Clinical Imaging最新文献_第10页

Establishing robust governance of clinical artificial intelligence software – Why radiologists should lead 建立健全的临床人工智能软件管理机制--为什么放射科医生应发挥带头作用

IF 2.1 4区医学

Clinical Imaging Pub Date : 2024-04-20 DOI: 10.1016/j.clinimag.2024.110163

Joseph J. Cavallo, Melissa A. Davis

引用次数: 0

Thyroid abnormalities identified on CT screening for lung cancer 肺癌 CT 筛查发现甲状腺异常

IF 2.1 4区医学

Clinical Imaging Pub Date : 2024-04-20 DOI: 10.1016/j.clinimag.2024.110162

Maaike van Gerwen , Teng Ma , Rowena Yip , Chris Choi , Natela Paksashvili , David Yankelevitz , Claudia Henschke

{"title":"Thyroid abnormalities identified on CT screening for lung cancer","authors":"Maaike van Gerwen , Teng Ma , Rowena Yip , Chris Choi , Natela Paksashvili , David Yankelevitz , Claudia Henschke","doi":"10.1016/j.clinimag.2024.110162","DOIUrl":"10.1016/j.clinimag.2024.110162","url":null,"abstract":"<div><h3>Purpose</h3><p>Because incidental thyroid nodules (ITNs) are common extrapulmonary findings in low-dose computed tomography (LDCT) scans for lung cancer screening, we aimed to investigate the frequency of ITNs on LDCT scans separately on baseline and annual repeat scans, the frequency of malignancy among the ITNs, and any association with demographic, clinical, CT characteristics.</p></div><div><h3>Methods</h3><p>Retrospective case series of all 2309 participants having baseline and annual repeat screening in an Early Lung and Cardiac Action Program (MS-ELCAP) LDCT lung screening program from January 2010 to December 2016 was performed. Frequency of ITNs in baseline and annual repeat rounds were determined. Multivariable regression analysis was performed to identify significant predictors.</p></div><div><h3>Results</h3><p>Dominant ITNs were seen in 2.5 % of 2309 participants on baseline and in 0.15 % of participants among 4792 annual repeat LDCTs. The low incidence of new ITNs suggests slow growth as it would take approximately an average of 16.8 years for a new ITN to be detected on annual rounds of screening. Newly detected ITNs on annual repeat LDCT were all smaller than 15 mm. Regression analysis showed that the increasing of age, coronary artery calcifications score and breast density grade were significant predictors for females having an ITN. No significant predictors were found for ITNs in males.</p></div><div><h3>Conclusion</h3><p>ITNs are detected at LDCT however, no malignancy was found. Certain predictors for ITNs in females have been identified including breast density, which may point towards a common causal pathway.</p></div>","PeriodicalId":50680,"journal":{"name":"Clinical Imaging","volume":null,"pages":null},"PeriodicalIF":2.1,"publicationDate":"2024-04-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140791676","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

I saw the “sea anemone” sign: Puffy face of borderline ovarian tumors 我看到了 "海葵 "的标志：边缘性卵巢肿瘤的浮肿面孔

IF 2.1 4区医学

Clinical Imaging Pub Date : 2024-04-16 DOI: 10.1016/j.clinimag.2024.110151

Yesim Yekta Yuruk , Hilal Sahin

引用次数: 0

Women in leadership matters: Achieving diversity in radiology residency recruitment 领导层中的女性很重要：实现放射科住院医师招聘的多样性

IF 2.1 4区医学

Clinical Imaging Pub Date : 2024-04-12 DOI: 10.1016/j.clinimag.2024.110144

Heather A. Cole , Lars J. Grimm , Toma S. Omofoye , Erin A. Cooke , Darel E. Heitkamp , Megan K. Mills , Morlie Wang , Charles M. Maxfield , Teresa Chapman

{"title":"Women in leadership matters: Achieving diversity in radiology residency recruitment","authors":"Heather A. Cole , Lars J. Grimm , Toma S. Omofoye , Erin A. Cooke , Darel E. Heitkamp , Megan K. Mills , Morlie Wang , Charles M. Maxfield , Teresa Chapman","doi":"10.1016/j.clinimag.2024.110144","DOIUrl":"10.1016/j.clinimag.2024.110144","url":null,"abstract":"<div><h3>Rationale and objectives</h3><p>To assess whether academic radiology departments and residency programs with efforts toward supporting and augmenting Diversity, Equity, and Inclusion (DEI) are associated with a higher proportion of residents from diverse backgrounds.</p></div><div><h3>Materials and methods</h3><p>Program Directors within the Radiology Residency Education Research Alliance were surveyed to gather information about program characteristics, incorporation of diversity in resident recruitment, the sponsoring department's commitment to efforts at expanding diversity, and a summary of their current and past residents, staff and faculty members (academic years 2020 and 2023) with respect to a list of diversity characteristics.</p></div><div><h3>Results</h3><p>Survey response rate was 51 %. Sixty-three percent (15/24) of participating programs have departmental committees dedicated to DEI work; 46 % (11/24) of programs' departments have a Vice Chair for DEI. Sixty percent (15/24) of programs use their social media accounts to advertise their DEI programming efforts. Ninety-six percent (23/24) of programs participating in the survey use diversity factors to select candidates for their program. Women Leadership was associated with above-median diversity of residents and faculty.</p></div><div><h3>Conclusion</h3><p>This study of radiology residency programs encourages a more prominent role for women in leadership positions within academic radiology departments to drive diversity and inclusion efforts.</p></div>","PeriodicalId":50680,"journal":{"name":"Clinical Imaging","volume":null,"pages":null},"PeriodicalIF":2.1,"publicationDate":"2024-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140785194","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

Collapse or distention of the perioptic space in children - What does it mean to pediatric radiologists? Comprehensive review of perioptic space evaluation 儿童视神经周围间隙塌陷或膨胀--这对儿科放射医师意味着什么？全面回顾视网膜周围间隙评估

IF 2.1 4区医学

Clinical Imaging Pub Date : 2024-04-10 DOI: 10.1016/j.clinimag.2024.110150

Sriram Jaganathan , Andrew Baker , Adhitya Ram , Venkatram Krishnan , Abdelrahman M. Elhusseiny , Paul H. Philips , Charles M. Glasier , Sateesh Jayappa , Arabinda Choudhary , Raghu Ramakrishnaiah

{"title":"Collapse or distention of the perioptic space in children - What does it mean to pediatric radiologists? Comprehensive review of perioptic space evaluation","authors":"Sriram Jaganathan , Andrew Baker , Adhitya Ram , Venkatram Krishnan , Abdelrahman M. Elhusseiny , Paul H. Philips , Charles M. Glasier , Sateesh Jayappa , Arabinda Choudhary , Raghu Ramakrishnaiah","doi":"10.1016/j.clinimag.2024.110150","DOIUrl":"10.1016/j.clinimag.2024.110150","url":null,"abstract":"<div><p>The perioptic space comprises the subarachnoid space [SAS] of the optic nerve communicating with the SAS of the central nervous system. Pressure variations in the SAS of the central nervous system can be transmitted to the optic papilla through the perioptic space. Variations in the diameter of the perioptic space serve as an important indicator for select intracranial pathologies in the pediatric population. Though the perioptic space can be evaluated using various imaging modalities, MRI is considered highly effective due to its superior soft tissue resolution. With advancement in MR imaging techniques, high-resolution images of the orbits can provide improved visualization of the perioptic space. It is imperative for the pediatric radiologist to routinely assess the perioptic space on brain and orbit MR imaging, as it can prompt exploration for additional features associated with select intracranial pathologies, thus improving diagnostic accuracy. This article reviews basic anatomy of the perioptic space, current understanding of the CSF dynamics between the perioptic space and central nervous system SAS, various imaging modalities utilized in the assessment of the perioptic space, MRI sequences and the optimal parameters of specific sequences, normal appearance of the perioptic space on MR imaging, and various common pediatric pathologies which cause alteration in the perioptic space.</p></div>","PeriodicalId":50680,"journal":{"name":"Clinical Imaging","volume":null,"pages":null},"PeriodicalIF":2.1,"publicationDate":"2024-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140777013","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

A note from the Editor-in-Chief: there are now 16 female ACR gold medal winners 主编致辞：目前已有 16 位女性 ACR 金牌获得者

IF 2.1 4区医学

Clinical Imaging Pub Date : 2024-04-09 DOI: 10.1016/j.clinimag.2024.110149

Elizabeth Kagan Arleo

引用次数: 0

MRI-based radiomic models for the preoperative prediction of extramural venous invasion in rectal cancer: A systematic review and meta-analysis 基于 MRI 的放射学模型用于直肠癌术前预测壁外静脉侵犯：系统回顾和荟萃分析

IF 2.1 4区医学

Clinical Imaging Pub Date : 2024-04-07 DOI: 10.1016/j.clinimag.2024.110146

Yingying Liang , Yaxuan Wei , Fan Xu , Xinhua Wei

{"title":"MRI-based radiomic models for the preoperative prediction of extramural venous invasion in rectal cancer: A systematic review and meta-analysis","authors":"Yingying Liang , Yaxuan Wei , Fan Xu , Xinhua Wei","doi":"10.1016/j.clinimag.2024.110146","DOIUrl":"10.1016/j.clinimag.2024.110146","url":null,"abstract":"<div><h3>Aim</h3><p>To estimate the diagnostic value of magnetic resonance imaging (MRI)-based radiomic models in detecting the extramural venous invasion (EMVI) of rectal cancer.</p></div><div><h3>Materials and methods</h3><p>Appropriate studies in multiple electronic databases were systematically retrieved. The Quality Assessment of Diagnostic Accuracy Studies 2 and Radiomics Quality Score (RQS) were used to evaluate the eligible studies' methodology quality. Summary accuracy metrics were calculated, and the publication bias was detected using Deek's funnel plot. The sensitivity and meta-regression analysis were performed to investigate the causes of heterogeneity.</p></div><div><h3>Results</h3><p>For the seven eligible studies, which included 1175 patients, the pooled sensitivity, specificity, positive likelihood ratio, negative likelihood ratio, and diagnostic odds ratio were 0.80 (95 % CI, 0.70–0.88), 0.89 (95 % CI, 0.84–0.92), 7.0 (95 % CI, 4.7, 10.4), 0.22 (95 % CI, 0.14, 0.34), and 32 (95 % CI, 16, 65), respectively. The area under the receiver operating characteristic curve (AUC) was 0.91 (95 % CI, 0.88, 0.93). Moderate heterogeneity was found due to I<sup>2</sup> values of 38.63 % and 32.29 % in sensitivity and specificity, respectively. Meta-regression analysis suggested that the patient enrollment, number of patients, segmentation method, and RQS score were the source of the heterogeneity. The head-to-head analysis suggested that radiomics model had a higher sensitivity for detection of EMVI than subjective evaluation by radiologist (0.47 vs. 0.73, p ≤ 0.001).</p></div><div><h3>Conclusion</h3><p>Our study suggests that MRI-based radiomic models have good diagnostic value in detecting EMVI for rectal cancer patients. Nevertheless, more prospective and high-quality studies with larger sample sizes are needed in the future to validate these results.</p></div>","PeriodicalId":50680,"journal":{"name":"Clinical Imaging","volume":null,"pages":null},"PeriodicalIF":2.1,"publicationDate":"2024-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140788677","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

Bringing color to whitewashed hospital walls: The life and career of Elizabeth A. Patterson, MD, FACR 为粉刷一新的医院墙壁增添色彩：伊丽莎白-帕特森（Elizabeth A. Patterson）医学博士（FACR）的生活和职业生涯

IF 2.1 4区医学

Clinical Imaging Pub Date : 2024-04-06 DOI: 10.1016/j.clinimag.2024.110147

Chisom Ogbuehi , Juan D. Guerrero-Calderon

引用次数: 0

Bridging borders in radiology research: The virtual radiology research network initiative 架起放射学研究的桥梁：虚拟放射学研究网络倡议

IF 2.1 4区医学

Clinical Imaging Pub Date : 2024-04-06 DOI: 10.1016/j.clinimag.2024.110145

Amir Hassankhani , Melika Amoukhteh , Pauravi S. Vasavada , Haris I. Sair , Delaram J. Ghadimi , Ali Gholamrezanezhad

引用次数: 0

Long term impact of transjugular intrahepatic portosystemic shunt (TIPS) creation on hepatic morphology 经颈静脉肝内门体分流术（TIPS）对肝脏形态的长期影响

IF 2.1 4区医学

Clinical Imaging Pub Date : 2024-04-06 DOI: 10.1016/j.clinimag.2024.110142

Vikram F. Gupta , Teresa Benvenuti , James Ronald , Brendan C. Cline , Nicholas T. Befera , Jonathan G. Martin , Waleska M. Pabon-Ramos , Alan A. Sag , Tony P. Smith , Paul V. Suhocki , Charles Y. Kim

{"title":"Long term impact of transjugular intrahepatic portosystemic shunt (TIPS) creation on hepatic morphology","authors":"Vikram F. Gupta , Teresa Benvenuti , James Ronald , Brendan C. Cline , Nicholas T. Befera , Jonathan G. Martin , Waleska M. Pabon-Ramos , Alan A. Sag , Tony P. Smith , Paul V. Suhocki , Charles Y. Kim","doi":"10.1016/j.clinimag.2024.110142","DOIUrl":"10.1016/j.clinimag.2024.110142","url":null,"abstract":"<div><h3>Purpose</h3><p>The purpose of this study was to evaluate long-term morphologic changes occurring in the liver after TIPS creation with correlation with hepatic function to gain insight on the physiologic impact of TIPS on the liver.</p></div><div><h3>Methods</h3><p>This retrospective study included patients who underwent TIPS creation between 2005 and 2022 and had contrasted CT or MRI studies prior to and between 1 and 2 years post procedure. Strict exclusion criteria were applied to avoid confounding. Parenchymal volume and vessel measurements were assessed on the pre- and post-TIPS CT or MRI and MELD scores calculated.</p></div><div><h3>Results</h3><p>Of 580 patients undergoing TIPS creation, 65 patients (mean age, 55 years; 36 males) had pre-TIPS and post-TIPS imaging meeting inclusion criteria at median 16.5 months. After TIPS, the mean MELD score increased (12.9 to 15.4; p = 0.008) and total liver volume decreased (1730 to 1432 mL; p < 0.001). However, the magnitude of volume change did not correlate with MELD change. Neither portosystemic gradient nor TIPS laterality correlated with total or lobar hepatic volume changes or MELD changes. The main portal vein diameter increased (15.0 to 18.7 mm; p < 0.001). Thrombosis of the hepatic vein used for TIPS creation resulted in a mean increase in MELD of +4.1 compared to −2.1 in patients who had a patent and normal hepatic vein (p = 0.007).</p></div><div><h3>Conclusions</h3><p>Given lack of correlation between portosystemic gradient, hepatic atrophy, hepatic function, and TIPS laterality, the alterations in portal flow dynamics after TIPS may not be impactful to hepatic function. However, hepatic vein patency after TIPS correlated with improved hepatic function.</p></div>","PeriodicalId":50680,"journal":{"name":"Clinical Imaging","volume":null,"pages":null},"PeriodicalIF":2.1,"publicationDate":"2024-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140780157","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