Journal of Clinical Imaging Science最新文献

{"title":"Granulomatous mastitis following stereotactic core-needle biopsy: A case report.","authors":"Laura L Kirk, Robert J McDonald, Aurela X Clark","doi":"10.25259/JCIS_53_2024","DOIUrl":"10.25259/JCIS_53_2024","url":null,"abstract":"<p><p>Idiopathic granulomatous mastitis is a rare, chronic inflammatory disease of the breast of uncertain etiology that can mimic breast cancer. In rare instances, it may emerge secondary to trauma to the breast. We present a case of a 66-year-old woman who initially underwent a benign stereotactic core-needle biopsy of her left breast complicated by a small hematoma which initially remained unchanged mammographically and sonographically for 1 year; then, it enlarged unexpectedly at the 21-month interval follow-up prompting an ultrasound-guided biopsy revealing granulomatous mastitis.</p>","PeriodicalId":15512,"journal":{"name":"Journal of Clinical Imaging Science","volume":"14 ","pages":"40"},"PeriodicalIF":16.4,"publicationDate":"2024-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11450486/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142400448","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":"Multimodal imaging findings of tubulocystic renal cell carcinoma: A case report.","authors":"Song Chen, Jiaqi Zhao, Jun Xin, Xiaohuan Yang","doi":"10.25259/JCIS_93_2024","DOIUrl":"10.25259/JCIS_93_2024","url":null,"abstract":"<p><p>We present a case involving a 71-year-old male with tubulocystic renal cell carcinoma (TRCC), which is a rare entity of renal neoplasm. The patient was admitted for a cystic nodule on the middle pole of the right kidney by urological ultrasound during physical examination. The nodule presented with hyperechoic on conventional ultrasonic and the enhancing intensity of thicken cystic wall at the peak phase in contrast-enhanced ultrasound was similar to that of the renal parenchyma. Findings from computed tomography <i>angiography</i> exhibited heterogeneously contrast enhancing tumor, and magnetic resonance imaging demonstrated hypointense on T1-weighted images (WI) and hyperintense on T2WI. Histologically, the spongy surface was composed of the typical tubular and multiloculated cystic components lined by a single layer of epithelial cells. The final pathological diagnosis was TRCC. The uneventful laparoscopic right radical nephrectomy was conducted. The patient was followed up for 12 months after discharge and no signs of local or distant metastasis were found. In conclusion, TRCC should be accurately diagnosed on the basis of comprehensive radiological and histological findings to ensure a timely surgery and better prognosis.</p>","PeriodicalId":15512,"journal":{"name":"Journal of Clinical Imaging Science","volume":"14 ","pages":"37"},"PeriodicalIF":1.1,"publicationDate":"2024-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11450494/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142380964","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":"Computed tomography and magnetic resonance imaging findings of intracranial and extracranial meningioma with perineural spread through the foramen rotundum: A case report.","authors":"Taketo Suto, Hiroki Kato, Takenori Ogawa, Masayuki Matsuo","doi":"10.25259/JCIS_97_2024","DOIUrl":"10.25259/JCIS_97_2024","url":null,"abstract":"<p><p>We report a case of a 73-year-old woman presenting with intracranial and extracranial meningioma with perineural spread crossing the foramen rotundum and pterygopalatine fossa, primarily along the maxillary nerve. She visited our hospital with the chief complaint of the left cheek swelling. Subsequent magnetic resonance imaging revealed a well-demarcated mass containing intracranial (cavernous sinus, Meckel's cave, and middle cranial fossa) and extracranial components (pterygopalatine fossa, orbit, nasal cavity, ethmoid and sphenoid sinuses, infratemporal fossa, and buccal space) through the foramen rotundum. A biopsy specimen was obtained from the cheek mass, and the histopathological diagnosis was meningothelial meningioma.</p>","PeriodicalId":15512,"journal":{"name":"Journal of Clinical Imaging Science","volume":"14 ","pages":"36"},"PeriodicalIF":1.1,"publicationDate":"2024-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11450496/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142380962","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":"Roadmap to success: Blueprint for enterprise-wide deployment of a point-of-care ultrasound platform, inclusive of governance, policy, education, credentialing, and quality assurance.","authors":"David Waldman, Chelsea Pino","doi":"10.25259/JCIS_96_2024","DOIUrl":"10.25259/JCIS_96_2024","url":null,"abstract":"<p><p>Point-of-care ultrasound (POCUS) has emerged as a cost-effective diagnostic tool that significantly augments physical examinations. Positioned as an extension of traditional examination methods, particularly appealing to the upcoming generation of clinicians, it holds promise in potentially replacing the stethoscope in various medical assessments and procedures. The University of Rochester is deploying 2500 POCUS machines, enhancing compliance for image storage and documentation. Halfway through our 4-year deployment plan, we will discuss our governance structure, educational initiatives, and credentialing strategies. While POCUS adoption has seen organic growth over the past decade, our aim is to implement a comprehensive strategy ensuring adherence to established protocols for image storage and documentation. At present, we have successfully deployed 789 probes, with integration across 64 departments or divisions into our IT platform. Notably, this implementation has resulted in a remarkable 116% increase in hospital charges, underscoring the tangible impact of POCUS integration. However, achieving compliance and education among established providers has proven to be challenging.</p>","PeriodicalId":15512,"journal":{"name":"Journal of Clinical Imaging Science","volume":"14 ","pages":"35"},"PeriodicalIF":1.1,"publicationDate":"2024-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11450484/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142380966","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":"Facet joint septic arthritis: A review of cases.","authors":"Kin Man Sin, Yung Kong Wong, Brian Wai Him Fung, Angela On Chee Li, Wing Ho Chong, Kai Yan Kwok","doi":"10.25259/JCIS_64_2024","DOIUrl":"10.25259/JCIS_64_2024","url":null,"abstract":"<p><p>Facet joint septic arthritis is a rare; yet, severe spinal infection often misdiagnosed due to its non-specific clinical presentation and radiological mimickers. This case series illustrates various clinical presentations, imaging features, and outcomes of patients with facet joint septic arthritis. We demonstrate different disease stages to aid clinicians and radiologists in recognizing this condition. Key diagnostic pitfalls are also discussed to enhance diagnostic accuracy in clinical practice.</p>","PeriodicalId":15512,"journal":{"name":"Journal of Clinical Imaging Science","volume":"14 ","pages":"34"},"PeriodicalIF":1.1,"publicationDate":"2024-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11450493/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142380963","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":"Radiofrequency interference in magnetic resonance imaging: Identification and rectification.","authors":"Wingchi Edmund Kwok","doi":"10.25259/JCIS_74_2024","DOIUrl":"10.25259/JCIS_74_2024","url":null,"abstract":"<p><p>Radiofrequency (RF) interference artifact is a common type of magnetic resonance imaging (MRI) artifacts caused by the presence of unwanted RF field inside the scanner room. The artifact has the appearance of parallel bright lines or bands that resemble zippers, which can mimic pathology, obstruct the viewing of underlining tissues, and lower image signal-to-noise ratio, affecting the diagnostic evaluation of the image and sometimes even rendering it non-diagnostic. Due to the presence of multiple possible sources of RF interference in MRI and potential nonrelated MRI artifacts that resemble RF interference artifact, it may be difficult to effectively and timely resolve the artifact problem. The objective of this paper is to provide a review of RF interference in MRI and to offer guidance in the prompt and correct identification of the associated image artifacts as well as efficient approaches to resolve and prevent RF interference problems. This article should serve as a useful educational reference to magnetic resonance (MR) technologists and radiologists in dealing with MR image artifacts that may be caused by RF interference.</p>","PeriodicalId":15512,"journal":{"name":"Journal of Clinical Imaging Science","volume":"14 ","pages":"33"},"PeriodicalIF":1.1,"publicationDate":"2024-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11450485/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142380965","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 and PET/CT of multiple primary hepatic angiosarcomas in 25-year-old man: A case report.","authors":"Murat Jakipov, Aslan Karimov, Zaukiya Khamitova, Bayram Kochiev, Dauren Bolatov, Zhanat Spatayev, Saltanat Bolsynbekova, Zhuldyz Kuanysh, Dinara Zharlyganova","doi":"10.25259/JCIS_69_2024","DOIUrl":"10.25259/JCIS_69_2024","url":null,"abstract":"<p><p>This study aims to provide a comprehensive understanding of primary hepatic angiosarcoma, a rare and aggressive malignancy, focusing on its diagnostic challenges and unique imaging characteristics. The objective is to delineate the distinctive features of angiosarcoma through computed tomography and magnetic resonance imaging modalities, contributing to improved diagnostic precision and adding valuable insights to the scientific literature. We present the case of a 25-year-old male with primary hepatic angiosarcoma, emphasizing the challenges in distinguishing it from other vascular tumors.</p>","PeriodicalId":15512,"journal":{"name":"Journal of Clinical Imaging Science","volume":"14 ","pages":"32"},"PeriodicalIF":1.1,"publicationDate":"2024-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11380813/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142154265","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":"Evaluating artificial intelligence's role in lung nodule diagnostics: A survey of radiologists in two pilot tertiary hospitals in China.","authors":"Weiqi Liu, You Wu, Zhuozhao Zheng, Wei Yu, Mark J Bittle, Hadi Kharrazi","doi":"10.25259/JCIS_72_2024","DOIUrl":"10.25259/JCIS_72_2024","url":null,"abstract":"<p><strong>Objectives: </strong>This study assesses the perceptions and attitudes of Chinese radiologists concerning the application of artificial intelligence (AI) in the diagnosis of lung nodules.</p><p><strong>Material and methods: </strong>An anonymous questionnaire, consisting of 26 questions addressing the usability of AI systems and comprehensive evaluation of AI technology, was distributed to all radiologists affiliated with Beijing Anzhen Hospital and Beijing Tsinghua Changgung Hospital. The data collection was conducted between July 19, and 21, 2023.</p><p><strong>Results: </strong>Of the 90 respondents, the majority favored the AI system's convenience and usability, reflected in \"good\" system usability scale (SUS) scores (Mean ± standard deviation [SD]: 74.3 ± 11.9). General usability was similarly well-received (Mean ± SD: 76.0 ± 11.5), while learnability was rated as \"acceptable\" (Mean ± SD: 67.5 ± 26.4). Most radiologists noted increased work efficiency (Mean Likert scale score: 4.6 ± 0.6) and diagnostic accuracy (Mean Likert scale score: 4.2 ± 0.8) with the AI system. Views on AI's future impact on radiology careers varied (Mean ± SD: 3.2 ± 1.4), with a consensus that AI is unlikely to replace radiologists entirely in the foreseeable future (Mean ± SD: 2.5 ± 1.1).</p><p><strong>Conclusion: </strong>Radiologists at two leading Beijing hospitals generally perceive the AI-assisted lung nodule diagnostic system positively, citing its user-friendliness and effectiveness. However, the system's learnability requires enhancement. While AI is seen as beneficial for work efficiency and diagnostic accuracy, its long-term career implications remain a topic of debate.</p>","PeriodicalId":15512,"journal":{"name":"Journal of Clinical Imaging Science","volume":"14 ","pages":"31"},"PeriodicalIF":1.1,"publicationDate":"2024-08-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11380818/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142154264","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":"Acute traumatic subtalar dislocation: A rare but important clinical entity with 15-year retrospective radiological analysis of 23 cases.","authors":"King Shing Yung, Hoi Ming Kwok, Nin Yuan Pan, Bill Archie Lo","doi":"10.25259/JCIS_8_2024","DOIUrl":"10.25259/JCIS_8_2024","url":null,"abstract":"<p><strong>Objectives: </strong>The objectives of this study were to contribute to the limited existing knowledge about subtalar dislocations, analyze the computed tomography (CT) findings and advantages over radiography, and report the rate and potential risk factors of post-traumatic peri-talar osteoarthritis (OA).</p><p><strong>Material and methods: </strong>A total of 23 cases of traumatic subtalar dislocation during a 15-year period at three regional hospitals were retrospectively reviewed.</p><p><strong>Results: </strong>All 23 cases were closed dislocations. Successful close reduction was performed in 17 patients (73.9%) and 6 patients (26.1%) required open reduction and internal fixation. Twenty patients (87%) had associated foot and ankle fractures. Fractures of calcaneal medial tubercle were the most common (75%), followed by talar head (30%), sinus tarsi (25%), and medial malleolus (25%). The radiograph's sensitivity for identifying fractures was 48.1%. The mean follow-up period is 30 months. Symptomatic OA affected 8 patients (36.4%). No post-trauatic talar avascular necrosis was noted. Fractures were present in all of those patients with post-traumatic OA (100%). Three out of five patients who sustained high-energy mechanism injury developed radiographic OA (66.7%). Three out of six patients (50%) treated with open reduction and internal fixation also developed radiographic OA.</p><p><strong>Conclusion: </strong>Subtalar dislocation remains a rare injury. It is strongly associated with foot and ankle fractures. Fractures of the calcaneal medial tubercle were the most common. The risk of post-traumatic symptomatic peritalar OA is high. CT is useful in detecting occult fractures and injured bony subregions. We postulated potential risk factors of post-traumatic OA (fracture, high-energy mechanism of injury, open reduction, and internal fixation); however, this requires further study.</p>","PeriodicalId":15512,"journal":{"name":"Journal of Clinical Imaging Science","volume":"14 ","pages":"30"},"PeriodicalIF":1.1,"publicationDate":"2024-08-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11301796/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142000062","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":"Tumor diameter and enhancing capsule, as well as previous interventional treatments, as potential predictors of vascular lake phenomenon in hepatocellular carcinoma patients treated with drug-eluting beads transarterial chemoembolization.","authors":"Kento Hatakeyama, Tomoki Tozawa, Yuki Wada, Motoko Konno, Masazumi Matsuda, Takahiro Otani, Shinichiro Minami, Wataru Sato, Kyoko Nomura, Katsunori Iijima, Naoko Mori","doi":"10.25259/JCIS_66_2024","DOIUrl":"10.25259/JCIS_66_2024","url":null,"abstract":"<p><strong>Objectives: </strong>The initial drug-eluting bead (DEB)-transarterial chemoembolization (TACE) are often performed after multiple sessions of transarterial infusion chemotherapy (TAI) or conventional TACE. The purpose of our study was to evaluate the factors associated with the occurrence of vascular lake phenomenon (VLP) during DEB-TACE, considering the previous interventional treatments.</p><p><strong>Material and methods: </strong>Forty-nine initial DEB-TACE procedures in 49 patients between November 2010 and April 2024 were included in this retrospective study. VLP was defined as a localized pooling of contrast agents within the tumor in the venous phase of digital subtraction angiography. The laboratory data, pre-treatment imaging findings such as the maximum tumor diameter (≥3 cm or <3 cm) and the presence of enhancing capsule obtained from computed tomography or magnetic resonance imaging, size of DEBs, and loading drugs, the total number of previous interventional treatments were recorded and compared between VLP occurrence and VLP non-occurrence groups. The multivariate logistic regression analysis was performed to explore the association of factors in predicting VLP occurrence.</p><p><strong>Results: </strong>VLP was observed in 16 patients (32.65%) out of 49 patients. The maximum tumor diameter (≥3 cm) and the presence of the enhancing capsule were significantly higher, and the total number of previous interventional treatments was significantly smaller in the VLP occurrence group than in the VLP non-occurrence group (<i>P</i> = 0.0006, 0.0007, and 0.0003). In multivariate analysis, the maximum tumor diameter, the presence of the enhancing capsule, and the total number of previous interventional treatments were significantly associated with the occurrence of VLP (<i>P</i> = 0.0048, 0.0093, and 0.047).</p><p><strong>Conclusion: </strong>Our study confirmed that the reported risk factor, the maximum tumor diameter, and the enhancing capsule were significantly related to the occurrence of VLP in DEB-TACE. Further, the occurrence of VLP might be carefully considered when the number of previous interventional treatments is small.</p>","PeriodicalId":15512,"journal":{"name":"Journal of Clinical Imaging Science","volume":"14 ","pages":"29"},"PeriodicalIF":1.1,"publicationDate":"2024-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11301804/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141916864","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}