{"title":"[Interpretation of Rectal MRI after Neoadjuvant Treatment in Patients with Rectal Cancer].","authors":"Nieun Seo, Joon Seok Lim","doi":"10.3348/jksr.2023.0007","DOIUrl":"https://doi.org/10.3348/jksr.2023.0007","url":null,"abstract":"<p><p>MRI is currently the imaging modality of choice to evaluate rectal cancer after neoadjuvant treatment. The purposes of restaging MRI are to assess the resectability of rectal cancer and to decide whether organ preservation strategies can be applied in patients with a complete clinical response. This review article indicates the key MRI features needed to evaluate rectal cancer after neoadjuvant treatment using a systematic approach. Assessment of primary tumor response including MRI findings to predict a complete response is discussed. Additionally, MRI evaluation of the relationship between the primary tumor and adjacent structures, lymph node response, extramural venous invasion, and tumor deposits after neoadjuvant treatment is presented. Knowledge of these imaging features and their clinical relevance may help radiologists provide an accurate and clinically valuable interpretation of restaging rectal MRI.</p>","PeriodicalId":17455,"journal":{"name":"Journal of the Korean Society of Radiology","volume":null,"pages":null},"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/49/dc/jksr-84-550.PMC10265231.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9654473","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}
Ha Jung Kim, Kyeong Ah Kim, Yikyeong Chun, Jeong Woo Kim, Jongmee Lee, Chang Hee Lee
{"title":"Radiologic Findings of Mesonephric-Like Adenocarcinoma of the Uterine Corpus: A Case Report.","authors":"Ha Jung Kim, Kyeong Ah Kim, Yikyeong Chun, Jeong Woo Kim, Jongmee Lee, Chang Hee Lee","doi":"10.3348/jksr.2022.0119","DOIUrl":"https://doi.org/10.3348/jksr.2022.0119","url":null,"abstract":"<p><p>According to the 2020 World Health Organization classification, mesonephric-like adenocarcinoma (MLA) is newly categorized as a subtype of endometrial carcinoma and remains a relatively unknown disease owing to its rarity. To the best of our knowledge, radiological findings of MLA have not been reported in the English literature. The uterine MLAs show a worse clinical prognosis and a more aggressive biological behavior than the usual endometrial carcinoma. Herein, we present the imaging findings of a 65-year-old female with a MLA in the uterine corpus. The tumor was a solid endometrial mass with deep myometrial invasion, poor contrast enhancement, and moderate diffusion restriction.</p>","PeriodicalId":17455,"journal":{"name":"Journal of the Korean Society of Radiology","volume":null,"pages":null},"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/83/62/jksr-84-698.PMC10265246.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9657289","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":"Fluoroscopic Stent Placement as a Bridge to Surgery for Malignant Colorectal Obstruction: Short- and Long-Term Outcomes.","authors":"Jong Hyouk Yun, Gyoo-Sik Jung","doi":"10.3348/jksr.2022.0097","DOIUrl":"https://doi.org/10.3348/jksr.2022.0097","url":null,"abstract":"<p><strong>Purpose: </strong>To assess the outcomes of single-stage surgery following fluoroscopic stent placement for malignant colorectal obstruction.</p><p><strong>Materials and methods: </strong>This retrospective study included 46 patients (28 male and 18 female; mean age, 67.2 years) who had undergone fluoroscopic stent placement followed by laparoscopic resection (<i>n</i> = 31) or open surgery (<i>n</i> = 15) for malignant colorectal obstruction. The surgical outcomes were analyzed and compared. After a mean follow-up of 38.9 months, the recurrence-free and overall survival were estimated, and prognostic factors were evaluated.</p><p><strong>Results: </strong>The mean interval between stent placement and surgery was 10.2 days. Primary anastomosis was possible in all patients. The mean postoperative length of hospitalization was 11.0 days. Bowel perforation was detected in six patients (13.0%). During the follow-up, ten patients (21.7%) developed recurrence; these included five of the six patients with bowel perforation. Bowel perforation had a significant effect on recurrence-free survival (<i>p</i> = 0.010).</p><p><strong>Conclusion: </strong>Single-stage surgery following fluoroscopic stent placement may be effective for treating malignant colorectal obstruction. Stent-related bowel perforation is a significant predictive factor for tumor recurrence.</p>","PeriodicalId":17455,"journal":{"name":"Journal of the Korean Society of Radiology","volume":null,"pages":null},"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/b2/fc/jksr-84-615.PMC10265237.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9660531","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}
Ha Yun Oh, Ra Gyoung Yoon, Ji Ye Lee, Ohyun Kwon, Woong-Woo Lee
{"title":"Characteristic MR Imaging Features and Serial Changes in Adult-Onset Alexander Disease: A Case Report.","authors":"Ha Yun Oh, Ra Gyoung Yoon, Ji Ye Lee, Ohyun Kwon, Woong-Woo Lee","doi":"10.3348/jksr.2021.0015","DOIUrl":"https://doi.org/10.3348/jksr.2021.0015","url":null,"abstract":"<p><p>Adult-onset Alexander Disease (AOAD) is a rare genetically determined leukoencephalopathy that presents with ataxia, spastic paraparesis, or brain stem signs including speech abnormalities, swallowing difficulties, and frequent vomiting. The diagnosis of AOAD is frequently proposed based on the findings on MRI. We demonstrate two cases (37-year-old female and 61-year-old female) with characteristic imaging findings and changes in follow-up MRI in patients with AOAD, which were confirmed via glial fibrillary acidic protein (<i>GFAP</i>) mutation analysis. On MRI, the typical tadpole-like brainstem atrophy and periventricular white matter abnormalities were noted. The presumptive diagnoses were made based on the typical MRI appearances and, subsequently, confirmed via <i>GFAP</i> mutation analysis. Follow-up MRI demonstrated the progression of atrophy in the medulla and upper cervical spinal cord. Our report could help raise awareness of characteristic MRI findings of AOAD, thus helping clinicians use <i>GFAP</i> analysis for AOAD diagnosis confirmation.</p>","PeriodicalId":17455,"journal":{"name":"Journal of the Korean Society of Radiology","volume":null,"pages":null},"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/3c/3c/jksr-84-736.PMC10265226.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9660532","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}
Ha Jung Kim, Kyeong Ah Kim, Yikyeong Chun, Yang Shin Park, Mi Jin Song, Jae Woong Choi
{"title":"Clear Cell Borderline Tumor of the Ovary: A Case Report.","authors":"Ha Jung Kim, Kyeong Ah Kim, Yikyeong Chun, Yang Shin Park, Mi Jin Song, Jae Woong Choi","doi":"10.3348/jksr.2022.0118","DOIUrl":"https://doi.org/10.3348/jksr.2022.0118","url":null,"abstract":"<p><p>Clear cell borderline ovarian tumor (CCBOT) is quite rare, and only a few cases of CCBOT have been reported. Unlike most borderline ovarian tumors, CCBOTs appear solid because they are almost always pathologically adenofibromatous. Herein, we report the MRI findings of a CCBOT discovered in a 22-year-old female.</p>","PeriodicalId":17455,"journal":{"name":"Journal of the Korean Society of Radiology","volume":null,"pages":null},"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/c3/17/jksr-84-692.PMC10265245.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9654474","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}
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":null,"pages":null},"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":"[Imaging Techniques and Differential Diagnosis for Inflammatory Bowel Disease].","authors":"Kyoung Doo Song","doi":"10.3348/jksr.2023.0014","DOIUrl":"https://doi.org/10.3348/jksr.2023.0014","url":null,"abstract":"<p><p>The two main types of inflammatory bowel disease (IBD) are Crohn's disease and ulcerative colitis. Currently, when IBD is suspected, CT enterography is widely used as an initial imaging test because it can evaluate both the bowel wall and the outside of the bowel, helping to differentiate IBD from other diseases. When IBD is suspected, it is necessary to distinguish between Crohn's disease and ulcerative colitis. In most cases this is not difficult; however, in some cases, it is difficult and such cases are called IBD-unclassified. CT findings are often non-specific for ulcerative colitis, making it difficult to differentiate it from other diseases using imaging alone. In contrast, characteristic CT findings for Crohn's disease are often helpful in diagnosis, although diseases, such as tuberculous enteritis can mimic Crohn's disease. Recently, mutations in the gene encoding a prostaglandin transporter called <i>SLCO2A1</i> have been discovered as the cause of the disease in some patients with multiple ulcers and strictures, similar to Crohn's disease. Therefore, genetic testing is being used to make a differential diagnosis.</p>","PeriodicalId":17455,"journal":{"name":"Journal of the Korean Society of Radiology","volume":null,"pages":null},"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/8f/e3/jksr-84-536.PMC10265240.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9656074","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":null,"pages":null},"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":null,"pages":null},"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":null,"pages":null},"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}