Impact of Significant Coronary Artery Calcification Reported on Low-Dose Computed Tomography Lung Cancer Screening
Conclusion:
CAC is a common significant finding in LDCT for LCS. Reporting of CAC in patients with nonestablished CAD and semiquantitative assessment resulted in changes in management. (Source: Journal of Thoracic Imaging)
Source: Journal of Thoracic Imaging - February 29, 2020 Category: Radiology Tags: Original Articles Source Type: research
Imaging-guided Percutaneous Biopsy of Nodules ≤1 cm: Study of Diagnostic Performance and Risk Factors Associated With Biopsy Failure
Conclusions:
CT-guided percutaneous needle biopsy had high diagnostic yield for the diagnosis of subcentimeter lung nodules with a similar complication rate to biopsy of larger lesions. Fine-needle aspiration may be an independent factor for diagnostic failure even for malignant lesions. (Source: Journal of Thoracic Imaging)
Source: Journal of Thoracic Imaging - February 29, 2020 Category: Radiology Tags: Original Articles Source Type: research
Assessment of Lung Cancer Development in Idiopathic Pulmonary Fibrosis Patients Using Quantitative High-Resolution Computed Tomography: A Retrospective Analysis
Conclusions:
LC development is associated with progression of fibrosis; at baseline, FA% and HAA% reported more convenient sensitivity/specificity ratios in the prediction of LC development. (Source: Journal of Thoracic Imaging)
Source: Journal of Thoracic Imaging - February 29, 2020 Category: Radiology Tags: Original Articles Source Type: research
Quantification of Perinodular Emphysema in High-risk Patients Offers No Benefit in Lung Nodule Risk-Stratification of Malignancy Potential
Conclusions:
In this study, quantifying the degree of perinodular or regional emphysema did not offer any benefit in the risk stratification of lung nodules. (Source: Journal of Thoracic Imaging)
Source: Journal of Thoracic Imaging - February 29, 2020 Category: Radiology Tags: Original Articles Source Type: research
Tumor Volume Analysis as a Predictive Marker for Prolonged Survival in Anaplastic Lymphoma Kinase–rearranged Advanced Non–Small Cell Lung Cancer Patients Treated With Crizotinib
Conclusions:
The 8-week tumor volume decrease of>74% is significantly associated with longer OS in patients with ALK-rearranged NSCLC treated with crizotinib. (Source: Journal of Thoracic Imaging)
Source: Journal of Thoracic Imaging - February 29, 2020 Category: Radiology Tags: Original Articles Source Type: research
Computed Tomography–based Body Composition Analysis and Its Role in Lung Cancer Care
Body composition analysis, also referred to as analytic morphomics, morphomics, or morphometry, describes the measurement of imaging biomarkers of body composition such as muscle and adipose tissue, most commonly on computed tomography (CT) images. A growing body of literature supports the use of such metrics derived from routinely acquired CT images for risk prediction in various patient populations, including those with lung cancer. Metrics include cross-sectional area and attenuation of skeletal muscle and subcutaneous, visceral, and intermuscular adipose tissue. The purpose of this review is to provide an overview of t...
Source: Journal of Thoracic Imaging - February 29, 2020 Category: Radiology Tags: Review Articles Source Type: research
Patient-centered Radiology Reporting for Lung Cancer Screening
Medicine is slowly transitioning toward a more patient-centered approach, with patients taking a more central role in their own care. A key part of this movement has involved giving patients increased access to their medical record and imaging results via electronic health portals. However, most patients lack the knowledge to fully understand medical documents, which are generally written above their comprehension level. Radiology reports, in particular, utilize complex terminology due to radiologists’ historic function as consultants to other physicians, with little direct communication to patients. As a result, typical...
Source: Journal of Thoracic Imaging - February 29, 2020 Category: Radiology Tags: Symposium Review Articles Source Type: research
Patient-centered Radiology: Overview and Opportunities in Cardiothoracic Imaging
Radiology is unique compared with most other medical specialties in that care can sometimes be delivered without speaking to or touching the patient. Although radiologists have increasingly become involved in patient safety, quality improvement, informatics, and advocacy, they must still work harder than other medical specialties to be considered “patient-facing.” While cardiothoracic radiologists have likely experienced fewer opportunities to directly interface with patients, shared decision-making with patients around lung cancer screening and radiation dose optimization are both excellent examples of patient-centere...
Source: Journal of Thoracic Imaging - February 29, 2020 Category: Radiology Tags: Symposium Review Articles Source Type: research
Why do Thoracic Radiologists Need to Know About Cultural Competence (and What Is it Anyway)?
Thoracic radiologists meet patients when performing procedures such as transthoracic computed tomography–guided biopsy and during shared decision-making required for lung cancer screening. Both patients and thoracic radiologists are influenced by their cultures, which affect their health care interactions. While culture may relate to religion or ethnicity of individuals, it also includes multiple additional characteristics such as gender, socioeconomic status, sexual orientation, education, occupation, age, disability, and more. Patients from different cultures undergo similar medical procedures; however, care must be ta...
Source: Journal of Thoracic Imaging - February 29, 2020 Category: Radiology Tags: Symposium Review Articles Source Type: research
Patient-centered Radiology for the Thoracic Imager
No abstract available (Source: Journal of Thoracic Imaging)
Source: Journal of Thoracic Imaging - February 29, 2020 Category: Radiology Tags: Editorial Source Type: research
Complications and Accuracy of Computed Tomography–Guided Transthoracic Needle Biopsy in Patients Over 80 Years of Age: Erratum
No abstract available (Source: Journal of Thoracic Imaging)
Source: Journal of Thoracic Imaging - December 27, 2019 Category: Radiology Tags: Web Exclusive Content: Erratum Source Type: research
Sinus of Valsalva Aneurysms: Basic Concepts and Imaging Evaluation Using Multidetector Computed Tomography
Sinuses of Valsalva aneurysms are rare cardiac anomalies with a varied clinical spectrum. The presentation may range from silent asymptomatic cases detected incidentally to catastrophic rupture. They are associated with potentially fatal complications; however, the prognosis after treatment is excellent, which mandates prompt and accurate diagnosis. Imaging is of paramount importance in diagnosis, treatment planning, and postsurgical follow-up. Echocardiography remains the initial investigation of choice; however, cardiac magnetic resonance imaging and computed tomography are being increasingly utilized as complementary im...
Source: Journal of Thoracic Imaging - December 27, 2019 Category: Radiology Tags: Web Exclusive Content: Review Articles Source Type: research
Cardiac Outpouchings: A Multimodality Imaging Review
Cardiac outpouchings pose a diagnostic challenge when encountered in practice, as the signs, symptoms, and initial investigations, such as radiographs and electrocardiogram, are nonspecific. They may remain asymptomatic and be incidentally detected. However, a few may present with progressive shortness of breath, thromboembolic complications, arrhythmias, pressure effects, rupture, or even death. Imaging is of paramount importance in establishing an accurate diagnosis, delineating morphology and extent of the lesion along with its hemodynamic significance, planning management, and in the follow-up. (Source: Journal of Thoracic Imaging)
Source: Journal of Thoracic Imaging - December 27, 2019 Category: Radiology Tags: Web Exclusive Content: Review Articles Source Type: research
Cardiac Magnetic Resonance in Patients With Cardiac Implantable Electronic Devices: Challenges and Solutions
Until recently, cardiac implantable electronic devices (CIEDs) were an absolute contraindication to magnetic resonance imaging (MRI), due to concerns about their adverse interaction in the MRI environment. The increasing clinical need to perform MRI examinations in these patients was an impetus to the development of MR-Conditional CIEDs. Secure performance of MRI in these patients requires scanning under specified MR conditions as well as operating the device in MR-scanning mode. This requires robust institutional protocols and a well-trained multidisciplinary team of radiologists, cardiologists, device applications specia...
Source: Journal of Thoracic Imaging - December 27, 2019 Category: Radiology Tags: Web Exclusive Content: Review Articles Source Type: research
Accuracy and Time-Efficiency of an Automated Software Tool to Assess Left Ventricular Parameters in Cardiac Magnetic Resonance Imaging
This study was performed to assess the accuracy, reliability, and time-efficiency of a fully automated left ventricular (LV) segmentation software tool to calculate LV volumes and function compared with conventional manual contouring.
Materials and Methods:
Sixty-seven consecutive patients (53 male, mean age 62.5±10.9 y) underwent adenosine stress/rest perfusion cardiac magnetic resonance examination to rule out myocardial ischemia. Double-oblique short-axis 6-mm slice thickness steady-state free precession cine images were acquired to assess LV ejection fraction (EF), end-diastolic volume (EDV), end-systolic volume ...
Source: Journal of Thoracic Imaging - December 27, 2019 Category: Radiology Tags: Original Articles Source Type: research
