Canadian Association of Radiologists Journal-Journal De L Association Canadienne Des Radiologistes最新文献_第4页

Robotics in Interventional Radiology: Is the Force With Us? 介入放射学中的机器人技术：力量与我们同在吗？

IF 2.9 3区医学

Canadian Association of Radiologists Journal-Journal De L Association Canadienne Des Radiologistes Pub Date : 2025-05-01 Epub Date: 2024-11-14 DOI: 10.1177/08465371241299645

Laurent Milot, Philippe Soyer

引用次数: 0

Outcomes and Complications of Image-Guided Percutaneous Tumour Ablation for Hepatocellular Carcinoma at the Irish National Liver Transplant Centre. 爱尔兰国立肝移植中心肝细胞癌图像引导经皮肿瘤消融术的疗效和并发症。

IF 2.9 3区医学

Canadian Association of Radiologists Journal-Journal De L Association Canadienne Des Radiologistes Pub Date : 2025-05-01 Epub Date: 2024-09-29 DOI: 10.1177/08465371241286795

Syer Ree Tee, Hannah Hughes, Edmund Ronan Ryan, Jeff McCann, Colin O'Rourke, Michele Bourke, Ross MacNicholas, Colin P Cantwell, Gerard M Healy

{"title":"Outcomes and Complications of Image-Guided Percutaneous Tumour Ablation for Hepatocellular Carcinoma at the Irish National Liver Transplant Centre.","authors":"Syer Ree Tee, Hannah Hughes, Edmund Ronan Ryan, Jeff McCann, Colin O'Rourke, Michele Bourke, Ross MacNicholas, Colin P Cantwell, Gerard M Healy","doi":"10.1177/08465371241286795","DOIUrl":"10.1177/08465371241286795","url":null,"abstract":"Background: Image-guided tumour ablation is a minimally invasive treatment for early stage hepatocellular carcinoma (HCC). Our study reviews the complications and long term outcomes in patients treated at a tertiary referral centre. Methods: Retrospective study. All patients with HCC who underwent microwave ablation (MWA) or radiofrequency ablation (RFA) from 1st January 2014 to 31st December 2022 were identified. Treatment response of target lesion, complications, and survival were recorded. Results: One hundred seventy ablations were performed in 118 patients; 70% MWA, 30% RFA. Median radiological follow-up 21 months (range 3-107). Follow-up imaging was reported using LI-RADS and mRECIST. At first follow-up imaging, 94 patients had complete response (primary efficacy rate 80.3%) while 19.7% (n = 23) had residual disease. Fifteen of these had repeat ablation; 10 had complete response (secondary efficacy rate 85.6%). By end of study duration, 70.5% (n = 79) achieved sustained local complete response from single ablation without documented recurrence. 14.3% (n = 16) required more than one ablation of target lesion. Overall, 84.8% (n = 95) demonstrated long term local complete response to ablation. Complication occurred in 5.9% (n = 10); 40.0% Grade I, 40.0% Grade II, 10.0% Grade III, 10.0% Grade IV as per the CIRSE Classification. 1-, 3-, and 5-year overall survival (OS) rate was 97%, 68%, and 61% respectively. Mean OS was 5.3 years (median 4.7). No difference in OS (P = .7) or local progression free survival (P = .5) between patients treated with MWA versus RFA. Conclusion: This study demonstrates excellent long-term response to TA, with acceptable complication profile. No difference in survival between RFA versus MWA.","PeriodicalId":55290,"journal":{"name":"Canadian Association of Radiologists Journal-Journal De L Association Canadienne Des Radiologistes","volume":" ","pages":"333-343"},"PeriodicalIF":2.9,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142332813","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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

Canadian Association of Radiologists Statement on Planetary Health Education in Radiology. 加拿大放射医师协会关于放射学行星健康教育的声明。

IF 2.9 3区医学

Canadian Association of Radiologists Journal-Journal De L Association Canadienne Des Radiologistes Pub Date : 2025-05-01 Epub Date: 2024-09-23 DOI: 10.1177/08465371241279359

Maura J Brown, Bruce B Forster, Matthew D F McInnes, Madeline A Komar, Parthiv Amin, Sukhreet Atwal, Shihan Chen, Milad Hamwi, Rahman Ladak, Aleena Malik, Hayley McKee, Mark Wang, Joseph Yang, Candyce Hamel, Kate Hanneman

{"title":"Canadian Association of Radiologists Statement on Planetary Health Education in Radiology.","authors":"Maura J Brown, Bruce B Forster, Matthew D F McInnes, Madeline A Komar, Parthiv Amin, Sukhreet Atwal, Shihan Chen, Milad Hamwi, Rahman Ladak, Aleena Malik, Hayley McKee, Mark Wang, Joseph Yang, Candyce Hamel, Kate Hanneman","doi":"10.1177/08465371241279359","DOIUrl":"10.1177/08465371241279359","url":null,"abstract":"The health of Canadians is already impacted by climate change due to wildfire smoke, heat domes, floods, droughts, and the changing distribution of vector borne disease. The healthcare sector contributes to climate change, accounting for approximately 4.6% of annual greenhouse gas emissions in Canada. Healthcare teams have a responsibility and opportunity to reduce harm by limiting emissions and waste, and engaging the public in understanding the planetary health links between clean air and water, a stable climate, a healthy planet and human health. Transformation of Canadian healthcare to a low carbon, climate resilient system will be enhanced by physician engagement and leadership. Cornerstones to physician participation include knowledge of the anthropogenic etiology of the climate crisis, the human health impacts, and the contribution providing healthcare makes to the climate crisis. Integration of climate change knowledge into the Canadian Radiology educational curricula is essential to position radiologists to lead transformative change in mitigation and adaptation of the healthcare system to the climate crisis. This statement is intended to provide guidelines to optimize education and research for current and future Canadian radiologists, and builds on existing planetary healthcare education publications and the Canadian Association of Radiologists Statement on Environmental Sustainability in Medical Imaging.","PeriodicalId":55290,"journal":{"name":"Canadian Association of Radiologists Journal-Journal De L Association Canadienne Des Radiologistes","volume":" ","pages":"212-220"},"PeriodicalIF":2.9,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142309182","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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

Imaging in France: 2024 Update. 法国的成像技术：2024 年更新。

IF 2.9 3区医学

Canadian Association of Radiologists Journal-Journal De L Association Canadienne Des Radiologistes Pub Date : 2025-05-01 Epub Date: 2024-10-05 DOI: 10.1177/08465371241288425

Maxime Barat, Amandine Crombé, Tom Boeken, Jean-Nicolas Dacher, Salim Si-Mohamed, Anthony Dohan, Guillaume Chassagnon, Augustin Lecler, Joel Greffier, Stéphanie Nougaret, Philippe Soyer

{"title":"Imaging in France: 2024 Update.","authors":"Maxime Barat, Amandine Crombé, Tom Boeken, Jean-Nicolas Dacher, Salim Si-Mohamed, Anthony Dohan, Guillaume Chassagnon, Augustin Lecler, Joel Greffier, Stéphanie Nougaret, Philippe Soyer","doi":"10.1177/08465371241288425","DOIUrl":"10.1177/08465371241288425","url":null,"abstract":"Radiology in France has made major advances in recent years through innovations in research and clinical practice. French institutions have developed innovative imaging techniques and artificial intelligence applications in the field of diagnostic imaging and interventional radiology. These include, but are not limited to, a more precise diagnosis of cancer and other diseases, research in dual-energy and photon-counting computed tomography, new applications of artificial intelligence, and advanced treatments in the field of interventional radiology. This article aims to explore the major research initiatives and technological advances that are shaping the landscape of radiology in France. By highlighting key contributions in diagnostic imaging, artificial intelligence, and interventional radiology, we provide a comprehensive overview of how these innovations are improving patient outcomes, enhancing diagnostic accuracy, and expanding the possibilities for minimally invasive therapies. As the field continues to evolve, France's position at the forefront of radiological research ensures that these innovations will play a central role in addressing current healthcare challenges and improving patient care on a global scale.","PeriodicalId":55290,"journal":{"name":"Canadian Association of Radiologists Journal-Journal De L Association Canadienne Des Radiologistes","volume":" ","pages":"221-231"},"PeriodicalIF":2.9,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142378643","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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

Planning a Successful Mid-Career Transition in Radiology: Integrating Leadership, Growth, and Personal Fulfilment. 规划放射科成功的职业生涯中期过渡：将领导力、成长和个人成就感融为一体。

IF 2.9 3区医学

Canadian Association of Radiologists Journal-Journal De L Association Canadienne Des Radiologistes Pub Date : 2025-05-01 Epub Date: 2024-11-13 DOI: 10.1177/08465371241297807

Sonali Sharma, Cynthia Walsh, Michael N Patlas, Charlotte J Yong-Hing

引用次数: 0

Development and Evaluation of an Automated Protocol Recommendation System for Chest CT Using Natural Language Processing With CLEVER Terminology Word Replacement. 利用自然语言处理和 CLEVER 术语单词替换技术开发和评估胸部 CT 自动协议推荐系统。

IF 2.9 3区医学

Canadian Association of Radiologists Journal-Journal De L Association Canadienne Des Radiologistes Pub Date : 2025-05-01 Epub Date: 2024-09-24 DOI: 10.1177/08465371241280219

Patrik Rogalla, Jennifer Fratesi, Sonja Kandel, Demetris Patsios, Farzad Khalvati, Sean Carey

{"title":"Development and Evaluation of an Automated Protocol Recommendation System for Chest CT Using Natural Language Processing With CLEVER Terminology Word Replacement.","authors":"Patrik Rogalla, Jennifer Fratesi, Sonja Kandel, Demetris Patsios, Farzad Khalvati, Sean Carey","doi":"10.1177/08465371241280219","DOIUrl":"10.1177/08465371241280219","url":null,"abstract":"Purpose: To evaluate the clinical performance of a Protocol Recommendation System (PRS) automatic protocolling of chest CT imaging requests. Materials and Methods: 322 387 consecutive historical imaging requests for chest CT between 2017 and 2022 were extracted from a radiology information system (RIS) database containing 16 associated patient information values. Records with missing fields and protocols with <100 occurrences were removed, leaving 18 protocols for training. After freetext pre-processing and applying CLEVER terminology word replacements, the features of a bag-of-words model were used to train a multinomial logistic regression classifier. Four readers protocolled 300 clinically executed protocols (CEP) based on all clinically available information. After their selection was made, the PRS and CEP were unblinded, and the readers were asked to score their agreement (1 = severe error, 2 = moderate error, 3 = disagreement but acceptable, 4 = agreement). The ground truth was established by the readers' majority selection, a judge helped break ties. For the PRS and CEP, the accuracy and clinical acceptability (scores 3 and 4) were calculated. The readers' protocolling reliability was measured using Fleiss' Kappa. Results: Four readers agreed on 203/300 protocols, 3 on 82/300 cases, and in 15 cases, a judge was needed. PRS errors were found by the 4 readers in 1%, 2.7%, 1%, and 0.7% of the cases, respectively. The accuracy/clinical acceptability of the PRS and CEP were 84.3%/98.6% and 83.0%/99.3%, respectively. The Fleiss' Kappa for all readers and all protocols was 0.805. Conclusion: The PRS achieved similar accuracy to human performance and may help radiologists master the ever-increasing workload.","PeriodicalId":55290,"journal":{"name":"Canadian Association of Radiologists Journal-Journal De L Association Canadienne Des Radiologistes","volume":" ","pages":"257-264"},"PeriodicalIF":2.9,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142309183","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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

Canadian Association of Radiologists Pediatric Imaging Referral Guideline. 加拿大放射医师协会儿童影像转诊指南。

IF 2.9 3区医学

Canadian Association of Radiologists Journal-Journal De L Association Canadienne Des Radiologistes Pub Date : 2025-05-01 Epub Date: 2024-12-06 DOI: 10.1177/08465371241296820

Candyce Hamel, Barb Avard, Roxanne Chow, Dafydd Davies, Andrew Dixon, Gilgamesh Eamer, Juliette Garel, Chelsey Grimbly, Lucy Jamieson, Tom Kovesi, Jonathan MacLean, Vivek Mehta, Peter Metcalfe, Alan Michaud, Elka Miller, Kathy O'Brien, Anthony Otley, Daniela Pohl, Nina Stein, Nishard Abdeen

{"title":"Canadian Association of Radiologists Pediatric Imaging Referral Guideline.","authors":"Candyce Hamel, Barb Avard, Roxanne Chow, Dafydd Davies, Andrew Dixon, Gilgamesh Eamer, Juliette Garel, Chelsey Grimbly, Lucy Jamieson, Tom Kovesi, Jonathan MacLean, Vivek Mehta, Peter Metcalfe, Alan Michaud, Elka Miller, Kathy O'Brien, Anthony Otley, Daniela Pohl, Nina Stein, Nishard Abdeen","doi":"10.1177/08465371241296820","DOIUrl":"10.1177/08465371241296820","url":null,"abstract":"The Canadian Association of Radiologists (CAR) Pediatric Expert Panel is made up of pediatric physicians from the disciplines of radiology, emergency medicine, endocrinology, gastroenterology, general surgery, neurology, neurosurgery, respirology, orthopaedic surgery, otolaryngology, urology, a patient advisor, and an epidemiologist/guideline methodologist. After developing a list of 50 clinical/diagnostic scenarios, a rapid scoping review was undertaken to identify systematically produced referral guidelines that provide recommendations for one or more of these clinical/diagnostic scenarios. Recommendations from 32 guidelines and contextualization criteria in the Grading of Recommendations, Assessment, Development, and Evaluations (GRADE) for guidelines framework were used to develop 133 recommendation statements across the 50 scenarios. This guideline presents the methods of development and the referral recommendations for head, neck, spine, hip, chest, abdomen, genitourinary, and non-accidental trauma clinical scenarios.","PeriodicalId":55290,"journal":{"name":"Canadian Association of Radiologists Journal-Journal De L Association Canadienne Des Radiologistes","volume":" ","pages":"245-256"},"PeriodicalIF":2.9,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142787946","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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

Patient Perspectives of Artificial Intelligence in Medical Imaging. 医学影像中人工智能的患者视角。

IF 2.9 3区医学

Canadian Association of Radiologists Journal-Journal De L Association Canadienne Des Radiologistes Pub Date : 2025-05-01 Epub Date: 2024-11-14 DOI: 10.1177/08465371241298597

Ryan D Postle, Bruce B Forster

引用次数: 0

Building a Culture of Resilience in Interventional Radiology Through Strategic Equipment Management. 通过战略设备管理在介入放射学中建立弹性文化。

IF 2.9 3区医学

Canadian Association of Radiologists Journal-Journal De L Association Canadienne Des Radiologistes Pub Date : 2025-05-01 Epub Date: 2024-11-30 DOI: 10.1177/08465371241305023

Francois H Cornelis, Debkumar Sarkar, Stephen B Solomon

引用次数: 0

Risk of Bias in Liver Imaging Reporting and Data System Studies Using QUADAS-2. 使用 QUADAS-2 进行肝脏成像报告和数据系统研究的偏差风险。

IF 2.9 3区医学

Canadian Association of Radiologists Journal-Journal De L Association Canadienne Des Radiologistes Pub Date : 2025-05-01 Epub Date: 2024-10-16 DOI: 10.1177/08465371241280874

Haresh Naringrekar, Andreu F Costa, Eric Lam, Christian B van der Pol, Mustafa R Bashir, Jean-Paul Salameh, Matthew D F McInnes

{"title":"Risk of Bias in Liver Imaging Reporting and Data System Studies Using QUADAS-2.","authors":"Haresh Naringrekar, Andreu F Costa, Eric Lam, Christian B van der Pol, Mustafa R Bashir, Jean-Paul Salameh, Matthew D F McInnes","doi":"10.1177/08465371241280874","DOIUrl":"10.1177/08465371241280874","url":null,"abstract":"Purpose: Use a tailored version of the Quality Assessment of Diagnostic Accuracy Studies tool to evaluate risk of bias and applicability across LIRADS related publications. Method: A tailored QUADAS-2 tool was created through consensus approach to assess risk of bias and applicability across 37 LI-RADS related publications. Studies were selected from 2017 to 2022 using the assistance of experienced hospital librarians to search for studies evaluating the diagnostic accuracy of CT, MRI, or contrast-enhanced ultrasound for HCC using LI-RADS through multiple different databases. QUADAS-2 assessments were performed in duplicate and independently by 2 authors with experience using the QUADAS-2 tool. Disagreements were resolved with a third expert reviewer. Consensus QUADAS-2 assessments were tabulated for each domain. Results: Using the tailored QUADAS-2 tool, 31 of the 37 included LI-RADS studies were assessed as high risk of bias, and 9 out of 37 studies demonstrated concerns for applicability. Patient selection (21 out of 37 studies) and flow/timing (24 out of 37 studies) domains demonstrated the highest risk of bias. 6 out of 37 studies in the index domain demonstrated high risk of bias. 2 out of 37 studies showed high risk of bias in the reference standard domain. Conclusion: A significant proportion of LI-RADS research is at risk of bias with concerns for applicability. Identifying risk of bias in such research is essential to recognize limitations of a study that may affect the validity of the results. Areas for improvement in LI-RADS research include reducing selection bias, avoiding inappropriate exclusions, and decreasing verification bias.","PeriodicalId":55290,"journal":{"name":"Canadian Association of Radiologists Journal-Journal De L Association Canadienne Des Radiologistes","volume":" ","pages":"273-286"},"PeriodicalIF":2.9,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142481456","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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