Katherine Chung, Anna Menezes, Kush Purohit, Vahni-Vishala Bernard, Sergey Kochkine
{"title":"Imaging and Pitfalls of Early Postpartum Complications after Vaginal and Cesarean Section.","authors":"Katherine Chung, Anna Menezes, Kush Purohit, Vahni-Vishala Bernard, Sergey Kochkine","doi":"10.1053/j.sult.2026.05.003","DOIUrl":"10.1053/j.sult.2026.05.003","url":null,"abstract":"<p><p>The postpartum period is associated with a wide spectrum of potential complications that may lead to significant maternal morbidity and mortality if not promptly diagnosed and treated. Clinical presentation is frequently nonspecific - including symptoms such as pelvic pain, fever, and vaginal bleeding - rendering imaging indispensable for differentiating normal postpartum changes from pathologic conditions. Radiologists should be familiar with the expected postpartum imaging appearance of the uterus as well as the imaging findings of common and uncommon complications. This review provides an imaging-centered overview of postpartum complications after vaginal and cesarean delivery, including endometritis, retained products of conception, postpartum hemorrhage, uterine rupture, uterine dehiscence, along with key extrauterine complications. We discuss the strengths and limitations of ultrasound, computed tomography (CT), and magnetic resonance imaging (MRI) in the evaluation of these conditions. Key imaging features and diagnostic pitfalls across modalities are highlighted to aid radiologists in accurate interpretation. This review aims to improve diagnostic confidence and ultimately enhance patient outcomes in the postpartum population.</p>","PeriodicalId":49541,"journal":{"name":"Seminars in Ultrasound Ct and Mri","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2026-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148007290","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":"The Relationship Between Microwave Ablation Range and Energy in Colorectal Liver Metastasis: Based on Contrast-enhanced Ultrasound","authors":"Yuanxi Meng , Jiajie Lv , Chun Li","doi":"10.1053/j.sult.2025.12.003","DOIUrl":"10.1053/j.sult.2025.12.003","url":null,"abstract":"<div><div>To investigate the association between ablation range and energy of ultrasound (US)-guided microwave ablation (MWA) in the treatment of colorectal liver metastases (CRLM). Eighty-one patients with CRLM received MWA, which was fixed by single-electrode ablation. Conventional US and contrast-enhanced ultrasound (CEUS) were required to confirm tumor size, location, and flow perfusion before ablation, then post-ablation CEUS was employed to ascertain the ablation range. Measurements of ablation zone volume, longitudinal and orthogonal diameters, as well as their ratios to ablation energy (R<sub>AZV/E</sub>, R<sub>ALD/E</sub>, R<sub>AOD/E</sub>) were conducted. The influence of CRLM characteristics on ablation efficiency was further analyzed utilizing linear regression. The R<sub>AZV/E</sub> is 0.70 cm<sup>3</sup>/KJ, R<sub>ALD/E</sub> is 2.47 mm/KJ, R<sub>AOD/E</sub> is 1.70 mm/KJ. Both R<sub>ALD/E</sub> and R<sub>AOD/E</sub> were inversely associated with ablation energy. Through the single attenuation model, the relationship between ablation longitudinal diameter and ablation energy is finally obtained as Y (mm) = −23.27 * exp (−0.06926 * x) + 42.97. The relationship between orthogonal diameter and ablation energy is Y (mm) = −23.43 * exp (−0.05742 * x) + 34.17. MWA plateau values in longitudinal diameter and orthogonal diameter of ablation are 41.87 and 34.17 mm, respectively. And there is no significant correlation between R<sub>AZV/E</sub> and CRLM features (such as CEUS blood supply). Theoretically, considering the safety margin of 5 mm on one side, MWA can completely ablate small CRLM whose diameter is less than 24 mm through a single fixed ablation device. The characteristics of CRLM (such as blood supply of CEUS) have little effect on ablation efficiency.</div></div>","PeriodicalId":49541,"journal":{"name":"Seminars in Ultrasound Ct and Mri","volume":"47 1","pages":"Pages 67-74"},"PeriodicalIF":1.9,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145758268","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}
Hongmei Qiao MB , Jingjing Zhang MB , Hu Liu MM , Wei Bian MM
{"title":"Application of Synthetic Magnetic Resonance Imaging Techniques Based on MDME Sequences in Cognitive Impairment Disorders","authors":"Hongmei Qiao MB , Jingjing Zhang MB , Hu Liu MM , Wei Bian MM","doi":"10.1053/j.sult.2025.10.003","DOIUrl":"10.1053/j.sult.2025.10.003","url":null,"abstract":"<div><div>This review aims to summarize the application of synthetic magnetic resonance imaging (SyMRI) technology in the research of cognitive impairment disorders.A comprehensive literature search was conducted to identify relevant studies on the use of SyMRI in the assessment and management of cognitive impairment disorders. The search was performed by querying PubMed, Web of Science, MEDLINE, Embase, and the China National Knowledge Infrastructure (CNKI) databases. Cognitive impairment disorders can lead to a decline in activities of daily living, affecting patients' social functioning and quality of life, and even the loss of independent living ability, bringing a serious burden to families and society. SyMRI is a novel imaging technique that can provide both structural information and quantitative data, and has shown promising application results in various diseases. The review of existing literature suggests that SyMRI has the potential to contribute to the diagnosis, assessment, early detection, and management of cognitive impairment disorders.The application of SyMRI technology in cognitive impairment disorders is a promising area of research that may provide valuable insights and tools for the clinical management of these conditions. Further studies are warranted to fully explore the potential of this novel imaging technique in this field.</div></div>","PeriodicalId":49541,"journal":{"name":"Seminars in Ultrasound Ct and Mri","volume":"47 1","pages":"Pages 26-33"},"PeriodicalIF":1.9,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145758248","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":"Comparative Evaluation of BI-RADS Classification, Clinical Management, and Diagnostic Performance in Breast Ultrasound Reports Using ChatGPT-4o and DeepSeek-V3","authors":"Duygu Erkal , Mehmet Tonkaz , Tümay Bekci , Gökhan Tonkaz","doi":"10.1053/j.sult.2025.10.002","DOIUrl":"10.1053/j.sult.2025.10.002","url":null,"abstract":"<div><div>This study aimed to compare the Breast Imaging Reporting and Data System (BI-RADS) classifications, clinical management recommendations, and diagnostic performance of two artificial intelligence (AI) systems—ChatGPT-4o and DeepSeek-V3—with those of an experienced radiologist in interpreting breast ultrasound reports. The clinical inconsistency and referral safety of the AI systems were assessed. A total of 595 breast ultrasound reports were independently and blindly assessed by a radiologist and two AI systems—ChatGPT-4o and DeepSeek-V3. Observers provided BI-RADS categories and management recommendations based on the findings section. Diagnostic performance was assessed using histopathological diagnosis or ≥ 24-month follow-up as the standard. Clinical inconsistency means discordance between the BI-RADS categories and corresponding recommendations. Referral safety was quantified using a standardized referral safety score. Interobserver agreement was substantial for both BI-RADS classification (κ = 0.65) and management recommendations (κ = 0.79). The radiologist recorded the highest malignancy detection sensitivity (0.989), followed by DeepSeek-V3 (0.968) and ChatGPT (0.927). Specificity (0.735–0.753) and negative predictive values (0.981–0.997) were comparable across the models, while positive predictive values were limited (0.403–0.436). BI-RADS and management recommendations for ChatGPT were consistent, whereas DeepSeek-V3 had a 0.4% rate (p >.05). Referral safety scores were similar (ChatGPT: 0.44; DeepSeek-V3: 0.46). ChatGPT-4o and DeepSeek-V3 demonstrated substantial consistency with expert interpretations and acceptable diagnostic performance in US breast evaluations. Although radiologists demonstrated the most accurate and balanced performance, these findings suggest that ChatGPT-4o and DeepSeek-V3 may aid radiology decision support, pending further validation.</div></div>","PeriodicalId":49541,"journal":{"name":"Seminars in Ultrasound Ct and Mri","volume":"47 1","pages":"Pages 17-25"},"PeriodicalIF":1.9,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145758202","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 Founding Editor","authors":"Howard W. Raymond","doi":"10.1053/j.sult.2026.01.005","DOIUrl":"10.1053/j.sult.2026.01.005","url":null,"abstract":"","PeriodicalId":49541,"journal":{"name":"Seminars in Ultrasound Ct and Mri","volume":"47 1","pages":"Pages 1-2"},"PeriodicalIF":1.9,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146229529","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}
Zhiqi Zhang MD , Nan Wang MD , Xueliang Yan MD , Fang Nie MD, PhD
{"title":"The Value of Double Contrast-Enhanced Ultrasonography in the Differential Diagnosis of Gastric Submucosal Tumors and the Assessment of the Malignant Risk of Gastrointestinal Stromal Tumors","authors":"Zhiqi Zhang MD , Nan Wang MD , Xueliang Yan MD , Fang Nie MD, PhD","doi":"10.1053/j.sult.2025.10.001","DOIUrl":"10.1053/j.sult.2025.10.001","url":null,"abstract":"<div><div>To explore the clinical application value of double contrast-enhanced ultrasound (DCEUS), which combines oral contrast-enhanced ultrasound (OCEUS) with intravenous contrast-enhanced ultrasound (ICEUS), for the differential diagnosis of gastric submucosal tumors (SMTs) and assessment of their malignant risk, with a focus on distinguishing gastrointestinal stromal tumors (GISTs) from benign SMTs. We retrospectively analysed 276 patients with gastric SMTs admitted to our hospital from January 2019 to January 2024, all of whom completed gastric DCEUS before surgery or endoscopic biopsy. Pathological findings served as the gold standard, with all malignant/potentially malignant lesions confirmed as GISTs. Patients were divided into two groups: benign SMTs and GISTs. We analyzed clinical and imaging features, and performed binary logistic regression to identify independent risk factors and construct a prediction model. The model's performance was evaluated using receiver operating characteristic (ROC) curves, and internal validation was performed. Time-intensity curves (TIC) were generated using VueBox. Of 276 patients, 183 (66.3%) had GISTs, and 93 (33.7%) had benign SMTs. Multivariate logistic analysis showed that age, gender, location, layer of origin, enhancement degree, and homogeneity were independent predictors for distinguishing GISTs from benign SMTs. The prediction model had an area under the curve (AUC) of 0.84, accuracy of 80%, sensitivity of 73%, specificity of 84%, positive predictive value (PPV) of 70%, and negative predictive value (NPV) of 86%. Internal validation confirmed stability. TIC analysis showed higher PE and shorter RT in GISTs than benign lesions. DCEUS enhances the ability to distinguish GISTs from benign SMTs by integrating tumor morphology, hemodynamics, and clinical features. Heterogeneous high enhancement may serve as a potential imaging marker for intermediate-high-risk GIST stratification. The Nomogram model provides a quantitative tool for individualized risk assessment.</div></div>","PeriodicalId":49541,"journal":{"name":"Seminars in Ultrasound Ct and Mri","volume":"47 1","pages":"Pages 3-16"},"PeriodicalIF":1.9,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145758212","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}
Javeria Khan , Fatima Batool , Arif Rasheed , Syed Muhammad Yousuf Farooq , Syed Amir Gilani , Syeda Khadija
{"title":"Accuracy of Ultrasound for the Diagnosis of Peripheral Vascular Disease in Diabetic Foot: A Systematic Review","authors":"Javeria Khan , Fatima Batool , Arif Rasheed , Syed Muhammad Yousuf Farooq , Syed Amir Gilani , Syeda Khadija","doi":"10.1053/j.sult.2025.12.002","DOIUrl":"10.1053/j.sult.2025.12.002","url":null,"abstract":"<div><div>Peripheral vascular disease is a significant cause of diabetic foot complications, resulting in delayed wound healing, ulceration, and amputation. This systematic review compared the diagnostic accuracy of ultrasound, such as duplex Doppler and color-flow imaging, in diagnosing peripheral vascular disease in diabetic foot patients. In accordance with Preferred Reporting Items for Systematic Reviews and Meta-Analyses 2020 guidelines, a systematic search of PubMed, Scopus, Web of Science, and Embase with gray literature sources yielded 687 English-language records from January 2015 up to July 15, 2025, the last day of searching. Forty-two studies that fulfilled the inclusion criteria, involving 6168 patients, were selected and evaluated for sensitivity, specificity, and methodological quality using the QUADAS-2 tool. Overall across studies, unweighted sensitivity varied from 79%-95.2% (mean 89.46%) and specificity from 80%-94.7% (mean 90.05%). Prospective study design and the use of high-frequency probes (≥12 MHz) were linked to greater accuracy, especially in the identification of superficial tibial vessel disease. Diagnostic performance was affected by probe frequency, operator skill, patient factors such as obesity or arterial calcification, and reference standard variability. Secondary results involved sparse venous information, where two-thirds of patients undergoing imaging for venous disease had deep vein thrombosis. No meta-analysis was undertaken because there was important heterogeneity between studies in terms of design, population, and endpoints. Ultrasonography—in particular duplex Doppler—is seen to have high diagnostic usefulness, providing a low-cost, non-invasive option for digital subtraction angiography, though protocols need to be standardized and more prospective studies conducted to maximize its use in diabetic foot treatment.</div></div>","PeriodicalId":49541,"journal":{"name":"Seminars in Ultrasound Ct and Mri","volume":"47 1","pages":"Pages 54-66"},"PeriodicalIF":1.9,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145776186","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}
Tongtong Tian , liqin Liu , Jun Sun , Jianxiong Fu , Xianfu Luo , Jing Ye , Guangyu Tang
{"title":"Multidelay Pseudocontinuous Arterial Spin Labelling and Conventional Single-delay Pseudocontinuous Arterial Spin Labelling In Nasopharyngeal Carcinoma: Correlation with Dynamic Contrast-enhanced Magnetic Resonance Imaging","authors":"Tongtong Tian , liqin Liu , Jun Sun , Jianxiong Fu , Xianfu Luo , Jing Ye , Guangyu Tang","doi":"10.1053/j.sult.2025.10.004","DOIUrl":"10.1053/j.sult.2025.10.004","url":null,"abstract":"<div><div>The purpose of this prospective study was to investigate the potential correlations among three perfusion methods—multidelay pseudocontinuous arterial spin labelling (MD-PCASL), conventional single-delay pseudocontinuous arterial spin labelling (SD-PCASL), and dynamic contrast-enhanced magnetic resonance imaging (DCE-MRI)—in patients with locoregionally advanced nasopharyngeal carcinoma (ANPC). Forty-seven patients with locoregional ANPC were prospectively recruited. Two observers independently calculated the MD-PCASL parameters, including the ATT-corrected tumour blood flow (c-TBF), arterial transit time (ATT), and arterial tumour blood volume (aTBV); the SD-PCASL parameters, including the noncorrected tumour blood flow (nc-TBF); and the DCE-MRI quantitative parameters, including K<sup>trans</sup>, K<sub>ep</sub>, V<sub>e</sub>, and V<sub>p</sub>. The intra- and interobserver agreement was evaluated via the intraclass correlation coefficient (ICC) and Bland<img>Altman analysis. Relationships between the MD-PCASL, SD-PCASL and DCE-MRI parameters were assessed via Spearman’s rank correlation. The intra- and interobserver reproducibility were excellent, with ICCs ranging from 0.81 to 0.997 and a narrow width of 95% limits of agreement. A good positive correlation was observed between MD-PCASL-related perfusion parameters (c-TBF, aTBV) and DCE-MRI parameters (K<sup>trans</sup>, K<sub>ep</sub>) (Spearman’s rank correlation coefficients: 0.61 to 0.71, p < 0.001). The SD-PCASL (nc-TBF) values were fairly correlated with K<sup>trans</sup> (p<0.001, r = 0.53) and K<sub>ep</sub> (p<0.001, r=0.51). In addition, there was a good correlation between the MD-PCASL-related perfusion parameters (c-TBF) and the SD-PCASL parameters (nc-TBF) (Spearman’s rank correlation coefficients: 0.70, p < 0.001). No correlation was detected between MD-PCASL-related perfusion parameters (c-TBF and aTBV), SD-PCASL (nc-TBF) and DCE-MRI parameters (V<sub>e</sub> and V<sub>p</sub>) (Spearman’s rank correlation coefficients: 0.07 to 0.145, p > 0.05). MD-PCASL multiparametric perfusion, SD-PCASL single-parameter perfusion and quantitative DCE-MRI parameters were correlated and reproducible in the assessment of ANPC. Although SD-PCASL demonstrated a fair correlation with DCE-MRI, the correlation was inferior to that of MD-PCASL with multiple parameters. MD-PCASL, as a noninvasive perfusion imaging tool, may become an alternative for assessing ANPC perfusion levels in the future.</div></div>","PeriodicalId":49541,"journal":{"name":"Seminars in Ultrasound Ct and Mri","volume":"47 1","pages":"Pages 34-45"},"PeriodicalIF":1.9,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145758209","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}
Hongbiao Sun MD , Yanqing Ma MD , Chenyuanying Long MD , Tianyi Xing MS , Junxian Liao MD , Qinling Jiang MD , Shaochun Xu MD , Xiang Wang MD , Yi Xiao MD, PhD , Shiyuan Liu MD, PhD
{"title":"The Role and Challenge of Knee Cartilage Magnetic Resonance Imaging in Early Diagnosis of Knee Osteoarthritis: A Literature Review","authors":"Hongbiao Sun MD , Yanqing Ma MD , Chenyuanying Long MD , Tianyi Xing MS , Junxian Liao MD , Qinling Jiang MD , Shaochun Xu MD , Xiang Wang MD , Yi Xiao MD, PhD , Shiyuan Liu MD, PhD","doi":"10.1053/j.sult.2025.12.001","DOIUrl":"10.1053/j.sult.2025.12.001","url":null,"abstract":"<div><div>Osteoarthritis is one of the most prevalent diseases in society today, resulting in significant socio-economic costs, and knee osteoarthritis (KOA) is the most common type. Articular cartilage degeneration is the key pathological change of osteoarthritis, and cartilage plays a vital role in early diagnosis. With the advancement of science and technology, magnetic resonance imaging (MRI) became widely used in KOA as a non-invasive imaging tool for direct display of articular cartilage. This article explores the advantages, limitations, and improvement strategies of knee cartilage MRI in early diagnosis of KOA, aiming to provide a comprehensive understanding of its clinical significance. Compositional MRI can detect changes in tissue biochemical components before morphological changes occur, and quantitative and semi-quantitative methods can systematically evaluate minor changes in cartilage, exploring new biomarkers for early detection. Under the guidance of deep learning, high-resolution 3-dimensional technology, and super-resolution reconstruction technology, cartilage can be assessed more accurately and quickly, accelerating clinical transformation and enabling early intervention and management in the early stage of reversible cartilage recovery. Knee cartilage MRI can help us better perform early diagnosis of KOA. We should grasp the cartilage MRI in the early stage of the disease, improve the early diagnosis and treatment process and diagnostic classification criteria, accelerate the development of deep learning algorithms and new scanning methods, and push new technologies to the clinic as soon as possible.</div></div>","PeriodicalId":49541,"journal":{"name":"Seminars in Ultrasound Ct and Mri","volume":"47 1","pages":"Pages 46-53"},"PeriodicalIF":1.9,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145776221","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}
Antonio Eustáquio D. Silva Júnior MD , Pedro Augusto Froldi Vieira MD , Andrei S. Albuquerque MD , Marina S. Fong MD , Lorena Luryann Cartaxo da Silva MD , Igor Rother César de Oliveira MD , Augusto César de Macedo Neto MD , Aley Talans MD , Eduardo O. Pacheco MD , Ulysses S. Torres MD, PhD , Giuseppe D‘Ippolito MD, PhD
{"title":"Computed Tomographic Angiography in Postoperative Evaluation of Abdominal Aortic Aneurysms: Pearls, Pitfalls, and Complications","authors":"Antonio Eustáquio D. Silva Júnior MD , Pedro Augusto Froldi Vieira MD , Andrei S. Albuquerque MD , Marina S. Fong MD , Lorena Luryann Cartaxo da Silva MD , Igor Rother César de Oliveira MD , Augusto César de Macedo Neto MD , Aley Talans MD , Eduardo O. Pacheco MD , Ulysses S. Torres MD, PhD , Giuseppe D‘Ippolito MD, PhD","doi":"10.1053/j.sult.2025.09.004","DOIUrl":"10.1053/j.sult.2025.09.004","url":null,"abstract":"<div><div>Abdominal aortic aneurysm (AAA) is a potentially life-threatening dilation of the aorta, with rupture posing the greatest risk. Surgical management includes both open repair and endovascular aneurysm repair (EVAR), with computed tomography angiography (CTA) serving as the gold standard for preoperative planning, postoperative follow-up, and complication detection. This pictorial review illustrates key imaging features and common complications after AAA repair, including endoleak, graft thrombosis, device migration, and aortoenteric fistulas. It also outlines the imaging appearances of different graft systems (Anaconda™, Ovation™, and snorkel stents) used in EVAR, as well as the classic features of open surgical repair. Given the complexity of graft designs and the spectrum of potential complications, radiologists play a central role in identifying adverse outcomes and ensuring timely clinical intervention. Familiarity with post-treatment imaging findings is essential for accurate interpretation, complication recognition, and improved patient outcomes.</div></div>","PeriodicalId":49541,"journal":{"name":"Seminars in Ultrasound Ct and Mri","volume":"46 6","pages":"Pages 450-459"},"PeriodicalIF":1.9,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145041961","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}