Automatic and standardized quality assurance of digital mammography and tomosynthesis with deep convolutional neural networks
ConclusionsAn AI-based quality assessment system using a dCNN allows for precise, consistent and observer-independent rating of digital mammography and synthetic 2D reconstructions from tomosynthesis. Automation and standardization of quality assessment enable real-time feedback to technicians and radiologists that shall reduce a number of inadequate examinations according to PGMI (Perfect, Good, Moderate, Inadequate) criteria, reduce a number of recalls and provide a dependable training platform for inexperienced technicians. (Source: Insights into Imaging)
Source: Insights into Imaging - May 18, 2023 Category: Radiology Source Type: research

Efficient pulmonary nodules classification using radiomics and different artificial intelligence strategies
ConclusionDeep learning methods with transfer learning showed several benefits over statistical learning in terms of nodule prediction performance and saving efforts and time in training large datasets. SVM and DenseNet-121 showed the best performance when compared with their counterparts. There is still more room for improvement, especially when more data can be trained and lesion volume is represented in 3D.Clinical relevance statementMachine learning methods offer unique opportunities and open new venues in clinical diagnosis of lung cancer. The deep learning approach has been more accurate than statistical learning met...
Source: Insights into Imaging - May 18, 2023 Category: Radiology Source Type: research

Magnetic resonance imaging for treatment response evaluation and prognostication of hepatocellular carcinoma after thermal ablation
AbstractHepatocellular carcinoma (HCC) accounts for the vast majority of primary liver cancer and constitutes a major global health challenge. Tumor ablation with either radiofrequency ablation (RFA) or microwave ablation (MWA) is recommended as a curative-intent treatment for early-stage HCC. Given the widespread use of thermal ablation in routine clinical practice, accurate evaluation of treatment response and patient outcomes has become crucial in optimizing individualized management strategies. Noninvasive imaging occupies the central role in the routine management of patients with HCC. Magnetic resonance imaging (MRI)...
Source: Insights into Imaging - May 16, 2023 Category: Radiology Source Type: research

Radiologic-pathologic correlation of prostatic cancer extracapsular extension (ECE)
AbstractRecent advancements on nerve-sparing robotic prostatectomy allow fewer side effects such as urinary incontinence and sexual dysfunction. To perform such techniques, it is essential for the surgeon to know if the neurovascular bundle is involved. Despite being the gold-standard imaging method for Prostate Cancer (PCa) staging, Magnetic Resonance Imaging (MRI) lacks high specificity for detecting extracapsular extension (ECE). Therefore, it is essential to understand the pathologic aspects of ECE to better evaluate the MRI findings of PCa. We reviewed the normal MRI appearance of the prostate gland and the periprosta...
Source: Insights into Imaging - May 16, 2023 Category: Radiology Source Type: research

EuSoMII Annual Meeting 2022 ‘Your portal to AI’ Book of Abstracts
(Source: Insights into Imaging)
Source: Insights into Imaging - May 16, 2023 Category: Radiology Source Type: research

CT volume analysis in living donor liver transplantation: accuracy of three different approaches
ConclusionVolume analysis application better correlates with graft weight, but there is no obvious difference between correlation coefficients of all three methods. All three modalities had an error ratio, of which the semi-automated method showed the highest value.Critical relevance statementVolume analysis application was more accurate, but there is no drastic difference between correlation coefficients of all three methods.Graphical abstract (Source: Insights into Imaging)
Source: Insights into Imaging - May 15, 2023 Category: Radiology Source Type: research

Has the quality of reporting improved since it became mandatory to use the Standards for Reporting Diagnostic Accuracy?
ConclusionsMaking use of the STARD checklist mandatory significantly increased the adherence with reporting standards for diagnostic accuracy studies and should be considered by editors and publishers for widespread implementation.Critical relevance statementEditors may consider making reporting guidelines mandatory to improve the scientific quality.Graphical Abstract (Source: Insights into Imaging)
Source: Insights into Imaging - May 15, 2023 Category: Radiology Source Type: research

Imaging of hepatocellular carcinoma recurrence after liver transplantation
AbstractLiver transplantation (LT) provides the highest survival benefit to patients with unresectable hepatocellular carcinoma (HCC). The Milan criteria have been developed for the selection of LT candidates with the goal of improving survival and maintaining an acceptable risk of HCC recurrence. Despite this, recurrence of HCC after LT occurs in up to 20% of cases and represents a major concern due to the poor prognosis of these patients. Furthermore, several extended criteria for the selection of LT candidates have been proposed to account for the growing demand for organs and the resultant increase in the risk of HCC r...
Source: Insights into Imaging - May 15, 2023 Category: Radiology Source Type: research

Letter to the editor: “Utilization of CT and MRI scanning in Taiwan, 2000–2017”
(Source: Insights into Imaging)
Source: Insights into Imaging - May 15, 2023 Category: Radiology Source Type: research

QuADRANT: a study on uptake and implementation of clinical audit of medical radiological procedures in Europe —expert recommendations for improvement, endorsed by the ESR
ConclusionQuADRANT provides an important step towards enhancing clinical audit uptake and implementation across Europe and improving patient safety and outcomes. (Source: Insights into Imaging)
Source: Insights into Imaging - May 12, 2023 Category: Radiology Source Type: research

Comparison between percutaneous transthoracic co-axial needle CT-guided biopsy and transbronchial lung biopsy for the diagnosis of persistent pulmonary consolidation
ConclusionsCT-guided co-axial needle biopsy is an effective and safe modality, associated with higher diagnostic yield and better diagnostic accuracy compared to transbronchial lung biopsy for malignancy presenting as persistent consolidation, especially as the complementary method for TBLB-based negative lung lesions.Key PointsBoth PTCNB and TBLB showed high diagnostic accuracy for malignancy.PTCNB had a higher diagnostic yield than TBLB for persistent pulmonary consolidation.PTCNB could provide a complementary diagnosis for TBLB-based negative lung consolidation. (Source: Insights into Imaging)
Source: Insights into Imaging - May 11, 2023 Category: Radiology Source Type: research

Robustness of radiomics features of virtual unenhanced and virtual monoenergetic images in dual-energy CT among different imaging platforms and potential role of CT number variability
ConclusionsThe majority of DECT radiomics features were non-reproducible. The differences in CT number were considered as an indicator of inter-platform DECT radiomics variation.Critical relevance statement: The majority of radiomics features extracted from the VUE images and the VMI70keV were non-reproducible among platforms, while synchronizing energy levels of VMI to reduce the CT number value variability may be a potential way to mitigate radiomics instability.Graphical Abstract (Source: Insights into Imaging)
Source: Insights into Imaging - May 11, 2023 Category: Radiology Source Type: research

Ultrasound imaging of the axilla
AbstractAxilla is a pyramidal-in-shape “virtual cavity” housing multiple anatomical structures and connecting the upper limb with the trunk. To the best of our knowledge, in the pertinent literature, a detailed sonographic protocol to comprehensively assess the axillary region in daily practice is lacking. In this sense, the authors have briefly described the anatomical architecture of the axilla—also using cadaveric specimens—to propose a layer-by-layer sonographic approach to this challenging district. The most common sonographic pathological findings—for each and every anatomical compartment of the axilla—ha...
Source: Insights into Imaging - May 11, 2023 Category: Radiology Source Type: research

Imaging features of the PI-RADS for predicting extraprostatic extension of prostate cancer: systematic review and meta-analysis
ConclusionsAmong the six MRI features of prostate cancer, breach of the capsule with direct tumor extension and tumor-capsule interface  >  10 mm were the most predictive of EPE with the highest specificity and sensitivity, respectively.Graphical abstract (Source: Insights into Imaging)
Source: Insights into Imaging - May 8, 2023 Category: Radiology Source Type: research

CheckList for EvaluAtion of Radiomics research (CLEAR): a step-by-step reporting guideline for authors and reviewers endorsed by ESR and EuSoMII
AbstractEven though radiomics can hold great potential for supporting clinical decision-making, its current use is mostly limited to academic research, without applications in routine clinical practice. The workflow of radiomics is complex due to several methodological steps and nuances, which often leads to inadequate reporting and evaluation, and poor reproducibility. Available reporting guidelines and checklists for artificial intelligence and predictive modeling include relevant good practices, but they are not tailored to radiomic research. There is a clear need for a complete radiomics checklist for study planning, m...
Source: Insights into Imaging - May 4, 2023 Category: Radiology Source Type: research