Have you ever wondered what happened to your patient after you find a significant finding? As a sonographer, I am always curious about the impact our findings have on our patients, and what their final diagnosis and prognosis is. This presentation will introduce you to Harper, who was diagnosed with a rare adrenocortical carcinoma at under 12 months of age. The imaging and pathology will be discussed, and we will present the details of Harper's journey from diagnosis, treatment, hospital stays, ringing the bell at the RCH, right through to present day.

Darcy is my eldest son - a strapping, gorgeous young boy who gives the best cuddles, will chat happily about anything, loves to read, wants to ride in the Tour de France and has a rocket left arm with a ball in hand. He also carries a little scar around his umbilicus from when he was four weeks old.

This presentation is about a case of pyloric stenosis, the symptoms, the pathophysiology, the ultrasound findings and the subsequent diagnosis. But it's more than that, it's about me as a mum (and as a sonographer!), navigating the process of gaining a diagnosis for my little baby. It's about looking through a different lens when you are scanning and remembering that each individual has their own unique story and history.

This is Darcy's story.

Introduction; Diagnosing Spina bifida in the developing fetus using ultrasound relies on locating the neural tube defect and the associated findings. A number of interesting spina bifida cases, both in utero and post-birth, will be covered. One case study follows the journey of a baby who had an early diagnosis of spina bifida followed by an in-utero operation to close the neural defect. Updates on the baby’s first twelve months of life post-birth will be covered.
Method: This presentation will focus on the common and associated findings of spina bifida, including the latest patient management pathways available post-diagnosis.
Results: The position and sonographic appearance of spina bifida are crucial to diagnosing it and guiding patient management. One case study presented will include clinical photographs and a video representation of the in-utero operation to support the ultrasound findings.
Conclusion: Spina bifida ultrasound findings will be presented with interesting case studies, including the latest treatment options for parents.
Take Home Message: Spina bifida diagnosis has led to new treatment options not previously available.

Introduction: Post-liver transplant ultrasound monitoring in paediatric patients at our NHS (National Health Service) Trust involves five consecutive days of examinations. While this protocol aims to ensure early detection of complications, there is limited evidence supporting its necessity for all patients, with significant variation in monitoring protocols across transplant centres.
Method: A retrospective quantitative study analyzed data from 46 paediatric liver transplant recipients between January 2022 and December 2023. Statistical analysis included Linear Mixed Models for vascular measurements, Chi-Square tests for graft type analysis, and Pearson Correlation Coefficient for transplant indication relationships, examining ultrasound findings and clinical outcomes during the first 60 days post-transplant.
Results: Portal vein flow rates and hepatic artery resistive indices remained stable across the five-day monitoring period (p=0.507 and p>0.05 respectively). A significant correlation emerged between transplant indication and biliary complications (p=0.002). Complications showed a decreasing trend from Day 1 to Day 5 (p=0.014), with most occurring within the first 48 hours. No significant associations were found between graft type or patient age and post-transplant complications.
Conclusion: Findings suggest that while early monitoring is crucial, the current five-day protocol may not be necessary for all patients. A more targeted approach focusing on individual risk factors could optimize resource utilization while maintaining clinical effectiveness. Further prospective, multi-centre studies are recommended to validate these findings.
Take Home Message: A risk-stratified approach is recommended: intensive monitoring in the first 48 hours post-transplant when complications most commonly occur, followed by individualised surveillance based on patient-specific risk factors and initial findings.

Introduction:Preterm neonates born before 32 weeks gestational age are susceptible to a number of brain injuries that can be detected using cranial ultrasound. There is currently no agreement as to when the screening of neonates should be performed.
This study aimed to assess whether performing a cranial ultrasound at term equivalent age (TEA) can improve detection of white matter brain injuries.
Methods: Prospective single-centre study. Preterm neonates born before 32 weeks gestational age or less than 1500 grams birth weight with risk factors including; sepsis, intubation, patent ductus arteriosus, any intraventricular haemorrhage, small gestational age, bronchopulmonary dysplasia or retinopathy of prematurity or necrotising enterocollitis were recruited to the study over an 18 month period. A Term equivalent age cranial ultrasound (TEA cUS) was performed in addition to conventional imaging at day 3, day 10 and day 42 of life.
Results: Pending - will be available March 2025 for conference presentation