Journal of Medical Radiation Sciences最新文献

{"title":"Utilisation of Objective and Subjective Image Quality Metrics to Guide Optimal Contrast Volumes for Abdominal CT.","authors":"Deborah Carrick, Mitchell Ashton, Joshua Bognar, Natalia Diaz, James Rogers, Daniel Serra, Daniel Schick","doi":"10.1002/jmrs.70113","DOIUrl":"10.1002/jmrs.70113","url":null,"abstract":"<p><strong>Introduction: </strong>Determining the appropriate volume of iodinated contrast media (ICM) for portal venous phase abdominal computed tomography (CT) remains challenging. Evidence is limited regarding the volume required for consistent enhancement and whether this translates into optimal subjective image quality. To address this gap, we compared fixed-volume and weight-based dosing strategies, utilising objective enhancement and subjective image quality to identify approaches that may optimise diagnostic performance.</p><p><strong>Method: </strong>The abdominal CT ICM dosing protocol was revised from fixed (100 mL) to weight-based (1 mL/kg, 10 kg increments) volume dosing. Data from 90 fixed and 90 weight-based ICM volume procedures were matched by age, gender, weight and kVp. Objective measures of ICM enhancement (Hounsfield unit, HU) were obtained in key vessels and organs. Subjective image quality scores were obtained from 24 cases per group, matched by weight and kVp, followed by visual grading characteristic (VGC) analysis.</p><p><strong>Results: </strong>Weight-based dosing reduced the dependence of key vessel and organ enhancement on patient size compared with fixed dosing. VGC analysis comparing patients < 90 kg and ≥ 90 kg suggests light patients require greater HU enhancement than heavy patients to achieve equal subjective image quality.</p><p><strong>Conclusion: </strong>Consistent HU enhancement across all patient sizes can be achieved by using weight-based ICM volume dosing in abdominal CT, although this does not necessarily translate to consistent subjective image quality. Our findings suggest that lighter patients may benefit from greater enhancement to achieve equivalent subjective image quality to larger patients, highlighting the need for further optimisation of ICM dose strategies beyond standard weight-based approaches.</p>","PeriodicalId":16382,"journal":{"name":"Journal of Medical Radiation Sciences","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2026-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13394332/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148561963","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":"An Exploration of Australian Radiographers' Perceptions of and Experiences With Imaging Autistic People.","authors":"Yasmina Lin, Laura Di Michele, Frances Gray, Franziska Jerjen, Yobelli Alexandra Jimenez","doi":"10.1002/jmrs.70114","DOIUrl":"10.1002/jmrs.70114","url":null,"abstract":"<p><strong>Introduction: </strong>Autistic individuals referred for medical imaging examinations may face barriers without appropriate adjustments. Strengthening the relationship between patients and the healthcare system is crucial, as positive patient experiences can improve adherence and future engagement with healthcare services. This study explored Australian radiographers' experiences and perceptions of imaging autistic patients. Terminology preferences among autistic individuals vary across countries, communities and individuals. This paper adopts identity-first language, 'autistic person' or 'autistic patient', aligned with recommendations from Australian organisations and medical imaging researchers.</p><p><strong>Methods: </strong>Semi-structured online interviews were conducted via Zoom with 10 diagnostic radiographers. Anonymised transcripts were analysed using reflexive thematic analysis to identify patterns of meaning across participants' experiences.</p><p><strong>Results: </strong>All radiographers (n = 10) reported experience performing medical imaging procedures for autistic patients. Four themes were identified: (1) Educational resources and recommendations, (2) Organisational factors affecting radiographic practice, (3) Patient and carer factors affecting radiographic practice, and (4) Key strategies that facilitate positive patient care.</p><p><strong>Conclusion: </strong>Although radiographers lacked formal training specific to caring for autistic individuals, they attributed positive patient experiences to their patient-centred approach, existing knowledge, communication skills, teamwork, and personal attitudes. Radiographers expressed interest in targeted training and remain committed to high-quality patient care. Improving the accessibility of radiology departments through collaboration with autism organisations and the broader community is essential to support better imaging experiences for all patients. Future research should prioritise the perspectives of autistic individuals and their families to comprehensively understand their medical imaging experiences and identify the range of meaningful, patient-defined indicators of quality care.</p>","PeriodicalId":16382,"journal":{"name":"Journal of Medical Radiation Sciences","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2026-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13394339/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148562000","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":"3D Printing a Clinically Available Solution From Plaster-Based Positives in Superficial Radiation Therapy.","authors":"Rory Hartley, Linda Bell, Toby Lowe, Jeremy Booth, Sarah Bergamin, Dasantha Jayamanne, Ryan Brown","doi":"10.1002/jmrs.70098","DOIUrl":"10.1002/jmrs.70098","url":null,"abstract":"<p><strong>Introduction: </strong>This study compares two techniques for creating lead shielding masks to replace the current process for superficial/orthovoltage (SXT) facial radiotherapy: Plaster Cast Positive Mould (PCPM), Computed Tomography (CT) Scanned 3D Print (CT3DP), and Optical Scan 3D Print (OS3DP). The aim is to determine the most accurate and practical method, particularly where PCPM facilities are unavailable.</p><p><strong>Methods: </strong>From July 2022 to January 2023, twelve patients underwent facial SXT treatment using all three techniques. PCPM used alginate impressions reinforced with plaster. OS3DP employed the Skanect Structure Sensor for optical scanning and PLA 3D printing. CT3DP used CT imaging processed via Varian Eclipse and Adaptiiv 3D Bolus software. Accuracy was retrospectively assessed through surface mesh comparisons, manual point measurements, and blind preference testing.</p><p><strong>Results: </strong>CT3DP showed the highest accuracy, with a mean maximum deviation of 14.8 mm and average surface difference of 2.6 mm, compared to 17.0 mm and 3.4 mm for OS3DP. Manual measurements highlighted better alignment at the eyebrows with CT3DP. In blind testing, 81.4% of participants preferred CT3DP over OS3DP. PCPM was the most time-intensive, taking 16 h to complete, vs. six hours for the 3D printing methods.</p><p><strong>Conclusion: </strong>CT3DP offers greater accuracy, efficiency, and clinical preference compared to OS3DP and PCPM. Despite requiring a CT scan and associated imaging dose, its precision and reproducibility make it a strong candidate to replace PCPM in routine clinical practice.</p>","PeriodicalId":16382,"journal":{"name":"Journal of Medical Radiation Sciences","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2026-07-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13398848/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148430557","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":"Response to Letter to the Editor: Impact of 1024-Matrix Size on Perforating Artery Visualization in Cerebral CTA Using a 64-Slice CT Scanner.","authors":"Hokuto Nagumo, Yuki Nagata, Mayumi Maruko, Jun Sakai, Yusuke Fujiwara, Joma Oikawa","doi":"10.1002/jmrs.70102","DOIUrl":"10.1002/jmrs.70102","url":null,"abstract":"<p><p>This response addresses a Letter to the Editor commenting on our article on 1024-matrix reconstruction for perforating artery visualisation in cerebral CTA using a 64-slice CT scanner (https://doi.org/10.1002/jmrs.70055). It acknowledges that integration with iterative or deep-learning reconstruction, workflow and PACS burden, and downstream clinical outcomes warrant further study, and emphasises that a targeted 1024-matrix strategy limited to clinically critical intracranial regions offers a practical compromise.</p>","PeriodicalId":16382,"journal":{"name":"Journal of Medical Radiation Sciences","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2026-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13398770/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148421734","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":"Navigating Acceptability: A Think-Aloud Study of Subjective and Contextual Factors in Radiographic Image Rejection.","authors":"Robin Decoster, Rachel Toomey, Michaela Davis, Marie-Louise Ryan","doi":"10.1002/jmrs.70109","DOIUrl":"10.1002/jmrs.70109","url":null,"abstract":"<p><strong>Introduction: </strong>Radiographic image quality is evaluated based on technical and anatomical criteria; however, this study investigates how radiographers incorporate contextual factors into their decision-making processes when rejecting images. Using the think-aloud method, it explores radiographers' reasoning across three established phases of image production: planning, execution and evaluation.</p><p><strong>Methods: </strong>Nine radiographers from Belgium and Ireland participated in cognitive interviews, simulating four radiographic scenarios involving patient variation and technical challenges. Interviews were recorded, transcribed and analysed thematically.</p><p><strong>Results: </strong>Thematic coding revealed five core themes and thirteen subcodes, focusing on aspects such as patient characteristics, workflow, technical parameters and interprofessional dynamics. The findings highlight that image rejection is influenced not only by contrast, resolution or positioning errors but also by patient condition, radiographer experience and departmental culture. Belgian radiographers referenced radiologist preferences more frequently, while Irish participants demonstrated a stronger emphasis on protocol and patient-specific adaptation. Cultural differences, encapsulated knowledge, and terminology ambiguities were noted, suggesting broad variability in image acceptability criteria.</p><p><strong>Conclusion: </strong>This study demonstrates that radiographic image quality cannot be fully assessed based on the radiograph alone. Instead, clinical reasoning involves a complex interplay between objective image features and subjective contextual judgements. These findings raise important questions about the role of standardisation versus flexibility in image assessment and have implications for reject analysis, education, and integration of Artificial Intelligence in diagnostic imaging.</p>","PeriodicalId":16382,"journal":{"name":"Journal of Medical Radiation Sciences","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2026-07-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13399030/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148396841","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":"A Model to Facilitate Resilience Among Diagnostic Radiography Students.","authors":"Heidi Thomas, Kathleen Naidoo, Penelope Engel-Hills","doi":"10.1002/jmrs.70107","DOIUrl":"10.1002/jmrs.70107","url":null,"abstract":"<p><strong>Introduction: </strong>A significant increase in the demand for radiography examinations and the corresponding rise in the workload of radiographers has been noted. Radiography imaging departments serve patients presenting with a wide range of conditions and abilities, and student radiographers have reported feeling unprepared, lacking confidence and experiencing stress and anxiety during such interactions. Additionally, they encounter challenges with effective communication and interpersonal engagement, making it difficult for them to recover from difficult experiences. These challenges highlight the need for research on resilience among student radiographers. The aim of the paper is to describe the process undertaken to develop a model to facilitate resilience in DR students, and to present the developed model.</p><p><strong>Method: </strong>A qualitative, exploratory, descriptive, contextual and theory-generative approach was used to develop a model for facilitating resilience among diagnostic radiography (DR) students. Data were collected through focus groups with first-year DR students. Finalisation of the model was informed through input by experts in model development, radiography and nursing education.</p><p><strong>Results: </strong>Five focus groups were analysed using thematic analysis, yielding four themes: students' understanding of resilience, students' readiness to commence in the clinical workplace, interpersonal interactions as they relate to the clinical environment and adapting to the clinical environment. Through inductive reasoning, central concepts were identified with facilitation, self-efficacy and social connections, forming the basis of the resilience model.</p><p><strong>Conclusion: </strong>The model designed for the facilitation of resilience is recommended for use as a framework for educators to foster resilience among DR students.</p>","PeriodicalId":16382,"journal":{"name":"Journal of Medical Radiation Sciences","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2026-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13399150/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148368672","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":"Compliance With NICE Guidance for Cervical Spine Trauma Imaging: A Single Centre Retrospective Evaluation.","authors":"Nikoll Walker, Jas Sawhney, Beverly Snaith","doi":"10.1002/jmrs.70105","DOIUrl":"10.1002/jmrs.70105","url":null,"abstract":"<p><strong>Introduction: </strong>In 2016 the National Institute for Health and Care Excellence (NICE) published guidance in England recommending computed tomography (CT) as the first line imaging for cervical spine (C-spine) injury in adults. However anecdotal evidence suggests that X-rays are still being performed. The aim of this evaluation was to determine the imaging referral patterns following C-spine trauma and compare with national guidance.</p><p><strong>Methods: </strong>Within a single English organisation emergency department patient attendance data, X-ray and CT referral criteria and acquisition information for patients ≥ 16 years undergoing imaging of the C-spine was collated from a 12-month period (01.01.23-31.12.23).</p><p><strong>Results: </strong>The cohort contained 302 females and 301 males, with a median age of 55 years. According to the clinical information 12.1% (n = 73/603) of the patients had no risk of C-spine injury and therefore should not have required diagnostic imaging. Almost two thirds of patients (n = 395/603; 65.5%) had first line CT imaging consistent with national guidance. Of those where imaging was justified, 135 patients had the incorrect initial diagnostic test (X-ray as opposed to CT) with 26 also having a subsequent CT. The quality of all of the X-rays were reviewed and only 39.5% (n = 73/185) of cases were diagnostic.</p><p><strong>Conclusions: </strong>In 2023, the organisation was 65.5% compliant with the guidance, with a number of patients referred for unjustified imaging examinations and/or the wrong initial imaging modality. The consequences of this included treatment delays, prolonged immobilisation, over-irradiation and impact upon resources, along with potentially missed pathology due to inconclusive X-rays.</p>","PeriodicalId":16382,"journal":{"name":"Journal of Medical Radiation Sciences","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2026-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13398799/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148376013","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":"Mapping the Landscape of Over-Scanning in CT Imaging: A Scoping Review.","authors":"Mo'men Bani-Ahmad, Aoife O Sullivan, Yasser H Hadi, Laura McLaughlin, Andrew England, Mark McEntee","doi":"10.1002/jmrs.70104","DOIUrl":"10.1002/jmrs.70104","url":null,"abstract":"<p><strong>Introduction: </strong>Over-scanning in CT refers to extending the scan range beyond intended anatomical boundaries, resulting in unnecessary ionising radiation exposure. Despite its frequent occurrence, it remains poorly defined and inadequately addressed within the radiological community. This scoping review examines the extent of over-scanning in CT imaging, including its definitions, assessment methods, contributing factors and mitigation strategies.</p><p><strong>Methods: </strong>A scoping review was conducted in accordance with PRISMA-ScR guidelines. PubMed, Embase, Ovid and Scopus were searched for studies published between January 2010 and December 2025. Extracted data included definitions, assessment methods, prevalence, dose implications, contributing factors and mitigation strategies.</p><p><strong>Results: </strong>Thirty-eight studies covering brain, chest, abdominal and multi-region CT protocols were included. Over-scanning was prevalent, averaging 75% (range 13%-100%), with excess coverage from 12 mm to about 90 mm, exceeding recommended anatomical margins. Associated effective dose increases ranged from 0.03 to 3.4 mSv, with organ-specific doses markedly higher in paediatric imaging and radiosensitive organs (thyroid, lungs, breasts, testes), amplifying long-term cancer risk. Directional patterns (superior/inferior) varied by protocol, influenced by anatomical complexity, scout-image limitations and radiographer caution to avoid under-coverage.</p><p><strong>Conclusion: </strong>Over-scanning in CT is a multifactorial issue driven by technical, operator, patient and system-level factors. Mitigation requires standardised protocols, radiographer training, education on over-irradiation risks, optimised scout image utilisation and technological support. Key strategies include consistent osseous landmarks, lateral scout views and AI-based planning tools, which offer promising solutions for automating scan range planning, detecting and reducing over-scanning through real-time monitoring and retrospective analysis and enhancing patient radiation safety.</p>","PeriodicalId":16382,"journal":{"name":"Journal of Medical Radiation Sciences","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2026-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13398788/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148352368","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":"Prone Breast Radiotherapy on the MR-Linac: A Technical Note on Skin-Couch Contact Dose Effects.","authors":"Kerryn Brown, Drew Smith, Kristie Matthews, Jessica Lye, Leah McDermott, Michael Chao, Farshad Foroudi, Caroline Wright","doi":"10.1002/jmrs.70106","DOIUrl":"10.1002/jmrs.70106","url":null,"abstract":"<p><p>Accelerated partial breast irradiation (APBI) delivers a higher dose to a smaller breast volume with equivalent tumour control to whole breast irradiation and improved cosmesis. The MR-Linac offers superior soft tissue visualisation and adaptive planning, but limited bore size may result in skin-couch contact, potentially affecting skin dose. This retrospective pilot study evaluated the effect of MR-Linac couch contact on skin dose. Three patients with left-sided breast cancer positioned prone with unavoidable skin-couch contact were included. MR images were acquired using a 1.5 T MR simulator and contoured for target and organs-at-risk. Step-and-shoot IMRT plans (30Gy in 5 fractions) were optimised and recalculated with and without magnetic field presence. Dose to the whole skin rind (Skin_Rind) and couch-contact region (Skin_Rind_Ant) were compared. All plans met target and OAR constraints. Mean Skin_Rind dose was consistently higher with magnetic field presence, while dose to Skin_Rind_Ant was consistently lower. These findings contrast with conventional linac data, suggesting magnetic field and interface effects may alter skin dose deposition.</p>","PeriodicalId":16382,"journal":{"name":"Journal of Medical Radiation Sciences","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2026-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13398681/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148338926","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":"Prognostic Value of Combined FDG PET and MRI Analysis of Cervical Cancer: A Systematic Review and Meta-Analysis.","authors":"William Wei, Dominic Ku, Natalie Rutherford","doi":"10.1002/jmrs.70103","DOIUrl":"10.1002/jmrs.70103","url":null,"abstract":"<p><strong>Introduction: </strong>Accurate risk stratification in cervical cancer remains challenging, and imaging biomarkers may add prognostic value beyond staging. This systematic review was conducted to evaluate the published data on the integrated use of 18F-fluorodeoxyglucose (FDG) positron emission tomography (PET) and magnetic resonance imaging (MRI) in cervical cancer, with a specific analysis of the correlation between functional and anatomical imaging parameters and the identification of prognostic imaging markers.</p><p><strong>Methods: </strong>A comprehensive database search was conducted to identify studies that examined functional and anatomical imaging parameters using PET and MRI in the analysis of cervical cancer. A total of 328 articles were screened, and 107 full-text articles were reviewed. 34 studies were ultimately included in the systematic review.</p><p><strong>Results: </strong>Thirty Four papers were reviewed for systematic review. Key functional and anatomical imaging parameters were analysed. 11 papers analysed PET standardised uptake value (SUV) and MRI apparent diffusion coefficient (ADC) correlations which were suitable for meta-analysis. Moderate negative correlations between SUV and ADC values were statistically significant across multiple studies. Furthermore, metabolic tumour volume (MTV) and total lesion glycolysis (TLG) were shown to be statistically correlated with tumour grade, FIGO staging and survival outcomes (disease-free survival, DFS, and overall survival, OS). Imaging parameters predictive of local recurrence, metastatic disease and survival outcomes were analysed.</p><p><strong>Conclusion: </strong>This systematic review of 34 studies on FDG PET and MRI in cervical cancer shows that imaging biomarkers predict recurrence, metastasis, and outcomes. Collectively, the literature supports the potential role of integrated PET/MRI biomarkers for improved prognostic stratification beyond conventional staging systems.</p>","PeriodicalId":16382,"journal":{"name":"Journal of Medical Radiation Sciences","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2026-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13399069/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148277728","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}