Vera Sorin MD , Zehavit Kirshenboim MD , Maximiliano Klug MD , Jitesh Ahuja MD , Edith M. Marom MD
{"title":"The Ninth Edition TNM Staging Classification for Thymic Epithelial Tumors","authors":"Vera Sorin MD , Zehavit Kirshenboim MD , Maximiliano Klug MD , Jitesh Ahuja MD , Edith M. Marom MD","doi":"10.1053/j.sult.2024.07.006","DOIUrl":"10.1053/j.sult.2024.07.006","url":null,"abstract":"<div><div>Staging classification is essential in cancer management and is based on three components: tumor extent (T), lymph node involvement (N), and distant metastatic disease (M). For thymic epithelial malignancies, clinical Tumour, Node, Metastasis (cTNM) staging is primarily determined by imaging, making radiologists integral to clinical practice, treatment decisions, and maintaining the quality of staging databases. The ninth edition of the TNM classification for thymic epithelial tumors will be implemented in January 2025. This review outlines the definitions for the TNM categories in the updated edition, provides examples, and elaborates on the radiologist’s role and imaging considerations.</div></div>","PeriodicalId":49541,"journal":{"name":"Seminars in Ultrasound Ct and Mri","volume":"45 6","pages":"Pages 420-429"},"PeriodicalIF":1.5,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141789635","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Lauren T. Erasmus BSc , Chad D. Strange MD , Jitesh Ahuja MD , Rishi Agrawal MD , Girish S. Shroff MD , Edith M. Marom MD , Mylene T. Truong MD
{"title":"Imaging of Lung Cancer Staging: TNM 9 Updates","authors":"Lauren T. Erasmus BSc , Chad D. Strange MD , Jitesh Ahuja MD , Rishi Agrawal MD , Girish S. Shroff MD , Edith M. Marom MD , Mylene T. Truong MD","doi":"10.1053/j.sult.2024.07.005","DOIUrl":"10.1053/j.sult.2024.07.005","url":null,"abstract":"<div><div>Imaging plays a key role in clinical staging of lung cancer and guiding therapy. A thorough understanding of the staging system including the nomenclature and updates is necessary to tailor treatment plans and optimize patient care. The 9th edition of the Tumor, Node, Metastasis staging system for lung cancer has no changes for T classification and subdivides N2 and M1c categories. In nodal staging, N2 splits into N2a, ipsilateral mediastinal single station involvement and N2b, ipsilateral mediastinal multiple stations involvement. In the staging of multiple extrathoracic metastases, M1c splits into M1c1, multiple extrathoracic metastases in one organ system and M1c2, multiple extrathoracic metastases in multiple organ systems. Awareness of the proposed changes in TNM-9 staging classification is essential to provide methodical and accurate imaging interpretation.</div></div>","PeriodicalId":49541,"journal":{"name":"Seminars in Ultrasound Ct and Mri","volume":"45 6","pages":"Pages 410-419"},"PeriodicalIF":1.5,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141789631","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Rishi Agrawal MD , Shubendu Mishra MD , Chad D. Strange MD , Jitesh Ahuja MD , Girish S. Shroff MD , Carol C. Wu MD , Mylene T. Truong MD
{"title":"The Role of Chest Radiography in Lung Cancer","authors":"Rishi Agrawal MD , Shubendu Mishra MD , Chad D. Strange MD , Jitesh Ahuja MD , Girish S. Shroff MD , Carol C. Wu MD , Mylene T. Truong MD","doi":"10.1053/j.sult.2024.07.007","DOIUrl":"10.1053/j.sult.2024.07.007","url":null,"abstract":"<div><div>Chest radiography is one of the most commonly performed imaging tests, and benefits include accessibility, speed, cost, and relatively low radiation exposure. Lung cancer is the third most common cancer in the United States and is responsible for the most cancer deaths. Knowledge of the role of chest radiography in assessing patients with lung cancer is important. This article discusses radiographic manifestations of lung cancer, the utility of chest radiography in lung cancer management, as well as the limitations of chest radiography and when computed tomography (CT) is indicated.</div></div>","PeriodicalId":49541,"journal":{"name":"Seminars in Ultrasound Ct and Mri","volume":"45 6","pages":"Pages 430-439"},"PeriodicalIF":1.5,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141789636","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Abrahão Elias-Neto MD , Ana Paula F.C. Gonzaga MD , Fernanda A. Braga MD , Natália B.N. Gomes MD, PhD , Ulysses S. Torres MD, PhD , Giuseppe D’Ippolito MD, PhD
{"title":"Imaging Prognostic Biomarkers in Hepatocellular Carcinoma: A Comprehensive Review","authors":"Abrahão Elias-Neto MD , Ana Paula F.C. Gonzaga MD , Fernanda A. Braga MD , Natália B.N. Gomes MD, PhD , Ulysses S. Torres MD, PhD , Giuseppe D’Ippolito MD, PhD","doi":"10.1053/j.sult.2024.07.009","DOIUrl":"10.1053/j.sult.2024.07.009","url":null,"abstract":"<div><div>Hepatocellular carcinoma (HCC) is a leading cause of cancer-related mortality worldwide with its incidence on the rise globally. This paper provides a comprehensive review of prognostic imaging markers in HCC, emphasizing their role in risk stratification and clinical decision-making. We explore quantitative and qualitative criteria derived from imaging studies, such as computed tomography (CT) and magnetic resonance imaging (MRI), which can offer valuable insights into the biological behavior of the tumor. While many of these markers are not yet widely integrated into current clinical guidelines, they represent a promising future direction for approaching this highly heterogeneous cancer. However, standardization and validation of these markers remain important challenges. We conclude by emphasizing the importance of ongoing research to enhance clinical practices and improve outcomes for patients with HCC.</div></div>","PeriodicalId":49541,"journal":{"name":"Seminars in Ultrasound Ct and Mri","volume":"45 6","pages":"Pages 454-463"},"PeriodicalIF":1.5,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141789632","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Letter from the Editor","authors":"Gabriela Gayer","doi":"10.1053/j.sult.2024.07.013","DOIUrl":"10.1053/j.sult.2024.07.013","url":null,"abstract":"","PeriodicalId":49541,"journal":{"name":"Seminars in Ultrasound Ct and Mri","volume":"45 6","pages":"Page 409"},"PeriodicalIF":1.5,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141879656","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Natália B.N. Gomes MD, PhD , Ulysses S. Torres MD, PhD , Maria Lucia C.G. Ferraz MD, PhD , Giuseppe D’Ippolito MD, PhD
{"title":"Advanced Magnetic Resonance Imaging for Detection of Liver Fibrosis and Inflammation in Autoimmune Hepatitis: A State-of-the-Art Review","authors":"Natália B.N. Gomes MD, PhD , Ulysses S. Torres MD, PhD , Maria Lucia C.G. Ferraz MD, PhD , Giuseppe D’Ippolito MD, PhD","doi":"10.1053/j.sult.2024.07.010","DOIUrl":"10.1053/j.sult.2024.07.010","url":null,"abstract":"<div><div>Autoimmune hepatitis is a rare chronic liver disease, associated with a high level of morbidity and high mortality; approximately 40% of patients with severe untreated disease die within 6 months of diagnosis. It should be treated to achieve complete biochemical and histologic resolution of the disease using corticosteroids and immunosuppression to prevent further progression to cirrhosis. The use of invasive liver biopsy is recommended for the staging and assessment of inflammation and fibrosis for treatment decision-making in the face of an unsatisfactory response or clinical remission, including being a determinant for withdrawal of immunosuppression. On the other hand, liver biopsy is invasive, costly, and not free of complications. It also has potential sampling error and poor interobserver agreement. The limitations of liver biopsy highlight the importance of developing new imaging biomarkers that allow accurate and non-invasive assessment of autoimmune hepatitis in terms of liver inflammation and fibrosis, developing the virtual biopsy concept. Therefore, we review the state-of-the-art of Magnetic Resonance Imaging sequences for the noninvasive evaluation of autoimmune hepatitis, including historical advances and future directions.</div></div>","PeriodicalId":49541,"journal":{"name":"Seminars in Ultrasound Ct and Mri","volume":"45 6","pages":"Pages 464-475"},"PeriodicalIF":1.5,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141789628","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Raquel N. Lopes MD , Eduardo O. Pacheco MD , Lucas R. Torres MD , Ulysses S. Torres MD, PhD , Giuseppe D‘Ippolito MD, PhD
{"title":"Common and Uncommon Gestational Complications in Radiological Practice: An Overview","authors":"Raquel N. Lopes MD , Eduardo O. Pacheco MD , Lucas R. Torres MD , Ulysses S. Torres MD, PhD , Giuseppe D‘Ippolito MD, PhD","doi":"10.1053/j.sult.2024.07.011","DOIUrl":"10.1053/j.sult.2024.07.011","url":null,"abstract":"<div><div>Gestational complications are common in radiological practice and can be identified and evaluated using various imaging methods. Each complication typically presents with specific imaging features; however, there is a lack of comprehensive literature that consolidates this information to facilitate a diagnostic algorithm and focused study. In this context, this review aims to revisit the theoretical basis of differentials in pregnancy-related complications, discussing classic imaging features and providing examples of key features for each diagnosis. The focus is on essential information for accurate diagnosis, emphasizing the role of radiologists in contributing to better outcomes.</div></div>","PeriodicalId":49541,"journal":{"name":"Seminars in Ultrasound Ct and Mri","volume":"45 6","pages":"Pages 476-487"},"PeriodicalIF":1.5,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141789630","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Cardiothoracic Medical Devices – A Pictorial Review","authors":"Gabriela Gayer MD","doi":"10.1053/j.sult.2024.07.008","DOIUrl":"10.1053/j.sult.2024.07.008","url":null,"abstract":"<div><div>The rapid advancement of medical technology has introduced a plethora of innovative devices designed for use within the thoracic cavity. Familiarity with the characteristic imaging features of these devices, their purpose and desired positioning is crucial for radiologists to identify them promptly and accurately assess any associated complications. This pictorial review provides a comprehensive overview of the radiologic findings associated with various new chest devices, aiming to equip radiologists with the knowledge required for effective clinical management.</div></div>","PeriodicalId":49541,"journal":{"name":"Seminars in Ultrasound Ct and Mri","volume":"45 6","pages":"Pages 440-453"},"PeriodicalIF":1.5,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141789629","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Paulo Diego Santos Silva MD , Isabela S. Alves MD , Italo Roberto Torres de Medeiros MD, PhD
{"title":"Clinical Aspects of Vertigo and Dizziness: What Should the Radiologist Know?","authors":"Paulo Diego Santos Silva MD , Isabela S. Alves MD , Italo Roberto Torres de Medeiros MD, PhD","doi":"10.1053/j.sult.2024.09.001","DOIUrl":"10.1053/j.sult.2024.09.001","url":null,"abstract":"<div><div>Dizziness and vertigo are common complaints in both emergency and outpatient settings, requiring careful evaluation to determine appropriate diagnosis and treatment. Differentiating between peripheral and central causes of dizziness is crucial for effective management. Peripheral causes, such as vestibular neuritis, benign paroxysmal positional vertigo, and Ménière's disease, are contrasted with central causes such as stroke, demyelinating diseases, and posterior fossa tumors. Diagnostic approaches include assessing nystagmus patterns, the vestibulo-ocular reflex, and the HINTS Plus test. Vestibular disorders are classified as acute, episodic, or chronic based on duration and symptom presentation. Imaging plays a significant role in identifying central causes when clinical findings are inconclusive. This paper provides a comprehensive overview of the clinical evaluation and diagnostic methods for dizziness and vertigo, with emphasis on distinguishing peripheral from central etiologies.</div></div>","PeriodicalId":49541,"journal":{"name":"Seminars in Ultrasound Ct and Mri","volume":"45 5","pages":"Pages 346-352"},"PeriodicalIF":1.5,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142394713","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Isabela S. Alves MD , Eloisa M.S. Gebrim MD, PhD , Ula L. Passos MD, PhD
{"title":"Imaging of Vertigo and Dizziness: A Site-based Approach, Part 1 (Middle Ear, Bony Labyrinth, and Temporomandibular Joint)","authors":"Isabela S. Alves MD , Eloisa M.S. Gebrim MD, PhD , Ula L. Passos MD, PhD","doi":"10.1053/j.sult.2024.09.003","DOIUrl":"10.1053/j.sult.2024.09.003","url":null,"abstract":"<div><div>The broad differential diagnosis of vertigo and dizziness passes through peripheral and central causes. Peripheral vestibular disorders, such as Ménière's disease and benign paroxysmal positional vertigo, are commonly diagnosed clinically, with imaging serving to exclude other conditions. Temporal bone trauma, cholesteatoma, third window syndrome, otospongiosis, jugular bulb variants, and temporomandibular disorders are identified as significant causes of dizziness and vertigo, each with specific diagnostic and management considerations. Advanced imaging techniques, including high-resolution computed tomography and magnetic resonance imaging, play crucial roles in diagnosing and differentiating these conditions. The management strategies vary depending on the underlying cause and often involve surgical or medical interventions tailored to the specific pathology.</div></div>","PeriodicalId":49541,"journal":{"name":"Seminars in Ultrasound Ct and Mri","volume":"45 5","pages":"Pages 360-371"},"PeriodicalIF":1.5,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142394715","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}