International Pediatric Contrast Enhanced Ultrasound Course, London 28th February 2014
The 28th February at London’s King’s College Hospital marked the 1st International Paediatric Contrast Ultrasound Course.
Contrast enhanced ultrasound remains infrequently used in the United States of America despite gaining popularity in Europe in the adult population, and employed in many clinical situations. However microbubble contrast agents are yet to be licensed in the pediatric population and use in this situation is relatively uncharted territory. Extending into the pediatric population would seem a logical extension of the use of microbubble contrast agents, with the express aim of reducing radiation in children.
Organized by Professor Paul Sidhu, Dr Maria Sellars and Dr Annamaria Deganello, this course was conducted at in the Radiology Department, King’s College Hospital where extensive pediatric experience with the use of microbubble contrast agents has been accumulated over a number of years as an extension of a well-established and renowned adult practice.
This ground breaking course was split into a lecture session in the morning before a demonstration of live cases in the afternoon session. Forty delegates attended from all over the United Kingdom and Europe, and a delegate from the USA was welcomed.
The morning lectures kicked off with a review of pediatric liver disease (Prof. Dino Hadzic) and included the history, safety and guidelines on the use of contrast ultrasound (Prof. David Cosgrove) as well as the issues of using licensing of drugs in the pediatric population (Prof. Paul Sidhu). In particular details regarding the use of off-license drugs was explored explaining why many commonly prescribed drugs are off license but are still used in the best interests of the child, without legal implications.
Further informative talks were given on the use of contrast enhanced ultrasound in clinical practice, in particular in trauma (Annamaria Deganello), characterisation of liver lesions (Maria Sellars) as well as an excellent description of contrast enhanced ultrasound voiding cystourography by Professor Kassa Darge. A lively run-through of innovative use of the ubiquitous microbubble was undertaken by Drs. Sellars and Deganello.
The afternoon session was a demonstration of six live cases highlighting the techniques and practicalities of performing contrast enhanced ultrasound in pediatric patients, interspersed with interesting case presentations by the residents (biliary-porto fistula, testicular infarction, indeterminate liver lesion and phaeochromocytoma all demonstrated with contrast enhanced ultrasound in children). A variety of both malignant and benign conditions were demonstrated including focal liver lesions as well as follow up of trauma cases.
Overall the first international pediatric contrast ultrasound day proved very successful and received positive feedback. Sponsorship was kindly provided by Philips, Hitachi and Siemens whilst a show of support was provided by EFSUMB (European Federation Society for Ultrasound in Medicine and Biology) and BMUS (British Medical Ultrasound Society) who endorsed the course.
Plans for next year are afoot!
Some faculty members (left to right)
Liam Woods, Annamaria Deganello, Kasse Darge, Maria Sellars, Paul Sidhu, David Cosgrove, Sanjay Bansal, Tim Yusuf.