Acta radiologica最新文献

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Factors affecting the development of pneumothorax in transthoracic fine-needle aspiration biopsies. 经胸细针穿刺活检中影响气胸发展的因素。
IF 1.1 4区 医学
Acta radiologica Pub Date : 2025-06-01 Epub Date: 2025-03-19 DOI: 10.1177/02841851251322070
Ayla Turkar, Tamer Baysal, Tunahan Refik Dumlu, Rıdvan Dizman
{"title":"Factors affecting the development of pneumothorax in transthoracic fine-needle aspiration biopsies.","authors":"Ayla Turkar, Tamer Baysal, Tunahan Refik Dumlu, Rıdvan Dizman","doi":"10.1177/02841851251322070","DOIUrl":"10.1177/02841851251322070","url":null,"abstract":"<p><p>BackgroundPneumothorax is the most common complication and reason for hospitalization in needle biopsies of lung.PurposeTo investigate the factors that determine the risk and severity of pneumothorax in needle biopsies of lung.Material and MethodsFine-needle aspiration biopsy was performed for diagnostic purposes in 505 patients under the guidance of computed tomography for lung lesions. Findings were analyzed in terms of demographic characteristics of patients' and procedure-related features.ResultsThe mean age of the patients was 65 ± 9.7 years and mean lesion size was 34.31 ± 16.99 mm. Pneumothorax developed in 176 patients. The frequency and severity of pneumothorax were higher in male patients (<i>P</i> < 0.001 and <i>P</i> = 0.003). Emphysema was a risk factor for pneumothorax (<i>P</i> = 0.002). The rate of pneumothorax was higher in lower lobe lesions. Pleural length made a significant difference, especially for the severity of pneumothorax. The severity of pneumothorax increased as dwell time increased (<i>P</i> = 0.029). The need for a chest tube was significantly higher in the group with pneumothorax thickness >1 cm (<i>P</i> < 0.001). The requirement for multiple passes increased the risk of developing pneumothorax (<i>P</i> < 0.001). Procedure-related hemorrhage reduced the risk of pneumothorax and prevented the progression of pneumothorax (<i>P</i> < 0.001 for both). The risk of developing pneumothorax was lowest in the supine position (<i>P</i> = 0.001).ConclusionPatient's sex, presence of emphysema, and lesion location are unchangeable patient-dependent factors for the development of pneumothorax. However, the aim should be to plan the process correctly and complete it with a single entry and a short dwell time.</p>","PeriodicalId":7143,"journal":{"name":"Acta radiologica","volume":" ","pages":"666-674"},"PeriodicalIF":1.1,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143655556","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
Objective assessment of immediate iodine-based contrast media hypersensitivity reactions using skin and drug provocation testing. 用皮肤和药物激发试验客观评价即时碘造影剂超敏反应。
IF 1.1 4区 医学
Acta radiologica Pub Date : 2025-06-01 Epub Date: 2025-03-13 DOI: 10.1177/02841851251321476
Si Min Chiow, Pearlyn Mei Ping Wong, Martin Weng Chin H'ng, Chau Hung Lee, Sze-Chin Tan
{"title":"Objective assessment of immediate iodine-based contrast media hypersensitivity reactions using skin and drug provocation testing.","authors":"Si Min Chiow, Pearlyn Mei Ping Wong, Martin Weng Chin H'ng, Chau Hung Lee, Sze-Chin Tan","doi":"10.1177/02841851251321476","DOIUrl":"10.1177/02841851251321476","url":null,"abstract":"<p><p>BackgroundWith increasing importance of iodine-based contrast media (ICM) in radiology, a label of allergy to ICM has significant impact on patient management, and objective testing for ICM allergy can help guide subsequent administration.PurposeTo correlate skin testing with drug provocation test (DPT) outcomes and determine cross-reactivity between our institution's three available ICMs.Material and MethodsEligible patients who presented to our institution's radiology department within a 3-year period with suspected ICM allergy were referred to the allergist for evaluation with skin testing ± DPT. Patients who tested negative were followed up to evaluate for any reaction after ICM re-exposure in subsequent contrast-enhanced computed tomography scans.ResultsA total of 72 cases underwent testing. Concordance between skin testing and DPT was 85.7% (6/7) for iohexol, 65.1% (28/43) for iodixanol, and 100% (2/2) for iopromide. Cross-reactivity was in the range of 59.6%-75.9% between iohexol and iodixanol, 75.0%-77.4% between iohexol and iopromide, and 43.3%-60.0% between iodixanol and iopromide. Only 1/14 patients who were skin test and DPT negative developed a reaction on re-exposure to ICM after testing.ConclusionObjective testing for ICM hypersensitivity, particularly within 6 months of initial exposure, allows the majority of patients to be administered the same or an alternative ICM with no adverse reaction, with iodixanol having the lowest cross-reactivity.</p>","PeriodicalId":7143,"journal":{"name":"Acta radiologica","volume":" ","pages":"628-633"},"PeriodicalIF":1.1,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143622947","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
A study on the changes of white matter microstructure in breast cancer patients undergoing chemotherapy based on DTI technology. 基于DTI技术的乳腺癌化疗患者白质微结构变化研究
IF 1.1 4区 医学
Acta radiologica Pub Date : 2025-06-01 Epub Date: 2025-03-13 DOI: 10.1177/02841851251321104
Yuan Li, Ya-Qi Song, Zhong-Ru Sun, Ning Wang, Jian-Guo Xia, Wei-Zhong Tian, Mei Lin
{"title":"A study on the changes of white matter microstructure in breast cancer patients undergoing chemotherapy based on DTI technology.","authors":"Yuan Li, Ya-Qi Song, Zhong-Ru Sun, Ning Wang, Jian-Guo Xia, Wei-Zhong Tian, Mei Lin","doi":"10.1177/02841851251321104","DOIUrl":"10.1177/02841851251321104","url":null,"abstract":"<p><p>BackgroundBreast cancer is a prevalent cancer affecting women globally, with incidence rates rising rapidly.PurposeTo examine the diffusion tensor imaging (DTI) data of patients with breast cancer before and after chemotherapy through tract-based spatial statistical analysis (TBSS).Material and MethodsCognitive and neuropsychological tests and whole-brain DTI were administered to patients with breast cancer who did not receive postoperative chemotherapy (C-) or received postoperative chemotherapy (C+) and healthy controls (HCs). Structural differences across groups were compared through fractional anisotropy (FA), mean diffusivity rate (MD), radial diffusivity tensor (RD), and axial diffusivity tensor (AD). Spearman's correlation analysis was employed to explore the association of FA, MD, RD, and AD values in different brain regions with the results of cognitive and neuropsychological tests, as well as the relationship between DTI parameters and cognitive performance as measured by the Montreal Cognitive Assessment (MoCA) scores.ResultsCompared with the C- group, the C + group exhibited significant reduced FA values and increased MD and RD values in the genu of the corpus callosum, bilateral anterior and superior corona radiata, left posterior thalamic radiation, left external capsule, and bilateral superior longitudinal fasciculus. Spearman's correlation analysis showed a notable association between reduced FA values in specific regions and decreased cognitive performance, as measured by MoCA scores.ConclusionThese findings suggest that the alterations in white matter microstructure induced by breast cancer chemotherapy may contribute to cognitive decline. Further research is warranted to strengthen evidence for this relationship.</p>","PeriodicalId":7143,"journal":{"name":"Acta radiologica","volume":" ","pages":"618-627"},"PeriodicalIF":1.1,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143623149","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
Utility of chest CT in the diagnosis of additional suspicious lesions on MRI in women with breast cancer. 胸部CT在女性乳腺癌MRI附加可疑病灶诊断中的应用。
IF 1.1 4区 医学
Acta radiologica Pub Date : 2025-06-01 Epub Date: 2025-02-16 DOI: 10.1177/02841851251319108
Jihee Kim, Jieun Koh, Jihee Park
{"title":"Utility of chest CT in the diagnosis of additional suspicious lesions on MRI in women with breast cancer.","authors":"Jihee Kim, Jieun Koh, Jihee Park","doi":"10.1177/02841851251319108","DOIUrl":"10.1177/02841851251319108","url":null,"abstract":"<p><p>BackgroundDedicated breast computed tomography (CT) is an emerging modality, but no study has compared breast lesions additionally detected on magnetic resonance imaging (MRI) with correlated CT lesions. Although there are differences between chest CT and dedicated breast CT, a preliminary evaluation would be valuable.PurposeTo evaluate the usefulness of contrast-enhanced chest CT in evaluating additional suspicious lesions preoperatively detected on MRI in patients with breast cancer.Material and MethodsBetween January 2020 and December 2021, 245 patients with breast cancer who underwent preoperative breast MRI and contrast-enhanced chest CT were included. Enhancing lesions detected on CT showing correlation with additional suspicious lesions detected on MRI were recorded as CT-correlated enhancements. The pathological findings were confirmed by subsequent percutaneous biopsy or lesion excision. The clinical and MRI features of additional suspicious lesions were compared according to the standard reference or the presence of CT-correlated enhancement.ResultsThere were 96 (39.2%) additional suspicious lesions detected on preoperative breast MRI and a malignancy rate of 39.6%. Of 96 lesions, chest CT revealed correlated enhancement in 64 (66.7%) lesions, including 33 malignant lesions. Among the 32 lesions that showed no correlation enhancement on chest CT, 5 (15.6%) were malignant. Malignancy, diffusion-weighted image restriction, and fast/washout kinetics were more frequently observed in lesions with CT-correlated enhancement than in those without correlated enhancement (<i>P</i> < 0.001, <i>P</i> = 0.001, and <i>P</i> = 0.020, respectively).ConclusionWhen evaluating MRI-detected additional suspicious lesions in patients with breast cancer, lesions with CT-correlated enhancement were significantly more likely to be malignant than those without CT-correlated enhancement.</p>","PeriodicalId":7143,"journal":{"name":"Acta radiologica","volume":" ","pages":"580-587"},"PeriodicalIF":1.1,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143432166","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
Does platelet to lymphocyte ratio predict the ultrasound stage in hepatosteatosis? 血小板与淋巴细胞比值能否预测肝骨附着病的超声分期?
IF 1.1 4区 医学
Acta radiologica Pub Date : 2025-06-01 Epub Date: 2025-03-17 DOI: 10.1177/02841851251322480
Aysun Isiklar, Nurper Denizoglu, Fatih Buyukcam, Didem Ozer Etik
{"title":"Does platelet to lymphocyte ratio predict the ultrasound stage in hepatosteatosis?","authors":"Aysun Isiklar, Nurper Denizoglu, Fatih Buyukcam, Didem Ozer Etik","doi":"10.1177/02841851251322480","DOIUrl":"10.1177/02841851251322480","url":null,"abstract":"<p><p>BackgroundThe prevalence of hepatosteatosis, or fatty liver disease, has been increasing globally in recent years largely due to increasing rates of obesity, diabetes, and metabolic syndrome.PurposeTo examine the platelet to lymphocyte ratio (PLR) reflection on the hepatosteatosis stage.Material and MethodsWe evaluated healthy individuals who applied to the check-up department in our hospital. The platelet and lymphocyte counts from blood tests, along with upper abdominal ultrasound results obtained as part of routine diagnostic check-ups, results recorded retrospectively, between November 2022 and April 2024.ResultsA total 748 participants were included in the study. All participants were divided in three groups according to hepatosteatosis stages.The PLR levels were highest in the stage 1 hepatosteatosis group. There was statistical significance in PLR levels between stage 1 and 3 hepatosteatosis (<i>P</i> = 0003). In addition, PLR levels were higher in stage 2 than in stage 3, which was also statistically significant (<i>P</i> = 0037).ConclusionThese results could help in early detection and monitoring of disease progression in patients with hepatoteatosis. Lower PLR values (<115.26) in advanced stages might prompt closer monitoring or more aggressive interventions to prevent progression to fibrosis.</p>","PeriodicalId":7143,"journal":{"name":"Acta radiologica","volume":" ","pages":"660-665"},"PeriodicalIF":1.1,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143646680","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
Some common statistical methods for assessing rater agreement in radiological studies. 放射学研究中评估一致性的一些常用统计方法。
IF 1.1 4区 医学
Acta radiologica Pub Date : 2025-06-01 Epub Date: 2025-02-23 DOI: 10.1177/02841851251319666
Mats Geijer, Magnus Båth, Catrin Wessman
{"title":"Some common statistical methods for assessing rater agreement in radiological studies.","authors":"Mats Geijer, Magnus Båth, Catrin Wessman","doi":"10.1177/02841851251319666","DOIUrl":"10.1177/02841851251319666","url":null,"abstract":"<p><p>Rater agreement is commonly assessed in radiologic studies concerning image quality. There are several methods of measuring rater agreement. To choose the appropriate method, the researcher needs to consider the scale of the outcome variable and the design of the study. This article provides a brief overview of available methods, focusing on the most practical and commonly used, including intraclass correlation, the Svensson method, variants of the kappa statistic, the agreement coefficient by Gwet (AC1/AC2), and Krippendorff's alpha. Additional methods that are not primarily intended for rater agreement analysis but are applied in some cases are also discussed.</p>","PeriodicalId":7143,"journal":{"name":"Acta radiologica","volume":" ","pages":"675-683"},"PeriodicalIF":1.1,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12163189/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143482018","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
CT radiomics for evaluation of intervertebral disc change in the scoliosis. CT放射组学评价脊柱侧凸椎间盘改变。
IF 1.1 4区 医学
Acta radiologica Pub Date : 2025-06-01 Epub Date: 2025-02-17 DOI: 10.1177/02841851251319483
Yuqi Fang, Yun He
{"title":"CT radiomics for evaluation of intervertebral disc change in the scoliosis.","authors":"Yuqi Fang, Yun He","doi":"10.1177/02841851251319483","DOIUrl":"10.1177/02841851251319483","url":null,"abstract":"<p><p>BackgroundAdvanced methods are still lacking for the computed tomography (CT) evaluation of early degenerative changes of intervertebral disc in scoliosis.PurposeTo investigate the feasibility of CT radiomics in evaluating early disc degeneration changes in scoliosis.Material and MethodsA total of 60 patients with severe scoliosis were assessed with the method of CT radiomics. CT radiomics features of the intervertebral disc were obtained by using the software of 3D Slicer and were then compared between vertex disc (VD) and normal disc (ND). The analysis of maximum correlation minimum redundancy (mRMR) and the least absolute shrinkage and selection operator (LASSO) regression method was used to establish a model. The receiver operating characteristic (ROC) curve was used to determine the performance of the model.ResultsND and VD differed in 23 radiomics features (<i>P</i> < 0.05). By using mRMR and LASSO methods, five features were finally selected to establish a model. The AUC of the model in the identification of VD were 0.93 and 0.90 for the training cohort and validation cohort, respectively. The sensitivity and specificity of the model were 90% and 85%, respectively.ConclusionCT radiomics of the intervertebral disc is feasible in identifying early degenerative changes caused by scoliosis.</p>","PeriodicalId":7143,"journal":{"name":"Acta radiologica","volume":" ","pages":"576-579"},"PeriodicalIF":1.1,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143439467","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 clinical value of radiomics models based on multi-parameter MRI features in evaluating the different expression status of HER2 in breast cancer. 基于多参数MRI特征的放射组学模型评估乳腺癌中HER2不同表达状态的临床价值
IF 1.1 4区 医学
Acta radiologica Pub Date : 2025-06-01 Epub Date: 2025-03-02 DOI: 10.1177/02841851251319110
Tingting Liu, Jialu Lin, Jiulou Zhang, Jianjuan Lou, Qigui Zou, Siqi Wang, Cong Wang, Yanni Jiang
{"title":"The clinical value of radiomics models based on multi-parameter MRI features in evaluating the different expression status of HER2 in breast cancer.","authors":"Tingting Liu, Jialu Lin, Jiulou Zhang, Jianjuan Lou, Qigui Zou, Siqi Wang, Cong Wang, Yanni Jiang","doi":"10.1177/02841851251319110","DOIUrl":"10.1177/02841851251319110","url":null,"abstract":"<p><p>BackgroundAccurate preoperative non-invasive assessment of HER2 expression in breast cancer is crucial for personalized treatment and prognostic stratification.PurposeTo evaluate the effectiveness of radiomics models based on multi-parametric magnetic resonance imaging (MRI) in distinguishing HER2 expression status in invasive breast cancer.Material and MethodsWe conducted a retrospective analysis of baseline MRI scans and clinical data from 400 patients with breast cancer between January 2018 and December 2019. Two-dimensional regions of interest were manually segmented on the maximum tumor images obtained from turbo inversion recovery magnitude (TIRM), dynamic contrast-enhanced magnetic resonance imaging phase 2 (DCE2), dynamic contrast-enhanced magnetic resonance imaging phase 4 (DCE4), diffusion-weighted imaging (DWI), and apparent diffusion coefficient (ADC) sequences using ITK-SNAP software. Features were extracted and screened for dimensionality reduction. Logistic regression models were developed to predict HER2 expression status.ResultsIn distinguishing HER2-overexpression from non-HER2-overexpression, the DCE2 model outperformed other single-parameter models, with areas under the curve (AUCs) of 0.91 (training) and 0.88 (test). Combination models with DCE features showed significantly improved performance (<i>P</i> ≤ 0.001). The multiparameter model achieved the highest AUCs of 0.93 (training) and 0.91 (test). In distinguishing HER2-low from HER2-zero, the TIRM model performed best among single-parameter models, with AUCs of 0.80 (training) and 0.72 (test). The multiparameter model further enhanced prediction, yielding an AUC of 0.83 (test).ConclusionRadiomics models based on multi-parametric MRI features demonstrated strong clinical utility in assessing HER2 expression status in invasive breast cancer, particularly in identifying HER2-overexpression and HER2-low expression subtypes.</p>","PeriodicalId":7143,"journal":{"name":"Acta radiologica","volume":" ","pages":"597-607"},"PeriodicalIF":1.1,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143536341","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
Disagreements of non-vascular findings in computed tomography of the aorta by radiology residents. 放射科住院医师对主动脉计算机断层扫描非血管表现的分歧。
IF 1.1 4区 医学
Acta radiologica Pub Date : 2025-06-01 Epub Date: 2025-02-16 DOI: 10.1177/02841851251319109
Keerati Hongsakul, Surajai Junnhu, Polathep Vichitkunakorn
{"title":"Disagreements of non-vascular findings in computed tomography of the aorta by radiology residents.","authors":"Keerati Hongsakul, Surajai Junnhu, Polathep Vichitkunakorn","doi":"10.1177/02841851251319109","DOIUrl":"10.1177/02841851251319109","url":null,"abstract":"<p><p>BackgroundAlthough non-vascular findings from computed tomography angiography (CTA) of the aorta are not the primary interpretation, the significant findings can affect the patient's treatment.PurposeTo evaluate the disagreement between radiology residents and staff regarding non-vascular findings in CTA of the aorta.Material and MethodsWe conducted a retrospective study of 419 CTA scans of the aorta between January 2014 and December 2016. The non-vascular findings from the final preliminary reports, which were interpreted by radiology residents, were recorded and compared with blind interpretations by an experienced member of the radiology staff. Disagreements were analyzed using the unweighted Kappa value.ResultsA total of 419 CTA aorta were interpreted by 38 radiology residents. The elective versus emergency CTA rate was 58% versus 42%. The emergency CTA rate related to traumatic conditions was 57.9% The thoracic system was the most common disagreement of significant non-vascular findings, with the highest disagreement rate being significant breast lesions (80.0%, Kappa = 0.33; 95% confidence interval [CI] = 0.15-0.81). Non-vascular findings detected by residents in significant and intermediated significant groups were 339/627 for elective CTAs and 241/457 for emergency CTAs. The disagreement rates for these findings were 45.9% (Kappa = 0.68; 95% CI = 0.54-0.97) in elective CTAs and 47.3% (Kappa = 0.60; 95% CI = 0.53-0.90) in emergency CTAs.ConclusionThe most disagreement of non-vascular findings in significant and intermediated significant groups was the thoracic system. The disagreement rates of non-vascular findings between radiology residents and staff were higher in emergency CTA. These results can be used to improve radiology training.</p>","PeriodicalId":7143,"journal":{"name":"Acta radiologica","volume":" ","pages":"588-596"},"PeriodicalIF":1.1,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143432160","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
Triple coaxial microcatheter for preoperative transcatheter arterial embolization in bone and soft tissue tumors. 三同轴微导管在骨及软组织肿瘤术前动脉栓塞中的应用。
IF 1.1 4区 医学
Acta radiologica Pub Date : 2025-06-01 Epub Date: 2025-02-16 DOI: 10.1177/02841851251319465
Yosuke Nozawa, Ayako Fujimori, Takao Igarashi, Akito Sano, Itsuo Watanabe, Ukei Anazawa, Masashi Okamura
{"title":"Triple coaxial microcatheter for preoperative transcatheter arterial embolization in bone and soft tissue tumors.","authors":"Yosuke Nozawa, Ayako Fujimori, Takao Igarashi, Akito Sano, Itsuo Watanabe, Ukei Anazawa, Masashi Okamura","doi":"10.1177/02841851251319465","DOIUrl":"10.1177/02841851251319465","url":null,"abstract":"<p><p>BackgroundPreoperative transcatheter arterial embolization (P-TAE) is a procedure designed to reduce intraoperative blood loss (IBL) and support the performance of surgery for bone and soft tissue tumors (BSTT).PurposeTo develop a new P-TAE technique using a triaxial microcatheter system (TMCS) that maintains normal tissue circulation while embolizing only the feeding artery of BSTT and to investigate the safety and efficacy of P-TAE with TMCS.Material and MethodsA total of 34 cases of BSTT in the whole body (25 men, nine women; mean age = 74.85 ± 11.32 years) were included between 1 April 2014 and 30 June 2024. We evaluated technical and clinical outcomes, P-TAE techniques, complications, and patient characteristics.ResultsBone metastasis of renal cell carcinoma (n = 11) was the most frequent diagnosis. P-TAEs using TMCS were performed with technical success (97.05%) and clinical success (88.23%), demonstrating a high selectivity rate to the feeding artery of 97.14%. The mean IBL was 792.70 ± 1285.61 mL (median = 370 mL; range = 50-6935 mL). All surgeries were performed successfully after P-TAE.ConclusionP-TAE plays an important role in the presurgical operation of BSTT. The use of TMCS offers high selectivity, trackability, and crossability in the P-TAE procedure, enhancing the clinical efficacy of P-TAE.</p>","PeriodicalId":7143,"journal":{"name":"Acta radiologica","volume":" ","pages":"569-575"},"PeriodicalIF":1.1,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143432163","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
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