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Retraction notice to “Enhancing radiography education through immersive virtual reality” [Radiography 30 (S2) (2024) 42–50]
IF 2.5
Radiography Pub Date : 2025-03-01 DOI: 10.1016/j.radi.2025.102907
S. Acosta, D. López
{"title":"Retraction notice to “Enhancing radiography education through immersive virtual reality” [Radiography 30 (S2) (2024) 42–50]","authors":"S. Acosta,&nbsp;D. López","doi":"10.1016/j.radi.2025.102907","DOIUrl":"10.1016/j.radi.2025.102907","url":null,"abstract":"<div><div>This article has been retracted: please see Elsevier Policy on Article Withdrawal</div><div>(<span><span>https://www.elsevier.com/about/our-business/policies/article-withdrawal</span><svg><path></path></svg></span>).</div><div>This article has been retracted at the request of the Editor-in-Chief.</div><div>Concerns have been identified regarding this paper which violate the journal's policies. The journal is retracting the paper due to serious concerns regarding discrepancies in authorship and ethics declaration, as well as potential research integrity issues. Additionally, there were notable concerns with the language used throughout the paper following a deeper analysis, particularly evident in the conclusion section. The journal is concerned that the unusual language may be due to the use of generative AI tools which have not been declared by the authors. The authors were given the opportunity to respond by providing the full institutional details of the ethics Review Board who approved this work, and the details of the academic institution and department responsible for the 165 radiograph students who participated in the study, to which they did not respond. The journal was also unable to verify the authors' affiliation and correct contact details. The journal also has evidence from the Virtual Medical Coaching (VMC) that their software had no involvement in the Virtual Medical Coaching technology solution, contradicting claims made in the submission. These findings raise critical questions about the validity of the research and adherence to ethical standards, prompting the decision to retract the paper.</div></div>","PeriodicalId":47416,"journal":{"name":"Radiography","volume":"31 2","pages":"Article 102907"},"PeriodicalIF":2.5,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143510819","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}
引用次数: 0
Non-medicinal oral contrast in upper abdominal MRI for MR-guided radiotherapy: A scoping review
IF 2.5
Radiography Pub Date : 2025-03-01 DOI: 10.1016/j.radi.2025.01.003
M.R. Beasley , A.M. Henry , J. Bestall , V.P. Cosgrove , L.J. Murray , C. Burnett
{"title":"Non-medicinal oral contrast in upper abdominal MRI for MR-guided radiotherapy: A scoping review","authors":"M.R. Beasley ,&nbsp;A.M. Henry ,&nbsp;J. Bestall ,&nbsp;V.P. Cosgrove ,&nbsp;L.J. Murray ,&nbsp;C. Burnett","doi":"10.1016/j.radi.2025.01.003","DOIUrl":"10.1016/j.radi.2025.01.003","url":null,"abstract":"<div><h3>Introduction</h3><div>Using non-medicinal oral contrast agents may aid safe delivery of magnetic resonance image-guided (MR-guided) radiotherapy by improving the ability to visualise and avoid excessive radiation dose to adjacent bowel/stomach. This scoping review aims to map the literature on non-medicinal oral contrasts used in upper-abdominal diagnostic or therapeutic magnetic resonance imaging (MRI) to find potential candidates for employing in MR-guided radiotherapy and identify gaps in knowledge for further study.</div></div><div><h3>Methods</h3><div>A scoping review of non-medicinal oral contrast used in upper-abdominal MRI research followed a pre-defined protocol based on Arksey and O’Malley’s framework. Data were charted and reported in accordance with the Preferred Reporting Items for Systematic reviews and Meta-Analyses for Scoping Reviews reporting guidelines.</div></div><div><h3>Results</h3><div>Forty-seven studies from 1955 screened abstracts were charted. Thirty-one distinct non-medicinal oral contrast were identified, used primarily to enhance tissue visualisation (89 %) or observe motility (11 %) in diagnostic studies. All studies reported to be predominantly quantitative; only 13 % included participant experience via questionnaires and none used qualitative methods. No studies have examined the efficacy of non-medicinal oral contrasts in MR-guided radiotherapy planning or delivery.</div></div><div><h3>Conclusion</h3><div>Non-medicinal oral contrasts have been extensively investigated in diagnostic MRI to enhance gastrointestinal visualisation and assess motility. However, non-medicinal oral contrasts have not been investigated in the context of radiotherapy planning and treatment. Qualitative evaluation of the patient experience of non-medicinal oral contrasts in magnetic resonance image-guided radiotherapy should be considered alongside studies quantifying the potential clinical benefit.</div></div><div><h3>Implications for practice</h3><div>This review summarises the properties of non-medicinal oral contrasts and identifies critical gaps in the current evidence, particularly the absence of qualitative research in this domain and the unexplored potential for their application in MR-guided radiotherapy planning and delivery.</div></div>","PeriodicalId":47416,"journal":{"name":"Radiography","volume":"31 2","pages":"Article 102868"},"PeriodicalIF":2.5,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143042089","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}
引用次数: 0
Patient-centred care and technical challenges during polytrauma imaging – Experiences from radiography students
IF 2.5
Radiography Pub Date : 2025-03-01 DOI: 10.1016/j.radi.2025.01.007
A. Karera, M. Uugwanga, L. Kalondo, M. Amkongo
{"title":"Patient-centred care and technical challenges during polytrauma imaging – Experiences from radiography students","authors":"A. Karera,&nbsp;M. Uugwanga,&nbsp;L. Kalondo,&nbsp;M. Amkongo","doi":"10.1016/j.radi.2025.01.007","DOIUrl":"10.1016/j.radi.2025.01.007","url":null,"abstract":"<div><h3>Introduction</h3><div>Patient-centred care (PCC) is essential in radiography for polytrauma patients emphasising empathy, clear communication, and patient well-being. Polytrauma patients require tailored imaging approaches, often involving multiple modalities. Managing and handling these patients during imaging are key components of radiography training to develop the necessary competencies. This study aimed to explore the experiences of third- and fourth-year radiography students in applying PCC during the imaging of polytrauma patients.</div></div><div><h3>Methods</h3><div>A qualitative interpretive phenomenological design was employed to capture the in-depth experiences of third and fourth-year radiography students at the University of Namibia. The study utilised purposive sampling to select participants. Data were collected through face-to-face semi-structured interviews, recorded and transcribed for interpretive phenomenological analysis. Trustworthiness was ensured through credibility, dependability, confirmability, and transferability measures.</div></div><div><h3>Results</h3><div>Twenty-one students (3 males, 18 females; 10 third-year, 11 final-year) participated. Three interpretive themes shaped the findings: <strong>Compassionate Patient Care</strong>, reflecting students' commitment to balancing technical accuracy with empathy while managing personal fears; <strong>Professional Challenges in Polytrauma Imaging</strong>, highlighting emotional trauma, technical challenges, and communication barriers as central obstacles; and <strong>Professional Transformation Through Collaboration</strong>, illustrating how teamwork and reflective practice fostered growth, confidence, and resilience. The findings highlight the human and transformative nature of students’ experiences in imaging polytrauma patients.</div></div><div><h3>Conclusions</h3><div>This study highlights radiography students’ experiences imaging polytrauma patients, emphasizing compassionate care, professional challenges, and collaborative growth. The interplay between technical skills, emotional resilience, and relational competence underscores the need for curricula that address patient-centred care, adaptive problem-solving, and emotional resilience to prepare students for clinical challenges.</div></div><div><h3>Implications for practice</h3><div>Radiography curricula should incorporate emotional resilience training, patient-centred care principles, and adaptive problem-solving to enhance students' preparedness for real-world clinical challenges.</div></div>","PeriodicalId":47416,"journal":{"name":"Radiography","volume":"31 2","pages":"Article 102872"},"PeriodicalIF":2.5,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143042090","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}
引用次数: 0
“If there was a quick and easy way to participate”: The engagement of United Kingdom radiotherapy and diagnostic imaging departments in research strategy
IF 2.5
Radiography Pub Date : 2025-03-01 DOI: 10.1016/j.radi.2025.01.009
A. Hancock , D. Hutton , I. Powell Brown , T. Murphy , B. Stride , M.A. Mallinson
{"title":"“If there was a quick and easy way to participate”: The engagement of United Kingdom radiotherapy and diagnostic imaging departments in research strategy","authors":"A. Hancock ,&nbsp;D. Hutton ,&nbsp;I. Powell Brown ,&nbsp;T. Murphy ,&nbsp;B. Stride ,&nbsp;M.A. Mallinson","doi":"10.1016/j.radi.2025.01.009","DOIUrl":"10.1016/j.radi.2025.01.009","url":null,"abstract":"<div><h3>Introduction</h3><div>Research strategies support professionals to create a shared vision and work towards common objectives which can enhance workforce satisfaction, retention and patient experience. Our research aimed to capture the current number of United Kingdom (UK) radiotherapy and diagnostic imaging departments that have a local discipline specific research strategy in place. We also sought to understand the contributing factors to their development, with the aim of generating models of support to enhance future local research strategies.</div></div><div><h3>Methods</h3><div>A discipline specific cross-sectional survey was co-developed by the research team, the College of Radiographers (CoR) and our patient and public involvement and engagement representative. Distribution was via the CoR to radiotherapy and imaging departments across the UK.</div></div><div><h3>Results</h3><div>Complete responses were received from 32 radiotherapy and 19 imaging departments, discipline specific strategy numbers were low with only 10 and 3 departments respectively having one in situ. Barriers and enablers to their development as well as disparate motivations and intentions to develop a strategy were evident within and across each discipline. The respondents identified a range of formats and topics to help the development of strategies.</div></div><div><h3>Conclusion</h3><div>Radiographers are keen to develop and implement their own research ideas, however this work is additional to clinical service demand. Removing barriers to research participation is a strategic priority, regional cooperation and coordination may play an increasing role in research engagement, scale and support. Opportunities to increase ownership and confidence in research strategy development should be pursued including template strategies and professional facilitation.</div></div><div><h3>Implications for practice</h3><div>A discipline specific strategy would support departments to navigate the complexities of research regulation and policy and overcome the challenges faced by competing priorities.</div></div>","PeriodicalId":47416,"journal":{"name":"Radiography","volume":"31 2","pages":"Article 102874"},"PeriodicalIF":2.5,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143075890","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}
引用次数: 0
Urgent findings in CT chest examinations: Radiography and medical students’ capabilities and learning perspectives – a preliminary study CT胸部检查的紧急发现:放射学与医学生的能力和学习前景-一项初步研究。
IF 2.5
Radiography Pub Date : 2025-03-01 DOI: 10.1016/j.radi.2025.01.002
K. Lee , P.C. Brennan , E. Lau , M.E. Suleiman , S. Raveendrampillai , K. Tapia , A. Abubakar , E. Ekpo
{"title":"Urgent findings in CT chest examinations: Radiography and medical students’ capabilities and learning perspectives – a preliminary study","authors":"K. Lee ,&nbsp;P.C. Brennan ,&nbsp;E. Lau ,&nbsp;M.E. Suleiman ,&nbsp;S. Raveendrampillai ,&nbsp;K. Tapia ,&nbsp;A. Abubakar ,&nbsp;E. Ekpo","doi":"10.1016/j.radi.2025.01.002","DOIUrl":"10.1016/j.radi.2025.01.002","url":null,"abstract":"<div><h3>Introduction</h3><div>Radiography and medical students (RMS), upon graduation, require capabilities to provide life-saving care through identification and communication of urgent findings on radiological imaging. This preliminary study investigated RMS’ ability to identify and categorise urgent findings on CT examinations. It also explored their experiences of image interpretation education.</div></div><div><h3>Methods</h3><div>A sequential explanatory mixed-methods study was employed. Participants were students who had recently completed Year-4 (radiography/medicine) or Year-2 (medicine-only) from three Australian universities. Urgent finding identification capabilities were assessed via a test-set of 10 CT examinations with a range of findings (normal, abnormal but non-urgent, abnormal but urgent) that was developed on a validated learning and assessment platform. Each case required selection of: normal versus abnormal; where abnormal, finding/s from a pre-defined list; urgency level; self-rated confidence. Learning experiences were then explored via a survey (Likert statements, free-text responses).</div></div><div><h3>Results</h3><div>Mean sensitivity, specificity and accuracy (with min‒max ranges), respectively, were: All participants [n = 30] 0.87 (0.60–1.0), 0.63 (0.40–1.0), 0.75 (0.50–1.0); 4th-year radiography [n = 17] 0.89 (0.6–1.0), 0.66 (0.4–1.0), 0.78 (0.60–1.0); 4th-year medicine [n = 8] 0.85 (0.6–1.0), 0.50 (0.4–0.6), 0.68 (0.50–0.8); 2nd-year medicine [n = 5] 0.80 (0.60–1.0), 0.75 (0.75–1.0), 0.78 (0.78–0.78). False positives were highest for cases with non-urgent abnormalities in all groups. Free-text responses revealed students' desire for dedicated urgent finding educational resources with high ‘repetitive learning’ effects.</div></div><div><h3>Conclusions</h3><div>RMS demonstrated considerable performance in identifying urgent abnormalities as a group, but individual capabilities varied from pass-level to perfect. Together, participants demonstrated limited ability to correctly classify non-urgent CT chest abnormalities.</div></div><div><h3>Implications for practice</h3><div>This study highlights opportunities for targeted urgent-finding resource development, focused on improving consistency within cohorts and reducing false positive rates.</div></div>","PeriodicalId":47416,"journal":{"name":"Radiography","volume":"31 2","pages":"Article 102867"},"PeriodicalIF":2.5,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143013942","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}
引用次数: 0
Fast susceptibility-weighted imaging using echo planar imaging at 1.5 T for swallow tail sign biomarker detection in Parkinson's disease
IF 2.5
Radiography Pub Date : 2025-03-01 DOI: 10.1016/j.radi.2025.102903
M.R. Hamed , M.A. Kenawy , S. Mohamed , M. El-Samahy , K.T. Ereiba , A. Eissa
{"title":"Fast susceptibility-weighted imaging using echo planar imaging at 1.5 T for swallow tail sign biomarker detection in Parkinson's disease","authors":"M.R. Hamed ,&nbsp;M.A. Kenawy ,&nbsp;S. Mohamed ,&nbsp;M. El-Samahy ,&nbsp;K.T. Ereiba ,&nbsp;A. Eissa","doi":"10.1016/j.radi.2025.102903","DOIUrl":"10.1016/j.radi.2025.102903","url":null,"abstract":"<div><h3>Introduction</h3><div>This study evaluated the feasibility and diagnostic accuracy of a fast-imaging technique combining Echo Planar Imaging (EPI) and Susceptibility-Weighted Imaging (SWI) at 1.5 T for visualizing the Swallow Tail Sign (STS) in Parkinson's Disease (PD). The STS, a biomarker linked to PD pathogenesis, offers promise for non-invasive diagnosis. However, conventional SWI often requires high field strengths and lengthy scan times, limiting accessibility. This study aimed to provide a faster, more practical alternative for PD diagnosis.</div></div><div><h3>Methods</h3><div>A prospective study included 130 participants (22 early-stage PD, 108 healthy controls [HC]) recruited consecutively from a neurology clinic. Eligibility required freedom from MRI contraindications. A fast EPI-SWI sequence was employed as the primary diagnostic tool, with Movement Disorder Society criteria serving as the reference standard. Diagnostic measures, including sensitivity, specificity, predictive values, and the area under the ROC curve (AUC), were calculated.</div></div><div><h3>Results</h3><div>After excluding participants with motion artifacts or suboptimal image quality, 120 participants (20 PD, 100 HC) were included in the analysis. The fast EPI-SWI technique demonstrated 100 % sensitivity, 96 % specificity, a positive predictive value (PPV) of 83.3 %, and a negative predictive value (NPV) of 100 %. The AUC for diagnostic accuracy was 0.98.</div></div><div><h3>Conclusion</h3><div>The fast EPI-SWI sequence at 1.5 T achieved high diagnostic accuracy for detecting the STS, offering a practical solution for early PD diagnosis in settings with limited access to high-field MRI.</div></div><div><h3>Implications for practice</h3><div>The use of EPI SWI for detecting the Swallow Tail Sign could provide a faster and more accessible method for early diagnosis of Parkinson's disease in clinical settings, particularly in resource-limited environments.</div></div>","PeriodicalId":47416,"journal":{"name":"Radiography","volume":"31 2","pages":"Article 102903"},"PeriodicalIF":2.5,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143508712","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}
引用次数: 0
Prelim ii - EFRS Member
IF 2.5
Radiography Pub Date : 2025-03-01 DOI: 10.1016/j.radi.2025.102919
{"title":"Prelim ii - EFRS Member","authors":"","doi":"10.1016/j.radi.2025.102919","DOIUrl":"10.1016/j.radi.2025.102919","url":null,"abstract":"","PeriodicalId":47416,"journal":{"name":"Radiography","volume":"31 2","pages":"Article 102919"},"PeriodicalIF":2.5,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143609236","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}
引用次数: 0
Corrigendum to “Assessing evidence-based practice among Australian radiographers: a self-report survey” [Radiography 30 (2) (March 2024) P696–P701]
IF 2.5
Radiography Pub Date : 2025-03-01 DOI: 10.1016/j.radi.2025.102904
L. Di Michele, K. Thomson, A. Bell, W. Reed
{"title":"Corrigendum to “Assessing evidence-based practice among Australian radiographers: a self-report survey” [Radiography 30 (2) (March 2024) P696–P701]","authors":"L. Di Michele,&nbsp;K. Thomson,&nbsp;A. Bell,&nbsp;W. Reed","doi":"10.1016/j.radi.2025.102904","DOIUrl":"10.1016/j.radi.2025.102904","url":null,"abstract":"","PeriodicalId":47416,"journal":{"name":"Radiography","volume":"31 2","pages":"Article 102904"},"PeriodicalIF":2.5,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143469577","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}
引用次数: 0
Exploring the lived experiences of diagnostic radiographers after transitioning to non-emergency imaging settings 探究放射诊断技师在过渡到非紧急成像环境后的生活经历。
IF 2.5
Radiography Pub Date : 2025-03-01 DOI: 10.1016/j.radi.2025.01.006
M. Ngo , K. Thorburn , A. Naama , E. Skelton
{"title":"Exploring the lived experiences of diagnostic radiographers after transitioning to non-emergency imaging settings","authors":"M. Ngo ,&nbsp;K. Thorburn ,&nbsp;A. Naama ,&nbsp;E. Skelton","doi":"10.1016/j.radi.2025.01.006","DOIUrl":"10.1016/j.radi.2025.01.006","url":null,"abstract":"<div><h3>Introduction</h3><div>The demand for diagnostic imaging in emergency clinical settings has increased in recent years, placing pressure on the available workforce. However, challenges including staff shortages and inflexible shift patterns may prompt radiographers to leave emergency settings. This study explores the lived experiences of radiographers who have transitioned to non-emergency settings and factors that might influence their decision to return.</div></div><div><h3>Methods</h3><div>A descriptive phenomenological approach was used. Semi-structured interviews were conducted with 12 diagnostic radiographers working in the UK, who had transitioned to non-emergency settings within the last one to five years.</div></div><div><h3>Results</h3><div>Participants provided insight into (1) the past: reasons for transitioning, (2) the present: current thoughts on wellbeing and professional development, and (3) the future: possibility of returning to the emergency setting. Occupational pressures including excessive workloads, physical exhaustion, and time constraints leading to moral distress, were commonly cited reasons for transitioning to non-emergency setting. Since transitioning, participants reported improvement in their physical and mental well-being, renewed job satisfaction, and enhanced work-life balance. Career advancement opportunities, a better work environment, competitive salaries, and improved mental health support, could encourage a return to the emergency setting.</div></div><div><h3>Conclusion</h3><div>This study highlights the valuable learning experiences that emergency settings offer diagnostic radiographers, greatly enhancing their skills and overall competence. However, challenging work conditions can lead to job dissatisfaction and burn out. Instead of leaving the profession altogether, some radiographers found renewed satisfaction by transitioning to non-emergency settings. The majority of participants would consider returning to emergency imaging under the right conditions.</div></div><div><h3>Implications for practice</h3><div>Flexibility regarding work arrangements, career advancement opportunities, competitive salary offers, and improved mental health support through interventions such as debriefing, could help retain radiographers in emergency settings.</div></div>","PeriodicalId":47416,"journal":{"name":"Radiography","volume":"31 2","pages":"Article 102871"},"PeriodicalIF":2.5,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143068747","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}
引用次数: 0
Comparing diagnostic performance of PET/CT, MRI, and CT in characterization of cN0 head and neck squamous cell carcinoma: A multicenter study
IF 2.5
Radiography Pub Date : 2025-02-26 DOI: 10.1016/j.radi.2025.102902
S. Mohammadzadeh , A. Mohebbi , Z. Moradi , A.A. Ardakani , A. Mohammadi , S.M. Tavangar
{"title":"Comparing diagnostic performance of PET/CT, MRI, and CT in characterization of cN0 head and neck squamous cell carcinoma: A multicenter study","authors":"S. Mohammadzadeh ,&nbsp;A. Mohebbi ,&nbsp;Z. Moradi ,&nbsp;A.A. Ardakani ,&nbsp;A. Mohammadi ,&nbsp;S.M. Tavangar","doi":"10.1016/j.radi.2025.102902","DOIUrl":"10.1016/j.radi.2025.102902","url":null,"abstract":"<div><h3>Introduction</h3><div>Assessing local invasion is essential for determining stage of cN0 head and neck squamous cell carcinoma (HNSCC). We aimed to evaluate the performance of fluorine-18 fluorodeoxyglucose positron emission tomography/CT (18F-FDG PET/CT) in HNSCC characterization and compare it with conventional imaging.</div></div><div><h3>Methods</h3><div>This multicentral study included 278 consecutive newly diagnosed cN0 HNSCC patients recruited from ACRIN 6685 (American College of Radiology Imaging Network) dataset. Four board-certified nuclear radiologists interpreted preoperative PET/CT, MRI, and CT examinations of patients. Imaging results were compared to pathological reference tests through area under curve (AUC), sensitivity, specificity, and receiver operating characteristic (ROC) curve using Stata 18 and Medcalc 22.017.</div></div><div><h3>Results</h3><div>PET/CT demonstrated 23.5 %, 24.7 %, and 51.6 % upstaging, downstaging, and same staging in T staging of patients in comparison to histopathological evaluation, respectively. When evaluating N status, PET/CT showed 25.7 % upstaging, 20.3 % downstaging, and 53.9 % same staging. An optimal SUV<sub>max</sub> cut-off value of 10.9 was determined to predict early-stage (T1, T2) and advanced-stage (T3, T4) HNSCC tumors with an AUC of 0.709 (95 % CI = 0.648–0.766). This cut-off value also predicted N0 and N+ patients with an AUC of 0.670 (95 % CI = 0.606–0.729). Sensitivity and specificity of PET/CT, MRI, and CT for bone invasion, muscle invasion, nerve invasion, cartilage invasion, superficial tissue invasion, overall invasion, and fixed vocal cord were calculated.</div></div><div><h3>Conclusion</h3><div>Our findings support the valuable accuracy of 18F-FDG PET/CT in staging HNSCC patients. Also, 18F-FDG PET/CT outperformed conventional imaging in characterization of HNSCC tumors.</div></div><div><h3>Implications for practice</h3><div>By offering an in-depth investigation in imaging of HNSCC tumors, this study contributes to evidence-based clinical decision-making.</div></div>","PeriodicalId":47416,"journal":{"name":"Radiography","volume":"31 2","pages":"Article 102902"},"PeriodicalIF":2.5,"publicationDate":"2025-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143487205","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}
引用次数: 0
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