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Artificial Intelligence Applications for Imaging Metabolic Bone Diseases. 人工智能在骨代谢疾病成像中的应用。
IF 0.9 4区 医学
Seminars in Musculoskeletal Radiology Pub Date : 2024-10-01 Epub Date: 2024-10-15 DOI: 10.1055/s-0044-1789218
Amanda Isaac, Asli Irmak Akdogan, Danoob Dalili, Nuran Saber, David Drobny, Giuseppe Guglielmi, Marc Modat, Alberto Bazzocchi
{"title":"Artificial Intelligence Applications for Imaging Metabolic Bone Diseases.","authors":"Amanda Isaac, Asli Irmak Akdogan, Danoob Dalili, Nuran Saber, David Drobny, Giuseppe Guglielmi, Marc Modat, Alberto Bazzocchi","doi":"10.1055/s-0044-1789218","DOIUrl":"https://doi.org/10.1055/s-0044-1789218","url":null,"abstract":"<p><p>Artificial intelligence (AI) has significantly impacted the field of medical imaging, particularly in diagnosing and managing metabolic bone diseases (MBDs) such as osteoporosis and osteopenia, Paget's disease, osteomalacia, and rickets, as well as rare conditions such as osteitis fibrosa cystica and osteogenesis imperfecta. This article provides an in-depth analysis of AI techniques used in imaging these conditions, recent advancements, and their clinical applications. It also explores ethical considerations and future perspectives. Through comprehensive examination and case studies, we highlight the transformative potential of AI in enhancing diagnostic accuracy, improving patient outcomes, and contributing to personalized medicine. By integrating AI with existing imaging techniques, we can significantly enhance the capabilities of medical imaging in diagnosing, monitoring, and treating MBDs. We also provide a comprehensive overview of the current state, challenges, and future prospects of AI applications in this crucial area of health care.</p>","PeriodicalId":49545,"journal":{"name":"Seminars in Musculoskeletal Radiology","volume":"28 5","pages":"610-619"},"PeriodicalIF":0.9,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142479008","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}
引用次数: 0
Imaging of Body Composition. 身体成分成像。
IF 0.9 4区 医学
Seminars in Musculoskeletal Radiology Pub Date : 2024-10-01 Epub Date: 2024-10-15 DOI: 10.1055/s-0044-1788887
Silvia Gazzotti, Rebecca Sassi, Maria Pilar Aparisi Gómez, Riccardo Guglielmi, Violeta Vasilevska Nikodinovska, Carmelo Messina, Giuseppe Guglielmi, Alberto Bazzocchi
{"title":"Imaging of Body Composition.","authors":"Silvia Gazzotti, Rebecca Sassi, Maria Pilar Aparisi Gómez, Riccardo Guglielmi, Violeta Vasilevska Nikodinovska, Carmelo Messina, Giuseppe Guglielmi, Alberto Bazzocchi","doi":"10.1055/s-0044-1788887","DOIUrl":"https://doi.org/10.1055/s-0044-1788887","url":null,"abstract":"<p><p>Body composition is now recognized to have a major impact on health and disease. Imaging enables its analysis in an objective and quantitative way through diverse techniques such as dual-energy X-ray absorptiometry, computed tomography, magnetic resonance imaging, and ultrasonography. This review article first surveys the methodological aspects underpinning the use of these modalities to assess body composition, highlighting their strengths and limitations as well as the set of parameters that they measure and their clinical relevance. It then provides an update on the main applications of body composition imaging in current practice, with a focus on sarcopenia, obesity, lipodystrophies, cancer, and critical care. We conclude by considering the emerging role of artificial intelligence in the analysis of body composition, enabling the extraction of numerous metrics with the potential to refine prognostication and management across a number of pathologies, paving the way toward personalized medicine.</p>","PeriodicalId":49545,"journal":{"name":"Seminars in Musculoskeletal Radiology","volume":"28 5","pages":"594-609"},"PeriodicalIF":0.9,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142479012","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}
引用次数: 0
Two Decades of High-Resolution Peripheral Quantitative Computed Tomography: Present and Future Clinical Perspectives. 高分辨率外周定量计算机断层扫描二十年：现在和未来的临床前景
IF 0.9 4区 医学
Seminars in Musculoskeletal Radiology Pub Date : 2024-10-01 Epub Date: 2024-10-15 DOI: 10.1055/s-0044-1788623
Steven K Boyd
{"title":"Two Decades of High-Resolution Peripheral Quantitative Computed Tomography: Present and Future Clinical Perspectives.","authors":"Steven K Boyd","doi":"10.1055/s-0044-1788623","DOIUrl":"https://doi.org/10.1055/s-0044-1788623","url":null,"abstract":"<p><p>Twenty years have passed since the introduction of high-resolution peripheral quantitative computed tomography (HR-pQCT) to assess human bone microarchitecture. During that time, the technique has emerged as an important research tool used by clinicians and scientists to learn about the pathophysiology of bone adaptation in the context of osteoporosis and many other bone-affected conditions. Its rich three-dimensional data is well suited for precise longitudinal monitoring of bone microarchitecture and associated patient-specific estimated bone strength.However, uptake of HR-pQCT as a clinical diagnostic tool has been limited, in part due to challenges such as availability, regulatory approvals, and demonstrated cost effectiveness. New research suggests fracture risk assessment using HR-pQCT is comparable with current standards based on traditional bone densitometry, but its contribution to clinical care is best suited to two areas: (1) leveraging microarchitectural information to assist in treatment decisions for the large subset of patients who lie in the so-called gray zone by current fracture risk assessment, and (2) longitudinal monitoring that establishes highly refined trajectories of bone adaptation and can inform decisions to initiate treatment, monitor treatment effects, and inform cessation.</p>","PeriodicalId":49545,"journal":{"name":"Seminars in Musculoskeletal Radiology","volume":"28 5","pages":"560-575"},"PeriodicalIF":0.9,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142479021","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}
引用次数: 0
DXA: New Concepts and Tools Beyond Bone Mineral Density. DXA：超越骨矿密度的新概念和新工具。
IF 0.9 4区 医学
Seminars in Musculoskeletal Radiology Pub Date : 2024-10-01 Epub Date: 2024-10-15 DOI: 10.1055/s-0044-1788579
Irene Carmen Pizza, Alessia Bongiorno, Martina Pedullà, Domenico Albano, Luca Maria Sconfienza, Carmelo Messina
{"title":"DXA: New Concepts and Tools Beyond Bone Mineral Density.","authors":"Irene Carmen Pizza, Alessia Bongiorno, Martina Pedullà, Domenico Albano, Luca Maria Sconfienza, Carmelo Messina","doi":"10.1055/s-0044-1788579","DOIUrl":"https://doi.org/10.1055/s-0044-1788579","url":null,"abstract":"<p><p>Since its introduction in 1987, dual-energy X-ray absorptiometry (DXA) has revolutionized bone assessment, becoming the gold standard for measuring bone mineral density (BMD). Its low radiation exposure and high accuracy have made it indispensable in diagnosing osteoporosis, aligning with World Health Organization criteria. However, DXA evolution extends beyond BMD measurement, with emerging tools like the Trabecular Bone Score (TBS) and the DXA-based Bone Strain Index (BSI). TBS provides insights into trabecular bone architecture, enhancing the prediction of fracture risk. Despite limitations like body mass index correlation, TBS aids in evaluating patients with conditions such as diabetes and glucocorticoid exposure. BSI, introduced in 2019, evaluates bone strength using finite element analysis, complementing BMD and TBS by assessing bone fatigue.Advancements in DXA-based tools extend to Hip Structural Analysis and three-dimensional DXA software, offering valuable insights into hip fracture risk. Moreover, DXA serves beyond bone assessment, aiding in abdominal aortic calcification assessment, enhancing cardiovascular risk stratification. In summary, the expanding capabilities of DXA promise comprehensive skeletal and cardiovascular health evaluation, contributing significantly to clinical management and prevention strategies.</p>","PeriodicalId":49545,"journal":{"name":"Seminars in Musculoskeletal Radiology","volume":"28 5","pages":"528-538"},"PeriodicalIF":0.9,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142479010","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}
引用次数: 0
Bone Marrow and Metabolic Bone Disease. 骨髓和代谢性骨病。
IF 0.9 4区 医学
Seminars in Musculoskeletal Radiology Pub Date : 2024-10-01 Epub Date: 2024-10-15 DOI: 10.1055/s-0044-1788692
Maria Pilar Aparisi Gómez, Alberto Bazzocchi
{"title":"Bone Marrow and Metabolic Bone Disease.","authors":"Maria Pilar Aparisi Gómez, Alberto Bazzocchi","doi":"10.1055/s-0044-1788692","DOIUrl":"https://doi.org/10.1055/s-0044-1788692","url":null,"abstract":"<p><p>The bone marrow represents one of the largest organs in the body, with a relevant metabolic role that continues to be investigated. Numerous studies have focused on marrow adipose tissue (MAT). Evidence indicates that the bone marrow adipocytes do not only work as storage tissue but also consist of endocrine and paracrine cells, with the potential to contribute to local and systemic metabolism. MAT plays a role in bone health through its interaction with the other components of bone. Many metabolic disorders (osteoporosis, obesity, diabetes) have a complex and still not well-established or understood relationship with bone health. This article surveys the literature on the relationship of bone marrow and metabolic disorders, and how it is being studied using imaging techniques, with a special focus on bone health.</p>","PeriodicalId":49545,"journal":{"name":"Seminars in Musculoskeletal Radiology","volume":"28 5","pages":"515-527"},"PeriodicalIF":0.9,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142479009","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}
引用次数: 0
Opportunistic Screening of Bone Fragility Using Computed Tomography. 利用计算机断层扫描对骨质脆性进行机会性筛查。
IF 0.9 4区 医学
Seminars in Musculoskeletal Radiology Pub Date : 2024-10-01 Epub Date: 2024-10-15 DOI: 10.1055/s-0044-1788816
Julian B Herrera Acevedo, Leon Lenchik, Ashley A Weaver, Robert D Boutin, Scott Wuertzer
{"title":"Opportunistic Screening of Bone Fragility Using Computed Tomography.","authors":"Julian B Herrera Acevedo, Leon Lenchik, Ashley A Weaver, Robert D Boutin, Scott Wuertzer","doi":"10.1055/s-0044-1788816","DOIUrl":"https://doi.org/10.1055/s-0044-1788816","url":null,"abstract":"<p><p>Opportunistic screening uses existing imaging studies for additional diagnostic insights without imposing further burden on patients. We explore the potential of opportunistic computed tomography (CT) screening for osteoporosis, a condition affecting 500 million people globally and leading to significant health care costs and fragility fractures. Although dual-energy X-ray absorptiometry (DXA) remains the gold standard for diagnosing osteoporosis, > 50% of fractures occur in individuals not screened previously with DXA. With recent advancements in technology, CT has emerged as the most promising tool for opportunistic screening due to its wide use and the ability to provide quantitative measurements of bone attenuation, a surrogate of bone mineral density. This article discusses the technical considerations, calibration methods, and potential benefits of CT for osteoporosis screening. It also explores the role of automation, supervised and unsupervised, in streamlining the diagnostic process, improving accuracy, and potentially developing new biomarkers of bone health. The potential addition of radiomics and genomics is also highlighted, showcasing the synergy between genetic and imaging data for a more comprehensive understanding of osteoporosis pathophysiology and with it possible novel osteoporosis therapies. The future of opportunistic CT screening holds significant promise, with automation and advanced image processing ultimately enhancing patient care, reducing rates of osteoporotic fractures, and improving patient outcomes.</p>","PeriodicalId":49545,"journal":{"name":"Seminars in Musculoskeletal Radiology","volume":"28 5","pages":"620-627"},"PeriodicalIF":0.9,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142479017","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}
引用次数: 0
Inflammatory Pseudotumor of the Ulnar Nerve Mimicking a Malignant Peripheral Nerve Sheath Tumor: A Radiologic Puzzle. 模仿恶性周围神经鞘瘤的尺神经炎性假瘤：放射学之谜
IF 0.9 4区 医学
Seminars in Musculoskeletal Radiology Pub Date : 2024-10-01 Epub Date: 2024-10-15 DOI: 10.1055/s-0044-1788578
Eimantas Abelkis, Kirsten van Langevelde, Thom Doeleman, Justus Groen, Ana Navas Cañete
{"title":"Inflammatory Pseudotumor of the Ulnar Nerve Mimicking a Malignant Peripheral Nerve Sheath Tumor: A Radiologic Puzzle.","authors":"Eimantas Abelkis, Kirsten van Langevelde, Thom Doeleman, Justus Groen, Ana Navas Cañete","doi":"10.1055/s-0044-1788578","DOIUrl":"10.1055/s-0044-1788578","url":null,"abstract":"<p><p>Inflammatory pseudotumor (IPT) of a peripheral nerve is a rare non-neoplastic tumefactive inflammatory condition, often mimicking malignancy. The etiology of this condition is still unknown. Clinically and radiologically, the lesion can mimic a malignant tumor. This case report represents, as far as we know, the first publication describing the ultrasonography findings and the results of advanced dynamic contrast-enhanced magnetic resonance imaging (MRI) and diffusion-weighted MRI of IPT in a peripheral nerve. Suspicion of this entity on imaging can speed up the definitive diagnosis and potentially avoid overly radical treatment.</p>","PeriodicalId":49545,"journal":{"name":"Seminars in Musculoskeletal Radiology","volume":"28 5","pages":"651-656"},"PeriodicalIF":0.9,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142479014","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}
引用次数: 0
Metabolic Bone Diseases: Recommendations for Interventional Radiology. 代谢性骨病：对介入放射学的建议。
IF 0.9 4区 医学
Seminars in Musculoskeletal Radiology Pub Date : 2024-10-01 Epub Date: 2024-10-15 DOI: 10.1055/s-0044-1788580
Antonio Di Donna, Salvatore Masala, Gianluca Muto, Stefano Marcia, Flavio Giordano, Mario Muto
{"title":"Metabolic Bone Diseases: Recommendations for Interventional Radiology.","authors":"Antonio Di Donna, Salvatore Masala, Gianluca Muto, Stefano Marcia, Flavio Giordano, Mario Muto","doi":"10.1055/s-0044-1788580","DOIUrl":"https://doi.org/10.1055/s-0044-1788580","url":null,"abstract":"<p><p>Metabolic bone diseases (MBDs), including osteoporosis, osteomalacia, and Paget's disease, represent a significant challenge in medical imaging and intervention. Interventional radiologists play a pivotal role in managing these conditions, due to the crucial role of detailed and precise imaging in diagnosing and treating MBDs. This article offers comprehensive recommendations aimed at optimizing interventional radiologic practices for patients with MBDs, highlighting the importance of using advanced imaging modalities, including dual-energy X-ray absorptiometry and magnetic resonance imaging, essential for accurate assessment of bone mineral density and architecture, guiding effective intervention strategies. We also discuss the use of minimally invasive procedures like vertebroplasty and biopsy, vital for both diagnostic and therapeutic purposes, to enhance diagnostic accuracy and therapeutic outcomes, ensuring high-quality patient management in the context of MBDs.</p>","PeriodicalId":49545,"journal":{"name":"Seminars in Musculoskeletal Radiology","volume":"28 5","pages":"641-650"},"PeriodicalIF":0.9,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142479016","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}
引用次数: 0
Imaging of Metabolic Bone Diseases. 代谢性骨病的成像。
IF 0.9 4区 医学
Seminars in Musculoskeletal Radiology Pub Date : 2024-10-01 Epub Date: 2024-10-15 DOI: 10.1055/s-0044-1789256
Alberto Bazzocchi, Giuseppe Guglielmi
{"title":"Imaging of Metabolic Bone Diseases.","authors":"Alberto Bazzocchi, Giuseppe Guglielmi","doi":"10.1055/s-0044-1789256","DOIUrl":"10.1055/s-0044-1789256","url":null,"abstract":"","PeriodicalId":49545,"journal":{"name":"Seminars in Musculoskeletal Radiology","volume":"28 5","pages":"513-514"},"PeriodicalIF":0.9,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142479013","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}
引用次数: 0
Radiofrequency Echographic Multi-Spectrometry in the Diagnosis of Metabolic Bone Disease. 射频超声多谱勒诊断代谢性骨病。
IF 0.9 4区 医学
Seminars in Musculoskeletal Radiology Pub Date : 2024-10-01 Epub Date: 2024-10-15 DOI: 10.1055/s-0044-1788885
Rossella Gifuni, Manuela Montatore, Riccardo Guglielmi, Alberto Bazzocchi, Carmelo Messina, Giuseppe Guglielmi
{"title":"Radiofrequency Echographic Multi-Spectrometry in the Diagnosis of Metabolic Bone Disease.","authors":"Rossella Gifuni, Manuela Montatore, Riccardo Guglielmi, Alberto Bazzocchi, Carmelo Messina, Giuseppe Guglielmi","doi":"10.1055/s-0044-1788885","DOIUrl":"https://doi.org/10.1055/s-0044-1788885","url":null,"abstract":"<p><p>Dual-energy X-ray absorptiometry (DXA) and bone mineral density (BMD) pose several limitations in some patient categories, such as pregnant women and young people. This review article explores whether the innovative radiofrequency echographic multi-spectrometry (REMS) technology is beneficial for assessing the bone condition of various patient groups. Common consequences in patients with acromegalia, prostate cancer undergoing hormone therapy, osteogenesis imperfecta, anorexia nervosa, and in a peritoneal dialysis setting include decreased BMD and an increased risk of fragility fracture.DXA is currently regarded as the gold standard for BMD assessment. However, using the DXA technique has several drawbacks in a young patient who requires repeated BMD tests because it uses ionizing radiation. Because of its precision and consistency, the REMS technique may be a valuable tool to assess changes in bone condition in patients of all ages, particularly in female patients who are fertile or who are pregnant or nursing.</p>","PeriodicalId":49545,"journal":{"name":"Seminars in Musculoskeletal Radiology","volume":"28 5","pages":"547-556"},"PeriodicalIF":0.9,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142479018","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}
引用次数: 0
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