Journal of the Belgian Society of Radiology最新文献

{"title":"Detection of Coronary Artery Fistula between the LAD and the Great Cardiac Vein on Coronary CT Angiography.","authors":"Ramazan Orkun Onder, Serdar Aslan","doi":"10.5334/jbsr.3607","DOIUrl":"10.5334/jbsr.3607","url":null,"abstract":"<p><p>Coronary artery fistulas (CAFs) are abnormal communications of coronary arteries whereby venous circuits bypass the normal capillaries within the myocardium. Coronary artery-to-cardiac vein fistula is the third most common type of CAF, accounting for 7% of cases. Electrocardiographic-gated cardiac computed tomographic (CT) angiography has emerged as a noninvasive alternative method of choice for diagnosis due to its high spatial and temporal resolution and short acquisition time. Herein, we aimed to present a left anterior descending coronary artery opened into the greater cardiac vein at the distal level, consistent with a coronary artery-to-cardiac vein fistula in a 77-year-old woman. <i>Teaching point:</i> Coronary artery CT angiography provides a detailed evaluation of the complex anatomy of coronary artery fistula without the need for invasive methods.</p>","PeriodicalId":55987,"journal":{"name":"Journal of the Belgian Society of Radiology","volume":"108 1","pages":"57"},"PeriodicalIF":2.0,"publicationDate":"2024-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11141502/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141201042","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":"Ultrasonographic Characteristics of Thyroid Nodules with Nondiagnostic and Atypia of Undetermined Significance in Fine-Needle Aspiration Cytology.","authors":"Ahmet Bozer, Hülya Çetin Tunçez, Tuğçe Doğa Kul, Asuman Argon","doi":"10.5334/jbsr.3577","DOIUrl":"10.5334/jbsr.3577","url":null,"abstract":"<p><strong>Objectives: </strong>This study aimed to investigate ultrasound (US) features of thyroid nodules categorized as nondiagnostic (ND) and atypia of undetermined significance (AUS) according to the Bethesda System for Reporting Thyroid Cytopathology (TBSRTC) and their potential implications for clinical management.</p><p><strong>Materials and methods: </strong>A retrospective study was conducted on patients who underwent thyroid nodules FNAC between 2019 and 2023. Nodules falling into the ND and AUS categories were analyzed for US features, nodule size, composition, echogenicity, shape, margin, echogenic foci, the distribution of the American College of Radiology's Thyroid Imaging Reporting and Data System (ACR TI-RADS) categories, and other parameters. The study included a total of 1,199 patients and 1,252 nodules (ND: 1110; AUS: 142).</p><p><strong>Results: </strong>No significant differences in age, gender, nodule features, echogenicity, shape, margin, echogenic foci, TI-RADS scores, localization, number of nodules, or thyroid parenchymal disease presence were found between the ND and AUS categories (<i>p</i> > 0.05). Also, no statistically significant difference in nodule size (<10 mm vs. ≥10 mm) existed between the ND and AUS categories (<i>p</i> = 0.475). Both showed predominantly solid composition and hyperechoic/isoechoic echogenicity. High proportions of TI-RADS 4 nodules were observed in both groups, with 727 (65.5%) in ND and 95 (66.9%) in AUS.</p><p><strong>Conclusion: </strong>This study found no statistically significant differences in US characteristics between the ND and AUS categories, indicating potential similarities in their radiological appearances. Also, no significant difference in nodule size (<10 mm and ≥10 mm) was observed between these categories. Clinical management should consider further investigations, including repeat FNAC, due to the diagnostic challenges and malignancy risk in both categories.</p>","PeriodicalId":55987,"journal":{"name":"Journal of the Belgian Society of Radiology","volume":"108 1","pages":"52"},"PeriodicalIF":2.0,"publicationDate":"2024-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11086593/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140913173","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":"Fibromatosis Colli: A Thorough Description of Its MRI Characteristics and a Review of the Literature.","authors":"Thomas Saliba, Marco Preziosi, Paolo Simoni, Alessandro De Leucio","doi":"10.5334/jbsr.3270","DOIUrl":"10.5334/jbsr.3270","url":null,"abstract":"<p><strong>Introduction: </strong>Fibromatosis colli (FC) is a rare pseudotumor of the sternocleidomastoid muscle with an incidence of 0.4%, generally diagnosed using ultrasound between 2 and 4 weeks of age. This is an important entity considering the clinical concerns it causes due to its appearance as a cervical mass with torticollis. Few magnetic resonance imaging (MRI) descriptions of its appearance have been made, with the existing reported cases being sporadic. We aim to provide a thorough description of this paediatric entity.</p><p><strong>Materials and methods: </strong>We conducted a retrospective study by searching our hospital's database for previous cases of FC where an MRI had been performed. We found six cases of FC where an MRI had been performed. Of these cases, five out of six were contrast-enhanced. We examined the MRIs to be able to discern and describe the MRI characteristics of FC.</p><p><strong>Results: </strong>We found that FC presents a T1 signal isointense to the muscle, a T2 signal hyperintense to the muscle, a variable diffusion signal and a thick enhancing peripheral ring after contrast administration.</p><p><strong>Discussion: </strong>Our results match what has been reported in the literature to date regarding the MRI signal of FC, confirming previous reports. However, we provide new data regarding the characteristic appearance post-enhancement, which was previously unreported.</p><p><strong>Conclusion: </strong>The MRI characteristics of FC have rarely been described, with only a few isolated case reports in the medical literature. We review the current literature, describe the key MRI characteristics of the pathology, and provide the most thorough description to date.</p>","PeriodicalId":55987,"journal":{"name":"Journal of the Belgian Society of Radiology","volume":"108 1","pages":"51"},"PeriodicalIF":2.0,"publicationDate":"2024-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11086591/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140913226","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":"Hepatic Epithelioid Hemangioendothelioma Mimicking Liver Metastases in a Young Woman.","authors":"Jarno De Craemer, Bart Mortelé, Bart Lutin","doi":"10.5334/jbsr.3578","DOIUrl":"10.5334/jbsr.3578","url":null,"abstract":"<p><p><i>Teaching point:</i> When confronted with multifocal \"metastasis-like\" liver lesions without a known primary tumor, in particular in younger female patients, considering hepatic epithelioid hemangioendothelioma (HEHE) in the differential diagnosis can guide pathological examination and potentially avoid the need for multiple invasive biopsies.</p>","PeriodicalId":55987,"journal":{"name":"Journal of the Belgian Society of Radiology","volume":"108 1","pages":"48"},"PeriodicalIF":2.0,"publicationDate":"2024-05-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11086594/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140913147","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":"Unusual Finding in a Patient Presenting with Abdominal Pain and Dyspnea.","authors":"Wisam Al-Saad, Nasroola Damry, Gerogiana Pintea Bentea","doi":"10.5334/jbsr.3549","DOIUrl":"10.5334/jbsr.3549","url":null,"abstract":"<p><p>This article discusses the rarity of primary cardiac tumors, particularly angiosarcomas, accounting for 10% of primary cardiac neoplasms. The article highlights the challenge of early diagnosis due to nonspecific symptoms. The importance of sectional imaging, particularly computed tomography (CT) scans, in emergent situations is emphasized. <i>Teaching point:</i> Despite the rarity of primary cardiac tumors, radiologists should remain alert, especially when pericardial effusion is present.</p>","PeriodicalId":55987,"journal":{"name":"Journal of the Belgian Society of Radiology","volume":"108 1","pages":"49"},"PeriodicalIF":2.0,"publicationDate":"2024-05-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11086608/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140913196","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":"Doppler Ultrasound Diagnosis of Cystic Artery Pseudo-Aneurysm Causing Hemobilia.","authors":"Jose Taouk, Douglas Lacomblez, Pierre Bosschaert","doi":"10.5334/jbsr.3572","DOIUrl":"10.5334/jbsr.3572","url":null,"abstract":"<p><p><i>Teaching point:</i> Cystic artery pseudoaneurysm is a rare condition that should be considered in patients with unexplained abdominal pain, a history of gallbladder disorders, or signs of hemorrhage, and can be diagnosed by Doppler ultrasound.</p>","PeriodicalId":55987,"journal":{"name":"Journal of the Belgian Society of Radiology","volume":"108 1","pages":"50"},"PeriodicalIF":2.0,"publicationDate":"2024-05-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11086603/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140913699","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 Rare Case of Angioleiomyoma of the Palm.","authors":"Karel Mercken, Sten Deschuyffeleer, Peter Matthys","doi":"10.5334/jbsr.3553","DOIUrl":"10.5334/jbsr.3553","url":null,"abstract":"<p><p><i>Teaching point:</i> Angioleiomyoma is defined on MR by a peripheral T1- and T2-hypointense rim, adjacent tortuous vascular structures, and a dark reticular sign.</p>","PeriodicalId":55987,"journal":{"name":"Journal of the Belgian Society of Radiology","volume":"108 1","pages":"47"},"PeriodicalIF":2.0,"publicationDate":"2024-05-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11086589/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140913698","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":"Acute Liver Ischemia Caused by Vasculitis Due to the Use of Synthetic Cannabinoids.","authors":"Ertugrul Cakir, Serdar Aslan, Esra Ibis","doi":"10.5334/jbsr.3556","DOIUrl":"https://doi.org/10.5334/jbsr.3556","url":null,"abstract":"<p><p><i>Teaching Point</i>: Synthetic cannabinoids are drugs whose use has increased significantly in recent years and whose toxicological effects cannot be ignored. Chronic inflammatory processes such as vasculitis that may be caused by these substances pose serious health problems at all ages.</p>","PeriodicalId":55987,"journal":{"name":"Journal of the Belgian Society of Radiology","volume":"108 1","pages":"46"},"PeriodicalIF":2.0,"publicationDate":"2024-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11067973/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140869551","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":"Radiographic Detection of Post-Traumatic Bone Fractures: Contribution of Artificial Intelligence Software to the Analysis of Senior and Junior Radiologists.","authors":"Andrea Dell'Aria, Denis Tack, Najat Saddiki, Sonia Makdoud, Jean Alexiou, François-Xavier De Hemptinne, Ivan Berkenbaum, Carine Neugroschl, Nunzia Tacelli","doi":"10.5334/jbsr.3574","DOIUrl":"https://doi.org/10.5334/jbsr.3574","url":null,"abstract":"<p><strong>Objectives: </strong>The aims of this study were: (a) to evaluate the performance of an artificial intelligence (AI) software package (Boneview Trauma, Gleamer) for the detection of post-traumatic bone fractures in radiography as a standalone; (b) used by two radiologists (osteoarticular senior and junior); and (c) to determine to whom AI would be most helpful.</p><p><strong>Materials and methods: </strong>Within 14 days of a trauma, 101 consecutive patients underwent radiographic examination of the upper or lower limbs. The definite diagnosis for identifying fractures was: (a) radio-clinical consensus between the radiologist on-call who analyzed the images and the orthopedist (Group 1); (b) Cone Beam computed tomography (CBCT) exploration of the area of interest, in case of doubts or absence of consensus (Group 2). Independently of this diagnosis for both groups, the radiographic images were separately analyzed by two radiologists (osteoarticular senior: SR; junior: JR) prior without, and thereafter with the results of AI.</p><p><strong>Results: </strong>AI performed better than the radiologists in detecting common fractures (Group 1), but not subtle fractures (Group 2). In association with AI, both radiologists increased their overall performances in both groups, whereas this increase was significantly higher for the JR (<i>p</i> < 0.05).</p><p><strong>Conclusion: </strong>AI is reliable for common radiographic fracture identification and is a useful learning tool for radiologists in training. However, the software's overall performance does not exceed that of an osteoarticular senior radiologist, particularly in case of subtle lesions.</p>","PeriodicalId":55987,"journal":{"name":"Journal of the Belgian Society of Radiology","volume":"108 1","pages":"44"},"PeriodicalIF":2.0,"publicationDate":"2024-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11049681/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140857053","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":"Unusually Hypervascularized Liver Lesion.","authors":"Eya Chaouch, Selda Aydin, Dragean Cristina Anca","doi":"10.5334/jbsr.3576","DOIUrl":"https://doi.org/10.5334/jbsr.3576","url":null,"abstract":"<p><p><i>Teaching point:</i> Microcystic lymphangioma is a rare but benign lesion that should be differentiated from a neoplasm.</p>","PeriodicalId":55987,"journal":{"name":"Journal of the Belgian Society of Radiology","volume":"108 1","pages":"45"},"PeriodicalIF":2.0,"publicationDate":"2024-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11049680/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140866861","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}