Prevalence and clinical implications of coronary artery calcium scoring on non-gated thoracic computed tomography: a systematic review and meta-analysis
ConclusionCAC is a common, but underreported, finding on non-gated CT with important prognostic implications.Clinical relevance statementCoronary artery calcium is an important prognostic indicator of cardiovascular disease. It can be assessed on non-gated thoracic CT and is a commonly underreported finding. This represents a significant population where there is a potential missed opportunity for lifestyle modification recommendations and preventative therapies. This study aims to highlight the importance of reporting incidental coronary artery calcium on non-gated thoracic CT.Key Points• Coronary artery calcification i...
Source: European Radiology - December 22, 2023 Category: Radiology Source Type: research

A conditional inference tree model for predicting cancer risk of non-mass lesions detected on breast ultrasound
ConclusionThe CTREE model efficiently aids in interpreting and managing ultrasound-detected breast NMLs, overcoming BI-RADS limitations by refining cancer risk stratification.Clinical relevance statementThe CTREE model allows for the reclassification of BI-RADS categories into subgroups with varying malignancy probabilities, thus providing a valuable enhancement to the BI-RADS assessment for the diagnosis of ultrasound-detected NMLs, with the potential to minimize unnecessary biopsies.Key Points• The indistinct glandular–fat interface (GFI) status, NML with focal mass effect, geographic or mottled patterns, and calcifi...
Source: European Radiology - December 22, 2023 Category: Radiology Source Type: research

Non-contrast-enhanced MR angiography of left gastric vein in patients with gastroesophageal varices: morphology and blood supply analysis
ConclusionNon-contrast-enhanced MR angiography appears to be a reliable technique in evaluating the morphology and blood supply of LGV in patients with gastroesophageal varices.Clinical relevance statementNon-contrast-enhanced MR angiography provides valuable information for the management of gastroesophageal varices. Especially, it benefits patients with renal insufficiency.Key Points•Non-contrast-enhanced MR angiography using inflow-sensitive inversion recovery technique can be used for evaluating not only morphology as CT but also blood supply of left gastric vein.•The blood supply of left gastric vein is related to...
Source: European Radiology - December 22, 2023 Category: Radiology Source Type: research

Coagulopathy and cannabinoids: what the radiologist should know
(Source: European Radiology)
Source: European Radiology - December 22, 2023 Category: Radiology Source Type: research

Assessing brain maturation on neonatal MRI —do we need a more quantitative approach?
(Source: European Radiology)
Source: European Radiology - December 22, 2023 Category: Radiology Source Type: research

Radiological findings in poisoning by synthetic cannabinoids adulterated with brodifacoum
ConclusionCT plays a key role in the diagnosis and work-up of adulterated cannabinoid-associated coagulopathy. Characteristic signs include suburothelial hemorrhage and intramural bowel hematomas.Clinical relevance statementRecognition of radiological signs of adulterated synthetic cannabinoid-associated coagulopathy is critical for optimizing outbreak control on the public health level and ensuring timely treatment on the individual patient level.Key Points• Severe coagulopathy due to consumption of synthetic cannabinoids adulterated with brodifacoum, a long-acting anticoagulant, is an emerging worldwide threat.• Char...
Source: European Radiology - December 21, 2023 Category: Radiology Source Type: research

Joint radiomics and spatial distribution model for MRI-based discrimination of multiple sclerosis, neuromyelitis optica spectrum disorder, and myelin-oligodendrocyte-glycoprotein-IgG-associated disorder
ConclusionsThe proposed pipeline integrating multi-lesion radiomics and spatial distribution features could effectively differentiate MS, NMOSD, and MOGAD.Clinical relevance statementThe discrimination pipeline merging both radiomics and spatial distribution features of brain lesions may facilitate the differential diagnoses of multiple sclerosis, neuromyelitis optica spectrum disorder, and myelin-oligodendrocyte-glycoprotein-IgG-associated disorder.Key Points• Our study introduces an approach by combining radiomics and spatial distribution models.• The joint model exhibited superior performance in distinguishing multi...
Source: European Radiology - December 21, 2023 Category: Radiology Source Type: research

CT-based deep learning model for predicting hospital discharge outcome in spontaneous intracerebral hemorrhage
ConclusionsDeep learning models have good accuracy for predicting functional outcome of patients with spontaneous intracerebral hemorrhage.Clinical relevance statementThe proposed deep learning Fusion model may assist clinicians in predicting functional outcome and developing treatment strategies, thereby improving the survival and quality of life of patients with spontaneous intracerebral hemorrhage.Key Points•Integrating clinical presentations, CT images, and radiological features to establish deep learning model for functional outcome prediction of patients with intracerebral hemorrhage.•Deep learning applied to CT ...
Source: European Radiology - December 21, 2023 Category: Radiology Source Type: research

Optimisation of protection in the medical exposure of recurrent adult patients due to computed tomography procedures: development of recurrent exposures reference levels
ConclusionThe management of patients with recurrent exposures is highly variable among hospitals leading to a 50-fold variation inI100;1 and to a tenfold variation inI100;3.RERL could be established and used by taking as a RERL quantity the CED and as a RERL value the 75th percentile of the third quartiles of the distribution of the yearly CED obtained by surveying different hospitals.Clinical relevance statementThis is the first ever multicentre study that quantifies recurrent exposures in terms of incidence and cumulative incidence of patients with CED  ≥ 100 mSv. RERL establishment and use could benefit the optim...
Source: European Radiology - December 21, 2023 Category: Radiology Source Type: research

Automatic detection, segmentation, and classification of primary bone tumors and bone infections using an ensemble multi-task deep learning framework on multi-parametric MRIs: a multi-center study
ConclusionThe MRI-based ensemble multi-task framework shows promising performance in automatically and simultaneously detecting, segmenting, and classifying PBTs and bone infections, which was preferable to junior radiologists.Clinical relevance statementCompared with junior radiologists, the ensemble multi-task deep learning framework effectively improves differential diagnosis for patients with primary bone tumors or bone infections. This finding may help physicians make treatment decisions and enable timely treatment of patients.Key Points• The ensemble framework fusing multi-parametric MRI and clinical characteristic...
Source: European Radiology - December 21, 2023 Category: Radiology Source Type: research

[18F]FDG PET-CT radiomics signature to predict pathological complete response to neoadjuvant chemoimmunotherapy in non-small cell lung cancer: a multicenter study
ConclusionThe proposed PET-CT radiomics model was capable of predicting pCR to neoadjuvant chemoimmunotherapy in NSCLC patients.Clinical relevance statementThis study indicated that the generated18F-fluorodeoxyglucose positron emission tomography –computed tomography radiomics model could predict pathological complete response to neoadjuvant chemoimmunotherapy, implying the potential of our radiomics model to personalize the neoadjuvant chemoimmunotherapy in lung cancer patients.Key Points• Recognizing patients potentially benefiting neoadjuvant chemoimmunotherapy is critical for individualized therapy of lung cancer.â...
Source: European Radiology - December 21, 2023 Category: Radiology Source Type: research

AI in breast cancer screening: a critical overview of what we know
(Source: European Radiology)
Source: European Radiology - December 21, 2023 Category: Radiology Source Type: research

Looking at the rim in multiple sclerosis: new MRI-based biomarkers may open our eyes to the disease ’s evolution
(Source: European Radiology)
Source: European Radiology - December 20, 2023 Category: Radiology Source Type: research

Pre-injection anticipation of artifacts in contrast-enhanced breast MRI: artificial intelligence harnessed for the aid once again
(Source: European Radiology)
Source: European Radiology - December 20, 2023 Category: Radiology Source Type: research

Might sarcopenia be patient-oriented evidence that matters in CNS lymphomas? A glance out of the neuraxis
(Source: European Radiology)
Source: European Radiology - December 20, 2023 Category: Radiology Source Type: research