{"title":"Detecting biliary complications following liver transplantation with contrast-enhanced ultrasound.","authors":"Yu Zhang, Jing Hao, Zi Luo, Yi-Jun Li, Zhong Liu, Ning-Bo Zhao","doi":"10.4329/wjr.v17.i7.106556","DOIUrl":"10.4329/wjr.v17.i7.106556","url":null,"abstract":"<p><p>Liver transplantation is the primary therapeutic choice for end-stage liver disease. Currently, biliary complications are among the main factors affecting the survival rate and quality of life of liver transplant recipients. Nevertheless, the clinical manifestations of biliary complications following liver transplantation are often non-specific, making early diagnosis and timely treatment crucial for improving patient outcomes. Ultrasound is the preferred imaging method following liver transplantation. Importantly, contrast-enhanced ultrasound, with the administration of contrast agents, can improve the resolution of biliary images and enable real-time, dynamic visualization of microcirculation perfusion in the biliary system and surrounding tissues. The present article describes the normal ultrasonic features of the biliary system following liver transplantation and briefly reviews the progress in the ultrasonic diagnosis of common biliary complications, including anastomotic biliary strictures, non-anastomotic biliary strictures, biliary leakage, biloma, and bile sludge/bile stone.</p>","PeriodicalId":23819,"journal":{"name":"World journal of radiology","volume":"17 7","pages":"106556"},"PeriodicalIF":1.5,"publicationDate":"2025-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12308602/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144761544","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":"Determining the scanning range of coronary computed tomography angiography based on deep learning.","authors":"Yu-Hao Zhao, Yi-Han Fan, Xiao-Yan Wu, Tian Qin, Qing-Ting Sun, Bao-Hui Liang","doi":"10.4329/wjr.v17.i7.110394","DOIUrl":"10.4329/wjr.v17.i7.110394","url":null,"abstract":"<p><strong>Background: </strong>Coronary computed tomography angiography (CCTA) is essential for diagnosing coronary artery disease as it provides detailed images of the heart's blood vessels to identify blockages or abnormalities. Traditionally, determining the computed tomography (CT) scanning range has relied on manual methods due to limited automation in this area.</p><p><strong>Aim: </strong>To develop and evaluate a novel deep learning approach to automate the determination of CCTA scan ranges using anteroposterior scout images.</p><p><strong>Methods: </strong>A retrospective analysis was conducted on chest CT data from 1388 patients at the Radiology Department of the First Affiliated Hospital of a university-affiliated hospital, collected between February 27 and March 27, 2024. A deep learning model was trained on anteroposterior scout images with annotations based on CCTA standards. The dataset was split into training (672 cases), validation (167 cases), and test (167 cases) sets to ensure robust model evaluation.</p><p><strong>Results: </strong>The study demonstrated exceptional performance on the test set, achieving a mean average precision (mAP50) of 0.995 and mAP50-95 of 0.994 for determining CCTA scan ranges.</p><p><strong>Conclusion: </strong>This study demonstrates that: (1) Anteroposterior scout images can effectively estimate CCTA scan ranges; and (2) Estimates can be dynamically adjusted to meet the needs of various medical institutions.</p>","PeriodicalId":23819,"journal":{"name":"World journal of radiology","volume":"17 7","pages":"110394"},"PeriodicalIF":1.5,"publicationDate":"2025-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12308584/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144761545","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}
Lorenzo Steri, Pierluigi Barbieri, Lavinia Gigante, Alessandro Posa
{"title":"Prophylactic occlusion balloon in placenta abnormalities: What every interventional radiologist needs to know.","authors":"Lorenzo Steri, Pierluigi Barbieri, Lavinia Gigante, Alessandro Posa","doi":"10.4329/wjr.v17.i7.107737","DOIUrl":"10.4329/wjr.v17.i7.107737","url":null,"abstract":"<p><p>Placenta abnormalities, which are collectively termed as placenta accreta spectrum (PAS), are increasing globally in the female population due to the large number of cesarean sections performed worldwide. PAS represents a rare but life-threatening occurrence that can lead to an increased risk of postpartum hemorrhage due to the abnormal infiltration of the chorionic villi in the uterine wall up to the adjacent structures. Performing a prophylactic occlusion of the iliac arteries for a brief amount of time using balloon-occlusion endovascular catheters in patients with PAS can help control unwanted blood losses during cesarean delivery or postpartum demolition surgery. The aim of this narrative minireview was to provide an overview of the aspects about prophylactic occlusion with endovascular balloons in patients with PAS and to analyze current evidence on this topic. In particular, this minireview included an overview of indications, patient selection, type of materials and devices used, technical advice and suggestions, clinical outcomes, and complications to give every interventional radiologist as well as every gynecologist and midwife all the information that is needed to address this particular condition in a safe and prompt manner.</p>","PeriodicalId":23819,"journal":{"name":"World journal of radiology","volume":"17 7","pages":"107737"},"PeriodicalIF":1.5,"publicationDate":"2025-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12308548/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144761547","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":"Advances in radiation protection related to pediatric chest computed tomography examinations.","authors":"Qing-Ting Sun, Yi-Han Fan, Bao-Hui Liang","doi":"10.4329/wjr.v17.i7.107486","DOIUrl":"10.4329/wjr.v17.i7.107486","url":null,"abstract":"<p><p>With the rapid development of computed tomography (CT) technology, the widespread use of CT examinations in the evaluation of chest diseases in pediatrics has raised extensive concerns about radiation issues. This review first systematically summarizes the factors influencing radiation dose (detector, tube voltage, tube current-time product, field of view, and reconstruction algorithms) in pediatric chest computed tomography examinations. Methods to reduce radiation dose are also discussed, including the utilization of filters, automatic tube current modulation, automatic tube voltage selection, and organ dose modulation. Finally, the methods for individualized radiation dose calculation in pediatric chest CT examinations: effective dose, CT dosimetry software, Size-Specific Dose Estimate, and the Monte Carlo method are reviewed. Radiation exposure reduction is a multifaceted issue. This review aims to provide an optimal scanning scheme for pediatric chest CT from different perspectives.</p>","PeriodicalId":23819,"journal":{"name":"World journal of radiology","volume":"17 7","pages":"107486"},"PeriodicalIF":1.5,"publicationDate":"2025-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12308564/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144761542","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}
Jai P Singh, Shayan Assaie-Ardakany, Maryam A Aleissa, Kareem Al-Shaer, Gautham Chitragari, Ernesto R Drelichman, Vijay K Mittal, Jasneet S Bhullar
{"title":"Optimizing diagnosis in obstructed defecation syndrome: A review of imaging modalities.","authors":"Jai P Singh, Shayan Assaie-Ardakany, Maryam A Aleissa, Kareem Al-Shaer, Gautham Chitragari, Ernesto R Drelichman, Vijay K Mittal, Jasneet S Bhullar","doi":"10.4329/wjr.v17.i7.107459","DOIUrl":"10.4329/wjr.v17.i7.107459","url":null,"abstract":"<p><p>Obstructed defecation syndrome (ODS) is a complex defecatory disorder associated with pelvic floor dysfunction. It affects approximately 50% of women over the age of 50 and significantly impacts their quality of life. The causes of ODS include structural abnormalities such as rectocele, enterocele, intussusception, and pelvic floor descent, as well as functional disorders like anismus. Accurate diagnosis is crucial for effective management due to the high risk of treatment failure associated with inaccurate findings. Various imaging modalities are used to assess pelvic floor disorders, including fluoroscopic defecography (FD), magnetic resonance defecography (MRD), pelvic floor ultrasound (PFUS), and echodefecography (EDF). FD is the most commonly performed test worldwide, offering high accuracy in diagnosing pelvic floor disorders. It provides dynamic visualization of defecation mechanics but involves radiation exposure. MRD offers excellent soft tissue detail and multiplanar imaging without radiation, making it particularly useful for multicompartment disorders; however, it is associated with high procedural costs and limited availability. Both PFUS and EDF are minimally invasive and avoid radiation exposure. PFUS shows promise as a valuable screening tool that could help minimize the need for advanced imaging if findings are normal. EDF is also promising but requires specialized training and remains less widely available. This review evaluates the accuracy, advantages, and limitations of various diagnostic modalities for pelvic floor disorders, aiming to guide optimal clinical decision-making.</p>","PeriodicalId":23819,"journal":{"name":"World journal of radiology","volume":"17 7","pages":"107459"},"PeriodicalIF":1.5,"publicationDate":"2025-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12308581/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144761546","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":"Radiomics for preoperative pancreatic ductal adenocarcinoma risk stratification: Cross-population validation, multidimensional integration, challenges, and future directions.","authors":"Qin-Zhi Liu, Lei Zeng, Nian-Zhe Sun","doi":"10.4329/wjr.v17.i7.110048","DOIUrl":"10.4329/wjr.v17.i7.110048","url":null,"abstract":"<p><p>This editorial critically evaluated Liu <i>et al</i>'s recent retrospective analysis of 283 Chinese patients with resectable pancreatic ductal adenocarcinoma (PDAC) that validated a preoperative computed tomography-based risk scoring system originally developed in South Korea. The scoring system incorporated five parameters: (1) Tumor size; (2) Portal venous phase density; (3) Necrosis; (4) Peripancreatic infiltration; and (5) Suspected metastatic lymph nodes. While demonstrating satisfactory recurrence prediction capability without requiring complex technologies, thereby supporting clinical utility in Chinese populations, the study exhibited notable limitations. Most analyzed patients lacked neoadjuvant chemotherapy exposure, resulting in underrepresentation of low-risk subgroups. Additionally, the short follow-up duration potentially compromised long-term prognostic assessment. Contemporary advances in radiomics coupled with machine learning have enhanced multimodal data integration for PDAC management. However, clinical implementation continues to confront challenges including variability in imaging parameters, incomplete understanding of molecular underpinnings, and confounding treatment effects. Future investigations should prioritize developing multidimensional predictive frameworks that synergize radiographic, molecular, and clinical data. Prospective multicenter validation and artificial intelligence-powered real-time risk stratification systems represent essential steps to overcome current barriers in precision medicine translation, ultimately advancing personalized therapeutic strategies for PDAC.</p>","PeriodicalId":23819,"journal":{"name":"World journal of radiology","volume":"17 7","pages":"110048"},"PeriodicalIF":1.5,"publicationDate":"2025-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12308561/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144761548","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}
Nikolaos-Achilleas Arkoudis, Anastasia Karachaliou, George Triantafyllou, Andreas Papadopoulos, Christos Koutserimpas, Georgios Velonakis
{"title":"Spinal cord ischemia: The \"snake bite sign\".","authors":"Nikolaos-Achilleas Arkoudis, Anastasia Karachaliou, George Triantafyllou, Andreas Papadopoulos, Christos Koutserimpas, Georgios Velonakis","doi":"10.4329/wjr.v17.i7.110385","DOIUrl":"10.4329/wjr.v17.i7.110385","url":null,"abstract":"<p><p>Descriptive signs in radiology can aid in easier pattern recognition and quicker diagnosis. In spinal cord ischemia, paired anterior-horn T2-hyperintensities have traditionally been known as the \"owl's eyes\" or \"snake eyes\" sign. We discuss how these signs, while visually apt, convey no pathophysiologic context and propose renaming this finding the \"snake bite sign\". The image still evokes two punctate marks, yet the metaphor extends to a snake bite (two fang-like dots) rather than two bright foci (eyes) staring back at the viewer. Moreover, besides the sign metaphorically resembling a traumatic puncture of the two fangs, on the occasion of a venomous snake bite occurring elsewhere, additional neurological consequences may occur, paralleling the neurological deficits seen in anterior spinal artery infarction and several mimicking myelopathies, thus further highlighting the analogy. Such clinically driven terminology may facilitate teaching, enable diagnostic recall, and improve interdisciplinary communication.</p>","PeriodicalId":23819,"journal":{"name":"World journal of radiology","volume":"17 7","pages":"110385"},"PeriodicalIF":1.5,"publicationDate":"2025-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12308545/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144761550","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}
Yan-Lin Zhu, Yi-Wen Sun, Yu-Chen Ge, Jian He, Ru-Tian Li
{"title":"Advances in <sup>18</sup>F-fluorodeoxyglucose positron emission tomography/computed tomography for soft tissue sarcomas.","authors":"Yan-Lin Zhu, Yi-Wen Sun, Yu-Chen Ge, Jian He, Ru-Tian Li","doi":"10.4329/wjr.v17.i7.106427","DOIUrl":"10.4329/wjr.v17.i7.106427","url":null,"abstract":"<p><p>Soft tissue sarcomas (STS) are rare malignant tumors originating from mesodermal tissues with a poor prognosis, accounting for approximately 1% of all malignancies and comprising around 50 distinct subtypes. Conventional imaging modalities, such as computed tomography (CT) and magnetic resonance imaging (MRI), primarily provide anatomical information, whereas <sup>18</sup>F-fluorodeoxyglucose positron emission tomography/CT (<sup>18</sup>F-FDG PET/CT) integrates functional metabolic and anatomical imaging, serving as a critical complementary tool in the diagnosis and management of STS. This article reviews recent advances in the application of <sup>18</sup>F-FDG PET/CT for STS. The advantages of <sup>18</sup>F-FDG PET/CT in STS include: (1) Early detection of metabolic activity changes in tumors, particularly when morphological alterations are insignificant; (2) Effective differentiation between benign and malignant soft tissue tumors, as well as aiding in distinguishing high-grade from low-grade sarcomas; (3) Identification of occult metastatic lesions, improving staging accuracy, and facilitating restaging in cases of recurrence or metastasis; (4) Utilization of parameters such as maximum standardized uptake value and metabolic tumor volume to assist in tumor grading and prognostic evaluation; and (5) Monitoring treatment response to guide adjustments in personalized therapeutic strategies. However, <sup>18</sup>F-FDG PET/CT has limitations in diagnosis of certain STS subtypes (<i>e.g.</i>, myxoid liposarcoma), detection and biopsy of metastatic lymph nodes, necessitating integration with clinical evaluation and other imaging techniques. <sup>18</sup>F-FDG PET/CT is poised to play an increasingly vital role in the precision diagnosis and treatment of STS.</p>","PeriodicalId":23819,"journal":{"name":"World journal of radiology","volume":"17 7","pages":"106427"},"PeriodicalIF":1.5,"publicationDate":"2025-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12308547/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144761541","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":"Cardiac magnetic resonance imaging contributing to primary prevention and secondary prevention of sudden cardiac death: Contemporary usefulness and limitations.","authors":"Yasuo Amano, Kazuki Iso, Yasuyuki Suzuki, Masaki Tachi","doi":"10.4329/wjr.v17.i7.107140","DOIUrl":"10.4329/wjr.v17.i7.107140","url":null,"abstract":"<p><p>Sudden cardiac death (SCD) is one of the most devastating sequelae of myocardial diseases and can be the initial symptom in younger athletes or middle-aged businesspeople. An implantable cardioverter defibrillator (ICD) prevents SCD and dramatically reduces the arrhythmic events in these patients; hence, the risk stratification for the SCD is important. In survivors of out-of-hospital cardiac arrest, identification of its etiologies is required to select the appropriate treatments following ICD installation. Cardiac magnetic resonance imaging (MRI) is useful for evaluating the morphology and function of the heart and for tissue characterization, MRI can therefore be used to stratify the risk of SCD associated with various myocardial diseases and leads to primary prevention using ICD. MRI can predict arrhythmic events, which suggest the progression of myocardial damage, following secondary prevention. In this review, we provide a clinical and MRI focused update and MRI protocol for the primary and secondary prevention of SCD. We summarize the contribution and limitations of cardiac MRI for prevention SCD using ICD implantation.</p>","PeriodicalId":23819,"journal":{"name":"World journal of radiology","volume":"17 7","pages":"107140"},"PeriodicalIF":1.5,"publicationDate":"2025-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12308606/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144761543","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}
Alberto Martino, Marco Di Serafino, Francesco Paolo Zito, Luigi Orsini, Lorena Pietrini, Antonella Menchise, Martina Cargiolli, Lorenzo Anastasio, Rossana Martino, Raffaele Bennato, Giovanni Lombardi
{"title":"Role of computed tomography in the assessment of caustic ingestion severity: A comprehensive review.","authors":"Alberto Martino, Marco Di Serafino, Francesco Paolo Zito, Luigi Orsini, Lorena Pietrini, Antonella Menchise, Martina Cargiolli, Lorenzo Anastasio, Rossana Martino, Raffaele Bennato, Giovanni Lombardi","doi":"10.4329/wjr.v17.i7.109172","DOIUrl":"10.4329/wjr.v17.i7.109172","url":null,"abstract":"<p><p>Caustic ingestion is a relatively rare but potentially catastrophic gastroenterological emergency. Upper gastrointestinal (GI) endoscopy is currently regarded as the gold standard modality not only to assess the depth and the extension of GI caustic injury, but also to guide the appropriate treatment. Intriguingly, contrast-enhanced computed tomography (CECT) has recently emerged as a promising non-invasive and more accurate alternative to endoscopy in this setting. However, to date, evidence concerning the role of CECT as an alternative or complementary diagnostic tool to endoscopy in caustic ingestion is still limited. The aim of our review was to summarize and discuss the current evidence concerning the role of CECT in the emergency diagnosis of caustic ingestion and its value in assessing injury severity among non-pediatric patients.</p>","PeriodicalId":23819,"journal":{"name":"World journal of radiology","volume":"17 7","pages":"109172"},"PeriodicalIF":1.5,"publicationDate":"2025-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12308572/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144761549","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}