MRI of endometriosis in correlation with the #Enzian classification: applicability and structured report
This article addresses in detail the applicability of the #Enzian classification, primarily based on surgical findings, to the MRI evaluation of the endometriosis. Overall, there is a significant matching between MRI features and the #Enzian classification criteria, two different perspectives of endometriosis mapping, with different goals and levels of detail. The main discrepancy lies in the evaluation of tubo-ovarian condition, which is not fully assessable by MRI. Furthermore, as endometriosis is a complex disease, usually multifocal, that can present with a myriad of imaging findings, MRI reporting should be clear an...
Source: Insights into Imaging - July 5, 2023 Category: Radiology Source Type: research
Chyluria: non-enhanced MR lymphography
AbstractChyluria is an uncommon medical condition resulting from an abnormal communication between the abdominal lymphatic system and the urinary tract, which results in the presence of chyle in the urine, making it appear milky white. Proper diagnosis is demonstrated by the concentration of urinary lipids. Worldwide, chyluria is most commonly associated with the parasite Wuchereria bancrofti. However, in Europe and North America, where the condition is rare, non-parasitic etiologies predominate. Identifying the cause and location of the uro-lymphatic communication is essential in guiding therapeutic management, but imag...
Source: Insights into Imaging - July 5, 2023 Category: Radiology Source Type: research
Virtual biopsy using CT radiomics for evaluation of disagreement in pathology between endoscopic biopsy and postoperative specimens in patients with gastric cancer: a dual-energy CT generalizability study
ConclusionCT-based radiomics nomogram showed potential as a clinical aid for predicting pathologic disagreement status between biopsy samples and resected specimens in GC. When practicability and stability are considered, the SECT-based radiomics model is not recommended for DECT generalization.Critical relevance statementRadiomics can identify disagreement in pathology between endoscopic biopsy and postoperative specimen.Graphical abstract (Source: Insights into Imaging)
Source: Insights into Imaging - July 5, 2023 Category: Radiology Source Type: research
A systematic review and meta-analysis of CT and MRI radiomics in ovarian cancer: methodological issues and clinical utility
ConclusionCurrent evidence suggests that the methodological quality of OC-related radiomics studies is unsatisfactory. Radiomics analysis based on CT and MRI showed promising results in terms of differential diagnosis and prognostic prediction.Critical relevance statementRadiomics analysis has potential clinical utility; however, shortcomings persist in existing studies in terms of reproducibility. We suggest that future radiomics studies should be more standardized to better bridge the gap between concepts and clinical applications.Graphical abstract (Source: Insights into Imaging)
Source: Insights into Imaging - July 3, 2023 Category: Radiology Source Type: research
Primary and secondary tumors of the peritoneum: key imaging features and differential diagnosis with surgical and pathological correlation
AbstractPeritoneal malignancies represent a diagnostic challenge for abdominal radiologists, oncologists, surgeons and pathologists in multidisciplinary teams, who must address their differential diagnosis, staging and treatment. In this article, we explain the pathophysiology of these processes and lay out the role of different imaging techniques in their evaluation. Then, we review the clinical and epidemiological aspects, the main radiological features and the therapeutic approaches for each primary and secondary peritoneal neoplasm, with surgical and pathological correlation. We further describe other rare peritoneal t...
Source: Insights into Imaging - July 3, 2023 Category: Radiology Source Type: research
Enhancing diagnosis and treatment of superior cluneal nerve entrapment: cadaveric, clinical, and ultrasonographic insights
ConclusionsUltrasonography effectively localizes SCN branches on the iliac crest, whereby increased nerve CSA is not useful for diagnosis. Most patients benefit from ultrasound-guided dextrose hydrodissection; however, those with scoliosis may experience symptom recurrence and whether structured rehabilitation can reduce recurrence post-injection should be considered as one perspective in future research.Trial registration ClinicalTrials.gov (NCT04478344). Registered on 20 July 2020,https://clinicaltrials.gov/ct2/show/NCT04478344?cond=Superior+Cluneal+Nerve&cntry=TW&draw=2&rank=1.Critical relevance statement ...
Source: Insights into Imaging - July 3, 2023 Category: Radiology Source Type: research
A clinician ’s guide to understanding aortic 4D flow MRI
AbstractFour-dimensional flow magnetic resonance imaging is an emerging technique which may play a role in diagnosis and risk-stratification of aortic disease. Some knowledge of flow dynamics and related parameters is necessary to understand and apply this technique in clinical workflows. The purpose of the current review is to provide a guide for clinicians to the basics of flow imaging, frequently used flow-related parameters, and their relevance in the context of aortic disease.Clinical relevance statement Understanding normal and abnormal aortic flow could improve clinical care in patients with aortic disease.Graphical...
Source: Insights into Imaging - July 3, 2023 Category: Radiology Source Type: research
Photon-counting CT allows better visualization of temporal bone structures in comparison with current generation multi-detector CT
ConclusionPCCT provides a better depiction of temporal bone anatomy than MDCT, at a lower radiation dose.Graphical AbstractCritical relevance statementPCCT provides a better depiction of temporal bone anatomy than MDCT, at a lower radiation dose.Key pointsPCCT allows high-resolution imaging of temporal bone structures.Compared to MDCT, the visibility of normal temporal bone structures is scored better with PCCT.PCCT allows to obtain high-quality CT images of the temporal bones at lower radiation doses than MDCT. (Source: Insights into Imaging)
Source: Insights into Imaging - July 3, 2023 Category: Radiology Source Type: research
American College of Radiology Appropriateness Criteria ®: a bibliometric analysis of panel members
ConclusionThe composition of the ACR Appropriateness Criteria panels reflects many members with little or no previously published literature on the topic of consideration. Similar pool of experts exists on multiple expert panels formulating imaging appropriateness guidelines.Key PointsThere were 68 (17.5%) panel experts on ≥ 10 ACR-AC panels.Nearly 45% of the panel experts had zero median number of relevant papers.Fifteen panels (44%) had> 50% of members having zero relevant papers. (Source: Insights into Imaging)
Source: Insights into Imaging - July 3, 2023 Category: Radiology Source Type: research
Anatomically guided self-adapting deep neural network for clinically significant prostate cancer detection on bi-parametric MRI: a multi-center study
ConclusionsThe state-of-the-art deep learning method using prostate masks trained on large-scale bi-parametric MRI data provides high performance in detecting csPCa in internal and external testing data with different characteristics, demonstrating the robustness and generalizability of deep learning within and across datasets.Clinical relevance statementA self-adapting deep network, utilizing prostate masks and trained on large-scale bi-parametric MRI data, is effective in accurately detecting clinically significant prostate cancer across diverse datasets, highlighting the potential of deep learning methods for improving ...
Source: Insights into Imaging - June 19, 2023 Category: Radiology Source Type: research
Bizarre parosteal osteochondromatous proliferation: an educational review
AbstractBizarre parosteal osteochondromatous proliferation (BPOP) is a surface-based bone lesion belonging to the group of benign chondrogenic tumors. The aim of this review is to familiarize the readers with imaging features and differential diagnosis of BPOP, also addressing pathological presentation and treatment options. The peak of incidence of BPOP is in the third and fourth decades of life, although it can occur at any age. Hands are the most common location of BPOP (55%), followed by feet (15%) and long bones (25%). On imaging, BPOP appears as a well-marginated mass of heterotopic mineralization arising from the pe...
Source: Insights into Imaging - June 19, 2023 Category: Radiology Source Type: research
European survey on the use of patient contact shielding during radiological examinations
ConclusionsThis review shows that CS is still largely used across Europe. However, a non-shielding policy could be adopted in most departments if European professional societies provided recommendations. In this regard, a strong commitment by European and national professional societies to educate and inform practitioners, patients and carers is paramount.Clinical relevance statementAccording to this survey expectations of patients and carers, and skepticism among
professionals about the limited benefits of CS are the most important obstacles to the application of a no-shielding policy. A strong commitment from European...
Source: Insights into Imaging - June 19, 2023 Category: Radiology Source Type: research
Dynamic chest radiography: a state-of-the-art review
AbstractDynamic chest radiography (DCR) is a real-time sequential high-resolution digital X-ray imaging system of the thorax in motion over the respiratory cycle, utilising pulsed image exposure and a larger field of view than fluoroscopy coupled with a low radiation dose, where post-acquisition image processing by computer algorithm automatically characterises the motion of thoracic structures. We conducted a systematic review of the literature and found 29 relevant publications describing its use in humans including the assessment of diaphragm and chest wall motion, measurement of pulmonary ventilation and perfusion, and...
Source: Insights into Imaging - June 19, 2023 Category: Radiology Source Type: research
An overview of meta-analyses on radiomics: more evidence is needed to support clinical translation
ConclusionsThe systematic reviews on radiomics were with suboptimal quality. A limited number of radiomics approaches were supported by convincing level of evidence.Clinical relevance statementThe evidence supporting the clinical application of radiomics are insufficient, calling for researches translating radiomics from an academic tool to a practicable adjunct towards clinical deployment.Graphical Abstract (Source: Insights into Imaging)
Source: Insights into Imaging - June 19, 2023 Category: Radiology Source Type: research
Radiomics analysis of contrast-enhanced computed tomography in predicting the International Neuroblastoma Pathology Classification in neuroblastoma
ConclusionRadiomics analysis of contrast-enhanced CT demonstrates favorable diagnostic capabilities in distinguishing the INPC subgroups of neuroblastoma.Graphical AbstractCritical relevance statementRadiomics features of contrast-enhanced CT images correlate with the International Neuroblastoma Pathology Classification (INPC) of neuroblastoma. (Source: Insights into Imaging)
Source: Insights into Imaging - June 14, 2023 Category: Radiology Source Type: research
