{"title":"Extrapleural Malignant Solitary Fibrous Tumor Presenting as Invasive Bilateral Paravertebral Tumors: A Case Report.","authors":"Jewon Jeong, So-Young Jin","doi":"10.3348/jksr.2022.0071","DOIUrl":"https://doi.org/10.3348/jksr.2022.0071","url":null,"abstract":"<p><p>Solitary fibrous tumors (SFTs) commonly arise from the pleura and are mostly benign. However, they may develop anywhere in the body, and 10%-30% are malignant. Classically, SFTs appear as solitary enhancing masses, and bilateral presentation is extremely rare. In this case, an 88-year-old male presented with back pain and a history of chronic tuberculous empyema. Imaging studies revealed bilateral paravertebral masses with aggressive radiologic features, which were speculatively presumed as thoracic malignancies in association with chronic empyema. Herein, we report a unique case of bilateral paravertebral malignant SFTs that were accurately diagnosed with a CT-guided coaxial needle biopsy.</p>","PeriodicalId":17455,"journal":{"name":"Journal of the Korean Society of Radiology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/7b/d1/jksr-84-304.PMC9935967.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10768789","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}
Seung Wan Han, Jae Ho Shin, Yon Kwon Ihn, Seung Ho Yang, Jae Hoon Sung
{"title":"Comparison of Single- and Multi-Echo Susceptibility-Weighted Imaging in Detecting Cerebral Arteriovenous Shunts: A Preliminary Study.","authors":"Seung Wan Han, Jae Ho Shin, Yon Kwon Ihn, Seung Ho Yang, Jae Hoon Sung","doi":"10.3348/jksr.2022.0080","DOIUrl":"https://doi.org/10.3348/jksr.2022.0080","url":null,"abstract":"<p><strong>Purpose: </strong>To compare the sensitivities of T2-weighted image (T2WI) and susceptibility-weighted imaging (SWI) in detecting cerebral arteriovenous fistula (AVF), cerebral arteriovenous malformation (AVM), and carotid-cavernous sinus fistula (CCF), and to qualitatively evaluate single-echo SWI (s-SWI) and multi-echo SWI (m-SWI) in characterizing vascular lesions.</p><p><strong>Materials and methods: </strong>From January 2016 to December 2021, cerebral angiography-proven lesions were recruited. The sensitivities of T2WI and SWI in detecting vascular lesions were compared using McNemar's test. Qualitative evaluations of s-SWI and m-SWI were categorized to be of poor, average, or good quality and compared using Fisher's exact test.</p><p><strong>Results: </strong>A total of 24 patients (mean age: 61 years, 12 female, and 12 male) were enrolled. Twenty patients underwent s-SWI or m-SWI, and four patients underwent both. AVF, AVM, and CCF were diagnosed in 10, 11, and 3 patients, respectively. SWI demonstrated higher sensitivity compared to that of T2WI (82.1% vs. 53.6%, <i>p</i> = 0.013). m-SWI showed better image quality compared to that of s-SWI (good quality, 83.3% vs. 25.0%, <i>p</i> = 0.009).</p><p><strong>Conclusion: </strong>SWI demonstrated a higher sensitivity for detecting cerebral arteriovenous shunts compared to that of T2WI. m-SWI exhibited better image quality compared to that of s-SWI in characterizing vascular lesions.</p>","PeriodicalId":17455,"journal":{"name":"Journal of the Korean Society of Radiology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/a5/85/jksr-84-226.PMC9935958.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10768793","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}
Hyun Jung Chung, Kyunghwa Han, Eunjung Lee, Jung Hyun Yoon, Vivian Youngjean Park, Mina Lee, Eun Cho, Jin Young Kwak
{"title":"Radiomics Analysis of Gray-Scale Ultrasonographic Images of Papillary Thyroid Carcinoma > 1 cm: Potential Biomarker for the Prediction of Lymph Node Metastasis.","authors":"Hyun Jung Chung, Kyunghwa Han, Eunjung Lee, Jung Hyun Yoon, Vivian Youngjean Park, Mina Lee, Eun Cho, Jin Young Kwak","doi":"10.3348/jksr.2021.0155","DOIUrl":"https://doi.org/10.3348/jksr.2021.0155","url":null,"abstract":"<p><strong>Purpose: </strong>This study aimed to investigate radiomics analysis of ultrasonographic images to develop a potential biomarker for predicting lymph node metastasis in papillary thyroid carcinoma (PTC) patients.</p><p><strong>Materials and methods: </strong>This study included 431 PTC patients from August 2013 to May 2014 and classified them into the training and validation sets. A total of 730 radiomics features, including texture matrices of gray-level co-occurrence matrix and gray-level run-length matrix and single-level discrete two-dimensional wavelet transform and other functions, were obtained. The least absolute shrinkage and selection operator method was used for selecting the most predictive features in the training data set.</p><p><strong>Results: </strong>Lymph node metastasis was associated with the radiomics score (<i>p</i> < 0.001). It was also associated with other clinical variables such as young age (<i>p</i> = 0.007) and large tumor size (<i>p</i> = 0.007). The area under the receiver operating characteristic curve was 0.687 (95% confidence interval: 0.616-0.759) for the training set and 0.650 (95% confidence interval: 0.575-0.726) for the validation set.</p><p><strong>Conclusion: </strong>This study showed the potential of ultrasonography-based radiomics to predict cervical lymph node metastasis in patients with PTC; thus, ultrasonography-based radiomics can act as a biomarker for PTC.</p>","PeriodicalId":17455,"journal":{"name":"Journal of the Korean Society of Radiology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/15/b0/jksr-84-185.PMC9935950.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10768790","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":"Impact of Deep-Learning Based Reconstruction on Single-Breath-Hold, Single-Shot Fast Spin-Echo in MR Enterography for Crohn’s Disease","authors":"Eun Joo Park, Yedaun Lee, Joonsung Lee","doi":"10.3348/jksr.2023.0008","DOIUrl":"https://doi.org/10.3348/jksr.2023.0008","url":null,"abstract":"","PeriodicalId":17455,"journal":{"name":"Journal of the Korean Society of Radiology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135551642","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Soul Han, Young Hwan Lee, Youe Ree Kim, Eun Gyu Soh
{"title":"Usefulness of MRI Scoring System for Differential Diagnosis between Xanthogranulomatous Cholecystitis and Wall-Thickening Type Gallbladder Cancer","authors":"Soul Han, Young Hwan Lee, Youe Ree Kim, Eun Gyu Soh","doi":"10.3348/jksr.2023.0036","DOIUrl":"https://doi.org/10.3348/jksr.2023.0036","url":null,"abstract":"","PeriodicalId":17455,"journal":{"name":"Journal of the Korean Society of Radiology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135448386","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Hematoma-Filled Pneumatocele after CT-Guided Percutaneous Transthoracic Needle Lung Biopsy: Two Case Reports.","authors":"Se Ri Kang","doi":"10.3348/jksr.2022.0093","DOIUrl":"https://doi.org/10.3348/jksr.2022.0093","url":null,"abstract":"<p><p>CT-guided percutaneous transthoracic needle biopsy (PTNB) plays a key role in the diagnosis of pulmonary abnormalities. Although the procedure is considered safe and effective, there exists a potential for complications, such as pneumothorax, hemorrhage, hemoptysis, air embolism, and tumor seeding. However, pneumatoceles after CT-guided PTNB have been rarely reported. Herein, we report two cases of pneumatoceles that developed immediately after PTNB for primary lung cancer. A pneumatocele filled with hematoma should be considered in cases with a newly developed nodule along the needle tract during short-term follow-up CT after PTNB.</p>","PeriodicalId":17455,"journal":{"name":"Journal of the Korean Society of Radiology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/66/f6/jksr-84-311.PMC9935949.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10756717","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}
Kyungmin Lee, Je Hwan Won, Yohan Kwon, Su Hyung Lee, Jun Bae Bang, Jinoo Kim
{"title":"Bare-Metal Stent in Dysfunctional Hemodialysis Access: An Assessment of Circuit Patency according to Access Type and Stent Location.","authors":"Kyungmin Lee, Je Hwan Won, Yohan Kwon, Su Hyung Lee, Jun Bae Bang, Jinoo Kim","doi":"10.3348/jksr.2022.0069","DOIUrl":"https://doi.org/10.3348/jksr.2022.0069","url":null,"abstract":"<p><strong>Purpose: </strong>To evaluate the circuit patency after nitinol bare-metal stent (BMS) placement according to the type of access and location of the stent in dysfunctional hemodialysis access.</p><p><strong>Materials and methods: </strong>Between January 2017 and December 2019, 159 patients (mean age, 64.1 ± 13.2 years) underwent nitinol BMS placement for dysfunctional access. The location of stents was as follows: 18 brachiocephalic vein, 51 cephalic arch, 40 upper arm vein, 10 juxta-anastomotic vein, 7 arteriovenous (AV) anastomosis, and 33 graft-vein (GV) anastomosis. Circuit patency was evaluated by the Kaplan-Meier method, and cox regression model.</p><p><strong>Results: </strong>A total of 159 stents were successfully deployed in 103 AV fistula (AVF) and 56 AV graft (AVG). AVG showed lower primary and secondary patency at 12-months compared with AVF (primary patency; 25.0% vs. 44.7%; <i>p</i> = 0.005, secondary patency; 76.8% vs. 92.2%; <i>p</i> = 0.014). Cox regression model demonstrated poorer primary patency at 12 months after stenting in the cephalic arch and GV anastomosis compared with the other sites.</p><p><strong>Conclusion: </strong>AVF showed better primary and secondary circuit patency at 12 months following the placement of BMS compared with AVG. Stents in the cephalic arch and GV anastomosis were associated with poorer primary patency at 12 months compared to those in other locations.</p>","PeriodicalId":17455,"journal":{"name":"Journal of the Korean Society of Radiology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/07/37/jksr-84-197.PMC9935964.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10756720","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":"Combined Anatomical Anomalies of Direct Aortic Arch Origins of the Left Internal Carotid, Left External Carotid, and Left Vertebral Arteries: A Case Report.","authors":"Dae Yun Park, Byunghoon Lee, Yoon Joon Hwang","doi":"10.3348/jksr.2022.0065","DOIUrl":"https://doi.org/10.3348/jksr.2022.0065","url":null,"abstract":"<p><p>Various branch anomalies of the aortic arch have been reported, but cases with separate origins of the internal and external carotid arteries with combined direct aortic arch origin of the left vertebral artery are extremely rare. Herein, we present a rare case of aplasia of the left common carotid artery with separate origins of the ipsilateral internal and external carotid arteries and vertebral artery from the aortic arch in a 10-year-old girl. In addition, we review the embryological development and clinical implications of these anatomical variations.</p>","PeriodicalId":17455,"journal":{"name":"Journal of the Korean Society of Radiology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/cf/38/jksr-84-286.PMC9935957.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9315961","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}
Hong Seok Choi, Yun-Hyeon Kim, Won Gi Jeong, Jong Eun Lee, Hye Mi Park
{"title":"Clinicoradiological Features of Pulmonary Cryptococcosis in Immunocompetent Patients.","authors":"Hong Seok Choi, Yun-Hyeon Kim, Won Gi Jeong, Jong Eun Lee, Hye Mi Park","doi":"10.3348/jksr.2022.0008","DOIUrl":"https://doi.org/10.3348/jksr.2022.0008","url":null,"abstract":"<p><strong>Purpose: </strong>To assess the clinicoradiological features of pulmonary cryptococcosis in immunocompetent patients.</p><p><strong>Materials and methods: </strong>This retrospective study included immunocompetent patients who had been diagnosed with pulmonary cryptococcosis on the histopathologic exam and underwent chest CT between January 2008 and November 2019. Imaging features were divided into major imaging patterns, distributions, and ancillary imaging findings. Univariable analysis was performed to evaluate clinicoradiological features according to the presence of serum cryptococcal antigen.</p><p><strong>Results: </strong>Thirty-one patients were evaluated (mean age: 60 years, range: 19-78 years). A single nodular lesion confined to a single lobe was the most common imaging pattern (14/31, 45.2%). Serum cryptococcal antigen tests were performed in 19 patients (19/31, 61.3%). The presence of serum cryptococcal antigen was observed in six patients (6/19, 31.6%), all of whom showed a consolidation-dominant pattern. The presence of serum cryptococcal antigen was significantly associated with the consolidation-dominant pattern compared to those associated with a nodule-dominant pattern (<i>p</i> = 0.011).</p><p><strong>Conclusion: </strong>A combination of CT findings of consolidation and a positive serum cryptococcal antigen test may be helpful for diagnosing pulmonary cryptococcosis in immunocompetent patients.</p>","PeriodicalId":17455,"journal":{"name":"Journal of the Korean Society of Radiology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/9c/2f/jksr-84-253.PMC9935965.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9330438","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}
Na Young Lee, Eun Ji Lee, Seong Sook Hong, Jiyoung Hwang, Yun-Woo Chang, Eunsun Oh, Boda Nam, Jewon Jeong
{"title":"[Radiologic Evaluation of Uterine Lesions Using a Pattern Recognition Approach].","authors":"Na Young Lee, Eun Ji Lee, Seong Sook Hong, Jiyoung Hwang, Yun-Woo Chang, Eunsun Oh, Boda Nam, Jewon Jeong","doi":"10.3348/jksr.2022.0009","DOIUrl":"https://doi.org/10.3348/jksr.2022.0009","url":null,"abstract":"<p><p>It is important to distinguish uterine lesions from other lesions occurring in the pelvic cavity for the proper management. The primary radiological evaluation of uterine lesions is performed using transvaginal ultrasonography, and if the lesion is too large or shows atypical benign imaging findings, magnetic resonance imaging should be performed. Analyzing radiological findings of uterine lesions through a pattern recognition approach can help establish the accurate diagnosis and treatment plan. In this pictorial assay, we describe imaging characteristics of various lesions arising from the uterus and evaluate them based on the pattern recognition approach.</p>","PeriodicalId":17455,"journal":{"name":"Journal of the Korean Society of Radiology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/de/c1/jksr-84-127.PMC9935953.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9330441","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}