Scottish Medical Journal最新文献_第3页

Scottish Cardiac Society 34th Annual General Meeting Thursday 2 & Friday 3 October 2025. 苏格兰心脏协会第34届年度大会，2025年10月2日星期四和3日星期五。

IF 1.2 4区医学

Scottish Medical Journal Pub Date : 2026-02-01 Epub Date: 2026-02-23 DOI: 10.1177/00369330251412615

引用次数: 0

Optimizing machine learning-based multimodal radiomics for predicting IDH status in gliomas: A SHAP-based multicenter study. 优化基于机器学习的多模态放射组学预测胶质瘤IDH状态：一项基于shap的多中心研究。

IF 1.3 4区医学

Scottish Medical Journal Pub Date : 2026-02-01 Epub Date: 2026-01-27 DOI: 10.1177/00369330251415060

Han-Wen Zhang, Jia-Hua Cai, Chun Luo, Yong-Qian Mo, Xu-Mei Tang, Fan Lin, Juan Yu, Hong-Bo Zhang, Yi Lei, Biao Huang

{"title":"Optimizing machine learning-based multimodal radiomics for predicting IDH status in gliomas: A SHAP-based multicenter study.","authors":"Han-Wen Zhang, Jia-Hua Cai, Chun Luo, Yong-Qian Mo, Xu-Mei Tang, Fan Lin, Juan Yu, Hong-Bo Zhang, Yi Lei, Biao Huang","doi":"10.1177/00369330251415060","DOIUrl":"10.1177/00369330251415060","url":null,"abstract":"BackgroundPredicting isocitrate dehydrogenase (IDH) status is crucial in glioma management. Conventional MRI (cMRI) has limitations, but the clinical translation of radiomics and machine learning (ML) is often limited by single-center datasets and poor model interpretability.PurposeTo develop and validate an interpretable, multicenter ML model integrating cMRI with functional sequences (DWI and PWI) for predicting IDH status in gliomas.Material and MethodsThis retrospective study included 180 patients from four institutions (150 training, 30 external test). Radiomics features were extracted from cMRI (T1WI, T2WI, FLAIR, T1CE), DWI, and DSC-PWI (CBV maps). After feature selection, multiparametric MRI-based fusion radiomics models were built and compared using three ML algorithms across four segmentation strategies. The optimal model was explained using SHapley Additive exPlanation (SHAP).ResultsThe full-modality model (cMRI + DWI + PWI) with 3Dmodified segmentation achieved the best performance, with area under the curve of 0.840 (training) and 0.810 (external test). Incorporating functional sequences significantly improved prediction over cMRI alone. SHAP analysis identified key predictive features and provided individualized visual explanations for model decisions.ConclusionThe developed ML-SHAP model, integrating conventional and functional MRI, reliably predicts IDH status and demonstrates generalizability across multiple centers. This interpretable tool shows potential for supporting preoperative molecular diagnosis in glioma.","PeriodicalId":21683,"journal":{"name":"Scottish Medical Journal","volume":" ","pages":"27-39"},"PeriodicalIF":1.3,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146066532","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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

Synergistic use of high-resolution flow-sensitive and flow-compensated MRI sequences for the evaluation of cerebrospinal fluid flow disorders. 协同使用高分辨率流量敏感和流量补偿MRI序列评估脑脊液流动障碍。

IF 1.2 4区医学

Scottish Medical Journal Pub Date : 2026-02-01 Epub Date: 2025-12-08 DOI: 10.1177/00369330251403510

William Clackett, Avinash K Kanodia, Heinke Pulhorn, Mohamed Okasha, Anna Solth, Anna Podlasek, Magdalena Szewczyk-Bieda, Riccardo Zannoni, Thiru Sudarshan, Iris Q Grunwald

引用次数: 0

Risk scoring in surgery: Challenges and future directions. 手术风险评分：挑战与未来方向。

IF 1.2 4区医学

Scottish Medical Journal Pub Date : 2025-11-01 Epub Date: 2025-11-19 DOI: 10.1177/00369330251383146

James Lucocq, Ghulam Nabi

引用次数: 0

Cancer screening strategies need to explore methods to reduce emergency presentation of disease. 癌症筛查策略需要探索减少疾病急诊表现的方法。

IF 1.2 4区医学

Scottish Medical Journal Pub Date : 2025-11-01 Epub Date: 2025-11-19 DOI: 10.1177/00369330251395842

Ghulam Nabi

引用次数: 0

Predictors of advanced stage and emergency presentation in colorectal cancer patients in central Scotland: A retrospective cohort study. 苏格兰中部结直肠癌晚期和急诊表现的预测因素：一项回顾性队列研究

IF 1.2 4区医学

Scottish Medical Journal Pub Date : 2025-11-01 Epub Date: 2025-08-19 DOI: 10.1177/00369330251368952

Peter Sciberras, Philip Paris, Gloria Montebello, Rebecca Calleja, Rebecca Bugeja, John Camilleri-Brennan

{"title":"Predictors of advanced stage and emergency presentation in colorectal cancer patients in central Scotland: A retrospective cohort study.","authors":"Peter Sciberras, Philip Paris, Gloria Montebello, Rebecca Calleja, Rebecca Bugeja, John Camilleri-Brennan","doi":"10.1177/00369330251368952","DOIUrl":"10.1177/00369330251368952","url":null,"abstract":"Background and AimsTo determine which factors were associated with and predictive of an advanced stage at diagnosis and emergency mode of presentation in colorectal cancer patients.Methods and ResultsA total of 587 consecutive patients discussed at multidisciplinary team meetings between January 2017 and December 2019 at an acute hospital in Scotland were included. The effect of predefined variables on stage and mode of presentation was analysed using logistic regression. 55.4% of patients had advanced disease and 19.7% of patients presented as an emergency: these were more likely to have advanced disease (odds ratio (OR) 1.64, 95% confidence interval (95%CI) 1.02-2.62, p = 0.04) compared to the 22.3% diagnosed at screening (OR 0.33, 95%CI 0.21-0.52, p < 0.001). Individuals with affected first-degree relatives were more likely to present with advanced disease (OR 2.39, 95%CI 1.06-5.40, p = 0.04). The association of deprivation and tumour site with advanced disease at presentation was significant (p = 0.04 and p = 0.013, respectively). The likelihood of presenting as an emergency increased with age (OR 1.03, 95%CI 1.01-1.05, p = 0.003) and with advanced disease (OR 2.15, 95%CI 1.37-3.38, p < 0.001). Again, the relationship between tumour site and emergency presentation was significant (p = 0.002).ConclusionFurther efforts are required to increase screening uptake, particularly amongst higher risk groups, to detect disease at an early stage and reduce the number of patients presenting as emergencies.","PeriodicalId":21683,"journal":{"name":"Scottish Medical Journal","volume":" ","pages":"68-75"},"PeriodicalIF":1.2,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144883585","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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

Impact of rehabilitation on quality of life in stroke patients. 康复对脑卒中患者生活质量的影响。

IF 1.2 4区医学

Scottish Medical Journal Pub Date : 2025-11-01 Epub Date: 2025-09-22 DOI: 10.1177/00369330251379623

Keziban Koçyiğit, Zuhal Özişler, Naime Meriç Konar

{"title":"Impact of rehabilitation on quality of life in stroke patients.","authors":"Keziban Koçyiğit, Zuhal Özişler, Naime Meriç Konar","doi":"10.1177/00369330251379623","DOIUrl":"10.1177/00369330251379623","url":null,"abstract":"BackgroundThe aim of this study was to assess the efficacy of post-stroke rehabilitation and to determine the influence of differing rehabilitation program components on changes in quality of life (QoL).Methods120 patients diagnosed with stroke were included in this study. The sample comprised 53 males and 67 females, exhibiting a meantime since the event of 77.7 ± 70.5 days (range:30-365 days). Patient sociodemographic data, stroke characteristics, and received rehabilitation services were documented upon admission. Hemiplegic patients' motor development was assessed using the Brunnstrom stages. QoL was assessed using the stroke-specific quality of life scale (SS-QOL).ResultsInpatient rehabilitation lasted an average of 59.71 ± 19.56 days (range:30-70 days). A comparison of SS-QOL scale scores at admission and discharge among rehabilitation patients revealed improvements in both the overall mean and all subscales. Statistically significant improvements were found in all rehabilitation sub-dimensions. Cognitive rehab significantly improved patients' social, language, vision, cognitive, and personality functioning. Analysis revealed significant enhancements in mood and activity among subjects undergoing lower extremity robotic rehabilitation and balance laboratory treatment. Hand support showed significant improvement across all measured sub-dimensions.ConclusionsOur research facilitated a comprehensive assessment of stroke-induced impairments, demographic variables, and individualized treatment modalities influencing QoL, as measured by a dedicated SS-QOL scale.","PeriodicalId":21683,"journal":{"name":"Scottish Medical Journal","volume":" ","pages":"76-82"},"PeriodicalIF":1.2,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145125781","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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

Thyroid incidentalomas in cervical spine MRI. 颈椎MRI中的甲状腺偶发瘤。

IF 1.2 4区医学

Scottish Medical Journal Pub Date : 2025-08-01 Epub Date: 2025-05-05 DOI: 10.1177/00369330251339732

Dana Khaldun Atiyat, Bayan Naim Abusheikha, Feras Suleiman Al Khatib, Nosaiba Tawfeeq Al Ryalat, Rawand Yahya Husami, Obada Naim Abusheikha, Azmy Hadidy, Saif Aldeen Alryalat

{"title":"Thyroid incidentalomas in cervical spine MRI.","authors":"Dana Khaldun Atiyat, Bayan Naim Abusheikha, Feras Suleiman Al Khatib, Nosaiba Tawfeeq Al Ryalat, Rawand Yahya Husami, Obada Naim Abusheikha, Azmy Hadidy, Saif Aldeen Alryalat","doi":"10.1177/00369330251339732","DOIUrl":"10.1177/00369330251339732","url":null,"abstract":"BackgroundThe increasing prevalence of thyroid incidentalomas and their uncertain malignancy risk necessitates population-specific analyses. This study aimed to investigate the prevalence and characteristics of thyroid incidentalomas in patients at the University of Jordan.MethodsConducted at the Jordan University Hospital (JUH), the retrospective study reviewed Magnetic Resonance Imaging (MRI) reports. Patients aged 18-83 were included, and MRI findings were screened for thyroid incidentalomas. Further assessments included neck ultrasound (US) and serum thyrotropin (TSH) analysis to evaluate thyroid function.ResultsOf 194 images reviewed, 190 met inclusion criteria, with 128 (67.4%) showing thyroid incidentalomas. Subsequent ultrasound examinations in 28 patients confirmed findings consistent with MRI in 17 cases (60.7%). Of fine-needle aspiration biopsies performed, 38.89% were benign, while 11.11% were classified as atypia or follicular lesions of undetermined significance, ultimately diagnosed as papillary cancer.ConclusionThe study underscores the high prevalence of thyroid incidentalomas in imaging performed for unrelated conditions and highlights their potential malignancy risk. Increased awareness among medical professionals is crucial for timely identification and management. Incidental thyroid lesions on MRI warrant further evaluation to ensure appropriate clinical and diagnostic follow-up.","PeriodicalId":21683,"journal":{"name":"Scottish Medical Journal","volume":" ","pages":"37-43"},"PeriodicalIF":1.2,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144030248","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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

Is clay modelling an appropriate teaching tool for laryngeal anatomy? A pilot study of 16 medical students. 黏土模型是喉解剖的合适教学工具吗？一项对16名医学生的初步研究。

IF 1.2 4区医学

Scottish Medical Journal Pub Date : 2025-08-01 Epub Date: 2025-08-19 DOI: 10.1177/00369330251356670

Mervyn Owusu-Ayim, Sam Majumdar, Luke Reid

{"title":"Is clay modelling an appropriate teaching tool for laryngeal anatomy? A pilot study of 16 medical students.","authors":"Mervyn Owusu-Ayim, Sam Majumdar, Luke Reid","doi":"10.1177/00369330251356670","DOIUrl":"10.1177/00369330251356670","url":null,"abstract":"BackgroundIn an era where ENT educators face reduced teaching hours alongside a limited selection of interactive pedagogical tools, laryngeal anatomy remains a difficult topic to teach medical students. A comparative pilot study was performed to investigate the aptness of clay models as a teaching tool in the undergraduate ENT setting.MethodsSixteen medical students were recruited. Students were assigned to prosections (n = 8) or clay models (n = 8); and tasked to identify or model laryngeal structures. Participants were examined using a pre- and post-test multiple-choice questionnaire. Feedback was obtained via a 5-scale Likert questionnaire. To investigate the impact of student learning approaches on assessment, the ASSIST questionnaire was used.ResultsClay modelling students performed better on post-test than their prosection counterparts (mean: 14.37 vs 13.62; p = 0.67), whilst surface learners (n = 7) achieved higher scores on post-test compared to their strategic counterparts (n = 9; p = 0.87). Findings were not statistically significant. Feedback indicated higher levels of satisfaction in students allocated to clay models, whilst usefulness was perceived more by those in the prosection group.ConclusionClay modelling is an enjoyable teaching tool which yields comparable scores to prosections on assessment. Educators may use this tool to improve interactivity and accommodate for contact free teaching requirements.","PeriodicalId":21683,"journal":{"name":"Scottish Medical Journal","volume":"70 3","pages":"56-63"},"PeriodicalIF":1.2,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144875063","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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

Recurrent urinary tract infection: Stimulating immune response through vaccines as an alternative to antimicrobial prophylaxis. 复发性尿路感染：通过疫苗刺激免疫反应作为抗微生物预防的替代方法。

IF 1.2 4区医学

Scottish Medical Journal Pub Date : 2025-08-01 Epub Date: 2025-08-19 DOI: 10.1177/00369330251355745

Ghulam Nabi, Bokhari Abdullah

引用次数: 0