RADIOLOGIA最新文献

{"title":"Meningioangiomatosis: una causa infrecuente de epilepsia","authors":"P. Rodríguez Ripalda, J.J. Gómez Muga, I. Orbegozo Arrizabalaga","doi":"10.1016/j.rx.2025.501744","DOIUrl":"10.1016/j.rx.2025.501744","url":null,"abstract":"","PeriodicalId":31509,"journal":{"name":"RADIOLOGIA","volume":"68 4","pages":"Article 501744"},"PeriodicalIF":1.5,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148530882","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":"CAD-RADS 2.0 - Actualización en el estudio y en el manejo de la enfermedad arterial coronaria en coronariografía por tomografía computarizada cardíaca","authors":"M. Jiménez Vázquez,&nbsp;G. Bastarrika Alemañ","doi":"10.1016/j.rx.2025.501689","DOIUrl":"10.1016/j.rx.2025.501689","url":null,"abstract":"<div><div>The updated Coronary Artery Disease Reporting and Data System (CAD-RADS 2.0) adds new features for patients undergoing coronary CT angiography (CCTA). The following features are included in the new system: stenosis severity (categories 0, 1, 2, 3, 4<!--> <!-->A, 4<!--> <!-->B and 5), the overall amount of coronary plaque (from P1 to P4), classic modifiers (the study is not fully evaluable, presence of stents or grafts), new modifiers (if a myocardial ischemia test with CT is performed, I+ or I−), exceptions, and presence of high-risk plaques (HRP). This updated classification adds new features to guide patient management, including functional assessment in cases of CAD-RADS 3, CAD-RADS 4<!--> <!-->A, 4<!--> <!-->B and 5, and invasive coronary angiography in cases of CAD-RADS 3/I+, 4<!--> <!-->A, 4<!--> <!-->B and 5. This work aims to analyse the new modifications introduced in the updated system, understand the implications in patient management, and review teaching cases.</div></div>","PeriodicalId":31509,"journal":{"name":"RADIOLOGIA","volume":"68 4","pages":"Article 501689"},"PeriodicalIF":1.5,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148545439","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":"Hallazgos por imagen de las enfermedades hepáticas por depósito","authors":"A.C. Igual Rouilleault,&nbsp;S. Jiménez,&nbsp;J. Moreno,&nbsp;E. Belmonte,&nbsp;J.R. Ayuso,&nbsp;Á. García-Criado","doi":"10.1016/j.rx.2025.02.005","DOIUrl":"10.1016/j.rx.2025.02.005","url":null,"abstract":"<div><div>Hepatic storage diseases compromise the integrity of the hepatic parenchyma, with their natural progression leading to liver fibrosis. This article reviews the pathophysiology and radiological characteristics associated with the main aetiologies of hepatic storage diseases, and provides a practical guide on the new diagnostic modalities available for their study.</div></div>","PeriodicalId":31509,"journal":{"name":"RADIOLOGIA","volume":"68 4","pages":"Article 101670"},"PeriodicalIF":1.5,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148545488","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":"Vasoespasmo cerebral secundario a sífilis meningovascular","authors":"A. Adarve-Castro,&nbsp;V. Soria-Utrilla,&nbsp;V.K. Doulatram-Gamgaram","doi":"10.1016/j.rx.2025.501755","DOIUrl":"10.1016/j.rx.2025.501755","url":null,"abstract":"","PeriodicalId":31509,"journal":{"name":"RADIOLOGIA","volume":"68 4","pages":"Article 501755"},"PeriodicalIF":1.5,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148530878","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":"AI WAVEMAR: creación de un modelo de inteligencia artificial para detectar hallazgos sospechosos en la mamografía de cribado","authors":"E.N. Arenas Rivera,&nbsp;J.M. Maiques,&nbsp;R. Alcantara,&nbsp;M. Román,&nbsp;A. Burón,&nbsp;M. Sala,&nbsp;M. Busto","doi":"10.1016/j.rx.2025.501741","DOIUrl":"10.1016/j.rx.2025.501741","url":null,"abstract":"<div><h3>Objective</h3><div>To describe the development, training and evaluation of AI WaveMar, an artificial intelligence (AI) -based tool designed for the automated detection of suspicious mammographic findings in breast cancer screening.</div></div><div><h3>Materials and methods</h3><div>An image classification model based on convolutional neural networks has been developed. The model has been trained on a mixed dataset of 48,562 anonymised mammographic projections, obtained from a public hospital in Spain and the external Chinese Mammography Database (CMMD). The model was evaluated on an independent test set composed of 4,902 images. Performance metrics calculated included sensitivity (S or recall), specificity (SP), positive predictive value (PPV or precision), negative predictive value (NPV), accuracy and F1-score.</div></div><div><h3>Results</h3><div>AI WaveMar achieved a sensitivity of 92.95% <em>(P</em>&lt;.001) and a specificity of 98.12% <em>(P</em>&lt;.001). The PPV was 89.79% <em>(P</em>&lt;.001), and the NPV was 98.74% <em>(P</em>&lt;.001). Accuracy reached 97,34% <em>(P</em>&lt;.001), with an F1-score of 92.34%, indicating high and balanced diagnostic performance.</div></div><div><h3>Conclusion</h3><div>AI WaveMar is an AI-based tool developed to support mammographic interpretation, with preliminary results suggesting it could help optimise breast cancer screening. However, prospective clinical validation in real-world practice is required to confirm its diagnostic utility.</div></div>","PeriodicalId":31509,"journal":{"name":"RADIOLOGIA","volume":"68 4","pages":"Article 501741"},"PeriodicalIF":1.5,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148545487","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":"Editorial Board of Radiology","doi":"10.1016/j.rx.2025.501773","DOIUrl":"10.1016/j.rx.2025.501773","url":null,"abstract":"","PeriodicalId":31509,"journal":{"name":"RADIOLOGIA","volume":"68 4","pages":"Article 501773"},"PeriodicalIF":1.5,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148545440","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":"Escala de trombólisis basilar en infarto cerebral (bTICI): propuesta y validación preliminar de una puntuación de reperfusión basilar basada en la angiografía por sustracción digital para evaluar la eficacia de la trombectomía mecánica en la oclusión aguda de la arteria basilar","authors":"A. López-Rueda,&nbsp;M.E. Chevasco Hanze,&nbsp;A. Núñez Guillen,&nbsp;E. Ripoll Fuster,&nbsp;V. Cuba Camasca,&nbsp;S. Aixut Lorenzo,&nbsp;L. Aja Rodríguez,&nbsp;O. Chirife Chaparro,&nbsp;L. Contreras López,&nbsp;M. Cos Domingo","doi":"10.1016/j.rx.2025.501803","DOIUrl":"10.1016/j.rx.2025.501803","url":null,"abstract":"<div><h3>Objectives</h3><div>Basilar artery occlusion (BAO) accounts for 10% of all ischemic strokes due to large vessel occlusion (LVO) and is associated with highest mortality and disability rate. The aim of this study is to propose a specific basilar art</div><div>ery reperfusion score based on digital subtraction angiography (DSA) to evaluate the efficacy of mechanical thrombectomy in patients with acute BAO.</div></div><div><h3>Methods</h3><div>We conducted a retrospective analysis of a prospective database of consecutive patients with acute BAO treated with mechanical thrombectomy within 24 hours from symptom onset at a comprehensive stroke center between January-2014 and December-2023. Basilar Thrombolysis In Cerebral Infarction (bTICI) scale was made using PC ASPECTS grading score as reference. Primary outcome was defined by a modified Rankin scale score of 0–3 (good functional status) at 90-days.</div></div><div><h3>Results</h3><div>A total of 98 patients were included (median age 70 years, 56 men). bTICI score of 10 was achieved in 46 patients (46.9%), bTICI 9 in 8 patients (8.2%), bTICI 8 in 16 patients (16.3%), bTICI 7 in 4 patients (4.1%) and bTICI 0-6 in 24 patients (24.5%). On multivariable analysis, mTICI 3 was independently associated with 90-day goodfunctional status [OR 4.48 (95% CI 1.64-18.27)], while mTICI 2b-3 was not. Regarding bTICI scale, a bTICI ≥ 7 remained as independent predictors of 90-day good functional status [OR 9.45 (95% CI 2.68-33.30)]. In our study, bTICI ≥ 7 or ≥ 8 is an independent predictor of 90-day good functional status (mRS 0-3) in patients with Acute BAO treated with mechanical thrombectomy.</div></div><div><h3>Conclusions</h3><div>The Basilar Thrombolysis In Cerebral Infarction (bTICI) scale identified meaningful distinctions in clinical outcomes in our single-center study, showing better performance than mTICI scale. This new scale, specific to posterior circulation stroke, may be useful in future studies and routine practice but this needs to be confirmed in multicenter</div></div>","PeriodicalId":31509,"journal":{"name":"RADIOLOGIA","volume":"68 4","pages":"Article 501803"},"PeriodicalIF":1.5,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148545438","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":"Exenteración pélvica: ¿cuál es el papel del radiólogo?","authors":"A. Salgado-Parente,&nbsp;L. González Campo,&nbsp;A. Villanueva Campos,&nbsp;J.C. García Pérez,&nbsp;M. Muñoz Beltrán,&nbsp;E. Canales Lachén","doi":"10.1016/j.rx.2025.501690","DOIUrl":"10.1016/j.rx.2025.501690","url":null,"abstract":"<div><div>Pelvic exenteration is a highly complex and aggressive surgical procedure that seeks to cure patients with pelvic tumours through the en-bloc removal of 2 or more organs. Given its technical complexity and high rates of morbidity and mortality, careful selection of surgical candidates is essential, prioritising those for whom complete tumour resection is feasible.</div><div>The preoperative management of these patients requires a multidisciplinary approach, with the radiologist playing a critical role. It is imperative for the radiologist to be familiar with the anatomical and pathological aspects to be assessed using different imaging techniques (CT, MRI, or PET-CT). Key considerations include the detection of extrapelvic metastatic disease, and involvement of pelvic organs, neural structures, vessels, and the pelvic wall (muscular and bony components). The aim of this update is to familiarise the radiologist with pelvic exenteration, as a thorough evaluation can provide necessary information to guide the surgical team, minimise complications and avoid unnecessary interventions.</div></div>","PeriodicalId":31509,"journal":{"name":"RADIOLOGIA","volume":"68 4","pages":"Article 501690"},"PeriodicalIF":1.5,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148530877","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":"Medición de la raíz aórtica por ATCC: concordancia con ecocardiografía transtorácica","authors":"G. Burcet,&nbsp;A. Aubanell,&nbsp;A. Roque,&nbsp;J.L. Reyes-Juarez,&nbsp;F. Valente,&nbsp;G. Teixidó-Tura,&nbsp;J. Rodríguez-Palomares,&nbsp;H. Cuellar-Calabria","doi":"10.1016/j.rx.2025.501747","DOIUrl":"10.1016/j.rx.2025.501747","url":null,"abstract":"<div><h3>Background and aim</h3><div>Aortic root (AoR) dilatation is a condition that requires monitoring of its growth through serial imaging studies in order to determine appropriate treatment. Systematic differences in AoR measurements have been reported between transthoracic echocardiography (TTE) and cross-sectional imaging techniques. The aim of this study was to determine which AoR measurement-performed using cardiac computed tomography angiography (CCTA) in patients with tricuspid aortic valves-shows the best correlation with the standard measurement obtained by TTE.</div></div><div><h3>Material and methods</h3><div>A retrospective analysis was conducted on 110 patients who underwent both CCTA and TTE within a six-month interval at our institution, including an equal number of patients with and without AoR dilatation. On the transverse plane of the AoR in CCTA, the following measurements were taken: cusp-to-commissure, cusp-to-cusp, area, area-derived diameter (ADD) and anteroposterior diameter (APD). CCTA measurements showed excellent correlation with TTE (p<!--> <!-->&lt;<!--> <!-->.001), with the highest degree of agreement observed for ADD and APD (both p<!--> <!-->&lt;<!--> <!-->.001).</div></div><div><h3>Results</h3><div>APD measurements did not differ significantly from those obtained by TTE in any group (overall p<!--> <!-->=<!--> <!-->.451; non-dilated AoR p<!--> <!-->=<!--> <!-->.427; dilated AoR p<!--> <!-->=<!--> <!-->.091), in contrast to the other measurements, including ADD.</div></div><div><h3>Conclusion</h3><div>The APD measurement obtained by CCTA proved to be equivalent to that obtained by TTE, easy to perform and highly reproducible. Future research may establish APD as the reference measurement for comparing results between both techniques.</div></div>","PeriodicalId":31509,"journal":{"name":"RADIOLOGIA","volume":"68 4","pages":"Article 501747"},"PeriodicalIF":1.5,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148545489","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":"Editorial Board of Radiology","doi":"10.1016/j.rx.2025.501772","DOIUrl":"10.1016/j.rx.2025.501772","url":null,"abstract":"","PeriodicalId":31509,"journal":{"name":"RADIOLOGIA","volume":"68 3","pages":"Article 501772"},"PeriodicalIF":1.1,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147826777","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}