Implementation of structured reporting in clinical routine: a review of 7  years of institutional experience
ConclusionsThe increasing SR usage during the period under review and the positive attitude towards SR among both radiologists and clinical referrers show that SR can be successfully implemented. We therefore encourage others to take this step in order to benefit from the advantages of SR.Key pointsStructured reporting usage increased markedly since its implementation at our institution in 2016.Mean usage for the ten most popular structured reporting templates was 77% in 2022.Both radiologists and referring physicians preferred structured reports over free-text reports.Our data shows that structured reporting can be succes...
Source: Insights into Imaging - April 11, 2023 Category: Radiology Source Type: research

Diagnostic reference level  quantities for adult chest and abdomen-pelvis CT examinations: correlation with organ doses
ConclusionsCorrelations between DRLq and target-organ doses associated with clinical practice can support guidance ’s to the establishment of optimization criteria. SSDE demonstrated to be significant in the evaluation of organ doses is also highlighted. The proposed model allows the design of optimization actions with specific risk-reduction results. (Source: Insights into Imaging)
Source: Insights into Imaging - April 7, 2023 Category: Radiology Source Type: research

Pretreatment synthetic magnetic resonance imaging predicts disease progression in nonmetastatic nasopharyngeal carcinoma after intensity modulation radiation therapy
ConclusionSyMRI combined with histogram analysis could predict disease progression in NPC patients, and SyMRI  + DWI + Clinic model further improved the predictive performance. (Source: Insights into Imaging)
Source: Insights into Imaging - April 5, 2023 Category: Radiology Source Type: research

CT appearances and classification of hepatic epithelioid hemangioendothelioma
ConclusionCT features variated among HEH patients with different lesion types, and radiological appearances of HEH should be classified into nodular type, locally coalescent type and diffusely coalescent type. (Source: Insights into Imaging)
Source: Insights into Imaging - April 1, 2023 Category: Radiology Source Type: research

Education and training in radiation protection in Europe: results from the EURAMED Rocc-n-Roll project survey
ConclusionsA heterogeneity in RP E&T during undergraduate, residency/internship and continuous professional development is evident across Europe. Differences were noted per area of practice/research, profession, and European geographic region. A large variation in RP E&T problem rating was also obtained. (Source: Insights into Imaging)
Source: Insights into Imaging - April 1, 2023 Category: Radiology Source Type: research

Opportunistic screening for osteoporosis by abdominal CT in a British population
ConclusionsRoutine abdominal CT can be used to opportunistically screen for osteoporosis without additional cost or radiation exposure. The thresholds identified in this study are comparable with previous studies in other populations. We recommend radiologists engage with primary care and rheumatology providers to determine appropriate cut-off values for further investigation. (Source: Insights into Imaging)
Source: Insights into Imaging - April 1, 2023 Category: Radiology Source Type: research

Topological data analysis in medical imaging: current state of the art
AbstractMachine learning, and especially deep learning, is rapidly gaining acceptance and clinical usage in a wide range of image analysis applications and is regarded as providing high performance in detecting anatomical structures and identification and classification of patterns of disease in medical images. However, there are many roadblocks to the widespread implementation of machine learning in clinical image analysis, including differences in data capture leading to different measurements, high dimensionality of imaging and other medical data, and the black-box nature of machine learning, with a lack of insight into...
Source: Insights into Imaging - April 1, 2023 Category: Radiology Source Type: research

Integrative diagnostics: the time is now —a report from the International Society for Strategic Studies in Radiology
AbstractEnormous recent progress in diagnostic testing can enable more accurate diagnosis and improved clinical outcomes. Yet these tests are increasingly challenging and frustrating; the volume and diversity of results may overwhelm the diagnostic acumen of even the most dedicated and experienced clinician. Because they are gathered and processed within the “silo” of each diagnostic discipline, diagnostic data are fragmented, and the electronic health record does little to synthesize new and existing data into usable information. Therefore, despite great promise, diagnoses may still be incorrect, delayed, or never mad...
Source: Insights into Imaging - March 30, 2023 Category: Radiology Source Type: research

A clinical –radiomics model based on noncontrast computed tomography to predict hemorrhagic transformation after stroke by machine learning: a multicenter study
ConclusionThe proposed clinical –radiomics model is a dependable approach that could provide risk assessment of HT for patients who receive IVT after stroke. (Source: Insights into Imaging)
Source: Insights into Imaging - March 29, 2023 Category: Radiology Source Type: research

Invest in the future: “Hands-on Radiology” summer school
ConclusionIntensive three-day courses are valuable tools to strengthen interest in radiology and increase knowledge among medical students. Particularly, students who already have a tendency to specialize in radiology are further motivated. (Source: Insights into Imaging)
Source: Insights into Imaging - March 29, 2023 Category: Radiology Source Type: research

Dual-energy CT quantification of extracellular liver volume predicts short-term disease progression in patients with hepatitis B liver cirrhosis-acute decompensation
ConclusionThe model combined ECVIC-liver and CLIF-C ADs can early predict the occurrence of ACLF within 90  days in HBV LC-AD patients. (Source: Insights into Imaging)
Source: Insights into Imaging - March 29, 2023 Category: Radiology Source Type: research

Prognostic significance of non-infarcted myocardium correlated with microvascular impairment evaluated dynamically by native T1 mapping
ConclusionsThe evolution of native T1 in remote myocardium was associated with the extent of microvascular impairment after reperfusion injury. In patients with MVO, native30D T1 and LGE were joint independent predictors of MACE. (Source: Insights into Imaging)
Source: Insights into Imaging - March 20, 2023 Category: Radiology Source Type: research

Characterization of high-grade prostate cancer at multiparametric MRI: assessment of PI-RADS version 2.1 and version 2 descriptors across 21 readers with varying experience (MULTI study)
ConclusionsExperience significantly impacted lesion characterization using PI-RADSv2.1 descriptors. As compared to PI-RADSv2, PI-RADSv2.1 tended to downgrade non-csPCa lesions, but this effect was small and variable across readers. (Source: Insights into Imaging)
Source: Insights into Imaging - March 20, 2023 Category: Radiology Source Type: research

Does deep learning software improve the consistency and performance of radiologists with various levels of experience in assessing bi-parametric prostate MRI?
ConclusionsThe commercially available DL software does not increase the consistency of the bi-parametric PI-RADS scoring or csPCa detection performance of radiologists with varying levels of experience. (Source: Insights into Imaging)
Source: Insights into Imaging - March 20, 2023 Category: Radiology Source Type: research

Correlation of androgen receptor with ultrasound, clinicopathological features and clinical outcomes in breast cancer
ConclusionOur research demonstrated that AR expression was closely related to ultrasound, clinicopathological features and prognosis of breast cancer. (Source: Insights into Imaging)
Source: Insights into Imaging - March 16, 2023 Category: Radiology Source Type: research