{"title":"An Unusual Suspect: Right Hypochondrium Pain in the Third Trimester of Pregnancy.","authors":"Dina Jleilati, Romain Gillard","doi":"10.5334/jbsr.4193","DOIUrl":"10.5334/jbsr.4193","url":null,"abstract":"<p><p><i>Teaching point:</i> Adrenal vein thrombosis should be considered in pregnant patients presenting with unexplained unilateral adrenal enlargement, even when the thrombus itself is not visualized, as early diagnosis allows effective anticoagulant management and prevention of adrenal insufficiency.</p>","PeriodicalId":55987,"journal":{"name":"Journal of the Belgian Society of Radiology","volume":"110 1","pages":"9"},"PeriodicalIF":1.3,"publicationDate":"2026-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12880006/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146144787","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}
Jarno De Craemer, Louke Delrue, Koenraad J Mortele
{"title":"Intraductal Papillary Mucinous Neoplasm of the Bile Duct (IPMN-B): A Rare and Diagnostically Challenging Entity.","authors":"Jarno De Craemer, Louke Delrue, Koenraad J Mortele","doi":"10.5334/jbsr.4141","DOIUrl":"10.5334/jbsr.4141","url":null,"abstract":"<p><p><i>Teaching point:</i> Albeit rare, IPMN-B should be considered and excluded when encountering a large hepatic cystic lesion, especially in the setting of associated biliary dilatation, because in contrast to 95% of other hepatic cystic lesions, it has significant risk of harboring invasive carcinoma and therefore mandates early accurate diagnosis and complete surgical resection.</p>","PeriodicalId":55987,"journal":{"name":"Journal of the Belgian Society of Radiology","volume":"110 1","pages":"6"},"PeriodicalIF":1.3,"publicationDate":"2026-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12880002/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146144783","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":"CT Diagnosis of Tibial Post Fracture in a Posterior-Stabilized Total Knee Arthroplasty.","authors":"Alexander Cotza, Filip Robijns, Jan Vandevenne","doi":"10.5334/jbsr.4202","DOIUrl":"10.5334/jbsr.4202","url":null,"abstract":"<p><p>Fracture of the polyethylene tibial post is a rare complication of posterior-stabilized total knee arthroplasty and is frequently missed on conventional radiography due to the radiolucent nature of polyethylene. We report a case of post-traumatic instability in which computed tomography demonstrated a displaced polyethylene fragment with characteristic low attenuation values. The diagnosis was confirmed intraoperatively, and isolated polyethylene exchange resulted in a good clinical outcome. <i>Teaching point:</i> CT attenuation measurements can aid in identifying displaced polyethylene fragments and facilitate the diagnosis of tibial post fracture in posterior-stabilized knee arthroplasty.</p>","PeriodicalId":55987,"journal":{"name":"Journal of the Belgian Society of Radiology","volume":"110 1","pages":"7"},"PeriodicalIF":1.3,"publicationDate":"2026-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12880012/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146144831","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":"Chronic Calcaneal Osteomyelitis Due to a Retained Coral Fragment: An Unusual Cause of Heel Pain.","authors":"Eimantas Abelkis, Loes Schiphouwer","doi":"10.5334/jbsr.4208","DOIUrl":"10.5334/jbsr.4208","url":null,"abstract":"<p><p>We report a case of calcaneal osteomyelitis caused by a retained foreign body-a coral fragment. The patient presented with nonspecific heel pain 12 years after the initial injury. MRI revealed an intraosseous lesion demonstrating the 'penumbra' sign, consistent with chronic osteomyelitis and abscess formation. CT demonstrated a foreign body embedded within the abscess cavity. Surgical exploration confirmed the presence of a coral fragment. <i>Teaching point:</i> Retained foreign bodies in bone can remain asymptomatic for many years, eventually presenting with signs of osteomyelitis.</p>","PeriodicalId":55987,"journal":{"name":"Journal of the Belgian Society of Radiology","volume":"110 1","pages":"4"},"PeriodicalIF":1.3,"publicationDate":"2026-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12857622/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146108368","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":"Bizarre Parosteal Osteochondromatous Proliferation (BPOP) of the Hand.","authors":"Dheysel Tenzin, Pieter Van Geel, Jonas De Melio","doi":"10.5334/jbsr.4138","DOIUrl":"10.5334/jbsr.4138","url":null,"abstract":"<p><p>Bizarre parosteal osteochondromatous proliferation (BPOP), or Nora lesion, is a rare benign condition that can mimic other pathologies. A case is described of a 66-year-old man with a slowly enlarging nodule on his finger over five years. Imaging showed a parosteal lesion without continuity with the trabecular bone, strongly suggestive of BPOP. The diagnosis was histologically confirmed. This case highlights the importance of recognizing the characteristic imaging features of BPOP. <i>Teaching point:</i> BPOP may appear as a worrisome lesion on imaging, but its typical location and lack of continuity with the trabecular bone should raise awareness for BPOP.</p>","PeriodicalId":55987,"journal":{"name":"Journal of the Belgian Society of Radiology","volume":"110 1","pages":"5"},"PeriodicalIF":1.3,"publicationDate":"2026-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12857612/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146108340","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":"An Aggressive but Not Malignant Tumor of the Pediatric Hip.","authors":"Henri Cailliau, Karen Vanslambrouck","doi":"10.5334/jbsr.4149","DOIUrl":"10.5334/jbsr.4149","url":null,"abstract":"<p><p><i>Teaching point:</i> Desmoid-type fibromatosis is a rare soft tissue tumor mimicking typical aggressive childhood malignancies, but with inability to metastasize, and with an essential role for imaging for diagnosis and therapeutic strategies.</p>","PeriodicalId":55987,"journal":{"name":"Journal of the Belgian Society of Radiology","volume":"110 1","pages":"3"},"PeriodicalIF":1.3,"publicationDate":"2026-01-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12829450/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146055107","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":"Chronic Ketamine Toxicity Involving both Urinary and Hepatobiliary Systems.","authors":"Alexander Cotza, Liesbeth Meylaerts","doi":"10.5334/jbsr.4197","DOIUrl":"10.5334/jbsr.4197","url":null,"abstract":"<p><p>Chronic ketamine abuse is a well-recognized cause of lower urinary tract injury. Hepatobiliary manifestations are less frequently reported. A case is presented of concomitant ketamine-induced uropathy and cholangiopathy in a young adult. This underscores the importance of considering ketamine toxicity as a multisystem disorder. <i>Teaching point:</i> Beyond the well-recognized urinary tract involvement, radiologists attention is drawn to hepatobiliary manifestations of chronic ketamine toxicity.</p>","PeriodicalId":55987,"journal":{"name":"Journal of the Belgian Society of Radiology","volume":"110 1","pages":"2"},"PeriodicalIF":1.3,"publicationDate":"2026-01-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12829456/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146055134","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}
Emiel Declerck, Annelies Laerte, Henri Vandermeulen
{"title":"Malakoplakia of the Kidney Transplant.","authors":"Emiel Declerck, Annelies Laerte, Henri Vandermeulen","doi":"10.5334/jbsr.4173","DOIUrl":"10.5334/jbsr.4173","url":null,"abstract":"<p><p><i>Teaching point:</i> Malakoplakia is a rare but clinically significant condition in immunocompromised patients and in these patients to be included in the differential diagnosis to distinguish this pseudotumoral process in a renal graft from malignant entities such as renal cell carcinoma and post-transplant lymphoproliferative disease (PTLD).</p>","PeriodicalId":55987,"journal":{"name":"Journal of the Belgian Society of Radiology","volume":"110 1","pages":"1"},"PeriodicalIF":1.3,"publicationDate":"2026-01-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12802095/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145992031","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}
Hamza Eren Güzel, Ali Murat Koç, Zehra Hilal Adıbelli, Funda Taşlı, Babak Saravi
{"title":"Deciphering Breast Cancer Complexity: A Study on the Predictive Power of MRI Texture Analysis for Tumor Characterization and Treatment Response.","authors":"Hamza Eren Güzel, Ali Murat Koç, Zehra Hilal Adıbelli, Funda Taşlı, Babak Saravi","doi":"10.5334/jbsr.3913","DOIUrl":"10.5334/jbsr.3913","url":null,"abstract":"<p><p><i>Objectives:</i> This study aimed to examine the association between MRI radiomics features of malignant breast masses and their histopathological, molecular characteristics, and response to neoadjuvant treatments. <i>Materials and methods:</i> A retrospective cohort of 70 breast cancer patients was analyzed. Texture analysis was performed on preoperative MRI scans, extracting features such as entropy, contrast, and homogeneity. These features were analyzed against histopathological and clinical targets (e.g., lymph node metastasis) and molecular profiles. Statistical analyses and machine learning algorithms, including logistic regression and support vector machines, were employed to evaluate the predictive power of MRI texture features for molecular subtypes and the association of radiomics markers with neoadjuvant treatments. <i>Results:</i> The findings revealed significant associations between MRI texture features and the histopathological and molecular characteristics of breast tumors. Certain texture parameters correlated with aggressive phenotypes and poor chemotherapy response. Despite the limited dataset, machine learning models performed well in classifying tumors and predicting outcomes, highlighting the potential of MRI texture analysis in clinical decision‑making. <i>Conclusion:</i> MRI texture analysis emerges as a non‑invasive tool for personalized breast cancer management. The significant associations between MRI texture features and critical tumor characteristics suggest that these features could serve as biomarkers for predicting tumor behavior and treatment efficacy. Further large‑scale research is needed to integrate MRI texture analysis into clinical practice and improve patient outcomes.</p>","PeriodicalId":55987,"journal":{"name":"Journal of the Belgian Society of Radiology","volume":"109 1","pages":"72"},"PeriodicalIF":1.3,"publicationDate":"2025-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12742382/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145851739","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}
Rob Vernelen, Charlotte Vanhoenacker, Filip Vanhoenacker
{"title":"How Dark Stars and Three Stripes Can Aid in Characterization of Muscle Sarcoidosis?","authors":"Rob Vernelen, Charlotte Vanhoenacker, Filip Vanhoenacker","doi":"10.5334/jbsr.4165","DOIUrl":"10.5334/jbsr.4165","url":null,"abstract":"<p><p><i>Teaching point:</i> The clues to the correct diagnosis of muscle sarcoidosis on MRI are the typical 'dark star' sign in the axial plane and the 'three‑stripe' sign in the longitudinal plane.</p>","PeriodicalId":55987,"journal":{"name":"Journal of the Belgian Society of Radiology","volume":"109 1","pages":"71"},"PeriodicalIF":1.3,"publicationDate":"2025-12-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12742378/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145851752","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}