S62 Ultrasound in Medicine and Biology Volume 35, Number 8S, 2009

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Liver Transplant in ChildrenAmanda Crow, Children’s Hospital at Westmead, Australia

Liver Transplantation in children differs from that in adults primarilydue the mismatch in size of both the organ and vessels.Chronic liver failure despite surgical correction of Biliary Atresia, andinborn disorders of metabolism are the most common reason fortransplantation in children.v Age at first transplant is often less than 12 months.v There are very few paediatric cadaveric donors.v A whole liver from an adult donor will be too large for a paediatricrecipient.Inadequate numbers of available organs requires careful management.The trend is to split a cadaveric liver to allow the larger right lobe to betransplanted into an adult recipient and the smaller left lobe to be usedfor a paediatric patient. The success of this relies upon the knowledgeof the recipient vascular anatomy, so graft vessels can be planned forpreoperatively.Living Related Liver Transplants, most often used in cases of acuteliver failure when time is of the essence, are becoming more common.A cut down liver with multiple anastomoses, frequently leads to pre-dictable and unpredictable short and long term complications.Imaging for liver transplant workup, initial post operative assessment,short and long term complications are discussed from the Australianpaediatric perspective.

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Unusual Imaging and Surgical Findings in the Acutely PainfulPediatric ScrotumSara M O’Hara, Cincinnati Children’s Hospital, Cincinnati, OH,United States

Objectives: While testicular torsion and epididymitis are relativelyroutine diagnoses in the setting of acute scrotal pain, we are sometimessurprised by what ultrasound imaging shows us in our pediatric pa-tients. This paper will present multiple cases of unusual sonographicimaging findings and surgically confirmed scrotal pathology in pediat-ric patients presenting with acute scrotal pain.Methods: Prompted by several recent anecdotal cases, the surgical andradiology databases were reviewed over the past 3 years for unusualscrotal findings.Results: A search of records revealed numerous routine cases oftorsion and infection, but also found 10 interesting cases including: twocases of “partial” segmental testicular ischemia (different from inter-mittent torsion,)one case of testicular ischemia due to large inguinalhernia, scrotal fat necrosis in a infant, scrotal lymphocele followinghernia repair, epidermal inclusion cyst of the testicle, cystic dysplasiaof the testicle, intratesticular varicocele, cysts of the spermatic cord,and cyclic scrotal swelling related to peritoneal dialysis.Conclusions: The imaging findings, surgical findings, and anatomic/physiologic basis explaining these unusual causes of scrotal pain willbe discussed.

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Evaluation of the Incidence of Paediatric Renal Diseases in theSouth-West Region of China with Color DopplerUltrasonography: Primary StudyQiao Wang, Children’Hospital, Chongqing Medical University, ChinaXiaojuan Ji, Children’s hospital of ChongQing medical university, ChinaYi Tang, Department of Ultrasound Diagnosis, ChinaXuemo Quan, Department of Ultrasound Diagnosis, ChinaQilin Li, Department of Ultrasound Diagnosis, China

Lei Liu, Department of Ultrasound Diagnosis, China

Objective: Color Doppler ultrasonography provides a good way tostudy the incidence of paediatric renal diseases.Methods: 12080 children, aged 23 days to eighteen years-old, receivedcolor Doppler ultrasonography and high - frequency ultrasound scan(frequency 8.0MHz-13MHz) in the south-west region of China. Vari-ous renal diseases incidence was recorded.Results: The incidence of Renal hypoplasia was 0.12%, the higher inthe male and the left kidney. The incidence of ploycystic renal diseasewas 0.19%, almost both sides. The incidence of extrarenal pelvis was0.008%, the higher in the left kidney. The incidence of renal ectopiawith renal hypoplasia was 0.0004%. The incidence of renal duplicationwas 0.37%, the higher in single side and right side. The incidence ofagenesis of kidney was 0.0058%, single side was observed. The inci-dence of single hydronephrosis was 0.62%, the higher in male and rightside. The incidence of renal cyst was 0.12%, the left side equal to theright side. The incidence of kidney stone without dropsy was 0.0058%.The incidence of hydronephrosis with kidney stone was 0.0041%,higher in right kidney, usually gently to midrange hydronephrosis. Theincidence of caruncula papillaris coherence with caruncula papillariswas 0.12%.Conclusion: Congenital developmental anomaly was the common pae-diatric renal diseases. Kidney stone was rarely in children.

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Current and Planned WFUMB Education Committee ProjectsBarry Goldberg, Thomas Jefferson University, United States

This symposium will discuss the ongoing WFUMB education pro-grams including:1. Supporting Centers of Excellence located in Bangladesh, Uganda,Venezuela, and Romania2. Visiting Professor Program providing speakers to the followingregions: Africa, Asia, and Latin America3. Student Scholarship Program enabling individuals from developingand emerging countries to spend time in an established educationalcenter4. Supporting physicians from developing countries to attend theWFUMB World Meeting5. Developing a new Edition of WHO Ultrasound Manual6. Providing educational materials, including WFUMB electronic jour-nal subscriptions, to ultrasound teaching centers in developing andemerging countries7. Supplying ultrasound equipment to needy centers in cooperationwith the Global Ultrasound Equipment Donation Foundation (GUEDF)8. Developing an ultrasound curriculum and E-learning modules fortraining in developing and emerging countries. This project will consistof two phases. The first phase will be to develop a curriculum that canbe used to train healthcare practitioners in developing/emerging coun-tries on the use of diagnostic ultrasound imaging. The second phasewill be to develop E-learning modules to provide opportunities forindividuals to receive training that is required to support wide deploy-ment of diagnostic ultrasound capabilities in underserved populations.

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State of the WFUMB Centers of ExcellenceByung Ihn Choi, Seoul National University Hospital, Korea

Aims: Education in medical ultrasound in developing countries withaccreditationStoring of technical information, Communication with other centersand with WHO and WFUMB.Establishment: Agreement between WFUMB and a society affiliated toWFUMB.

Term: Initial contract for 3 years and Renewal once for 2 years.