging
- Abstract
Introduction: The first-choice treatment for ileocolic intussusception is imaging-guided reduction with water, air, or barium. The objectives of the current study were to evaluate the efficacy and safety of ultrasound-guided reduction of intussusception using water in patients under sedation and analgesia. We compare this approach with our previous experience in reduction using barium under fluoroscopic guidance without sedation and analgesia and investigate what factors predispose to surgical correction., Material and Methods: We retrospectively reviewed cases of children with ileocolic intussusception treated in a third-level pediatric hospital during a 52-month period: during the first 24 months, reduction was done using barium and fluoroscopy without sedoanalgesia, and during the following 28 months, reduction was done using water and ultrasound with sedoanalgesia. A pediatric radiologist and a pediatrician reviewed the clinical history, surgical records, and imaging studies., Results: In the 52-month period, 59 children (41 boys and 18 girls; mean age, 16.0 months) were diagnosed with ileocolic intussusception at our hospital. A total of 33 reductions (28 patients and 5 recurrences) were done using barium under fluoroscopic guidance, achieving a 61% success rate. A total of 38 reductions (31 patients and 7 recurrences) were done using water under ultrasound guidance with patients sedated, achieving a success rate of 76%. No significant adverse effects were observed in patients undergoing ultrasound-guided hydrostatic reduction under sedation, and the success rate in this group was higher (p = 0.20). The factors that predisposed to surgical reduction were greater length of the intussusception (p = 0.03), location in areas other than the right colon (p = 0.002), and a greater length of time between symptom onset and imaging tests (p = 0.08)., Conclusion: Ultrasound-guided hydrostatic reduction of ileocolic intussusception under sedoanalgesia is efficacious and safe., (Copyright © 2020 SERAM. Published by Elsevier España, S.L.U. All rights reserved.)
- Published
- 2021
- Full Text
- View/download PDF
48. Neuroinvasive disease due to West Nile virus: clinical and imaging findings associated with a re-emerging pathogen.
- Author
-
Moreno-Reina C, Martínez-Moya M, Piñero-González de la Peña P, and Caro-Domínguez P
- Abstract
The West Nile virus (WNV) is an arbovirus than can infect human beings and cause severe neuroinvasive disease. Taking the outbreak that occurred in Spain in 2020 as a reference, this article reviews the clinical and imaging findings for neuroinvasive disease due to WNV. We collected demographic, clinical, laboratory, and imaging (CT and MRI) variables for 30 patients with WNV infection diagnosed at our center. The main clinical findings were fever, headache, and altered levels of consciousness. Neuroimaging studies, especially MRI, are very useful in the diagnosis and follow-up of these patients. The most common imaging findings were foci of increased signal intensity in the thalamus and brainstem in T2-weighted sequences; we illustrate these findings in cases from our hospital., (Copyright © 2021 SERAM. Publicado por Elsevier España, S.L.U. All rights reserved.)
- Published
- 2021
- Full Text
- View/download PDF
49. Extrathoracic manifestations of COVID-19 in adults and presentation of the disease in children.
- Author
-
Plasencia-Martínez JM, Rovira À, Caro Domínguez P, Barber I, García-Garrigós E, and Arenas-Jiménez JJ
- Subjects
- Adult, COVID-19 complications, Child, Heart Diseases virology, Humans, Nervous System Diseases virology, Systemic Inflammatory Response Syndrome, Thrombosis virology, COVID-19 diagnostic imaging
- Abstract
In March 2020, the World Health Organization declared a global pandemic of COVID-19, caused by the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2); epidemic conditions continue in nearly all countries today. Although the symptoms and imaging manifestations of COVID-19 predominantly involve the respiratory system, it is fundamental to know the manifestations of the disease and its possible complications in other organs to help in diagnosis and orient the prognosis. To improve the diagnostic process without increasing the risk of contagion unnecessarily, it is crucial to know when extrathoracic imaging tests are indicated and which tests are best in each situation. This paper aims to provide answers to these questions. To this end, we describe and illustrate the extrathoracic imaging manifestations of COVID-19 in adults as well as the entire spectrum of imaging findings in children., (Copyright © 2021 SERAM. Published by Elsevier España, S.L.U. All rights reserved.)
- Published
- 2021
- Full Text
- View/download PDF
50. Cranial ultrasound for beginners.
- Author
-
Caro-Domínguez P, Lecacheux C, Hernandez-Herrera C, and Llorens-Salvador R
- Abstract
Cranial ultrasound (CUS) is an extremely valuable tool to evaluate the brain during the first year of life, in experienced hands. It is the initial screening imaging tool to evaluate the infants' brain and complementary to the use of computed tomography (CT) and magnetic resonance imaging (MRI). It is an accessible, inexpensive and harmless technique that can be used bedside as frequently as needed. The aim of this article is to provide a guide for beginners about the indications, basic technical parameters, scanning technique, standardized planes, common variants and the most frequent abnormal findings visualized with this technique. This article will explain a systematic technique to adequately visualize and document all the relevant intracranial structures, using the anterior fontanelle, mastoid fontanelle and Doppler ultrasound. The variants described in this review include the normal sulcation of the premature baby, the peritrigonal echogenic "blush", lenticulostriate vasculopathy (LSV), benign enlargement of the subrarachnoid space in infancy, asymmetric lateral ventricles, connatal cysts, cavum septum pellucidum (CSP), cavum vergae (CV), cavum velum interpositum, megacisterna magna and choroid plexus cysts. This article will describe the sonographic appearance of different types of intracranial hemorrhage of the preterm and term baby, periventricular leukomalacia (PVL), central and peripheral hypoxic-ischemic events of the term baby, neonatal arterial infarction, cerebro-venous sinus thrombosis, congenital and neonatal cerebral infections, hydrocephalus, intracranial solid and cystic masses, and congenital brain malformations., Competing Interests: Conflicts of Interest: All authors have completed the ICMJE uniform disclosure form (available at http://dx.doi.org/10.21037/tp-20-399). The series “Pediatric Neuroradiology for Trainees and Fellows: An Updated Practical Guide” was commissioned by the editorial office without any funding or sponsorship. The authors have no other conflicts of interest to declare., (2021 Translational Pediatrics. All rights reserved.)
- Published
- 2021
- Full Text
- View/download PDF
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