Clinical Imaging最新文献

{"title":"Recent trends in the utilization of molecular breast imaging in the United States","authors":"Ria Dave ,&nbsp;Lin Gu ,&nbsp;Heather V. Garrett ,&nbsp;Debbie Bennett ,&nbsp;Dustin Stwalley ,&nbsp;Sydney Singer ,&nbsp;Sherwin Chiu ,&nbsp;Michelle V. Lee","doi":"10.1016/j.clinimag.2026.110728","DOIUrl":"10.1016/j.clinimag.2026.110728","url":null,"abstract":"<div><h3>Objective</h3><div>The objective of this study was to assess trends in Molecular Breast Imaging (MBI) utilization among privately insured women in the United States (U.S.) from 2017 to 2022.</div></div><div><h3>Methods</h3><div>The utilization of MBI among women aged 25–64 years from January 1, 2017, to December 31, 2022, was obtained using the Merative MarketScan Commercial Database. MBI utilization was captured from the outpatient services file using Current Procedural Terminology (CPT) or Healthcare Common Procedure Coding System (HCPCS) codes for MBI.</div></div><div><h3>Results</h3><div>During the 6-year retrospective claims analysis, 3024 study-eligible women underwent 3648 MBI exams. The overall trend in MBI utilization was relatively stable from 2017 to 2021, with a 33% reduction in utilization in 2022. The lowest utilization rate was in 2022 at 5.6 per 1000 person-years of observation. Of the women who underwent MBI with sufficient follow-up, 83% underwent only one examination during the study period.</div></div><div><h3>Conclusion</h3><div>MBI is consistently underutilized during the study period despite its accuracy, affordability, and safety for diagnosing breast cancer.</div></div>","PeriodicalId":50680,"journal":{"name":"Clinical Imaging","volume":"131 ","pages":"Article 110728"},"PeriodicalIF":1.5,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146020498","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":"Follow-up of prior CT scans as part of patient care and continuous learning: A call to action","authors":"Elliot K. Fishman ,&nbsp;Connor W. Smith ,&nbsp;Linda C. Chu ,&nbsp;Ralph H. Hruban","doi":"10.1016/j.clinimag.2026.110739","DOIUrl":"10.1016/j.clinimag.2026.110739","url":null,"abstract":"","PeriodicalId":50680,"journal":{"name":"Clinical Imaging","volume":"131 ","pages":"Article 110739"},"PeriodicalIF":1.5,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146078216","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":"Commentary on “Diagnostic value of grayscale inversion imaging for detecting difficult cases of pulmonary nodules”","authors":"Bhumesh Tyagi ,&nbsp;Leelabati Toppo ,&nbsp;Aishwarya Biradar","doi":"10.1016/j.clinimag.2026.110723","DOIUrl":"10.1016/j.clinimag.2026.110723","url":null,"abstract":"","PeriodicalId":50680,"journal":{"name":"Clinical Imaging","volume":"131 ","pages":"Article 110723"},"PeriodicalIF":1.5,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145979893","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":"A lung pattern you can almost taste","authors":"Christopher Castaneda ,&nbsp;Ryan Johnson ,&nbsp;Kris Conde","doi":"10.1016/j.clinimag.2026.110734","DOIUrl":"10.1016/j.clinimag.2026.110734","url":null,"abstract":"<div><div>Headcheese sign is a radiological sign seen on CT and is classically seen in hypersensitivity pneumonitis. The headcheese sign was coined by Patel Rita et al. (2000) based on the appearance of the savory meat dish headcheese. Its appearance is due to a mixture of three different attenuations in the lung which is also known as the three density sign. The mosaic pattern is characterized by the presence of ground glass opacities (higher attenuation), air trapping (decreased attenuation), and normal lung.</div></div>","PeriodicalId":50680,"journal":{"name":"Clinical Imaging","volume":"131 ","pages":"Article 110734"},"PeriodicalIF":1.5,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146114697","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":"From ask to action: how sponsorship circles strengthen career pathways for women in radiology","authors":"Sarah Averill ,&nbsp;Atlee A. Witt ,&nbsp;Katherine Frederick-Dyer ,&nbsp;Acacia Sheppard ,&nbsp;Kathryn Zamora ,&nbsp;Sidhvi Reddy ,&nbsp;Julie K. Silver ,&nbsp;Meridith J. Englander","doi":"10.1016/j.clinimag.2026.110732","DOIUrl":"10.1016/j.clinimag.2026.110732","url":null,"abstract":"<div><div>Women remain underrepresented in faculty leadership roles within medicine, despite growing representation and significant contributions across a wide range of specialties. This is especially true in the traditionally male-dominated field of radiology. While traditional mentorship has largely been endorsed as a tool for professional growth, recent research suggests mentorship alone is insufficient to address structural inequities in highly complex academic environments. Instead, sponsorship – or active advocacy by individuals in positions of power and influence – may be more beneficial to increase visibility, support, and access to opportunities for advancement.</div><div>This brief communication describes the American Association for Women in Radiology (AAWR) Sponsorship Circle, conducted during the 2025 American College of Radiology (ACR) Annual Meeting in Washington, DC. Twenty participants across career stages practiced articulating professional “asks,” received real-time feedback, and exchanged tangible offers of sponsorship.</div><div>Participants reported strengthened self-advocacy skills, expanded professional networks, and a heightened sense of community and belonging. The event demonstrated that even brief, well-structured interventions can catalyze career growth and foster a culture of mutual advocacy. Sponsorship circles provide a scalable model for accelerating women's career growth and leadership in academic radiology.</div></div>","PeriodicalId":50680,"journal":{"name":"Clinical Imaging","volume":"131 ","pages":"Article 110732"},"PeriodicalIF":1.5,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146023977","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":"Mammograms in the media: a quality assessment of breast cancer screening videos on TikTok","authors":"Imran Bitar ,&nbsp;Bashar Jawich ,&nbsp;Alexander Restum ,&nbsp;Sidra Hasaba ,&nbsp;Sayf Al-Katib ,&nbsp;Kiran Nandalur","doi":"10.1016/j.clinimag.2026.110715","DOIUrl":"10.1016/j.clinimag.2026.110715","url":null,"abstract":"<div><h3>Objective</h3><div>To evaluate the quality and reliability of breast cancer screening information on TikTok using the DISCERN tool, and to compare scores across content creators, including physicians, non-physicians, and private clinics.</div></div><div><h3>Methods</h3><div>A search for the hashtag #BreastCancerScreening on TikTok was conducted March 2025. From 983 videos retrieved, 75 met inclusion criteria after applying filters for language, relevance, and engagement. Each video was evaluated independently by two reviewers using the DISCERN questionnaire. Videos were categorized by content creator type, gender, physician specialty, and video format. Statistical analysis included Kruskal-Wallis tests and weighted-Cohen's-kappa for inter-rater reliability.</div></div><div><h3>Results</h3><div>Among 75 analyzed videos, 41% were created by physicians, 31% by non-physicians, and 28% by private clinics. Physician videos received the highest mean DISCERN score (3.12), followed by private clinics (3.07), and non-physicians (2.29). Videos focusing on breast cancer imaging scored highest (3.14), while those based on personal experiences scored lowest (2.35). Kruskal-Wallis testing revealed significant differences in DISCERN scores across creator types (<em>p</em> &lt; 0.001). Post-hoc analysis showed that physician and private clinic videos scored significantly higher than non-physician videos. Inter-rater reliability was moderate for physicians, fair for non-physicians, and very good for private clinics.</div></div><div><h3>Conclusion</h3><div>Breast cancer screening information on TikTok varies in quality. Content created by physicians and clinics is more reliable/comprehensive. Because DISCERN evaluates quality rather than scientific accuracy, these findings reflect how clearly information is communicated rather than its medical correctness. Improving clarity and reliability of social media health content could enhance public understanding and encourage informed screening behaviors.</div></div>","PeriodicalId":50680,"journal":{"name":"Clinical Imaging","volume":"131 ","pages":"Article 110715"},"PeriodicalIF":1.5,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145953776","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":"Two-dimensional venogram following portal venous embolization as a predictor for future liver remnant hypertrophy","authors":"Aaron T. Luong ,&nbsp;Dominic Bolinas ,&nbsp;Allan John R. Barcena ,&nbsp;Marites P. Melancon ,&nbsp;Edward Castillo ,&nbsp;Gouthami Chintalapani ,&nbsp;Bruno C. Odisio ,&nbsp;Hop S. Tran Cao ,&nbsp;Yun Shin Chun ,&nbsp;Timothy E. Newhook ,&nbsp;Ching-Wei D. Tzeng ,&nbsp;Sanjay Gupta ,&nbsp;Jean-Nicolas Vauthey ,&nbsp;Steven Y. Huang","doi":"10.1016/j.clinimag.2026.110737","DOIUrl":"10.1016/j.clinimag.2026.110737","url":null,"abstract":"<div><h3>Purpose</h3><div>To determine whether wash-in (WI) and wash-out (WO) rates of contrast involving the future liver remnant (FLR) based on 2-dimensional venograms following portal vein embolization (PVE) can predict liver hypertrophy.</div></div><div><h3>Methods</h3><div>This is a single-center, retrospective, observational, cohort study of consecutive patients who underwent PVE from August 2019 to March 2024 during which the post-PVE venogram was obtained for more than 15 s. Enhancement of the FLR on post-PVE venograms was plotted as a function of time. Piecewise linear fits were applied to the datasets to derive WI and WO rates. Rates were compared to degree of hypertrophy (DH) and kinetic growth rate (KGR).</div></div><div><h3>Results</h3><div>16 patients who underwent PVE were included in the analysis (RPVE, <em>n</em> = 10; RPVE+4, <em>n</em> = 6). Median standardized FLR (sFLR) prior to PVE increased from 23% (median, range 15–49%) to 34% (median, range 24–54%), <em>P</em> = 0.0008. DH was 11.9% (median, range 2.0–19.9%) and KGR was 2.5% (median, range 0.5–4.7%). WI rates measured 0.0878 (median, range 0.0669–0.1760). WO rates measured 0.0315 (median, range 0.0039–0.0473). WO:WI ratios measured 0.2886 (median, range 0.0538–0.5760). Spearman's rank order correlations were calculated between WO:WI and DH (ρ = 0.6265) as well as WO:WI and KGR (ρ = 0.6529). Multivariate linear regression analysis of WO:WI with DH and KGR yielded <em>P</em>-values of 0.0470 and 0.0980, respectively.</div></div><div><h3>Conclusions</h3><div>WO:WI ratios of the FLR calculated from 2-dimensional venograms following PVE may correlate with DH, providing immediate post-PVE assessment of the regenerative capacity of the FLR.</div></div>","PeriodicalId":50680,"journal":{"name":"Clinical Imaging","volume":"131 ","pages":"Article 110737"},"PeriodicalIF":1.5,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146133596","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":"Ultrasound-guided percutaneous ablation of symptomatic simple breast cysts: A comparative study of ethanol and povidone-iodine","authors":"Eda Cingoz ,&nbsp;Merve Tokocin ,&nbsp;Mehmet Cingoz","doi":"10.1016/j.clinimag.2026.110729","DOIUrl":"10.1016/j.clinimag.2026.110729","url":null,"abstract":"<div><h3>Purpose</h3><div>This study aimed to compare the therapeutic efficacy along with the intra-procedural and post-procedural pain scores associated with ethanol or povidone‑iodine ablation in the management of symptomatic simple breast cysts (SSBC).</div></div><div><h3>Materials and methods</h3><div>Seventy-five female patients with SSBC (≥2 cm) were retrospectively analyzed. The patients underwent ultrasound-guided ablation with either 99% ethanol (<em>n</em> = 41) or 10% povidone‑iodine (<em>n</em> = 34). Pain was assessed before, during, and one month after the procedure using the visual analog scale (VAS). Cyst dimensions were measured pre- and post-treatment.</div></div><div><h3>Results</h3><div>Both groups showed significant reductions in cyst size and VAS scores at 1 month (<em>p</em> &lt; 0.001). Ethanol ablation led to greater overall pain reduction but caused more intra-procedural pain (p &lt; 0.001). Povidone‑iodine ablation was better tolerated and provided significant symptomatic relief.</div></div><div><h3>Conclusion</h3><div>Both ethanol and povidone‑iodine ablation are effective for managing SSBC. While ethanol provided greater post-procedural pain relief, povidone‑iodine offered superior intra-procedural tolerability, supporting its use in pain-sensitive patients.</div></div>","PeriodicalId":50680,"journal":{"name":"Clinical Imaging","volume":"131 ","pages":"Article 110729"},"PeriodicalIF":1.5,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145979894","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":"Peritumoral edema on preoperative breast MRI is associated with reduced disease-free survival in young women with breast cancer","authors":"Murat Tabar ,&nbsp;Seyma Yildiz ,&nbsp;Huseyin Toprak ,&nbsp;Fatma Celik Yabul ,&nbsp;Fazilhan Altintas ,&nbsp;Abdusselim Adil Peker ,&nbsp;Lamia Seker Can ,&nbsp;Alpay Alkan","doi":"10.1016/j.clinimag.2026.110735","DOIUrl":"10.1016/j.clinimag.2026.110735","url":null,"abstract":"<div><h3>Purpose</h3><div>Breast cancer in young women is frequently associated with more aggressive biological behavior. Certain MRI features may provide prognostic information in this population. This study aimed to assess the association between preoperative breast MRI characteristics, histopathological features, and disease-free survival (DFS) in young women with breast cancer.</div></div><div><h3>Methods</h3><div>In this single-center retrospective study, pathology reports from 2012 to 2023 were reviewed using the institutional archive system. Preoperative MRI scans of 149 women under the age of 40 with breast cancer were evaluated. Univariate and multivariate Cox proportional hazards regression analyses were performed to identify factors associated with DFS. Variables with a <em>p</em>-value &lt;0.10 in the univariate analysis were included in the multivariate model. Kaplan–Meier survival curves were generated, and statistical significance was assessed using the log-rank test.</div></div><div><h3>Results</h3><div>The median follow-up duration was 63 months (range: 10–142 months), and the median DFS was 55 months (range: 5–139 months). Peritumoral edema (<em>p</em> &lt; 0.001; HR = 3.654; 95% CI: 1.767–7.556) and axillary lymph node positivity (p &lt; 0.001; HR = 5.552; 95% CI: 2.204–13.988) were associated with reduced DFS.</div></div><div><h3>Conclusion</h3><div>In young women with breast cancer, peritumoral edema on preoperative breast MRI is associated with reduced DFS.</div></div>","PeriodicalId":50680,"journal":{"name":"Clinical Imaging","volume":"131 ","pages":"Article 110735"},"PeriodicalIF":1.5,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146078250","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":"Pediatric and adolescent breast masses: imaging evaluation and management—An educational review","authors":"Romuald Ferre,&nbsp;Cherie M. Kuzmiak","doi":"10.1016/j.clinimag.2026.110726","DOIUrl":"10.1016/j.clinimag.2026.110726","url":null,"abstract":"<div><div>Breast complaints in children and adolescents are common, anxiety-provoking, and overwhelmingly benign. This educational review distills a practical approach for general, pediatric, and breast radiologists that emphasizes ultrasound-first imaging only when clinically indicated, focused history and examination, and judicious follow-up. We summarize normal pubertal development and common benign entities, outline red flags that warrant expedited assessment, and present stepwise algorithms for evaluation and management that balance diagnostic confidence with protection of the developing breast. Benign-appearing solid masses under 5 cm without worrisome sonographic features are typically observed with interval ultrasound, recognizing that spontaneous regression is common adolescents. Escalation is reserved for rapid growth, lesions ≥5 cm, classic suspicious features, or discordance between imaging and clinical findings; tissue sampling should be targeted, with careful attention to radiology–pathology concordance and sampling adequacy. We highlight pitfalls that mimic disease (e.g., normal pubertal tissue, gynecomastia) and provide structured reporting templates and checklists to standardize communication, reduce unnecessary intervention, and support counseling of patients and families. By consolidating current evidence and everyday experience into actionable guidance, this review aims to improve consistency, minimize harm, and streamline care for young patients presenting with breast symptoms.</div></div>","PeriodicalId":50680,"journal":{"name":"Clinical Imaging","volume":"131 ","pages":"Article 110726"},"PeriodicalIF":1.5,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146078249","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}