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.

Engaging with paediatric patients can be challenging, but when working with neurodivergent paediatric patients, the challenge becomes even greater!
Effective communication, empathy, and understanding become more crucial than ever.
Understanding the impact of language choice, tone of voice, non-verbal communication (i.e. body language and gestures), processing time, front-loading, and diverse communication styles, can significantly enhance patient engagement and cooperation.
This presentation, which has been created from the intersectional lens of both of my careers, explores strategies to enable the clinician to foster trust, reduce anxiety, and create an inclusive environment that meets the individual needs of neurodivergent patients, whilst also meeting the needs required by clinicians to obtain the necessary imaging for diagnosis.
By adapting our approach to the neurodivergent patient, from the time of booking an examination to the final report; we can improve patient outcomes, enhance their healthcare experience, and ensure more successful interactions for medical professionals, patients, and families alike.

This presentation will document Maya's journey from diagnosis with hip dysplasia, to full recovery. The scan technique, criteria and measurements used to diagnose hip dysplasia will be documented, as well as a discussion of the pathology itself. Some treatment options will be discussed, including Maya's own treatment.