How to Approach the  Imaging Differential Diagnosis of Rheumatic Diseases by Anatomic Location
The purpose of this review is to present an approach to differential diagnosis based on the particular features of involvement of the most common rheumatological conditions focused on anatomic location (by joint). The most common radiological signs and how they are demonstrated in different modalities, as well as the typical patterns of involvement are analyzed, with the aim to facilitate the differential diagnosis. Early and adequate adjustment of treatment has an effect on outcome, and on this basis, early diagnosis and characterization are paramount to appropiately manage patients. (Source: Radiologic Clinics of North America)
Source: Radiologic Clinics of North America - April 24, 2024 Category: Radiology Authors: Maria Pilar Aparisi G ómez, Grammatina Boitsios, Miriana Petrera, Giuseppe Guglielmi, Paolo Simoni, Alberto Bazzocchi Source Type: research

Artificial Intelligence in Radiology
This study presents an overview of the current research on the application of AI in radiology, highlighting key insights from recent studies and surveys. These recent studies have explored the expected impact of AI, encompassing machine learning and deep learning, on the work volume of diagnostic radiologists. The present and future role of AI in radiology holds great promise for enhancing diagnostic capabilities, improving workflow efficiency, and ultimately, advancing patient care. (Source: Radiologic Clinics of North America)
Source: Radiologic Clinics of North America - April 24, 2024 Category: Radiology Authors: Alireza Mohseni, Elena Ghotbi, Foad Kazemi, Amirali Shababi, Shayan Chashm Jahan, Anita Mohseni, Niloufar Shababi Source Type: research

Vertebral Augmentation for Osteoporotic Vertebral Compression Fractures
Osteoporotic vertebral compression fractures can be quite challenging to treat, especially since they often occur in older adults and can be associated with significant morbidity and mortality. The standard treatment for these fractures has been medical management, as many of these patients are not candidates for open surgery. Vertebral augmentation procedures have emerged as another treatment option. Though initially accepted by clinicians, the benefit of these procedures has been questioned by several clinical trials. Safety concerns related to adjacent level fractures and cement extravasation have also been raised. We r...
Source: Radiologic Clinics of North America - April 23, 2024 Category: Radiology Authors: Tarik Gozel, A. Orlando Ortiz Source Type: research

Current Role of Conventional Radiology in Rheumatology
The correct interpretation of the most common radiological findings in rheumatological diseases can be pivotal for an accurate diagnosis. X rays offer immediacy, worldwide availability, affordability, and the ability to detect subtle bone changes. Numerous scoring systems that have been developed to support clinical practice are based on joint damage that can be observed on X rays. Metabolic, degenerative, infective, and inflammatory processes manifest as distinct alterations in joints and their identification can be challenging. In this review, the authors will discuss the most common radiological findings in hands, hips,...
Source: Radiologic Clinics of North America - April 23, 2024 Category: Radiology Authors: Francesco Arrigoni, Julia Daffin à, Antonio Barile Source Type: research

Imaging of Sacroiliac Joints
The central role of imaging in diagnosing disorders affecting the sacroiliac joints (SIJs) necessitates a comprehensive understanding of the advantages, limitations, and potential pitfalls of the imaging techniques that can be used. In this article, the anatomy and biomechanics of SIJs are exposed, outlining their unique features, particularly the division into anteroinferior cartilaginous and postero-superior ligamentous parts. Overall, the goal of this article is to offer a comprehensive understanding of imaging techniques, anatomic complexity, and diagnostic considerations relevant to SIJs disorders, facilitating accura...
Source: Radiologic Clinics of North America - April 6, 2024 Category: Radiology Authors: Maxime Lacroix, Micka ël Tordjman, Arthur Bouchut, Adrien Bordner, Amandine Laporte, Antoine Feydy Source Type: research

Update on MRI in Rheumatic Diseases
Over the past decade, MRI has significantly advanced the diagnosis of rheumatic disease in both adults and juveniles. In this article, the authors present an update on MRI applications in rheumatology, based on a review of the most recent publications. New developments in adults related to, among others, axial spondyloarthritis, peripheral arthritis, and the whole body-MRI (WB-MRI) are presented. In juveniles, this update addresses the latest advancements in diagnostic MRI of peripheral joints, followed by MRI of the axial skeleton and implementation of the WB-MRI for the screening of inflammation. The authors also discuss...
Source: Radiologic Clinics of North America - April 4, 2024 Category: Radiology Authors: Iwona Sudo ł-Szopińska, Michał Lanckoroński, Torsten Diekhoff, Damjana Ključevšek, Filippo Del Grande, Andrea Doria Source Type: research

Updates in Ultrasound in Rheumatology
Conclusions: In rheumatology's dynamic landscape, this review provides valuable insights for researchers and clinicians on ultrasound's role in improving patient care and outcomes in rheumatic diseases. (Source: Radiologic Clinics of North America)
Source: Radiologic Clinics of North America - April 3, 2024 Category: Radiology Authors: Georgios Filippou, Maria Elena Pellegrino, Adriana Sorce, Silvia Sirotti, Matteo Ferrito, Salvatore Gitto, Carmelo Messina, Domenico Albano, Luca Maria Sconfienza Source Type: research

Imaging Response to Treatment in Rheumatology
This article highlights the crucial role of various imaging techniques in the diagnosis and monitoring of rheumatologic diseases. It provides an overview of the different modalities available for imaging rheumatic diseases, the disease processes they are able to demonstrate, and their utility in the monitoring response to therapy. It emphasizes the need for a multifaceted approach that combines radiography, ultrasound, MR imaging, and PET imaging to gain a comprehensive understanding of disease progression and treatment response. Standardized grading systems along with quantitative imaging techniques are playing an increas...
Source: Radiologic Clinics of North America - April 3, 2024 Category: Radiology Authors: Sarim Ather, Adil Naeem, James Teh Source Type: research

Iodine and Gadolinium Contrast Reactions
Immediate hypersensitivity reactions to iodinated contrast media and gadolinium-based contrast media can be life-threatening. While corticosteroid premedication or agent-switching may mitigate risk, evidence is largely indirect and based on historical studies; recent literature refutes the efficacy. Guidance on premedication varies between organizations worldwide. No strategy eliminates reactions, and indirect consequences of premedication are substantial. Accelerated regimens are often used for emergencies, but are of questionable efficacy. Identifying “high-risk” patients is complex, but a history of reactions (to th...
Source: Radiologic Clinics of North America - April 3, 2024 Category: Radiology Authors: Benjamin M. Mervak, Jennifer S. McDonald Source Type: research

Iodinated Contrast and Nephropathy
This study will discuss current knowledge of contrast-induced AKI, including the incidence, sequelae, risk factors, and prevention strategies of this potential complication. (Source: Radiologic Clinics of North America)
Source: Radiologic Clinics of North America - April 3, 2024 Category: Radiology Authors: Robert J. McDonald, Jennifer S. McDonald Source Type: research

Computed Tomography Angiography: Principles and Advances
This article reviews the latest methods to optimize contrast timing and minimize motion.PMID:38553175 | DOI:10.1016/j.rcl.2024.01.005 (Source: Radiologic Clinics of North America)
Source: Radiologic Clinics of North America - March 29, 2024 Category: Radiology Authors: Timothy P Szczykutowicz Source Type: research

Coronary Artery Disease: Role of Computed Tomography and Recent Advances
Radiol Clin North Am. 2024 May;62(3):385-398. doi: 10.1016/j.rcl.2023.12.017. Epub 2024 Jan 20.ABSTRACTIn this review, the authors summarize the role of coronary computed tomography angiography and coronary artery calcium scoring in different clinical presentations of chest pain and preventative care and discuss future directions and new technologies such as pericoronary fat inflammation and the growing footprint of artificial intelligence in cardiovascular medicine.PMID:38553176 | DOI:10.1016/j.rcl.2023.12.017 (Source: Radiologic Clinics of North America)
Source: Radiologic Clinics of North America - March 29, 2024 Category: Radiology Authors: Elizabeth Lee Chiemezie Amadi Michelle C Williams Prachi P Agarwal Source Type: research

Cardiac Computed Tomography of Native Cardiac Valves
Radiol Clin North Am. 2024 May;62(3):399-417. doi: 10.1016/j.rcl.2023.12.004. Epub 2024 Jan 29.ABSTRACTValvular heart disease (VHD) is a significant clinical problem associated with high morbidity and mortality. Although not being the primary imaging modality in VHD, cardiac computed tomography (CCT) provides relevant information about its morphology, function, severity grading, and adverse cardiac remodeling assessment. Aortic valve calcification quantification is necessary for grading severity in cases of low-flow/low-gradient aortic stenosis. Moreover, CCT details significant information necessary for adequate percutane...
Source: Radiologic Clinics of North America - March 29, 2024 Category: Radiology Authors: Jordi Broncano Kate Hanneman Brian Ghoshhajra Prabhakar Shanta Rajiah Source Type: research

Pretranscatheter and Posttranscatheter Valve Planning with Computed Tomography
Radiol Clin North Am. 2024 May;62(3):419-434. doi: 10.1016/j.rcl.2024.01.007.ABSTRACTThe range of potential transcatheter solutions to valve disease is increasing, bringing treatment options to those in whom surgery confers prohibitively high risk. As the range of devices and their indications grow, so too will the demand for procedural planning. Computed tomography will continue to enable this growth through the provision of accurate device sizing and procedural risk assessment.PMID:38553178 | DOI:10.1016/j.rcl.2024.01.007 (Source: Radiologic Clinics of North America)
Source: Radiologic Clinics of North America - March 29, 2024 Category: Radiology Authors: Thomas Clifford Vitaliy Androshchuk Ronak Rajani Jonathan R Weir-McCall Source Type: research

Cardiac Computed Tomography in Congenital Heart Disease
Radiol Clin North Am. 2024 May;62(3):435-452. doi: 10.1016/j.rcl.2023.12.015. Epub 2024 Feb 1.ABSTRACTComputed tomography (CT) has emerged as a leading imaging modality in the evaluation of congenital heart disease (CHD). With ever-faster acquisition speed, decreasing radiation exposure, impeccable anatomic detail, optional functional data, and numerous post-processing tools, CT offers broad utility in CHD diagnosis, preoperative planning, and postoperative assessment. In this article, the far-reaching role of CT in CHD is reviewed, focusing on technical imaging considerations and key clinical applications.PMID:38553179 | ...
Source: Radiologic Clinics of North America - March 29, 2024 Category: Radiology Authors: Evan J Zucker Source Type: research