Acta radiologica最新文献

Evaluation of in-stent restenosis after carotid artery stenting with superb microvascular imaging: initial findings.

IF 1.1 4区医学

Acta radiologica Pub Date : 2025-04-01 Epub Date: 2025-01-23 DOI: 10.1177/02841851241312230

Berna Keskin, Isık Conkbayir, Erdem Birgi, Onur Ergun, Azad Hekimoğlu, Erdi Tangobay, Baki Hekimoğlu

{"title":"Evaluation of in-stent restenosis after carotid artery stenting with superb microvascular imaging: initial findings.","authors":"Berna Keskin, Isık Conkbayir, Erdem Birgi, Onur Ergun, Azad Hekimoğlu, Erdi Tangobay, Baki Hekimoğlu","doi":"10.1177/02841851241312230","DOIUrl":"10.1177/02841851241312230","url":null,"abstract":"BackgroundCarotid artery stenting (CAS) is an interventional management in preventing ischemic stroke caused by carotid artery stenosis. After the treatment with CAS, in-stent restenosis caused by neointimal hyperplasia may develop.PurposeThis study aims to obtain a better determination of neointimal hyperplasia using superb microvascular imaging (SMI), which provides a high-quality visualization of the endoluminal lesions, and to compare these results with B-mode and Doppler ultrasound (US).Material and MethodsA total of 106 patients who underwent CAS in our interventional radiology unit between 2018 and 2020 were retrospectively analyzed. In total, 44 patients whose procedure images and post-procedural follow-up Doppler US and SMI data could be accessed were included.ResultsThere were nine patients who had in-stent restenosis. One patient had no velocity increase; however, on SMI the measurements showed in-stent restenosis both in area and diameter. The other eight patients had a stenosis degree in the range of 50%-79% on Doppler US. Five patients had in-stent restenosis, both in Doppler US and SMI, by area and diameter measurements. Two patients underwent digital subtraction angiography (DSA).ConclusionWe suggest that using SMI with duplex sonography improves detecting neointimal hyperplasia and in-stent restenosis. With SMI, better visualization of the stent lumen may improve the patient selection for DSA.","PeriodicalId":7143,"journal":{"name":"Acta radiologica","volume":" ","pages":"434-440"},"PeriodicalIF":1.1,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143021743","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The role of four-dimensional flow MRI as an adjunct to endoscopy for predicting variceal bleeding in patients with cirrhosis.

IF 1.1 4区医学

Acta radiologica Pub Date : 2025-04-01 Epub Date: 2025-01-26 DOI: 10.1177/02841851241313023

Chung Man Moon, Yun Young Lee, Sung Ho Park, Hyungkyu Huh, Seul Kee Kim, Suk Hee Heo, Sang Soo Shin

{"title":"The role of four-dimensional flow MRI as an adjunct to endoscopy for predicting variceal bleeding in patients with cirrhosis.","authors":"Chung Man Moon, Yun Young Lee, Sung Ho Park, Hyungkyu Huh, Seul Kee Kim, Suk Hee Heo, Sang Soo Shin","doi":"10.1177/02841851241313023","DOIUrl":"10.1177/02841851241313023","url":null,"abstract":"BackgroundNon-invasive approach other than conventional endoscopy could be effectively used for screening and monitoring esophageal variceal bleeding (EVB).PurposeTo retrospectively investigate the role of four-dimensional (4D) flow magnetic resonance imaging (MRI) as an add-on tool to endoscopy for predicting EVB in cirrhotic patients with esophageal varices (EVs).Material and MethodsA cohort of 109 cirrhotic patients with EVs was divided into four groups: A = negative red color [RC] sign, no EVB, n = 60; B = negative RC sign, EVB, n = 13; C = positive RC sign, no EVB, n = 10; and D = positive RC sign, EVB, n = 26. All patients underwent laboratory assessments and 4D flow MRI using a 3-T scanner to analyze hemodynamic parameters within the main portal vein (PV), splenic vein, and superior mesenteric vein. Comparative analysis of 4D flow parameters among the groups was performed using the Mann-Whitney U-test, and diagnostic accuracy was assessed through the area under the receiver operator characteristic curve (AUC).ResultsIn the main PV, all 4D flow parameters were significantly lower in patients with a positive RC sign compared to those with a negative RC sign (P < 0.05). Patients with EVB had lower parameters than those without EVB (P < 0.05). The AUC values predicting actual variceal bleeding was 0.762 for endoscopy alone and 0.770-0.787 for 4D flow MRI. Integrating the endoscopic classification with the 4D flow MRI significantly improved the AUC value to 0.871 (P < 0.05).ConclusionFour-dimensional flow MRI may be useful as an add-on tool to endoscopy for predicting actual bleeding in cirrhotic patients with EVs.","PeriodicalId":7143,"journal":{"name":"Acta radiologica","volume":" ","pages":"423-433"},"PeriodicalIF":1.1,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143045431","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Multiple microcysts and clivus invasion diagnose T-box pituitary transcription factor 19 lineage adenomas in non-functioning pituitary adenomas.

IF 1.1 4区医学

Acta radiologica Pub Date : 2025-04-01 Epub Date: 2025-01-27 DOI: 10.1177/02841851251313555

Xuening Zhao, Xiaochen Wang, Sihui Wang, Lingxu Chen, Mengyuan Yuan, Shengjun Sun

{"title":"Multiple microcysts and clivus invasion diagnose T-box pituitary transcription factor 19 lineage adenomas in non-functioning pituitary adenomas.","authors":"Xuening Zhao, Xiaochen Wang, Sihui Wang, Lingxu Chen, Mengyuan Yuan, Shengjun Sun","doi":"10.1177/02841851251313555","DOIUrl":"10.1177/02841851251313555","url":null,"abstract":"BackgroundPreoperative identification of T-box pituitary transcription factor 19 (TPIT) lineage silent adenomas in non-functioning pituitary adenomas (NFPAs) is important.PurposeTo compare the clinical, laboratory, and radiological features of the three cell lineages of adenomas in NFPAs and evaluate the diagnostic efficacy of multiple microcysts and clivus invasion on magnetic resonance imaging (MRI) for TPIT lineage adenomas in NFPAs.Material and MethodsA total of 405 patients with NFPA were retrospectively enrolled, including steroidogenic factor 1 (SF-1) lineage adenomas (n = 204), TPIT lineage adenomas (n = 111), and pituitary transcription factor 1 (PIT-1) lineage adenomas (n = 90). The clinical, laboratory, and radiological features of the three lineages adenomas were compared. The sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV), and accuracy of multiple microcysts, clivus invasion, and their combination were calculated to diagnose TPIT lineage adenomas in NFPAs.ResultsAmong the three lineages of NFPAs, patients with SF-1 lineage were older than those with TPIT and PIT-1 lineages (P < 0.001). TPIT lineage adenomas were most common in women (P < 0.001) and had the highest tumor volume (P < 0.001), and incidence of clivus invasion (P < 0.001). The multiple microcysts and clivus invasion in the diagnosis of TPIT lineage adenomas in NFPAs had high specificity (88.44% vs. 98.64%) and accuracy (77.28%).ConclusionThe MRI findings of multiple microcysts and clivus invasion can help diagnose TPIT lineage adenomas in NFPAs with high specificity.","PeriodicalId":7143,"journal":{"name":"Acta radiologica","volume":" ","pages":"441-449"},"PeriodicalIF":1.1,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143045429","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Efficacy of neuromuscular electrical stimulation with modern rehabilitation techniques in the treatment of acute ischemic stroke patients with post-motor dysfunction. 神经肌肉电刺激结合现代康复技术治疗急性缺血性脑卒中后运动功能障碍的疗效观察。

IF 1.1 4区医学

Acta radiologica Pub Date : 2025-04-01 Epub Date: 2025-01-17 DOI: 10.1177/02841851241312227

Jie Lin, Lei Liu, Huifang Zheng, Zuojun Tian

{"title":"Efficacy of neuromuscular electrical stimulation with modern rehabilitation techniques in the treatment of acute ischemic stroke patients with post-motor dysfunction.","authors":"Jie Lin, Lei Liu, Huifang Zheng, Zuojun Tian","doi":"10.1177/02841851241312227","DOIUrl":"10.1177/02841851241312227","url":null,"abstract":"BackgroundAcute ischemic stroke (AIS) refers to a sudden loss of blood flow in a region of the brain, which leads to a loss of neurological function.PurposeTo unveil the efficacy of neuromuscular electrical stimulation (NMES) with modern rehabilitation techniques in AIS patients with post-motor dysfunction.Material and MethodsA total of 200 AIS patients with post-motor dysfunction were divided into groups A, B, C, and D (n = 50). Patients in the four groups were routinely treated with medicine, on this basis: group B received NMES treatment; group C received modern rehabilitation technology treatment; and group D was treated with NMES and modern rehabilitation technology. Rehabilitation effect, cerebral hemodynamic indices, neurological function recovery, Fugl-Meyer Assessment (FMA) and Motor Assessment Scale (MAS) scores, self-care, and quality of life were compared.ResultsAfter treatment, the total effective rate of group D was 96% higher than that of group A (64%), group B (82%), and group C (84%). Bilateral middle cerebral artery Vm and Vs and scores of FMA, MAS, functional independence measure, and modified Barthel index increased; RI and NHISS scores decreased; and all group D improved significantly versus groups A, B, and C, and both groups B and C improved significantly versus group A.ConclusionNMES with modern rehabilitation technologies synergistically treat motor dysfunction after AIS with ideal rehabilitation effect, improving cerebral hemodynamics, neurological and limb motor function recovery, and self-care ability and quality of life.","PeriodicalId":7143,"journal":{"name":"Acta radiologica","volume":" ","pages":"401-409"},"PeriodicalIF":1.1,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142998334","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Investigating hyperostosis frontalis interna: a computed tomography analysis and predictive model for Hershkovitz classification.

IF 1.1 4区医学

Acta radiologica Pub Date : 2025-04-01 Epub Date: 2025-02-03 DOI: 10.1177/02841851251313557

Raza Mushtaq, Anish Bhandari, Srinivasan Vedantham, Richard Joseph Wruble, Unni Udayasankar, Samuel N Rogers

{"title":"Investigating hyperostosis frontalis interna: a computed tomography analysis and predictive model for Hershkovitz classification.","authors":"Raza Mushtaq, Anish Bhandari, Srinivasan Vedantham, Richard Joseph Wruble, Unni Udayasankar, Samuel N Rogers","doi":"10.1177/02841851251313557","DOIUrl":"10.1177/02841851251313557","url":null,"abstract":"BackgroundAxial computed tomography (CT) cross-sections offer an accessible model for assessing diverse pathologies associated with hyperostosis frontalis interna (HFI) based on the Hershkovitz classification.PurposeTo delineate the CT characteristics of HFI, emphasizing a radiological description using the Hershkovitz classification. It investigated whether the Hershkovitz classification can be predicted using density, a variable unexplored in the literature. HFI thickness and the presence of concurrent hyperostosis beyond the frontal bone (HBFB) were evaluated across varying degrees of the Hershkovitz classification.Material and MethodsThis retrospective study evaluated characteristics of HFI on CT. Each case was assigned a Hershkovitz classification. Density and thickness of the HFI along with the presence of concurrent HBFB were evaluated and correlated with the Hershkovitz classification.ResultsAxial CT of 77 patients with HFI was evaluated. Patient characteristics including sex were uncorrelated with CT measurements (P > 0.25) and Hershkovitz classification (P > 0.06). Increasing HFI thickness was associated with a higher Hershkovitz classification (odds ratio [OR] = 1.863, 95% confidence interval [CI] = 1.452-2.389; P < 0.001), and increasing density of HFI was associated with a lower Hershkovitz classification (OR = 0.995, 95% CI = 0.992-0.998; P = 0.002). Higher Hershkovitz classification was also found to be associated with the presence of concurrent HBFB (OR = 31.694, 95% CI = 6.483-154.938; P < 0.001).ConclusionIn our cohort, Hershkovitz classification on axial CT correlated with increased HFI thickness, presence of HBFB, and lower HFI density.","PeriodicalId":7143,"journal":{"name":"Acta radiologica","volume":" ","pages":"450-458"},"PeriodicalIF":1.1,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143121809","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Diagnostic value and efficacy of multimodal magnetic resonance imaging in differentiating radiation necrosis from tumor recurrence in glioblastomas.

IF 1.1 4区医学

Acta radiologica Pub Date : 2025-04-01 Epub Date: 2025-02-04 DOI: 10.1177/02841851241310392

Xiao-Qiong Lv, Wen-Rong Shen, Zhen Guo, Xiao-Dong Xie

{"title":"Diagnostic value and efficacy of multimodal magnetic resonance imaging in differentiating radiation necrosis from tumor recurrence in glioblastomas.","authors":"Xiao-Qiong Lv, Wen-Rong Shen, Zhen Guo, Xiao-Dong Xie","doi":"10.1177/02841851241310392","DOIUrl":"10.1177/02841851241310392","url":null,"abstract":"BackgroundDistinguishing radiation necrosis (RN) from recurrent tumor (RT) in patients with gliomas treated with radiation therapy presents an important clinical dilemma.PurposeTo evaluate the diagnostic performance of multiparametric magnetic resonance imaging (MRI) techniques in distinguishing RN from RT in patients with histologically confirmed glioma treated previously with radiotherapy and chemotherapy or without chemotherapy using a combination of dynamic susceptibility-weighted contrast-enhanced (DSC) perfusion MRI, diffusion tensor imaging (DTI), and MR spectroscopy (MRS).Material and MethodsPatients with glioma who developed a new enhancing mass after standard treatment were retrospectively evaluated. Conventional MRI, DTI, DSC, and MRS were performed. The region of interest (ROI) was manually drawn in the enhancing lesions, peri-lesional white matter edema, and the contralateral normal-appearing white matter. Apparent diffusion coefficient (ADC), fractional anisotropy (FA), relative cerebral blood volume (rCBV), relative cerebral blood flow (rCBF), N-acetylaspartate (NAA), choline (Cho), creatine (Cr), NAA/Cr, Cho/NAA, and Cho/Cr were calculated. Two-tailed t-test and receiver operating characteristic (ROC) curve analysis were performed.ResultsIn total, 34 patients with RT and 25 with RN met our inclusion criteria. FA, rCBF, rCBV, Cho/NAA, Cho/Cr were statistically significant between the two groups (P < 0.05). The sensitivity and specificity of FA, rCBF, rCBV, Cho/NAA, and Cho/Cr in the diagnosis of RT were 70.6%, 97.1%, 91.2%, 91.2%, and 82.4% and 64%, 100%, 100%, 96%, and 72% respectively.ConclusionDTI, DSC, and MRS are of great value in the differential diagnosis of RN and RT of glioma. The diagnostic performance of DSC is better than DTI and MRS.","PeriodicalId":7143,"journal":{"name":"Acta radiologica","volume":" ","pages":"386-392"},"PeriodicalIF":1.1,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143187937","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Abnormal functional connectivity in the frontal hub regions of patients with primary insomnia: a resting-state functional magnetic resonance imaging study.

IF 1.1 4区医学

Acta radiologica Pub Date : 2025-04-01 Epub Date: 2025-02-09 DOI: 10.1177/02841851241310398

Zhongyan Wang, Haiyan Qian, Mi Shen, Jianwei Huo, Na Dai, Qingnan Fu, BinBin Sui

{"title":"Abnormal functional connectivity in the frontal hub regions of patients with primary insomnia: a resting-state functional magnetic resonance imaging study.","authors":"Zhongyan Wang, Haiyan Qian, Mi Shen, Jianwei Huo, Na Dai, Qingnan Fu, BinBin Sui","doi":"10.1177/02841851241310398","DOIUrl":"10.1177/02841851241310398","url":null,"abstract":"BackgroundPrimary insomnia (PI) is one of the most common sleep disorders. Diagnosis of insomnia is mainly based on subjective sleep difficulties, and it is still necessary to find objective neurobiological markers.PurposeTo investigate the functional connectivity (FC) of frontal hub regions important for PI.Material and MethodsWe enrolled 20 patients (5 men, 15 women) with PI and 20 controls (5 men, 15 women), matching age, sex. We used resting-state functional magnetic resonance imaging (fMRI) and voxel-mirrored homotopic connectivity (VMHC) to analyze the abnormal changes of FC in the frontal lobe of PI patients.ResultsCompared to controls, abnormal FC regions were mainly concentrated in the superior frontal gyrus (L/R), middle frontal gyrus (L/R), and inferior frontal gyrus (L) of the orbital region and the inferior frontal gyrus of the opercular region (L) (P < 0.05). The VMHC results showed abnormal FC in the middle frontal gyrus of the orbital region (GFR correction, voxel P < 0.01, cluster P < 0.025) in PI patients. The FC between the orbitofrontal gyrus and the inferior frontal gyrus of the opercular region with the frontal gyrus of the medial orbital region demonstrated a significant correlation with the clinical scale (p < 0.05).ConclusionOur study identified abnormal FC, which was mainly located in the orbitofrontal gyrus and the inferior frontal gyrus of the opercular region, in the frontal lobe of patients with insomnia using resting-state fMRI. This is helpful to understand the abnormal neural activity mechanism of insomnia in the frontal lobe and provide a relatively accurate brain region basis for future prevention, diagnosis, and treatment.","PeriodicalId":7143,"journal":{"name":"Acta radiologica","volume":" ","pages":"410-416"},"PeriodicalIF":1.1,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143381449","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The benefit of additional embolization after perioperative balloon occlusion of pelvic artery during cesarean hysterectomy in placenta accreta spectrum.

IF 1.1 4区医学

Acta radiologica Pub Date : 2025-04-01 Epub Date: 2025-01-23 DOI: 10.1177/02841851241312222

Sasikorn Feinggumloon, Wirada Hansahiranwadee, Tanapong Panpikoon, Chinnarat Buangam, Kaewpitcha Pichitpichatkul, Orapin Chansanti, Tharintorn Treesit

{"title":"The benefit of additional embolization after perioperative balloon occlusion of pelvic artery during cesarean hysterectomy in placenta accreta spectrum.","authors":"Sasikorn Feinggumloon, Wirada Hansahiranwadee, Tanapong Panpikoon, Chinnarat Buangam, Kaewpitcha Pichitpichatkul, Orapin Chansanti, Tharintorn Treesit","doi":"10.1177/02841851241312222","DOIUrl":"10.1177/02841851241312222","url":null,"abstract":"BackgroundCesarean hysterectomy in the placenta accreta spectrum (PAS) remains challenging due to difficulty in controlling perioperative bleeding.PurposeTo compare the effectiveness and safety of perioperative balloon occlusion with versus without pelvic artery embolization in PAS women who underwent a cesarean hysterectomy.Material and MethodsA total of 26 pathological confirmed cases of PAS were retrospectively reviewed and categorized into two groups: perioperative balloon occlusion at either the anterior division of the internal iliac artery or uterine artery followed by gelfoam embolization (n = 12, study group) and perioperative balloon occlusion alone (n = 14, control group). Intraoperative estimated blood loss (EBL), a unit of packed red blood cell (pRBC) transfusion, surgical time, transfer to the intensive care unit (ICU), postoperative hospitalization days, postoperative complications, and Apgar scores were compared between the two groups.ResultsThe median and interquartile range (IQR) intraoperative EBL in the study group (1200 mL [700-2100 mLl]) was significantly lower compared to those in the control group (1900 mL [1300-3200 mL]) (P = 0.044). There was no significant difference between the study and control groups in units of pRBC blood transfusion, surgical time, transfer to the ICU, postoperative length of stay, postoperative complications, and mean Apgar score at 1 min and 5 min.ConclusionThe perioperative combination of balloon occlusion followed by embolization of the pelvic artery before cesarean hysterectomy is more effective in reducing blood loss than perioperative balloon occlusion alone in PAS with no difference in postoperative complications or neonatal outcomes.","PeriodicalId":7143,"journal":{"name":"Acta radiologica","volume":" ","pages":"379-385"},"PeriodicalIF":1.1,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143021772","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Varied terminology by radiologists to describe Bosniak class III and IV cystic renal masses.

IF 1.1 4区医学

Acta radiologica Pub Date : 2025-04-01 Epub Date: 2025-01-23 DOI: 10.1177/02841851241310406

Acacia Yoon, Justin R Tse

{"title":"Varied terminology by radiologists to describe Bosniak class III and IV cystic renal masses.","authors":"Acacia Yoon, Justin R Tse","doi":"10.1177/02841851241310406","DOIUrl":"10.1177/02841851241310406","url":null,"abstract":"BackgroundThe Bosniak classification is designed to standardize evaluation of cystic renal masses and to communicate the risk of malignancy.PurposeTo determine whether radiologists vary in their communication of Bosniak class III and IV cystic renal masses.Material and MethodsThis retrospective study included 186 patients with CT or MRI reporting a Bosniak class III or IV mass. Radiology reports were evaluated to determine the noun representing the mass, the modifier to convey the likelihood of cancer, and recommendations for urologic referral. Electronic medical records were reviewed to determine if the patient saw a urologist.ResultsOf the patients, 112 (60%) had a class III mass and 74 (40%) had a class IV mass. Class III masses were more likely to be represented by the noun \"lesion\" rather than a \"mass\" (61/112 [54%] vs. 31/112 [28%]). Class IV masses are more likely to be represented as a \"mass\" (36/74 [59%] vs. 28/74 [38%]; P < 0.015). Cancer was described in 100/186 (54%) cases: 38/112 (35%) class III masses and 62/74 (72%) class IV masses (P < 0.001). The cancer terminology used included \"renal cell carcinoma\" (n = 57), \"neoplasm\" (n = 12), and \"malignancy/malignant\" (n = 86). Most radiology reports (n = 133, 72%) did not recommend urologic referral but 183 (98%) patients were referred and 181 (97%) ultimately saw a urologist.ConclusionRadiologists vary in their communication of class III and IV masses, reflecting historical terminology usage, nuanced interpretations, and an evolving understanding of renal cell carcinoma biology. This variance had minimal impact on urologic referral rates.","PeriodicalId":7143,"journal":{"name":"Acta radiologica","volume":" ","pages":"417-422"},"PeriodicalIF":1.1,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143021775","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Magnetic resonance imaging of focal organizing pneumonia: differential diagnosis with peripheral lung carcinoma.

IF 1.1 4区医学

Acta radiologica Pub Date : 2025-04-01 Epub Date: 2025-01-26 DOI: 10.1177/02841851241309007

Hai-Feng Duan, Shan Dang, Nan Yu, Yuanyuan Chen, Dong Han, Yong Yu, Xiaoyi Duan

{"title":"Magnetic resonance imaging of focal organizing pneumonia: differential diagnosis with peripheral lung carcinoma.","authors":"Hai-Feng Duan, Shan Dang, Nan Yu, Yuanyuan Chen, Dong Han, Yong Yu, Xiaoyi Duan","doi":"10.1177/02841851241309007","DOIUrl":"10.1177/02841851241309007","url":null,"abstract":"BackgroundComputed tomography (CT) is the most common way to evaluate focal organizing pneumonia (FOP); however, sometimes it is difficult to differentiate FOP and peripheral lung carcinoma (PLC).PurposeTo clarify the MRI manifestation of FOP and the value of MR in the differential diagnosis of FOP and PLC in comparison to CT.Material and MethodsChest MR (3D T1WI, T2WI TSE, DWI) and CT images of 72 patients (50 men: mean age=64.7 years; 22 women: mean age=64.9 years; 36 FOPs and 36 PLCs) were retrospectively analyzed. Two experienced radiologists reviewed all CT and MR images and graded CT and MR findings completely independently. The apparent diffusion coefficient (ADC) value was measured by the two radiologists independently. Paired sample t-test and Fisher's exact test were used to compare the ADC values and MR features between the two groups. Finally, the ROC curve was used to evaluate the diagnostic efficiency of MR.ResultsThe ADC value of FOP was larger than PLC (P < 0.05). Necrosis, abscess cavity, broad contact with the pleura, and focal pleural effusion were more common in FOP (P < 0.05). PLC patients showed more (P < 0.05) irregular margins, pleural indentation, and lymphadenopathy. ADC value can be used to differentiate FOP and PLC, and the cutoff value is 1048 × 10-6mm2/s. The sensitivity, specificity, AUC and accuracy of diagnosis of CT, MR was (61.1%, 88.9%, 0.820, and 75%) vs (72.2%, 97.2%, 0.950, and 93.1%), respectively.ConclusionCompared with CT, MR can increase radiologists' confidence in the differential diagnosis of FOP and PLC.","PeriodicalId":7143,"journal":{"name":"Acta radiologica","volume":" ","pages":"359-367"},"PeriodicalIF":1.1,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143045419","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0