Neuroradiology Journal最新文献

{"title":"Imaging and clinical course of metastatic pituitary neuroendocrine tumors (PitNET): A single center case series.","authors":"Samir A Dagher, Sahar Alizada, Heba Al Qudah, Steven G Waguespack, Komal B Shah, Rami W Eldaya","doi":"10.1177/19714009251356278","DOIUrl":"10.1177/19714009251356278","url":null,"abstract":"<p><p>PurposeMetastatic pituitary neuroendocrine tumors (PitNET) are exceedingly rare tumors that are typically diagnosed at the time of metastasis. Given the rarity of metastatic PitNET tumors, the pattern of metastasis and imaging appearance of CNS and extra neural metastasis is under reported and poorly understood.MethodsIn this retrospective case series, we present 14 consecutive patients with pathology-confirmed metastatic PitNET tumors. We assess imaging features of primary pituitary disease at the time of diagnosis, temporal evolution of local disease, and distant metastasis on multimodality imaging. We also explore potential association of initial pathology diagnosis and time to metastasis and survival.ResultsAt the time of metastasis, nine patients had evidence of disease in the sella and three additional had evidence of disease in the cavernous sinus. The most common site of metastatic disease was the CNS (78.6%). Dural deposits were the most common brain CNS metastatic disease manifestation (81.8%). Eight patients (57.1%) demonstrated multiple metastatic disease sites, with five of them (62.5%) showing both CNS and extra CNS metastases. Osseous metastatic disease was the most common extra CNS disease site (75.0%). Median time to metastasis did not significantly differ between patients with adenoma and those with more aggressive pathologies at initial diagnosis (<i>p</i> value = .39). Similarly, median overall survival from metastasis detection was not significantly affected by pathology (<i>p</i> value = .84).ConclusionMetastatic PitNET is a rare neuroendocrine neoplasm. In the present case series, we detail temporal imaging findings of the disease at the primary site and patterns of metastasis.</p>","PeriodicalId":47358,"journal":{"name":"Neuroradiology Journal","volume":" ","pages":"19714009251356278"},"PeriodicalIF":1.3,"publicationDate":"2025-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144508841","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":"Anatomical classification of septum pellucidum variations and analysis of the co-occurrence of the variations with psychiatric disorders.","authors":"Bilge Kuru, Istemihan Coban, Fulya Yaprak, Osman Hasan Tahsin Kilic, Orkun Sarioglu, Berna Dirim Mete","doi":"10.1177/19714009251351290","DOIUrl":"10.1177/19714009251351290","url":null,"abstract":"<p><p>This study sought to categorize anatomical variations of the septum pellucidum (SP), cavum vergae (CV), and cavum veli interpositi (CVI), as well as to examine potential correlations between these variations and psychiatric disorders. A total of 2949 patients were retrospectively analyzed utilizing brain MRIs. Variations were categorized into nine types according to the coexistence of CSP and CVI in either mild or moderate manifestations. The prevalence of CSP, CV, and CVI in the study population was 7.9%, 1.4%, and 9.0%, respectively, with an overall occurrence of variation at 13.8%. A chi-square test indicated a significant correlation between moderate CSP with mild CVI (Type VIII) and a reduced prevalence of psychiatric disorders (<i>p</i> = .007), implying a possible protective effect. Nevertheless, the majority of SP variations exhibited no statistically significant correlation with psychiatric diagnoses, including schizophrenia, OCD, or bipolar disorder. Logistic regression analysis revealed a significant interaction between gender and SP variations in predicting psychiatric disorders, with females exhibiting a higher overall prevalence. The interaction term was statistically significant (<i>p</i> < .001), suggesting that variations in SP and gender collectively affect the probability of psychiatric disorders. The findings offer valuable insights; however, limitations including the retrospective design, small subgroup sizes, and absence of genetic data necessitate caution in result interpretation. This study enhances comprehension of SP variations and their possible involvement in psychiatric disorders, emphasizing the necessity for additional research to clarify the underlying neurobiological mechanisms and clinical ramifications.</p>","PeriodicalId":47358,"journal":{"name":"Neuroradiology Journal","volume":" ","pages":"19714009251351290"},"PeriodicalIF":1.3,"publicationDate":"2025-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12198151/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144486615","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":"The role of nuclear medicine in central nervous system evaluation.","authors":"Ghazal Shadmani, Christopher A Swingle, Chad Hunter Coffman","doi":"10.1177/19714009251345100","DOIUrl":"10.1177/19714009251345100","url":null,"abstract":"<p><p>Anatomical imaging modalities such as CT and MRI are essential for evaluating central nervous system (CNS) disorders by providing detailed visualization of structural abnormalities. Molecular and functional imaging lack detailed anatomical delineation but offer complementary insight into pathologic processes involved in a disease that is not discernable in anatomical imaging. The design of molecular and functional imaging studies for CNS disorders is driven by their underlying pathophysiology. ¹⁸F-FDG is used to evaluate neuronal metabolism, ^99mTc-based radiotracers are employed to assess brain perfusion patterns, and CSF-binding tracers are used to detect cerebrospinal fluid abnormalities. Radiopharmaceuticals that target specific receptors or pathological biomarkers enable disease-specific imaging, such as amyloid and tau PET scans in dementia, somatostatin receptor imaging with DOTATATE PET in meningiomas, and dopamine transporter imaging with DaT scan in parkinsonian syndromes. This review provides a comprehensive overview of key nuclear imaging techniques and commonly utilized radiotracers for assessing CNS pathologies. It also briefly highlights emerging trends in the role of nuclear medicine within neuroimaging, including the expanding application of theranostics for specific brain tumors.</p>","PeriodicalId":47358,"journal":{"name":"Neuroradiology Journal","volume":" ","pages":"19714009251345100"},"PeriodicalIF":1.3,"publicationDate":"2025-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12198166/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144486616","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":"Diffusion-weighted imaging and susceptibility-weighted imaging in differentiating ring-enhancing primary central nervous system lymphoma from infections.","authors":"Nutchawan Jittapiromsak, Phanuphong Sriinkua, Pornpattra Nimitpornsuko, Pakrit Jittapiromsak","doi":"10.1177/19714009251354883","DOIUrl":"10.1177/19714009251354883","url":null,"abstract":"<p><p>IntroductionDifferentiating ring-enhancing primary central nervous system lymphoma (PCNSL) from infections is critical yet challenging in clinical practice. This study aimed to evaluate the effectiveness of diffusion-weighted imaging (DWI) and susceptibility-weighted imaging (SWI) in differentiating ring-enhancing PCNSL from infections.Material and MethodsWe retrospectively reviewed 78 ring-enhancing lesions in 32 patients who underwent brain magnetic resonance imaging (MRI). Qualitative and quantitative assessments of the peripheral and central regions of ring-enhancing lesions were independently performed. The qualitative assessment involved evaluating restricted diffusion on DWI and intralesional susceptibility signal (ISS) on SWI. The quantitative assessment involved comparing the apparent diffusion coefficient average (ADC_avg) ratio and apparent diffusion coefficient minimum (ADC_min) ratio of the peripheral and central regions with the final diagnosis.ResultsThe lesions consisted of PCNSL (<i>n</i> = 21), tuberculosis (<i>n</i> = 17), and toxoplasmosis (<i>n</i> = 40). The qualitative assessment showed that diffusion was significantly more restricted at the periphery in PCNSL (<i>p</i> < .001) and that ISS positivity was significantly higher both peripherally (<i>p</i> < .001) and centrally (<i>p</i> = .001) in PCNSL than in infections. The quantitative assessment revealed that PCNSL had significantly lower ADC_avg (peripheral, <i>p</i> < .001; central, <i>p</i> = .01) and ADC_min ratios (peripheral, <i>p</i> < .001; central, <i>p</i> = .025) compared to infections. A peripheral ADC_avg ratio of <1.25 demonstrated the best diagnostic accuracy (area under the curve: 0.966, 95% confidence interval [CI]: 0.93-1.00, sensitivity: 85.7%, specificity: 89.5%, and accuracy: 88.5%) for differentiating PCNSL from infections.ConclusionRestricted diffusion on DWI, positive ISS on SWI, and ADC ratio measurements of ring-enhancing lesions demonstrate significant potential as adjunctive imaging features for distinguishing PCNSL from CNS infections.</p>","PeriodicalId":47358,"journal":{"name":"Neuroradiology Journal","volume":" ","pages":"19714009251354883"},"PeriodicalIF":1.3,"publicationDate":"2025-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12185441/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144477253","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 cerebral aneurysms in nonenhanced CT images of patients with subarachnoid hemorrhage using the filling defect sign.","authors":"Tristan Klintz, Justus Cordt, Naomi Larsen, Johannes Hensler, Fritz Wodarg, Olav Jansen, Sönke Peters","doi":"10.1177/19714009251348620","DOIUrl":"10.1177/19714009251348620","url":null,"abstract":"<p><p><b>Purpose:</b> Non- traumatic subarachnoid hemorrhage (SAH) constitutes a life-threatening event, which is caused in 85% by ruptured aneurysms. Identifying those aneurysms as the bleeding cause is essential for further therapy. This study explores whether relatively hypodense sparing of aneurysms in the blood-filled subarachnoid space (filling defect sign = FD) on nonenhanced CT scans (NECT) can help estimate aneurysm location and size. <b>Methods:</b> NECT of fifty patients with aneurysmal SAH, who were also examined with a catheter angiography, were retrospectively analyzed by three neuroradiologically experienced radiologists. They rated the aneurysm location and size by applying the FD. Logistic regression analysis was performed to determine if a correlation between aneurysm location, aneurysm size, Fisher score and the detectability of a FD exists. For quantitative analysis the average densities of the aneurysm were compared to that of surrounding structures. <b>Results:</b> In 75% of the cases, the aneurysm was identified correctly by using the FD. The highest detection rate was given for MCA (90%) and BA aneurysms (90%). Aneurysm location (<i>p</i> = .019), size (<i>p</i> = .020), and the Fisher score (<i>p</i> = .008) significantly influenced aneurysm detection using the FD. The aneurysm size measured in correctly identified aneurysms correlated significantly with the sizes measured in the catheter angiography (<i>p</i> < .001). A cut-off point of 51 HU could be determined to distinguish aneurysm from surrounding SAH with a specificity of 92% and a sensitivity of 86%. <b>Conclusions:</b> In three-fourths aneurysm location and size can be determined on NECT using the FD. An additional quantitative analysis can support the diagnosis with a high specificity and sensitivity.</p>","PeriodicalId":47358,"journal":{"name":"Neuroradiology Journal","volume":" ","pages":"19714009251348620"},"PeriodicalIF":1.3,"publicationDate":"2025-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12176784/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144318316","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":"Intradural venous engorgement of CSF-venous fistula mimics spinal dural arteriovenous fistula on MRI: A novel case report and review of literature.","authors":"Bala McRae-Posani, Ariana Thakurdyal, Marcus Konner, Craig Schreiber, David Edasery, Jared Knopman, Y Pierre Gobin, Gayle Salama","doi":"10.1177/19714009251351292","DOIUrl":"10.1177/19714009251351292","url":null,"abstract":"<p><p>Engorgement of spinal intradural veins on MRI has classically been associated with spinal dural arteriovenous fistulas (sdAVF). We report a novel case of a patient who presented with worsening cognitive impairment, whose spinal MRI demonstrated marked intradural venous engorgement in the form of serpiginous perimedullary flow voids akin to sdAVF. Further investigation led to a diagnosis of CSF-venous fistula (CVF), a sub-type of spontaneous spinal CSF leaks without an associated extradural fluid collection. This is the first reported case of CVF mimicking sdAVF on MRI. While clinical presentations of CVF and sdAVF are typically distinct, there may be overlap and/or uncertainty in atypical presentations, such as in our patient. As such, the differential for spinal intradural venous engorgement should be expanded to include spontaneous CSF leaks, including CVF.</p>","PeriodicalId":47358,"journal":{"name":"Neuroradiology Journal","volume":" ","pages":"19714009251351292"},"PeriodicalIF":1.3,"publicationDate":"2025-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12165954/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144295116","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":"Endovascular or microsurgical? Defining the best approach for blood blister aneurysms: A comparative meta-analysis.","authors":"Filipi Fim Andreão, Helvécio Neves Feitosa Filho, Emanuel Abrantes Barros, José Gabriel Abreu Moreira, Matheus Hemais, Ary Rodrigues Neto, Luiz Guilherme Silva Almeida, Niels Pacheco-Barrios, Thayne Alexsandra Carneiro, Vitor Salviato Nespoli, Fausto Braga, Cesar Augusto Alves Ferreira Filho, Elias Tanus, José Alberto Almeida Filho","doi":"10.1177/19714009251346467","DOIUrl":"10.1177/19714009251346467","url":null,"abstract":"<p><p>IntroductionBlood blister-like aneurysms (BBLAs) are rare, typically found in the anteromedial supraclinoid segment of the internal carotid artery, and are related to high morbidity and mortality rates. Although microsurgery has been traditionally used to manage BBLAs, the Endovascular treatment (EVT) is gaining importance. We aim to compare these two methods using a systematic review and meta-analysis.MethodsA systematic search of PubMed, Embase, and Web of Science databases following PRISMA guidelines was conducted. We pooled odds ratios (OR) with 95% confidence intervals using a random-effects model, and I² to assess heterogeneity. Eligible studies compared microsurgery and EVT for BBLAs. Outcome measures included Good and Poor clinical outcomes by Modified Rankin Scale (mRS), Epilepsy, Infection, Intracranial Hemorrhage, Vasospasm, Ischemic Events, Mortality, Operative Rupture, Rebleeding, Recurrence, and Retreatment.ResultsFifteen studies with 770 patients were included (401 microsurgery; 369 EVT). EVT appeared to be protective against Poor Clinical Outcomes (mRS >2), with an OR of 0.43 (95% CI 0.21 to 0.87), and Ischemic Events, having an OR of 0.33 (95% CI 0.18 to 0.61). Microsurgery was related to higher Mortality, with an OR of 2.72 (95% CI 1.46 to 5.06), and Operative Rupture, with 7.72 (95% CI 3.50 to 17.07). EVT also statistically favored the Good Clinical Outcomes analysis, with an OR of 3.13 (95% CI 1.40 to 6.98). Epilepsy, Infection, Intracranial Hemorrhage, and Vasospasm occurrence showed no significant statistical difference.ConclusionDespite microsurgery being traditionally used in BBLAs management, EVT has been shown to be a safer and lower-morbidity option.</p>","PeriodicalId":47358,"journal":{"name":"Neuroradiology Journal","volume":" ","pages":"19714009251346467"},"PeriodicalIF":1.3,"publicationDate":"2025-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12165959/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144286818","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":"Cochlear implant imaging with accelerated flat panel computed tomography: Image quality and dosimetry comparison to conventional high-resolution multislice computed tomography.","authors":"Elie Diamandis, Sebastian Johannes Müller, Eya Khadhraoui, Stefan Klebingat, Martin Durisin, Anne Albrecht, Daniel Behme","doi":"10.1177/19714009251347856","DOIUrl":"10.1177/19714009251347856","url":null,"abstract":"<p><p>Background and PurposeCone-beam CT (CBCT) and high-resolution multislice CT (HR-MSCT) are the mainstay postoperative imaging modalities following cochlear implant (CI) surgery, with CBCT often preferred due to lower susceptibility to metallic artifacts. However, CBCT is more prone to motion artifacts due to longer acquisition times. Recent advancements in accelerated flat panel CT (Acc-FPCT) available with latest generation angiography systems addressed traditional limitations of CBCT by significantly decreasing scan time. This study evaluates the diagnostic performance and radiation dose of Acc-FPCT compared to HR-MSCT in postoperative CI evaluation.MethodsFive cadaveric whole-head specimens (ten temporal bones) were operated on by an ENT surgeon. Ten CIs were inserted via cochleostomy. Post-operatively, specimens were scanned using six Acc-FPCT protocols and HR-MSCT. Three neuroradiologists assessed the image quality of FPCT protocols in comparison to HR-MSCT using a 5-point Likert scale. Seven electrode characteristics including scalar position and discernibility of individual contacts were evaluated. Radiation dose parameters (CTDIvol and DLP) were compared among protocols.ResultsTwo high-resolution Acc-FPCT (HR-FPCT) protocols were rated superior to HR-MSCT (<i>p</i> < .01). There were no significant differences between these two protocols (<i>p</i> = .25). The remaining Acc-FPCT protocols were rated inferior to HR-MSCT (<i>p</i> < .05). Inter-rater reliability was excellent (ICC (2,k) = 0.908; CI [0.85-0.94]). DLP was significantly lower in all Acc-FPCT protocols compared to HR-MSCT.ConclusionsThe results of this study underscore the utility of Acc-FPCT protocols as a feasible alternative to HR-MSCT in postoperative CI evaluation, allowing for better visualization of electrode array while significantly reducing scan duration and radiation exposure.</p>","PeriodicalId":47358,"journal":{"name":"Neuroradiology Journal","volume":" ","pages":"19714009251347856"},"PeriodicalIF":1.3,"publicationDate":"2025-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12145409/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144250270","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":"The many faces of middle meningeal artery: A comprehensive review of anomalous variations and endovascular implications.","authors":"Mohammed A Azab, Khalid Sarhan, Alan Hernández-Hernández, Oday Atallah, Helene Clervius","doi":"10.1177/19714009251347828","DOIUrl":"10.1177/19714009251347828","url":null,"abstract":"<p><p>BackgroundMiddle meningeal artery (MMA) embolization is an increasingly common procedure involved in the treatment of various vascular and neoplastic diseases. Understanding its anatomical nuances and clinical implications is fundamental in enhancing the safety of preoperative embolization.MethodsA systematic review following PRISMA guidelines was conducted to consolidate literature on the MMA anomalous variations. PubMed, Scopus, and Web of Science were systematically searched using our predefined criteria until 2025. Inclusion encompassed studies focusing on the clinical perspectives of MMA's anomalous anatomy and endovascular implications.ResultsTwelve articles met inclusion criteria, exploring the clinical significance of the MMA's anatomical variations in various clinical situations. We identified 11 case reports, and we also reported the clinical significance of the cases identified among different case series for the treatment of CSDH and other involved pathologies. Anomalous variations of the MMA involving either its origin, branching or connections were detected clinically in about 43 patients in the literature. We identified the basilar artery as an origin of the MMA in 9 case reports. The ophthalmic origin of the MMA was reported in about 12 patients, while an accessory meningeal artery arising from an ophthalmic artery was only reported in two cases.ConclusionProperly identifying the anomalous variants of the MMA is considerably valuable in preoperative planning and decision-making for the endovascular management of various pathologies involving the dura. To choose an appropriate tool and method of endovascular intervention, understanding the anatomical features and variability of the MMA is crucial.</p>","PeriodicalId":47358,"journal":{"name":"Neuroradiology Journal","volume":" ","pages":"19714009251347828"},"PeriodicalIF":1.3,"publicationDate":"2025-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12137284/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144227213","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":"Artificial intelligence for detecting traumatic intracranial haemorrhage with CT: A workflow-oriented implementation.","authors":"Selim Abed, Klaus Hergan, Johannes Pfaff, Jan Dörrenberg, Lucas Brandstetter, Johann Gradl","doi":"10.1177/19714009251346477","DOIUrl":"10.1177/19714009251346477","url":null,"abstract":"<p><p>The objective of this study was to assess the performance of an artificial intelligence (AI) algorithm in detecting intracranial haemorrhages (ICHs) on non-contrast CT scans (NCCT). Another objective was to gauge the department's acceptance of said algorithm. Surveys conducted at three and nine months post-implementation revealed an increase in radiologists' acceptance of the AI tool with an increasing performance. However, a significant portion still preferred an additional physician given comparable cost. Our findings emphasize the importance of careful software implementation into a robust IT architecture.</p>","PeriodicalId":47358,"journal":{"name":"Neuroradiology Journal","volume":" ","pages":"19714009251346477"},"PeriodicalIF":1.3,"publicationDate":"2025-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12133775/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144209906","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}