World journal of radiology最新文献

{"title":"Radiological parameters to predict pancreatic texture: Current evidence and future perspectives.","authors":"Raja Kalayarasan,&nbsp;Mandalapu Himaja,&nbsp;Ananthakrishnan Ramesh,&nbsp;Kathirvel Kokila","doi":"10.4329/wjr.v15.i6.170","DOIUrl":"https://doi.org/10.4329/wjr.v15.i6.170","url":null,"abstract":"<p><p>Preoperative prediction of the postoperative pancreatic fistula risk is critical in the current era of minimally invasive pancreatic surgeries to tailor perioperative management, thereby minimizing postoperative morbidity. Pancreatic duct diameter can be readily measured by any routine imaging used to diagnose pancreatic disease. However, radiological evaluation of pancreatic texture, an important determinant of pancreatic fistula, has not been widely used to predict the risk of postoperative pancreatic fistula. Qualitative and quantitative assessment of pancreatic fibrosis and fat fraction provides the basis for predicting pancreatic texture. Traditionally computed tomography has been utilized in identifying and characterizing pancreatic lesions and background parenchymal pathologies. With the increasing utilisation of endoscopic ultrasound and magnetic resonance imaging for evaluating pancreatic pathologies, elastography is emerging as a promising tool for predicting pancreatic texture. Also, recent studies have shown that early surgery for chronic pancreatitis is associated with better pain relief and preservation of pancreatic function. Pancreatic texture assessment can allow early diagnosis of chronic pancreatitis, facilitating early intervention. The present review outlines the current evidence in utilizing various imaging modalities for determining the pancreatic texture based on different parameters and image sequences. However, multidisciplinary investigations using strong radiologic-pathologic correlation are needed to standardize and establish the role of these non-invasive diagnostic tools in predicting pancreatic texture.</p>","PeriodicalId":23819,"journal":{"name":"World journal of radiology","volume":"15 6","pages":"170-181"},"PeriodicalIF":2.5,"publicationDate":"2023-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/a1/a8/WJR-15-170.PMC10324497.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10185895","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":"Interobserver reliability of computed tomography angiography in the assessment of ruptured intracranial aneurysm and impact on patient management.","authors":"Ali H Elmokadem,&nbsp;Basma Abdelmonaem Elged,&nbsp;Ahmed Abdel Razek,&nbsp;Lamiaa Galal El-Serougy,&nbsp;Mohamed Ali Kasem,&nbsp;Mohamed Ali El-Adalany","doi":"10.4329/wjr.v15.i6.201","DOIUrl":"https://doi.org/10.4329/wjr.v15.i6.201","url":null,"abstract":"<p><strong>Background: </strong>Aneurysmal subarachnoid hemorrhage is an emergency that can lead to a high mortality rate and many severe complications. It is critical to make a rapid radiological evaluation of ruptured intracranial aneurysms (RIAs) to determine the appropriate surgical treatment.</p><p><strong>Aim: </strong>To assess the reliability of computed tomography angiography (CTA) in assessing different features of ruptured intracranial aneurysm and its impact on patient management.</p><p><strong>Methods: </strong>The final cohort of this study consisted of 146 patients with RIAs (75 male and 71 female) who underwent cerebral CTA. Their age ranged from 25 to 80, and the mean age ± SD was 57 ± 8.95 years. Two readers were asked to assess different features related to the aneurysm and perianeurysmal environment. Inter-observer agreement was measured using kappa statistics. Imaging data extracted from non-contrast computed tomography and CTA were considered to categorize the study population into two groups according to the recommended therapeutic approach.</p><p><strong>Results: </strong>The inter-observer agreement of both reviewers was excellent for the detection of aneurysms (K = 0.95, <i>P</i> = 0.001), aneurysm location (K = 0.98, <i>P</i> = 0.001), and (K = 0.98, <i>P</i> = 0.001), morphology (K = 0.92, <i>P</i> = 0.001) and margins (K = 0.95, <i>P</i> = 0.001). There was an excellent interobserver agreement for the measurement of aneurysm size (K = 0.89, <i>P</i> = 0.001), neck (K = 0.85, <i>P</i> = 0.001), and dome-to-neck ratio (K = 0.98, <i>P</i> = 0.001). There was an excellent inter-observer agreement for the detection of other aneurysm-related features such as thrombosis (K = 0.82, <i>P</i> = 0.001), calcification (K = 1.0, <i>P</i> = 0.001), bony landmark (K = 0.89, <i>P</i> = 0.001) and branch incorporation (K = 0.91, <i>P</i> = 0.001) as well as perianeurysmal findings including vasospasm (K = 0.91, <i>P</i> = 0.001), perianeurysmal cyst (K = 1.0, <i>P</i> = 0.001) and associated vascular lesions (K = 0.83, <i>P</i> = 0.001). Based on imaging features, 87 patients were recommended to have endovascular treatment, while surgery was recommended in 59 patients. 71.2% of the study population underwent the recommended therapy.</p><p><strong>Conclusion: </strong>CTA is a reproducible promising diagnostic imaging modality for detecting and characterizing cerebral aneurysms.</p>","PeriodicalId":23819,"journal":{"name":"World journal of radiology","volume":"15 6","pages":"201-215"},"PeriodicalIF":2.5,"publicationDate":"2023-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/7e/d1/WJR-15-201.PMC10324495.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10167213","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":"Computed tomography angiographic study of surgical anatomy of thyroid arteries: Clinical implications in neck dissection.","authors":"Yashu Bhardwaj,&nbsp;Brijendra Singh,&nbsp;Pooja Bhadoria,&nbsp;Rashmi Malhotra,&nbsp;Swarnava Tarafdar,&nbsp;Kanchan Bisht","doi":"10.4329/wjr.v15.i6.182","DOIUrl":"https://doi.org/10.4329/wjr.v15.i6.182","url":null,"abstract":"<p><strong>Background: </strong>The course and variations of thyroid arteries must be understood by surgeons to prevent bleeding during operative procedures of the thyroid gland. There is limited scientific literature regarding the radiological anatomy of thyroid arteries in this geographical area, the Garhwal region of Sub-Himalayan belt, which is considered to be the endemic belt of goiter. Computed tomography angiography provides a three-dimensional orientation of the vascular and surgical anatomy of the entire cervical region.</p><p><strong>Aim: </strong>To estimate the proportion of variation in origin of thyroid arteries using Computed Tomography Angiography.</p><p><strong>Methods: </strong>Using Computed Tomography Angiography, the presence and origin of the superior thyroid artery, inferior thyroid artery, and thyroid ima artery were observed and assessed.</p><p><strong>Results: </strong>Out of total 210 subjects, superior thyroid artery was seen to be emerging from external carotid artery in 77.1% cases. The artery was found to be originating at the level of bifurcation of common carotid artery in 14.3% cases, whereas in 8.6% cases, it emerged as a direct branch of the common carotid artery. Similarly, the inferior thyroid artery was observed to be emerging from thyrocervical trunk, subclavian artery and vertebral artery in 95.7% cases, 3.3% and 1% cases, respectively. Thyroid ima artery was also reported in a subject, arising from the brachiocephalic trunk.</p><p><strong>Conclusion: </strong>To avoid vascular injuries, excessive and uncontrollable bleeding, intra-operative difficulties, and post-operative issues, it is imperative for surgeons to be aware of the course and variations of thyroid arteries.</p>","PeriodicalId":23819,"journal":{"name":"World journal of radiology","volume":"15 6","pages":"182-190"},"PeriodicalIF":2.5,"publicationDate":"2023-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/c3/7d/WJR-15-182.PMC10324493.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10185899","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":"Future of prostate imaging: Artificial intelligence in assessing prostatic magnetic resonance imaging.","authors":"Lyubomir Chervenkov,&nbsp;Nikolay Sirakov,&nbsp;Gancho Kostov,&nbsp;Tsvetelina Velikova,&nbsp;George Hadjidekov","doi":"10.4329/wjr.v15.i5.136","DOIUrl":"https://doi.org/10.4329/wjr.v15.i5.136","url":null,"abstract":"<p><p>Prostate cancer (Pca; adenocarcinoma) is one of the most common cancers in adult males and one of the leading causes of death in both men and women. The diagnosis of Pca requires substantial experience, and even then the lesions can be difficult to detect. Moreover, although the diagnostic approach for this disease has improved significantly with the advent of multiparametric magnetic resonance, that technology has certain unresolved limitations. In recent years artificial intelligence (AI) has been introduced to the field of radiology, providing new software solutions for prostate diagnostics. Precise mapping of the prostate has become possible through AI and this has greatly improved the accuracy of biopsy. AI has also allowed for certain suspicious lesions to be attributed to a given group according to the Prostate Imaging-Reporting & Data System classification. Finally, AI has facilitated the combination of data obtained from clinical, laboratory (prostate-specific antigen), imaging (magnetic resonance), and biopsy examinations, and in this way new regularities can be found which at the moment remain hidden. Further evolution of AI in this field is inevitable and it is almost certain to significantly expand the efficacy, accuracy and efficiency of diagnosis and treatment of Pca.</p>","PeriodicalId":23819,"journal":{"name":"World journal of radiology","volume":"15 5","pages":"136-145"},"PeriodicalIF":2.5,"publicationDate":"2023-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/f1/1c/WJR-15-136.PMC10236970.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9637354","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":"Chronic thromboembolic pulmonary hypertension is associated with a loss of total lung volume on computed tomography.","authors":"Nanae Tsuchiya,&nbsp;Yan-Yan Xu,&nbsp;Junji Ito,&nbsp;Tsuneo Yamashiro,&nbsp;Hidekazu Ikemiyagi,&nbsp;David Mummy,&nbsp;Mark L Schiebler,&nbsp;Koji Yonemoto,&nbsp;Sadayuki Murayama,&nbsp;Akihiro Nishie","doi":"10.4329/wjr.v15.i5.146","DOIUrl":"https://doi.org/10.4329/wjr.v15.i5.146","url":null,"abstract":"<p><strong>Background: </strong>Although lung volumes are usually normal in individuals with chronic thromboembolic pulmonary hypertension (CTEPH), approximately 20%-29% of patients exhibit a restrictive pattern on pulmonary function testing.</p><p><strong>Aim: </strong>To quantify longitudinal changes in lung volume and cardiac cross-sectional area (CSA) in patients with CTEPH.</p><p><strong>Methods: </strong>In a retrospective cohort study of patients seen in our hospital between January 2012 and December 2019, we evaluated 15 patients with CTEPH who had chest computed tomography (CT) performed at baseline and after at least 6 mo of therapy. We matched the CTEPH cohort with 45 control patients by age, sex, and observation period. CT-based lung volumes and maximum cardiac CSAs were measured and compared using the Wilcoxon signed-rank test and the Mann-Whitney <i>u</i> test.</p><p><strong>Results: </strong>Total, right lung, and right lower lobe volumes were significantly reduced in the CTEPH cohort at follow-up <i>vs</i> baseline (total, <i>P</i> = 0.004; right lung, <i>P</i> = 0.003; right lower lobe; <i>P</i> = 0.01). In the CTEPH group, the reduction in lung volume and cardiac CSA was significantly greater than the corresponding changes in the control group (total, <i>P</i> = 0.01; right lung, <i>P</i> = 0.007; right lower lobe, <i>P</i> = 0.01; CSA, <i>P</i> = 0.0002). There was a negative correlation between lung volume change and cardiac CSA change in the control group but not in the CTEPH cohort.</p><p><strong>Conclusion: </strong>After at least 6 mo of treatment, CT showed an unexpected loss of total lung volume in patients with CTEPH that may reflect continued parenchymal remodeling.</p>","PeriodicalId":23819,"journal":{"name":"World journal of radiology","volume":"15 5","pages":"146-156"},"PeriodicalIF":2.5,"publicationDate":"2023-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/d1/18/WJR-15-146.PMC10236971.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9939867","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":"Radiomic advances in the transarterial chemoembolization related therapy for hepatocellular carcinoma.","authors":"Tian-You Chen,&nbsp;Zong-Guo Yang,&nbsp;Ying Li,&nbsp;Mao-Quan Li","doi":"10.4329/wjr.v15.i4.89","DOIUrl":"10.4329/wjr.v15.i4.89","url":null,"abstract":"<p><p>Radiomics is a hot topic in the research on customized oncology treatment, efficacy evaluation, and tumor prognosis prediction. To achieve the goal of mining the heterogeneity information within the tumor tissue, the image features concealed within the tumoral images are turned into quantifiable data features. This article primarily describes the research progress of radiomics and clinical-radiomics combined model in the prediction of efficacy, the choice of treatment modality, and survival in transarterial chemoembolization (TACE) and TACE combination therapy for hepatocellular carcinoma.</p>","PeriodicalId":23819,"journal":{"name":"World journal of radiology","volume":"15 4","pages":"89-97"},"PeriodicalIF":2.5,"publicationDate":"2023-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/26/fa/WJR-15-89.PMC10167813.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9523722","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":"Evaluation of causal heart diseases in cardioembolic stroke by cardiac computed tomography.","authors":"Shu Yoshihara","doi":"10.4329/wjr.v15.i4.98","DOIUrl":"10.4329/wjr.v15.i4.98","url":null,"abstract":"<p><p>Cardioembolic stroke is a potentially devastating condition and tends to have a poor prognosis compared with other ischemic stroke subtypes. Therefore, it is important for proper therapeutic management to identify a cardiac source of embolism in stroke patients. Cardiac computed tomography (CCT) can detect the detailed visualization of various cardiac pathologies in the cardiac chambers, interatrial and interventricular septum, valves, and myocardium with few motion artifacts and few dead angles. Multiphase reconstruction images of the entire cardiac cycle make it possible to demonstrate cardiac structures in a dynamic manner. Consequently, CCT has the ability to provide high-quality information about causal heart disease in cardioembolic stroke. In addition, CCT can simultaneously evaluate obstructive coronary artery disease, which may be helpful in surgical planning in patients who need urgent surgery, such as cardiac tumors or infective endocarditis. This review will introduce the potential clinical applications of CCT in an ischemic stroke population, with a focus on diagnosing cardioembolic sources using CCT.</p>","PeriodicalId":23819,"journal":{"name":"World journal of radiology","volume":"15 4","pages":"98-117"},"PeriodicalIF":1.4,"publicationDate":"2023-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/b6/5b/WJR-15-98.PMC10167814.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9822877","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":"Does sevoflurane sedation in pediatric patients lead to \"pseudo\" leptomeningeal enhancement in the brain on 3 Tesla magnetic resonance imaging?","authors":"Kiran Hilal,&nbsp;Kumail Khandwala,&nbsp;Saima Rashid,&nbsp;Faheemullah Khan,&nbsp;Shayan Sirat Maheen Anwar","doi":"10.4329/wjr.v15.i4.127","DOIUrl":"10.4329/wjr.v15.i4.127","url":null,"abstract":"<p><strong>Background: </strong>Prominent leptomeningeal contrast enhancement (LMCE) in the brain is observed in some pediatric patients during sedation for imaging. However, based on clinical history and cerebrospinal fluid analysis, the patients are not acutely ill and do not exhibit meningeal signs. Our study determined whether sevoflurane inhalation in pediatric patients led to this pattern of 'pseudo' LMCE (pLMCE) on 3 Tesla magnetic resonance imaging (MRI).</p><p><strong>Aim: </strong>To highlight the significance of pLMCE in pediatric patients undergoing enhanced brain MRI under sedation to avoid misinterpretation in reports.</p><p><strong>Methods: </strong>A retrospective cross-sectional evaluation of pediatric patients between 0-8 years of age was conducted. The patients underwent enhanced brain MRI under inhaled sevoflurane. The LMCE grade was determined by two radiologists, and interobserver variability of the grade was calculated using Cohen's kappa. The LMCE grade was correlated with duration of sedation, age and weight using the Spearman rho rank correlation.</p><p><strong>Results: </strong>A total of 63 patients were included. Fourteen (22.2%) cases showed mild LMCE, 48 (76.1%) cases showed moderate LMCE, and 1 case (1.6%) showed severe LMCE. We found substantial agreement between the two radiologists in detection of pLMCE on post-contrast T1 imaging (kappa value = 0.61; <i>P</i> < 0.001). Additionally, we found statistically significant inverse and moderate correlations between patient weight and age. There was no correlation between duration of sedation and pLMCE.</p><p><strong>Conclusion: </strong>pLMCE is relatively common on post-contrast spin echo T1-weighted MRI of pediatric patients sedated by sevoflurane due to their fragile and immature vasculature. It should not be misinterpreted for meningeal pathology. Knowing pertinent clinical history of the child is an essential prerequisite to avoid radiological overcalling and the subsequent burden of additional investigations.</p>","PeriodicalId":23819,"journal":{"name":"World journal of radiology","volume":"15 4","pages":"127-135"},"PeriodicalIF":2.5,"publicationDate":"2023-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/79/97/WJR-15-127.PMC10167815.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9523721","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":"Detection of tracheal branching with computerized tomography: The relationship between the angles and age-gender.","authors":"Şevket Kahraman,&nbsp;Mesut Furkan Yazar,&nbsp;Hüseyin Aydemir,&nbsp;Mecit Kantarci,&nbsp;Sonay Aydin","doi":"10.4329/wjr.v15.i4.118","DOIUrl":"10.4329/wjr.v15.i4.118","url":null,"abstract":"<p><strong>Background: </strong>The data obtained on the anatomical knowledge of the tracheobronchial system can be used for diagnosis, treatment and interventional interventions in areas such as anesthesia, thoracic surgery, pulmonary physiology.</p><p><strong>Aim: </strong>To determine the tracheobronchial branching angles in pediatric and adult populations by using the multislice computed tomography (CT) and minimum intensity projection (MinIP) technique, which is a non-invasive method.</p><p><strong>Methods: </strong>Our study was carried out retrospectively. Patients who underwent contrast and non-contrast CT examination, whose anatomically and pathophysiologically good tracheobronchial system and lung parenchyma images were obtained, were included in the study. Measurements were made in the coronal plane of the lung parenchyma. In the coronal plane, right main bronchus-left main bronchus angle, right upper lobe bronchus-intermedius bronchus angle, right middle lobe bronchus-right lower lobe bronchus angle, left upper lobe bronchus-left lower lobe bronchus angle were measured.</p><p><strong>Results: </strong>The study population consisted of 1511 patients, 753 pediatric (mean age: 13.4 ± 4.3; range: 1-18 years) and 758 adults (mean age: 54.3 ± 17.3; range: 19-94 years). In our study, tracheal bifurcation angle was found to be 73.3° ± 13.7° (59.6°-87°) in the whole population. In the pediatric group, the right-left main coronal level was found to be higher in boys compared to girls (74.6° ± 12.9° <i>vs</i> 71.2° ± 13.9°, <i>P</i> = 0.001). In the adult group, the right-left main coronal level was found to be lower in males compared to females (71.9° ± 12.9° <i>vs</i> 75.8° ± 14.7°, <i>P</i> < 0.001).</p><p><strong>Conclusions: </strong>Our study, with the number of 1511 patients, is the first study in the literature with the largest number of patient populations including pediatric and adult demographic data, measuring the angle values of the tracheobronchial system using multislice CT and MinIP technique. Study data will not only be a guide during invasive procedures, but it can also guide studies to be done with imaging methods.</p>","PeriodicalId":23819,"journal":{"name":"World journal of radiology","volume":"15 4","pages":"118-126"},"PeriodicalIF":2.5,"publicationDate":"2023-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/a1/b3/WJR-15-118.PMC10167816.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9822878","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":"Multi-modality parathyroid imaging: A shifting paradigm.","authors":"Shrea Gulati,&nbsp;Sunil Chumber,&nbsp;Gopal Puri,&nbsp;Stanzin Spalkit,&nbsp;N A Damle,&nbsp;C J Das","doi":"10.4329/wjr.v15.i3.69","DOIUrl":"https://doi.org/10.4329/wjr.v15.i3.69","url":null,"abstract":"<p><p>The goal of parathyroid imaging in hyperparathyroidism is not diagnosis, rather it is the localization of the cause of hyperparathyroidism for planning the best therapeutic approach. Hence, the role of imaging to accurately and precisely localize the abnormal parathyroid tissue is more important than ever to facilitate minimally invasive parathyroidectomy over bilateral neck exploration. The common causes include solitary parathyroid adenoma, multiple parathyroid adenomas, parathyroid hyperplasia and parathyroid carcinoma. It is highly imperative for the radiologist to be cautious of the mimics of parathyroid lesions like thyroid nodules and lymph nodes and be able to differentiate them on imaging. The various imaging modalities available include high resolution ultrasound of the neck, nuclear imaging studies, four-dimensional computed tomography (4D CT) and magnetic resonance imaging. Contrast enhanced ultrasound is a novel technique which has been recently added to the armamentarium to differentiate between parathyroid adenomas and its mimics. Through this review article we wish to review the imaging features of parathyroid lesions on various imaging modalities and present an algorithm to guide their radiological differentiation from mimics.</p>","PeriodicalId":23819,"journal":{"name":"World journal of radiology","volume":"15 3","pages":"69-82"},"PeriodicalIF":2.5,"publicationDate":"2023-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/78/ba/WJR-15-69.PMC10080580.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9651967","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}