Radiology最新文献

{"title":"Challenges and Advances in Management of Acute Isolated Extracranial Internal Carotid Artery Occlusions.","authors":"Badih Junior Daou, Neeraj Chaudhary","doi":"10.1148/radiol.243753","DOIUrl":"https://doi.org/10.1148/radiol.243753","url":null,"abstract":"","PeriodicalId":20896,"journal":{"name":"Radiology","volume":"314 1","pages":"e243753"},"PeriodicalIF":12.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143010653","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}

{"title":"Granular Insights into Myocardial Scarring: Advancing Risk Stratification in Ischemic Cardiomyopathy.","authors":"João A C Lima, Elnaz Ebrahimihoor","doi":"10.1148/radiol.243672","DOIUrl":"https://doi.org/10.1148/radiol.243672","url":null,"abstract":"","PeriodicalId":20896,"journal":{"name":"Radiology","volume":"314 1","pages":"e243672"},"PeriodicalIF":12.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142954068","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}

{"title":"How I Do It: Management of Pleural-attached Pulmonary Nodules in Low-Dose CT Screening for Lung Cancer.","authors":"Yeqing Zhu, David F Yankelevitz, Claudia I Henschke","doi":"10.1148/radiol.240091","DOIUrl":"https://doi.org/10.1148/radiol.240091","url":null,"abstract":"<p><p>Lung cancer is the leading cause of cancer deaths globally. In various trials, the ability of low-dose CT screening to diagnose early lung cancers leads to high cure rates. It is widely accepted that the potential benefits of low-dose CT screening for lung cancer outweigh the harms. The ability to reliably predict the benignity of nodules, especially at the baseline round, further reduces the potential for harm. Pleural-attached nodules are an important subgroup that represents nodules attached (distance from any pleural surface, 0 mm) to any pleural surfaces (fissural, costal, mediastinal, and diaphragmatic). Pleural-attached solid nodules less than 10 mm in average diameter with smooth margins and triangular, lentiform, oval, or semicircular shapes have a high likelihood of benignity. The 2019 Lung CT Screening Reporting and Data System (Lung-RADS) version 1.1 assigned pleural-attached nodules with these features to categories 3 (probably benign, recommend follow-up in 6 months) or 4 (suspicious for malignancy, recommend follow-up in 3 months or PET/CT). However, Lung-RADS version 2022 now recommends annual follow-up rather than short-term follow-up. These changes downgrade these nodules to category 2 (benign) and limits additional workup. This review article summarizes the terminology used to describe these nodules, characteristics for determining benignity, and the accuracy of the evidence used to make these recommendations.</p>","PeriodicalId":20896,"journal":{"name":"Radiology","volume":"314 1","pages":"e240091"},"PeriodicalIF":12.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143010691","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}

{"title":"MRI of the Rectum: A Decade into DISTANCE, Moving to DISTANCED.","authors":"Stephanie Nougaret, Kirsten Gormly, Doenja M J Lambregts, Caroline Reinhold, Vicky Goh, Elena Korngold, Quentin Denost, Gina Brown","doi":"10.1148/radiol.232838","DOIUrl":"10.1148/radiol.232838","url":null,"abstract":"<p><p>Over the past decade, advancements in rectal cancer research have reshaped treatment paradigms. Historically, treatment for locally advanced rectal cancer has focused on neoadjuvant long-course chemoradiotherapy, followed by total mesorectal excision. Interest in organ preservation strategies has been strengthened by the introduction of total neoadjuvant therapy with improved rates of complete clinical response. The administration of systemic induction chemotherapy and consolidation chemoradiotherapy in the neoadjuvant setting has introduced a new dimension to the treatment landscape and patients now face a more intricate decision-making process, given the expanded therapeutic options. This complexity underlines the importance of shared decision-making and brings to light the crucial role of radiologists. MRI, especially high-spatial-resolution T2-weighted imaging, is heralded as the reference standard for rectal cancer management because of its exceptional ability to provide staging and prognostic insights. A key evolution in MRI interpretation for rectal cancer is the transition from the DISTANCE mnemonic to the more encompassing DISTANCED-DIS, distal tumor boundary; T, T stage; A, anal sphincter complex; N, nodal status; C, circumferential resection margin; E, extramural venous invasion; D, tumor deposits. This nuanced shift in the mnemonic captures a wider range of diagnostic indicators. It also emphasizes the escalating role of radiologists in steering well-informed decisions in the realm of rectal cancer care.</p>","PeriodicalId":20896,"journal":{"name":"Radiology","volume":"314 1","pages":"e232838"},"PeriodicalIF":12.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142954069","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}

{"title":"Unveiling Inner Doubts beyond ChatGPT's Apparent Overconfidence.","authors":"Aghiles Hamroun, Philippe Amouyel, Raphaël Bentegeac, Gregory Kuchcinski, Bastien Le Guellec","doi":"10.1148/radiol.241766","DOIUrl":"https://doi.org/10.1148/radiol.241766","url":null,"abstract":"","PeriodicalId":20896,"journal":{"name":"Radiology","volume":"314 1","pages":"e241766"},"PeriodicalIF":12.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143010697","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}

{"title":"Before We Trust: Concerns for Using ChatGPT in Medical Communication.","authors":"Shuo Wang","doi":"10.1148/radiol.241888","DOIUrl":"https://doi.org/10.1148/radiol.241888","url":null,"abstract":"","PeriodicalId":20896,"journal":{"name":"Radiology","volume":"314 1","pages":"e241888"},"PeriodicalIF":12.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143010651","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}

{"title":"Endovascular Thrombectomy for Acute Vertebrobasilar Artery Occlusion with Mild Deficits: A Multicenter Registry Study.","authors":"Wen Sun, Pan Zhang, Miaomiao Hu, Jinghui Zhong, Wanqiu Zhang, Yiran Dong, Xian Chao, Hongmei Huang, Jie Wen, Lulu Xiao, Yingjie Xu","doi":"10.1148/radiol.240728","DOIUrl":"10.1148/radiol.240728","url":null,"abstract":"<p><p>Background Endovascular thrombectomy (EVT) is an effective method for vertebrobasilar artery occlusion (VBAO) in patients with moderate to severe deficits but has unclear benefits in patients with low National Institutes of Health Stroke Scale (NIHSS) scores at hospital admission. Purpose To compare the clinical outcomes of best medical management (BMM) alone versus BMM and early EVT (door-to-puncture time [DPT] ≤ 120 minutes) versus BMM and late EVT (DPT > 120 minutes) in patients with VBAO who have NIHSS scores of 10 or less at admission. Materials and Methods This retrospective study evaluated patients with VBAO and admission NIHSS score of 10 or less who were seen at 65 stroke centers in China from December 2015 to June 2022. The primary outcome was whether the patient achieved a favorable functional outcome (a modified Rankin scale [mRS] score of 0-3 at 90 days). Adjusted multivariable logistic regression analyses were used to assess the association between treatment (BMM alone vs early EVT and BMM vs late EVT and BMM) and outcomes. Results Among 1365 patients (mean age ± SD, 65 years ± 12; 951 male) with VBAO and an NIHSS score of 10 or less at admission, 489 patients (35.8%) received EVT. Of these, 382 (78.1%) received early EVT, and 107 (21.9%) received late EVT. After adjustment for confounders, compared with BMM alone, early EVT plus BMM was associated with increased rates of favorable functional outcome (odds ratio [OR], 1.41 [95% CI: 1.05, 1.87]; <i>P</i> = .02), whereas late EVT plus BMM did not outperform BMM alone (OR, 0.83 [95% CI: 0.54, 1.28]; <i>P</i> = .39). Conclusion In patients with VBAO admitted with an NIHSS score of 10 or less, early EVT (DPT ≤ 120 minutes) combined with BMM outperformed BMM alone, whereas late EVT (DPT > 120 minutes) combined with BMM did not outperform BMM alone. © RSNA, 2025 <i>Supplemental material is available for this article.</i></p>","PeriodicalId":20896,"journal":{"name":"Radiology","volume":"314 1","pages":"e240728"},"PeriodicalIF":12.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142954067","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}

{"title":"Prognostic Value of Cardiac MRI Late Gadolinium Enhancement Granularity in Participants with Ischemic Cardiomyopathy.","authors":"Alexandre Unger, Jérôme Garot, Solenn Toupin, Suzanne Duhamel, Francesca Sanguineti, Thomas Hovasse, Stéphane Champagne, Thierry Unterseeh, Bernard Chevalier, Mariama Akodad, Antoinette Neylon, Lounis Hamzi, Trecy Gonçalves, Jeremy Florence, Emmanuel Gall, Paul-Jun Martial, Raphael Mirailles, Alexandre Pfeffer, Elena Sofia Canuti, Jean Guillaume Dillinger, Patrick Henry, Antoine Bondue, Valérie Bousson, Philippe Garot, Théo Pezel","doi":"10.1148/radiol.240806","DOIUrl":"10.1148/radiol.240806","url":null,"abstract":"<p><p>Background Ischemic late gadolinium enhancement (LGE) assessed with cardiac MRI is a well-established prognosticator in ischemic cardiomyopathy. However, the prognostic value of additional LGE parameters, such as extent, transmurality, location, and associated midwall LGE, remains unclear. Purpose To assess the prognostic value of ischemic LGE features to predict all-cause mortality in ischemic cardiomyopathy. Materials and Methods This study is a secondary analysis of a prospective dual-center trial of participants with ischemic cardiomyopathy and left ventricular ejection fraction (LVEF) under 50% referred for viability assessment using cardiac MRI between 2008 and 2022. The LGE granularity parameters (extent of ischemic LGE, transmurality, location, and associated midwall LGE) assessed by cardiac MRI experts were compared with traditional prognosticators of adverse events in ischemic cardiomyopathy (age, sex, body mass index, diabetes, smoking, dyslipidemia, heart failure hospitalization, atrial fibrillation, renal failure, known myocardial infarction, and LVEF). The primary outcome was all-cause mortality. Predictive value was evaluated using Cox regression analysis and assessed using time-dependent receiver operating characteristic curves at 10 years. The cardiac MRI LGE score was developed using LGE granularity parameters. Results Among 6082 participants (mean age, 64.5 years ± 11.8 [SD]; 4419 men), 3591 had ischemic LGE. During a median follow-up of 9.0 years (IQR, 6.6-11.5 years), 652 participants died. The presence of ischemic LGE was strongly associated with mortality (hazard ratio, 3.45 [99.5% CI: 2.55, 4.67]; <i>P</i> < .001). In the group with ischemic LGE, the LGE granularity model combining these LGE features showed the best predictive value above traditional prognosticators and ischemic LGE extent to predict all-cause mortality (area under the receiving operating characteristic curve [AUC] at 10 years, 0.89 [99.5% CI: 0.89, 0.90] vs 0.83 [99.5% CI: 0.83, 0.84]; <i>P</i> < .001). The cardiac MRI LGE score performed well in participants with ischemic LGE (AUC at 10 years, 0.87 [99.5% CI: 0.85, 0.90]). Conclusion In a large cohort of participants with ischemic cardiomyopathy, an LGE granularity model had a higher prognostic value over traditional prognosticators to predict mortality. © RSNA, 2025 <i>Supplemental material is available for this article.</i> See also the editorial by Lima and Ebrahimihoor in this issue.</p>","PeriodicalId":20896,"journal":{"name":"Radiology","volume":"314 1","pages":"e240806"},"PeriodicalIF":12.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142954070","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}

{"title":"Cinematic Rendering of Gout.","authors":"Limin Lei, Yuhan Zhou","doi":"10.1148/radiol.241855","DOIUrl":"https://doi.org/10.1148/radiol.241855","url":null,"abstract":"","PeriodicalId":20896,"journal":{"name":"Radiology","volume":"314 1","pages":"e241855"},"PeriodicalIF":12.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142979709","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}

{"title":"Toward Replacing Contrast Agents in Prostate MRI Using Generative Artificial Intelligence.","authors":"Radhouene Neji, Vicky Goh","doi":"10.1148/radiol.243287","DOIUrl":"https://doi.org/10.1148/radiol.243287","url":null,"abstract":"","PeriodicalId":20896,"journal":{"name":"Radiology","volume":"314 1","pages":"e243287"},"PeriodicalIF":12.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142979770","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}