{"title":"[Preface for the Special Issue on Liver Imaging in Focus].","authors":"Jin-Young Choi","doi":"10.3348/jksr.2025.0040","DOIUrl":"https://doi.org/10.3348/jksr.2025.0040","url":null,"abstract":"","PeriodicalId":101329,"journal":{"name":"Journal of the Korean Society of Radiology","volume":"86 3","pages":"305-306"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12149872/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144277291","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Importance of Adenosine Administration Timing for Stress T1 Mapping for HCMP Diagnosis.","authors":"Ki Seok Choo","doi":"10.3348/jksr.2025.0044","DOIUrl":"10.3348/jksr.2025.0044","url":null,"abstract":"","PeriodicalId":101329,"journal":{"name":"Journal of the Korean Society of Radiology","volume":"86 3","pages":"389-390"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12149874/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144277299","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Seongeun Jung, Seong Sook Hong, Sung Hwan Bae, Jiyoung Hwang, Eun Ji Lee, Kyeongmin Kim, Sun Young Jeong
{"title":"Transperineal US-Guided Biopsy in Metastatic Prostate Cancer with Low Prostate Specific Antigen: A Case Report.","authors":"Seongeun Jung, Seong Sook Hong, Sung Hwan Bae, Jiyoung Hwang, Eun Ji Lee, Kyeongmin Kim, Sun Young Jeong","doi":"10.3348/jksr.2024.0006","DOIUrl":"10.3348/jksr.2024.0006","url":null,"abstract":"<p><p>Prostate specific antigen (PSA) is a crucial tool for detecting and monitoring of prostate cancer, and elevated levels of PSA often indicate disease progression. Higher PSA levels are generally associated with more aggressive cancers and an increased risk of cancer-specific mortality. In this report, we present an unusual case of primary aggressive prostate cancer characterized by unexpectedly low PSA levels, despite the presence of multiple lumbar bone metastases at the time of diagnosis. It is extremely uncommon to have a low PSA level at the time of initial prostate cancer diagnosis, especially in cases that are non-recurrent, and even more so for adenocarcinomas without neuroendocrine differentiation. This report highlights the challenges in accurately diagnosing disease using CT and MRI findings when confronted with atypically low PSA patterns, necessitating invasive diagnostic approaches such as transperineal biopsy following abdominoperineal resection in a patient with a colostomy.</p>","PeriodicalId":101329,"journal":{"name":"Journal of the Korean Society of Radiology","volume":"86 3","pages":"407-412"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12149883/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144277315","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Sunhee Bien, Ga Eun Park, Bong Joo Kang, Sung Hun Kim
{"title":"Exploring the Efficacy of Artificial Intelligence-Based Computer-Aided Detection for Breast Cancer Detection on Digital Mammograms.","authors":"Sunhee Bien, Ga Eun Park, Bong Joo Kang, Sung Hun Kim","doi":"10.3348/jksr.2024.0061","DOIUrl":"10.3348/jksr.2024.0061","url":null,"abstract":"<p><strong>Purpose: </strong>In this retrospective study, we aimed to assess the efficacy of artificial intelligence-based computer-aided detection (AI-CAD) for breast cancer detection on mammograms.</p><p><strong>Materials and methods: </strong>Mammograms from 269 women with breast cancer were analyzed. Cancer visibility was determined based on reports from experienced radiologists. Two expert radiologists assessed mammographic findings and breast imaging reporting and data system (BI-RADS) categories by consensus for cases of visible cancer. AI-CAD results were reviewed to determine whether AI-CAD correctly marked the cancer site. AI-CAD detection rates were analyzed according to mammographic findings, BI-RADS categories, lesion size, histologic grade, lymph node involvement, and stage. The concordance between the findings of AI-CAD and those of experienced radiologists was also assessed. Mammographically occult cases were defined as those with negative mammographic findings by two radiologists.</p><p><strong>Results: </strong>AI-CAD detected 81.4% (219/269) of cancers, with higher detection rates occurring for larger lesion sizes, high histologic grades, lymph node involvement, and advanced stages. AI-CAD detection rates were higher for architectural distortion, mass, and calcification, but lower for asymmetry. Detection rates increased with higher BI-RADS categories and a higher number of mammography findings. Concordance between the assessment of AI-CAD and that of experienced radiologists was 88.5% (238/269). AI-CAD correctly detected 19.4% (6/31) of mammographically occult cases.</p><p><strong>Conclusion: </strong>AI-CAD detected 81.4% of cancers, with substantial concordance with the findings of experienced radiologists. It correctly identified 19.4% of mammographically occult cases.</p>","PeriodicalId":101329,"journal":{"name":"Journal of the Korean Society of Radiology","volume":"86 3","pages":"391-406"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12149878/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144277296","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Yoon Kyung Jung, Hyun Jeong Park, Hye Won Hwang, Eun Sun Lee, Rae Rim Ryu
{"title":"Imaging Features in Pancreatic Neuroendocrine Tumor with Intraductal Growth and Venous Invasion: A Case Report and Literature Review.","authors":"Yoon Kyung Jung, Hyun Jeong Park, Hye Won Hwang, Eun Sun Lee, Rae Rim Ryu","doi":"10.3348/jksr.2024.0064","DOIUrl":"10.3348/jksr.2024.0064","url":null,"abstract":"<p><p>Pancreatic neuroendocrine tumors (PanNETs) are a rare type of pancreatic neoplasm. PanNETs with intraductal growth are considered extremely rare, and ductal involvement in NETs has been reported to correlate with aggressive clinical behavior. A 67-year-old male was referred to our hospital for further evaluation of a pancreatic tumor. Various imaging modalities, including ultrasonography, contrast-enhanced CT, MRI, and endoscopic ultrasonography (EUS), demonstrated a well-defined pancreatic mass in the head and body, primarily located within the main pancreatic duct with extension to the main portal vein. Histological diagnosis from an EUS-guided biopsy revealed a grade 3 well-differentiated NET. The patient was scheduled for surgery; however, multiple additional bone metastases were identified on <sup>18</sup>F-fluorodeoxyglucose PET/CT. Although the presence of intraductal growth and portal vein invasion is uncommon in PanNETs, aggressive workup and treatment are essential in such cases.</p>","PeriodicalId":101329,"journal":{"name":"Journal of the Korean Society of Radiology","volume":"86 3","pages":"438-444"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12149879/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144277298","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Endovascular Management for Accidental Cannulation of the Left Ascending Lumbar Vein with an Extracorporeal Membrane Oxygenation Catheter: A Case Report.","authors":"Eui Hyun Yu, Jung Won Kim","doi":"10.3348/jksr.2024.0092","DOIUrl":"10.3348/jksr.2024.0092","url":null,"abstract":"<p><p>The femoral vein is frequently used for central venous access during extracorporeal membrane oxygenation (ECMO). Accidental cannulation of the ascending lumbar vein (ALV) during ECMO has rarely been reported. Hemorrhage related to venous rupture, or solid organ injury can occur depending on the course of the large-bore catheter. Ultrasonographic or fluoroscopic guidance helps ensure correct placement. Nevertheless, if accidental cannulation occurs, endovascular management can be considered a treatment option. We present the case of a 78-year-old man with an ECMO catheter malpositioned through the left ALV, which was removed with tract embolization.</p>","PeriodicalId":101329,"journal":{"name":"Journal of the Korean Society of Radiology","volume":"86 3","pages":"413-418"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12149884/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144277295","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Fast MRI Techniques of the Liver and Pancreaticobiliary Tract: Overview and Application.","authors":"Bohyun Kim, So Hyun Park, Moon Hyung Choi","doi":"10.3348/jksr.2025.0004","DOIUrl":"10.3348/jksr.2025.0004","url":null,"abstract":"<p><p>In liver and pancreatobiliary MRI, mitigating respiratory motion-related artifacts has always been a major challenge in image acquisition. Motion reduction by breathing control schemes or scan time acceleration by k-space undersampling are two accessible approaches in clinical imaging. Parallel imaging is an indispensable everyday technique with well-known characteristics, but with drawbacks that limit acceleration factors to ≤4. Compressed sensing exploits the data sparsity of MR images, and pseudorandomly undersamples k-space data to iteratively reconstruct images using sophisticated complex computations within highly accelerated scanning time. Albeit, this is with long reconstruction time and complexity in parameter optimization. Deep learning reconstruction uses pretrained and validated convolutional neural networks to reconstruct undersampled data, with the main tasks being image acceleration, denoising, and superresolution. While promising, deep learning reconstruction requires further testing and practical experience with model stability, generalizability, and output image fidelity.</p>","PeriodicalId":101329,"journal":{"name":"Journal of the Korean Society of Radiology","volume":"86 3","pages":"307-320"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12149871/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144277297","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"MRI Imaging Biomarkers for Prognostication of Hepatocellular Carcinoma.","authors":"Ja Kyung Yoon, Jin-Young Choi","doi":"10.3348/jksr.2025.0029","DOIUrl":"10.3348/jksr.2025.0029","url":null,"abstract":"<p><p>Hepatocellular carcinoma (HCC) is a heterogeneous tumor with variable prognosis, even among patients at a similar tumor stage. Therefore, identifying prognostic features prior to treatment can help select the best therapeutic approach and ultimately optimize patient survival. While many imaging features on MRI have been suggested to have prognostic potential, some have emerged as critical imaging biomarkers, and efforts are underway to define and standardize relevant terminology. In this article, we comprehensively review MRI imaging features of HCC with prognostic potential.</p>","PeriodicalId":101329,"journal":{"name":"Journal of the Korean Society of Radiology","volume":"86 3","pages":"364-380"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12149881/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144277313","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Jung Yoon Kim, Jinwook Baek, Hae Woong Jeong, Young Jin Heo, Suyoung Yun, Ji Yeon Han
{"title":"Traumatic Middle Meningeal Arteriovenous Fistula Managed using Coil Embolization: A Case Report.","authors":"Jung Yoon Kim, Jinwook Baek, Hae Woong Jeong, Young Jin Heo, Suyoung Yun, Ji Yeon Han","doi":"10.3348/jksr.2024.0045","DOIUrl":"10.3348/jksr.2024.0045","url":null,"abstract":"<p><p>Arteriovenous fistulas (AVFs) involving the middle meningeal artery (MMA) and middle meningeal vein were initially described in 1951. Middle meningeal arteriovenous fistulas (MMAVFs) are rare abnormalities classified as dural AVFs, connecting the MMA to the nearby dural venous sinus or cortical veins. Clinical symptoms of MMAVFs include pulsatile tinnitus, headache, exophthalmos, chemosis, and diplopia. Moreover, MMAVFs pose the risk of catastrophic cerebral hemorrhage. Previous studies have suggested that endovascular embolization using coils or other embolic materials produces acceptable outcomes including symptom relief and bleeding prevention. We present a case of traumatic MMAVF in a 27-year-old male with pulsatile tinnitus. The MMAVF was eliminated via endovascular transarterial embolization using a coil, without any residual symptoms or complications. These results suggest that endovascular embolization may be effective in managing MMAVF.</p>","PeriodicalId":101329,"journal":{"name":"Journal of the Korean Society of Radiology","volume":"86 3","pages":"419-424"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12149875/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144277316","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Attenuation Based Quantitative Evaluation of Hepatic Steatosis Using US: Current Status and Future Perspective.","authors":"Dong Ho Lee","doi":"10.3348/jksr.2025.0024","DOIUrl":"10.3348/jksr.2025.0024","url":null,"abstract":"<p><p>Hepatic steatosis is a key characteristic of metabolic dysfunction-associated steatotic liver disease and may progress to cirrhosis and end-stage liver disease through metabolic dysfunction-associated steatohepatitis in 10%-30% of patients. Consequently, early detection and accurate assessment are essential. Grayscale US has traditionally been used for evaluating hepatic steatosis; however, its limitations include reduced sensitivity for mild cases and subjective interpretation. In addition to controlled attenuation parameter, two-dimensional attenuation-based techniques have been recently introduced to quantify US beam attenuation for assessing hepatic steatosis, demonstrating high diagnostic accuracy and reproducibility while addressing some of the limitations of grayscale US. To enhance diagnostic precision and reduce measurement variability, the standardization of examination protocols, including measurement processes, is necessary. Additionally, further research is needed to explore the role of a multiparametric approach combining attenuation-based techniques with elastography in predicting disease progression. This review examines the principles, recent research findings, and future perspectives on attenuation-based quantitative evaluation of hepatic steatosis using US.</p>","PeriodicalId":101329,"journal":{"name":"Journal of the Korean Society of Radiology","volume":"86 3","pages":"321-334"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12149873/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144277294","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}