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March 18, 2025

Artificial intelligence in detecting paediatric fractures: where are we now?

Paediatric fractures make up a large part of the acute paediatric workload both in the emergency department and community-based care, such as urgent care and walk-in centres. Paediatric fractures can be very subtle, posing a diagnostic challenge for the untrained eye. Missed fractures can have a significant impact in children, including opportunities to raise safeguarding […]

Dr Emma Allan, Dr Emily Ashworth, Cato Pauling, Dr Susie Shelmerdine

University College London Hospital; Great Ormond Street Hospital; UCL Great Ormond Street Institute of Child Health; Great Ormond Street Hospital

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October 12, 2022

The paediatric chest x-ray: is it really infection? Mimics of pneumonia in children

Pneumonia is a significant cause of morbidity and mortality in children. The chest radiograph (CXR) is a widely used diagnostic tool in ensuring early diagnosis of pneumonia in order to optimise management. The pattern of findings seen on a CXR in pneumonia will vary depending on the complexity of the disease process. Features of lobar […]

Harita Sivashankar, Amina Tighilt, Dr Saira Haque

King's College Hospital, London

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August 17, 2022

Paediatric trauma imaging – similarities and differences to adult trauma practice

Paediatric trauma is less common than adult trauma; however, as is the nature of trauma, it can be unpredictable and will often present to adult institutions. In fact, Trauma Audit and Research Network (TARN) data shows the majority of paediatric trauma, of all severities, across the UK are predominantly treated in ‘adult-orientated’ hospitals. For this […]

Dr Leanne Royle, Dr Musa Kaleem

Alder Hey Children's Hospital

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March 16, 2022

Image guidance for soft tissue tumour biopsy in children

Historically, paediatric tumour biopsies were undertaken using an open surgical technique, but this is invasive and confers morbidity. Now, given the advances in paediatric interventional radiology (IR) techniques, there is a growing preference for tumour biopsies in children to be performed using a percutaneous image-guided technique as this has been shown to be accurate and […]

Rebecca Craig, Premal Patel, Kishore Minhas

Great Ormond Street Hospital for Children

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August 11, 2021

Preparing paediatric patients for MRI with virtual reality

Methods to prepare children for MRI have been investigated for decades and outcomes have shown appropriate preparation can reduce patient anxiety and the need for general anaesthetic (GA). For example, one study found that 40% fewer children required GA when preparation was used. Numerous methods have been applied to prepare children including mock scanners, play […]

Dr Jonathan Ashmore, Regina Cremin, Kirstie Still, Dr Cormac McGrath, Nina Mellor, Laura McShane, Anna Symons

NHS Highland, Northern Ireland Regional Medical Physics Service, Guy's and St Thomas' NHS Foundation Trust, Royal Belfast Hospital for Sick Children, King's College Hospital NHS Foundation Trust

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March 17, 2021

Urology intervention in children

Paediatric interventional radiology (PIR) is considered one of the newer subspecialities in clinical radiology. Although only a few centres in the UK have dedicated PIR units, many hospitals are able to provide a number of paediatric interventional procedures, this being dependent on local practice and referral patterns. The first interventional urological procedures in children were […]

Dr Samantha Chippington

Great Ormond Street Hospital for Children

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September 24, 2020

The cloak of invisibility

“You know he/she has special needs right? It’s on their file?” This is a question that I find myself being asked on quite a regular basis by parents/carers. The presumption is that their child’s special needs has been highlighted on their records and therefore I know about it, so I can provide efficient care to […]

Sarah McKnight

Our Lady's Children's Hospital Crumlin

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March 11, 2020

Central venous access in children: considerations for the advanced practice operators

Venous access in paediatric patients can be demanding. With children ranging from less than 600g to over 100kg across a wide spectrum of specialities, often a cannula is insufficient for the battery of investigations and medications that the child will need. As a result, some form of longer-term intravenous access is required to enable the […]