Post-radiotherapy stage III/IV non-small cell lung cancer radiomics research: a systematic review and comparison of CLEAR and RQS frameworks
ConclusionRadiomics research in post-radiotherapy stage III/IV NSCLC exhibits variability and frequently low-quality reporting. The formulated CLEAR-RQS checklist may facilitate education and holds promise for enhancing radiomics research quality.Clinical relevance statementCurrent radiomics research in the field of stage III/IV postradiotherapy NSCLC is heterogenous, lacking reproducibility, with no identified imaging biomarker. Radiomics research quality assessment tools may enhance scientific rigor and thereby facilitate radiomics translation into clinical practice. (Source: European Radiology)
Source: European Radiology - April 16, 2024 Category: Radiology Source Type: research
Outcome of bleomycin electrosclerotherapy of slow-flow malformations in adults and children
ConclusionsBEST is effective for treating slow-flow vascular malformations, with few but potentially significant major complications. Regarding patient-reported outcomes, children seem to benefit better compared to older patients, suggesting that BEST should not be restricted to adults.Clinical relevance statementBleomycin electrosclerotherapy is a safe and effective approach and therapy should not be restricted to adults due to good clinical outcomes in children. (Source: European Radiology)
Source: European Radiology - April 16, 2024 Category: Radiology Source Type: research
Bridging the gap between human beings and digital twins in radiology
(Source: European Radiology)
Source: European Radiology - April 16, 2024 Category: Radiology Source Type: research
Scanxiety: potential lessons for personalized radiology
(Source: European Radiology)
Source: European Radiology - April 16, 2024 Category: Radiology Source Type: research
Diagnostic performance of [68Ga]DOTATATE PET/CT, [18F]FDG PET/CT, MRI of the spine, and whole-body diagnostic CT and MRI in the detection of spinal bone metastases associated with pheochromocytoma and paraganglioma
Conclusions[68Ga]DOTATATE PET/CT should be the modality of choice in PPGL-related spinal bone metastases due to its superior detection rate.Clinical relevance statementIn a prospective study of 43 pheochromocytoma/paraganglioma participants with spinal bone metastases, [68Ga]DOTATATE PET/CT had a superior per-lesion detection rate of 98.7% (377/382), compared to [18F]FDG PET/CT (p < 0.001), MRI of the spine (p < 0.001), whole-body CT (p < 0.001), and whole-body MRI (p < 0.001).Graphical abstractKey Points• Data regarding head-to-head comparison between functional and anatomic imaging modal...
Source: European Radiology - April 16, 2024 Category: Radiology Source Type: research
ESR Essentials: imaging in stable chest pain – practice recommendations by ESCR
AbstractStable chest pain is a common symptom with multiple potential causes. Non-invasive imaging has an important role in diagnosis and guiding management through the assessment of coronary stenoses, atherosclerotic plaque, myocardial ischaemia or infarction, and cardiac function. Computed tomography (CT) provides the anatomical evaluation of coronary artery disease (CAD) with the assessment of stenosis, plaque type and plaque burden, with additional functional information available from CT fractional flow reserve (FFR) or CT myocardial perfusion imaging. Stress magnetic resonance imaging, nuclear stress myocardial perfu...
Source: European Radiology - April 16, 2024 Category: Radiology Source Type: research
N-(2,3-dihydroxypropyl) carbamoyl side chain: a potentially significant factor for recurrent iodinated contrast medium-related adverse drug reactions
ConclusionSwitching to an ICM with a different carbamoyl side chain reduced the recurrent ADRs and their severity during subsequent examinations.Clinical relevance statementSwitching to an iodinated contrast media with a different carbamoyl side chain reduced the recurrent adverse drug reactions and their severity during subsequent examinations. (Source: European Radiology)
Source: European Radiology - April 16, 2024 Category: Radiology Source Type: research
Computed tomography in patients with sepsis presenting to the emergency department: exploring its role in light of patient outcomes
ConclusionsOur findings show a high sensitivity of CT in ED patients with sepsis, confirming its relevance in guiding treatment decisions. The low specificity suggests that a negative CT requires further ancillary diagnostic tests for focus detection. The timing of CT did not affect morbidity or mortality outcomes.Clinical relevance statementIn patients with sepsis who present to the ED, CT can be used to identify infectious foci on the basis of clinical suspicion, but should not be used as a rule-out test. Scientific evidence for the optimal timing of CT beyond clinical decision-making is currently missing, as potential m...
Source: European Radiology - April 9, 2024 Category: Radiology Source Type: research
Recurrent medical imaging exposures for the care of patients: one way forward
AbstractMedical imaging is both valuable and essential in the care of patients. Much of this imaging depends on ionizing radiation with attendant responsibilities for judicious use when performing an examination. This responsibility applies in settings of both individual as well as multiple (recurrent) imaging with associated repeated radiation exposures. In addressing the roles and responsibilities of the medical communities in the paradigm of recurrent imaging, both the International Atomic Energy Agency (IAEA) and the American Association of Physicists in Medicine (AAPM) have issued position statements, each affirmed by...
Source: European Radiology - April 9, 2024 Category: Radiology Source Type: research
Letter to the Editor: “Liver stiffness by two‑dimensional shear wave elastography for screening high‑risk varices in patients with compensated advanced chronic liver disease”
(Source: European Radiology)
Source: European Radiology - April 9, 2024 Category: Radiology Source Type: research
Standardized brain tumor reporting in the multidisciplinary spotlight: pros of the BT-RADS
(Source: European Radiology)
Source: European Radiology - April 7, 2024 Category: Radiology Source Type: research
Standardized reporting systems for (which?) brain tumors from in the dark: cons of the BT-RADS
(Source: European Radiology)
Source: European Radiology - April 7, 2024 Category: Radiology Source Type: research
An update on susceptibility ‐weighted imaging in brain gliomas
AbstractSusceptibility-weighted imaging (SWI) has become a standard component of most brain MRI protocols. While traditionally used for detecting and characterising brain hemorrhages typically associated with stroke or trauma, SWI has also shown promising results in glioma assessment. Numerous studies have highlighted SWI ’s role in differentiating gliomas from other brain lesions, such as primary central nervous system lymphomas or metastases. Additionally, SWI aids radiologists in non-invasively grading gliomas and predicting their phenotypic profiles. Various researchers have suggested incorporating SWI as an ad junct...
Source: European Radiology - April 6, 2024 Category: Radiology Source Type: research
Contrast media for hysterosalpingography: systematic search and review providing new guidelines by the Contrast Media Safety Committee of the European Society of Urogenital Radiology
Conclusions1. HSG with oil-based CM gives approximately 10% higher pregnancy rates.2. External validity is limited, as in five of nine RCTs, the CM used is no longer on the market.3. Oil-based CM have potentially more side effects on the maternal thyroid function and on the peritoneum.4. Guideline: Maternal thyroid function should be tested before HSG with oil-based CM and monitored for 6 months after.Clinical relevance statementOil-based CM is associated with an approximately 10% higher chance of pregnancy compared to water-based CM after HSG. Although side effects are rare, higher iodine concentration and slower cleara...
Source: European Radiology - April 4, 2024 Category: Radiology Source Type: research
Use of a commercial artificial intelligence-based mammography analysis software for improving breast ultrasound interpretations
ConclusionThe commercial AI-based mammography analysis software could be a valuable adjunct to clinical decision-making for managing US-detected breast lesions.Clinical relevance statementThe commercial AI-based mammography analysis software could potentially reduce unnecessary biopsies and improve patient outcomes.Key Points•Breast US has high rates of false-positive interpretations.•A commercial AI-based mammography analysis software could distinguish mammograms having benign outcomes from those revealing cancers after US-guided breast biopsy.•A commercial AI-based mammography analysis software may improve interpre...
Source: European Radiology - April 3, 2024 Category: Radiology Source Type: research
