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Journal of the Belgian Society of Radiology最新文献

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Cervical Interspinous Ligament Sprain in a 6-Year-Old Boy. 6岁男童颈椎棘间韧带扭伤1例。
IF 2 4区 医学
Journal of the Belgian Society of Radiology Pub Date : 2022-10-04 eCollection Date: 2022-01-01 DOI: 10.5334/jbsr.2873
Thomas Saliba, Hanna Salame, Denis Tack
{"title":"Cervical Interspinous Ligament Sprain in a 6-Year-Old Boy.","authors":"Thomas Saliba,&nbsp;Hanna Salame,&nbsp;Denis Tack","doi":"10.5334/jbsr.2873","DOIUrl":"https://doi.org/10.5334/jbsr.2873","url":null,"abstract":"<p><p>Paediatric cervical spine trauma, though rare, is difficult to detect as the injuries are often soft-tissue injuries and thus not visible using conventional radiography. A 6-and-a-half-year-old child presented with neck pain following a fall. A thorough radiological workup over several days demonstrated soft-tissue injuries, undetected by initial cervical X-rays, requiring MRI to definitively prove. The patient recovered with conservative treatment. <b>Teaching Point:</b> Paediatric cervical spine injuries often present with soft tissue injuries, which can missed on X-rays and require further imaging to detect.</p>","PeriodicalId":56282,"journal":{"name":"Journal of the Belgian Society of Radiology","volume":null,"pages":null},"PeriodicalIF":2.0,"publicationDate":"2022-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9541170/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40653294","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}
引用次数: 0
Microhemorrhages in MELAS Lesions: A Case Report. MELAS病变微出血1例报告。
IF 2 4区 医学
Journal of the Belgian Society of Radiology Pub Date : 2022-09-30 eCollection Date: 2022-01-01 DOI: 10.5334/jbsr.2891
Evelien Martens, Jelle Demeestere, Benjamin Verhaaren
{"title":"Microhemorrhages in MELAS Lesions: A Case Report.","authors":"Evelien Martens,&nbsp;Jelle Demeestere,&nbsp;Benjamin Verhaaren","doi":"10.5334/jbsr.2891","DOIUrl":"https://doi.org/10.5334/jbsr.2891","url":null,"abstract":"<p><strong>Introduction: </strong>Microhemorrhages have not been described in mitochondrial encephalomyopathy with lactic acidosis and stroke-like episodes syndrome (MELAS) on magnetic resonance imaging (MRI). Main symptoms and/or important findings: A MELAS-patient had a rapid succession of 3 stroke-like episodes with dysphasia, visual field deficits and paresis of the right arm. MRI showed a lesion with corticosubcortical vasogenic edema without reduced diffusion, conforming to a stroke-like MELAS-lesion. Microhemorrhages within MELAS-lesions were detected on MRI. The main diagnoses, therapeutic interventions, and outcomes: Microhemorrhages are an atypical imaging finding in MELAS. The patient was treated with L-arginine.</p><p><strong>Conclusion: </strong>Microhemorrhages can present on MRI in (sub)acute MELAS lesions and may reflect mitochondrial microangiopathy.</p>","PeriodicalId":56282,"journal":{"name":"Journal of the Belgian Society of Radiology","volume":null,"pages":null},"PeriodicalIF":2.0,"publicationDate":"2022-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9524292/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33515760","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}
引用次数: 1
A Rare Case of Extrinsic Stenosis of Dural Sinus. 硬脑膜窦外源性狭窄1例。
IF 2 4区 医学
Journal of the Belgian Society of Radiology Pub Date : 2022-09-30 eCollection Date: 2022-01-01 DOI: 10.5334/jbsr.2895
Axel Boyer, Louis Deprez
{"title":"A Rare Case of Extrinsic Stenosis of Dural Sinus.","authors":"Axel Boyer,&nbsp;Louis Deprez","doi":"10.5334/jbsr.2895","DOIUrl":"https://doi.org/10.5334/jbsr.2895","url":null,"abstract":"<p><p><b>Teaching Point:</b> Dural sinus stenosis are a rare cause of increased intracranial pressure and can be treated in some cases by stenting.</p>","PeriodicalId":56282,"journal":{"name":"Journal of the Belgian Society of Radiology","volume":null,"pages":null},"PeriodicalIF":2.0,"publicationDate":"2022-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9524300/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33515759","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}
引用次数: 0
Foot and Ankle Conventional Radiography in Juvenile Idiopathic Arthritis: Does It Still Matter? 儿童特发性关节炎的足、踝常规x线摄影:还重要吗?
IF 2 4区 医学
Journal of the Belgian Society of Radiology Pub Date : 2022-09-23 eCollection Date: 2022-01-01 DOI: 10.5334/jbsr.2729
Magdalena Posadzy, Anna Sowińska, Filip Vanhoenacker, Piotr Gietka, Ewa Żelnio, Iwona Sudoł-Szopińska
{"title":"Foot and Ankle Conventional Radiography in Juvenile Idiopathic Arthritis: Does It Still Matter?","authors":"Magdalena Posadzy,&nbsp;Anna Sowińska,&nbsp;Filip Vanhoenacker,&nbsp;Piotr Gietka,&nbsp;Ewa Żelnio,&nbsp;Iwona Sudoł-Szopińska","doi":"10.5334/jbsr.2729","DOIUrl":"https://doi.org/10.5334/jbsr.2729","url":null,"abstract":"<p><strong>Objectives: </strong>The aim of this study was to evaluate the residual value of Conventional Radiography in children with arthralgia clinically suspected of Juvenile Idiopathic Arthritis (JIA).</p><p><strong>Materials and methods: </strong>Three hundred seventy-two patients aged 1-18 years suspected of JIA were retrospectively reviewed. All patients had foot and ankle plain films performed in standard two projections: ankle in antero-posterior and lateral, and foot in antero-posterior and oblique. The cohort was divided into two groups: patients with confirmed JIA and non-JIA control group of children with foot and ankle arthralgia without diagnosis of inflammatory connective tissue disease. Radiographic findings in both groups were compared.</p><p><strong>Results: </strong>In 40% of JIA and 70% of non-JIA patients radiographs were normal. All radiographic findings were significantly more common in JIA than in non-JIA group (p = 0.000). Soft tissue swelling was the most frequent abnormality found in JIA patients (31, 51%) and only in 2.41% of non-JIA patients (p = 0.000). Osteoporosis and joint space narrowing were also significantly more common in JIA group (p = 0.000). The majority of imaging findings in non-JIA group were non-inflammatory abnormalities.</p><p><strong>Conclusion: </strong>Conventional radiography is an important tool in differential diagnosis of arthralgia of unknown etiology, as soft tissue swelling, osteoporosis and joint space narrowing are significantly more common in JIA patients as compared with patients without the diagnosis of inflammatory connective tissue disease. However, in case of high clinical suspicion of JIA and normal radiography, we recommend subsequent ultrasound (US) and/or MRI to allow early treatment.</p>","PeriodicalId":56282,"journal":{"name":"Journal of the Belgian Society of Radiology","volume":null,"pages":null},"PeriodicalIF":2.0,"publicationDate":"2022-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9503895/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33497852","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}
引用次数: 2
Nasal and Nasopharyngeal Rosai-Dorfman Disease. 鼻及鼻咽罗赛-多尔夫曼病。
IF 2 4区 医学
Journal of the Belgian Society of Radiology Pub Date : 2022-09-22 eCollection Date: 2022-01-01 DOI: 10.5334/jbsr.2896
Kelly Di Dier, Marc Lemmerling, Geert De Vos
{"title":"Nasal and Nasopharyngeal Rosai-Dorfman Disease.","authors":"Kelly Di Dier,&nbsp;Marc Lemmerling,&nbsp;Geert De Vos","doi":"10.5334/jbsr.2896","DOIUrl":"https://doi.org/10.5334/jbsr.2896","url":null,"abstract":"<p><p><b>Teaching Point:</b> Nasal and nasopharyngeal Rosai-Dorfman disease is a rare cause of nasal obstruction.</p>","PeriodicalId":56282,"journal":{"name":"Journal of the Belgian Society of Radiology","volume":null,"pages":null},"PeriodicalIF":2.0,"publicationDate":"2022-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9503955/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33497853","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}
引用次数: 2
Intramedullary Teratoma of Spine in an Adult Patient. 1例成人脊柱髓内畸胎瘤。
IF 2 4区 医学
Journal of the Belgian Society of Radiology Pub Date : 2022-09-22 eCollection Date: 2022-01-01 DOI: 10.5334/jbsr.2835
Suryansh Arora, Shishir Chumber, Kavita Vani
{"title":"Intramedullary Teratoma of Spine in an Adult Patient.","authors":"Suryansh Arora,&nbsp;Shishir Chumber,&nbsp;Kavita Vani","doi":"10.5334/jbsr.2835","DOIUrl":"https://doi.org/10.5334/jbsr.2835","url":null,"abstract":"<p><p>Spinal teratomas are rare spinal tumors. Most of these present in children. We present the imaging findings of a spinal teratoma that was not symptomatic until adulthood. <b>Teaching point:</b> Congenital spinal tumors may occasionally present for the first time in adulthood, and radiologists need to be familiar with the imaging findings.</p>","PeriodicalId":56282,"journal":{"name":"Journal of the Belgian Society of Radiology","volume":null,"pages":null},"PeriodicalIF":2.0,"publicationDate":"2022-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9504025/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33497860","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}
引用次数: 0
Dual-Layer Spectral CT of Pancreas Ductal Adenocarcinoma: Can Virtual Monoenergetic Images of the Portal Venous Phase Be an Alternative to the Pancreatic-Phase Scan? 胰腺导管腺癌的双层光谱CT:门静脉期的虚拟单能图像可以替代胰期扫描吗?
IF 2 4区 医学
Journal of the Belgian Society of Radiology Pub Date : 2022-09-22 eCollection Date: 2022-01-01 DOI: 10.5334/jbsr.2798
Yeo Eun Han, Beom Jin Park, Deuk Jae Sung, Min Ju Kim, Na Yeon Han, Ki Choon Sim, Yongwon Cho, Hayeon Kim
{"title":"Dual-Layer Spectral CT of Pancreas Ductal Adenocarcinoma: Can Virtual Monoenergetic Images of the Portal Venous Phase Be an Alternative to the Pancreatic-Phase Scan?","authors":"Yeo Eun Han,&nbsp;Beom Jin Park,&nbsp;Deuk Jae Sung,&nbsp;Min Ju Kim,&nbsp;Na Yeon Han,&nbsp;Ki Choon Sim,&nbsp;Yongwon Cho,&nbsp;Hayeon Kim","doi":"10.5334/jbsr.2798","DOIUrl":"https://doi.org/10.5334/jbsr.2798","url":null,"abstract":"<p><strong>Objectives: </strong>To determine the performance of virtual monoenergetic images (VMIs) of the portal venous phase (PVP) compared with the pancreatic-phase image for pancreatic ductal adenocarcinoma (PDAC) evaluation.</p><p><strong>Materials and methods: </strong>This retrospective study enrolled 64 patients with PDAC who underwent pancreatic CT with dual-layer spectral CT between February 2018 and January 2020. A polychromatic pancreatic-phase image and VMIs at 40 (VMI<sub>40</sub>), 55 (VMI<sub>55</sub>), and 70 keV (VMI<sub>70</sub>) of the PVP were generated. The tumor-to-pancreas contrast-to-noise ratio (CNR), attenuation difference, peripancreatic vascular signal-to-noise ratio (SNR), and CNR were compared among the four images. Subjective image analysis was performed for tumor conspicuity, heterogeneity, size, and arterial invasion.</p><p><strong>Results: </strong>VMI<sub>40</sub> and VMI<sub>55</sub> demonstrated higher tumor-to-pancreas CNR, attenuation difference, and higher peripancreatic vascular CNR and SNR than the pancreatic-phase image and VMI<sub>70</sub> (p < .001). On subjective analysis, VMI<sub>55</sub> showed the best tumor conspicuity. Moreover, the inter-reader agreement for arterial invasion in VMIs from the PVP was not inferior to that in the pancreatic-phase image.</p><p><strong>Conclusion: </strong>For evaluating PDAC, the VMI<sub>55</sub> of the PVP was superior to the pancreatic-phase image in terms of tumor conspicuity and peripancreatic vascular enhancement. Therefore, the VMI<sub>55</sub> of the PVP could be an alternative to the pancreatic-phase scan in patients suspicious of PDAC.</p>","PeriodicalId":56282,"journal":{"name":"Journal of the Belgian Society of Radiology","volume":null,"pages":null},"PeriodicalIF":2.0,"publicationDate":"2022-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9504095/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33497857","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}
引用次数: 3
Exceptional Extension of Benign Angiomyolipoma in the Renal Vein. 肾静脉良性血管平滑肌脂肪瘤的异常扩展。
IF 2 4区 医学
Journal of the Belgian Society of Radiology Pub Date : 2022-09-22 eCollection Date: 2022-01-01 DOI: 10.5334/jbsr.2854
Darius Lepot, Patrick Mailleux, Stéphane B Van den Broeck
{"title":"Exceptional Extension of Benign Angiomyolipoma in the Renal Vein.","authors":"Darius Lepot,&nbsp;Patrick Mailleux,&nbsp;Stéphane B Van den Broeck","doi":"10.5334/jbsr.2854","DOIUrl":"https://doi.org/10.5334/jbsr.2854","url":null,"abstract":"<p><p><b>Teaching Point:</b> When a renal angiomyolipoma (AML) is incidentally detected on imaging, the venous system should be assessed for intravascular fat component.</p>","PeriodicalId":56282,"journal":{"name":"Journal of the Belgian Society of Radiology","volume":null,"pages":null},"PeriodicalIF":2.0,"publicationDate":"2022-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9504089/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33497854","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}
引用次数: 0
Extra-Abdominal Desmoid-Type Fibromatosis Mimicking Myxofibrosarcoma. 模拟黏液纤维肉瘤的腹外硬纤维瘤病。
IF 2 4区 医学
Journal of the Belgian Society of Radiology Pub Date : 2022-09-21 eCollection Date: 2022-01-01 DOI: 10.5334/jbsr.2848
Ye Rin Kim, Yu Sung Yoon, Hyerim Park
{"title":"Extra-Abdominal Desmoid-Type Fibromatosis Mimicking Myxofibrosarcoma.","authors":"Ye Rin Kim,&nbsp;Yu Sung Yoon,&nbsp;Hyerim Park","doi":"10.5334/jbsr.2848","DOIUrl":"https://doi.org/10.5334/jbsr.2848","url":null,"abstract":"<p><p>A 27-year-old woman was confirmed to have extraabdominal desmoid-type fibromatosis. Desmoid-type fibromatosis is a very rare connective tissue neoplasm with the extraabdominal type even more rare. It is most commonly found in proximal structures such as shoulders, neck, chest, and extremities. There are few case reports for desmoid-type fibromatosis located in paraspinal soft tissue. We report a case of desmoid-type fibromatosis mimicking a myxofibrosarcoma. <b>Teaching Point:</b> Even if there are suggestive findings for malignant soft tissue tumor on radiologic evaluation, histological confirmation is necessary before surgical treatment.</p>","PeriodicalId":56282,"journal":{"name":"Journal of the Belgian Society of Radiology","volume":null,"pages":null},"PeriodicalIF":2.0,"publicationDate":"2022-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9504096/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33497858","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}
引用次数: 0
Cervical Myelopathy Caused by Engorged Epidural Cervical Plexus Associated with Iatrogenic Intracranial Hypotension. 医源性颅内低血压伴硬膜外神经丛充血所致的颈椎病。
IF 2 4区 医学
Journal of the Belgian Society of Radiology Pub Date : 2022-09-21 eCollection Date: 2022-01-01 DOI: 10.5334/jbsr.2797
Bjorn Valgaeren, Elyn Van Snick, Geert Heirwegh
{"title":"Cervical Myelopathy Caused by Engorged Epidural Cervical Plexus Associated with Iatrogenic Intracranial Hypotension.","authors":"Bjorn Valgaeren,&nbsp;Elyn Van Snick,&nbsp;Geert Heirwegh","doi":"10.5334/jbsr.2797","DOIUrl":"https://doi.org/10.5334/jbsr.2797","url":null,"abstract":"<p><p><b>Teaching Point:</b> Iatrogenic overdrainage of cerebrospinal fluid may cause intracranial hypotension with secondary engorgement of the epidural venous plexus, resulting in potentially reversible compression radiculopathy or myelopathy.</p>","PeriodicalId":56282,"journal":{"name":"Journal of the Belgian Society of Radiology","volume":null,"pages":null},"PeriodicalIF":2.0,"publicationDate":"2022-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9504013/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33497851","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}
引用次数: 0
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