RADIOLOGIA最新文献

{"title":"Diagnóstico inicial del osteosarcoma y sarcoma de Ewing en la edad pediátrica","authors":"C. Moreno-Reina,&nbsp;M. Bueno-Gómez,&nbsp;J.I. Gutiérrez-Carrasco,&nbsp;P. Caro-Domínguez","doi":"10.1016/j.rx.2023.09.001","DOIUrl":"10.1016/j.rx.2023.09.001","url":null,"abstract":"<div><h3>Introduction</h3><div>Osteosarcoma and Ewing sarcoma are the most frequent malignant bone tumours in children. The aim of this study is to characterize clinical and radiological features at presentation of a large cohort of children with these diseases, radiological findings useful to differentiate them and the main prognostic factors.</div></div><div><h3>Material and methods</h3><div>Retrospective analysis of clinical and imaging findings of 83 children diagnosed and treated of Ewing sarcoma and osteosarcoma in a paediatric hospital during a period of 10<!--> <!-->years.</div></div><div><h3>Results</h3><div>Both tumours showed aggressive radiological features such as permeative or moth-eaten margins, cortical disruption, discontinuous periosteal reaction, intense contrast uptake, tumoral necrosis and soft-tissue component. They differed in their location, osseous matrix and gender predilection. Osteosarcoma occurred more frequently in the metaphysis of long bones (62%) with a blastic appearance (53%). Ewing sarcoma showed a predilection for male patients (71%), occurred in flat bones (42%) and in the diaphysis of long bones (58%) with a lytic appearance (82%). 29% of children presented with metastases at diagnosis, most frequently located in the lungs. Survival rates were 78% in osteosarcoma and 76% in Ewing sarcoma. Metastatic disease, aggressive radiological features and low percentage of tumoral necrosis after neoadjuvant chemotherapy were associated with poor prognosis (<em>P</em> <!-->&lt;<!--> <!-->.05).</div></div><div><h3>Conclusions</h3><div>Imaging can confidently diagnose malignant paediatric bone tumours in children and may differentiate Ewing sarcoma from osteosarcoma, based on gender, location and appearance of the neoplasm. Metastatic disease, presence of aggressive radiological features and low percentage of tumoral necrosis after neoadjuvant chemotherapy were associated with poor prognosis.</div></div>","PeriodicalId":31509,"journal":{"name":"RADIOLOGIA","volume":"67 3","pages":"Pages 253-262"},"PeriodicalIF":1.1,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136167041","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Dolor torácico: de las guías a la práctica clínica","authors":"A.I. Barrio Alonso ,&nbsp;J. Broncano Cabrero ,&nbsp;A.M. Villán González ,&nbsp;Y. López Suárez ,&nbsp;C. López Muñiz ,&nbsp;A. Luna Alcalá","doi":"10.1016/j.rx.2024.05.002","DOIUrl":"10.1016/j.rx.2024.05.002","url":null,"abstract":"<div><div>Thoracic pain is the most prevalent symptom in patients with cardiovascular diseases. Diagnosis and patient management are guided by the pain attributes, analytical parameters, and several different imaging modalities. Invasive imaging tests and cardiac magnetic resonance are highly relevant in this context, as set out in the 2023 European guidelines for the management of acute coronary syndromes, the 2023 American guidelines for the management of patients with chronic coronary disease, and the 2021 American guidelines for the evaluation and diagnosis of chest pain. This article focuses on the role that these guidelines attribute to non-invasive cardiac imaging (computed tomography and cardiac magnetic resonance) in the management of both acute and chronic coronary syndromes.</div></div>","PeriodicalId":31509,"journal":{"name":"RADIOLOGIA","volume":"67 3","pages":"Pages 399-412"},"PeriodicalIF":1.1,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141391343","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Diagnóstico radiológico del síndrome de compresión medular oncológico: documento de consenso SENR, SERAU, SERME, SERAM","authors":"A. Pérez Lara ,&nbsp;E. Arana ,&nbsp;A. Bello Báez ,&nbsp;D. de Araujo Martins-Romeo","doi":"10.1016/j.rx.2024.12.004","DOIUrl":"10.1016/j.rx.2024.12.004","url":null,"abstract":"<div><div>Malignant spinal cord compression is a serious complication secondary to both primary and metastatic vertebral tumours, potentially leading to permanent loss of spinal functions. The Spanish Society of Neuroradiology (SENR), Spanish Society of Emergency Radiology (SERAU), and Spanish Society of Musculoskeletal Radiology (SERME) have convened to draft this consensus document, which describes practical aspects of the radiological management of malignant spinal cord compression. The document includes guidelines on appropriate indications for imaging studies, imaging modality options, technical specifications tailored to different clinical scenarios, recommended time intervals, and the type of facility where the imaging studies can be performed. Additionally, it provides recommendations on using spinal cord compression and instability scales, as well as structured reports for describing the radiological findings.</div></div>","PeriodicalId":31509,"journal":{"name":"RADIOLOGIA","volume":"67 3","pages":"Pages 384-394"},"PeriodicalIF":1.1,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143903969","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Opiniones de los especialistas y residentes de radiología sobre la inteligencia artificial","authors":"A. Catanese ,&nbsp;G. Mattiello ,&nbsp;S. Azam ,&nbsp;P. Puyalto","doi":"10.1016/j.rx.2024.01.008","DOIUrl":"10.1016/j.rx.2024.01.008","url":null,"abstract":"<div><h3>Background and objectives</h3><div>The purpose of this study was to investigate perspectives held by radiologists on the use of artificial intelligence (AI) in their day-to-day work and to identify factors limiting its routine implementation.</div></div><div><h3>Materials and methods</h3><div>Spanish board-certified radiologists and trainees completed an online survey of 21 questions on general information and communications technology (ICT) and AI in radiology. Analysis was carried out for the subgroups of gender, age, and professional experience. Associations with a p-value &lt;<!--> <!-->0.05 were considered statistically significant.</div></div><div><h3>Results</h3><div>A total of 102 radiologists and trainees completed the questionnaire. No significant statistical differences between the age groups or gender were observed. A significant difference was detected in ICT and AI knowledge between age groups, with participants under 40 and those between 40–55 years old demonstrating better ICT knowledge (p&lt;<!--> <!-->0.01). The survey results revealed that 77.4% of participants believed that AI represents an opportunity for the radiology profession in the future, while 9.8% believed it would have no impact. Three main practical application areas for AI in radiology were proposed: in screening (23.36%), in image interpretation and reporting (21.17%), and in the requesting of imaging and patient scheduling (14.6%). The biggest concern among the surveyed population was the potential increase in workload.</div></div><div><h3>Conclusions</h3><div>A positive attitude toward AI was observed among Spanish radiologists, with the majority believing that AI could offer opportunities for the radiology profession in the near future. AI training programmes may further improve its acceptance among professionals.</div></div>","PeriodicalId":31509,"journal":{"name":"RADIOLOGIA","volume":"67 3","pages":"Pages 287-298"},"PeriodicalIF":1.1,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140271272","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"El análisis cuantitativo de las imágenes potenciadas en difusión (DWI) mejora la precisión diagnóstica del sistema de puntuación O-RADS RM en lesiones anexiales indeterminadas","authors":"M. Arraiza ,&nbsp;E. Chacón ,&nbsp;A. Ezponda ,&nbsp;D. Cano ,&nbsp;J.Á. Mínguez ,&nbsp;A. Benito ,&nbsp;J.L. Alcázar","doi":"10.1016/j.rx.2024.01.010","DOIUrl":"10.1016/j.rx.2024.01.010","url":null,"abstract":"<div><h3>Introduction</h3><div>Despite the overall high accuracy of the O-RADS MRI scoring system for characterization of indeterminate adnexal lesions, a non-negligible percentage of adnexal lesions remains indeterminate. Given this, the main objective of this study was to evaluate the value of adding quantitative diffusion-weighted imaging (DWI) to Ovarian-Adnexal Reporting and Data System (O-RADS) MRI to improve the diagnostic accuracy of the scoring system in a cohort of indeterminate adnexal lesions according to International Ovarian Tumor Analysis Group Simple Rules (IOTA-SR).</div></div><div><h3>Methods and material</h3><div>Seventy-nine women with 81 pelvic lesions classified as indeterminate according to IOTA-SR underwent 3-Tesla MRI with a conventional multiparametric protocol. DWI was quantitatively analyzed. Lesions were surgically removed or followed-up, according to a local protocol. Sensitivity, specificity, positive and negative predictive values and accuracy were determined for conventional multiparametric MRI and quantitative DWI-derived data.</div></div><div><h3>Results</h3><div>Twenty masses in 72 patients (27.8%) were malignant. An apparent diffusion coefficient (ADC) cut-off value of 1.30<!--> <!-->×<!--> <!-->10^-3 <!-->mm²/s had 89% sensitivity and 80% specificity for malignancy. Overall, adding quantitative DWI to O-RADS MRI increased the specificity (98.08%, <em>P</em>&lt;.001), positive predictive value (94.12%, <em>P</em>&lt;.001), and accuracy (93.06%, <em>P</em>=.05). In the specific O-RADS MRI score 4 subgroup, an ADC cut-off value of 1.22<!--> <!-->×<!--> <!-->10^-3 mm²/s had 86% sensitivity and 67% specificity for distinguishing benign from malignant lesions.</div></div><div><h3>Conclusion</h3><div>In IOTA-SR indeterminate adnexal lesions, quantitative DWI significantly improves the diagnostic performance of conventional multiparametric MRI in all O-RADS MRI score groups.</div></div>","PeriodicalId":31509,"journal":{"name":"RADIOLOGIA","volume":"67 3","pages":"Pages 309-318"},"PeriodicalIF":1.1,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140758112","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Eduardo Amorós Martí: radiología y lucha anticancerosa en las primeras décadas del siglo xx","authors":"E. Perdiguero Gil,&nbsp;B. Echániz Martínez,&nbsp;E. Bueno Vergara","doi":"10.1016/j.rx.2024.11.003","DOIUrl":"10.1016/j.rx.2024.11.003","url":null,"abstract":"<div><div>This article highlights the role of radiologist Eduardo Amorós Martí (1888-1936) in the use of radioactivity for cancer treatment in Spain during the first third of the 20th century. Following the discovery of radium by the Curies in 1898, Amorós became interested in radiology and established his practice in Alicante. He acquired X-ray and radium equipment, contributing to the development of radiation therapy. He directed the Cancer Pavilion at the Provincial Hospital of Alicante, where he promoted the application of radiation in cancer treatment. Like other historical figures associated with radioactivity, his prolonged exposure deteriorated his health, leading to his premature death in 1936.</div></div>","PeriodicalId":31509,"journal":{"name":"RADIOLOGIA","volume":"67 3","pages":"Pages 365-369"},"PeriodicalIF":1.1,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143903849","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Casos prácticos del Diploma Europeo en Radiología (EDiR)","authors":"","doi":"10.1016/j.rx.2025.02.001","DOIUrl":"10.1016/j.rx.2025.02.001","url":null,"abstract":"","PeriodicalId":31509,"journal":{"name":"RADIOLOGIA","volume":"67 3","pages":"Pages 430-431"},"PeriodicalIF":1.1,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143903966","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"El papel de las altmétricas en la literatura científica","authors":"A. Ezponda","doi":"10.1016/j.rx.2025.02.008","DOIUrl":"10.1016/j.rx.2025.02.008","url":null,"abstract":"","PeriodicalId":31509,"journal":{"name":"RADIOLOGIA","volume":"67 3","pages":"Pages 251-252"},"PeriodicalIF":1.1,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143903967","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Hallazgos radiológicos del carcinoma adenoide quístico de mama","authors":"M. Fresno Vallespir ,&nbsp;I. Vázquez de las Heras ,&nbsp;D. Gasior ,&nbsp;A. Morales Rosa ,&nbsp;X. Bargalló Castelló","doi":"10.1016/j.rx.2024.11.006","DOIUrl":"10.1016/j.rx.2024.11.006","url":null,"abstract":"<div><div>Adenoid cystic carcinoma (ACC) of the breast is a rare tumour that represents less than 0.1% of breast carcinomas. It has a triple-negative phenotype; however, it is associated with a benign course, and both lymph node involvement and distant metastasis are rare. We present seven cases of ACC of the breast diagnosed in our centre. We describe their radiological characteristics, and specifically highlight the findings from magnetic resonance imaging.</div></div>","PeriodicalId":31509,"journal":{"name":"RADIOLOGIA","volume":"67 3","pages":"Pages 378-383"},"PeriodicalIF":1.1,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143903968","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluación mediante TC de las complicaciones de la úlcera gastroduodenal","authors":"D. Herrán de la Gala ,&nbsp;C. Cantolla Nates ,&nbsp;M. Moris ,&nbsp;R. Pellón Daben ,&nbsp;J. Crespo del Pozo ,&nbsp;F.J. González Sánchez ,&nbsp;S. Sánchez Bernal","doi":"10.1016/j.rx.2023.12.003","DOIUrl":"10.1016/j.rx.2023.12.003","url":null,"abstract":"<div><div>Gastric and duodenal ulcers (GDUs) are decreasing both in frequency and rate of mortality. However, GDUs with complications continue to have higher mortality rates and are seldom suspected in patients presenting with acute abdomen. Although upper endoscopy plays a central role in the diagnosis and treatment of GDUs, CT is crucial when serious complications appear, namely uncontrolled acute haemorrhage, perforation, organ penetration, or gastric obstruction. Radiologists have a special role to play in these situations, providing the diagnosis and extent of complications, thus contributing to decision making which can range from conservative management to endoscopic, surgical or interventional radiology procedures. The aim of our study is to describe the CT indications and protocols for patients with a suspected GDU with complications and present the main imaging findings for the different types of complications, while providing differential diagnoses.</div></div>","PeriodicalId":31509,"journal":{"name":"RADIOLOGIA","volume":"67 3","pages":"Pages 343-356"},"PeriodicalIF":1.1,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140277618","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}