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Dr. Aisling Snow
Clinical Senior Lecturer, Paediatrics

Publications and Further Research Outputs

Peer-Reviewed Publications

A Snow, A radiologist's perspective on protection of the fetus in a paediatric hospital, EURADOS Winter School 2020, Online, February 4th , 2021, European Radiation Dosimetry Group Invited Talk, 2021

Mulholland, D; Snow, A, The evaluation of palpable thigh modularity in vaccination age children - differentiating vaccination granulomas from other causes, Journal of Medical Ultrasound, 2021 Journal Article, 2021

Lane L, deGascun C, O'Connor P, Cronly S, Snow A, Cryan J, Multicystic encephalomalacia the neuropathology of systemic neonatal parechovirus infection, Pediatric and Developmental Pathology, 2021, pDOI 10.1177/10935266211001645 Journal Article, 2021

Breatnach, C.R., Snow, A., Nolke, L., Oslizlok, P., Cardiac strangulation causing refractory cardiac arrest during elective pacemaker revision: A cautionary tale, Cardiology in the Young, 30, (10), 2020, p1535-1537 Journal Article, 2020

Breatnach, Colm; Snow, Aisling; Nolke, Lars; Oslizlok, Paul, Cardiac Strangulation Causing Refractory Cardiac Arrest, Cardiology in the Young, 30, (10), 2020, p1535 - 1537 Journal Article, 2020

Snow A., Taylor G.A., Coronavirus Disease 2019 (COVID-19) Imaging Austerity: Coming Back From the Pandemic, Journal of the American College of Radiology, 17, (7), 2020, p903 - 905, p903-905 Journal Article, 2020 DOI

Walsh B, Fennessy P, Ni Mhuircheartaigh R, Snow A, McCarthy KF, McCaul CL, Accuracy of ultrasound in measurement of the pediatric cricothyroid membrane., Paediatric anaesthesia, 2019 Journal Article, 2019

Martin, Therese, Moore, Mary, Melody, Laura, Nolan, Beatrice, Snow, Aisling, Govender, Pradeep, Blackburn, Carol, Going out on a (clotted) limb - an interesting case of paget-schroetter syndrome in a young adolescent, BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health, 2019 Conference Paper, 2019 DOI

Smyth AE, Kaleviste E, Snow A, Kisand K, McMahon CJ, Cant AJ, Leahy TR, Aortic Calcification in a Patient with a Gain-of-Function STAT1 Mutation., Journal of clinical immunology, 2018 Journal Article, 2018 DOI

A Snow, E Joyce, R O'Connor, D Rea, Efficacy of Child-Sized MRI Simulation in Avoiding GA and Sedation in Children, European Society for Paediatric Radiology, Berlin, Germany, June 2018, 2018 Poster, 2018

Joyce EA, Farrell T, McMorrow J, Mulholland D, Browne KM, Snow A, Are adult carpal angle measurements applicable to the pediatric population in the trauma setting?, Skeletal radiology, 2018 Journal Article, 2018

Murphy D, McCoubrey S, Snow A, Checking Pregnancy Status of Young Girls in Advance of Radiological Intervention - Time for a Rethink?, European Congress of Radiology, Vienna, March, 2018 Poster, 2018

E O'Dwyer, R O'Connor, A Snow, The Value of Child-Sized MRI Simulation in the General Anaesthesia Paediatric Population; a Single-Centre Review, RSNA, Chicago, IL, USA, 2017 Poster, 2017

Aisling Snow, Carly E. Milliren, Dionne A. Graham, Michael J. Callahan, Robert D. MacDougall, Richard L. Robertson, George A. Taylor, Quality of pediatric abdominal CT scans performed at a dedicated children"s hospital and its referring institutions: a multifactorial evaluation, Pediatric Radiology, 2017 Journal Article, 2017

Foley, C, Killeen O, Snow A, Radiological Features Identified in the Hands of Children with Down syndrome and Inflammatory Arthritis, American Congress of Rheumatology, 2017 Poster, 2017

Charlene Foley, Emma Jane Mac Dermott, Aisling Snow, Orla G Killeen, 043."Radiological features identified in the hands of children with Down syndrome and inflammatory arthritis, Rheumatology, 56, (suppl{\_), 2017 Journal Article, 2017

Joyce E, Snow A, Comparing Adult and Paediatric Carpal Angles, European Congress of Radiology, Vienna, 2017 Poster, 2017

Mc Govern E, Kelleher E, Snow A, Walsh K, Gadallah B, Kutty S, McMahon CJ, Clinical application of three-dimensional printing to the management of complex univentricular hearts with abnormal systemic or pulmonary venous drainage, Cardiology in the Young, 27, (7), 2017, p1248 - 1256 Journal Article, 2017

Snow, A, Foetal MRI as a Valuable Tool in Antenatal Diagnosis and Perinatal/Postnatal Management, Annual Scientific Meeting, Faculty of Radiologists, Dublin, 2016, 2016 Poster, 2016

Johnston N, Snow A, McMahon CJ., Unexpected coronary arterial calcification and thrombosis late after Kawasaki disease., BMJ case reports, 2016, 2016 Journal Article, 2016 DOI

Snow AL, Uller W, Kim HB, Alomari AI, Percutaneous embolization of a chylous leak from thoracic duct injury in a child., 2014 Journal Article, 2014

Aisling Snow, Carlos Estrada, Jeanne S. Chow, Ultrasonography of the Pediatric Bladder, Ultrasound Clinics, 8, (3), 2013, p423--439 Journal Article, 2013

Bartley M, Bokde AL, Ewers M, Faluyi YO, Tobin WO, Snow A, Connolly J, Delaney C, Coughlan T, Collins DR, Hampel H, O'Neill D, Subjective memory complaints in community dwelling healthy older people: the influence of brain and psychopathology., International Journal of Geriatric Psychiatry, 27, (8), 2012, p836-43 Journal Article, 2012 DOI

Snow A, Halpenny D, Mc Neill G, Torreggiani WC, Life-threatening Rupture of a Renal Angiomyolipoma in a Patient Taking Over-the-counter Horse Chestnut Seed Extract., The Journal of emergency medicine, 2011 Journal Article, 2011 DOI

Bracken J, Robinson I, Snow A, Watson R, Irvine AD, Rea D, Phelan E, PHACE syndrome: MRI of intracerebral vascular anomalies and clinical findings in a series of 12 patients., Pediatric radiology, 41, (9), 2011, p1129-38 Journal Article, 2011

Snow A, Hamilton S, Dual Energy X-Ray Absorptiometry (DXA) in Children with Short Stature - the Importance of Adjusting Bone Mineral Density (BMD) Results for Height, Society for Pediatric Radiology, Boston, MA, USA, 2010 Poster, 2010

Halpenny D, Snow A, McNeill G, Torreggiani WC, The radiological diagnosis and treatment of renal angiomyolipoma-current status., Clinical radiology, 65, (2), 2010, p99-108 Journal Article, 2010 DOI

Halpenny D, Burke J, McNeill G, Snow A, Torreggiani WC, Geographic origin of publications in radiological journals as a function of GDP and percentage of GDP spent on research., Academic radiology, 17, (6), 2010, p768-71 Journal Article, 2010 DOI

Ryan J, Snow A, Darker C, Torreggiani W, Comparison of clinical outcomes from chest X-rays of smokers and non-smokers in a general practice population., Irish Medical Journal, 103, (3), 2010, p90 - 92 Journal Article, 2010

McNeill G, Halpenny D, Snow A, Torreggiani WC, Re: Pericardial effusion impending tamponade: a look beyond Beck's triad., 2009 Journal Article, 2009

McNeill G, Halpenny D, Snow A, Geoghegan A, Torreggiani WC, Extrapontine myelinolysis after correction of hyponatraemia presenting as generalised tonic seizures., 2009 Journal Article, 2009

McNeill G, Halpenny D, Snow A, Torreggiani WC, Re: Pilot study of transcatheter arterial ethanol emolization under closed renal circuit for large renal cell carcinomas., 2009 Journal Article, 2009

A Snow, S Hamilton, M Ryan, E Colhoun, E O'Mullane, H Hoey, Paediatric DXA interpertation - applying internationl guidelines, Hormone Research, 72, (s3), 2009, p356- Journal Article, 2009

McNeill G, Ward E, Halpenny D, Snow A, Torreggiani W, Ultrasound appearances of Implanon implanted contraceptive devices., 2009 Journal Article, 2009

McNeill G, Halpenny D, Snow A, Torreggiani WC, Re: diagnosis of hepatic angiomyolipomata using CT: report of three cases and review of the literature., 2009 Journal Article, 2009

Halpenny DF, McNeil G, Snow A, Geoghegan T, Torreggiani WC, Prospective evaluation of the value of magnetic resonance imaging in suspected acute sigmoid diverticulitis., 2009 Journal Article, 2009

Buckley O, Ward E, Ryan A, Colin W, Snow A, Torreggiani WC, European obesity and the radiology department. What can we do to help?, 2009 Journal Article, 2009

Snow A, Buckley O, Torreggiani WC, Sonographic appearance of metallic ureteric stents., 2009 Journal Article, 2009

McNeill G, Halpenny D, Snow A, Buckley O, Torreggiani WC, Re: Paget's disease of the bone: a review., 2009 Journal Article, 2009

Feeney J, Govender P, Snow A, Torreggiani WC., Answer to case of the month #136. Endometrioma of the rectus sheath after Caesarean section., Canadian Association of Radiologists journal = Journal l'Association canadienne des radiologistes, 59, (4), 2008, p210-212 Journal Article, 2008 DOI

Buckley O, O' Brien J, Snow A, Stunell H, Lyburn I, Munk PL, Torreggiani WC., Imaging of Budd-Chiari syndrome., European radiology, 17, (8), 2007, p2071-2078 Journal Article, 2007 DOI

Buckley, O, Geoghegan, T, Ridgeway, P, Colhoun, E, Snow, A, Torreggiani, WC, Imaging of Appendicoliths Dropped at Laparoscopic Appendectomy and Their Complications, CANADIAN ASSOCIATION OF RADIOLOGISTS JOURNAL-JOURNAL DE L ASSOCIATION CANADIENNE DES RADIOLOGISTES, 58, 2007 Journal Article, 2007

Geoghegan T, McAuley G, Snow A, Torreggiani WC., Emergency embolization of multiple splenic artery pseudoaneurysms associated with portal hypertension complicating cystic fibrosis., Australasian radiology, 51 Suppl, 2007, pB337-9 Journal Article, 2007 DOI

Buckley, O, Geoghegan, T, Ridgeway, P, Colhoun, E, Snow, A, Torreggiani, WC, The usefulness of CT guided drainage of abscesses caused by retained appendicoliths, EUROPEAN JOURNAL OF RADIOLOGY, 60, 2006 Journal Article, 2006

Non-Peer-Reviewed Publications

L Fitzgerald, A Snow, Audit of Physical Marker Use in Paediatric Radiology, 2018 Poster, 2018

O'Connor R, Ryan S, Snow A, 'Paediatric Radiography Protocols for Children's Health Ireland', version 1, 2018, - Protocol or guideline, 2018

A Snow, Paediatric Radiology, Paediatric Trainee Study Day, RCPI, Kildare Street, April , 2018 Invited Talk, 2018

A Snow, Paediatric MRA/MRV, Irish MRI Meeting, Kilkenny, January, 2017 Invited Talk, 2017

A Snow, Designing for Success - Radiology Planning for the New Children's Hospital, Annual Scientific Meeting, Faculty of Radiologists, RCSI, Dublin, September, 2017 Invited Talk, 2017

A Snow, Paediatric Iliofemoral Ligament Tears, Charter Day, RCSI, Dublin, February, 2017 Invited Talk, 2017

A Snow, Paediatric Radiology for Paediatricians, RCPI Paediatric Study Day, Royal College of Physicians of Ireland, 2017 Invited Talk, 2017

A Snow, Update on Foetal MRI, Irish Perinatal Society Meeting, RCPI Kildare Street, October, 2016 Invited Talk, 2016

A Snow, Murphy D, Mc Coubrey S, Paediatric Perspective on Pregnancy in Imaging, National Pregnancy Policy Workshop, Dublin, February, 2016 Invited Talk, 2016

A Snow, C Brenner, D Rea, 'Neonatal Ultrasound Referral Guidelines', Coombe Women and Infants Hospital, 2012, - Protocol or guideline, 2012

A Snow, WC Torreggiani, R Browne, 'Interventional Radiology Anticoagulation Guidelines', Tallaght University Hospital, 2011, - Protocol or guideline, 2011

Research Expertise

Projects

  • Title
    • Application of Logistics Principles to Optimisation of Paediatric Radiology Workflows
  • Summary
    • This is a novel approach to managing the complexity of paediatric radiology services. Paediatric radiology departments are more complex than those in adult hospitals due to the frequent need for sedation and anaesthesia to achieve diagnostic imaging. This project is in conjunction with the corporate management and IT departments in Children's Health Ireland and researchers in the Trinity Business School and will analyse current workflows and optimise them using business logistics principles. The aim is to prospectively optimise workflows in the radiology department in the New Children's Hospital (which will be the largest in Europe) before commencement of service there. This will mean that we can get better value from our staff and our equipment and should improve staff, parent and patient satisfaction with the service being provided
  • Date From
    • 2020
  • Date To
    • Ongoing
  • Title
    • A data-driven approach to the age at which female paediatric patients should be subject to pregnancy status determination prior to imaging using ionising radiation
  • Summary
    • Young patients are vulnerable when attending unfamiliar medical locations such as radiology departments. At present all female patients over the age of 12 years are asked about pregnancy when attending for certain imaging studies that use radiation. The choice of this age is not evidence based and the question is often asked in a rushed manner and usually by someone not known to the patient. This project is using population data to analyse the pregnancy inflection age and allow pregnancy questioning to instead commence at the age where we see the pregnancy rate become significant in our paediatric population. This will be applicable to radiology departments across the country using Irish data and around the world using suitable local datasets.
  • Date From
    • 2018
  • Date To
    • 2021
  • Title
    • Using Simulation Techniques to Teach Upper GI Contrast Study Technique to Non-Paediatric Radiologists
  • Summary
    • Using simulation techniques to allow widespread teaching of a key paediatric radiology technique (upper GI contrast study) to general radiologists who don't work in specialised children's hospitals. Upper GI contrast studies are a fluoroscopic imaging technique that allow skilled radiologists to diagnose small bowel malrotation and midgut volvulus in babies with bilious vomiting. Prompt diagnosis is imperative to allow emergency surgery to be performed in positive cases. Teaching of this technique is challenging due to the unplanned nature of the condition and widely dispersed radiologist workforce. This will be a novel simulated learning tool that will allow all radiologists to gain the specialist skills (normally only available in Children's Hospitals) required to diagnose babies with midgut volvulus (and exclude it) in hospitals of first presentation, avoiding the need for multiple patient transfers to Dublin every year. Unecessary transfers delay care for those who need it and cause stress, anxiety and potential harm to those who don't. This collaborative project is being planned and will involve the Trinity School of Computer Science and the RCSI SIM Centre for simulation in education and research.
  • Date From
    • 2021

Keywords

3D Printing; BONE DENSITY; Clinical Logistics; Clinical Workflow; Congenital Cardiac CT; Diagnostics; DXA; Foetal Abnormality; Health Planning/Policy; Magnetic Resonance Imaging (MRI); MRI; MUSCULOSKELETAL SYSTEM; PAEDIATRIC; paediatric radiology; QUALITY ASSESSMENT; RADIOLOGY; Radiology, tomography and medical imaging; ULTRASOUND

Recognition

Representations

Chair, Radiology Equipping Decision Group, Children's Health Ireland - responsible for delivering the equipment required to run the new department 2019

Clinical Lead for Paediatric Radiology, Children's Health Ireland. Responsibility for coordinating the integration of the paediatric radiology services in Crumlin, Temple Street and Tallaght into one entity. Involves mobilising teams of relevant staff members and leading subgroups tasked with planning workforce, IT, administrative, QA, research, education, interventional radiology, radiation protection and patient safety aspects of the service. 2015

Member of the Healthcare Technology Equipping Group, Children's Health Ireland. This group reported to the board of hospital and to the National Paediatric Hospital Development Board and was tasked with overseeing the healthcare equipment procurement for the new children's hospital. I was the only clinician on the committee and led clinical evaluation of the options for how to equip the hospital in general and the radiology department in particular. 2017

Paediatric Radiology Subgroup, Faculty of Radiologists, RCSI 2018

Member, Radiation Safety Committee, Children's Health Ireland - responsible for ensuring statutory compliance with radiation safety best practice 2018

Member of Cross Hospital Paediatric Radiologists Group, Dublin. I designed the governance structure for our specialty that has been accepted by the CEO of the CHI hospital group and now applies to our method of managing the process of integrating the 3 hospitals into 1. As part of this the Cross Hospital Paediatric Radiologists Group has responsibility for policies and protocols in paediatric radiology. 2017

Chair of Radiation Quality Assurance Group, Children's Health Ireland at Crumlin - tasked with integrating the current approaches in the existing hospitals to radiation safety, and designing the future structure of the radiation safety programme in the New Children's Hospital 2017

Reviewer, Journal of Ultrasound in Medicine

Member of the Residency Review Committee, Boston Children's Hospital - Fellow representative - responsible for assessing residents' competency and determining suitable for sign off from their rotation in paediatric radiology 2012

Member and Fellow representative, Graduate Medical Education (GME) Committee, Boston Children's Hospital - responsible for decision making about fellowship training programs, including eligibility of foreign graduates 2013

Member, Non-Consultant Hospital Doctor committee, Irish Medical Organisation 2009

Radiology Registrar Rota Coordinator, Tallaght University Hospital - responsibility for drawing up fair and effective rotas for daily work and call cover for all radiology registrars 2010

Awards and Honours

Scholarship, Trinity College Dublin 2001

Fellowship of the Faculty of Sports & Exercise Medicine (RCSI/RCPI) 2018

Innovate Course for entrepreneurs, Enterprise Ireland/Guinness Enterprise Centre/Dublin Business Innovation Centre 2018

Entrance Exhibition, Trinity College Dublin 1998

Junior Grant of the European Society for Paediatric Radiology - bursary to support attendance at the annual meeting, awarded to promising trainees 2013

EPICA International Design awards, Gold winner, X-ray Toy Story Disney collaboration, 2018 2018

Kinsale Sharks Design awards Gold Award (only one awarded) for the Crumlin-Disney X-ray Toy Story collaboration, Print category, 2018 2018

Senior House Officer (trainee doctor) of the Year, Tallaght University Hospital 2011

Memberships

Fellow of the Faculty of Radiologists, RCSI 2011 – Current

Fellow of the Faculty of Sports and Exercise Medicine, RCPI/RCSI 2018 – Current

European Society of Skeletal Radiology 2014 – Current

American Institute of Ultrasound in Medicine 2015 – Current

Society for Paediatric Radiology 2012 – Current

European Society for Paediatric Radiology 2011 – Current

Radiological Society of North America 2018 – Current

Member of the Irish Medical Organisation 2004 – Current

Member of the Irish Hospital Consultants Association 2018 – 2020