Department of radiology and Radiological Science

Pediatric Radiology

The Division of Pediatric Radiology provides pediatric imaging expertise to the staff of MUSC Children's Hospital and private physicians in the Tri-County area and state of South Carolina.  The division is responsible for the interpretation of all pediatric plain films, pediatric ultrasounds, pediatric fluoroscopic examinations, and pediatric body and musculoskeletal CT and MR examinations.  We perform approximately 35,000 examinations annually.  Plain film radiographs are all obtained digitally with either computed or digital radiography allowing for rapid transmission of images to the section even at off-site imaging centers.  All images are read via the AGFA PACS system and reported using voice recognition software so that final reports are available the same day.  Each request is individually tailored to the specific question asked by the ordering physician.  Examinations are performed to minimize patient radiation dose exposure.  Indications for our fluoroscopic and CT examinations are carefully screened for appropriateness, and imaging parameters and protocols modified to minimize patient radiation exposure.  CT exams are performed on 16 and 64-slice MDCT scanners with the ability to retrospectively obtain thin sections through suspicious abnormalities.  Intravenous contrast is generally used except for chest CT examinations when, for the majority of indications, intravenous contrast is not necessary for interpretation.  Therefore, we only give intravenous contrast when we believe it is necessary to obtain a correct diagnosis.  MR imaging is used primarily as a problem solving tool for musculoskeletal and gastrointestinal diseases including the evaluation/characterization of soft tissue masses, musculoskeletal trauma or infection, pancreaticobiliary disease and inflammatory bowel disease.  Our division also provides multiple percutaneous image-guided procedures including oncologic and musculoskeletal biopsies as well as solid organ biopsies. 

We work closely with our referring physicians, participating in numerous multidisciplinary conferences including daily rounds with neonatal and pediatric ICU teams, weekly conferences with pediatric surgery and the Violence, Intervention, and Prevention of Child Abuse Team, as well as Pediatric Tumor Board.  We also participate in a monthly pediatric uroradiology and pediatric radiology-gastroenterology multidisciplinary conference.

The following examinations are performed in the department of pediatric radiology:

Upper GastroIntestinal (UGI)
Swallow Function Study
Small Bowel Follow Through (SBFT)
Diaphragm study
Barium Enema (BE)
Water Soluble Enema (WSE)
IntraVenous Pyelogram (IVP)
Void CystoUrethrogram (VCUG)
Gastrostomy Tube Injection

Fluoroscopic Guided Procedures
Enteric Feeding Tube Placement
GastroJejunostomy Tube Placement
Joint Steriod Injection
T-Tube Cholangiogram

Ultrasound and CT Guided Procedures
Hip joint diagnostic ultrasound and aspiration-for join effusion/septic hip
Solid organ biopsy
Percutaneous biopsy of soft tissue masses
Cranial sonography-screening for
intracranial abnormalities in children less than 6 months of age
Spinal ultrasonography-assessment for
tethered cord or other intraspinal abnormalities in children less than
6 months of age
Assessment for developmental
dysplasia of the hips
Assessment of hypertrophic pyloric
Computed Tomography (CT)
Routine chest, abdomen and
pelvis exams where indicated
Low dose CT for pectus excavatum evaluation
Low dose CT for musculoskeletal applications_e.g. for femoral
High resolution chest CT (HRCTJ) for various lung abnormalities
CT guided procedures-biopsies
of masses and ablation of osteoid osteoma

Magnetic Resonance Imaging
Evaluation of focal liver lesions
Liver iron quantification-in patients who have iron overload due to various causes
Evaluation of other abdominal and pelvic pathologies-e.g. Mullerian anomalies, undescended testes, masses, etc.
Magnetic resonance cholangiopancreatography (MRCP)- to access for pancreatico-biliary disorders
Magnetic resonance enterography (MRE)-to assess for intestinal pathology such as Crohn disease, ulcerative colitis, malabsorption syndromes, etc.
Magnetic resonance urography (MRU)-Anatomic and functional evaluation is performed to assess renal tract abnormalities and assess differential renal function
Fetal MRI-problem solving tool for further evaluation of various fetal anomalies and conditions
Dedicated evaluation of all bones and joints for trauma, infection, tumor, inflammatory arthritis, etc.
MR arthrography -for various indications

Pediatric Imaging Team/Faculty
Jeanne G. Hill, MD
Director, Pediatric Radiology
Paula Keslar, MD
Anil Rao, MD
Paul G. Thacker, Jr, MD
Cephus Simmons, RRA

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