Radiographics最新文献_第7页

Imaging of Antepartum and Postpartum Hemorrhage: Contemporary Classification of Placenta Previa. 产前和产后出血的成像：前置胎盘的当代分类。

IF 5.2 1区医学

Radiographics Pub Date : 2024-07-01 DOI: 10.1148/rg.240127

Yinka Oyelese

引用次数: 0

Cesarean Scar Ectopic Pregnancy: A Do-Not-Miss Diagnosis. 剖腹产瘢痕宫外孕：不容错过的诊断。

IF 5.2 1区医学

Radiographics Pub Date : 2024-07-01 DOI: 10.1148/rg.230199

Anne Kennedy, Michelle Debbink, April Griffith, Jennifer Kaiser, Paula Woodward

{"title":"Cesarean Scar Ectopic Pregnancy: A Do-Not-Miss Diagnosis.","authors":"Anne Kennedy, Michelle Debbink, April Griffith, Jennifer Kaiser, Paula Woodward","doi":"10.1148/rg.230199","DOIUrl":"10.1148/rg.230199","url":null,"abstract":"The rate of cesarean section (CS) for delivery has increased internationally, reaching 50% in some countries. Abnormal implantation of a new pregnancy at the site of the prior hysterotomy is an important complication because of the risks of hemorrhage, uterine rupture, and progression to placenta accreta spectrum (PAS), a condition with high morbidity with potential for catastrophic obstetric hemorrhage, maternal and fetal mortality, and loss of fertility. Cesarean scar ectopic pregnancy (CSEP) is the recommended term to describe these pregnancies, which are recognized on the basis of the sac implantation site, growth pattern, and associated abnormal perfusion. The true incidence of CSEP is unknown because the condition is likely underdiagnosed and underreported. The 2022 Society for Maternal-Fetal Medicine consult series notes that severe maternal morbidity and mortality are linked to difficulty in making the diagnosis of CSEP. The authors review the signs of CSEP at imaging, some pitfalls that may lead to delayed or missed diagnosis, and the consequences thereof. CSEPs must be differentiated from low implantation of a normal pregnancy, cervical ectopic pregnancy, and evolving pregnancy loss. Early recognition allows prompt and safe treatment that is usually surgical. Early treatment results in decreased health care costs, a shorter hospital stay, preservation of fertility, and prevention of iatrogenic preterm delivery, which is typical in cases that progress to PAS. Hysterectomy has serious negative psychologic consequences for patients of childbearing age; early diagnosis and prompt treatment of CSEP can prevent this often-ignored complication. ©RSNA, 2024 Supplemental material is available for this article.","PeriodicalId":54512,"journal":{"name":"Radiographics","volume":"44 7","pages":"e230199"},"PeriodicalIF":5.2,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141285436","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: Understanding and Addressing Cognitive Biases in Radiology. 特邀评论：了解和解决放射学中的认知偏差。

IF 5.2 1区医学

Radiographics Pub Date : 2024-07-01 DOI: 10.1148/rg.230244

David B Larson

引用次数: 0

Spectrum of Cognitive Biases in Diagnostic Radiology. 放射诊断中的认知偏差谱。

IF 5.2 1区医学

Radiographics Pub Date : 2024-07-01 DOI: 10.1148/rg.230059

Se-Young Yoon, Karen S Lee, Abraham F Bezuidenhout, Jonathan B Kruskal

{"title":"Spectrum of Cognitive Biases in Diagnostic Radiology.","authors":"Se-Young Yoon, Karen S Lee, Abraham F Bezuidenhout, Jonathan B Kruskal","doi":"10.1148/rg.230059","DOIUrl":"10.1148/rg.230059","url":null,"abstract":"Cognitive biases are systematic thought processes involving the use of a filter of personal experiences and preferences arising from the tendency of the human brain to simplify information processing, especially when taking in vast amounts of data such as from imaging studies. These biases encompass a wide spectrum of thought processes and frequently overlap in their concepts, with multiple biases usually in operation when interpretive and perceptual errors occur in radiology. The authors review the gamut of cognitive biases that occur in radiology. These biases are organized according to their expected stage of occurrence while the radiologist reads and interprets an imaging study. In addition, the authors propose several additional cognitive biases that have not yet, to their knowledge, been defined in the radiologic literature but are applicable to diagnostic radiology. Case examples are used to illustrate potential biases and their impact, with emergency radiology serving as the clinical paradigm, given the associated high imaging volumes, wide diversity of imaging examinations, and rapid pace, which can further increase a radiologist's reliance on biases and heuristics. Potential strategies to recognize and overcome one's personal biases at each stage of image interpretation are also discussed. Awareness of such biases and their unintended effects on imaging interpretations and patient outcomes may help make radiologists cognizant of their own biases that can result in diagnostic errors. Identification of cognitive bias in departmental and systematic quality improvement practices may represent another tool to prevent diagnostic errors in radiology. ©RSNA, 2024 See the invited commentary by Larson in this issue.","PeriodicalId":54512,"journal":{"name":"Radiographics","volume":"44 7","pages":"e230059"},"PeriodicalIF":5.2,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141285440","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

Acute Graft-versus-Host Disease. 急性移植物抗宿主疾病。

IF 5.2 1区医学

Radiographics Pub Date : 2024-07-01 DOI: 10.1148/rg.230238

Meng Zhang, Jason Cai, Vaibhav Gulati, Parisa Khoshpouri, Michael Orsi

引用次数: 0

Biliary Leaks: Multidisciplinary Approach to Diagnosis and Treatment. 胆漏：诊断和治疗的多学科方法。

IF 5.2 1区医学

Radiographics Pub Date : 2024-07-01 DOI: 10.1148/rg.230155

Philip J Schertz, Christopher A Mao, Kade D Derrick, Federico Galar, Carlos B Ortiz, John A Walker, Jorge E Lopera

{"title":"Biliary Leaks: Multidisciplinary Approach to Diagnosis and Treatment.","authors":"Philip J Schertz, Christopher A Mao, Kade D Derrick, Federico Galar, Carlos B Ortiz, John A Walker, Jorge E Lopera","doi":"10.1148/rg.230155","DOIUrl":"10.1148/rg.230155","url":null,"abstract":"Bile leaks arise from various causes such as trauma, complications after hepatobiliary surgery, and intrahepatic malignancies or their associated liver-directed treatments. Bile leaks can result in significant morbidity and mortality. Delayed diagnosis is not uncommon due to nonspecific manifestations; therefore, a high clinical suspicion is needed. A multidisciplinary approach for treatment of biliary leaks with prompt referral to tertiary care centers with experienced hepatobiliary surgeons, advanced endoscopists, and interventional radiologists is needed to address these challenging complications. Management of biliary leaks can range from conservative management to open surgical repair. Minimally invasive procedures play a crucial role in biliary leak treatment, and the interventional radiologist can help guide appropriate management on the basis of a clear understanding of the pathophysiology of biliary leaks and a current knowledge of the armamentarium of treatment options. In most cases, a simple diversion of bile to decompress the biliary system may prove effective. However, persistent and high-output biliary leaks require delineation of the source with tailored treatment options to control the leak. This may be done by additional diversions, occluding the source, reestablishing connections, or using a combination of therapies to bridge to more definitive surgical interventions. The authors describe the different treatment options and emphasize the role of interventional radiology. ©RSNA, 2024.","PeriodicalId":54512,"journal":{"name":"Radiographics","volume":"44 7","pages":"e230155"},"PeriodicalIF":5.2,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141472643","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

Intra-articular Osteoid Osteomas: Imaging Manifestations and Mimics. 关节内骨样骨瘤：影像学表现和假象。

IF 5.2 1区医学

Radiographics Pub Date : 2024-07-01 DOI: 10.1148/rg.230208

M Alejandra Bedoya, Jade Iwasaka-Neder, Andy Tsai, Sarah D Bixby

{"title":"Intra-articular Osteoid Osteomas: Imaging Manifestations and Mimics.","authors":"M Alejandra Bedoya, Jade Iwasaka-Neder, Andy Tsai, Sarah D Bixby","doi":"10.1148/rg.230208","DOIUrl":"10.1148/rg.230208","url":null,"abstract":"Osteoid osteoma (OO) is the third most prevalent benign bone neoplasm in children. Although it predominantly affects the diaphysis of long bones, OO can assume an intra-articular location in the epiphysis or the intracapsular portions of bones. The most common location of intra-articular OO is the hip joint. The presentation of intra-articular OOs often poses a diagnostic enigma, both from clinical and radiologic perspectives. Initial symptoms are often vague and nonspecific, characterized by joint pain, stiffness, and limited range of motion, which frequently contributes to a delayed diagnosis. Radiographic findings range from normal to a subtle sclerotic focus, which may or may not have a lucent nidus. In contrast to their extra-articular counterparts, intra-articular lesions have distinct features at MRI, including synovitis, joint effusion, and bone marrow edema-like signal intensity. While CT remains the standard for identifying the nidus, even CT may be inadequate in visualizing it in some cases, necessitating the use of bone scintigraphy or fluorine 18-labeled sodium fluoride PET/CT for definitive diagnosis. Radiologists frequently play a pivotal role in suggesting this diagnosis. However, familiarity with the unique imaging attributes of intra-articular OO is key to this endeavor. Awareness of these distinctive imaging findings of intra-articular OO is crucial for avoiding diagnostic delay, ensuring timely intervention, and preventing unnecessary procedures or surgeries resulting from a misdiagnosis. The authors highlight and illustrate the different manifestations of intra-articular OO as compared with the more common extra-articular lesions with respect to clinical presentation and imaging findings. ©RSNA, 2024 Supplemental material is available for this article.","PeriodicalId":54512,"journal":{"name":"Radiographics","volume":"44 7","pages":"e230208"},"PeriodicalIF":5.2,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141285437","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: Mitral Annular Disease: An Underrecognized and Forgotten Entity. 特邀评论：二尖瓣环疾病：未被充分认识和遗忘的实体。

IF 5.2 1区医学

Radiographics Pub Date : 2024-07-01 DOI: 10.1148/rg.240007

Jadranka Stojanovska, Kana Fujikura

引用次数: 0

Distinguishing Similar-appearing Chest Radiographs: Interactive Case-based Approach. 区分外观相似的胸部 X 光片：基于案例的互动方法。

IF 5.2 1区医学

Radiographics Pub Date : 2024-07-01 DOI: 10.1148/rg.230150

Kaitlin M Robling, Palmi N Shah, Mohamed Z Hussein, Maham Jehangir, Ramya S Gaddikeri

引用次数: 0

Clubfoot: Congenital Talipes Equinovarus. 马蹄内翻足：先天性马蹄内翻足。

IF 5.2 1区医学

Radiographics Pub Date : 2024-07-01 DOI: 10.1148/rg.230178

Adham do Amaral E Castro, Júlia B Peixoto, Lucas K Miyahara, Marina C Akuri, Tatiane L Moriwaki, Vitor N Sato, Ulysses P Rissato, José A Pinto, Atul K Taneja, André Y Aihara

{"title":"Clubfoot: Congenital Talipes Equinovarus.","authors":"Adham do Amaral E Castro, Júlia B Peixoto, Lucas K Miyahara, Marina C Akuri, Tatiane L Moriwaki, Vitor N Sato, Ulysses P Rissato, José A Pinto, Atul K Taneja, André Y Aihara","doi":"10.1148/rg.230178","DOIUrl":"10.1148/rg.230178","url":null,"abstract":"Congenital talipes equinovarus (CTEV), also known as clubfoot, is a common musculoskeletal entity that affects one to two per 1000 live births worldwide. Imaging modalities including radiography, US, and MRI have emerged as valuable tools for the diagnosis, treatment, and monitoring of CTEV. The deformity is characterized by midfoot cavus, forefoot adductus, and hindfoot varus and equinus. The Ponseti method of manipulation and serial casting is the standard treatment of CTEV. Radiography shows the anatomy, position, and relationships of the different bones of the foot. US allows accurate assessment of cartilaginous and bony structures, in addition to its inherent advantages such as absence of ionizing radiation exposure. One of the indications for US is to monitor the response to Ponseti method treatment. MRI enables visualization of bones, cartilage, and soft tissues and allows multiplanar evaluation of deformities, providing a comprehensive imaging analysis of CTEV. An integrated approach that combines clinical examination and imaging findings is essential for effective management of CTEV. The authors provide a comprehensive overview of CTEV with a review of imaging modalities to help evaluate CTEV, focusing on radiography, US, and MRI. Using this article as a guide, radiologists involved in the assessment and treatment of CTEV can contribute to the management of the condition. ©RSNA, 2024 Supplemental material is available for this article.","PeriodicalId":54512,"journal":{"name":"Radiographics","volume":"44 7","pages":"e230178"},"PeriodicalIF":5.2,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141472644","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