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Transarterial Chemoembolization with Radiofrequency Ablation versus Surgical Resection for Small Late-Recurrence Hepatocellular Carcinoma. 经动脉化疗栓塞射频消融与手术切除治疗小的晚期复发肝细胞癌。
IF 12.1 1区 医学
Radiology Pub Date : 2025-02-01 DOI: 10.1148/radiol.241096
Yao-Jun Zhang, Jinbin Chen, Zhongguo Zhou, Dandan Hu, Juncheng Wang, Yangxun Pan, Yizhen Fu, Zili Hu, Li Xu, Min-Shan Chen
{"title":"Transarterial Chemoembolization with Radiofrequency Ablation versus Surgical Resection for Small Late-Recurrence Hepatocellular Carcinoma.","authors":"Yao-Jun Zhang, Jinbin Chen, Zhongguo Zhou, Dandan Hu, Juncheng Wang, Yangxun Pan, Yizhen Fu, Zili Hu, Li Xu, Min-Shan Chen","doi":"10.1148/radiol.241096","DOIUrl":"https://doi.org/10.1148/radiol.241096","url":null,"abstract":"<p><p>Background Radiofrequency ablation (RFA) has comparable clinical outcomes to surgical resection (SR) for treating small recurrent hepatocellular carcinoma (HCC). However, whether combined transarterial chemoembolization (TACE) with RFA (hereafter, TACE-RFA) outperforms SR for treating small late-recurrence HCCs remains unknown. Purpose To compare the clinical outcome of TACE-RFA with that of SR in patients with small late-recurrence HCCs. Materials and Methods This randomized clinical trial recruited patients between July 2013 and March 2019. Patients with small late-recurrence HCCs (a single recurrent HCC nodule [≤ 5 cm in diameter] or three or fewer nodules [each ≤ 3 cm in diameter] and recurrence at least 12 months after radical therapy of primary HCC) were randomly assigned to receive TACE-RFA or SR. The primary end point was overall survival (OS). The secondary end points included recurrence-free survival (RFS) and the incidence of complications. OS and RFS were assessed using the Kaplan-Meier method and log-rank test. Results In the intention-to-treat analysis, 210 patients (mean age, 52 years ± 12 [SD]; 194 male) were included, with 105 patients in each group. The 1-, 3-, and 5-year OS rates were 99%, 81%, and 69%, respectively, in the TACE-RFA group and 96%, 81%, and 76%, respectively, in the SR group (hazard ratio [HR], 1.34; 95% CI: 0.81, 2.23; <i>P</i> = .26). The 1-, 3-, and 5-year RFS rates were 71%, 38%, and 24%, respectively, in the TACE-RFA group and 73%, 43%, and 29%, respectively, in the SR group (HR, 1.05; 95% CI: 0.76, 1.45; <i>P</i> = .78). The incidence of complications was greater in the SR group than in the TACE-RFA group (41% [43 of 104] vs 24% [23 of 96]; <i>P</i> = .01). Conclusion For patients with small late-recurrence HCCs, TACE-RFA did not yield better survival outcomes than SR. However, the incidence of complications was lower in patients who received TACE-RFA therapy. ClinicalTrials.gov Identifier: NCT01833286 © RSNA, 2025 <i>Supplemental material is available for this article.</i> See also the editorial by Ronot in this issue.</p>","PeriodicalId":20896,"journal":{"name":"Radiology","volume":"314 2","pages":"e241096"},"PeriodicalIF":12.1,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143190303","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}
引用次数: 0
Another Step toward Thrombectomy for All Patients with Severe Ischemic Stroke. 对所有严重缺血性卒中患者进行血栓切除术的又一步。
IF 12.1 1区 医学
Radiology Pub Date : 2025-02-01 DOI: 10.1148/radiol.250211
Anass Benomar, Jean Raymond
{"title":"Another Step toward Thrombectomy for All Patients with Severe Ischemic Stroke.","authors":"Anass Benomar, Jean Raymond","doi":"10.1148/radiol.250211","DOIUrl":"https://doi.org/10.1148/radiol.250211","url":null,"abstract":"","PeriodicalId":20896,"journal":{"name":"Radiology","volume":"314 2","pages":"e250211"},"PeriodicalIF":12.1,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143493336","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}
引用次数: 0
Case 338. 338例。
IF 12.1 1区 医学
Radiology Pub Date : 2025-02-01 DOI: 10.1148/radiol.242727
Amar Shah, Maria Zulfiqar
{"title":"Case 338.","authors":"Amar Shah, Maria Zulfiqar","doi":"10.1148/radiol.242727","DOIUrl":"https://doi.org/10.1148/radiol.242727","url":null,"abstract":"<p><strong>History: </strong>A 25-year-old female patient presented to the emergency department with worsening abdominal discomfort over the past 2-3 months. The patient had not experienced fever, chills, or dysuria. Past medical history was notable for two completed pregnancies; otherwise, there was no pertinent medical history or family history. At physical examination, the patient was uncomfortable but not in acute distress. There was tenderness to palpation in the right upper quadrant and epigastric region, but no rebound tenderness or guarding. Vital signs were blood pressure of 141/85 mm Hg, pulse rate of 91/min, and temperature of 37.2 °C. The serum β-human chorionic gonadotropin test result was negative for pregnancy, and urinalysis showed no leukocyte esterase or nitrites. Routine blood investigations, including white blood cell count, were within normal limits. Initial evaluation with contrast-enhanced CT of the abdomen and pelvis was performed (Fig 1), followed by MRI of the abdomen without and with intravenous contrast material (Fig 2).</p>","PeriodicalId":20896,"journal":{"name":"Radiology","volume":"314 2","pages":"e242727"},"PeriodicalIF":12.1,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143493349","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}
引用次数: 0
Phase-resolved Functional Lung MRI Reveals Distinct Lung Perfusion Phenotype in Children and Adolescents with Post-COVID-19 Condition. 阶段分辨功能肺MRI显示covid -19后儿童和青少年不同的肺灌注表型
IF 12.1 1区 医学
Radiology Pub Date : 2025-02-01 DOI: 10.1148/radiol.241596
Gesa H Pöhler, Andreas Voskrebenzev, Marc-Luca Heinze, Valentina Skeries, Filip Klimeš, Julian Glandorf, Jan Eckstein, Nigar Babazade, Marius Wernz, Alexander Pfeil, Gesine Hansen, Frank K Wacker, Jens Vogel-Claussen, Martin Wetzke, Diane Miriam Renz
{"title":"Phase-resolved Functional Lung MRI Reveals Distinct Lung Perfusion Phenotype in Children and Adolescents with Post-COVID-19 Condition.","authors":"Gesa H Pöhler, Andreas Voskrebenzev, Marc-Luca Heinze, Valentina Skeries, Filip Klimeš, Julian Glandorf, Jan Eckstein, Nigar Babazade, Marius Wernz, Alexander Pfeil, Gesine Hansen, Frank K Wacker, Jens Vogel-Claussen, Martin Wetzke, Diane Miriam Renz","doi":"10.1148/radiol.241596","DOIUrl":"10.1148/radiol.241596","url":null,"abstract":"<p><p>Background Although measurable organic dysfunctions are frequently absent in pediatric patients with post-COVID-19 condition (PCC), this condition adversely affects quality of life. Free-breathing phase-resolved functional lung (PREFUL) MRI may be useful for assessing lung function in pediatric patients with PCC. Purpose To detect lung changes in children and adolescents with PCC compared with healthy control participants using PREFUL MRI. Materials and Methods In this single-center, prospective, cross-sectional study conducted between April 2022 and April 2023, children and adolescents (age ≤17 years) with PCC and age- and sex-matched healthy participants underwent MRI. Subgroup analysis was performed in participants with PCC who had cardiopulmonary symptoms. Regional ventilation, flow-volume loop correlation metric (FVL-CM), quantified perfusion, ventilation and perfusion defect percentages, and ventilation-perfusion ratios were compared between participants with PCC and controls using the Wilcoxon signed rank test. Correlation of imaging parameters with spirometry, heart rate, respiratory rate, and Bell score (fatigue severity) in participants with PCC was assessed using the Spearman rank correlation coefficient. Results The final study sample included 54 participants (27 participants with PCC and 27 matched control participants; median age, 15 years [IQR, 11-17 years]; 14 male participants). Twenty-one participants had cardiopulmonary symptoms. Participants with PCC had lower regional ventilation (median, 0.2 mL/mL [IQR, 0.1-0.2 mL/mL] vs 0.2 mL/mL [IQR, 0.2-0.2 mL/mL]; <i>P</i> = .047) and quantified perfusion (49 mL/min per 100 mL [IQR, 33-60 mL/min per 100 mL] vs 78 mL/min per 100 mL [IQR, 59-89 mL/min per 100 mL]; <i>P</i> < .001). Participants with PCC and cardiopulmonary symptoms had lower FVL-CMs (median, 0.99 arbitrary units [au] [IQR, 0.98-0.99 au] vs 0.99 au [IQR, 0.99-0.99 au]; <i>P</i> = .01) and higher ventilation defect (median, 7.6% [IQR, 4.5%-15.1%] vs 5.4% [IQR, 2.7%-7.1%]; <i>P</i> = .047) and perfusion defect percentage (median, 3.2% [IQR, 2.4%-4.2%] vs 2.3% [IQR, 1.8%-3.5%]; <i>P</i> = .02) compared with matched control participants. In participants with PCC, greater lung perfusion correlated with increased chronic fatigue severity (ρ = 0.48; <i>P</i> = .009) and higher ventilation-perfusion mismatch correlated with increased heart rate (ρ = 0.44; <i>P</i> = .02). Conclusion Free-breathing phase-resolved functional lung MRI-derived parameters helped identify a distinct phenotype of lung perfusion in children and adolescents with PCC and were correlated with heart rate and chronic fatigue severity. Clinical trial registration no. DRKS00028963 © RSNA, 2025 <i>Supplemental material is available for this article.</i> See also the editorial by Parraga and Svenningsen in this issue.</p>","PeriodicalId":20896,"journal":{"name":"Radiology","volume":"314 2","pages":"e241596"},"PeriodicalIF":12.1,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11868851/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143493394","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
MRI and Surgical Findings Refine Concepts of Type 2 Cerebrospinal Fluid Leaks in Spontaneous Intracranial Hypotension. 自发性颅内低血压患者2型脑脊液渗漏的MRI和手术表现改进了概念。
IF 12.1 1区 医学
Radiology Pub Date : 2025-02-01 DOI: 10.1148/radiol.241653
Niklas Lützen, Jürgen Beck, Lalani Carlton Jones, Christian Fung, Theo Demerath, Alexander Rau, Charlotte Zander, Katharina Wolf, Florian Volz, Amir El Rahal, Horst Urbach
{"title":"MRI and Surgical Findings Refine Concepts of Type 2 Cerebrospinal Fluid Leaks in Spontaneous Intracranial Hypotension.","authors":"Niklas Lützen, Jürgen Beck, Lalani Carlton Jones, Christian Fung, Theo Demerath, Alexander Rau, Charlotte Zander, Katharina Wolf, Florian Volz, Amir El Rahal, Horst Urbach","doi":"10.1148/radiol.241653","DOIUrl":"https://doi.org/10.1148/radiol.241653","url":null,"abstract":"<p><p>Background Type 2 lateral spinal cerebrospinal fluid (CSF) leakage occurs in approximately 20% of cases of spontaneous intracranial hypotension (SIH); however, the underlying pathologic mechanism remains ambiguous. Purpose To characterize MRI features of type 2 leaks, correlate them with intraoperative observations, and evaluate their diagnostic value. Materials and Methods Patients with SIH and type 2 leaks diagnosed between January 2021 and February 2023 were retrospectively identified. Characteristic imaging features from heavily T2-weighted MR myelography (T2-MRM) images were reevaluated (independently and blinded) in the type 2 leak sample mixed with a sample of 40 patients with SIH and type 1 (ventral) leaks. Available intraoperative data were reviewed for lateral dural tears, arachnoid outpouching, and ruptured spinal meningeal diverticula. Results Twenty-eight patients with SIH (mean age, 37.3 years ± 8.2 [SD]; 22 [79%] female patients) had 29 type 2 leaks between the T7 and L2 levels without side predominance. Characteristic cystic lesions with a broad dural base on the exiting nerve root sleeve were identified at T2-MRM; this \"bud-on-branch\" sign reflects an arachnoid outpouching herniating through a lateral dural tear, distinct from a meningeal diverticulum, which yielded a sensitivity of 79% (22 of 28; 95% CI: 59, 92) and a specificity of 100% (40 of 40; 95% CI: 91, 100) for leak location. Arachnoid outpouching was confirmed intraoperatively in 23 of 25 patients (92%; 95% CI: 81, 100), originating from the nerve root sleeve axilla in most patients (19 of 25, 76%; 95% CI: 59, 93); two of 25 patients (8%; 95% CI: 0, 19) had a dural tear only, and none had an underlying ruptured meningeal diverticulum. Conclusion This study showed that type 2 leaks are actually due to a lateral dural nerve root sleeve tear through which the arachnoid herniates, which contrasted the common perception that these leaks result from ruptured meningeal diverticula. These leaks had a characteristic anatomic distribution and MRI appearance with substantially facilitated leak localization in patients with SIH. © RSNA, 2025 <i>Supplemental material is available for this article.</i> See also the editorial by Rovira and Torres-Ferrús in this issue.</p>","PeriodicalId":20896,"journal":{"name":"Radiology","volume":"314 2","pages":"e241653"},"PeriodicalIF":12.1,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143391639","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}
引用次数: 0
Leveraging Large Language Models to Generate Clinical Histories for Oncologic Imaging Requisitions. 利用大型语言模型为肿瘤成像申请生成临床病史。
IF 12.1 1区 医学
Radiology Pub Date : 2025-02-01 DOI: 10.1148/radiol.242134
Rajesh Bhayana, Omar Alwahbi, Aly Muhammad Ladak, Yangqing Deng, Adriano Basso Dias, Khaled Elbanna, Jorge Abreu Gomez, Ankush Jajodia, Kartik Jhaveri, Sarah Johnson, Dilkash Kajal, David Wang, Christine Soong, Ania Kielar, Satheesh Krishna
{"title":"Leveraging Large Language Models to Generate Clinical Histories for Oncologic Imaging Requisitions.","authors":"Rajesh Bhayana, Omar Alwahbi, Aly Muhammad Ladak, Yangqing Deng, Adriano Basso Dias, Khaled Elbanna, Jorge Abreu Gomez, Ankush Jajodia, Kartik Jhaveri, Sarah Johnson, Dilkash Kajal, David Wang, Christine Soong, Ania Kielar, Satheesh Krishna","doi":"10.1148/radiol.242134","DOIUrl":"https://doi.org/10.1148/radiol.242134","url":null,"abstract":"<p><p>Background Clinical information improves imaging interpretation, but physician-provided histories on requisitions for oncologic imaging often lack key details. Purpose To evaluate large language models (LLMs) for automatically generating clinical histories for oncologic imaging requisitions from clinical notes and compare them with original requisition histories. Materials and Methods In total, 207 patients with CT performed at a cancer center from January to November 2023 and with an electronic health record clinical note coinciding with ordering date were randomly selected. A multidisciplinary team informed selection of 10 parameters important for oncologic imaging history, including primary oncologic diagnosis, treatment history, and acute symptoms. Clinical notes were independently reviewed to establish the reference standard regarding presence of each parameter. After prompt engineering with seven patients, GPT-4 (version 0613; OpenAI) was prompted on April 9, 2024, to automatically generate structured clinical histories for the 200 remaining patients. Using the reference standard, LLM extraction performance was calculated (recall, precision, F1 score). LLM-generated and original requisition histories were compared for completeness (proportion including each parameter), and 10 radiologists performed pairwise comparison for quality, preference, and subjective likelihood of harm. Results For the 200 LLM-generated histories, GPT-4 performed well, extracting oncologic parameters from clinical notes (F1 = 0.983). Compared with original requisition histories, LLM-generated histories more frequently included parameters critical for radiologist interpretation, including primary oncologic diagnosis (99.5% vs 89% [199 and 178 of 200 histories, respectively]; <i>P</i> < .001), acute or worsening symptoms (15% vs 4% [29 and seven of 200]; <i>P</i> < .001), and relevant surgery (61% vs 12% [122 and 23 of 200]; <i>P</i> < .001). Radiologists preferred LLM-generated histories for imaging interpretation (89% vs 5%, 7% equal; <i>P</i> < .001), indicating they would enable more complete interpretation (86% vs 0%, 15% equal; <i>P</i> < .001) and have a lower likelihood of harm (3% vs 55%, 42% neither; <i>P</i> < .001). Conclusion An LLM enabled accurate automated clinical histories for oncologic imaging from clinical notes. Compared with original requisition histories, LLM-generated histories were more complete and were preferred by radiologists for imaging interpretation and perceived safety. © RSNA, 2025 <i>Supplemental material is available for this article.</i> See also the editorial by Tavakoli and Kim in this issue.</p>","PeriodicalId":20896,"journal":{"name":"Radiology","volume":"314 2","pages":"e242134"},"PeriodicalIF":12.1,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143190253","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}
引用次数: 0
Seeing the Unseen: Pulmonary MRI in Children with Post-COVID-19 Condition. 看到看不见的:covid -19后疾病儿童的肺部MRI
IF 12.1 1区 医学
Radiology Pub Date : 2025-02-01 DOI: 10.1148/radiol.250127
Grace Parraga, Sarah Svenningsen
{"title":"Seeing the Unseen: Pulmonary MRI in Children with Post-COVID-19 Condition.","authors":"Grace Parraga, Sarah Svenningsen","doi":"10.1148/radiol.250127","DOIUrl":"https://doi.org/10.1148/radiol.250127","url":null,"abstract":"","PeriodicalId":20896,"journal":{"name":"Radiology","volume":"314 2","pages":"e250127"},"PeriodicalIF":12.1,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143493396","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}
引用次数: 0
Six Steps to Improving Health Equity Using Quality Improvement and Patient Safety Tools. 使用质量改进和患者安全工具改善卫生公平的六个步骤。
IF 12.1 1区 医学
Radiology Pub Date : 2025-02-01 DOI: 10.1148/radiol.232750
Anand K Narayan, Nia Foster, Nadja Kadom, Jinel A Scott, Efren J Flores, Jennifer C Broder, Charlotte J Yong-Hing, Dania Daye, Nolan J Kagetsu, Helen Burstin
{"title":"Six Steps to Improving Health Equity Using Quality Improvement and Patient Safety Tools.","authors":"Anand K Narayan, Nia Foster, Nadja Kadom, Jinel A Scott, Efren J Flores, Jennifer C Broder, Charlotte J Yong-Hing, Dania Daye, Nolan J Kagetsu, Helen Burstin","doi":"10.1148/radiol.232750","DOIUrl":"10.1148/radiol.232750","url":null,"abstract":"<p><p>Health equity is a foundational principle for providing high-quality care. The COVID-19 pandemic has increased the urgency of health systems and regulatory agencies to address longstanding health disparities. Imaging disparities have been documented in the imaging literature for decades, but there is paucity of published interventions to successfully reduce disparities in imaging. Quality and safety approaches can be successfully employed to catalyze and rigorously evaluate interventions to reduce imaging disparities. Emerging from the Toyota Production System, the lean management framework focuses on continuous quality improvement to improve efficiency and reduce waste. Lean approaches have been successfully adopted by quality and safety experts in health care for problem-solving and process improvement. This article provides readers with step-by-step guidance on how to address health equity issues by adapting selected lean tools for quality improvement and patient safety. Core steps include <i>(a)</i> problem identification, <i>(b)</i> team building, <i>(c)</i> creation of a data infrastructure, <i>(d)</i> problem analysis, <i>(e)</i> development and testing of solutions, and <i>(f)</i> change management strategies to help organizations sustain successful health equity initiatives. Readers can use these six core steps to catalyze data-driven quality improvement initiatives to reduce imaging disparities within their health systems.</p>","PeriodicalId":20896,"journal":{"name":"Radiology","volume":"314 2","pages":"e232750"},"PeriodicalIF":12.1,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11868847/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143441873","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Arthroscopy-validated Diagnostic Performance of 7-Minute Five-Sequence Deep Learning Super-Resolution 3-T Shoulder MRI. 关节镜验证的7分钟五序列深度学习超分辨率3-T肩部MRI诊断性能。
IF 12.1 1区 医学
Radiology Pub Date : 2025-02-01 DOI: 10.1148/radiol.241351
Jan Vosshenrich, Mary Bruno, Tatiane Cantarelli Rodrigues, Ricardo Donners, Meghan Jardon, Yannik Leonhardt, Shana G Neumann, Michael Recht, Aline Serfaty, Steven E Stern, Jan Fritz
{"title":"Arthroscopy-validated Diagnostic Performance of 7-Minute Five-Sequence Deep Learning Super-Resolution 3-T Shoulder MRI.","authors":"Jan Vosshenrich, Mary Bruno, Tatiane Cantarelli Rodrigues, Ricardo Donners, Meghan Jardon, Yannik Leonhardt, Shana G Neumann, Michael Recht, Aline Serfaty, Steven E Stern, Jan Fritz","doi":"10.1148/radiol.241351","DOIUrl":"https://doi.org/10.1148/radiol.241351","url":null,"abstract":"<p><p>Background Deep learning (DL) methods enable faster shoulder MRI than conventional methods, but arthroscopy-validated evidence of good diagnostic performance is scarce. Purpose To validate the clinical efficacy of 7-minute threefold parallel imaging (PIx3)-accelerated DL super-resolution shoulder MRI against arthroscopic findings. Materials and Methods Adults with painful shoulder conditions who underwent PIx3-accelerated DL super-resolution 3-T shoulder MRI and arthroscopy between March and November 2023 were included in this retrospective study. Seven radiologists independently evaluated the MRI scan quality parameters and the presence of artifacts (Likert scale rating ranging from 1 [very bad/severe] to 5 [very good/absent]) as well as the presence of rotator cuff tears, superior and anteroinferior labral tears, biceps tendon tears, cartilage defects, Hill-Sachs lesions, Bankart fractures, and subacromial-subdeltoid bursitis. Interreader agreement based on κ values was evaluated, and diagnostic performance testing was conducted. Results A total of 121 adults (mean age, 55 years ± 14 [SD]; 75 male) who underwent MRI and arthroscopy within a median of 39 days (range, 1-90 days) were evaluated. The overall image quality was good (median rating, 4 [IQR, 4-4]), with high reader agreement (κ ≥ 0.86). Motion artifacts and image noise were minimal (rating of 4 [IQR, 4-4] for each), and reconstruction artifacts were absent (rating of 5 [IQR, 5-5]). Arthroscopy-validated abnormalities were detected with good or better interreader agreement (κ ≥ 0.68). The sensitivity, specificity, accuracy, and area under the receiver operating characteristic curve were 89%, 90%, 89%, and 0.89, respectively, for supraspinatus-infraspinatus tendon tears; 82%, 63%, 68%, and 0.68 for subscapularis tendon tears; 93%, 73%, 86%, and 0.83 for superior labral tears; 100%, 100%, 100%, and 1.00 for anteroinferior labral tears; 68%, 90%, 82%, and 0.80 for biceps tendon tears; 42%, 93%, 81%, and 0.64 for cartilage defects; 93%, 99%, 98%, and 0.94 for Hill-Sachs deformities; 100%, 99%, 99%, and 1.00 for osseous Bankart lesions; and 97%, 63%, 92%, and 0.80 for subacromial-subdeltoid bursitis. Conclusion Seven-minute PIx3-accelerated DL super-resolution 3-T shoulder MRI has good diagnostic performance for diagnosing tendinous, labral, and osteocartilaginous abnormalities. © RSNA, 2025 <i>Supplemental material is available for this article.</i> See also the editorial by Tuite in this issue.</p>","PeriodicalId":20896,"journal":{"name":"Radiology","volume":"314 2","pages":"e241351"},"PeriodicalIF":12.1,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143441739","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}
引用次数: 0
Top 10 Tips for Writing about AI in Radiology: A Brief Guide for Authors. 关于放射学中人工智能写作的十大技巧:作者简要指南。
IF 12.1 1区 医学
Radiology Pub Date : 2025-02-01 DOI: 10.1148/radiol.243347
Sarah L Atzen
{"title":"Top 10 Tips for Writing about AI in <i>Radiology</i>: A Brief Guide for Authors.","authors":"Sarah L Atzen","doi":"10.1148/radiol.243347","DOIUrl":"https://doi.org/10.1148/radiol.243347","url":null,"abstract":"","PeriodicalId":20896,"journal":{"name":"Radiology","volume":"314 2","pages":"e243347"},"PeriodicalIF":12.1,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143441878","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}
引用次数: 0
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