Clinical radiology最新文献_第7页

Comment on: exploring the correlation between high-risk coronary plaque and hepatic fat fraction in nonalcoholic fatty liver disease (NAFLD) using spectral computed tomography (CT) 点评：利用频谱计算机断层扫描（CT）探讨非酒精性脂肪性肝病（NAFLD）高危冠状动脉斑块与肝脏脂肪分数的相关性。

IF 1.9 3区医学

Clinical radiology Pub Date : 2025-07-30 DOI: 10.1016/j.crad.2025.107037

G. Koker , E. Durmus

引用次数: 0

Hypertension: a cardiovascular magnetic resonance imaging update 高血压：心血管磁共振成像更新

IF 1.9 3区医学

Clinical radiology Pub Date : 2025-07-29 DOI: 10.1016/j.crad.2025.107035

N.E. Manghat , K.E. Mitrousi , M.C.K. Hamilton , J.C.L. Rodrigues , E.C. Hart , A.K. Nightingale

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Using a patient-reported history questionnaire to aid decision-making in the lung cancer diagnostic pathway: a single centre observational study of primary care chest X-ray referrals 使用患者报告的病史问卷来帮助肺癌诊断途径的决策：初级保健胸部x线转诊的单中心观察研究

IF 1.9 3区医学

Clinical radiology Pub Date : 2025-07-28 DOI: 10.1016/j.crad.2025.107034

R. Hunter , N. Jawad , O.R. Byass , B. Snaith

{"title":"Using a patient-reported history questionnaire to aid decision-making in the lung cancer diagnostic pathway: a single centre observational study of primary care chest X-ray referrals","authors":"R. Hunter , N. Jawad , O.R. Byass , B. Snaith","doi":"10.1016/j.crad.2025.107034","DOIUrl":"10.1016/j.crad.2025.107034","url":null,"abstract":"<div><h3>Aim</h3><div>To determine the utility and efficacy of a patient-reported history questionnaire to identify the presence of red flag symptoms indicative of lung cancer.</div></div><div><h3>Materials and methods</h3><div>The study site introduced a paper-based screening questionnaire in 2019 to establish the presence of patient-reported red flag symptoms. This retrospective four-week (February 2020) single-centre observational study determined the prevalence of symptoms, compared referrer-reported to patient-reported clinical history, explored the relationship to the chest X-ray (CXR) outcome, and identified those diagnosed with lung cancer in the following two years. A parallel cross-sectional survey of CXR reporters was undertaken to identify the perceived value of the questionnaire in practice.</div></div><div><h3>Results</h3><div>1874 CXRs were reviewed, with conflicting clinical history between referrer and patient evident. 1488 (83.4%) met the red flag criteria, confirming these to be over-sensitive. The diagnostic pathway, measured by the report turnaround time, was quicker for those meeting the red-flag criteria (<em>P</em> < .001), and significantly more likely to identify lung cancer (<em>P</em> < .005). 111 computed tomography (CT) scans were performed, with 17 primary lung cancers diagnosed. 10 additional lung cancers were identified in the following two-years. The majority of reporters utilised the screening questionnaire to aid decision-making.</div></div><div><h3>Conclusion</h3><div>Given the difficulty in early detection of lung cancers, utilising patient-reported clinical history can provide an opportunity to identify at-risk symptomatic patients, enable appropriate prioritisation of image reporting, and improve timely diagnosis.</div></div>","PeriodicalId":10695,"journal":{"name":"Clinical radiology","volume":"89 ","pages":"Article 107034"},"PeriodicalIF":1.9,"publicationDate":"2025-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144996286","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}

引用次数: 0

CT of complex ventral hernias: a guide to reporting 复杂腹疝的CT表现：报告指南

IF 1.9 3区医学

Clinical radiology Pub Date : 2025-07-25 DOI: 10.1016/j.crad.2025.107029

B. Layton, R. Lamb, R. Proctor, S. Shamshuddin, K. Shirodkar, S. Sukumar

{"title":"CT of complex ventral hernias: a guide to reporting","authors":"B. Layton, R. Lamb, R. Proctor, S. Shamshuddin, K. Shirodkar, S. Sukumar","doi":"10.1016/j.crad.2025.107029","DOIUrl":"10.1016/j.crad.2025.107029","url":null,"abstract":"<div><div>Complex ventral hernias (CVHs) represent a subset of incisional hernias so large that they can not be reduced by standard operative techniques without an unacceptable risk of recurrence or potentially dangerous complications. They are debilitating to patients, causing pain, sores and immobility and their incidence is increasing worldwide due to rising operation numbers, an ageing population and increased obesity levels. The field of CVH repair has become its own surgical subspeciality, with the development of CVH multidisciplinary team meetings and tertiary hernia repair centres being established across the world.</div><div>Preoperative computed tomography (CT) has become one of the most important aspects of CVH repair planning, providing information which cannot be clinically assessed. This includes defect measurements, muscle quality evaluation, evidence of previous hernia repair, and metrics such as domain loss calculations and the rectus defect ratio. Together, this information can be combined with the clinical examination to determine the best surgical course. Unfortunately, there is evidence that when confronted with a CVH on CT radiologists provide reports missing important metrics and reporting information of limited value.</div><div>This imaging review provides a comprehensive summary of all of the features which should be included in a CT report for CVH assessment, together with the methods used to generate metrics, where appropriate.</div><div>An illustrative overview of the surgical techniques used to approach CVH repair is provided as well as an up-to-date summary of mesh plane position nomenclature.</div></div>","PeriodicalId":10695,"journal":{"name":"Clinical radiology","volume":"89 ","pages":"Article 107029"},"PeriodicalIF":1.9,"publicationDate":"2025-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144865619","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}

引用次数: 0

Convolutional neural network (CNN) applications in predicting axillary metastasis of small breast cancers 卷积神经网络（CNN）在预测小乳腺癌腋窝转移中的应用

IF 1.9 3区医学

Clinical radiology Pub Date : 2025-07-25 DOI: 10.1016/j.crad.2025.107030

D.E. Tekcan Sanli , A.N. Sanli

引用次数: 0

Comment on “Prognosis risk stratification in patients with cervical adenocarcinoma after surgery: development and validation of integrated biomarkers” 宫颈腺癌患者术后预后风险分层：综合生物标志物的开发与验证

IF 1.9 3区医学

Clinical radiology Pub Date : 2025-07-25 DOI: 10.1016/j.crad.2025.107032

F.I. Zhang

引用次数: 0

Machine learning–based radiopathomics for neoadjuvant chemotherapy response prediction in breast cancer 基于机器学习的放射病理学在乳腺癌新辅助化疗反应预测中的应用

IF 1.9 3区医学

Clinical radiology Pub Date : 2025-07-24 DOI: 10.1016/j.crad.2025.107033

D.E. Tekcan Sanli , A.N. Sanli

引用次数: 0

Evaluating the generalisability of the leicester scoring system for high-risk breast MRI screening 评估莱斯特评分系统在高危乳腺MRI筛查中的通用性

IF 1.9 3区医学

Clinical radiology Pub Date : 2025-07-24 DOI: 10.1016/j.crad.2025.107031

D.E. Tekcan Sanli , A.N. Sanli

引用次数: 0

Structured training in radiology: methodological reflections on evaluating independent acute reporting 放射学结构化培训：评估独立急性报告的方法学反思

IF 1.9 3区医学

Clinical radiology Pub Date : 2025-07-24 DOI: 10.1016/j.crad.2025.107028

D.E. Tekcan Sanli , A.N. Sanli

引用次数: 0

Evaluation and comparison of ethanol ablation and radiofrequency ablation therapeutic effects on parathyroid adenoma 乙醇消融与射频消融治疗甲状旁腺瘤疗效的评价与比较

IF 1.9 3区医学

Clinical radiology Pub Date : 2025-07-18 DOI: 10.1016/j.crad.2025.107016

P. Rezvanian , B. Tavakoli , A. Feizi , S. Etezazian , H. Rezvanian

{"title":"Evaluation and comparison of ethanol ablation and radiofrequency ablation therapeutic effects on parathyroid adenoma","authors":"P. Rezvanian , B. Tavakoli , A. Feizi , S. Etezazian , H. Rezvanian","doi":"10.1016/j.crad.2025.107016","DOIUrl":"10.1016/j.crad.2025.107016","url":null,"abstract":"<div><h3>Aim</h3><div>Parathyroidectomy, the standard treatment for primary hyperparathyroidism (PHPT), is associated with complications and may not be feasible for patients with significant comorbidities. This study aims to evaluate and compare the efficacy of ethanol ablation (EA) and radiofrequency ablation (RFA) in the treatment of parathyroid adenoma.</div></div><div><h3>Materials and methods</h3><div>This retrospective study included 133 patients with PHPT, 76 of whom underwent RFA and 57 underwent EA. Serum calcium, phosphorus, and parathyroid hormone (PTH) levels were evaluated after one and six months of follow-up. A follow-up ultrasound exam was conducted after one month to assess adenoma volume.</div></div><div><h3>Results</h3><div>RFA resulted in significant reductions in serum PTH, calcium levels, and adenoma size, as well as a significant increase in serum phosphorus levels (all <em>P</em><0.001). Similarly, EA led to substantial reductions in serum PTH, calcium, and adenoma volume (all <em>P</em><0.001), while the changes in phosphorus levels were borderline significant (<em>P</em>=0.063). At the end of the follow-up period, 95.2% of patients in the RFA group and 97.6% in the EA group achieved normocalcemia. Both treatments showed comparable effectiveness in reducing serum PTH, calcium levels, and adenoma volume (<em>P</em>=0.35, <em>P</em>=0.22, and <em>P</em>=0.76, respectively). However, RFA was significantly more effective in increasing phosphorus levels (<em>P</em>=0.005).</div></div><div><h3>Conclusion</h3><div>Both RFA and EA are highly effective alternatives to parathyroidectomy for treating PHPT. These minimally invasive techniques offer similar outcomes in terms of reducing serum PTH, calcium, and adenoma volume, with RFA showing a superior effect on phosphorus levels.</div></div>","PeriodicalId":10695,"journal":{"name":"Clinical radiology","volume":"89 ","pages":"Article 107016"},"PeriodicalIF":1.9,"publicationDate":"2025-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144865621","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}

引用次数: 0