Acta radiologica最新文献

{"title":"Quantitative evaluation of lumbar intervertebral disc degeneration: a comparison of ultrashort time-to-echo T2* with T1rho relaxometry.","authors":"Li-Lan Wu, Shun-Fa Huang, Liu-Hong Zhu, Hao Liu, Jian-Jun Zhou","doi":"10.1177/02841851241309234","DOIUrl":"https://doi.org/10.1177/02841851241309234","url":null,"abstract":"<p><strong>Background: </strong>Early detection of changes in lumbar intervertebral disc degeneration (IVDD) has great clinical significance. T1rho and UTE-T2* relaxometry are capable of providing information about biochemical changes in IVDD. However, they have not been previously analyzed and compared directly in the same patients.</p><p><strong>Purpose: </strong>To assess and compare the potential of T1rho and UTE-T2* in the diagnosis of early IVDD in vivo.</p><p><strong>Material and methods: </strong>The UTE-T2* and T1rho values of 389 lumbar discs (L1/2-L5/S1) in 78 individuals were measured in three segmented disc regions. The lumbar intervertebral disc was graded using the 5-level Pfirrmann grading system and divided into three categories. Statistical analysis was performed on the regional differences of UTE-T2* and T1rho relaxometry and correlation with IVDD.</p><p><strong>Results: </strong>Both UTE-T2* and T1rho values were negatively correlated with Pfirrmann grade (<i>P </i>< 0.001). They showed strong correlations with Pfirrmann grade in NP (r = -0.725 and -0.743, respectively; <i>P </i>< 0.001). Diagnostic accuracy of detecting early IVDD was better with T1rho than UTE-T2* value in AAF and NP, with areas under the curve (AUCs) of 0.834-0.934 (both <i>P </i>< 0.05). For advanced lumbar IVDD, UTE-T2* value showed significantly higher diagnostic accuracy than T1rho in all segments with AUCs in the range of 0.743-0.893 (<i>P </i>< 0.05).</p><p><strong>Conclusion: </strong>UTE-T2* relaxometry provided another promising magnetic resonance imaging sequence for quantitatively evaluating lumbar IVDD, especially for detection of the advanced stage of IVDD. In addition, the T1rho value is superior to UTE-T2* in detecting early lumbar IVDD.</p>","PeriodicalId":7143,"journal":{"name":"Acta radiologica","volume":" ","pages":"2841851241309234"},"PeriodicalIF":1.1,"publicationDate":"2025-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143027753","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}

{"title":"Piriformis muscle abnormalities in sacroiliac MRI of patients with axial spondyloarthritis.","authors":"Kemal Erol, Ezgi Akyildiz Tezcan, Seyit Erol","doi":"10.1177/02841851241313022","DOIUrl":"https://doi.org/10.1177/02841851241313022","url":null,"abstract":"<p><strong>Background: </strong>Piriformis syndrome, an often-overlooked cause of sciatica, commonly presents as chronic gluteal pain and poses a diagnostic challenge, particularly in patients with axial spondyloarthritis (axSpA).</p><p><strong>Purpose: </strong>To examine piriformis muscle abnormalities on sacroiliac magnetic resonance imaging (MRI) and their association with clinical outcomes in patients with axSpA.</p><p><strong>Material and methods: </strong>This cross-sectional study included 100 axSpA patients (50 radiographic [r-axSpA], 50 non-radiographic [nr-axSpA]), classified by the 2009 ASAS Axial Spondyloarthritis criteria, who underwent MRI evaluations of the sacroiliac joints over a 6-month period. Piriformis evaluation included the measurement of muscle size, signal intensity, and the assessment of fatty infiltration. Sciatic neuritis was assessed by identifying enlarged sciatic nerves or increased signal intensity. Data collection included demographic details, disease activity, and functionality parameters. Statistical analysis was performed using appropriate methods, with <i>P</i> < 0.05 indicating significance.</p><p><strong>Results: </strong>Piriformis syndrome findings were identified in 10% of patients, with a slightly higher incidence in r-axSpA patients (12%) compared to nr-axSpA patients (8%); however, this difference was not statistically significant (<i>P</i> = 0.739). Patients with these MRI findings had significantly higher disease activity, as indicated by the Ankylosing Spondylitis Disease Activity Score with C-reactive protein (3.5 vs. 2.82; <i>P</i> = 0.015), and greater functional impairment, measured by the Bath Ankylosing Spondylitis Functional Index (5.45 vs. 2.7; <i>P</i> = 0.041).</p><p><strong>Conclusion: </strong>This study highlights the presence of MRI findings associated with piriformis syndrome among axSpA patients, which are linked to increased disease activity and reduced function. Recognizing piriformis syndrome as a co-morbidity may improve diagnosis and treatment, leading to better patient outcomes.</p>","PeriodicalId":7143,"journal":{"name":"Acta radiologica","volume":" ","pages":"2841851241313022"},"PeriodicalIF":1.1,"publicationDate":"2025-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143027751","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}

{"title":"Comparative analysis of persistent and recanalized falcine sinuses on magnetic resonance venography: insights from healthy individuals and parasagittal meningioma patients.","authors":"Yuxi Xie, Xuanxuan Li, Yuqi Zhu, Dongdong Wang, Yinwei Ying, Shihai Luan, Xiujuan Liu, Yiping Lu, Bo Yin","doi":"10.1177/02841851241297596","DOIUrl":"https://doi.org/10.1177/02841851241297596","url":null,"abstract":"<p><strong>Background: </strong>Falcine sinuses can remain persistent after birth, but they can also become recanalized in cases where venous sinuses are invaded by meningiomas.</p><p><strong>Purpose: </strong>To explore the incidence and imaging features of persistent falcine sinuses in healthy individuals and recanalized falcine sinuses in parasagittal meningioma (PSM) patients on magnetic resonance venography (MRV).</p><p><strong>Material and methods: </strong>Radiologists evaluated imaging data of 168 healthy individuals and 168 PSM patients. The invasion extent of the superior sagittal sinus (SSS) in PSMs was confirmed by a neurosurgeon based on Sindou's criteria. We compared the incidence and imaging features of persistent and recanalized falcine sinuses.</p><p><strong>Results: </strong>Among 168 health individuals (mean age = 46.2 ± 9.7 years), 5 (3.0%) persistent falcine sinuses were identified. Among 168 PSM patients (mean age = 53.0 ± 15.0 years), 14 (8.3%) recanalized falcine sinuses were found. Significant differences in SSS invasion extent and location were discovered between cases with and without recanalized falcine sinuses (<i>P</i> < 0.001 and <i>P</i> = 0.029). Recanalized falcine sinuses showed significant higher incidence and larger caliber than persistent ones (for incidence: 8.3% vs. 3.0%, <i>P</i> = 0.034; for caliber: 3.9 ± 1.2 vs. 2.5 ± 0.3 mm, <i>P</i> = 0.005). Under the cutoff of 3.1 mm in caliber with the area under the curve (AUC) of 0.929, we could differentiate between persistent and recanalized falcine sinuses.</p><p><strong>Conclusion: </strong>Recanalized falcine sinuses in PSMs may form when meningiomas severely invade the posterior portion of the SSS, potentially offering a new perspective to assess sinus invasion. Differences between persistent and recanalized falcine sinuses may reflect different venous drainage status under normal and pathological conditions.</p>","PeriodicalId":7143,"journal":{"name":"Acta radiologica","volume":" ","pages":"2841851241297596"},"PeriodicalIF":1.1,"publicationDate":"2025-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143027746","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}

{"title":"Apparent diffusion coefficient values in differentiating benign and malignant thoracic masses in children and young adults.","authors":"Hyun Ji Lim, Haesung Yoon, Jisoo Kim, Hye-Jeong Lee, Young Han Lee, Mi-Jung Lee","doi":"10.1177/02841851241312220","DOIUrl":"https://doi.org/10.1177/02841851241312220","url":null,"abstract":"<p><strong>Background: </strong>In children and young adults, tumors in the chest and thoracic wall exhibit a wide variety of types, making it challenging to differentiate between benign and malignant cases before invasive histopathological examination.</p><p><strong>Purpose: </strong>To evaluate the utility of apparent diffusion coefficient (ADC) for discriminating malignant thoracic masses in children and young adults.</p><p><strong>Material and methods: </strong>This retrospective study included chest magnetic resonance imaging (MRI) scans in patients aged <30 years. Patients' age and sex, tumor location (mediastinum or thoracic wall), tumor size, MR characteristics including necrosis or hemorrhage, and ADC values were assessed.</p><p><strong>Results: </strong>Malignant masses were found in older patients (mean age = 18.0 ± 8.1 vs. 10.6, ± 9.1 years; <i>P</i> = 0.008), had lower mean ADC values (0.765 ± 0.298 vs. 2.051 ± 0.855 × 10^-3 mm²/s; <i>P</i> < 0.001), and showed more internal hemorrhage (6/12 vs. 17/86; <i>P</i> = 0.031) compared to benign masses. Univariate and multivariate regression analyses also showed significant differences in age, tumor size, and ADC values. In the diagnostic performance analysis, age (area under the receiver operating characteristic curve [AUC] = 0.723, 95% confidence interval [CI] = 0.624-0.809; <i>P</i> = 0.004) and ADC mean value (AUC = 0.941, 95% CI = 0.874-0.978, <i>P</i> < 0.001) were significant. The optimal cutoff values were 13 years for age (sensitivity = 83.3%, specificity = 61.6%) and an ADC mean of 1.196 × 10^-3 mm²/s (sensitivity = 100%, specificity = 86.1%) for discriminating malignant from benign thoracic masses.</p><p><strong>Conclusion: </strong>When evaluating thoracic masses in children and young adults, older age and lower ADC values help identify malignancy.</p>","PeriodicalId":7143,"journal":{"name":"Acta radiologica","volume":" ","pages":"2841851241312220"},"PeriodicalIF":1.1,"publicationDate":"2025-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143027734","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}

{"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":"https://doi.org/10.1177/02841851241312230","url":null,"abstract":"<p><strong>Background: </strong>Carotid 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.</p><p><strong>Purpose: </strong>This 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).</p><p><strong>Material and methods: </strong>A 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.</p><p><strong>Results: </strong>There 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).</p><p><strong>Conclusion: </strong>We 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.</p>","PeriodicalId":7143,"journal":{"name":"Acta radiologica","volume":" ","pages":"2841851241312230"},"PeriodicalIF":1.1,"publicationDate":"2025-01-23","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}

{"title":"Identification of subtrochanteric and femoral shaft fractures as atypical femur fractures on radiology reports.","authors":"Hans Peter Bögl, Jörg Schilcher","doi":"10.1177/02841851241313026","DOIUrl":"https://doi.org/10.1177/02841851241313026","url":null,"abstract":"<p><strong>Background: </strong>Bisphosphonate-associated stress fractures, atypical femur fractures (AFF), are a rare subgroup of femoral stress fractures. Their correct and early diagnosis is imperative for appropriate treatment.</p><p><strong>Purpose: </strong>To investigate the sensitivity of written radiology reports to mention radiographic features of AFF, depending on the time period and academic level of the hospital.</p><p><strong>Material and methods: </strong>We used 171 patients, aged 55 years or older, who sustained an AFF between 2008 and 2010 (early period) identified through the Swedish National Patient Register and radiographic review and 104 patients identified through the Swedish Fracture Register between 2015 and 2018 (late period). Plain radiographs were extracted from 72 radiology departments in Sweden and individually re-reviewed and classified based on the American Society for Bone and Mineral Research case definition for AFF. Radiology reports were viewed for mentioning AFF or stress/insufficiency features (true positives). The number of true positives was compared with the number of false positives for both periods using non-parametric statistics and using the gold standard as reference.</p><p><strong>Results: </strong>We obtained 98 of the possible 171 reports with 7% of true positives for the early period and 77 of the possible 104 reports with 27% true positives for the late period (<i>P</i> < 0.001). The level of improvement over time was independent of the academic level of the hospital.</p><p><strong>Conclusion: </strong>Despite improvements over time, written radiology reports seldom mention AFF features. Clinicians, specifically orthopedic surgeons, are encouraged to contribute to a correct and early diagnosis to tailor treatment, while awaiting improvements in radiology reports.</p>","PeriodicalId":7143,"journal":{"name":"Acta radiologica","volume":" ","pages":"2841851241313026"},"PeriodicalIF":1.1,"publicationDate":"2025-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143021769","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}

{"title":"3D MRI with CT-like bone contrast (3D-BONE): a pictorial review of clinical applications.","authors":"Calvin Yit Kun Goh, Parveen Sulthana Mohamed Ali, Kathy Hwee Choo Lee, Fang Yang Sim, Le Roy Chong","doi":"10.1177/02841851241300616","DOIUrl":"https://doi.org/10.1177/02841851241300616","url":null,"abstract":"<p><strong>Background: </strong>Computed tomography (CT) is the gold standard imaging modality for the assessment of 3D bony morphology but incurs the cost of ionizing radiation exposure. High-resolution 3D magnetic resonance imaging (MRI) with CT-like bone contrast (CLBC) may provide an alternative to CT in allowing complete evaluation of both bony and soft tissue structures with a single MRI examination.</p><p><strong>Purpose: </strong>To review the technical aspects of an optimized stack-of-stars 3D gradient recalled echo pulse sequence method (3D-Bone) in generating 3D MR images with CLBC, and to present a pictorial review of the utility of 3D-Bone in the clinical assessment of common musculoskeletal conditions.</p><p><strong>Material and methods: </strong>3D-Bone is a black-bone imaging technique for acquiring high-resolution 3D MR images with strong CLBC, achieved by first rendering as high a signal as possible from non-cortical bone tissues, and second by minimizing signal contrast between non-cortical bone tissues.</p><p><strong>Results: </strong>3D-Bone can be used in the clinical evaluation of bony morphology in common musculoskeletal conditions. Advantages include strong bone-soft tissue contrast, resistance to motion artefacts, simple hardware and software requirements, and straightforward image processing. Disadvantages include non-specificity for cortical bone, sensitivity to susceptibility artefacts, a lack of quantitative tissue measurements, as well as overall lower image resolution and bone-soft tissue contrast compared to CT.</p><p><strong>Conclusion: </strong>The use of 3D MRI pulse sequences providing CLBC such as 3D-Bone could potentially offer complete clinical evaluation of bony morphology and soft tissues with a single MRI study for certain clinical indications, negating the need for ionizing radiation exposure from CT and reducing costs.</p>","PeriodicalId":7143,"journal":{"name":"Acta radiologica","volume":" ","pages":"2841851241300616"},"PeriodicalIF":1.1,"publicationDate":"2025-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143021735","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}

{"title":"Infarct core segmentation using U-Net in CT perfusion imaging: a feasibility study.","authors":"Ching-Ching Yang, Shih-Sheng Chen","doi":"10.1177/02841851241305736","DOIUrl":"https://doi.org/10.1177/02841851241305736","url":null,"abstract":"<p><strong>Background: </strong>The wide variability in thresholds on computed tomography (CT) perfusion parametric maps has led to controversy in the stroke imaging community about the most accurate measurement of core infarction.</p><p><strong>Purpose: </strong>To investigate the feasibility of using U-Net to perform infarct core segmentation in CT perfusion imaging.</p><p><strong>Material and methods: </strong>CT perfusion parametric maps were the input of U-Net, while the ground truth segmentation was determined based on diffusion-weighted imaging (DWI). The dataset used in this study was from the ISLES2018 challenge, which contains 63 acute stroke patients receiving CT perfusion imaging and DWI within 8 h of stroke onset. The segmentation accuracy of model outputs was assessed by calculating Dice similarity coefficient (DSC), sensitivity, and intersection over union (IoU).</p><p><strong>Results: </strong>The highest DSC was observed in U-Net taking mean transit time (MTT) or time-to-maximum (Tmax) as input. Meanwhile, the highest sensitivity and IoU were observed in U-Net taking Tmax as input. A DSC in the range of 0.2-0.4 was found in U-Net taking Tmax as input when the infarct area contains < 1000 pixels. A DSC of 0.4-0.6 was found in U-Net taking Tmax as input when the infarct area contains 1000-1999 pixels. A DSC value of 0.6-0.8 was found in U-Net taking Tmax as input when the infarct area contains ≥ 2000 pixels.</p><p><strong>Conclusion: </strong>Our model achieved good performance for infarct area containing ≥ 2000 pixels, so it may assist in identifying patients who are contraindicated for intravenous thrombolysis.</p>","PeriodicalId":7143,"journal":{"name":"Acta radiologica","volume":" ","pages":"2841851241305736"},"PeriodicalIF":1.1,"publicationDate":"2025-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143021770","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}

{"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":"https://doi.org/10.1177/02841851241312222","url":null,"abstract":"<p><strong>Background: </strong>Cesarean hysterectomy in the placenta accreta spectrum (PAS) remains challenging due to difficulty in controlling perioperative bleeding.</p><p><strong>Purpose: </strong>To compare the effectiveness and safety of perioperative balloon occlusion with versus without pelvic artery embolization in PAS women who underwent a cesarean hysterectomy.</p><p><strong>Material and methods: </strong>A 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.</p><p><strong>Results: </strong>The 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]) (<i>P</i> = 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.</p><p><strong>Conclusion: </strong>The 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.</p>","PeriodicalId":7143,"journal":{"name":"Acta radiologica","volume":" ","pages":"2841851241312222"},"PeriodicalIF":1.1,"publicationDate":"2025-01-23","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}

{"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":"https://doi.org/10.1177/02841851241310406","url":null,"abstract":"<p><strong>Background: </strong>The Bosniak classification is designed to standardize evaluation of cystic renal masses and to communicate the risk of malignancy.</p><p><strong>Purpose: </strong>To determine whether radiologists vary in their communication of Bosniak class III and IV cystic renal masses.</p><p><strong>Material and methods: </strong>This 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.</p><p><strong>Results: </strong>Of 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%]; <i>P</i> < 0.015). Cancer was described in 100/186 (54%) cases: 38/112 (35%) class III masses and 62/74 (72%) class IV masses (<i>P</i> < 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.</p><p><strong>Conclusion: </strong>Radiologists 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.</p>","PeriodicalId":7143,"journal":{"name":"Acta radiologica","volume":" ","pages":"2841851241310406"},"PeriodicalIF":1.1,"publicationDate":"2025-01-23","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}