{"title":"Estimativas de riscos com radiações ionizantes","authors":"Renato Dimenstein","doi":"10.1590/0100-3984.2023.56.3e5","DOIUrl":"https://doi.org/10.1590/0100-3984.2023.56.3e5","url":null,"abstract":"","PeriodicalId":20842,"journal":{"name":"Radiologia Brasileira","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42950315","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}
Bianca Miranda Lago, Stella dos Santos Bello, Guilherme Rocha Melo Gondim, Fabiana Baroni Alves Makdissi, A. Bitencourt
{"title":"Câncer de mama após radioterapia torácica em pacientes jovens: o que o radiologista precisa saber?","authors":"Bianca Miranda Lago, Stella dos Santos Bello, Guilherme Rocha Melo Gondim, Fabiana Baroni Alves Makdissi, A. Bitencourt","doi":"10.1590/0100-3984.2022.0065","DOIUrl":"https://doi.org/10.1590/0100-3984.2022.0065","url":null,"abstract":"Resumo Os cânceres secundários induzidos por radiação são complicações raras da radioterapia e geralmente ocorrem na área tratada ou próximo a ela. Mulheres com menos de 30 anos de idade tratadas com radioterapia torácica têm risco significativamente aumentado de desenvolver câncer de mama ao longo da vida, em comparação com a população em geral. Para as pacientes tratadas com irradiação torácica com dose igual ou superior a 10 Gy é recomendado rastreamento anual com mamografia e ressonância magnética iniciando oito anos após o tratamento, desde que este início seja após 25 anos de idade. O tratamento do câncer de mama secundário nessa população deve ser individualizado e discutido com equipe multidisciplinar, para evitar toxicidade relacionada ao tratamento do câncer primário.","PeriodicalId":20842,"journal":{"name":"Radiologia Brasileira","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42858905","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":"O papel do corregistro automático de imagens e da dosimetria interna na medicina personalizada","authors":"Leonardo Alexandre-Santos, L. Wichert-Ana","doi":"10.1590/0100-3984.2023.56.3e4","DOIUrl":"https://doi.org/10.1590/0100-3984.2023.56.3e4","url":null,"abstract":"","PeriodicalId":20842,"journal":{"name":"Radiologia Brasileira","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42048229","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}
Ana Luiza Di Mango, A. C. Gomes, Bruno Hochhegger, Gláucia Zanetti, Edson Marchiori
{"title":"Aspectos tomográficos da histoplasmose pulmonar: ensaio iconográfico","authors":"Ana Luiza Di Mango, A. C. Gomes, Bruno Hochhegger, Gláucia Zanetti, Edson Marchiori","doi":"10.1590/0100-3984.2022.0106","DOIUrl":"https://doi.org/10.1590/0100-3984.2022.0106","url":null,"abstract":"Resumo As micoses sistêmicas endêmicas são prevalentes em áreas geográficas específicas do mundo e são responsáveis por altas taxas de morbidade e mortalidade nessas populações e em imigrantes e viajantes que retornam de regiões endêmicas. A histoplasmose pulmonar é uma infecção causada pelo Histoplasma capsulatum, um fungo dimórfico. Essa infecção tem distribuição mundial, apresentando-se de forma endêmica no Brasil. A histoplasmose pode afetar os pulmões de pacientes, e seu diagnóstico e manejo permanecem desafiadores, especialmente em áreas não endêmicas. Portanto, o reconhecimento das várias manifestações radiológicas da histoplasmose pulmonar associadas a história clínica e epidemiológica dos pacientes é fundamental para estreitar o diagnóstico diferencial. Este ensaio discute os principais achados tomográficos da histoplasmose pulmonar.","PeriodicalId":20842,"journal":{"name":"Radiologia Brasileira","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41882077","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":"Behavior of total alkaline phosphatase after radium-233 therapy in metastatic castration-resistant prostate cancer: a single-center, real-world retrospective study.","authors":"Flávia Paiva Proença Lobo Lopes, Marcos Villela Pedras, Álida Rosária Silva Ferreira, Patricia Massucheto Ledesma, Paulo Roberto Telles Pires Dias, Felipe Villela Pedras","doi":"10.1590/0100-3984.2022.0080","DOIUrl":"10.1590/0100-3984.2022.0080","url":null,"abstract":"<p><strong>Objective: </strong>To describe the behavior of total alkaline phosphatase (tALP) in patients with metastatic castration-resistant prostate cancer receiving radium-223 therapy, in a real-world scenario, and to describe overall survival (OS) among such patients.</p><p><strong>Materials and methods: </strong>This was a retrospective study involving 97 patients treated between February 2017 and September 2020. Patients were stratified by the baseline tALP (normal/elevated). A tALP response was defined as a ≥ 30% reduction from baseline at week 12. For patients with elevated baseline tALP, we also evaluated treatment response as a ≥ 10% reduction in tALP after the first cycle of treatment. We defined OS as the time from the first treatment cycle to the date of death.</p><p><strong>Results: </strong>There was a significant reduction in the median tALP after each cycle of treatment (<i>p</i> < 0.05 for all). Data for tALP at week 12 were available for 71 of the 97 patients. Of those 71 patients, 26 (36.6%) responded. Elevated baseline tALP was observed in 47 patients, of whom 19 (40.4%) showed a response. Longer OS was observed in the patients with normal baseline tALP, in those with elevated baseline tALP that showed a response to treatment (≥ 10% reduction), and in those who received 5-6 cycles of therapy.</p><p><strong>Conclusion: </strong>The tALP may be used to predict which patients will benefit from treatment with a greater number of cycles of radium-223 therapy and will have longer OS.</p>","PeriodicalId":20842,"journal":{"name":"Radiologia Brasileira","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10411772/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9969056","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}
Renata Tarraf Fernandes, Gustavo Ramos Teixeira, Esther Cecin Mamere, Gabriela Alencar Bandeira, Augusto Elias Mamere
{"title":"The 2021 World Health Organization classification of gliomas: an imaging approach.","authors":"Renata Tarraf Fernandes, Gustavo Ramos Teixeira, Esther Cecin Mamere, Gabriela Alencar Bandeira, Augusto Elias Mamere","doi":"10.1590/0100-3984.2022.0089-en","DOIUrl":"10.1590/0100-3984.2022.0089-en","url":null,"abstract":"<p><p>The purpose of this pictorial essay is to describe the recommendations of the 2021 World Health Organization classification for adult-type and pediatric-type gliomas and to discuss the main modifications in relation to the previous (2016) classification, exemplified by imaging, histological, and molecular findings in nine patients followed at our institutions. In recent years, molecular biomarkers have gained importance in the diagnosis and classification of gliomas, mainly because they have been shown to correlate with the biological behavior and prognosis of such tumors. It is important for neuroradiologists to familiarize themselves with this new classification of central nervous system tumors, so that they can use this knowledge in evaluating and reporting the imaging examinations of patients with glioma.</p>","PeriodicalId":20842,"journal":{"name":"Radiologia Brasileira","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10411771/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9976148","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":"The role of automated image co-registration and internal dosimetry in personalized medicine.","authors":"Leonardo Alexandre-Santos, Lauro Wichert-Ana","doi":"10.1590/0100-3984.2023.56.3e4-en","DOIUrl":"10.1590/0100-3984.2023.56.3e4-en","url":null,"abstract":"","PeriodicalId":20842,"journal":{"name":"Radiologia Brasileira","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10411770/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9978925","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}
Bianca Miranda Lago, Stella Dos Santos Bello, Guilherme Rocha Melo Gondim, Fabiana Baroni Alves Makdissi, Almir Galvão Vieira Bitencourt
{"title":"Breast cancer after thoracic radiotherapy in young patients: what does the radiologist need to know?","authors":"Bianca Miranda Lago, Stella Dos Santos Bello, Guilherme Rocha Melo Gondim, Fabiana Baroni Alves Makdissi, Almir Galvão Vieira Bitencourt","doi":"10.1590/0100-3984.2022.0065-en","DOIUrl":"https://doi.org/10.1590/0100-3984.2022.0065-en","url":null,"abstract":"<p><p>Radiation-induced secondary tumors constitute a rare complication of radiation therapy and typically occur in or near the irradiated area. Women who undergo thoracic radiotherapy before 30 years of age have a significantly greater lifetime risk of developing breast cancer than do those in the general population. It is recommended that a patient who has previously received thoracic radiotherapy with a radiation dose ≥ 10 Gy subsequently undergo annual screening with mammography and magnetic resonance imaging, beginning eight years after the initial treatment or when the patient has reached 25 years of age (whichever comes later). The treatment of secondary breast cancer in this population should be individualized and should be discussed with a multidisciplinary team to avoid toxicity related to the treatment of the primary cancer.</p>","PeriodicalId":20842,"journal":{"name":"Radiologia Brasileira","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10411773/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9981093","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}
André Luiz Alberti Leitão, Uysha de Souza Fonda, Carlos Alberto Buchpiguel, José Willegaignon, Marcelo Tatit Sapienza
{"title":"Validation of automated image co-registration integrated into in-house software for voxel-based internal dosimetry on single-photon emission computed tomography images.","authors":"André Luiz Alberti Leitão, Uysha de Souza Fonda, Carlos Alberto Buchpiguel, José Willegaignon, Marcelo Tatit Sapienza","doi":"10.1590/0100-3984.2022.0096","DOIUrl":"10.1590/0100-3984.2022.0096","url":null,"abstract":"<p><strong>Objective: </strong>To develop an automated co-registration system and test its performance, with and without a fiducial marker, on single-photon emission computed tomography (SPECT) images.</p><p><strong>Materials and methods: </strong>Three SPECT/CT scans were acquired for each rotation of a Jaszczak phantom (to 0°, 5°, and 10° in relation to the bed axis), with and without a fiducial marker. Two rigid co-registration software packages-SPM12 and NMDose-coreg-were employed, and the percent root mean square error (%RMSE) was calculated in order to assess the quality of the co-registrations. Uniformity, contrast, and resolution were measured before and after co-registration. The NMDose-coreg software was employed to calculate the renal doses in 12 patients treated with <sup>177</sup>Lu-DOTATATE, and we compared those with the values obtained with the Organ Level INternal Dose Assessment for EXponential Modeling (OLINDA/EXM) software.</p><p><strong>Results: </strong>The use of a fiducial marker had no significant effect on the quality of co-registration on SPECT images, as measured by %RMSE (<i>p</i> = 0.40). After co-registration, uniformity, contrast, and resolution did not differ between the images acquired with fiducial markers and those acquired without. Preliminary clinical application showed mean total processing times of 9 ± 3 min/patient for NMDose-coreg and 64 ± 10 min/patient for OLINDA/EXM, with a strong correlation between the two, despite the lower renal doses obtained with NMDose-coreg.</p><p><strong>Conclusion: </strong>The use of NMDose-coreg allows fast co-registration of SPECT images, with no loss of uniformity, contrast, or resolution. The use of a fiducial marker does not appear to increase the accuracy of co-registration on phantoms.</p>","PeriodicalId":20842,"journal":{"name":"Radiologia Brasileira","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10411763/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9981096","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":"Insights into the prognostic potential of total alkaline phosphatase in metastatic castration-resistant prostate cancer treated with radium-223.","authors":"Gustavo Viani","doi":"10.1590/0100-3984.2023.56.3e2","DOIUrl":"10.1590/0100-3984.2023.56.3e2","url":null,"abstract":"","PeriodicalId":20842,"journal":{"name":"Radiologia Brasileira","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10411765/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9981088","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}