Current Problems in Diagnostic Radiology最新文献

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A model for teaching radiology to clinical specialty trainees: A pilot study in pediatric neuroradiology and neonatology 临床专科受训人员放射学教学模式:小儿神经放射学和新生儿学试点研究
IF 1.5
Current Problems in Diagnostic Radiology Pub Date : 2024-07-14 DOI: 10.1067/j.cpradiol.2024.07.016
Elizabeth K. Sewell , Sarah S. Milla , Monideep Dutt , Erica Riedesel , Nadja Kadom
{"title":"A model for teaching radiology to clinical specialty trainees: A pilot study in pediatric neuroradiology and neonatology","authors":"Elizabeth K. Sewell ,&nbsp;Sarah S. Milla ,&nbsp;Monideep Dutt ,&nbsp;Erica Riedesel ,&nbsp;Nadja Kadom","doi":"10.1067/j.cpradiol.2024.07.016","DOIUrl":"10.1067/j.cpradiol.2024.07.016","url":null,"abstract":"<div><p>This article describes the development and assessment of a neuroimaging curriculum for neonatology fellows. The curriculum is focused on topics that are relevant to the practice of neonatology and employs contemporary teaching methods, such as flipped classroom, learner engagement, and spaced repetition. Since its implementation 2018 the curriculum has been appreciated by our trainees and demonstrated improvements in trainee knowledge.</p></div>","PeriodicalId":51617,"journal":{"name":"Current Problems in Diagnostic Radiology","volume":"53 6","pages":"Pages 679-684"},"PeriodicalIF":1.5,"publicationDate":"2024-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141701555","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
MR Evaluation of Placenta Accreta Spectrum: Concordance Rates and Effect of Structured Reporting on Patient Outcomes 磁共振评估胎盘积液频谱:一致率和结构化报告对患者结果的影响。
IF 1.5
Current Problems in Diagnostic Radiology Pub Date : 2024-07-14 DOI: 10.1067/j.cpradiol.2024.07.002
Robert M. Weinstein BE , Theresa Boyer MS, MSPH , Abigail Coco BA , Arthur Vaught MD , Torre Halscott MD, MS , Katarzyna Macura MD, PhD , Erin Gomez MD
{"title":"MR Evaluation of Placenta Accreta Spectrum: Concordance Rates and Effect of Structured Reporting on Patient Outcomes","authors":"Robert M. Weinstein BE ,&nbsp;Theresa Boyer MS, MSPH ,&nbsp;Abigail Coco BA ,&nbsp;Arthur Vaught MD ,&nbsp;Torre Halscott MD, MS ,&nbsp;Katarzyna Macura MD, PhD ,&nbsp;Erin Gomez MD","doi":"10.1067/j.cpradiol.2024.07.002","DOIUrl":"10.1067/j.cpradiol.2024.07.002","url":null,"abstract":"<div><h3>Objective</h3><p>To examine the concordance rate of MRI findings with intraoperative and pathologic findings in patients with Placenta Accreta Spectrum (PAS), as well as the use of structured reporting, and their relationship to clinical outcomes.</p></div><div><h3>Methods</h3><p>An IRB approved retrospective chart review was performed for patients with a history of cesarean delivery, a diagnosis of PAS on post-operative pathology report, and a placental MRI prior to delivery between 2008-2022. Concordance rates were calculated between final MRI, ultrasound, operative, and pathologic diagnoses, as well as impact on clinical outcomes. Quantitative variables were analyzed using a t-test. Categorical variables were analyzed using chi-squared and Fischer's exact tests.</p></div><div><h3>Results</h3><p>A total of 59 patients met initial inclusion criteria. Of these 59 patients, 8 (13.6%) were interpreted using structured reporting. Discordance between preoperative imaging, operative findings and final pathology diagnoses were associated with increased blood loss, blood transfusion, ICU admission, and postpartum length of stay. Structured reporting was found to significantly reduce the amount of diagnostic discordance (p=.017) and was associated with decreased ICU admissions when utilized (p=.045).</p></div><div><h3>Conclusions</h3><p>Use of structured reporting in the interpretation of placental MRI may decrease the amount of discordance between imaging and intraoperative or pathologic diagnoses, which in our study is associated with improved patient outcomes including decreased blood loss and amount of blood transfused. Radiologists must be cognizant of key imaging features of PAS on MRI, as interpretation provides an opportunity to positively impact the quality and safety of patient care.</p></div>","PeriodicalId":51617,"journal":{"name":"Current Problems in Diagnostic Radiology","volume":"53 6","pages":"Pages 700-708"},"PeriodicalIF":1.5,"publicationDate":"2024-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0363018824001117/pdfft?md5=f968752783f1a9d58488b7e39e5bcdc7&pid=1-s2.0-S0363018824001117-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141617847","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}
引用次数: 0
Interinstitutional outside imaging transfer: Benefits, challenges, and evolving technology 机构间外部成像传输:优势、挑战和不断发展的技术
IF 1.5
Current Problems in Diagnostic Radiology Pub Date : 2024-07-14 DOI: 10.1067/j.cpradiol.2024.07.009
Ravinder Legha MD , Sarah Martaindale MD , Megan Speer MD , Taylor Beal BS , Megan Kalambo MD
{"title":"Interinstitutional outside imaging transfer: Benefits, challenges, and evolving technology","authors":"Ravinder Legha MD ,&nbsp;Sarah Martaindale MD ,&nbsp;Megan Speer MD ,&nbsp;Taylor Beal BS ,&nbsp;Megan Kalambo MD","doi":"10.1067/j.cpradiol.2024.07.009","DOIUrl":"10.1067/j.cpradiol.2024.07.009","url":null,"abstract":"<div><p>The interinstitutional transfer of outside images in radiology is a critical aspect of modern healthcare, enabling seamless collaboration among healthcare institutions and enhancing patient care. This paper explores the significance of interinstitutional image transfer in radiology, its challenges, and the technological advancements that have facilitated efficient image sharing. This practice offers several benefits, such as improving diagnostic accuracy, treatment planning, and patient outcomes. However, we also highlight the ethical and security issues involved in exchanging sensitive medical data between institutions. Through a review of existing literature and case studies, this manuscript discusses the advancements made in interinstitutional image transfer and the future potential of this evolving field.</p></div>","PeriodicalId":51617,"journal":{"name":"Current Problems in Diagnostic Radiology","volume":"53 6","pages":"Pages 753-757"},"PeriodicalIF":1.5,"publicationDate":"2024-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141694842","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Pioneers of progress: Documenting the legacy of underrepresented radiologists 进步的先锋:记录代表性不足的放射科医生的遗产。
IF 1.5
Current Problems in Diagnostic Radiology Pub Date : 2024-07-11 DOI: 10.1067/j.cpradiol.2024.07.003
Thomas Stirrat BS , Joshua Yu BS , Caitlyn Tran BS , Anousheh Sayah MD , Muhammad Umair MD , Yusuf T. Akpolat MD
{"title":"Pioneers of progress: Documenting the legacy of underrepresented radiologists","authors":"Thomas Stirrat BS ,&nbsp;Joshua Yu BS ,&nbsp;Caitlyn Tran BS ,&nbsp;Anousheh Sayah MD ,&nbsp;Muhammad Umair MD ,&nbsp;Yusuf T. Akpolat MD","doi":"10.1067/j.cpradiol.2024.07.003","DOIUrl":"10.1067/j.cpradiol.2024.07.003","url":null,"abstract":"<div><h3>Purpose</h3><p>This study aims to illuminate the enduring contributions of underrepresented pioneers in radiology, emphasizing their resilience, innovations, and the significant barriers they overcame. By weaving their achievements into the broader narrative of medical science, this research highlights the critical role of diversity and progress in the evolution of radiology.</p></div><div><h3>Historical Exploration</h3><p>This narrative review chronicles the significant contributions of underrepresented radiologists from the early 20th century to the present. By synthesizing historical data, biographical sketches, and contemporary medical literature, we highlight the pivotal roles these pioneers have played in advancing radiology. Their groundbreaking work not only enhanced medical imaging technologies and practices but also championed the cause of diversity and inclusion within the field. These stories of perseverance and innovation underscore the ongoing need for an inclusive approach in the medical community, reflecting on how diversity has shaped and will continue to influence the evolution of radiology.</p></div><div><h3>Findings and Conclusion</h3><p>The study identifies several pivotal figures, such as Marcus F. Wheatland, the first known African American radiologist, and Ivy O. Roach Brooks, the first woman to lead a radiology department at a major U.S. hospital. It explores their wide-ranging contributions from clinical practice and education to leadership and advocacy for diversity within the medical profession.</p><p>The legacies of these radiologists illuminate not just their individual accomplishments but also reflect the broader struggle for equality and representation in the medical field. Their determination and excellence have paved the way for future generations, significantly enhancing the inclusivity and diversity of the radiology field.</p></div><div><h3>Clinical Relevance and Application</h3><p>Understanding the contributions of these underrepresented radiologists enriches the field's perspective on diversity, equity, and inclusion. Highlighting these pioneers underscores the importance of mentorship, representation, and advocacy in creating an environment where all talented individuals can thrive. Insights from this historical analysis are crucial for shaping future policies and practices in radiology and medical education, ensuring the continuation of these trailblazers' inspiring legacy.</p></div>","PeriodicalId":51617,"journal":{"name":"Current Problems in Diagnostic Radiology","volume":"53 5","pages":"Pages 533-538"},"PeriodicalIF":1.5,"publicationDate":"2024-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141617848","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Ergonomic considerations for the modern radiology practice: An update 现代放射学实践中的人体工程学考虑因素:最新进展。
IF 1.5
Current Problems in Diagnostic Radiology Pub Date : 2024-07-09 DOI: 10.1067/j.cpradiol.2024.07.005
Samer Soussahn MD , Kenneth Buckwalter MD , Rony Sayegh MD , Steven Soliman DO , William Weadock MD , Kara Gaetke-Udager MD
{"title":"Ergonomic considerations for the modern radiology practice: An update","authors":"Samer Soussahn MD ,&nbsp;Kenneth Buckwalter MD ,&nbsp;Rony Sayegh MD ,&nbsp;Steven Soliman DO ,&nbsp;William Weadock MD ,&nbsp;Kara Gaetke-Udager MD","doi":"10.1067/j.cpradiol.2024.07.005","DOIUrl":"10.1067/j.cpradiol.2024.07.005","url":null,"abstract":"<div><p>The average post-pandemic modern radiology practice is experiencing an ever-increasing workload volume with overall relatively similar staffing levels, regardless of practice setting. This has resulted in an increased workload demand for the average diagnostic radiologist, which in many cases translates to longer working hours. It is now more important than ever to be cognizant of various work-related injuries, including repetitive-stress injuries and vision-related ailments as examples, in relation to the working conditions of the radiologist. This article will discuss commonly occurring conditions and ergonomic considerations that the radiologist can employ to reduce the risk of work-related injuries.</p></div>","PeriodicalId":51617,"journal":{"name":"Current Problems in Diagnostic Radiology","volume":"53 6","pages":"Pages 738-744"},"PeriodicalIF":1.5,"publicationDate":"2024-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0363018824001154/pdfft?md5=4006c0222185e0de5218ad54c5197761&pid=1-s2.0-S0363018824001154-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141604645","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}
引用次数: 0
Flipping the script: A multiyear assessment and comparison of flipped classroom versus traditional didactic teaching at two academic institutions 翻转剧本:对两所学术机构的翻转课堂与传统说教式教学进行多年评估和比较。
IF 1.5
Current Problems in Diagnostic Radiology Pub Date : 2024-07-09 DOI: 10.1067/j.cpradiol.2024.07.008
Michelle Ho MD , Rishi Agrawal MD , Diana Lam MD , Jason Hartman MD , Claire K. Sandstrom MD , Kevin Chorath MD , Puneet Bhargava MD , Lei Wu MD
{"title":"Flipping the script: A multiyear assessment and comparison of flipped classroom versus traditional didactic teaching at two academic institutions","authors":"Michelle Ho MD ,&nbsp;Rishi Agrawal MD ,&nbsp;Diana Lam MD ,&nbsp;Jason Hartman MD ,&nbsp;Claire K. Sandstrom MD ,&nbsp;Kevin Chorath MD ,&nbsp;Puneet Bhargava MD ,&nbsp;Lei Wu MD","doi":"10.1067/j.cpradiol.2024.07.008","DOIUrl":"10.1067/j.cpradiol.2024.07.008","url":null,"abstract":"<div><h3>Rationale and objectives</h3><div>Historically radiology resident education has taken the form of workstation and didactic teaching. Due to increasing clinical demand and administrative burden for academic radiologists, the need for more efficient and effective teaching has increased. Flipped classroom teaching, where trainees independently learn material prior to interactive teaching sessions with faculty, is a possible alternative. While the use of flipped teaching in radiology has been studied in the medical student setting, its use in the radiology residency setting has been less published.</div></div><div><h3>Materials and methods</h3><div>At two academic institutions (University of Washington and Northwestern), exam scores from five PGY-2 Core rotations were collected. Flipped teaching was used for one rotation at the University of Washington (FR). The influence of teaching method, rotation, and institution on exam score was examined. Resident surveys were also collected to understand perceptions of flipped classroom teaching.</div></div><div><h3>Results</h3><div>At the University of Washington, the mean exam score for the flipped rotation was significantly higher than the majority of other rotations utilizing traditional teaching (p&lt;0.05). Between the University of Washington and Northwestern, there was no difference in exam scores when comparing comparable rotations. Among residents at the University of Washington, the flipped teaching rotation was perceived as more educationally valuable than traditional teaching rotations.</div></div><div><h3>Conclusion</h3><div>Flipped classroom teaching is at least as effective as the traditional teaching model and associated with better performance on standardized exams at one institution. Among residents, flipped learning is also associated with higher perceived educational value.</div></div>","PeriodicalId":51617,"journal":{"name":"Current Problems in Diagnostic Radiology","volume":"54 2","pages":"Pages 238-241"},"PeriodicalIF":1.5,"publicationDate":"2024-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141636227","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Effect of information delivery techniques in reducing pre-procedural anxiety in computed tomography 信息传递技术对减轻计算机断层扫描术前焦虑的影响。
IF 1.5
Current Problems in Diagnostic Radiology Pub Date : 2024-07-09 DOI: 10.1067/j.cpradiol.2024.07.015
H Shafeeq Ahmed, Deeksha Gupta, Deepika Reddy Aluru, Rohit Nellaiappan, T Arul Dasan
{"title":"Effect of information delivery techniques in reducing pre-procedural anxiety in computed tomography","authors":"H Shafeeq Ahmed,&nbsp;Deeksha Gupta,&nbsp;Deepika Reddy Aluru,&nbsp;Rohit Nellaiappan,&nbsp;T Arul Dasan","doi":"10.1067/j.cpradiol.2024.07.015","DOIUrl":"10.1067/j.cpradiol.2024.07.015","url":null,"abstract":"<div><h3>Objectives</h3><p>Patients undergoing medical procedures often experience heightened anxiety, which can affect their experience and overall health. The current study aimed at looking at a quality improvement initiative to compare written and audiovisual information delivery methods to reduce anxiety prior to Computed Tomography (CT).</p></div><div><h3>Methods</h3><p>In this prospective interventional study, we assessed state and trait anxiety in patients scheduled for their first CT scan. Three PDSA cycles were carried out over six months, with each cycle lasting for two months each. The participants were divided into three groups, the baseline, written, and audiovisual intervention groups. Anxiety levels were assessed using the State-Trait Anxiety Inventory (STAI) questionnaire. State anxiety is a temporary emotional response, while trait anxiety reflects enduring personality characteristics.</p></div><div><h3>Results</h3><p>The mean age of participants was 43.26 years (SD 15.07) in the baseline group, 39.9 years (SD 14.72) in the written group, and 48.59 years (SD 13.54) in the audiovisual group. For state anxiety, the baseline mean was 58.4 (SD 6.9), notably reduced to 43.2 (SD 5.5) with written intervention and to 38.6 (SD 7.7) with audiovisual intervention (<em>p</em> &lt; 0.001). Trait anxiety scores remained relatively stable in all groups (<em>p</em> = 0.31).</p></div><div><h3>Conclusion</h3><p>Both written and audiovisual interventions successfully alleviate pre-imaging anxiety in patients undergoing CT scans. The findings underscore the superior efficacy of audiovisual materials in achieving a more substantial reduction in state anxiety compared to written information. These findings are particularly relevant in resource limited settings where simple interventions show significant improvements.</p></div>","PeriodicalId":51617,"journal":{"name":"Current Problems in Diagnostic Radiology","volume":"53 6","pages":"Pages 723-727"},"PeriodicalIF":1.5,"publicationDate":"2024-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141636226","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Gender and race in radiology: An intersectional analysis of the American Association of Medical Colleges (AAMC) database from 1966 to 2021 放射学中的性别与种族:对 1966 年至 2021 年美国医学院协会 (AAMC) 数据库的交叉分析
IF 1.5
Current Problems in Diagnostic Radiology Pub Date : 2024-07-09 DOI: 10.1067/j.cpradiol.2024.07.013
Ishraq Joarder HBSc , Shukria Ahmadi HBSc , Jeffrey Ding , Faisal Khosa MD, MBA, TI, FFRRCSI, FRCPC, FACR
{"title":"Gender and race in radiology: An intersectional analysis of the American Association of Medical Colleges (AAMC) database from 1966 to 2021","authors":"Ishraq Joarder HBSc ,&nbsp;Shukria Ahmadi HBSc ,&nbsp;Jeffrey Ding ,&nbsp;Faisal Khosa MD, MBA, TI, FFRRCSI, FRCPC, FACR","doi":"10.1067/j.cpradiol.2024.07.013","DOIUrl":"10.1067/j.cpradiol.2024.07.013","url":null,"abstract":"<div><h3>Purpose</h3><div>To describe trends in gender and racial representation within academic radiology in the United States over a 55-year period from 1966 to 2021.</div></div><div><h3>Methods</h3><div>A retrospective analysis of the American Association of Medical Colleges database of radiology faculty members from 1966 to 2021 was conducted. Trends in academic rank and tenure status for five different ethnoracial groups (White, Asian, Black, Hispanic, and Native American) each subdivided into two gender identities (men and women) were analyzed. The proportional change over time of each demographic group per outcome was analyzed with linear regression models.</div></div><div><h3>Results</h3><div>Between 1966 and 2021, White men comprised the largest demographic in academic radiology each year. A significant decrease in both White individuals (−0.51 % per year) and men (−0.30 % per year) were observed over the study period. Additionally, the only demographic groups with meaningful changes in representation were White women (+0.20 % per year) and Asian men (+0.23 % per year), followed by Asian women in later years. Underrepresented minority groups (Black, Hispanic and Native American) collectively comprised less than 5 % of all academic radiologists. Finally, within each demographic group, the representation of women consistently lagged behind men. Despite these relative increases, in 2021, the majority of US academic radiologists were White (59.1 %) and male (70.1 %).</div></div><div><h3>Conclusion</h3><div>Historically underrepresented minorities, especially women within these groups, continue to face discrimination and are consistently the least represented in radiology. Initiatives that incorporate the intersectionality framework are imperative to break this cycle.</div></div>","PeriodicalId":51617,"journal":{"name":"Current Problems in Diagnostic Radiology","volume":"54 2","pages":"Pages 191-196"},"PeriodicalIF":1.5,"publicationDate":"2024-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141694170","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Evaluation of Hepatocellular Carcinoma Surveillance with Contrast-enhanced MRI in a High-Risk Western European Cohort 在高风险西欧队列中使用对比增强磁共振成像对肝细胞癌监测进行评估。
IF 1.5
Current Problems in Diagnostic Radiology Pub Date : 2024-07-09 DOI: 10.1067/j.cpradiol.2024.07.001
Federico I.F. Fiduzi MD , François E.J.A. Willemssen MD , Céline van de Braak MSc , Quido G. de Lussanet de la Sablonière MD, PhD , Jan N.M. IJzermans MD, PhD , Daniel Bos MD, PhD , Robert A. de Man MD, PhD , Roy S. Dwarkasing MD, PhD
{"title":"Evaluation of Hepatocellular Carcinoma Surveillance with Contrast-enhanced MRI in a High-Risk Western European Cohort","authors":"Federico I.F. Fiduzi MD ,&nbsp;François E.J.A. Willemssen MD ,&nbsp;Céline van de Braak MSc ,&nbsp;Quido G. de Lussanet de la Sablonière MD, PhD ,&nbsp;Jan N.M. IJzermans MD, PhD ,&nbsp;Daniel Bos MD, PhD ,&nbsp;Robert A. de Man MD, PhD ,&nbsp;Roy S. Dwarkasing MD, PhD","doi":"10.1067/j.cpradiol.2024.07.001","DOIUrl":"10.1067/j.cpradiol.2024.07.001","url":null,"abstract":"<div><h3>Aim</h3><p>To investigate the utilization of MRI using a MRI liver protocol with extracellular contrast-enhanced series for hepatocellular carcinoma (HCC) surveillance in high-risk patients.</p></div><div><h3>Methods</h3><p>Consecutive high-risk patients of a western European cohort who underwent repeated liver MRI for HCC screening were included. Lesions were registered according to the Liver Reporting &amp; Data System (LIRADS) 2018. HCC was staged as very early stage HCC (BCLC stage 0) and more advanced stages of HCC (BCLC stage A-D). Differences in time interval between MRI's for BCLC stage 0 and stage A-D were calculated with the Mann-Whitney U test. The HCC cumulative incidence at one-, three- and five years was calculated with the Kaplan Meier estimator.</p></div><div><h3>Results</h3><p>From 2010 to 2019 a total of 240 patients were included (71% male; median age: 57 years; IQR: 50-64 years) with 1350 MRI's. Most patients (83 %) had cirrhosis with hepatitis C as the most common underlying cause. Patients underwent on average four MRI's (IQR: 3-7). Forty-two patients (17.5%) developed HCC (52 HCC lesions: 43 LIRADS-5, eight LIRADS-4, and one LIRADS-TIV). Eighteen patients (43%) had BCLC stage 0 HCC with a significant shorter screening time interval (10 months; IQR: 6-21) compared to patients with BCLC stage A-D (21 months; IQR: 10-32) (p = 0.03). Thirty seven percent of patients with a LIRADS-3 lesion (n=43) showed HCC development within twelve months (median: 7.4 months). One, three- and five-year HCC cumulative incidence in cirrhotic patients was 1%, 10% and 17%, respectively.</p></div><div><h3>Conclusion</h3><p>High-risk patients who underwent surveillance with contrast-enhanced MRI developed HCC in 17.5 % during a follow up period of over 4 years median. Very early stage HCC was seen in compensated cirrhosis after a median time interval of 10 months. Later stages of HCC were related to prolonged screening time interval (median 21 months).</p></div>","PeriodicalId":51617,"journal":{"name":"Current Problems in Diagnostic Radiology","volume":"53 6","pages":"Pages 709-716"},"PeriodicalIF":1.5,"publicationDate":"2024-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0363018824001129/pdfft?md5=6a0b5700244a00089ae25b4abfad353a&pid=1-s2.0-S0363018824001129-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141604646","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}
引用次数: 0
Computed tomography (CT) derived radiomics to predict post-operative disease recurrence in gastric cancer; a systematic review and meta-analysis 预测胃癌术后复发的计算机断层扫描(CT)放射组学;系统综述
IF 1.5
Current Problems in Diagnostic Radiology Pub Date : 2024-07-09 DOI: 10.1067/j.cpradiol.2024.07.011
Niall J. O'Sullivan , Hugo C. Temperley , Michelle T. Horan , Benjamin M. Mac Curtain , Maeve O'Neill , Claire Donohoe , Narayanasamy Ravi , Alison Corr , James F.M. Meaney , John V. Reynolds , Michael E. Kelly
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