{"title":"Sarcoidosis with a Necrotizing Sarcoid Granulomatosis Pattern Presenting as Persistent Low-Grade Fever: A Case Report.","authors":"Se Ri Kang, Keum Ha Choi, Ji Young Rho","doi":"10.3348/jksr.2024.0007","DOIUrl":"https://doi.org/10.3348/jksr.2024.0007","url":null,"abstract":"<p><p>Necrotizing sarcoid granulomatosis (NSG), now referred to as \"sarcoidosis with NSG pattern,\" is an uncommon variant of sarcoidosis. NSG is characterized by a trio of features: sarcoid granulomas, vasculitis, and extensive areas of necrosis. Symptoms can include cough, fever, chest pain, and dyspnea, typically presenting as either solitary or multiple lung nodules or masses. In this report, we describe a case of NSG accompanied by a persistent low-grade fever. Unlike the dominant presentation of NSG with single or multiple nodules, our case demonstrated diffuse micronodules with combined perilymphatic and random distribution on CT. Histological examination revealed widespread necrotizing granulomas surrounded by anthracotic pigmentation, alongside necrosis and vasculitis, diverging from the classic presentation of sarcoidosis. The diagnosis of NSG was established through a multidisciplinary discussion. The patient was administered oral prednisolone that led to noticeable clinical and radiological improvement within three months.</p>","PeriodicalId":101329,"journal":{"name":"Journal of the Korean Society of Radiology","volume":"85 5","pages":"948-953"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11473985/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142485156","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":"[Explainable & Safe Artificial Intelligence in Radiology].","authors":"Synho Do","doi":"10.3348/jksr.2024.0118","DOIUrl":"10.3348/jksr.2024.0118","url":null,"abstract":"<p><p>Artificial intelligence (AI) is transforming radiology with improved diagnostic accuracy and efficiency, but prediction uncertainty remains a critical challenge. This review examines key sources of uncertainty-out-of-distribution, aleatoric, and model uncertainties-and highlights the importance of independent confidence metrics and explainable AI for safe integration. Independent confidence metrics assess the reliability of AI predictions, while explainable AI provides transparency, enhancing collaboration between AI and radiologists. The development of zero-error tolerance models, designed to minimize errors, sets new standards for safety. Addressing these challenges will enable AI to become a trusted partner in radiology, advancing care standards and patient outcomes.</p>","PeriodicalId":101329,"journal":{"name":"Journal of the Korean Society of Radiology","volume":"85 5","pages":"834-847"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11473981/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142485141","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":"Unusual Imaging Findings of Epithelioid Hemangioma: Case Report of Single Intramedullary Sclerotic Bone Lesion.","authors":"Yun Chul Hwang, Tae Eun Kim, Jae Hyuck Yi","doi":"10.3348/jksr.2024.0033","DOIUrl":"https://doi.org/10.3348/jksr.2024.0033","url":null,"abstract":"<p><p>Epithelioid hemangioma (EH) is an uncommon, benign vascular tumor of mesenchymal origin. It mainly presents as a tumor with a lytic appearance and septations. However, no case reports have documented the predominantly sclerotic appearance of EH. Here, we present the imaging findings, including X-ray, CT, MRI, and histopathological findings of a 24-year-old female with EH.</p>","PeriodicalId":101329,"journal":{"name":"Journal of the Korean Society of Radiology","volume":"85 5","pages":"986-991"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11473989/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142485159","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":"[Preface for Special Issue on Explainable/Reliable Artificial Intelligence, and Generative Artificial Intelligence with Large Language Model for Radiologist].","authors":"Dae Chul Jung","doi":"10.3348/jksr.2024.0123","DOIUrl":"https://doi.org/10.3348/jksr.2024.0123","url":null,"abstract":"","PeriodicalId":101329,"journal":{"name":"Journal of the Korean Society of Radiology","volume":"85 5","pages":"833"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11473990/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142485143","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}
Kyeong Jin Lee, Ha Young Lee, Suk Jin Choi, Myung Kwan Lim, Young Hye Kang
{"title":"Orbital Involvement in Kimura's Disease Presenting as Diffuse Bilateral Extraocular Muscle Enlargement: A Case Report.","authors":"Kyeong Jin Lee, Ha Young Lee, Suk Jin Choi, Myung Kwan Lim, Young Hye Kang","doi":"10.3348/jksr.2023.0153","DOIUrl":"https://doi.org/10.3348/jksr.2023.0153","url":null,"abstract":"<p><p>Kimura's disease (KD) is a rare, chronic inflammatory disorder characterized by angiolymphoid hyperplasia, peripheral eosinophilia, and elevated serum immunoglobulin E levels. It primarily affects young Asian males and typically involves the head and neck region, especially near the mandible and postauricular regions. Orbital involvement is unusual and extraocular muscle (EOM) involvement is exceedingly rare, with only a few cases reported in the literature. The present report describes a case of surgically confirmed KD in a 16-year-old male, involving the bilateral EOM, lacrimal gland, and left parotid gland.</p>","PeriodicalId":101329,"journal":{"name":"Journal of the Korean Society of Radiology","volume":"85 5","pages":"943-947"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11473979/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142485154","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}
Ha Yun Oh, Tae Kun Kim, Yun Sun Choi, Mira Park, Ra Gyoung Yoon, Jin Kyung An
{"title":"Radiographic Analysis of Scoliosis Using Convolutional Neural Network in Clinical Practice.","authors":"Ha Yun Oh, Tae Kun Kim, Yun Sun Choi, Mira Park, Ra Gyoung Yoon, Jin Kyung An","doi":"10.3348/jksr.2023.0111","DOIUrl":"https://doi.org/10.3348/jksr.2023.0111","url":null,"abstract":"<p><strong>Purpose: </strong>To assess the reliability and accuracy of an automated Cobb angle measurement (ACAM) using a convolutional neural network (CNN) for scoliosis evaluation and to compare measurement times.</p><p><strong>Materials and methods: </strong>ACAM was applied to spine radiographs in 411 patients suspected of scoliosis. Observer 1 (consensus of two musculoskeletal radiologists) and observer 2 (a radiology resident) measured Cobb angle (CA). CA measurements were categorized using observer 1's measurements as the reference standard. Inter-observer reliability and correlation were assessed using intraclass correlation coefficient (ICC) and Spearman's rank correlation coefficient, respectively. Accuracy and measurement time of ACAM and observers were evaluated.</p><p><strong>Results: </strong>ACAM demonstrated excellent reliability and very high correlation with observer 1 (ICC = 0.976, Spearman's rank correlation = 0.948), with a mean CA difference of 1.1. Overall accuracy was high (88.2%), particularly in mild (92.2%) and moderate (96%) scoliosis. Accuracy was lower in spinal asymmetry (77.1%) and higher in severe scoliosis (95%), although the CA was lower compared to the observers. ACAM significantly reduced measurement time by nearly half compared to the observers (<i>p</i> < 0.001).</p><p><strong>Conclusion: </strong>ACAM using CNN enhances CA measurement for assessing mild or moderate scoliosis, despite limitations in spinal asymmetry or severe scoliosis. Nonetheless, it substantially decreases measurement time.</p>","PeriodicalId":101329,"journal":{"name":"Journal of the Korean Society of Radiology","volume":"85 5","pages":"926-936"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11473978/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142485155","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":"Brain Lesions in Liver Cirrhosis May Not Only Be Due to Hepatic Encephalopathy.","authors":"Josef Finsterer","doi":"10.3348/jksr.2024.0072","DOIUrl":"10.3348/jksr.2024.0072","url":null,"abstract":"","PeriodicalId":101329,"journal":{"name":"Journal of the Korean Society of Radiology","volume":"85 4","pages":"825-826"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11310440/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141918516","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":"Caplan Syndrome Mimicking Progressive Massive Fibrosis on CT: A Case Report.","authors":"Jinwook Baek, Ji-Yeon Han","doi":"10.3348/jksr.2023.0128","DOIUrl":"10.3348/jksr.2023.0128","url":null,"abstract":"<p><p>This report presents a unique case of Caplan syndrome that mimicked accelerated progressive massive fibrosis. The patient, a former coal miner, had been diagnosed with coal worker's pneumoconiosis 15 years prior and had been treated for rheumatoid arthritis for over 20 years. Accelerated progressive massive fibrosis and the development of multiple nodules with cavitation in the basal lungs were subsequently observed on serial CT scans. Here, the CT manifestations of Caplan syndrome are highlighted in a case in which Caplan syndrome mimicked accelerated progressive massive fibrosis.</p>","PeriodicalId":101329,"journal":{"name":"Journal of the Korean Society of Radiology","volume":"85 4","pages":"789-794"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11310430/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141918517","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":"[Using Artificial Intelligence Software for Diagnosing Emphysema and Interstitial Lung Disease].","authors":"Sang Hyun Paik, Gong Yong Jin","doi":"10.3348/jksr.2024.0050","DOIUrl":"10.3348/jksr.2024.0050","url":null,"abstract":"<p><p>Researchers have developed various algorithms utilizing artificial intelligence (AI) to automatically and objectively diagnose patterns and extent of pulmonary emphysema or interstitial lung diseases on chest CT scans. Studies show that AI-based quantification of emphysema on chest CT scans reveals a connection between an increase in the relative percentage of emphysema and a decline in lung function. Notably, quantifying centrilobular emphysema has proven helpful in predicting clinical symptoms or mortality rates of chronic obstructive pulmonary disease. In the context of interstitial lung diseases, AI can classify the usual interstitial pneumonia pattern on CT scans into categories like normal, ground-glass opacity, reticular opacity, honeycombing, emphysema, and consolidation. This classification accuracy is comparable to chest radiologists (70%-80%). However, the results generated by AI are influenced by factors such as scan parameters, reconstruction algorithms, radiation doses, and the training data used to develop the AI. These limitations currently restrict the widespread adoption of AI for quantifying pulmonary emphysema and interstitial lung diseases in daily clinical practice. This paper will showcase the authors' experience using AI for diagnosing and quantifying emphysema and interstitial lung diseases through case studies. We will primarily focus on the advantages and limitations of AI for these two diseases.</p>","PeriodicalId":101329,"journal":{"name":"Journal of the Korean Society of Radiology","volume":"85 4","pages":"714-726"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11310433/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141918514","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":"Clinical and MR Predictors of Retro-Odontoid Pseudotumor Regression Following Posterior Fixation in Patients with Atlantoaxial Instability.","authors":"Jisu Kim, Youngjune Kim, Eugene Lee, Joon Woo Lee","doi":"10.3348/jksr.2023.0104","DOIUrl":"10.3348/jksr.2023.0104","url":null,"abstract":"<p><strong>Purpose: </strong>To identify clinical and MR predictors of retro-odontoid pseudotumor (ROP) regression after posterior fixation in patients with atlantoaxial instability.</p><p><strong>Materials and methods: </strong>We included patients who had undergone posterior fixation for atlantoaxial instability and preoperative and postoperative MR imaging. Patients were classified into two groups according to the degree of ROP regression after posterior fixation: regression (≥ 10% reduction) and no regression (< 10% reduction). Mann-Whitney and Fisher's exact tests were performed to identify the clinical (age and sex) and MR predictors (preoperative ROP thickness, ROP type, MR signal homogeneity of the ROP, spinal cord signal change, spinal cord atrophy, ossified posterior longitudinal ligament, os odontoideum, and atlantodental interval) associated with ROP regression.</p><p><strong>Results: </strong>We retrospectively assessed 11 consecutive patients (7 female; median age, 66 years [range, 31-84 years]). Posterior fixation induced ROP regression in eight (72.7%) patients. Older age and greater preoperative ROP thickness significantly correlated with ROP regression (<i>p</i> = 0.024 and 0.012, respectively). All patients with preoperative ROP thickness > 5 mm exhibited ROP regression. The other variables were not significantly associated with ROP regression.</p><p><strong>Conclusion: </strong>Older age and thicker preoperative ROP are associated with ROP regression after posterior fixation in patients with atlantoaxial instability.</p>","PeriodicalId":101329,"journal":{"name":"Journal of the Korean Society of Radiology","volume":"85 4","pages":"754-768"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11310437/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141918518","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}