Jacques Malghem, Bruno Vande Berg, Benoît Lengelé, Frédéric Lecouvet
{"title":"<i>Dirofilaria repens</i> Parasite: Review with Emphasis on Ultrasound Findings with Looking for Worm Mobility.","authors":"Jacques Malghem, Bruno Vande Berg, Benoît Lengelé, Frédéric Lecouvet","doi":"10.5334/jbsr.4072","DOIUrl":"10.5334/jbsr.4072","url":null,"abstract":"<p><p>Human dirofilariasis is caused by infection with a parasite relatively common in dogs. Occasional transmission of larvae to humans occurs via an insect bite and development of an immature worm at the bite site. The disease, once confined to southern Europe, is becoming increasingly widespread, particularly due to global warming. Clinical signs are nonspecific and laboratory findings usually normal. Imaging shows pseudotumor features also nonspecific on computed tomography (CT) and magnetic resonance imaging (MRI) scans. Ultrasound may suggest the diagnosis by the presence of double echogenic 'rail' images. However, only spontaneous motility of the parasite observation can confirm the diagnosis.</p>","PeriodicalId":55987,"journal":{"name":"Journal of the Belgian Society of Radiology","volume":"110 1","pages":"28"},"PeriodicalIF":1.3,"publicationDate":"2026-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13025202/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147576641","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"MRI Diagnosis of Gymnast's Wrist (Distal Radial Physeal Stress Injury).","authors":"Amal El Madani, Lokmane Taihi","doi":"10.5334/jbsr.4212","DOIUrl":"10.5334/jbsr.4212","url":null,"abstract":"<p><p>Gymnast's wrist is an uncommon stress‑related injury of the distal radial physis caused by repetitive axial loading in skeletally immature athletes. We report the case of a 16‑year‑old elite gymnast presenting with progressive wrist pain without acute trauma. Magnetic resonance imaging demonstrated focal widening of the volar distal radial physis with adjacent metaphyseal and epiphyseal bone marrow edema, consistent with a stress‑related physeal injury. Conservative management with activity modification and physical therapy resulted in symptom resolution. <i>Teaching point:</i> In young athletes with wrist pain, stress‑related physeal injury should be considered, and MRI allows early diagnosis and appropriate management.</p>","PeriodicalId":55987,"journal":{"name":"Journal of the Belgian Society of Radiology","volume":"110 1","pages":"27"},"PeriodicalIF":1.3,"publicationDate":"2026-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12985805/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147464142","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A Case of Grade 2 Radiation‑Induced Osteosarcoma.","authors":"Flore Brachotte, Matthieu Wendling","doi":"10.5334/jbsr.4175","DOIUrl":"10.5334/jbsr.4175","url":null,"abstract":"<p><p><i>Teaching point:</i> The possibility of a radiation‑induced osteosarcoma should be considered in any painful, ossifying mass occurring within a previously irradiated area, even years after the initial treatment.</p>","PeriodicalId":55987,"journal":{"name":"Journal of the Belgian Society of Radiology","volume":"110 1","pages":"26"},"PeriodicalIF":1.3,"publicationDate":"2026-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12985813/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147464094","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Laura Frenoy, Pieter-Jan Buyck, Lawrence Bonne, Ben Van Cleynenbreugel, Maarten Albersen, Geert Maleux
{"title":"Safety, Efficacy, and Intermediate‑Term Outcomes of CT‑Guided Cryoablation of T1 Renal Cell Carcinoma: A Retrospective Single‑Center Study.","authors":"Laura Frenoy, Pieter-Jan Buyck, Lawrence Bonne, Ben Van Cleynenbreugel, Maarten Albersen, Geert Maleux","doi":"10.5334/jbsr.3919","DOIUrl":"10.5334/jbsr.3919","url":null,"abstract":"<p><p><i>Objectives:</i> To assess the safety, efficacy, and mid‑term clinical and radiological outcomes of computerized tomography (CT)‑guided cryoablation of malignant T1 renal lesions. <i>Methods:</i> Consecutive patients who underwent percutaneous cryoablation (PCA) under CT guidance between January 2018 and January 2024 for one or multiple renal masses were included. Technical success and primary and secondary treatment efficacy were calculated. Complications were categorized according to the Clavien-Dindo classification system. Overall survival (OS) and local progression‑free survival (LPFS) were assessed based on Kaplan-Meier analysis. <i>Results:</i> A total of 72 renal lesions, with a mean size of 23.4 mm (SD: 9.8, range 7-45), were treated in 59 patients (41 males and 18 females, mean age: 69 years [range 45-88]). A total of 25 patients (42.4%) had a history of radical and/or partial nephrectomy. Primary treatment efficacy was 91.0% and increased to 95.6% with the re‑ablation of two lesions. The overall complication rate was 10.8%, with a major complication (Clavien-Dindo grade ≥ III) rate of 3.1%. The estimated LPFS at 15 months was 92.9%. Local progression occurred in four lesions, of which two had already been ablated. The estimated OS at 1 year was 95.9% (standard error [SE] of 2.8%) and 91.6% (SE: 5.0%) at 3 years. <i>Conclusion:</i> Percutaneous CT‑guided cryoablation is a safe and effective treatment for small renal cell carcinoma.</p>","PeriodicalId":55987,"journal":{"name":"Journal of the Belgian Society of Radiology","volume":"110 1","pages":"25"},"PeriodicalIF":1.3,"publicationDate":"2026-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12985948/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147464135","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Harmonie Candelier, Vassiliki Pasoglou, Sandy Van Nieuwenhove
{"title":"Segmental Testicular Infarction.","authors":"Harmonie Candelier, Vassiliki Pasoglou, Sandy Van Nieuwenhove","doi":"10.5334/jbsr.4217","DOIUrl":"10.5334/jbsr.4217","url":null,"abstract":"<p><p><i>Teaching point</i>: Segmental testicular infarction is a rare entity that remains poorly documented in the literature. Awareness of its imaging evolution is essential to avoid unnecessary surgical intervention.</p>","PeriodicalId":55987,"journal":{"name":"Journal of the Belgian Society of Radiology","volume":"110 1","pages":"24"},"PeriodicalIF":1.3,"publicationDate":"2026-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12985854/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147464185","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Calvarial venous malformation highlighted by the flow-reflux phenomenon on ultrasound.","authors":"Anas Messaoudi, Lokmane Taihi, Jacques Malghem","doi":"10.5334/jbsr.4220","DOIUrl":"10.5334/jbsr.4220","url":null,"abstract":"<p><p>A case is reported of a woman presenting with a firm, tender right frontal lump. Ultrasound showed a small, irregular subgaleal mass with tiny bone surface perforations. Color Doppler ultrasound demonstrated compression-decompression induced alternating flow signals, indicating flow and reflux through the bone lesion. CT revealed an expansile osteolytic frontal lesion with a honeycomb pattern, consistent with an intraosseous venous malformation, which was confirmed histologically. The added value of compression-decompression color Doppler ultrasound in low‑flow calvarial vascular malformations is illustrated. <i>Teaching point:</i> Compression-decompression color Doppler ultrasound can reveal flow-reflux in low‑flow intraosseous venous malformations, contributing to the diagnosis.</p>","PeriodicalId":55987,"journal":{"name":"Journal of the Belgian Society of Radiology","volume":"110 1","pages":"23"},"PeriodicalIF":1.3,"publicationDate":"2026-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12985909/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147464165","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Gastrosplenic Fistula with Thoracic Extension as a Complication of Primary Splenic Lymphoma.","authors":"Diogo Carvalho, Luis Cabral, João Caldeira","doi":"10.5334/jbsr.4186","DOIUrl":"10.5334/jbsr.4186","url":null,"abstract":"<p><p><i>Teaching point:</i> Gastrosplenic fistula, a rare complication of splenic lymphoma, can be diagnosed early with computed tomography (CT), which also delineates diaphragmatic or thoracic extension, facilitating timely management and preventing further thoracoabdominal involvement.</p>","PeriodicalId":55987,"journal":{"name":"Journal of the Belgian Society of Radiology","volume":"110 1","pages":"22"},"PeriodicalIF":1.3,"publicationDate":"2026-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12962247/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147379915","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A Case of Metastatic Pulmonary Calcification.","authors":"Diane Lefebvre, Pascale Bohy","doi":"10.5334/jbsr.4210","DOIUrl":"https://doi.org/10.5334/jbsr.4210","url":null,"abstract":"<p><p>Pulmonary calcifications are a frequent phenomenon with a wide range of etiology. They are divided into two categories: metastatic and dystrophic pulmonary calcification, with different underlying pathology and CT features. <i>Teaching point:</i> Metastatic pulmonary calcifications appear when there is a metabolic imbalance with some typical radiographic features for characterization.</p>","PeriodicalId":55987,"journal":{"name":"Journal of the Belgian Society of Radiology","volume":"110 1","pages":"21"},"PeriodicalIF":1.3,"publicationDate":"2026-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12962241/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147379909","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Multifocal Emphysematous Osteomyelitis of the Spine and Pelvis.","authors":"Diogo Carvalho, Luís Monteiro Cabral, Raquel Dias","doi":"10.5334/jbsr.4237","DOIUrl":"https://doi.org/10.5334/jbsr.4237","url":null,"abstract":"<p><p><i>Teaching point:</i> Detection of intraosseous gas with a bubbly or irregular pattern on imaging should raise a strong suspicion for emphysematous osteomyelitis and prompt urgent antimicrobial treatment, particularly in immunocompromised patients without a history of trauma or surgery.</p>","PeriodicalId":55987,"journal":{"name":"Journal of the Belgian Society of Radiology","volume":"110 1","pages":"20"},"PeriodicalIF":1.3,"publicationDate":"2026-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12947822/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147328123","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Photon-Counting CT in Musculoskeletal Radiology: Technical Principles, Clinical Applications, and Future Directions.","authors":"Stijn De Bondt, Ione Limantoro, Hilde Bosmans, Geert Maleux, Nathalie Noppe, Michiel Herteleer","doi":"10.5334/jbsr.4190","DOIUrl":"https://doi.org/10.5334/jbsr.4190","url":null,"abstract":"<p><p>Photon-counting computed tomography is the newest technological advancement in CT imaging allowing for an improved spatial resolution, inherent spectral information, and significant radiation dose reduction. These benefits may enhance diagnostic confidence and accuracy for radiologists and clinicians. Multiple clinical applications in musculoskeletal radiology benefit from this technology, including the reduction of metal artifacts, improved visualization of bone marrow edema, and better assessment of crystal arthropathies. This narrative review presents a comprehensive summary of the current advancements and applications of this emerging technology within musculoskeletal radiology using several illustrative cases.</p>","PeriodicalId":55987,"journal":{"name":"Journal of the Belgian Society of Radiology","volume":"110 1","pages":"19"},"PeriodicalIF":1.3,"publicationDate":"2026-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12922662/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147272939","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}