Anu Sandhya, Qurat Ul Ain Tahir, Keerthanaa Veerapatheran
{"title":"Vacuum-Assisted Excision of B3 Lesions: A District General Hospital Experience.","authors":"Anu Sandhya, Qurat Ul Ain Tahir, Keerthanaa Veerapatheran","doi":"10.1055/s-0044-1801267","DOIUrl":"https://doi.org/10.1055/s-0044-1801267","url":null,"abstract":"<p><p><b>Objective</b> The objective of this study was to evaluate the efficacy of utilizing vacuum-assisted excision (VAE) for the management of B3 lesions and to determine the rate of malignant upgrades. <b>Materials and Methods</b> This observational study was conducted at Surrey and Sussex NHS Healthcare Redhill. All patients with B3 histology on core biopsy from October 2019 to October 2022 were included in the study. The upgrades in both the B3 group with atypia and the B3 group without atypia were examined in terms of ductal carcinoma in situ (DCIS), invasive status, and grade. The data obtained were analyzed using the SPSS version 21. <b>Results</b> About 65% of the participants in the present study have B3 lesions in their left breast and 43% of the participants have lesions located in the upper inner area of the breast. The majority of the participants in the study had B3 lesions without atypia (75%). In 70 participants, VAE was performed. Out of 70 participants, only 15 had lesion upgrade after VAE (21.4%). Post-VAE follow-up planning was discussed in multidisciplinary team as per the National Health Service breast screening guidelines. <b>Conclusion</b> The utilization of VAE is a viable alternative strategy for the treatment of B3 lesions, resulting in a decrease in the necessity for invasive surgical interventions. This observational study shows the efficacy of a less invasive procedure in replacement of a surgical procedure producing optimal long-term benefit and less side effects.</p>","PeriodicalId":51597,"journal":{"name":"Indian Journal of Radiology and Imaging","volume":"35 2","pages":"326-331"},"PeriodicalIF":0.9,"publicationDate":"2024-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12034398/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144048541","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Revolutionizing Radiology: The Role of Large Language Models.","authors":"Ajay Alex, C Kesavadas","doi":"10.1055/s-0044-1796676","DOIUrl":"10.1055/s-0044-1796676","url":null,"abstract":"","PeriodicalId":51597,"journal":{"name":"Indian Journal of Radiology and Imaging","volume":"35 1","pages":"1"},"PeriodicalIF":0.9,"publicationDate":"2024-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11651855/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142856644","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A Radiologist's Perspective of Medical Annotations for AI Programs: The Entire Journey from Its Planning to Execution, Challenges Faced.","authors":"Anuradha Rao","doi":"10.1055/s-0044-1800860","DOIUrl":"https://doi.org/10.1055/s-0044-1800860","url":null,"abstract":"<p><p>Artificial intelligence (AI) in radiology and medical science is finding increasing applications with annotations being an integral part of AI development. While annotation may be perceived as passive work of labeling a certain anatomy, the radiologist plays a more important role in this task apart from marking the structures needed. Apart from annotation, more important aspect of their role is planning the anatomies/pathologies needed, type of annotations to be done, choice of the annotation tool, training the annotators, planning the duration of annotation, etc. A close interaction with the technical team is a key factor in the success of the annotations. The quality check of both the internally and externally annotated data, creating a team of good annotators, training them, and periodically reviewing the quality of data become an integral part of their work. Documentation related to the annotation work is another important area where the clinician plays an integral role to comply with the Food and Drug Administration requirements, focused on a clinically explainable and validated AI algorithms. Thus, the clinician becomes an integral part in the ideation, design, implementation/execution of annotations, and its quality control. This article summarizes the experiences gained during planning and executing the annotations for multiple annotation projects involving various imaging modalities with different pathologies.</p>","PeriodicalId":51597,"journal":{"name":"Indian Journal of Radiology and Imaging","volume":"35 2","pages":"246-253"},"PeriodicalIF":0.9,"publicationDate":"2024-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12034397/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144039139","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Amit Gupta, Sanil Garg, Neel Yadav, Rohan Raju Dhanakshirur, Kshitiz Jain, Rishi Nayyar, Seema Kaushal, Chandan J Das
{"title":"Predicting Renal Cell Carcinoma Subtypes and Fuhrman Grading Using Multiphasic CT-Based Texture Analysis and Machine Learning Techniques.","authors":"Amit Gupta, Sanil Garg, Neel Yadav, Rohan Raju Dhanakshirur, Kshitiz Jain, Rishi Nayyar, Seema Kaushal, Chandan J Das","doi":"10.1055/s-0044-1796639","DOIUrl":"https://doi.org/10.1055/s-0044-1796639","url":null,"abstract":"<p><p><b>Objectives</b> The aim of this study is to evaluate computed tomography texture analysis (CTTA) on multiphase CT scans for distinguishing clear cell renal cell carcinoma (ccRCC) from non-ccRCC and predicting Fuhrman's grade in ccRCC using open-source Python libraries. <b>Materials and Methods</b> Conducted retrospectively, the study included 144 patients with RCCs (108 ccRCCs and 36 non-ccRCCs) who underwent preoperative multiphasic CT. Ninety ccRCCs were categorized into 71 low-grade and 19 high-grade ccRCCs. Tumor was marked on the largest axial tumor slice using \"LabelMe\" across different CT phases. First- and second-order texture features were computed using Python's scipy, numpy, and opencv libraries. Multivariable logistic regression analysis and machine learning (ML) models were used to evaluate CTTA parameters from different CT phases for RCC classification. The best ML model for distinguishing ccRCC and non-ccRCC was externally validated using data from the 2019 Kidney and Kidney Tumor Segmentation Challenge. <b>Results</b> Entropy in the corticomedullary (CM) phase was the best individual parameter for distinguishing ccRCC from non-ccRCC with (F1 score: 0.83). The support vector machine (SVM) based ML model, incorporating CM phase features, performed the best, with an F1 score of 0.87. External validation for the same model yielded an accuracy of 0.82 and an F1 score of 0.81. ML models and individual texture parameters showed less accuracy for classifying low- versus high-grade ccRCCs, with a maximum F1 score of 0.76 for the CM phase SVM model. Other CT phases yielded inferior results for both classification tasks. <b>Conclusion</b> CTTA employing open-source Python tools is a viable tool for differentiating ccRCCs from non-ccRCCs and predicting ccRCC grade.</p>","PeriodicalId":51597,"journal":{"name":"Indian Journal of Radiology and Imaging","volume":"35 2","pages":"306-315"},"PeriodicalIF":0.9,"publicationDate":"2024-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12034396/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144057051","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Seven Golden Steps for Performing Safe and Effective Percutaneous C-Arm-Guided Vertebral Intervention.","authors":"Upinderjeet Singh, Nishith Kumar, Alfa Shamim Saifi, Dharmendra Kumar Singh","doi":"10.1055/s-0044-1796645","DOIUrl":"https://doi.org/10.1055/s-0044-1796645","url":null,"abstract":"<p><p>Percutaneous C-arm-guided diagnostic or therapeutic vertebral intervention has advantages of real-time monitoring of needle progression in vertebrae in craniocaudal or caudocranial angulation. To minimize the complications of nerve root or spinal cord damage, stepwise methodical intervention is pertinent. In this technical report, we demonstrate the seven golden steps for a safe and effective C-arm-guided vertebral intervention.</p>","PeriodicalId":51597,"journal":{"name":"Indian Journal of Radiology and Imaging","volume":"35 2","pages":"332-334"},"PeriodicalIF":0.9,"publicationDate":"2024-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12034416/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144032081","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Transaneurysmal Suturing of Pseudoaneurysm Neck: Novel and Not a Pseudo-Technique for Treatment of Complicated Femoral Pseudoaneurysm.","authors":"Niraj Kumar, Chandan Kumar Pal, Somsharan Shankerappa Betgeri, Amar Mukund","doi":"10.1055/s-0044-1793810","DOIUrl":"https://doi.org/10.1055/s-0044-1793810","url":null,"abstract":"<p><p><b>Introduction</b> Femoral pseudoaneurysm is one of the common complications following femoral artery catheterization. It poses a significant morbidity and a nonsurgical technique with the utmost low complication risk is warranted. Various methods have been used to treat these pseudoaneurysms including manual compression, ultrasound-guided compression, and percutaneous injection of thrombin or glue. Various novel methods are also being used to treat the pseudoaneurysms, including angioseal closure device, vascular plugs, etc. Cirrhosis poses a separate challenge with deranged coagulation and hyperfibrinolysis, making traditional methods, which are dependent on patients' coagulation cascade, less effective. <b>Materials and Methods</b> We used a novel technique to treat the complicated femoral pseudoaneurysm using a suture-mediated closure device, Perclose ProGlide system (Abbott Vascular, California, United States). The transaneurysmal approach was used in seven patients. All the patients had acute or chronic liver disease with deranged coagulation. Six patients had femoral arterial access for angiographic procedure while one had a femoral line for intensive care unit monitoring. Compression was done in all the patients, but failed. Percutaneous injection of thrombin was done in two patients. <b>Results</b> Technical success was achieved in 7/7 (100%) patients. There was instantaneous thrombosis of the pseudoaneurysm, which was confirmed the next day by ultrasound. There were no procedure-related complications. <b>Conclusion</b> Transaneurysmal closure of the femoral pseudoaneurysm using suture-mediated closure device is a novel and effective, minimally invasive bedside technique that can be used in patients with deranged coagulation.</p>","PeriodicalId":51597,"journal":{"name":"Indian Journal of Radiology and Imaging","volume":"35 2","pages":"295-300"},"PeriodicalIF":0.9,"publicationDate":"2024-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12034422/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143995424","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"CECT and CT Perfusion Correlation with Pathological Differentiation of Pharyngeal and Laryngeal Cancers: Study from a Tertiary Care Center in Northeast India.","authors":"Himraj Phukan, Donboklang Lynser, Chhunthang Daniala, Vandana Raphael, Caleb Harris, Suvamoy Chakraborty","doi":"10.1055/s-0044-1796643","DOIUrl":"https://doi.org/10.1055/s-0044-1796643","url":null,"abstract":"<p><p><b>Introduction</b> Pharyngeal and laryngeal carcinomas, included under head and neck cancers, pose a significant challenge in India, accounting for around one-third of all cancer cases. Noninvasive techniques like contrast-enhanced computed tomography (CECT) and CT perfusion (CTp) can help explore the correlation between tumor differentiations, which can greatly benefit in the diagnosis, understanding of recurrence postintervention, and monitoring of the progress of the disease. <b>Materials and Methods</b> A hospital-based cross-sectional study was conducted for a duration of 18 months in a tertiary care center of northeast India with a sample of 40 patients. CECT and CTp were done and the variables were correlated with pathological differentiation of tumors. <b>Results</b> The mean age of the study population was 54 years. No statistically significant associations were noted between the age, size, margins, location, and T-staging of tumors with the pathological differentiation of tumors. However, significant association was found between the CTp parameters, namely blood flow (BF), blood volume, mean transit time, time to drain, and time to peak with respect to the pathological differentiation of tumors ( <i>p</i> < 0.05). <b>Conclusion</b> The addition of CTp to conventional CT sequences in the evaluation of pharyngeal and laryngeal cancers offers significant benefits in understanding the tumor physiology and behavior.</p>","PeriodicalId":51597,"journal":{"name":"Indian Journal of Radiology and Imaging","volume":"35 2","pages":"316-325"},"PeriodicalIF":0.9,"publicationDate":"2024-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12034418/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144040492","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Kirti Anna Koikkara, Hima Pendharkar, Aparna Irodi, Rohith Puthan Veettil Nair, Nishtha Yadav, Amarnath Chellathurai, Shyamkumar N Keshava
{"title":"Eco-Friendly Medical Conferences: From Principle to Practice.","authors":"Kirti Anna Koikkara, Hima Pendharkar, Aparna Irodi, Rohith Puthan Veettil Nair, Nishtha Yadav, Amarnath Chellathurai, Shyamkumar N Keshava","doi":"10.1055/s-0044-1796638","DOIUrl":"https://doi.org/10.1055/s-0044-1796638","url":null,"abstract":"<p><p>The large number of medical conferences held per year has a significant impact on the environment. Climate change and global warming then lead to deleterious effects on human health. We aim to highlight that it is our responsibility as doctors to promote eco-friendly events and encourage sustainable practices, thus reducing harm to our environment. Management committees of conferences can take a few steps toward this with specific planning and effort. In this study, possible steps toward achieving this goal have been highlighted, such as conducting hybrid events, locally sourcing products, and avoiding single-use plastic.</p>","PeriodicalId":51597,"journal":{"name":"Indian Journal of Radiology and Imaging","volume":"35 2","pages":"242-245"},"PeriodicalIF":0.9,"publicationDate":"2024-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12034414/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144055136","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Sushmitha Jagadeesha, Shikha Agarwal, Mohsin Hussein, A Mark Davies, Durosinmi Adebowale, Rajesh Botchu
{"title":"Impact of Paper Consumption in Radiology Departments on Carbon Footprint and Climate Change: A Retrospective Analysis and Future Projections.","authors":"Sushmitha Jagadeesha, Shikha Agarwal, Mohsin Hussein, A Mark Davies, Durosinmi Adebowale, Rajesh Botchu","doi":"10.1055/s-0044-1793915","DOIUrl":"https://doi.org/10.1055/s-0044-1793915","url":null,"abstract":"<p><p><b>Introduction</b> Climate change and global warming have major contributions from greenhouse gas emissions. Despite the introduction of digitalized systems, many health care systems still rely heavily on paper. The purpose of this study is to investigate paper usage in the radiology department of a single hospital institution over the last 3 years to forecast paper usage up to 2050. <b>Materials and Methods</b> This retrospective study was performed in the radiology department of our tertiary orthopaedic hospital. The study included forms used for diagnostic and interventional procedures in various departmental modalities. Diagnostic procedures require one to three forms and interventional procedures require three forms each. Based on the established ratio that 1.2 trees are cut for every 10,000 sheets of papers used, the study calculated the number of trees cut annually over the past 3 years and projected paper usage and tree loss until 2050. <b>Results</b> Paper usage was distributed between diagnostic and interventional procedures, with 67% used in diagnostics and 33% in interventions. The corresponding number of trees cut during this period amounted to 53.729 trees, with 47.4 trees for diagnostic procedures and 6.4 trees for interventional procedures. A total of 57.8 trees for diagnostic procedures and 11.7 trees for interventional procedures were forecasted to be cut annually from 2024 to 2050, cumulatively being 1,227 trees by the year 2050. <b>Conclusion</b> Our individual department had a significant contribution from paper usage in the carbon footprint of the department. Adoption of digitalized appointment, prescribing, and patient records is important in reducing this and achieving the NHS net zero targets.</p>","PeriodicalId":51597,"journal":{"name":"Indian Journal of Radiology and Imaging","volume":"35 2","pages":"301-305"},"PeriodicalIF":0.9,"publicationDate":"2024-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12034401/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144032080","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The Rotator Interval Bursa (RIB) Technique: Sequential Rotator Interval and Subacromial Subdeltoid Bursa Injection.","authors":"Neha Nischal, Chetna Mishra, Jatinder Pal Singh","doi":"10.1055/s-0044-1796640","DOIUrl":"https://doi.org/10.1055/s-0044-1796640","url":null,"abstract":"<p><p>Shoulder pain is a common and increasing indication for patients being referred for pain relief injections. To address this, patients are offered corticosteroid injections for the glenohumeral joint as well as the subacromial subdeltoid (SASD) bursa under ultrasound guidance, which allows direct visualization of the needle and target structures with a more confident and real-time needle placement. We demonstrate a new technique, the rotator interval bursa (RIB) technique, of sequential injection of the glenohumeral joint targeting the rotator interval as well as the SASD bursa via the anterior approach with a single prick.</p>","PeriodicalId":51597,"journal":{"name":"Indian Journal of Radiology and Imaging","volume":"35 2","pages":"335-338"},"PeriodicalIF":0.9,"publicationDate":"2024-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12034405/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144026096","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}