{"title":"Mechanical Ventilation during Bronchiolitis: The Macklin Effect.","authors":"Badri Haider, Paolo Simoni","doi":"10.5334/jbsr.3410","DOIUrl":"https://doi.org/10.5334/jbsr.3410","url":null,"abstract":"<p><p>This is a case of barotrauma imaging (Macklin effect) after invasive mechanical ventilation in a 14-week-old newborn with complicated bronchiolitis. <i>Teaching point:</i> Imaging could help us improve defining the anatomical boundaries of the Macklin effect, an incompletely known anatomo-physiological entity.</p>","PeriodicalId":55987,"journal":{"name":"Journal of the Belgian Society of Radiology","volume":"108 1","pages":"24"},"PeriodicalIF":2.0,"publicationDate":"2024-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10949806/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140177951","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":"Redescending Stomach: A Rare and Potentially Lethal Complication of Gastric Herniation.","authors":"Sam Verrept, Mathieu Lefere, Yves De Bruecker","doi":"10.5334/jbsr.3448","DOIUrl":"10.5334/jbsr.3448","url":null,"abstract":"<p><p>Large gastric hernias are common and usually cause minor symptoms. Rarely, complete intrathoracic herniation of the stomach is complicated by strangulation. The underlying mechanism can be gastric volvulus or the less recognized phenomenon of gastric fundus redescent. We describe a case where this rare but potentially lethal complication of gastric herniation is present. Additionally, we show that gastric pneumatosis, a sign associated with ischemia, can be initially visualized on a plain chest radiograph in this setting. <i>Teaching point:</i> Redescent of the fundus is a possible, but unrecognized cause of gastric strangulation in intrathoracic stomachs.</p>","PeriodicalId":55987,"journal":{"name":"Journal of the Belgian Society of Radiology","volume":"108 1","pages":"22"},"PeriodicalIF":2.0,"publicationDate":"2024-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10906332/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140023452","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}
Ibtissam El Ouali, Mohamed Jiddane, Firdaous Touarsa
{"title":"Brachial Plexus Rupture: A Neglected Trauma, Is There Any Hope?","authors":"Ibtissam El Ouali, Mohamed Jiddane, Firdaous Touarsa","doi":"10.5334/jbsr.3415","DOIUrl":"10.5334/jbsr.3415","url":null,"abstract":"<p><p><i>Teaching point:</i> Magnetic resonance imaging (MRI) has significantly improved the evaluation of brachial plexus injuries, offering new possibilities for microsurgical repair and contributing to the functional prognosis.</p>","PeriodicalId":55987,"journal":{"name":"Journal of the Belgian Society of Radiology","volume":"108 1","pages":"13"},"PeriodicalIF":1.0,"publicationDate":"2024-02-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11194542/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141447683","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":"Giant Thoracic Aortic Aneurysm Rupture in a Patient with Extensive Atherosclerotic Disease.","authors":"Ramona Mihaela Popa, Chiriță Andrei-Constantin, Rosana Mihaela Manea","doi":"10.5334/jbsr.3314","DOIUrl":"10.5334/jbsr.3314","url":null,"abstract":"<p><p>Aneurysmal dilatations can affect any aortic segment and represent the result of various causes, atherosclerotic disease being the most common and frequently involved. We hereby illustrate a case of a patient with thoracic aortic aneurysm rupture due to extensive atherosclerotic disease, with multiple complex penetrating ulcerated atherosclerotic plaques located in the descending aorta. CT angiography evaluation included a comprehensive description of imaging features and extent of the thoracic aortic aneurysm, the presence of thrombus, relationship to adjacent structures and branches, associated complications. <i>Teaching Point:</i> Thoracic aortic aneurysm rupture due to extensive atherosclerotic disease with multiple penetrating ulcers.</p>","PeriodicalId":55987,"journal":{"name":"Journal of the Belgian Society of Radiology","volume":"108 1","pages":"10"},"PeriodicalIF":1.0,"publicationDate":"2024-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11199936/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141460987","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 Novel Fusion of Radiomics and Semantic Features: MRI-Based Machine Learning in Distinguishing Pituitary Cystic Adenomas from Rathke's Cleft Cysts.","authors":"Ceylan Altintas Taslicay, Elmire Dervisoglu, Okan Ince, Ismail Mese, Cengizhan Taslicay, Busra Yaprak Bayrak, Burak Cabuk, Ihsan Anik, Savas Ceylan, Yonca Anik","doi":"10.5334/jbsr.3470","DOIUrl":"10.5334/jbsr.3470","url":null,"abstract":"<p><strong>Objectives: </strong>To evaluate the performances of machine learning using semantic and radiomic features from magnetic resonance imaging data to distinguish cystic pituitary adenomas (CPA) from Rathke's cleft cysts (RCCs).</p><p><strong>Materials and methods: </strong>The study involved 65 patients diagnosed with either CPA or RCCs. Multiple observers independently assessed the semantic features of the tumors on the magnetic resonance images. Radiomics features were extracted from T2-weighted, T1-weighted, and T1-contrast-enhanced images. Machine learning models, including Support Vector Machines (SVM), Logistic Regression (LR), and Light Gradient Boosting (LGB), were then trained and validated using semantic features only and a combination of semantic and radiomic features. Statistical analyses were carried out to compare the performance of these various models.</p><p><strong>Results: </strong>Machine learning models that combined semantic and radiomic features achieved higher levels of accuracy than models with semantic features only. Models with combined semantic and T2-weighted radiomics features achieved the highest test accuracies (93.8%, 92.3%, and 90.8% for LR, SVM, and LGB, respectively). The SVM model combined semantic features with T2-weighted radiomics features had statistically significantly better performance than semantic features only (<i>p</i> = 0.019).</p><p><strong>Conclusion: </strong>Our study demonstrates the significant potential of machine learning for differentiating CPA from RCCs.</p>","PeriodicalId":55987,"journal":{"name":"Journal of the Belgian Society of Radiology","volume":"108 1","pages":"9"},"PeriodicalIF":2.0,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10836174/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139681996","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}
Jean-François Monville, Nicolas Meurisse, Robert F Dondelinger
{"title":"Anticoagulant Treatment of a Thrombosed Giant Portal Vein Aneurysm.","authors":"Jean-François Monville, Nicolas Meurisse, Robert F Dondelinger","doi":"10.5334/jbsr.3452","DOIUrl":"10.5334/jbsr.3452","url":null,"abstract":"<p><p><i>Teaching point:</i> Anticoagulation is advised in thrombosed portal vein aneurysm (PVA) without portal hypertension.</p>","PeriodicalId":55987,"journal":{"name":"Journal of the Belgian Society of Radiology","volume":"108 1","pages":"8"},"PeriodicalIF":2.0,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10836184/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139681997","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":"Prevalence of Bladder Cancers Incidentally Detected During Multiparametric MRI Scans of the Prostate Gland and the Clinical Significance of Scoring Them According to VI-RADS: A Pictorial Single-Centre Study.","authors":"Ramazan Orkun Onder, Serdar Aslan, Tümay Bekci","doi":"10.5334/jbsr.3318","DOIUrl":"10.5334/jbsr.3318","url":null,"abstract":"<p><strong>Purpose: </strong>To determine the prevalence of incidentally detected bladder cancers (BCs) on multiparametric magnetic resonance imaging (mpMRI) of the prostate and to highlight the clinical importance of scoring them according to the Vesical Imaging-Reporting and Data System (VI-RADS).</p><p><strong>Materials and methods: </strong>VI-RADS scores for incidental bladder lesions on mpMRI of the prostate were collected in 1693 patients with elevated prostate-specific antigen but no hematuria. The study included 19 patients with 28 incidental bladder lesions.</p><p><strong>Results: </strong>During this period, 39 incidental bladder lesions were found in 30 patients, representing 1.7% of cases. Of the 28 lesions, 11 were categorized by VI-RADS as VI-RADS 1, 14 as VI-RADS 2, 1 as VI-RADS 3, 1 as VI-RADS 4, and 1 as VI-RADS 5. Histopathological examination revealed 1 benign lesion, 24 non-muscle invasive BCs, and 3 muscle-invasive BCs in the 19 patients. Impressively, 97% of the incidental lesions detected by prostate mpMRI and categorized by VI-RADS were BCs without apparent prostate cancer invasion. Notably, 93% of these lesions were consistent with histopathological findings of muscle invasion and extravesical spread.</p><p><strong>Conclusion: </strong>Our study concludes the prevalence 1% incidental BC in prostate mpMRI. The research underscores a thorough bladder examination during prostate MRI scans. Utilizing mpMRI assists in distinguishing varying BC stages, aiding treatment decisions, and patient outcomes. VI-RADS categorization aligns with histopathological results, enhancing diagnosis, and healthcare communication. Early detection significantly influences patient care by enabling timely interventions and suitable treatment strategies, particularly for low-stage BCs linked to reduced progression and recurrence rates.</p>","PeriodicalId":55987,"journal":{"name":"Journal of the Belgian Society of Radiology","volume":"108 1","pages":"7"},"PeriodicalIF":2.0,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10836167/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139682000","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":"Miliary Tuberculosis with Diffuse Pulmonary and Extrapulmonary Involvement.","authors":"Hafsa Selmani, Adelard I De Backer, Bart Ilsen","doi":"10.5334/jbsr.3440","DOIUrl":"10.5334/jbsr.3440","url":null,"abstract":"<p><p><i>Teaching Point:</i> In patients coming from countries with a high prevalence of tuberculosis and presenting with chronic infectious disease, tuberculosis with pulmonary and/or extrapulmonary involvement should be included in the differential diagnosis.</p>","PeriodicalId":55987,"journal":{"name":"Journal of the Belgian Society of Radiology","volume":"108 1","pages":"5"},"PeriodicalIF":1.0,"publicationDate":"2024-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11194543/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141447684","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":"Should the Radiologist Always Request a Blood Test Before an Emergency CT Scan in Children.","authors":"Thomas Saliba, Gervais Kogni Fokou, Paolo Simoni","doi":"10.5334/jbsr.3271","DOIUrl":"10.5334/jbsr.3271","url":null,"abstract":"<p><p>Renal failure is relatively common in children presenting to the emergency department, suggesting that the assumption of normal renal function is not always valid. Although some computed tomography (CT) scans necessitate the use of intravenous contrast, one should probably consider whether a blood test is necessary to assess the patient's renal function and possibly consider other imaging modalities before proceeding. With no pediatric-specific guidelines and no validated pediatric prevention strategies, further research is needed to establish clear recommendations for contrast-enhanced exams in stable and unstable pediatric patients with unknown renal function.</p>","PeriodicalId":55987,"journal":{"name":"Journal of the Belgian Society of Radiology","volume":"108 1","pages":"6"},"PeriodicalIF":1.0,"publicationDate":"2024-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11194544/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141447685","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":"Prominent Enlargement of the Facial Nerve Canal in a Case of a Persistent Stapedial Artery.","authors":"Alexandra Libeert, Stefan Delrue, Marc Lemmerling","doi":"10.5334/jbsr.3361","DOIUrl":"10.5334/jbsr.3361","url":null,"abstract":"<p><p>In this case report, we present a 23-year-old patient with complaints of a recurrent plop sound in the left ear. Non-contrast CT and MR imaging revealed an enlargement of the tympanic segment of the facial canal due to venous congestion. A persistent stapedial artery (PSA) and absent foramen spinosum were identified as concomitant factors. This unique combination of anomalies has not been previously reported and knowledge about this condition is essential to avoid unnecessary surgery.</p><p><strong>Teaching point: </strong>A persistent stapedial artery may be associated with enlargement of the tympanic facial nerve canal due to venous congestion.</p>","PeriodicalId":55987,"journal":{"name":"Journal of the Belgian Society of Radiology","volume":"108 1","pages":"4"},"PeriodicalIF":2.0,"publicationDate":"2024-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10798166/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139514003","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}