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Postmortem CT: Applications in Clinical and Forensic Medicine. 尸体CT:在临床和法医学中的应用。
IF 5.2 1区 医学
Radiographics Pub Date : 2025-06-01 DOI: 10.1148/rg.240192
Nadia Solomon, Jamie Elifritz, Natalie L Adolphi, Summer J Decker, Laura Filograna, Jeroen J F Kroll, Dominic Gascho, Michael J Thali, Babina Gosangi, Harold Sanchez, Margarita V Revzin, Albert J Sinusas
{"title":"Postmortem CT: Applications in Clinical and Forensic Medicine.","authors":"Nadia Solomon, Jamie Elifritz, Natalie L Adolphi, Summer J Decker, Laura Filograna, Jeroen J F Kroll, Dominic Gascho, Michael J Thali, Babina Gosangi, Harold Sanchez, Margarita V Revzin, Albert J Sinusas","doi":"10.1148/rg.240192","DOIUrl":"10.1148/rg.240192","url":null,"abstract":"<p><p>Just as radiography has been used in forensic medicine since shortly after the discovery of x-rays in 1895, CT was introduced to postmortem investigation not long after its introduction to medicine in the 1970s. In recent decades, forensic radiology has declared itself as a new subspecialty capable of revolutionizing death investigation and research. A variety of postmortem imaging techniques have emerged. Postmortem CT (PMCT) is widely accepted around the world as a supplementary tool and, in specific cases and settings, an alternative to full autopsy. As its popularity grows, however, it is important for radiologists and pathologists to expand their understanding of the applications, benefits, and limitations of these techniques, as well as the unique nuances of postmortem imaging interpretation. This will ensure high-quality interpretations and avoid potential pitfalls that could result in premature or erroneous conclusions. The authors introduce the reader, particularly the radiologist, to the growing subspecialty of forensic imaging (focusing on imaging of the deceased), specifically focusing on PMCT and its applications in death investigation in both clinical and forensic settings. The authors also discuss the benefits and limitations of PMCT as well as important nuances of PMCT interpretation, emphasizing the similarities and differences between clinical and postmortem studies, the necessity of conducting thorough death investigations, and the importance of pursuing specialized education or training in postmortem imaging interpretation. Applications of more specialized imaging techniques to postmortem and forensic investigations are described, including developing research in this area. <sup>©</sup>RSNA, 2025 Supplemental material is available for this article.</p>","PeriodicalId":54512,"journal":{"name":"Radiographics","volume":"45 6","pages":"e240192"},"PeriodicalIF":5.2,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12142271/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144082092","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Invited Commentary: Is MR Neurography of the Lumbosacral Plexus Primed to Replace Electrophysiologic Testing? 特邀评论:腰骶神经丛MR神经造影是否已准备好取代电生理测试?
IF 5.2 1区 医学
Radiographics Pub Date : 2025-06-01 DOI: 10.1148/rg.240218
Avneesh Chhabra
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引用次数: 0
Pearls and Pitfalls of First-Trimester US Screening and Prenatal Testing: A Pictorial Review. 早期妊娠美国筛查和产前检测的珍珠和陷阱:画报评论。
IF 5.2 1区 医学
Radiographics Pub Date : 2025-06-01 DOI: 10.1148/rg.240184
Annie T Packard, Mary J Clingan, Lori M Strachowski, Carl H Rose, Mari Charisse B Trinidad, Cynthia De la Garza-Ramos, Dana Amiraian, Shuchi K Rodgers, Melanie P Caserta
{"title":"Pearls and Pitfalls of First-Trimester US Screening and Prenatal Testing: A Pictorial Review.","authors":"Annie T Packard, Mary J Clingan, Lori M Strachowski, Carl H Rose, Mari Charisse B Trinidad, Cynthia De la Garza-Ramos, Dana Amiraian, Shuchi K Rodgers, Melanie P Caserta","doi":"10.1148/rg.240184","DOIUrl":"10.1148/rg.240184","url":null,"abstract":"<p><p>First-trimester US is imperative in evaluation of early pregnancy to confirm pregnancy location and number and gestational age. The 2024 Society of Radiologists in Ultrasound consensus conference established a first-trimester lexicon to highlight the importance of clear and concise language, which is incorporated and featured by the authors. With improved technologies and understanding of fetal development, first-trimester anatomic studies, between 11 weeks and 13 weeks 6 days gestation, are becoming more frequently used. While not a replacement for the second-trimester anatomic study, systematic evaluation of fetal anatomy at this early gestational age allows detection of 40%-70% of anomalies, whether structural or related to aneuploidy. All patients, regardless of age or baseline risk, should be offered screening and diagnostic testing for chromosomal abnormalities. A variety of prenatal screening approaches are available, each with strengths and limitations. Noninvasive prenatal testing with detection of fetal cell-free DNA can be performed in the first trimester and is the most sensitive and specific screening for the common fetal aneuploidies, but is not equivalent to diagnostic testing. Alternatively, serum analytes for maternal biomarkers in conjunction with nuchal translucency (NT) measurement can be used to calculate a risk estimate for common trisomies. Increased NT is the most common abnormality seen in the first trimester. Positive screening results, increased NT, or other anomaly at US should prompt genetic counseling and be confirmed with diagnostic testing (chorionic villus sampling or amniocentesis). Early detection of aneuploidy and structural anomalies allows counseling and informs decisions for pregnancy management. <sup>©</sup>RSNA, 2025 Supplemental material is available for this article.</p>","PeriodicalId":54512,"journal":{"name":"Radiographics","volume":"45 6","pages":"e240184"},"PeriodicalIF":5.2,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144082090","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"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
The Clinician-Scientist Radiology Residency Pathway: Cultivating Leaders in Radiology Research and Innovation. 临床医师-科学家放射学住院医师路径:培养放射学研究和创新的领导者。
IF 5.2 1区 医学
Radiographics Pub Date : 2025-06-01 DOI: 10.1148/rg.240228
Melina Hosseiny, Julia Niemierko, Jamie E Clarke, Maria Lucia Brun-Vergara, Patricia Balthazar
{"title":"The Clinician-Scientist Radiology Residency Pathway: Cultivating Leaders in Radiology Research and Innovation.","authors":"Melina Hosseiny, Julia Niemierko, Jamie E Clarke, Maria Lucia Brun-Vergara, Patricia Balthazar","doi":"10.1148/rg.240228","DOIUrl":"10.1148/rg.240228","url":null,"abstract":"","PeriodicalId":54512,"journal":{"name":"Radiographics","volume":"45 6","pages":"e240228"},"PeriodicalIF":5.2,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12142270/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144082095","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Stercoral Colitis without Perforation Correlates with a High Risk of Mortality. 无穿孔后珊瑚结肠炎与高死亡率相关
IF 5.2 1区 医学
Radiographics Pub Date : 2025-06-01 DOI: 10.1148/rg.250068
Michael Sacerdote
{"title":"Stercoral Colitis without Perforation Correlates with a High Risk of Mortality.","authors":"Michael Sacerdote","doi":"10.1148/rg.250068","DOIUrl":"10.1148/rg.250068","url":null,"abstract":"","PeriodicalId":54512,"journal":{"name":"Radiographics","volume":"45 6","pages":"e250068"},"PeriodicalIF":5.2,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144182776","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"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
Dual-Energy X-ray Absorptiometry in Osteoporosis and Osteopenia: Imaging Interpretation and Pitfalls. 骨质疏松和骨质减少的双能x线吸收测定:影像学解释和缺陷。
IF 5.2 1区 医学
Radiographics Pub Date : 2025-06-01 DOI: 10.1148/rg.240193
Namir Asmar, Andrew Logan, Kishan Karia, Taha Haq, Fiona Watson, Neil D R Soneji, Sairah R Khan, Alexander Comninos, Zarni Win, Mitesh Naik
{"title":"Dual-Energy X-ray Absorptiometry in Osteoporosis and Osteopenia: Imaging Interpretation and Pitfalls.","authors":"Namir Asmar, Andrew Logan, Kishan Karia, Taha Haq, Fiona Watson, Neil D R Soneji, Sairah R Khan, Alexander Comninos, Zarni Win, Mitesh Naik","doi":"10.1148/rg.240193","DOIUrl":"10.1148/rg.240193","url":null,"abstract":"","PeriodicalId":54512,"journal":{"name":"Radiographics","volume":"45 6","pages":"e240193"},"PeriodicalIF":5.2,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144057343","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"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
MR Neurography of the Lumbosacral Plexus: Technique and Disease Patterns. 腰骶神经丛的MR神经造影:技术和疾病模式。
IF 5.2 1区 医学
Radiographics Pub Date : 2025-06-01 DOI: 10.1148/rg.240099
Jenifer Pitman, Yenpo Lin, Ek Tsoon Tan, Darryl B Sneag
{"title":"MR Neurography of the Lumbosacral Plexus: Technique and Disease Patterns.","authors":"Jenifer Pitman, Yenpo Lin, Ek Tsoon Tan, Darryl B Sneag","doi":"10.1148/rg.240099","DOIUrl":"10.1148/rg.240099","url":null,"abstract":"<p><p>The lumbosacral plexus (LSP) comprises a complex network of nerves supplying the pelvis and lower extremities and may be affected by a wide range of diseases. Lumbosacral plexopathy can be challenging to diagnose due to overlapping clinical presentations and difficulty performing electrodiagnostic testing of the deep pelvic structures. MRI-more specifically, MR neurography (MRN)-can readily depict most LSP segments. MRN techniques, preferably performed at 3.0 T, continue to evolve, with most protocols including two-dimensional and optionally three-dimensional, heavily T2-weighted fat-suppressed sequences. This article provides technical tips for optimizing LSP MRN, as well as an overview of various LSP-related pathologic conditions, with accompanying illustrative examples. <sup>©</sup>RSNA, 2025 Supplemental material is available for this article. See the invited commentary by Chhabra in this issue.</p>","PeriodicalId":54512,"journal":{"name":"Radiographics","volume":"45 6","pages":"e240099"},"PeriodicalIF":5.2,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144082088","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"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
US of the Neck beyond the Thyroid Gland: Parathyroid Glands. 甲状腺以外的颈部:甲状旁腺。
IF 5.2 1区 医学
Radiographics Pub Date : 2025-06-01 DOI: 10.1148/rg.240182
Rachita Khot, Irene Dixe de Oliveira Santo, Luyao Shen, Malak Itani, Anne Sailer, Jonathan D Kirsch, Margarita V Revzin
{"title":"US of the Neck beyond the Thyroid Gland: Parathyroid Glands.","authors":"Rachita Khot, Irene Dixe de Oliveira Santo, Luyao Shen, Malak Itani, Anne Sailer, Jonathan D Kirsch, Margarita V Revzin","doi":"10.1148/rg.240182","DOIUrl":"10.1148/rg.240182","url":null,"abstract":"<p><p>Parathyroid imaging in hyperparathyroidism management is not solely to support the diagnosis but also to precisely localize abnormal parathyroid tissue, thus enabling minimally invasive parathyroidectomy. US offers a noninvasive and cost-effective method for identifying and characterizing parathyroid lesions. Common causes include solitary parathyroid adenoma, multiple adenomas, and parathyroid hyperplasia. Despite its advantages, US has limitations, including difficulty in demonstrating deep-seated or ectopic glands. Radiologists must exercise caution in distinguishing parathyroid lesions from mimics such as thyroid nodules and lymph nodes using various imaging modalities including high-resolution neck US, scintigraphy, four-dimensional CT, and MRI. The authors focus on the role of US in evaluating parathyroid pathologic conditions, highlighting its advantages in concurrent detection of thyroid nodules while also discussing the complementary role and benefits of alternative imaging modalities. Common mimics encountered during imaging evaluation are briefly outlined. <sup>©</sup>RSNA, 2025 Supplemental material is available for this article.</p>","PeriodicalId":54512,"journal":{"name":"Radiographics","volume":"45 6","pages":"e240182"},"PeriodicalIF":5.2,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144183485","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"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
Invited Commentary: Key Considerations in Lung Cryoablation. 特邀评论:肺冷冻消融的关键考虑因素。
IF 5.2 1区 医学
Radiographics Pub Date : 2025-06-01 DOI: 10.1148/rg.250036
Ahmad Parvinian, Patrick W Eiken
{"title":"Invited Commentary: Key Considerations in Lung Cryoablation.","authors":"Ahmad Parvinian, Patrick W Eiken","doi":"10.1148/rg.250036","DOIUrl":"10.1148/rg.250036","url":null,"abstract":"","PeriodicalId":54512,"journal":{"name":"Radiographics","volume":"45 6","pages":"e250036"},"PeriodicalIF":5.2,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144129498","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"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
Understanding Normal Fetal Cardiac Views at US. 了解美国正常胎儿心脏图像。
IF 5.2 1区 医学
Radiographics Pub Date : 2025-06-01 DOI: 10.1148/rg.240200
Venus Barlas, Shital Gandhi, Heidi N Keiser, Shravan Sridhar, Dorothy J Shum
{"title":"Understanding Normal Fetal Cardiac Views at US.","authors":"Venus Barlas, Shital Gandhi, Heidi N Keiser, Shravan Sridhar, Dorothy J Shum","doi":"10.1148/rg.240200","DOIUrl":"10.1148/rg.240200","url":null,"abstract":"","PeriodicalId":54512,"journal":{"name":"Radiographics","volume":"45 6","pages":"e240200"},"PeriodicalIF":5.2,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144180189","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"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
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