RadiologyPub Date : 2025-04-01DOI: 10.1148/radiol.250212
Bharti Khurana
{"title":"Dual-Energy CT and Pedal Osteomyelitis.","authors":"Bharti Khurana","doi":"10.1148/radiol.250212","DOIUrl":"https://doi.org/10.1148/radiol.250212","url":null,"abstract":"<p><p>\u0000 <i>\"Just Accepted\" papers have undergone full peer review and have been accepted for publication in <i>Radiology</i>. This article will undergo copyediting, layout, and proof review before it is published in its final version. Please note that during production of the final copyedited article, errors may be discovered which could affect the content.</i>\u0000 </p>","PeriodicalId":20896,"journal":{"name":"Radiology","volume":"315 1","pages":"e250212"},"PeriodicalIF":12.1,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143754267","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
RadiologyPub Date : 2025-04-01DOI: 10.1148/radiol.242349
Hao Wu, Zheng Zhu, Jiahui Li, Caixin Qiu, Peng Xu, Kevin J Glaser, Matthew C Murphy, Sudhakar K Venkatesh, Usman Yaqoob, Rondell Graham, Taofic Mounajjed, Armando Manduca, Christopher T Winkelmann, Hiroaki Yashiro, Rohan Manohar, Alina M Allen, Vijay H Shah, Richard L Ehman, Meng Yin
{"title":"Three-Dimensional Vector MR Elastography for Evaluating Tissue Mechanical Heterogeneity to Assess Liver Disease Progression.","authors":"Hao Wu, Zheng Zhu, Jiahui Li, Caixin Qiu, Peng Xu, Kevin J Glaser, Matthew C Murphy, Sudhakar K Venkatesh, Usman Yaqoob, Rondell Graham, Taofic Mounajjed, Armando Manduca, Christopher T Winkelmann, Hiroaki Yashiro, Rohan Manohar, Alina M Allen, Vijay H Shah, Richard L Ehman, Meng Yin","doi":"10.1148/radiol.242349","DOIUrl":"https://doi.org/10.1148/radiol.242349","url":null,"abstract":"<p><p>Background Metabolic dysfunction-associated steatotic liver disease (MASLD) is a growing global health challenge, with evidence indicating that hepatic inflammation and fibrosis are heterogeneous processes. Purpose To measure liver mechanical property heterogeneity using MR elastography (MRE) and evaluate its potential as a biomarker for tissue inflammation and fibrosis in patients with MASLD. Materials and Methods Mechanical tissue heterogeneity in MASLD was assessed at three-dimensional vector MRE pixel-wise histogram analysis of shear stiffness and loss modulus in preclinical and clinical studies. The preclinical study involved 25 rats that were examined monthly, whereas the clinical study analyzed data from 179 participants across two prospective studies (September 2015 to November 2022), including some who underwent bariatric surgery at pretreatment and posttreatment MRE examinations. Mean and coefficient of variation (CV) of shear stiffness and loss modulus were calculated for each examination. Nonparametric tests and Spearman correlation coefficient were used to compare MRE-derived tissue mechanics with biopsy-confirmed fibrosis and inflammation and assess correlations with portal pressure and histopathologic hepatic fibrosis. Results The preclinical study showed that, in cirrhotic livers, CV of loss modulus positively correlated with portal pressure and fibrosis area ratio variation (ρ = 0.52 [<i>P</i> = .008] and 0.55 [<i>P</i> = .005], respectively). The clinical study showed that, in 10 healthy volunteers (median age, 36.5 years; IQR, 34.0-38.8 years; five females) and 169 participants with MASLD (median age, 50.1 years; IQR, 41.0-58.2 years; 118 females), CV of sheer stiffness (from 0.12 to 0.30 in healthy participants to participants with stage 4 fibrosis) and loss modulus (from 0.31 to 0.51 in healthy participants to participants with grade 3 inflammation) increased with increasing severity of fibrosis and inflammation, respectively. In 36 participants who underwent bariatric surgery, the CV of sheer stiffness decreased at the 1-year follow-up, from 0.16 (IQR, 0.14-0.18) to 0.14 (IQR, 0.12-0.16) (<i>P</i> = .009). Conclusion Tissue mechanical heterogeneity assessed at MRE positively correlated with progression of MASLD, demonstrating potential as a biomarker for liver disease severity and therapeutic intervention. ClinicalTrials.gov Identifier: NCT02565446 Published under a CC BY 4.0 license. <i>Supplemental material is available for this article.</i> See also the editorial by Moura Cunha in this issue.</p>","PeriodicalId":20896,"journal":{"name":"Radiology","volume":"315 1","pages":"e242349"},"PeriodicalIF":12.1,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143754341","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
RadiologyPub Date : 2025-03-01DOI: 10.1148/radiol.250525
Carla Harmath
{"title":"AI in Prostate Cancer Diagnosis with MRI: A Friend Not a Foe.","authors":"Carla Harmath","doi":"10.1148/radiol.250525","DOIUrl":"https://doi.org/10.1148/radiol.250525","url":null,"abstract":"","PeriodicalId":20896,"journal":{"name":"Radiology","volume":"314 3","pages":"e250525"},"PeriodicalIF":12.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143701256","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
RadiologyPub Date : 2025-03-01DOI: 10.1148/radiol.241482
Elena Doering, Merle C Hoenig, Kathrin Giehl, Verena Dzialas, Grégory Andrassy, Abdelmajid Bader, Andreas Bauer, David Elmenhorst, Johannes Ermert, Silke Frensch, Elena Jäger, Frank Jessen, Philipp Krapf, Tina Kroll, Christoph Lerche, Julia Lothmann, Andreas Matusch, Bernd Neumaier, Oezguer A Onur, Alfredo Ramirez, Nils Richter, Frederik Sand, Lutz Tellmann, Hendrik Theis, Philip Zeyen, Thilo van Eimeren, Alexander Drzezga, Gérard N Bischof
RadiologyPub Date : 2025-03-01DOI: 10.1148/radiol.233459
Martina Pecoraro, Stefano Cipollari, Emanuele Messina, Ludovica Laschena, Ailin Dehghanpour, Antonella Borrelli, Francesco Del Giudice, Valdair Francisco Muglia, Hebert Alberto Vargas, Valeria Panebianco
{"title":"Multiparametric MRI for Bladder Cancer: A Practical Approach to the Clinical Application of VI-RADS.","authors":"Martina Pecoraro, Stefano Cipollari, Emanuele Messina, Ludovica Laschena, Ailin Dehghanpour, Antonella Borrelli, Francesco Del Giudice, Valdair Francisco Muglia, Hebert Alberto Vargas, Valeria Panebianco","doi":"10.1148/radiol.233459","DOIUrl":"https://doi.org/10.1148/radiol.233459","url":null,"abstract":"<p><p>Multiparametric MRI of the bladder is highly accurate in the detection and local staging of bladder cancer. The Vesical Imaging Reporting and Data System (VI-RADS) scoring system has improved the diagnostic accuracy, reproducibility, and interpretability of bladder MRI in the assessment of the invasion of the muscularis propria. There are several technical details concerning bladder MRI that need to be strictly applied to obtain the highest possible diagnostic potential from the MRI. In addition, image evaluation, accurate interpretation, and reporting need to be standardized to optimize diagnostic accuracy and interreader agreement. This review describes the patient population for bladder MRI and discusses, with a practical approach, the correct acquisition protocol for optimal image quality using VI-RADS with reporting tips, pitfalls, and challenges for its clinical application. This review also discusses the latest evidence, clinical implications, current controversies, and future challenges, including gaps in knowledge, of the VI-RADS scoring system.</p>","PeriodicalId":20896,"journal":{"name":"Radiology","volume":"314 3","pages":"e233459"},"PeriodicalIF":12.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143543188","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
RadiologyPub Date : 2025-03-01DOI: 10.1148/radiol.250376
Linda Moy
{"title":"Editor's Note 2024: The Year in Review for <i>Radiology</i>.","authors":"Linda Moy","doi":"10.1148/radiol.250376","DOIUrl":"https://doi.org/10.1148/radiol.250376","url":null,"abstract":"","PeriodicalId":20896,"journal":{"name":"Radiology","volume":"314 3","pages":"e250376"},"PeriodicalIF":12.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143656884","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
RadiologyPub Date : 2025-03-01DOI: 10.1148/radiol.250234
Brent P Little
{"title":"Generative AI Reporting of Chest Radiographs: Promise and Perspectives.","authors":"Brent P Little","doi":"10.1148/radiol.250234","DOIUrl":"https://doi.org/10.1148/radiol.250234","url":null,"abstract":"","PeriodicalId":20896,"journal":{"name":"Radiology","volume":"314 3","pages":"e250234"},"PeriodicalIF":12.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143701339","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
RadiologyPub Date : 2025-03-01DOI: 10.1148/radiol.250402
Lars J Grimm
{"title":"Radiologists Were Wrong to Mistrust the Machines.","authors":"Lars J Grimm","doi":"10.1148/radiol.250402","DOIUrl":"https://doi.org/10.1148/radiol.250402","url":null,"abstract":"","PeriodicalId":20896,"journal":{"name":"Radiology","volume":"314 3","pages":"e250402"},"PeriodicalIF":12.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143658178","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}