Clinical ImagingPub Date : 2024-10-18DOI: 10.1016/j.clinimag.2024.110313
Nina Capiro , Cheryce Fischer , Gelareh Sadigh
{"title":"Reply to “Enhancing breast imaging strategies: The role of ChatGPT in optimizing screening pathways”","authors":"Nina Capiro , Cheryce Fischer , Gelareh Sadigh","doi":"10.1016/j.clinimag.2024.110313","DOIUrl":"10.1016/j.clinimag.2024.110313","url":null,"abstract":"","PeriodicalId":50680,"journal":{"name":"Clinical Imaging","volume":"116 ","pages":"Article 110313"},"PeriodicalIF":1.8,"publicationDate":"2024-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142512347","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}
Clinical ImagingPub Date : 2024-10-18DOI: 10.1016/j.clinimag.2024.110333
Muhammed Shabil , Ganesh Bushi , Sanjit Sah
{"title":"Comment on “Diagnostic performance of dual-energy CT in detecting bone marrow edema in lower limb joint injuries: A meta-analysis”","authors":"Muhammed Shabil , Ganesh Bushi , Sanjit Sah","doi":"10.1016/j.clinimag.2024.110333","DOIUrl":"10.1016/j.clinimag.2024.110333","url":null,"abstract":"","PeriodicalId":50680,"journal":{"name":"Clinical Imaging","volume":"116 ","pages":"Article 110333"},"PeriodicalIF":1.8,"publicationDate":"2024-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142512343","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}
Clinical ImagingPub Date : 2024-10-16DOI: 10.1016/j.clinimag.2024.110332
Adam Kinzel , Mark McArthur , Lori Mankowski Gettle , Ely Felker , Maitraya Patel
{"title":"PEComas: A review of imaging and clinical features","authors":"Adam Kinzel , Mark McArthur , Lori Mankowski Gettle , Ely Felker , Maitraya Patel","doi":"10.1016/j.clinimag.2024.110332","DOIUrl":"10.1016/j.clinimag.2024.110332","url":null,"abstract":"<div><div>Perivascular epithelioid cell tumors (PEComas) are a group of rare mesenchymal tumors, which demonstrate varied imaging appearances and treatment options. These tumors may arise de novo or in the setting of systemic disorders, such as tuberous sclerosis. Some PEComas are benign and easily resected while others may represent systemic or metastatic disease with limited therapeutic options. The purpose of this review is to introduce the topic of perivascular epithelioid cell tumors and the most common tumors within the PEComa family as well as discuss the epidemiology, morphology, radiographic appearance, and treatment options of these rare tumors.</div></div>","PeriodicalId":50680,"journal":{"name":"Clinical Imaging","volume":"116 ","pages":"Article 110332"},"PeriodicalIF":1.8,"publicationDate":"2024-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142512346","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Clinical ImagingPub Date : 2024-10-16DOI: 10.1016/j.clinimag.2024.110326
Lauren D. Hagenstein , Joseph Jenkins , Colby Adamson , Jourdain Dong , John Moore , Jing Gao
{"title":"Ultrasound normalized local variance to assess metabolic dysfunction-associated steatotic liver disease","authors":"Lauren D. Hagenstein , Joseph Jenkins , Colby Adamson , Jourdain Dong , John Moore , Jing Gao","doi":"10.1016/j.clinimag.2024.110326","DOIUrl":"10.1016/j.clinimag.2024.110326","url":null,"abstract":"<div><h3>Purpose</h3><div>Increased prevalence of metabolic dysfunction-associated steatotic liver disease (MASLD) highlights a desire for screening with liver ultrasound normalized local variance (NLV). We aimed to assess variations in NLV values measured at different sampling depths and discuss common technical considerations in measuring liver NLV.</div></div><div><h3>Methods</h3><div>We retrospectively measured liver NLVs at variable depths on ultrasound images pre-recorded in 116 participants who underwent liver magnetic resonance imaging-proton density fat fraction (MRI-PDFF) and ultrasound to screen for MASLD. Liver NLVs were measured and differences at variable depths were tested using one-way analysis of variance (ANOVA) and multiple paired comparisons using post hoc Tukey honestly significant difference (HSD), Scheffé, Bonferroni, and Holm multiple comparisons. Diagnostic performance of NLV values were analyzed by area under the receiver operating characteristic (AUROC) curve.</div></div><div><h3>Results</h3><div>The NLV measured at a depth of 10 cm significantly differed from those measured near the liver capsule and at depths of 6 cm and 8 cm (<em>p</em> < 0.001) from the skin. There was no significant difference in NLV value in other paired groups (<em>p</em> > 0.05). The difference in the area under AUROCs for NLVs measured at variable depths was not significant (<em>p</em> > 0.05).</div></div><div><h3>Conclusions</h3><div>The best diagnostic performance of liver NLV was measured at depth of 8 cm from the skin, although NLV measured at variable depth showed similar diagnostic performance for assessing ≥ mild hepatic steatosis. The study results provide a reference that can be used in the development of standardized scanning protocols and technical considerations in measuring liver NLV.</div></div>","PeriodicalId":50680,"journal":{"name":"Clinical Imaging","volume":"116 ","pages":"Article 110326"},"PeriodicalIF":1.8,"publicationDate":"2024-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142512348","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}
Clinical ImagingPub Date : 2024-10-15DOI: 10.1016/j.clinimag.2024.110330
Laura E. Minton , Jordan Perchik , Cathy Chen , Renu Pandit , Desmin Milner , Rachel Bass , Elainea Smith , Jessica Zarzour
{"title":"Women in Radiology Education (WIRED): An actionable step towards closing the gender gap in radiology","authors":"Laura E. Minton , Jordan Perchik , Cathy Chen , Renu Pandit , Desmin Milner , Rachel Bass , Elainea Smith , Jessica Zarzour","doi":"10.1016/j.clinimag.2024.110330","DOIUrl":"10.1016/j.clinimag.2024.110330","url":null,"abstract":"<div><div>As the representation of women in medicine has grown and reached parity in some specialties over the past two decades, radiology has not only lagged behind, but has remained stagnant. To strengthen the pipeline, the field must institute policies and practices to retain women in radiology and must effectively recruit and mentor women in medical school to enter the field. Women in medical school who are pursuing radiology, however, often struggle to find women mentors, opportunities for research, leadership, and service, and critically, often struggle to find a community that speaks to their experience. WIRED (Women in Radiology Education) is a student-led group dedicated to community building and advancing radiology mentorship, research, and service opportunities for women in medical school. This step-by-step guide to founding a WIRED chapter with examples of successful chapter events can enable radiology programs to provide targeted mentorship to women in medical school, and ultimately, increase the representation of women in radiology.</div></div>","PeriodicalId":50680,"journal":{"name":"Clinical Imaging","volume":"116 ","pages":"Article 110330"},"PeriodicalIF":1.8,"publicationDate":"2024-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142479853","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}
Clinical ImagingPub Date : 2024-10-15DOI: 10.1016/j.clinimag.2024.110329
Muhammad Ansar , Muhammad Arsam Ali , Noraiz Ali , Zeshan Haider , Aruj Latif , Anjum Tazeen , Zareen Fatima , Muhammad Nawaz Anjum
{"title":"Ultrasound shear wave elastography of the placenta: a potential tool for early detection of fetal growth restriction","authors":"Muhammad Ansar , Muhammad Arsam Ali , Noraiz Ali , Zeshan Haider , Aruj Latif , Anjum Tazeen , Zareen Fatima , Muhammad Nawaz Anjum","doi":"10.1016/j.clinimag.2024.110329","DOIUrl":"10.1016/j.clinimag.2024.110329","url":null,"abstract":"<div><h3>Background</h3><div>Sonographic placental elastography has recently been employed as a non-invasive tool to investigate the structural alterations associated with various conditions such as pre-eclampsia, gestational diabetes and fetal growth restriction (FGR). The study was conducted based on the hypothesis that the placental elasticity might differ with varying severity of FGR and with that of appropriate for gestational age (AGA) pregnancies.</div></div><div><h3>Methods</h3><div>This study involved 121 pregnant women, with 54 in the normal group and 67 in the FGR group, which was defined as the fetal weight below the 10th percentile for gestational age. The FGR pregnancies were sub grouped into different stages based on the presence and extent of Doppler abnormalities. Shear-wave elastography was carried out to investigate the placental elasticity values, which were compared using the Kruskal-Wallis test. A <em>P</em> value of ≤0.05 was considered significant.</div></div><div><h3>Results</h3><div>The placental elasticity differed significantly between pregnancies with and without FGR and among the different stages of FGR. There was a significant difference in PE (kPa) and SWV (m/s) among groups, with a p-value of 0.000001. PE and SWV in FGR pregnancies were significantly higher compared to AGA as a whole using <em>t-</em>test with <em>p</em> values of <0.0001. Doppler indices of umbilical, uterine and fetal middle cerebral arteries also correlated significantly with these.</div></div><div><h3>Conclusion</h3><div>The study suggests that placental elasticity values reflect structural alterations associated with FGR and could serve as a valuable tool in the early detection and staging of this condition.</div></div>","PeriodicalId":50680,"journal":{"name":"Clinical Imaging","volume":"116 ","pages":"Article 110329"},"PeriodicalIF":1.8,"publicationDate":"2024-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142512349","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}
Clinical ImagingPub Date : 2024-10-10DOI: 10.1016/j.clinimag.2024.110311
Renee S. Friedman , Linda B. Haramati , Timothy F. Christian , Seth I. Sokol , Jonathan Alis
{"title":"Heart lung axis in acute pulmonary embolism: Role of CT in risk stratification","authors":"Renee S. Friedman , Linda B. Haramati , Timothy F. Christian , Seth I. Sokol , Jonathan Alis","doi":"10.1016/j.clinimag.2024.110311","DOIUrl":"10.1016/j.clinimag.2024.110311","url":null,"abstract":"<div><div>Pulmonary embolism (PE) remains a significant cause of mortality requiring prompt diagnosis and risk stratification. This review focuses on the role of computed tomography (CT) in the risk stratification of acute PE, highlighting its impact on patient management. We will explore basic pathophysiology of pulmonary embolism (PE) and review current guidelines, which will help radiologists interpret images within a broader clinical context. This review covers key CT findings which can be used for risk stratification including indicators of right ventricular (RV) dysfunction, clot burden, clot location and left atrial volume. We will discuss the measurement of RV/LV diameter ratio as a key indicator of RV dysfunction and its limitations and challenges within various patient populations. While these parameters should be included in a radiologist's report, their predictive value for mortality depends on the patient's existing cardiopulmonary reserve and should not be interpreted in isolation.</div></div>","PeriodicalId":50680,"journal":{"name":"Clinical Imaging","volume":"116 ","pages":"Article 110311"},"PeriodicalIF":1.8,"publicationDate":"2024-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142442271","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}
Clinical ImagingPub Date : 2024-10-05DOI: 10.1016/j.clinimag.2024.110308
Julie Liana Hamzah , Jasmine Kai Sing Phua , Wei Ting Chan , Sze Yiun Teo , Veronique Kiak-Mien Tan , Geok Hoon Lim , Benita Kiat Tee Tan , Swee Ho Lim , Puay Hoon Tan , John Carson Allen , Lester Chee Hao Leong
{"title":"Factors affecting mammogram breast cancer surveillance effectiveness in the ipsilateral and contralateral breast","authors":"Julie Liana Hamzah , Jasmine Kai Sing Phua , Wei Ting Chan , Sze Yiun Teo , Veronique Kiak-Mien Tan , Geok Hoon Lim , Benita Kiat Tee Tan , Swee Ho Lim , Puay Hoon Tan , John Carson Allen , Lester Chee Hao Leong","doi":"10.1016/j.clinimag.2024.110308","DOIUrl":"10.1016/j.clinimag.2024.110308","url":null,"abstract":"<div><h3>Aim</h3><div>Mammography is the mainstay of imaging surveillance after breast cancer (BC) treatment, but false negatives can occur. The objective of the study was to determine the factors that can predict poorer second breast cancer (SBC) mammogram detection of the ipsilateral and contralateral breast separately.</div></div><div><h3>Methods</h3><div>A multicentre retrospective review was performed on female patients with a previous history of treated BC who developed a second breast cancer (SBC) in the ipsilateral (ISBC) or contralateral breast (CSBC) within 10 years from the first BC. SBC cases that occurred between January 2006 and October 2017 were included from the institutional database. The ISBC and CSBC mammogram-occult (MO) rates were correlated with mammographic breast density as well as various clinical, radiological and histological characteristics of the first BC.</div></div><div><h3>Results</h3><div>274 cases of SBC were evaluated. 39.4 % (108/274) of cases were ISBC and 60.6 % (166/274) were CSBC. 35 (32.4 %) of the ISBCs and 42 (25.3 %) of the CSBCs were MO (<em>p</em> = 0.218). On multivariate analysis, symptomatic first BC (<em>p</em> = 0.041), prevailing dense breast tissue at the time of SBC diagnosis (<em>p</em> = 0.003) and trabecular thickening on surveillance mammograms (<em>p</em> = 0.017) were associated with MO ISBC. MO first BC (<em>p</em> < 0.001) was the only factor found to correlate with MO CSBC.</div></div><div><h3>Conclusion</h3><div>The study found various clinical, radiological and pathological factors associated with mammogram surveillance failure for the ipsilateral and contralateral breast. This information can provide additional guidance in the planning of a personalised surveillance program using adjunct imaging screening.</div></div>","PeriodicalId":50680,"journal":{"name":"Clinical Imaging","volume":"116 ","pages":"Article 110308"},"PeriodicalIF":1.8,"publicationDate":"2024-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142445526","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}