American Journal of Roentgenology最新文献

{"title":"Beyond the <i>AJR</i>: Supplemental Screening for Dense Breasts-Performance Affected by Facility Factors and Density Reporting Laws.","authors":"Sophia R O'Brien, Christine E Edmonds","doi":"10.2214/AJR.25.32702","DOIUrl":"10.2214/AJR.25.32702","url":null,"abstract":"","PeriodicalId":55529,"journal":{"name":"American Journal of Roentgenology","volume":" ","pages":"e2532702"},"PeriodicalIF":6.1,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143191389","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"CT Cavernosography for Venous Mapping in Erectile Dysfunction.","authors":"Laura M Olarte Bermúdez, José D Cardona Ortegón, Maria J Veloza, David F Torres Cortes, Oscar M Rivero Rapalino","doi":"10.2214/AJR.25.32919","DOIUrl":"10.2214/AJR.25.32919","url":null,"abstract":"","PeriodicalId":55529,"journal":{"name":"American Journal of Roentgenology","volume":" ","pages":"e2532919"},"PeriodicalIF":6.1,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144060978","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Associations of Breast Cancer Method of Detection With Tumor Characteristics, Treatments, and Overall Survival: A Propensity-Score-Matched Analysis.","authors":"Steven J Chen, Azwade Rahman, Angela Y Choi, Jungmo J Gahng, Samar Naamo, Kush Purohit, Melinda J Staiger, Anam Chouhdry, Cindy S Lee","doi":"10.2214/AJR.25.33245","DOIUrl":"10.2214/AJR.25.33245","url":null,"abstract":"<p><p><b>BACKGROUND</b>. A contributor to variable breast cancer screening guidelines has been limited research assessing associations of the method of cancer detection with cancer outcomes. <b>OBJECTIVE</b>. The purpose of this study is to compare tumor characteristics, treatments, and survival outcomes between patients with breast cancer detected by mammographic screening versus by clinical symptoms. <b>METHODS</b>. This retrospective study included patients with biopsy-proven breast cancer from January 1, 2010, to January 1, 2020. For each patient, the method of detection was classified as screening-detected (i.e., screening mammography in the absence of symptoms) or clinically detected (i.e., presentation with symptoms leading to diagnostic imaging). Propensity-score matching was performed between the screening-detected and clinically detected cohorts by age, race, ethnicity, insurance status, and year of diagnosis. Tumor characteristics, treatments, and overall survival rates were compared between cohorts. Overall survival was compared between cohorts using Kaplan-Meier curves, incorporating a 0.5-year lead time bias adjustment in the screening-detected cohort. <b>RESULTS</b>. Before propensity-score matching, the analysis included 1460 patients with breast cancer (screening-detected cohort, 932 patients; clinically detected cohort, 528 patients). After propensity-score matching, each cohort included 507 patients (mean age in the screening-detected and clinically diagnosed cohorts of 61.2 and 62.0 years, respectively). Tumor size measured 1-10 mm in 42.0% of screening-detected cancers versus in 13.0% of clinically detected cancers (<i>p</i> < .001). Frequencies of noninvasive disease, localized disease, regional disease, and distant metastatic disease were 35.5%, 54.0%, 9.9%, and 0.0% in the screening-detected cohort versus 8.9%, 47.3%, 34.1%, and 7.7% in the clinically detected cohort, respectively (<i>p</i> < .001). Screening-detected and clinically detected cohorts showed significant differences in frequencies of surgical therapies (lumpectomy, 66.1% vs 39.3%; mastectomy, 22.1% vs 34.3%; <i>p</i> < .001), radiation therapy (50.1% vs 41.2%; <i>p</i> = .006), and chemotherapy (15.0% vs 40.2%; <i>p</i> < .001). The screening-detected in comparison with the clinically detected cohort showed significantly greater 5-year survival rate (94.4% vs 79.6%; <i>p</i> < .001) and 10-year survival rate (82.7% vs 66.1%; <i>p</i> < .001). Kaplan-Meier curves indicated significantly greater overall survival in the screening-detected cohort (<i>p</i> < .001), with a progressively increasing difference in survival with increasing time since diagnosis. <b>CONCLUSION</b>. Screening-detected cancers in comparison with clinically detected cancers were associated with smaller size, earlier stage, less-invasive therapies, and improved overall survival. <b>CLINICAL IMPACT</b>. The findings provide strong evidence supporting mammographic screening.</p>","PeriodicalId":55529,"journal":{"name":"American Journal of Roentgenology","volume":" ","pages":"e2533245"},"PeriodicalIF":6.1,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144327846","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Beyond the <i>AJR</i>: Insights on Hepatocellular Carcinoma Diagnosis From the Updated EASL Clinical Practice Guidelines.","authors":"Roberto Cannella","doi":"10.2214/AJR.25.33112","DOIUrl":"10.2214/AJR.25.33112","url":null,"abstract":"","PeriodicalId":55529,"journal":{"name":"American Journal of Roentgenology","volume":" ","pages":"e2533112"},"PeriodicalIF":6.1,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144053586","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Future of Neuroimaging in Cancer-Treatment Neurotoxicity: A Critical Resource for Modern Neuroradiology.","authors":"Javier Villanueva-Meyer","doi":"10.2214/AJR.25.33483","DOIUrl":"10.2214/AJR.25.33483","url":null,"abstract":"","PeriodicalId":55529,"journal":{"name":"American Journal of Roentgenology","volume":" ","pages":"e2533483"},"PeriodicalIF":6.1,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144602333","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Imaging Gently in the Midst of Uncertainty.","authors":"Christopher L Newman","doi":"10.2214/AJR.25.33497","DOIUrl":"10.2214/AJR.25.33497","url":null,"abstract":"","PeriodicalId":55529,"journal":{"name":"American Journal of Roentgenology","volume":" ","pages":"e2533497"},"PeriodicalIF":6.1,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144644220","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Importance of a Pre-Post Design in Real-World Settings.","authors":"Grayson L Baird","doi":"10.2214/AJR.25.33666","DOIUrl":"10.2214/AJR.25.33666","url":null,"abstract":"","PeriodicalId":55529,"journal":{"name":"American Journal of Roentgenology","volume":" ","pages":"e2533666"},"PeriodicalIF":6.1,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144790789","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Editor's Notebook: September 2025.","authors":"Andrew B Rosenkrantz","doi":"10.2214/AJR.25.33314","DOIUrl":"https://doi.org/10.2214/AJR.25.33314","url":null,"abstract":"","PeriodicalId":55529,"journal":{"name":"American Journal of Roentgenology","volume":"225 3","pages":"e2533314"},"PeriodicalIF":6.1,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145245615","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Artificial Intelligence for Worklist Triaging in Neuroradiologic Emergencies: Point-With Appropriate Implementation, These Tools Can Benefit Overall Patient Care.","authors":"Sowmya Mahalingam, Melissa A Davis","doi":"10.2214/AJR.25.32743","DOIUrl":"10.2214/AJR.25.32743","url":null,"abstract":"","PeriodicalId":55529,"journal":{"name":"American Journal of Roentgenology","volume":" ","pages":"e2532743"},"PeriodicalIF":6.1,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143400803","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Artificial Intelligence for Worklist Triaging in Neuroradiologic Emergencies: Counterpoint-Technology Has Yet to Overcome Challenges.","authors":"Manoj Tanwar, Sandeep Bodduluri","doi":"10.2214/AJR.25.32651","DOIUrl":"10.2214/AJR.25.32651","url":null,"abstract":"","PeriodicalId":55529,"journal":{"name":"American Journal of Roentgenology","volume":" ","pages":"e2532651"},"PeriodicalIF":6.1,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143400758","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}