Howard T Harcke, MD

Radiologist_Casual/PT

Nemours Children's Hospital, Delaware 1600 Rockland Road Wilmington, DE 19803

Biography

Academic Pediatric Radiologist (1976-2000) who, after returning to the military (2001), transitioned to Forensic Radiology practice.

Medical/Dental School

  • MD - Penn State College of Medicine, 1971

  • Current utilization of pediatric postmortem imaging in North America: a questionnaire-based survey; Pediatric Radiology; (2023).

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  • United States military fatalities during Operation New Dawn; Journal of Trauma and Acute Care Surgery; (2021).

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  • Navigating the perils and pitfalls of pediatric forensic postmortem imaging in the United States; Pediatric Radiology; (2021).

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  • Autopsy-Determined Atherosclerosis in Elite US Military Special Operations Forces; Journal of special operations medicine : a peer reviewed journal for SOF medical professionals; (2021).

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  • A Comparison of Lumbar Spine and Lateral Distal Femur Bone Density in Girls With Rett Syndrome; Journal of Clinical Densitometry; (2021).

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  • United States Special Operations Command fatality study of subcommands, units, and trends; Journal of Trauma and Acute Care Surgery; (2020).

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  • Tibial Intraosseous Insertion in Pediatric Emergency Care: A Review Based upon Postmortem Computed Tomography; Prehospital Emergency Care; (2020).

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  • Pearls and Pitfalls of Hip Ultrasound; Seminars in Ultrasound, CT and MRI; (2020).

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  • Mortality review of US Special Operations Command battle-injured fatalities; Journal of Trauma and Acute Care Surgery; (2020).

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  • Pediatric postmortem computed tomography: initial experience at a children's hospital in the United States; Pediatric Radiology; (2019).

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  • G6PD deficiency: An update; Journal of the American Academy of Physician Assistants; (2019).

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  • Adult tourniquet for use in school-age emergencies; Pediatrics; (2019).

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  • Pulmonary embolus as cause of death in an adolescent: demonstration on postmortem CT; Pediatric Radiology; (2018).

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  • Patchy increased echogenicity: a sonographic sign of femoral head necrosis following reduction and casting for developmental dysplasia of the hip; Pediatric Radiology; (2018).

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  • Beyond the Forensic Pathology Investigation: Improving Warfighter Survivability; Academic Forensic Pathology; (2017).

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  • Hip ultrasonography in clinical practice; Pediatric Radiology; (2017).

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  • Hip ultrasound for developmental dysplasia: the 50% rule; Pediatric Radiology; (2017).

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  • Pediatric Postmortem CT: Initial Experience at a Tertiary Care Children's Hospital; Current Radiology Reports; (2017).

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  • The Virtual Hydrostatic Test; American Journal of Forensic Medicine and Pathology; (2017).

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  • Bone mineral density in MPS IV A (Morquio syndrome type A); Molecular Genetics and Metabolism; (2016).

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  • Bone mineral density in mucopolysaccharidosis IVB; Molecular Genetics and Metabolism Reports; (2016).

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  • Computed Tomographic Findings in Unsuspected Aortic Dissection and Adult Polycystic Kidney Disease; Academic Forensic Pathology; (2016).

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  • Intraosseous vascular access in radiology: Review of clinical status; American Journal of Roentgenology; (2016).

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  • Popliteal cysts in children: Another look; Journal of Pediatric Orthopaedics Part B; (2016).

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  • Sonographic Assessment of Hip Swaddling Techniques in Infants with and Without DDH; Journal of Pediatric Orthopaedics; (2016).

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  • Adaptation of the lateral distal femur DXA scan technique to adults with disabilities; Journal of Clinical Densitometry; (2015).

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  • The American Academy of Orthopaedic surgeons evidence-based guideline on detection and nonoperative management of pediatric developmental dysplasia of the hip in infants up to six months of age; Journal of Bone and Joint Surgery - American Volume; (2015).

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  • Observational case series: An algorithm incorporating multidetector computed tomography in the medicolegal investigation of human remains after a natural disaster; Journal of Forensic Sciences; (2014).

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  • Natural history of hip instability in infants (without subluxation or dislocation): A three year follow-up; BMC Musculoskeletal Disorders; (2014).

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  • Assessment of bone health in children with disabilities; Journal of Pediatric Rehabilitation Medicine; (2014).

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  • Single versus Double Routing of the Band in the Combat Application Tourniquet; Journal of special operations medicine : a peer reviewed journal for SOF medical professionals; (2013).

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  • Needle thoracentesis decompression: observations from postmortem computed tomography and autopsy; Journal of special operations medicine : a peer reviewed journal for SOF medical professionals; (2013).

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  • Incorporating Radiologic Imaging in the Study of Wound Ballistics; Academic Forensic Pathology; (2013).

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  • Analysis of recovered tourniquets from casualties of operation enduring freedom and operation New Dawn; Military Medicine; (2013).

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  • Sonographic localization and management of metallic fragments: A report of five cases; Military Medicine; (2012).

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  • Protocol for MRI of the hips after spica cast placement; Journal of Pediatric Orthopaedics; (2012).

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  • Fracture after bisphosphonate treatment in children with cerebral palsy: The role of stress risers; Pediatric Radiology; (2012).

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  • Common and expected postmortem CT observations involving the brain: Mimics of antemortem pathology; American Journal of Neuroradiology; (2012).

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  • Forensic Pathology - The Roles of Molecular Diagnostics and Radiology at Autopsy; Forensic Science: Current Issues, Future Directions; (2012).

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  • Placement of tibial intraosseous infusion devices; Military Medicine; (2011).

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  • Feedback to the field: an assessment of sternal intraosseous (IO) infusion.; Journal of special operations medicine : a peer reviewed journal for SOF medical professionals; (2011).

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  • The case for postmortem imaging; Pediatric Radiology; (2010).

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  • Postmortem imaging: MDCT features of postmortem change and decomposition; American Journal of Forensic Medicine and Pathology; (2010).

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  • New approaches to radiology in mass casualty situations; Brogdon's Forensic Radiology; (2010).

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  • Decreased fracture incidence after 1 year of pamidronate treatment in children with spastic quadriplegic cerebral palsy; Developmental Medicine and Child Neurology; (2010).

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  • The relationship between fractures and DXA measures of BMD in the distal femur of children and adolescents with cerebral palsy or muscular dystrophy; Journal of Bone and Mineral Research; (2010).

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  • AIUM practice guideline for the performance of an ultrasound examination for detection and assessment of developmental dysplasia of the hip; Journal of Ultrasound in Medicine; (2009).

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  • Forensic imaging-guided recovery of nuclear DNA from the spinal cord; Journal of Forensic Sciences; (2009).

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  • Multidetectorcomputed tomography findings in deaths with severe burns; American Journal of Forensic Medicine and Pathology; (2009).

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  • Revised Pediatric Reference Data for the Lateral Distal Femur Measured by Hologic Discovery/Delphi Dual-Energy X-Ray Absorptiometry; Journal of Clinical Densitometry; (2009).

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  • Aircraft mishap investigation with radiology-assisted autopsy: Helicopter crash with control injury; Aviation Space and Environmental Medicine; (2009).

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  • MDCT analysis of projectile injury in forensic investigation.; AJR. American journal of roentgenology; (2008).

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  • Imaging in the surgical management of developmental dislocation of the hip; Clinical Orthopaedics and Related Research; (2008).

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  • Disease and nonbattle injury in the combat zone; Emergency Radiology; (2007).

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  • Virtual autopsy: Two- and three-dimensional multidetector CT findings in drowning with autopsy comparison; Radiology; (2007).

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  • Autopsy radiography: Digital radiographs (DR) vs multidetector computed tomography (MDCT) in high-velocity gunshot-wound victims; American Journal of Forensic Medicine and Pathology; (2007).

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  • A reappraisal of the Ortolani examination in children with developmental dysplasia of the hip; Journal of Pediatric Orthopaedics; (2007).

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  • Chest wall thickness in military personnel: Implications for needle thoracentesis in tension pneumothorax; Military Medicine; (2007).

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  • Avascular necrosis rate in early reduction after failed pavlik harness treatment of developmental dysplasia of the hip; Journal of Pediatric Orthopaedics; (2007).

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  • Pamidronate Treatment and Posttreatment Bone Density in Children With Spastic Quadriplegic Cerebral Palsy; Journal of Clinical Densitometry; (2006).

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  • Virtual autopsy: Preliminary experience in high-velocity gunshot wound victims; Radiology; (2006).

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  • Role of Ultrasound in the Diagnosis and Management of Developmental Dysplasia of the Hip: An International Perspective; Orthopedic Clinics of North America; (2006).

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  • Residual dysplasia after successful Pavlik harness treatment: Early ultrasound predictors; Journal of Pediatric Orthopaedics; (2006).

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  • Assessment of bone mineral density in duchenne muscular dystrophy using the lateral distal femur; Journal of Clinical Neuromuscular Disease; (2006).

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  • Bone densitometry in pediatric patients.; Delaware medical journal; (2006).

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  • Radiology in a hostile environment: experience in Afghanistan.; Military medicine; (2006).

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  • Imaging methods used for children with hip dysplasia; Clinical Orthopaedics and Related Research; (2005).

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  • Determination of safe return to play for athletes recovering from infectious mononucleosis: A review of the literature; Clinical Journal of Sport Medicine; (2005).

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  • Computed tomography of craniofacial trauma at a combat support hospital in Afghanistan; Military Medicine; (2005).

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  • Bone densitometry in pediatric patients treated with pamidronate; Pediatric Radiology; (2005).

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  • Magnetic resonance imaging of the growth plate in late-onset tibia vara; International Orthopaedics; (2003).

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  • Radiographic Characteristics of Lower-Extremity Bowing in Children; Radiographics; (2003).

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  • Handheld ultrasound device for detection of non-opaque and semi-opaque foreign bodies in soft tissues; Journal of Clinical Ultrasound; (2003).

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  • Radiographic features of bisphosphonate therapy in pediatric patients; Pediatric Radiology; (2003).

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  • Pediatric reference data for dual X-ray absorptiometric measures of normal bone density in the distal femur; American Journal of Roentgenology; (2002).

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  • Imaging body armor; Military Medicine; (2002).

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  • Forensic radiology: Response to the Pentagon attack on September 11, 2001; Radiology; (2002).

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  • Bisphosphonates to treat osteopenia in children with quadriplegic cerebral palsy: A randomized, placebo-controlled clinical trial; Journal of Pediatrics; (2002).

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  • Infant shoulder sonography: Technique, anatomy, and pathology; Pediatric Radiology; (2001).

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  • Experimental epiphysiodesis: Magnetic resonance imaging evaluation with histopathologic correlation; International Orthopaedics; (2001).

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  • Ultrasonography and developmental dysplasia of the infant hip; Current Opinion in Orthopaedics; (2000).

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  • Ultrasonographic evaluation of hip morphology in osteochondrodysplasias; Journal of Pediatric Orthopaedics; (2000).

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  • Clinical practice guideline: Early detection of developmental dysplasia of the hip; Pediatrics; (2000).

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  • Injury to the growth plate after pemberton osteotomy; Journal of Bone and Joint Surgery; (1999).

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  • Ultrasonography and developmental dysplasia of the infant hip; Current Opinion in Pediatrics; (1999).

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  • Pediatric hip sonography: Diagnosis and differential diagnosis; Radiologic Clinics of North America; (1999).

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  • Pediatric bone densitometry: Technical issues; Seminars in Musculoskeletal Radiology; (1999).

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  • Medical assistance to the Dominican Republic. By health professionals of the Delaware Army National Guard.; Delaware medical journal; (1999).

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  • Growth disturbance of the sternum and pectus deformities: Imaging studies and clinical correlation; Pediatric Radiology; (1999).

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  • Effects of Pseudomonas colonization on body composition and resting energy expenditure in children with cystic fibrosis; Journal of Parenteral and Enteral Nutrition; (1999).

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  • Developmental dysplasia of the pediatric hip with emphasis on sonographic evaluation; Seminars in Musculoskeletal Radiology; (1999).

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  • Cost-effective imaging approach to the nonbilious vomiting infant; Pediatrics; (1999).

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  • Developmental dysplasia of the hip: A spectrum of abnormality; Pediatrics; (1999).

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  • Bone scintigraphy in the detection of chronic recurrent multifocal osteomyelitis; Journal of Nuclear Medicine; (1998).

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  • Lateral femoral scan: An alternative method for assessing bone mineral density in children with cerebral palsy; Pediatric Radiology; (1998).

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  • Legg-Calve-Perthes disease in girls. A comparison of the results with those seen in boys; Journal of Bone and Joint Surgery; (1998).

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  • Computed tomography for femoral and tibial torsion in children with clubfoot; Clinical Orthopaedics and Related Research; (1998).

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  • Pediatric radiology fellowship: Thinking 'out of the box'; Pediatric Radiology; (1998).

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  • Thoracic deformities and the growing lung; Seminars in Roentgenology; (1998).

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  • The role of dual energy x-ray absorptiometry in aiding the diagnosis of pediatric osteogenesis imperfecta.; American journal of orthopedics (Belle Mead, N.J.); (1998).

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  • Ultrasonography of nondevelopmental dysplasia of the hips; Pediatric Radiology; (1997).

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  • Total body bone mineral density in young children: Influence of head bone mineral density; Journal of Bone and Mineral Research; (1997).

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  • Osteogenesis imperfecta (OI), may be mistaken for child abuse.; Pediatric emergency care; (1997).

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  • Measuring anteversion and femoral neck-shaft angle in cerebral palsy; Developmental Medicine and Child Neurology; (1997).

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  • Management of dislocated hips with Pavlik harness treatment and ultrasound monitoring; Journal of Pediatric Orthopaedics; (1997).

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  • Imaging techniques in childhood arthritis; Rheumatic Disease Clinics of North America; (1997).

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  • Ultrasound screening for dysplasia of the hip [3]; Pediatrics; (1995).

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  • Severe mid-cervical kyphosis with cord compression in larsen's syndrome and idastrophic dysplasia: Unrelated syndromes with similar radiologic findings and neurosurgical implications; Pediatric Radiology; (1995).

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  • Sedation in pediatric imaging using intranasal midazolam; Pediatric Radiology; (1995).

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  • Role of imaging in musculoskeletal infections in children; Journal of Pediatric Orthopaedics; (1995).

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  • Hip in infants and children.; Clinics in diagnostic ultrasound; (1995).

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  • The role of ultrasound in diagnosis and management of developmental dysplasia of the hip; Pediatric Radiology; (1995).

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  • Evaluation of physeal behavior in response to epiphyseodesis with the use of serial magnetic resonance imaging; Journal of Bone and Joint Surgery; (1994).

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  • Infant hip sonography: Current concepts; Seminars in Ultrasound, CT, and MRI; (1994).

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  • Innominate artery compression of the trachea: Relationship to cervical herniation of the normal thymus; Radiology; (1994).

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  • Screening newborns for developmental dysplasia of the hip: The role of sonography; American Journal of Roentgenology; (1994).

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  • Sonography in congenital deficiency of the femur; Journal of Pediatric Orthopaedics; (1994).

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  • Femoral version and neck shaft angle; Journal of Pediatric Orthopaedics; (1993).

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  • Undetected musculoskeletal trauma in children with traumatic brain injury or spinal cord injury; Archives of Physical Medicine and Rehabilitation; (1993).

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  • A multiscintigraphic approach to imaging of lymphedema and other causes of the congenitally enlarged extremity; Seminars in Nuclear Medicine; (1993).

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  • Bone scintigraphy in patients with atypical lumbar scheuermann disease; Journal of Pediatric Orthopaedics; (1993).

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  • Scintigraphy of spinal disorders in adolescents; Skeletal Radiology; (1993).

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  • Cervical trachea: Dynamics in response to herniation of the normal thymus; Radiology; (1993).

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  • Scintigraphic evaluation of the growth plate; Seminars in Nuclear Medicine; (1993).

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  • Growth plate of the normal knee: Evaluation with MR imaging; Radiology; (1992).

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  • Imaging in congenital dislocation and dysplasia of the hip; Clinical Orthopaedics and Related Research; (1992).

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  • Imaging in developmental dysplasia of the hip; Imaging; (1992).

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  • Protrusio acetabuli in neurofibromatosis: Nondysplastic and dysplastic forms; Neurosurgery; (1992).

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  • Chondroid lesions of the extremities; Topics in Magnetic Resonance Imaging; (1991).

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  • Avascular necrosis and related conditions; Topics in Magnetic Resonance Imaging; (1991).

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  • Fibrous lesions of the extremities; Topics in Magnetic Resonance Imaging; (1991).

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  • Congenital disorders of the extremities; Topics in Magnetic Resonance Imaging; (1991).

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  • Foreword; Topics in Magnetic Resonance Imaging; (1991).

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  • Foreword; Topics in Magnetic Resonance Imaging; (1991).

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  • Miscellaneous disorders of the extremities; Topics in Magnetic Resonance Imaging; (1991).

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  • Osteoid lesions of the extremities; Topics in Magnetic Resonance Imaging; (1991).

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  • The role of ultrasound in the diagnosis and management of congenital dislocation and dysplasia of the hip; Journal of Bone and Joint Surgery - Series A; (1991).

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  • Tibia valga after fracture: Documentation of mechanism; Archives of Orthopaedic and Trauma Surgery; (1991).

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  • Detection of talocalcaneal coalitions by magnification bone scintigraphy; Journal of Nuclear Medicine; (1990).

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  • Effective use of ultrasound in the management of congenital dislocation and/or dysplasia of the hip; Clinical Orthopaedics and Related Research; (1990).

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  • Heterotopic ossification in central nervous system-injured patients following closed nailing of femoral fractures; Clinical Orthopaedics and Related Research; (1990).

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  • Performing dynamic sonography of the infant hip; American Journal of Roentgenology; (1990).

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  • Sonography in the management of tibial hemimelia; Clinical Orthopaedics and Related Research; (1990).

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  • Identification of avascular necrosis in the dysplastic proximal femoral epiphysis; Skeletal Radiology; (1989).

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  • Multiple osteoid osteomas of the fifth lumbar vertebra. A case report; Clinical Orthopaedics and Related Research; (1989).

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  • Subtalar joint coalition in children: New observations; Radiology; (1989).

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  • Transient photopenia of the femoral head following arthrography; Clinical Nuclear Medicine; (1989).

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  • Scintigraphic differentiation of congenital soft-tissue extremity enlargement with Tc-99m DTPA; Skeletal Radiology; (1989).

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  • Ultrasound evaluation of hip position in the pavlik harness; Journal of Ultrasound in Medicine; (1988).

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  • Evaluation of the musculoskeletal system with sonography; American Journal of Roentgenology; (1988).

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  • Scintigraphic manifestations of infraction of the second metatarsal (Freiberg's disease); Journal of Nuclear Medicine; (1987).

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  • SPECT imaging of para-axial neurofibromatosis with technetium-99m DTPA; Journal of Nuclear Medicine; (1987).

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  • Posttraumatic tibia valga: A case demonstrating asymmetric activity at the proximal growth plate on technetium bone scan; Journal of Pediatric Orthopaedics; (1987).

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  • Postprandial blush in multiphase bone scanning; Journal of Nuclear Medicine; (1987).

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  • Pelvic 'doughnut'. Sign of incidental pregnancy on bone scintigraphy; Clinical Nuclear Medicine; (1987).

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  • Measurement of leg length inequalities by micro-dose digital radiographs; Journal of Pediatric Orthopaedics; (1987).

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  • Extrinsic causes of vesical filling defects on scintigraphy; Clinical Nuclear Medicine; (1987).

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  • CT digital radiography: alternative technique for airway evaluation in physically disabled patients; Pediatric Radiology; (1987).

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  • Angular deformity of the lower extremity: Evaluation with quantitative bone scintigraphy; Radiology; (1987).

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  • Scintigraphy of persistent vertebral transverse process epiphysis; Clinical Nuclear Medicine; (1987).

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  • Use of bone scintigraphy in the management of slipped capital femoral epiphysis; Clinical Nuclear Medicine; (1987).

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  • Accumulation of technetium-99m MDP in an intramuscular hemangioma; Clinical Nuclear Medicine; (1986).

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  • Common congenital skeletal anomalies of the thorax.; Journal of thoracic imaging; (1986).

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  • Ossification center of the infant hip: Sonographic and radiographic correlation; American Journal of Roentgenology; (1986).

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  • Sonographic evaluation of the infant hip; Seminars in Ultrasound CT and MRI; (1986).

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  • Subperiosteal hematoma. Another scintigraphic 'doughnut'; Clinical Nuclear Medicine; (1986).

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  • Uterine blush in multiphase bone imaging; Journal of Nuclear Medicine; (1986).

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  • Congenital diastasis of the inferior tibiofibular joint: A review of the literature and report of two cases; Journal of Pediatric Orthopaedics; (1985).

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  • Emergency nuclear medicine and skeletal trauma; Topics in Emergency Medicine; (1985).

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  • Neurofibromas: Location by scanning with Tc-99m DTPA. Work in progress; Radiology; (1985).

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  • Real-time ultrasound in the diagnosis of congenital dislocation and dysplasia of the hip; Journal of Bone and Joint Surgery - Series B; (1985).

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  • Scintigraphic localization of bone lesions during surgery; Skeletal Radiology; (1985).

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  • The infant hip: Real-time US assessment of acetabular development; Radiology; (1985).

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  • Examination of the infant hip with real-time ultrasonography; Journal of Ultrasound in Medicine; (1984).

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  • Osteoid osteoma of the proximal femur: New techniques in diagnosis and treatment; Journal of Pediatric Orthopaedics; (1984).

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  • Bone scintigraphy in children: Trauma; Annales de Radiologie; (1983).

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  • Bone scintigraphy in children: Benign tumors; Annales de Radiologie; (1983).

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  • Sternal infarction in sickle-cell anemia: Concise communication; Journal of Nuclear Medicine; (1981).

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  • Focal nodular hyperplasia of the liver in a child with sickle cell anemia; American Journal of Roentgenology; (1980).

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  • Evaluation of neonatal renal disorders: A comparison of excretory urography with scintigraphy and ultrasonography; Annales de Radiologie Medecine Nucleaire; (1980).

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  • Critical comments on "Radiation dose to children from X-ray and radioisotope examinations".; Health physics; (1980).

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  • Scrotal imaging in the Henoch-Schönlein syndrome; The Journal of Pediatrics; (1978).

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  • Bone imaging in infants and children: a review; Journal of Nuclear Medicine; (1978).

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  • Skeletal imaging in sickle cell disease; Journal of Nuclear Medicine; (1978).

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  • Bone scanning in neonatal subcutaneous fat necrosis.; Journal of Nuclear Medicine; (1978).

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  • Veno occlusive disease (VOD): a newly recognized form of drug induced liver disease in acute myelocytic leukemia (AML); Pediatric Research; (1977).

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  • Bladder diverticula and Menkes' syndrome; Radiology; (1977).

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  • Relation of poverty and race to birth weight and organ and cell structure in the newborn; Obstetrical and Gynecological Survey; (1972).

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  • Perinatal cerebral intraventricular hemorrhage; Obstetrical and Gynecological Survey; (1972).

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  • Perinatal cerebral intraventricular hemorrhage; The Journal of Pediatrics; (1972).

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  • Relation of poverty and race to birth weight and organ and cell structure in the newborn; Pediatric Research; (1971).

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  • Adrenal gland structure and the development of hyaline membrane disease.; Pediatrics; (1971).

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