Clinical radiology最新文献

{"title":"Paid MBP advert AI Conference Journals Ad 19 Feb_01","authors":"","doi":"10.1016/S0009-9260(26)00061-9","DOIUrl":"10.1016/S0009-9260(26)00061-9","url":null,"abstract":"","PeriodicalId":10695,"journal":{"name":"Clinical radiology","volume":"94 ","pages":"Article 107285"},"PeriodicalIF":1.9,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147384896","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Embedding equity, diversity, and inclusion in radiology: insights from the 2024 British Society of Gastrointestinal and Abdominal Radiology (BSGAR) member survey and mentorship programme","authors":"K. ElGendy , S. Chawla , B. Rea , M.M. Kiandee , S. Haldar , C. Chew","doi":"10.1016/j.crad.2025.107220","DOIUrl":"10.1016/j.crad.2025.107220","url":null,"abstract":"","PeriodicalId":10695,"journal":{"name":"Clinical radiology","volume":"94 ","pages":"Article 107220"},"PeriodicalIF":1.9,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146075842","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Child life intervention successfully decreases anaesthesia requirements in young children undergoing outpatient orthopaedic magnetic resonance imaging (MRI): a retrospective cohort study","authors":"O.C. Tracey,&nbsp;C. Zucker,&nbsp;J. Wisch,&nbsp;A. Adhiyaman,&nbsp;M. Collins,&nbsp;J. Denneen,&nbsp;D. Jaramillo,&nbsp;H. Potter,&nbsp;L. Ipp,&nbsp;J.H. Heyer","doi":"10.1016/j.crad.2026.107253","DOIUrl":"10.1016/j.crad.2026.107253","url":null,"abstract":"<div><h3>AIM</h3><div>Magnetic resonance imaging (MRI) is the preferred imaging modality for soft-tissue and nonossified bone in paediatric orthopaedics; however, the confines, noise, and prolonged duration may prove challenging. Sedation can mitigate these issues but introduces potential risks of allergic reactions and impact on neurocognitive development. Studies have demonstrated reduced anxiety following Certified Child Life Specialists (CCLSs) intervention during paediatric MRIs. This study presents one institution's experience with CCLS intervention in children undergoing MRIs.</div></div><div><h3>MATERIALS AND METHODS</h3><div>This single-centre retrospective study reviewed patients from 2016-2024 children aged 4–12 who underwent outpatient orthopaedic MRI were included. CCLS intervention, diagnosis associated with MRI, MRI region, and use of sedation were recorded. Patients were stratified into the pre-CCLS cohort and post-CCLS cohort, based on the presence of CCLS at the institution. Descriptive statistics analysed frequency of sedation.</div></div><div><h3>RESULTS</h3><div>1931 patients (2300 scans) were included, with a mean age of 10.0 ± 2.1 years: 708 patients (817 scans) in the pre-CCLS intervention cohort and 1224 patients (1483 scans) in the post-CCLS intervention cohort (one patient was in both groups). Overall, 7/1931 (0.4%) of patients, (7/2300 scans, 0.3%) required IV sedation. 108/1224 patients (116/1483 scans) in the post-CCLS cohort received CCLS intervention; of these, 0/108 patients (0/116 scans) required IV sedation. Mean age was significantly lower in patients receiving CCLS intervention versus no intervention (7.0 ± 2.1 vs 10.0 ± 2.0 years, <em>P</em> &lt; 0.001).</div></div><div><h3>CONCLUSION</h3><div>overall sedation rate for children undergoing MRI with CCLS was 0%. Our positive experience supports CCLS as a potential therapeutic intervention for younger children to undergo MRI.</div></div>","PeriodicalId":10695,"journal":{"name":"Clinical radiology","volume":"94 ","pages":"Article 107253"},"PeriodicalIF":1.9,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146124168","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comment on “Natural history and clinical significance of postoperative pneumoperitoneum: a systematic review and meta-analysis”","authors":"A.K. Gupta ,&nbsp;P.R. Kokiwar ,&nbsp;A. Kavya ,&nbsp;A. Dhyani","doi":"10.1016/j.crad.2025.107224","DOIUrl":"10.1016/j.crad.2025.107224","url":null,"abstract":"","PeriodicalId":10695,"journal":{"name":"Clinical radiology","volume":"94 ","pages":"Article 107224"},"PeriodicalIF":1.9,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146075906","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Validation of American College of Radiology Bone Reporting and Data System (ACR Bone-RADS) for risk stratification of bone tumuors on computed tomography","authors":"Z.A. Ramadan ,&nbsp;F.A. Denewar ,&nbsp;S.E. Taman ,&nbsp;A.H. Elmorsy","doi":"10.1016/j.crad.2026.107249","DOIUrl":"10.1016/j.crad.2026.107249","url":null,"abstract":"<div><h3>AIM</h3><div>Neoplastic bone lesions show huge divergence. Accurate diagnosis is mandatory for optimal management. Computed tomography (CT) is of special importance in characterisation of bone tumuors, especially in complex anatomical areas and the axial skeleton. This study <strong>aimed</strong> to test the validity of applying American College of Radiology (ACR) Bone Reporting and Data System (Bone-RADS) in interpreting bony lesions on CT to gain evidence supporting its implementation as a standard in reporting and communication with orthopaedic surgeons.</div></div><div><h3>MATERIALS AND METHODS</h3><div>This retrospective study involved 336 patients (mean age; 30.3 ± 18.8, 190, 56.5% males) whose CT scans detected neoplastic bony lesions in the period from January 2021 to December 2024. Three radiologists independently reviewed CT exams and set Bone-RADS scores. Inter-reader agreement among the three readers was assessed, and validity of the results was tested.</div></div><div><h3>RESULTS</h3><div>There were 227 benign, 16 intermediate, and 93 malignant lesions. The overall inter-reader agreement among two musculoskeletal radiologists and one nonmusculoskeletal radiologist was substantial to perfect (k: 0.66 to 1). The diagnostic performance for identifying intermediate or malignant lesions varied among radiologists with sensitivities ranging from 96.8% to 100%, specificities from 62.9% to 92.7%, and accuracies from 74.3% to 94%.</div></div><div><h3>CONCLUSION</h3><div>The implementation of ACR Bone-RADS for CT imaging demonstrates robust reproducibility, high sensitivity, and accuracy in characterising bone lesions, thereby enhancing diagnostic confidence and informing clinical decision-making. These findings support the adoption of ACR Bone-RADS as a uniform reporting framework for bone lesions identified on radiographic and CT examinations.</div></div>","PeriodicalId":10695,"journal":{"name":"Clinical radiology","volume":"94 ","pages":"Article 107249"},"PeriodicalIF":1.9,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146131154","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"RCR meetings","authors":"","doi":"10.1016/S0009-9260(26)00060-7","DOIUrl":"10.1016/S0009-9260(26)00060-7","url":null,"abstract":"","PeriodicalId":10695,"journal":{"name":"Clinical radiology","volume":"94 ","pages":"Article 107284"},"PeriodicalIF":1.9,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147384895","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Predictive value of R2∗ values derived from blood oxygen level-dependent magnetic resonance imaging for lymph node metastasis after neoadjuvant chemotherapy for cervical squamous cell carcinoma","authors":"L. Yin ,&nbsp;J. Zhang ,&nbsp;Y. Pang ,&nbsp;Y. Mou ,&nbsp;S. Sun ,&nbsp;Q. Guo ,&nbsp;S. Guo","doi":"10.1016/j.crad.2025.107149","DOIUrl":"10.1016/j.crad.2025.107149","url":null,"abstract":"<div><h3>AIM</h3><div>The aim of this study was to investigate the predictive value of R2∗ values obtained from blood oxygen-level-dependent magnetic resonance imaging (BOLD–MRI) for lymph node metastasis (LNM) after neoadjuvant chemotherapy (NACT) in patients with stage IB–IIA cervical squamous cell carcinoma (CSCC).</div></div><div><h3>MATERIALS AND METHODS</h3><div>Patients diagnosed with CSCC and scheduled to undergo radical hysterectomy following NACT were prospectively recruited. Each patient underwent conventional MRI and BOLD–MRI within 1 week before NACT and again within 1 week before surgery.</div></div><div><h3>RESULTS</h3><div>In this study, 67 patients diagnosed with CSCC were recruited. Of the 67 evaluable women, 15 were finally classified as LNM-positive and 52 as LNM-negative. The evaluation based on the Response Evaluation Criteria in Solid Tumours version 1.1 performed within 1 week before surgery showed that none of the patients had progressive disease. No significant differences were observed between the LNM and non-LNM groups in basic clinical information (<em>P</em> &gt; 0.05). Statistical differences were found between the patients who ultimately developed LNM (LNM group) and those who did not (non-LNM group), as well as in Federation of Gynaecology and Obstetrics staging, lymphovascular space invasion (LVSI) status, depth of stromal invasion, and NACT response (P &lt; 0.05). In both groups, R2∗_post-NACT values were higher than R2∗_pre-NACT (<em>P =</em> 0.017 and <em>P &lt;</em> 0.001), whereas TS_post-NACT values were lower than TS_pre-NACT values (<em>P &lt;</em> 0.001). The LNM group had lower R2∗_post-NACT values than the non-LNM group (<em>P &lt;</em> 0.001).</div></div><div><h3>CONCLUSION</h3><div>The R2∗_post-NACT value of the primary tumour derived from BOLD–MRI may serve as a valuable imaging biomarker for predicting post-NACT LNM in CSCC patients.</div></div>","PeriodicalId":10695,"journal":{"name":"Clinical radiology","volume":"94 ","pages":"Article 107149"},"PeriodicalIF":1.9,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146040647","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Application of multidimensional diffusion-weighted magnetic resonance imaging in nasopharyngeal carcinoma: a prospective study","authors":"Y. Chen ,&nbsp;L. Zou ,&nbsp;Y. Zhang ,&nbsp;W. Cui ,&nbsp;Z. Liu ,&nbsp;D. Luo","doi":"10.1016/j.crad.2025.107178","DOIUrl":"10.1016/j.crad.2025.107178","url":null,"abstract":"<div><h3>AIM</h3><div>The microstructural diffusional heterogeneity of nasopharyngeal carcinoma (NPC) impacts outcome assessment. This study aims to investigate the potential of multidimensional diffusion-weighted magnetic resonance imaging (MDD-MRI) in evaluating microscopic diffusion characteristics of NPC.</div></div><div><h3>MATERIALS AND METHODS</h3><div>Sixty-six NPC patients underwent MDD-MRI to derive microscopic diffusion metrics, including anisotropic mean kurtosis (MK), isotropic MK, total MK, and microscopic fractional anisotropy (FA). Macroscopic metrics, such as the apparent diffusion coefficient (ADC), along with parameters from diffusion tensor imaging (DTI) and diffusion kurtosis imaging (DKI), were also analysed for comparison. Differences between NPC and normal tissues, as well as among pathological subtypes, clinical stages, and Epstein–Barr virus infection statuses, were assessed. Receiver operating characteristic curve analysis evaluated the ability to distinguish NPC from normal tissue. Spearman’s correlation analysis examined associations between diffusion metrics and primary tumour (T) stages.</div></div><div><h3>RESULTS</h3><div>NPC tissues exhibited lower ADC (<em>P</em>&lt;.001) and higher DKI-related MK (MK_<em>K</em>; <em>P</em>&lt;.001) compared to normal nasopharyngeal tissues, with area under the curve values of 0.968 (95 % CI: 0.926-1) and 0.749 (95 % CI: 0.633-0.865) for ADC and MK_<em>K</em>, respectively. Microscopic metrics and ADC correlated with T stages: microscopic FA (rho = 0.52, <em>P</em>&lt;.001), anisotropic MK (rho = 0.38, <em>P</em>=.002), isotropic MK (rho = 0.27, <em>P</em>=.03), total MK (rho = 0.32, <em>P</em>=.009), and ADC (rho = -0.36, <em>P</em>=.003).</div></div><div><h3>CONCLUSION</h3><div>MDD-MRI is a valuable tool for assessing NPC’s microscopic characteristics, possibly improves T-stage evaluation beyond conventional ADC.</div></div>","PeriodicalId":10695,"journal":{"name":"Clinical radiology","volume":"94 ","pages":"Article 107178"},"PeriodicalIF":1.9,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146040617","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Accuracy of MRI for adolescent adnexal torsion in ultrasound-equivocal cases: correlation of imaging features with surgical confirmation","authors":"E. Ayaz ,&nbsp;N.G. Akyel ,&nbsp;M. Yazici ,&nbsp;F. Sarac ,&nbsp;A.H. Yardimci","doi":"10.1016/j.crad.2025.107222","DOIUrl":"10.1016/j.crad.2025.107222","url":null,"abstract":"<div><h3>Aim</h3><div>Although MRI studies report sensitivity and specificity rates of 80–90 % in acute adnexal torsion, the proportion of patients without torsion undergoing emergency surgery following pelvic MRI is significantly higher. This study aims to compare MRI findings between surgically confirmed torsion-positive and torsion-negative cases.</div></div><div><h3>Materials and Methods</h3><div>Paediatric patients who underwent pelvic MRI and emergency surgery were retrospectively reviewed. Thirteen distinct MRI features were visually scored. Additionally, measurements of both ovaries, ADC values, the stromal thickness of the affected ovary, and the predisposing lesion were recorded. Two paediatric radiologists independently evaluated the images without knowledge of surgical outcomes. In cases of disagreement, a final consensus was reached with the involvement of an experienced abdominal radiologist.</div></div><div><h3>Results</h3><div>Among 64 surgically treated patients, 31 (48.4 %) had torsion. MRI of 58 patients (29 torsion-positive) was deemed of sufficient quality. All categorical variables significantly differed between groups, with the most indicative feature being the presence of a twisted pedicle (p&lt;0.05). Differences were observed in T2-weighted, T1-weighted, and post-contrast ovarian parenchymal findings (p&lt;0.05), whereas free fluid (p=0.352) and predisposing cysts (p=0.467) did not show significant differences. Ovarian size, volume, and ADC measurements were significantly different (p&lt;0.05). ROC analysis identified stromal thickness as the most discriminative, with an AUC of 0.85.</div></div><div><h3>Conclusions</h3><div>In cases where ultrasound is inconclusive, MRI provides high accuracy and interobserver agreement for acute adnexal torsion. While all ovarian and pedicle-related findings were significantly different between groups, the most diagnostically relevant features were the presence of a twisted pedicle, increased ovarian long-axis diameter, stromal thickening, and T2-weighted hypointense stroma.</div></div>","PeriodicalId":10695,"journal":{"name":"Clinical radiology","volume":"94 ","pages":"Article 107222"},"PeriodicalIF":1.9,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146006759","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Recasting lumbar spine magnetic resonance imaging (MRI) appropriateness as a documentation-sensitive quality metric","authors":"A.K. Gupta ,&nbsp;A. Putcha ,&nbsp;V. Vadhithala ,&nbsp;S. Kumar","doi":"10.1016/j.crad.2025.107219","DOIUrl":"10.1016/j.crad.2025.107219","url":null,"abstract":"","PeriodicalId":10695,"journal":{"name":"Clinical radiology","volume":"94 ","pages":"Article 107219"},"PeriodicalIF":1.9,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146006732","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}