Response to “Is there a role for hydrogel spacer in post-prostatectomy radiotherapy setting?”
(Source: La Radiologia Medica)
Source: La Radiologia Medica - August 19, 2019 Category: Radiology Source Type: research

Interventional radiology protocol for treatment of esophagogastric anastomotic leakage
ConclusionInterventional radiology protocol is safe, feasible and efficacious for treatment for esophagogastric anastomotic leakage. (Source: La Radiologia Medica)
Source: La Radiologia Medica - August 19, 2019 Category: Radiology Source Type: research

Usefulness of preoperative breast magnetic resonance imaging with a dedicated axillary sequence for the detection of axillary lymph node metastasis in patients with early ductal breast cancer
ConclusionOur findings suggest that preoperative axial  + reconstructed coronal MR images exhibit good diagnostic performance for ALN metastasis in patients with early ductal breast cancer. In addition, peritumoral high signal intensity on T2-weighted images of the primary tumor can be used as a predictor of ALN metastasis in these patients. (Source: La Radiologia Medica)
Source: La Radiologia Medica - August 17, 2019 Category: Radiology Source Type: research

Whole-body computed tomography: a new point of view in a hospital check-up unit? Our experience in 6516 patients
AbstractBackgroundThere is a growing awareness that prevention and early diagnosis may reduce the high mortality associated with cancer, cardiovascular and other diseases. The role of whole-body computed tomography (WB-CT) in self-referred and asymptomatic patients has been debated.AimTo determine frequency and spectrum of WB-CT findings in average-risk subjects derived from a Medical-Check-Up-Unit, to evaluate recommendations reported and distribution according to sex and age-groups.Materials and methodsWe retrospectively reviewed 6516 subjects who underwent WB-CT (June 2004/February 2015). All were  >  4...
Source: La Radiologia Medica - August 12, 2019 Category: Radiology Source Type: research

Locally advanced inoperable primary or recurrent non-small cell lung cancer treated with 4-week hypofractionated radiation therapy (3  Gy/fraction)
ConclusionIn patients not suitable of concurrent radio-chemotherapy, exclusive or sequential hypofractionated schedule using 60  Gy in 20 fractions was well tolerated and presented promising results. Complete local response was a predictor of better outcomes, and any efforts will be made to perform prospective clinical trials to further evaluate hypofractionated regimens with increased lesional BED. (Source: La Radiologia Medica)
Source: La Radiologia Medica - July 17, 2019 Category: Radiology Source Type: research

Detection of Crohn ’s disease with diffusion images versus contrast-enhanced images in pediatric using MR enterography with histopathological correlation
AbstractThe purpose of this study was to determine whether MRE performed with diffusion-weighted imaging (DWI) sequences is comparable to contrast-enhanced MRE in the detection of active small-bowel inflammation in pediatric patients with Crohn ’s disease (CD). We included in our study 68 patients with diagnosis of CD between April 2015 and June 2018 that underwent MRE examination. Examination protocol includes coronal and axial FISP, T2-w half-Fourier RARE and DWI sequences, a baseline coronal T1-w fat-saturated ultrafast (GRE) sequence followed by contrast 3D T1-w GRE. All images were assessed by two radiologists w...
Source: La Radiologia Medica - July 17, 2019 Category: Radiology Source Type: research

Acute penile trauma: imaging features in the emergency setting
AbstractIn an emergency department, penile traumas are uncommon and a prompt diagnosis is necessary. Penile injury may result from penetrating and non-penetrating trauma. Non-penetrating injuries can produce cavernosal hematomas or fractures: if not treated promptly, these lesions can result in fibrosis or erectile dysfunction. Penile traumatic lesions need a clinical approach first, but a radiological study is often required: ultrasonography with color and spectral Doppler study is usually the first approach. In some cases, magnetic resonance imaging may be performed to better recognize even small discontinuity of the tun...
Source: La Radiologia Medica - July 13, 2019 Category: Radiology Source Type: research

Clostridium difficile colitis: CT findings and differential diagnosis
AbstractClostridium difficile infection (CDI) is a severe and potentially deadly infectious colitis whose incidence is dramatically increasing in the last decades, with more virulent strains. CDI should be suspected in case of unexplained diarrhea and abdominal pain in patients with a recent history of antibiotic use and healthcare exposures; diagnosis is based on a combination of clinical and laboratory findings with demonstration of C. difficile toxins by stool test. The advantages of contrast-enhanced computed tomography (CECT) are the noninvasiveness and the ability to evaluate both the colonic wall and the adjacent so...
Source: La Radiologia Medica - July 13, 2019 Category: Radiology Source Type: research

Intrathyroidal ectopic thymus tissue: emphasis on details
(Source: La Radiologia Medica)
Source: La Radiologia Medica - July 8, 2019 Category: Radiology Source Type: research

Acute rejection after lung transplantation: association between histopathological and CT findings
ConclusionCT is a very useful technique for the assessment of lung transplant recipients although it has limited accuracy for the assessment of acute rejection. None of the radiological findings considered in our study was significantly associated with histologically proven acute rejection. (Source: La Radiologia Medica)
Source: La Radiologia Medica - July 5, 2019 Category: Radiology Source Type: research

Identification of bone marrow edema of the ankle: diagnostic accuracy of dual-energy CT in comparison with MRI
AbstractObjectiveTo evaluate the diagnostic accuracy of dual-energy computed tomography (DECT) to identify bone marrow edema (BME) of the ankle.MethodsThis prospective institutional review board approved study included 40 consecutive patients (29 males and 11 females; mean age of 32.3  years) studied with DECT (80 kV and tin filter 150 kV) and MRI within 10 days. DECT data were post-processed for generating non-calcium images of the ankle. Two radiologists evaluated the presence of BME on color-coded maps. Diagnostic accuracy values for diagnosing BME were calculated for DECT maps (qualitative assessmen...
Source: La Radiologia Medica - July 4, 2019 Category: Radiology Source Type: research

MRI of the axial skeleton: differentiating non-inflammatory diseases and axial spondyloarthritis: a review of current concepts and applications
(Source: La Radiologia Medica)
Source: La Radiologia Medica - July 4, 2019 Category: Radiology Source Type: research

Is there a role for hydrogel spacer in post-prostatectomy radiotherapy setting?
(Source: La Radiologia Medica)
Source: La Radiologia Medica - July 4, 2019 Category: Radiology Source Type: research

Thermal ablation with fusion imaging guidance of hepatocellular carcinoma without conspicuity on conventional or contrast-enhanced US: surrounding anatomical landmarks matter
AbstractAimEvaluating clinical and technical factors affecting thermal ablation of B-Mode/CEUS inconspicuous HCC nodules, relying only on fusion imaging (FI) performed under conscious sedation and using previously acquired CT or MR.Materials and methodsAmong 367 HCC nodules treated in the study period, data of 37 B-mode/CEUS undetectable HCC nodules treated with FI-guided ablation were extracted from our prospectively collected institutional database. Analyzed variables included patients ’ sex, age, cirrhosis etiology, Child–Pugh status, size of the lesion, liver segment, subcapsular or central liver site, type...
Source: La Radiologia Medica - July 3, 2019 Category: Radiology Source Type: research

Receiver operating characteristic analysis of ultrasound joint inflammation in relation to structural damage and disease activity in rheumatoid arthritis
ConclusionsUltrasound GS and PD joint inflammation scores can be useful in identifying RA patients with high bone erosion burden (ultrasound erosion score  >  4.5) and high disease activity (DAS28 >  5.1), respectively. (Source: La Radiologia Medica)
Source: La Radiologia Medica - July 3, 2019 Category: Radiology Source Type: research

CT and MRI features of scalp lesions
AbstractScalp lesions can be classified as congenital, traumatic, inflammatory, or neoplastic in origin. Although patients presenting with scalp masses are frequently seen in daily practice, differentiation of scalp lesions is often challenging for radiologists who are not familiar with the imaging of cutaneous lesions. The majority of scalp lesions are fortunately benign, with cystic lesions accounting for over 50% of all benign scalp lesions. Such lesions include trichilemmal cysts (pilar cysts), sebaceoma, epidermoid cysts, dermoid cysts, and teratoid cysts. Radiologists may also occasionally encounter benign neoplasms ...
Source: La Radiologia Medica - July 3, 2019 Category: Radiology Source Type: research

Ultrasound as a potential tool for the assessment of interstitial lung disease in rheumatic patients. Where are we now?
AbstractLung ultrasound (LUS) achieved an intriguing role in the management of pulmonary involvement in patients affected by connective tissues diseases (CTDs). Few studies have been performed to support its usefulness in the evaluation of the presence and the severity of interstitial lung disease (ILD), relating it to the information obtained with chest high-resolution computed tomography (HRCT). These results open up new fields of research in order to demonstrate the utility of LUS as screening tool to evaluate ILD in CTD. The aim of this review is to provide the “state of the art” of the role of LUS in the m...
Source: La Radiologia Medica - July 2, 2019 Category: Radiology Source Type: research

EULAR recommendations for the use of imaging in large vessel vasculitis in clinical practice summary
AbstractLarge vessel vasculitis (LVV) is the most common form of primary vasculitis comprising of giant cell arteritis (GCA), Takayasu ’s arteritis (TAK) and idiopathic aortitis. Early diagnosis and treatment of LVV are paramount to reduce the risk of ischemic complications such as visual loss and strokes, vascular stenosis and occlusion, and aortic aneurysm formation. Use of imaging modalities [ultrasound (US), magnetic resonanc e imaging (MRI), computed tomography (CT) and [18F]-fluorodeoxyglucose positron emission tomography (PET)] has steadily increased to enable assessment of cranial and extracranial arteries, a...
Source: La Radiologia Medica - June 28, 2019 Category: Radiology Source Type: research

Texture analysis versus conventional MRI prognostic factors in predicting tumor response to neoadjuvant chemotherapy in patients with locally advanced cancer of the uterine cervix
ConclusionTexture analysis applied to T2-weighted images of uterine cervical cancer exceeded the role of conventional prognostic factors in predicting tumoral response; moreover, they showed a potential role to differentiate histological tumor types. (Source: La Radiologia Medica)
Source: La Radiologia Medica - June 28, 2019 Category: Radiology Source Type: research

Post-mortem computed tomography (PMCT) radiological findings and assessment in advanced decomposed bodies
ConclusionRadiological imaging by PMCT as an adjunct to autopsy in advanced decomposed bodies represents a useful tool in detecting post-mortem gas, even in very small amounts. A correct interpretation process of the PMCT data is essential to avoid images pitfalls, due to natural decomposition that can be mistaken for pathologic processes. (Source: La Radiologia Medica)
Source: La Radiologia Medica - June 28, 2019 Category: Radiology Source Type: research

Diagnostic performance of contrast-enhanced dual-energy spectral mammography (CESM): a retrospective study involving 644 breast lesions
AbstractObjectiveTo evaluate the diagnostic performance of contrast-enhanced dual-energy spectral mammography (CESM) in comparison with that of full-field digital mammography (FFDM), either alone or accompanied with breast ultrasound (BUS) in a large series of patients/breast lesions (n = 644).Patients and methodsIn this retrospective study, five radiologists evaluated the lesions by three imaging modalities: FFDM, FFDM  + BUS, and CESM and compared the imaging to the gold standard (histopathology or clinical follow-up). Diagnostic performance parameters and receiver operating characteristic (RO...
Source: La Radiologia Medica - June 27, 2019 Category: Radiology Source Type: research

Pulmonary arteriovenous malformations: what the interventional radiologist needs to know
AbstractPulmonary arteriovenous malformations (PAVMs) or fistulas are rare direct pathological connections between pulmonary arterial and venous circulation. Most of PAVMs are congenital and closely associated with hereditary hemorrhagic telangiectasia, but acquired PAVMs have also been described in the literature. Diagnosis of PAVMs is a priority for clinicians, in order to prevent potentially fatal events such as cerebrovascular stroke, systemic septic embolization, hemoptysis and hemothorax. In this scenario, the radiologist plays a key role in both diagnostic and therapeutic workups of PAVMs: Chest X-ray, computed tomo...
Source: La Radiologia Medica - June 17, 2019 Category: Radiology Source Type: research

Added value of MRI tractography of peri-prostatic nerve plexus to conventional T2-WI in detection of extra-capsular extension of prostatic cancer
ConclusionThe morphologic component of T2-weighted imaging and functional aspect of DTI should be interpreted together to more successfully assess the presence of ECE. (Source: La Radiologia Medica)
Source: La Radiologia Medica - June 13, 2019 Category: Radiology Source Type: research

Up-to-date imaging review of paediatric soft tissue vascular masses, focusing on sonography
We describe the —often challenging-imaging diagnosis—mainly performed by ultrasound (and secondarily by MRI) and differential diagnosis of vascular soft tissue lesions in children. We underline how important it is to determine whether a vascular anomaly has a regional vascular origin, or if there are other enti ties, ranging from benign to malignant lesions, which have flow-signal or blood degradation products. Even though clinical examination and patient’s history are the first and indispensable steps in the initial diagnosis, the role of imaging is crucial, not only to determine whether a mass represen ...
Source: La Radiologia Medica - June 11, 2019 Category: Radiology Source Type: research

Retrospective outcome analysis of rates and types of complications after 8654 minimally invasive radiological port implantations via the subclavian vein without ultrasound guidance
ConclusionMinimally invasive radiological interventional port implantation is a safe treatment option with a low rate of complications even without ultrasound guidance. (Source: La Radiologia Medica)
Source: La Radiologia Medica - June 7, 2019 Category: Radiology Source Type: research

Prenatal MRI of neck masses with special focus on the evaluation of foetal airway
ConclusionPrenatal MRI demonstrated high accuracy in assessing foetal airway status and diagnosing mass nature, allowing proper delivery planning. (Source: La Radiologia Medica)
Source: La Radiologia Medica - June 7, 2019 Category: Radiology Source Type: research

Texture features of colorectal liver metastases on pretreatment contrast-enhanced CT may predict response and prognosis in patients treated with bevacizumab-containing chemotherapy: a pilot study including comparison with standard chemotherapy
AbstractPurposeBevacizumab added to chemotherapy can improve survival in patients with metastatic colorectal cancer, but no predictive factors of efficacy are available in clinical practice. The aim of this study is to assess the predictive and prognostic value of texture analysis on pretreatment contrast-enhanced CT in patients affected by colorectal liver metastases.Materials and methodsForty-three patients with colorectal liver metastases were retrospectively included in the study: 23 treated with bevacizumab-containing chemotherapy (group A), and 20 with standard chemotherapy (group B). Target liver lesions were analyz...
Source: La Radiologia Medica - June 6, 2019 Category: Radiology Source Type: research

The accuracy of computed tomography in detecting surgically resectable blebs or bullae in primary spontaneous pneumothorax
ConclusionThe sensitivity of the chest computed tomography scan is high in detecting surgically resectable pulmonary blebs or bullae. However, the specificity is low. This may lead to overdiagnosis of the patients to have pulmonary blebs and bullae. Therefore, the routine use of chest computed tomography scan before the surgical exploration in patients with primary spontaneous pneumothorax should depend on the clinical judgment. (Source: La Radiologia Medica)
Source: La Radiologia Medica - May 27, 2019 Category: Radiology Source Type: research

Applying radiation protection and safety in radiotherapy
Abstract Radiotherapy is one of the primary treatment options in cancer management. Modern radiotherapy includes complex processes requiring many different kinds of expertise. Among them, knowledge and skills are needed in clinical oncology, radiobiology, radiotherapy planning and simulation, dose measurement and calculation, radiation safety and medical physics. Radiation oncologists should assume the full and final responsibility for treatment, follow-up and supportive care of the patient. For all these activities, radiation oncologist should coordinate and collaborate with a team including different professionals: nur...
Source: La Radiologia Medica - May 18, 2019 Category: Radiology Source Type: research

Robotic stereotactic radiotherapy for liver oligometastases from colorectal cancer: a single-center experience
AbstractPurposeTo report on the safety and clinical benefit of robotic stereotactic radiotherapy (SBRT) for liver oligometastatic colorectal cancer (CRC).MethodsRobotic SBRT was applied to oligometastatic CRC patients, defined as having 1 –4 liver metastases and absent or controlled extrahepatic disease. The intended prescription dose was 37.5 Gy in three fractions. Treatment efficacy was estimated by clinical benefit rate (CBR), progression-free survival (PFS) and overall survival (OS). Toxicity was graded according to CTC-AE sca le, v. 4.03. Regression analysis was performed to search for the presence of any p...
Source: La Radiologia Medica - May 18, 2019 Category: Radiology Source Type: research

How radiology can help pulmonary tuberculosis diagnosis: analysis of 49 patients
ConclusionsOur series confirms the extreme heterogeneity of pulmonary tuberculosis. It also proves there are couple of findings which can drive us to the right diagnosis. While a triad of findings predicts AFB positivity, we have not found any predictive sign of AFB negativity; consequently, all patients with suspected imaging and clinical findings for TB should be isolated. (Source: La Radiologia Medica)
Source: La Radiologia Medica - May 13, 2019 Category: Radiology Source Type: research

Diagnosis of urine leakage after bladder repair: a prospective comparative study of ultra-low-dose CT cystography and conventional retrograde cystography
ConclusionsUltra-low-dose CT cystography is an accurate method for evaluating urine leakage after bladder repair, and this technique may help determine the most appropriate treatment strategy for patients with urine leakage after bladder repair. (Source: La Radiologia Medica)
Source: La Radiologia Medica - May 13, 2019 Category: Radiology Source Type: research

National guidelines for dental diagnostic imaging in the developmental age
(Source: La Radiologia Medica)
Source: La Radiologia Medica - May 4, 2019 Category: Radiology Source Type: research

Subspecialization in radiology: effects on the diagnostic spectrum of radiologists and report turnaround time in a Swiss university hospital
AbstractPurposeTo analyze the changes in the work profiles of radiologists and the reporting time after the implementation of professional subspecialization in the radiology department of a Swiss university hospital.MethodsIn a retrospective analysis, the overall number of different radiologic examinations performed in the department of radiology of the largest Swiss university hospital was documented for 2014 and 2016 before and after the implementation of subspecialized reporting (subspecialities: abdominal, musculoskeletal, cardiothoracic, emergency, and pediatric imaging) in May 2015. For six selected radiologists, the...
Source: La Radiologia Medica - April 22, 2019 Category: Radiology Source Type: research

Radiation exposure related to cardiovascular CT examination: comparison between conventional 64-MDCT and third-generation dual-source MDCT
AbstractPurposeTo compare radiation exposure associated with daily practice cardiovascular (CV) examinations performed on two different multidetector computed tomography (MDCT) scanners, a conventional 64-MDCT and a third-generation dual-source (DS) MDCT.Materials and methodsIn this retrospective study, 1458 patients who underwent CV examinations between January 2017 and August 2018 were enrolled. A single-source 64-MDCT (Lightspeed VCT, GE) scan was performed in 705 patients from January to August 2017 (207 coronary examinations and 498 vascular examinations) and 753 patients underwent third-generation 192  ×...
Source: La Radiologia Medica - April 22, 2019 Category: Radiology Source Type: research

Trends in radiation dose and image quality for pediatric patients with a multidetector CT and a third-generation dual-source dual-energy CT
ConclusionThe third-generation dsCT provides high-quality images with reduced motion artifacts at lower dose. (Source: La Radiologia Medica)
Source: La Radiologia Medica - April 19, 2019 Category: Radiology Source Type: research

Medical radiological procedures: which information would be chosen for the report?
ConclusionsOur research revealed that there is not a shared interpretation of patient exposure information to be included in radiological report. Nevertheless, according to scientific community, authors believe that the exposure is the most appropriate information that could be included in radiological report. Alternatively, but with more expensiveness, a risk index based on effective dose could be used. Moreover, the systematic exposure information recorded could be useful for dose estimates of population from medical exposure. (Source: La Radiologia Medica)
Source: La Radiologia Medica - April 9, 2019 Category: Radiology Source Type: research

Extra-pleural pneumonectomy in the era of image-guided intensity-modulated radiotherapy
ConclusionsAlthough executed in the era of high-technology radiotherapy (IG-IMRT), EPP should not be routinely performed. (Source: La Radiologia Medica)
Source: La Radiologia Medica - April 8, 2019 Category: Radiology Source Type: research

Practical recommendations for the application of DE 59/2013
AbstractThe changes introduced with Council Directive 2013/59/Euratom will require European Member States adapt their regulations, procedures and equipment to the new high standards of radiation safety. These new requirements will have an impact, in particular, on the radiology community (including medical physics experts) and on industry. Relevant changes include new definitions, a new dose limit for the eye lens, non-medical imaging exposures, procedures in asymptomatic individuals, the use and regular review of diagnostic reference levels (including interventional procedures), dosimetric information in imaging systems a...
Source: La Radiologia Medica - April 5, 2019 Category: Radiology Source Type: research

Advanced magnetic resonance imaging (MRI) of soft tissue tumors: techniques and applications
AbstractImaging evaluation of soft tissue tumors is important for the diagnosis, staging, and follow-up. Magnetic resonance imaging (MRI) is the preferred imaging modality due to its multiplanarity and optimal tissue contrast resolution. However, standard morphological sequences are often not sufficient to characterize the exact nature of the lesion, addressing the patient to an invasive bioptic examination for the definitive diagnosis. The recent technological advances with the development of functional MRI modalities such as diffusion-weighted imaging, dynamic contrast-enhanced perfusion imaging, magnetic resonance spect...
Source: La Radiologia Medica - April 4, 2019 Category: Radiology Source Type: research

Protecting sensitive patient groups from imaging using ionizing radiation: effects during pregnancy, in fetal life and childhood
AbstractThe frequency of imaging examinations requiring radiation exposure in children (especially CT) is rapidly increasing. This paper reviews the current evidence in radiation protection in pediatric imaging, focusing on the recent knowledge of the biological risk related to low doses exposure. Even if there are no strictly defined limits for patient radiation exposure, it is recommended to try to keep doses as low as reasonably achievable (the ALARA principle). To achieve ALARA, several techniques to reduce the radiation dose in radiation-sensitive patients groups are reviewed. The most recent recommendations that prov...
Source: La Radiologia Medica - April 4, 2019 Category: Radiology Source Type: research

Dematerialisation of patient ’s informed consent in radiology: insights on current status and radiologists’ opinion from an Italian online survey
ConclusionRadiologists were mostly favourable to PIC dematerialisation. However, concerns were raised that its practical implementation might face hurdles due to its complexity in current real life working conditions. (Source: La Radiologia Medica)
Source: La Radiologia Medica - April 2, 2019 Category: Radiology Source Type: research

The new lens dose limit: implication for occupational radiation protection
ConclusionThe evaluation of the occupational eye lens dose is essential to establish which method of personal dose monitoring should be preferred. Furthermore, education and training about the right use of personal protective equipment are important for medical staff working with ionizing radiation. (Source: La Radiologia Medica)
Source: La Radiologia Medica - March 27, 2019 Category: Radiology Source Type: research

The pulmonary findings of Crimean –Congo hemorrhagic fever patients with chest X-ray assessments
ConclusionAccording to the results of our study, it can be suggested that radiological examination in lungs should be performed primarily with CXR and pulmonary involvement (pleural effusion and consolidation) affects survival in CCHF negatively. (Source: La Radiologia Medica)
Source: La Radiologia Medica - March 25, 2019 Category: Radiology Source Type: research

CT assessment of tumor heterogeneity and the potential for the prediction of human papillomavirus status in oropharyngeal squamous cell carcinoma
AbstractThe aim of this study is to find a correlation between tumoral heterogeneity of squamous cell carcinoma of the oropharynx and human papillomavirus (HPV) status and to determine whether analysis of texture features of primary lesion on contrast-enhanced CT (CECT) images can be useful in predicting the HPV positivity. Fifty patients with diagnosis of oropharyngeal carcinoma and pre-treatment CECT were included; tumoral heterogeneity of each lesion was evaluated by extracting quantitative texture parameters of first and higher orders.T test and logistic regression were conducted to evaluate the effects of different te...
Source: La Radiologia Medica - March 25, 2019 Category: Radiology Source Type: research

Positron emission tomography for staging locally advanced cervical cancer and assessing intensity modulated radiotherapy approach
ConclusionsThe18FDG-PET/CT influenced stage assessment and RT treatment planning due to its high specificity in distant metastases and nodal involvement detection. The IMRT with SIB for positive nodes was an effective therapy with acceptable toxicity in LACC. (Source: La Radiologia Medica)
Source: La Radiologia Medica - March 23, 2019 Category: Radiology Source Type: research

Carotid artery plaque characterization with a wide-detector computed tomography using a dedicated post-processing 3D analysis: comparison with histology
ConclusionsMulti-detector CT angiography represents a valuable technique to assess quantitatively the composition of atherosclerotic plaques, with particular reference to the prevalence of fibrotic tissue, and is a useful diagnostic tool to improve risk stratification of patients for cerebral stroke. (Source: La Radiologia Medica)
Source: La Radiologia Medica - March 22, 2019 Category: Radiology Source Type: research

Analyses of fracture line distribution in intra-articular distal radius fractures
ConclusionThis study redefines a new method for the classification of intra-articular fractures of the distal radius, which allows doctors to have a clearer understanding of the characteristics of distal radius fractures. Moreover, the application value in fracture diagnosis is more significant, and the best surgical approach is selected for different types. (Source: La Radiologia Medica)
Source: La Radiologia Medica - March 22, 2019 Category: Radiology Source Type: research

Overdiagnosis and overimaging: an ethical issue for radiological protection
ConclusionsWe underline the ethical imperatives of trust and right conduct, because the major ethical problems in radiology emerge in the justification of medical exposures of patients in the practice. A close cooperation and collaboration across all the physicians responsible for patient care in requiring imaging examination is also important, balancing possible ionizing radiation disadvantages and patient benefits in terms of care. (Source: La Radiologia Medica)
Source: La Radiologia Medica - March 21, 2019 Category: Radiology Source Type: research

Imaging in rheumatoid arthritis: the role of magnetic resonance imaging and computed tomography
AbstractIn suspected and diagnosed rheumatoid arthritis (RA), magnetic resonance imaging (MRI) allows detection of all relevant pathologies, such as synovitis, tenosynovitis, bone marrow edema (osteitis), bone erosion and cartilage damage. MRI is more sensitive than clinical examination for monitoring disease activity (i.e., inflammation) and more sensitive than conventional radiography and ultrasonography for monitoring joint destruction. In suspected RA, MRI bone marrow edema predicts development of RA, and in early RA patients, it predicts subsequent structural damage progression. CT is the standard reference imaging mo...
Source: La Radiologia Medica - March 18, 2019 Category: Radiology Source Type: research