Imaging to Predict Outcomes in Congenital Diaphragmatic Hernia
Carousel1 min read·Published Oct 2026

Imaging to Predict Outcomes in Congenital Diaphragmatic Hernia

Title slide introducing imaging predictors for congenital diaphragmatic hernia outcomes in infants.
Slide introducing Cincinnati Children's postnatal lung imaging study in CDH babies using NICU-based MRI.
Slide explaining pulmonary vascular density as predictor of CDH outcomes using MRI imaging.
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Carousel · Oct 2026 · 1 min read

In brief

In brief

Educational carousel exploring how prenatal imaging modalities predict postnatal outcomes in congenital diaphragmatic hernia (CDH) patients. Reviews imaging parameters that guide fetal intervention decisions and prognostic counseling for families facing this complex congenital anomaly.

Written by the GCMD Library team from the carousel.

Slides

4 pages · click to turn to one

A three-column comparison layout with icons representing different surgical procedures. Each column contains statistical data, outcome metrics, and visual indicators showing success rates. Color-coded sections distinguish between the three treatment modalities, with graphical elements illustrating procedural differences and patient outcomes.

Fetal surgery. A social-media carousel made possible by Cincinnati Children's.
The text in the image

Pediatric Achalasia: Surgical Approach Comparison | Heller Myotomy | 78% Success Rate | Esophageal Dilatation | 45% Success Rate | POEM (Peroral Endoscopic Myotomy) | 99% Success Rate | 742 Cases Reviewed | Highest Efficacy | Requires Specialized Training | Higher Complication Rate | Lowest Success | Least Invasive | Systematic Review

The text on each slide
  1. Made possible by | Cincinnati Children's changing the outcome together | DID YOU KNOW | that there are multiple ways imaging can predict outcomes in babies with congenital diaphragmatic hernia (CDH)? | Swipe right
  2. Cincinnati Children's | SO WHAT'S NEW? | Most CDH imaging has happened before birth. Cincinnati Children's is studying what happens to the lungs after. | A unique tool: | An MRI scanner inside their NICU. They imaged 13 CDH babies before and after repair using ultra-short echo time MRI — giving them lung volume, density, and mass postnatally. | The question: do the lungs actually grow? | Swipe right
  3. WHAT THEY FOUND: | The lungs do grow — but asymmetrically. | HEALTHY LUNG + grows on schedule | CDH-SIDE LUNG -2 mL/wk slower growth | Nutrition is the unlock | Babies with better weight gain showed greater catch-up growth of the hypoplastic lung — in both volume and mass. | Maximizing calories | Paul Kingma, MD, PhD | Director, Bronchopulmonary Dysplasia (BPD) Center, Cincinnati Children's | Swipe right
  4. Cincinnati Children's changing the outcome together | 🔍 AND THE STRONGEST PREDICTOR? | Pulmonary vascular density | ↓ Lower density → longer ventilator time | ↑ Higher density → discharged on room air | Measured with 2D time-of-flight MRI — even tiny vessels (0.7mm) are visible. | Most CDH imaging has happened before birth. Cincinnati Children's is studying what happens to the lungs after. | GC
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