Jee Won Chai, Joo-Ho Lee, Dong Hyun Kim, Jina Park, So-Hee Oh, Su-Mi Shin
{"title":"Effect of Patient's Positioning on the Grade of Tendinosis and Visible Range of Infraspinatus Tendon on Ultrasound.","authors":"Jee Won Chai, Joo-Ho Lee, Dong Hyun Kim, Jina Park, So-Hee Oh, Su-Mi Shin","doi":"10.3348/jksr.2022.0137","DOIUrl":"https://doi.org/10.3348/jksr.2022.0137","url":null,"abstract":"<p><strong>Purpose: </strong>To investigate the effect of patient positioning on tendinosis grade, visible range, and infraspinatus tendon (IST) thickness, and to determine the feasibility of internal rotation (IR) position to assess IST on ultrasound (US).</p><p><strong>Materials and methods: </strong>This study included 52 shoulders of 48 subjects who were evaluated for IST in three different positions: neutral position (N), IR, and position with the ipsilateral hand on the contralateral shoulder (HC). Two radiologists retrospectively graded IST tendinosis from grade 0 to grade 3 and the visible range from grade 1 to grade 4. The thickness of the IST was measured by another radiologist with a short-axis view. A generalized estimating equation was used for statistical analysis.</p><p><strong>Results: </strong>The tendinosis grades were higher in the HC position than in the IR position, with a cumulative odds ratio of 2.087 (0.004, 95% confidence interval [CI]: 1.268-3.433). The tendinosis grades in the HC position (<i>p</i> = 0.370) and IR position (<i>p</i> = 0.146) were not significantly different from those in the N position. The overall difference in IST thickness was significant (<i>p</i> < 0.001), but the visible range (<i>p</i> = 0.530) was not significantly different according to position.</p><p><strong>Conclusion: </strong>Patient positioning significantly affected the grade of tendinosis and thickness but not the visible range of the IST. The IR position is a feasible position for assessing the IST on US.</p>","PeriodicalId":17455,"journal":{"name":"Journal of the Korean Society of Radiology","volume":"84 3","pages":"627-637"},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/14/d9/jksr-84-627.PMC10265234.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9654479","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":"Structured Reporting for Pediatric Appendiceal US: Can It Reduce CT Utilization Rate and Decrease the Negative Appendectomy Rate?","authors":"Dal Mo Yang","doi":"10.3348/jksr.2023.0058","DOIUrl":"10.3348/jksr.2023.0058","url":null,"abstract":"","PeriodicalId":17455,"journal":{"name":"Journal of the Korean Society of Radiology","volume":"84 3","pages":"663-665"},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/7b/d2/jksr-84-663.PMC10265244.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9660530","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 Jin Kim, Jin Hwa Lee, Young Mi Park, Kyungjae Lim
{"title":"Clustered Microcysts Detected on Breast US in Asymptomatic Women.","authors":"Hyun Jin Kim, Jin Hwa Lee, Young Mi Park, Kyungjae Lim","doi":"10.3348/jksr.2022.0029","DOIUrl":"https://doi.org/10.3348/jksr.2022.0029","url":null,"abstract":"<p><strong>Purpose: </strong>To investigate the incidence, outcomes, and imaging characteristics of clustered microcysts detected on breast US in asymptomatic women, and suggest appropriate management guidelines.</p><p><strong>Materials and methods: </strong>We identified and reviewed the lesions recorded as \"clustered microcysts\" on breast US performed in asymptomatic women between August 2014 and December 2019. The final diagnosis was based on pathology and imaging follow-up results for at least 12 months.</p><p><strong>Results: </strong>The incidence was 1.5% and 100 patients with 117 lesions were included. Among 117 lesions, 3 (2.6%), 2 (1.7%), and 112 (95.7%) were malignant, high-risk benign, and benign lesions, respectively. The malignant lesions included two cases of ductal carcinoma in situ and one invasive ductal carcinoma. Two of them were assessed as category 4, showing mammographic suspicious microcalcifications and internal vascularity on Doppler US. The remainder was a false negative case and showed echo pattern change on the 12-month follow-up US.</p><p><strong>Conclusion: </strong>The incidence of clustered microcysts on breast US in asymptomatic women was 1.5% and malignancy rate was 2.6% (3 of 117). Knowledge of outcomes and imaging features of benign and malignant clustered microcysts may be helpful for radiologists, thereby aiding categorization and management recommendations.</p>","PeriodicalId":17455,"journal":{"name":"Journal of the Korean Society of Radiology","volume":"84 3","pages":"676-685"},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/63/99/jksr-84-676.PMC10265242.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9648126","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}
Yeonsoo Choi, Jin Hyeok Kim, Ung Bae Jeon, Joo Yeon Jang, Tae Un Kim, Hwaseong Ryu
{"title":"Inferior Vena Cava Stenosis Following Orthotopic Liver Transplantation: Differentiating Points from False Positives.","authors":"Yeonsoo Choi, Jin Hyeok Kim, Ung Bae Jeon, Joo Yeon Jang, Tae Un Kim, Hwaseong Ryu","doi":"10.3348/jksr.2021.0137","DOIUrl":"https://doi.org/10.3348/jksr.2021.0137","url":null,"abstract":"<p><p>Orthotopic liver transplantation has become the treatment of choice for patients with end-stage liver disease. Various early or delayed vascular complications, including arterial pseudoaneurysm, thrombosis, or stenosis, and venous stenosis or occlusion, may lead to graft failure. Early detection and prompt management of such complications are essential to achieve successful transplantation and prevent the need for retransplantation. This report presents differentiating points, using computed tomography and digital subtraction angiography findings and measurement of pressure gradient across the stenotic lesion, that require immediate intervention in patients with inferior vena cava stenosis after orthotopic liver transplantation.</p>","PeriodicalId":17455,"journal":{"name":"Journal of the Korean Society of Radiology","volume":"84 3","pages":"713-718"},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/d0/4e/jksr-84-713.PMC10265236.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9654472","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":"Transcatheter Arterial Embolization for Palliation of Uterine Body Cancer Bleeding.","authors":"Jaeyeon Choi, Ji Hoon Shin, Hee Ho Chu","doi":"10.3348/jksr.2022.0067","DOIUrl":"https://doi.org/10.3348/jksr.2022.0067","url":null,"abstract":"<p><strong>Purpose: </strong>This study aimed to evaluate the efficacy and safety of transcatheter arterial embolization (TAE) for bleeding due to uterine body cancer.</p><p><strong>Materials and methods: </strong>In this retrospective study, six patients with varying types of uterine body cancer who underwent TAE for bleeding control were investigated. Angiographic findings, cross-sectional images, TAE details, and clinical outcomes were studied. Technical and clinical success rates were calculated.</p><p><strong>Results: </strong>The identified patients had endometrioid adenocarcinoma, sarcoma, and gestational trophoblastic neoplasia, and most were patients with advanced-stage cancer. In four patients, tumor bleeding presented as vaginal bleeding. Technical success was achieved in all seven TAE procedures in six patients. Two patients with recurrent masses who had undergone hysterectomy presented with hematochezia, and TAE was able to provide technical success in these patients as well. The clinical success rate was 50%, indicating bleeding control for > 1 week. Rebleeding was directly associated with death in one patient. On the following day, mild fever was observed in one patient.</p><p><strong>Conclusion: </strong>TAE can be considered an effective and safe method of bleeding control for uterine body cancer, especially during critical periods throughout the disease course of patients with inoperable, advanced-stage cancer.</p>","PeriodicalId":17455,"journal":{"name":"Journal of the Korean Society of Radiology","volume":"84 3","pages":"606-614"},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/92/c5/jksr-84-606.PMC10265241.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9657290","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":"Spontaneous Rupture of the Internal Thoracic Artery Causing a Mediastinal Hematoma in a Patient with Alcoholic Liver Cirrhosis: A Case Report.","authors":"Jae Yang Park, Eun-Ju Kang, Jaehyung Park","doi":"10.3348/jksr.2022.0105","DOIUrl":"https://doi.org/10.3348/jksr.2022.0105","url":null,"abstract":"<p><p>Spontaneous arterial bleeding is uncommon, and a mediastinal hematoma caused by spontaneous rupture of the internal thoracic artery has not been reported previously. Patients with liver cirrhosis or heavy alcohol consumption have a higher risk of hemorrhage than those without cirrhosis or excessive alcohol consumption. We present the case of a 39-year-old female with a history of alcoholic liver cirrhosis, who presented with a large mediastinal hematoma attributable to spontaneous rupture of the internal thoracic artery.</p>","PeriodicalId":17455,"journal":{"name":"Journal of the Korean Society of Radiology","volume":"84 3","pages":"750-756"},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/41/29/jksr-84-750.PMC10265232.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9660527","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":"[Radiologic Diagnosis of Gastrointestinal Bleeding].","authors":"Se Hyung Kim","doi":"10.3348/jksr.2022.0174","DOIUrl":"https://doi.org/10.3348/jksr.2022.0174","url":null,"abstract":"<p><p>Gastrointestinal (GI) bleeding is not a single disease but a symptom and clinical manifestation of a broad spectrum of conditions in the GI tract. According to its clinical presentation, GI bleeding can be classified into overt, occult, and obscure types. Additionally, it can be divided into upper and lower GI bleeding based on the Treitz ligament. Variable disease entities, including vascular lesions, polyps, neoplasms, inflammation such as Crohn's disease, and heterotopic pancreatic or gastric tissue, can cause GI bleeding. CT and conventional angiographies and nuclear scintigraphy are all radiologic imaging modalities that can be used to evaluate overt bleeding. For the work-up of occult GI bleeding, CT enterography (CTE) can be the first imaging modality. For CTE, an adequate bowel distention is critical for obtaining acceptable diagnostic performance as well as minimizing false positives and negatives. Meckel's scintigraphy can be complementarily useful in cases where the diagnosis of CTE is suboptimal. For the evaluation of obscured GI bleeding, various imaging modalities can be used based on clinical status and providers' preferences.</p>","PeriodicalId":17455,"journal":{"name":"Journal of the Korean Society of Radiology","volume":"84 3","pages":"520-535"},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/c7/ac/jksr-84-520.PMC10265251.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10029908","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}
Hyuk Gi Hong, Yong Eun Chung, June Park, Yeo Eun Kim
{"title":"Erdheim-Chester Disease Involving the Biliary System and Mimicking Immunoglobulin G4-Related Disease: A Case Report.","authors":"Hyuk Gi Hong, Yong Eun Chung, June Park, Yeo Eun Kim","doi":"10.3348/jksr.2022.0114","DOIUrl":"https://doi.org/10.3348/jksr.2022.0114","url":null,"abstract":"<p><p>First described in 1930 as a lipoid granulomatosis, Erdheim-Chester disease (ECD) is a rare histiocytosis encompassing a group of disorders caused by overproduction of histiocytes, a subtype of white blood cells. This disease most commonly involves the bones and can affect organs in the abdomen; however, biliary involvement is rarely reported. We report a case of ECD with biliary involvement, which rendered it difficult to radiologically distinguish ECD from immunoglobulin G4-related disease.</p>","PeriodicalId":17455,"journal":{"name":"Journal of the Korean Society of Radiology","volume":"84 3","pages":"757-762"},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/b3/94/jksr-84-757.PMC10265239.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9654475","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 Jun Lee, Youe Ree Kim, Young Hwan Lee, Kwon-Ha Yoon
{"title":"US Attenuation Imaging for the Evaluation and Diagnosis of Fatty Liver Disease.","authors":"Seung Jun Lee, Youe Ree Kim, Young Hwan Lee, Kwon-Ha Yoon","doi":"10.3348/jksr.2022.0053","DOIUrl":"https://doi.org/10.3348/jksr.2022.0053","url":null,"abstract":"<p><strong>Purpose: </strong>This study aimed to determine whether the attenuation coefficient (AC) from attenuation imaging (ATI) was correlated with visual US assessment in patients with hepatic steatosis. Moreover, it aimed to assess whether the patient's blood chemistry results and CT attenuation were correlated with AC.</p><p><strong>Materials and methods: </strong>Patients who underwent abdominal US with ATI between April 2018 and December 2018 were included in this study. Patients with chronic liver disease or cirrhosis were excluded. The correlation between AC and other parameters, such as visual US assessment, blood chemistry results, liver attenuation, and liver-to-spleen (L/S) ratio, were analyzed. AC values according to visual US assessment grades were compared using analysis of variance.</p><p><strong>Results: </strong>A total of 161 patients were included in this study. The correlation coefficient between US assessment and AC was 0.814 (<i>p</i> < 0.001). The mean AC values for the normal, mild, moderate, and severe grades were 0.56, 0.66, 0.74, and 0.85, respectively (<i>p</i> < 0.001). Alanine aminotransferase levels were significantly correlated with AC (<i>r</i> = 0.317, <i>p</i> < 0.001). The correlation coefficients between liver attenuation and AC and between L/S ratio and AC were -0.702 and -0.626, respectively (<i>p</i> < 0.001).</p><p><strong>Conclusion: </strong>Visual US assessment and AC showed a strong positive correlation with the discriminative value between the groups. Computed tomography attenuation and AC showed a strong negative correlation.</p>","PeriodicalId":17455,"journal":{"name":"Journal of the Korean Society of Radiology","volume":"84 3","pages":"666-675"},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/d9/2a/jksr-84-666.PMC10265227.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9660535","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":"Squamous Cell Carcinoma Arising from Epidermal Inclusion Cyst of Breast: Imaging Findings and Literature Review.","authors":"Yeong Ju Han, You Me Kim","doi":"10.3348/jksr.2022.0153","DOIUrl":"https://doi.org/10.3348/jksr.2022.0153","url":null,"abstract":"<p><p>Commonly, epidermal inclusion cysts (EICs) are benign cutaneous lesions that are lined with stratified squamous epithelium and may occur in all body parts, including the breasts. EICs in the breast (EICB) are commonly encountered clinically; it may be under-reported because of their mild and non-specific clinical presentation. Malignant transformation of EICs is extremely rare, occurring 0.011%-0.045%. Presently, we report a rare case of squamous cell carcinoma arising from an EICB of a woman with invasive ductal carcinoma.</p>","PeriodicalId":17455,"journal":{"name":"Journal of the Korean Society of Radiology","volume":"84 3","pages":"776-781"},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/d7/48/jksr-84-776.PMC10265223.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9648125","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}