{"title":"A Routine Neck Massage, a Devastating Stroke: Imaging Clues to Vertebral Artery Dissection.","authors":"Jie Liu, Peifei Jia, Qingyu Ji","doi":"10.5334/jbsr.4185","DOIUrl":"10.5334/jbsr.4185","url":null,"abstract":"<p><p><i>Teaching point:</i> In young adults with neurological symptoms after neck trauma, consider vertebral artery dissection. High‑resolution magnetic resonance angiography is superior to CT angiography for diagnosis if the false lumen is thrombosed.</p>","PeriodicalId":55987,"journal":{"name":"Journal of the Belgian Society of Radiology","volume":"109 1","pages":"70"},"PeriodicalIF":1.3,"publicationDate":"2025-12-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12742373/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145851728","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":"Appropriate CT Technology to Fully Assess a Palatal Myoepithelioma.","authors":"Xiang Zhuang, Hongliang Li, Qingyu Ji","doi":"10.5334/jbsr.4168","DOIUrl":"10.5334/jbsr.4168","url":null,"abstract":"<p><p><i>Teaching point:</i> Palatal myoepithelioma has almost pathognomonic progressive heterogeneous delayed enhancement on contrast CT, and a dedicated software application contributes to the surgical planning through hyper‑realistic rendering (HRR) 3D delineation of tumor extent/spatial relationships with critical adjacent structures.</p>","PeriodicalId":55987,"journal":{"name":"Journal of the Belgian Society of Radiology","volume":"109 1","pages":"69"},"PeriodicalIF":1.3,"publicationDate":"2025-12-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12742381/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145851737","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":"Clival Infiltrative Lesions: A Review of Differential Diagnosis Illustrated by a Rare Case of Coexisting Invasive Pituitary Adenoma and Clival Intravascular Lymphoma.","authors":"Eva Van Pée, Lina Daoud, Idil Gunes Tatar","doi":"10.5334/jbsr.4102","DOIUrl":"10.5334/jbsr.4102","url":null,"abstract":"<p><p>Pituitary adenoma, a common benign tumor that can invade the clivus or appear ectopically, poses diagnostic challenges. Intravascular lymphoma is extremely rare and frequently underdiagnosed. A case is presented of coexisting pituitary adenoma and clival intravascular large B‑cell lymphoma, highlighting the differential diagnosis of clival infiltrative lesions. <i>Teaching point:</i> Clival lesions present a wide diagnostic spectrum; when imaging findings are atypical, histopathology remains essential for definitive diagnosis and appropriate treatment.</p>","PeriodicalId":55987,"journal":{"name":"Journal of the Belgian Society of Radiology","volume":"109 1","pages":"64"},"PeriodicalIF":1.3,"publicationDate":"2025-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12700139/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145758389","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}
Ahmed Amine Dinia, Sandy Van Nieuwenhove, Qaid Ahmed Shagera
{"title":"Tricky Liver Case: Perihepatic Splenosis.","authors":"Ahmed Amine Dinia, Sandy Van Nieuwenhove, Qaid Ahmed Shagera","doi":"10.5334/jbsr.4153","DOIUrl":"10.5334/jbsr.4153","url":null,"abstract":"<p><p><i>Teaching point:</i> Perihepatic splenosis should be considered in patients with a history of splenectomy presenting with a subdiaphragmatic mass that enhances similar to splenic tissue, to avoid unnecessary biopsy or surgery.</p>","PeriodicalId":55987,"journal":{"name":"Journal of the Belgian Society of Radiology","volume":"109 1","pages":"63"},"PeriodicalIF":1.3,"publicationDate":"2025-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12700140/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145758463","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}
Miloud Dewilde, Walter Coudyzer, Annouschka Laenen, Hilde Bosmans, Geert Maleux
{"title":"Patient-Tailored Contrast Medium Volume for Preoperative Computed Tomography Angiography of the Aorta Based on Patient's Heart Rate and Body Surface Area.","authors":"Miloud Dewilde, Walter Coudyzer, Annouschka Laenen, Hilde Bosmans, Geert Maleux","doi":"10.5334/jbsr.4033","DOIUrl":"10.5334/jbsr.4033","url":null,"abstract":"<p><p><i>Objectives:</i> To evaluate the impact of patient-specific contrast volume adjustments on preoperative aortic computed tomography angiography (CTA) image quality after adjusting and reducing the total, injected contrast volume based on patients' body surface area (BSA) and heart rate (HR) and after adapting the CT-scanner's kilovoltage (kV). <i>Methods:</i> Prospective study included 80 surgery-naive patients. Three study groups were included: Group 1 (<i>n</i> = 56 patients): the injected contrast dose, calculated from BSA and HR, was reduced by 50%; Group 2 (<i>n</i> = 11 patients): the injected contrast dose, calculated from BSA and HR, was reduced by 50%, and an additional volume reduction was based on the kV values; Group 3 (<i>n</i> = 13 patients): the injected contrast dose, calculated from BSA and HR, was reduced by 50% and additionally diluted to 80% contrast and 20% saline. Image quality was evaluated by quantitative analysis (Hounsfield units) and qualitative analysis (five-point visual score). <i>Results:</i> The mean injected contrast dose was 46.1 ml, 28.3 ml, and 35.0 ml in Groups 1, 2, and 3, respectively, with a significant difference between Group 1 vs Group 2 (<i>P</i> < 0.001) and between Group 1 vs Group 3 (<i>P</i> < 0.001). A linear relationship between the Hounsfield units and the given contrast dose for all study groups was observed. The mean image quality score for Group 1 was 4.34/5. The mean image quality score for Group 2 was 2.8/5 and for Group 3 was 3.5/5. <i>Conclusions:</i> Significant contrast dose reduction, based on HR and BSA, in preoperative aortic CTA is associated with acceptable diagnostic quality.</p>","PeriodicalId":55987,"journal":{"name":"Journal of the Belgian Society of Radiology","volume":"109 1","pages":"62"},"PeriodicalIF":1.3,"publicationDate":"2025-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12679994/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145702993","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":"Radiation Dose Alert: CT Overexposure As a Result of Patient Off-Centering.","authors":"Denis Tack","doi":"10.5334/jbsr.3971","DOIUrl":"10.5334/jbsr.3971","url":null,"abstract":"<p><p>A high cumulative radiation dose (3394 mGy.cm, 51 mSv) delivered by two acquisitions on the abdomen and pelvis and corresponding to more than 10 times the local median dose for this examination was retrospectively detected thanks to the Dose Archiving and Communicating System (DACS). Retrospective analysis of the examination showed that the cause of this high dose was an off-centering of the patient-the table being in a too high position-disabling a correct diagnosis of an umbilical herniation that was visible on a repeated acquisition. Interestingly, the CTDIvol of the second acquisition was 40% lower than that of the first acquisition, a well-known effect of off-centering on automatic exposure control systems.</p>","PeriodicalId":55987,"journal":{"name":"Journal of the Belgian Society of Radiology","volume":"109 1","pages":"61"},"PeriodicalIF":1.3,"publicationDate":"2025-12-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12680003/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145702951","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":"T2 Dixon Imaging in the Evaluation of Hibernoma: Reliable Identification of Macroscopic Fat.","authors":"Sander Gurdeep Singh, Wouter Huysse, Frederiek Laloo","doi":"10.5334/jbsr.4037","DOIUrl":"10.5334/jbsr.4037","url":null,"abstract":"<p><p><i>Teaching point:</i> T2 Dixon imaging is valuable in assessing soft tissue lesions. Water-only images highlight fluid or edema, while fat-only images identify macroscopic fat and help delineate fat-devoid regions, which often indicate suspicious areas-or confirm their absence in benign lesions.</p>","PeriodicalId":55987,"journal":{"name":"Journal of the Belgian Society of Radiology","volume":"109 1","pages":"53"},"PeriodicalIF":1.3,"publicationDate":"2025-11-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12617425/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145544060","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":"Melorheostosis with Extraosseous Extension Mimicking a Cartilaginous Tumor: A Case Report.","authors":"Olympia Lemontzis","doi":"10.5334/jbsr.4139","DOIUrl":"10.5334/jbsr.4139","url":null,"abstract":"<p><p><i>Teaching point:</i> Melorheostosis may exceptionally present with extraosseous extension mimicking a cartilaginous tumor, emphasizing the crucial role of anatomo-radiological correlation when histology is confusing.</p>","PeriodicalId":55987,"journal":{"name":"Journal of the Belgian Society of Radiology","volume":"109 1","pages":"52"},"PeriodicalIF":1.3,"publicationDate":"2025-11-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12617424/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145544076","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":"Reporting Nasogastric Tube 'in the Stomach' Is Not Enough: Full Intragastric Positioning Matters.","authors":"Thalinne Schueremans, Nico Hustings","doi":"10.5334/jbsr.4131","DOIUrl":"10.5334/jbsr.4131","url":null,"abstract":"<p><p><i>Teaching point:</i> Even when the nasogastric tube (NGT) tip appears intragastric on chest radiography, malposition of proximal side holes above the gastro-oesophageal junction may result in clinically significant aspiration.</p>","PeriodicalId":55987,"journal":{"name":"Journal of the Belgian Society of Radiology","volume":"109 1","pages":"51"},"PeriodicalIF":1.3,"publicationDate":"2025-11-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12594086/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145483987","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}
Thomas Van Den Berghe, Robbert Mahieu, Koenraad Verstraete
{"title":"Pulmonary Artery Intimal Sarcoma Mimicking Pulmonary Embolism: A Case Report.","authors":"Thomas Van Den Berghe, Robbert Mahieu, Koenraad Verstraete","doi":"10.5334/jbsr.4114","DOIUrl":"10.5334/jbsr.4114","url":null,"abstract":"<p><p>Pulmonary artery intimal sarcoma is a very rare and often misdiagnosed cause of pulmonary artery occlusion and progressive dyspnoea. A case of a 66-year-old man is presented, initially treated for presumed pulmonary embolism, in whom persistent intraluminal filling defects and inadequate therapeutic response ultimately led to the diagnosis of intimal sarcoma. <i>Teaching point:</i> Pulmonary artery intimal sarcoma should be considered in cases of persistent suspected pulmonary embolism unresponsive to adequate anticoagulation or thrombolysis, with imaging features such as SUVmax, metabolic tumour volume, total lesion glycolysis, and the wall eclipsing sign helping in the differentiation between the two entities.</p>","PeriodicalId":55987,"journal":{"name":"Journal of the Belgian Society of Radiology","volume":"109 1","pages":"50"},"PeriodicalIF":1.3,"publicationDate":"2025-11-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12594087/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145483906","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}