Learning objectives
- To provide an overview of the role of imaging in the assessment of obesity in the pediatric polulation, namely:
Bone age assessment in obese children.
Role of imaging in the estimation of visceral fat contents.
Role of imaging in the assessment of non alcoholic fatty liver.
- To provide an overview of the role of imaging in the postoperative assessment of bariatric surgeries.
Background
Obesity is considered the disease of the era. It affects, not only adults but, also a large portion of the pediatric population. Proper optimization of the radiological procedures in obese children is a crucial step for adequate radiological imaging, and for assessment of obesity. The most common mean of defining obesity is the Body Mass Index (BMI), however, more precise methods are still needed and many radiological techniques can be of use.Radiology also plays an important role in the postoperative assessment of bariatric surgeries.
Findings and procedure details
Obesity has become a main public health problem as the number of obese children and adolescents increases rapidly. Itis associated with significant medical problems in adolescence, like hypertension, coronary artery disease, and diabetes mellitus.
Obesity can affect radiology in several ways:
1. The weight of the patient may exceed the imaging equipment limits.
2. Increased body circumference may result in insufficient contrast resolution .
3. Longer exposure to radiation may be necessary to image obese children with the increase in dose.
4. The appropriate dose...
Conclusion
Radiology plays an important in the diagnosis and post operative management of obesity in the pediatric population.
Personal information and conflict of interest
B. Abdelhaleem; Cairo/EG - nothing to disclose A. A. Megahed; Cairo/EG - nothing to disclose R. A. M. A. Helal; Cairo/EG - nothing to disclose P. M. A. D. Mohamed Abouelhoda; Cairo/EG - nothing to disclose S. Salah; Cairo/EG - nothing to disclose
References
Borga, M., West, J., Bell, J. D., et al.(2018). Advanced body composition assessment : from body mass index to body composition profiling. m, 887–895.
Modica, M. J., Kanal, K. M., & Martin, L. (2011). The Obese Emergency Patient : Imaging Chal- lenges and Solutions 1. RadioGraphics, 31, 811–823.
Eifler, R. (2013). The role of ultrasonography in the measurement of subcutaneous and visceral fat and its correlation with hepatic steatosis. Radiologia Brasileira, 46(5), 273–278.
Thomas, Elgan Llyr et al. “Whole body fat: content and distribution.”Progress in...