Acta radiologica最新文献

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Abnormal brain regional activity in acute thyrotoxic myopathy assessed by resting-state functional MRI. 通过静息态功能磁共振成像评估急性甲状腺毒症肌病的异常脑区活动。
IF 1.1 4区 医学
Acta radiologica Pub Date : 2024-11-01 Epub Date: 2024-09-24 DOI: 10.1177/02841851241280115
Yaqi Kuang, Xinghuan Liang, Wei Ye, Shien Fu, Yingfen Qin, Yan Ma, Zuojie Luo
{"title":"Abnormal brain regional activity in acute thyrotoxic myopathy assessed by resting-state functional MRI.","authors":"Yaqi Kuang, Xinghuan Liang, Wei Ye, Shien Fu, Yingfen Qin, Yan Ma, Zuojie Luo","doi":"10.1177/02841851241280115","DOIUrl":"10.1177/02841851241280115","url":null,"abstract":"<p><strong>Background: </strong>The neurophysiological mechanisms underlying manifestations of bulbar paralysis in acute thyrotoxic myopathy (ATM) and the afflicted brain areas are unclear.</p><p><strong>Purpose: </strong>We used resting-state functional magnetic resonance imaging (rs-fMRI) to evaluate the regional brain activities in patients with ATM.</p><p><strong>Material and methods: </strong>In total, 16 patients with ATM, 16 patients with hyperthyroidism without ATM, and 16 healthy controls underwent functional MRI scans. By calculating the fractional amplitude of low-frequency fluctuation (fALFF), regional homogeneity (ReHo), and functional connectivity (FC), we assessed variations in resting-state cerebral activity. The correlation between the resting-state functional indexes and clinical assessments was also explored.</p><p><strong>Results: </strong>Compared to the hyperthyroid patients, patients with ATM had stronger ReHo in the left precentral gyrus, reduced ReHo in the left orbitofrontal gyrus (OFG), and decreased FC in the left precentral gyri, left superior frontal gyrus (SFG), and left middle frontal gyrus (MFG). Patients with ATM showed reduced fALFF and ReHo in the right SFG and decreased ReHo in the bilateral supplementary motor area (SMA). A significantly decreased FC in the left SFG and left MFG, right precentral gyrus, and the orbital part of the right interior frontal gyrus was observed in patients with ATM compared to healthy controls. Additionally, fALFF and ReHo values were positively correlated with serum thyroid-related hormones and antibodies.</p><p><strong>Conclusion: </strong>The findings of rs-fMRI demonstrate that particular brain regions' functional activity was aberrant in individuals with ATM, especially in SFG area. This finding may help with better understanding of underlying pathophysiology of patients with ATM.</p>","PeriodicalId":7143,"journal":{"name":"Acta radiologica","volume":" ","pages":"1347-1358"},"PeriodicalIF":1.1,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142306934","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
Siglec-15 expression in diffuse gliomas and its correlation with MRI morphologic features and apparent diffusion coefficient. 弥漫性胶质瘤中 Siglec-15 的表达及其与磁共振成像形态特征和表观弥散系数的相关性。
IF 1.1 4区 医学
Acta radiologica Pub Date : 2024-11-01 Epub Date: 2024-10-21 DOI: 10.1177/02841851241286109
Quan Chen, Chunhua Wang, Yingqian Geng, Wanyi Zheng, Zhen Chen, Rifeng Jiang, Xiaomei Hu
{"title":"Siglec-15 expression in diffuse gliomas and its correlation with MRI morphologic features and apparent diffusion coefficient.","authors":"Quan Chen, Chunhua Wang, Yingqian Geng, Wanyi Zheng, Zhen Chen, Rifeng Jiang, Xiaomei Hu","doi":"10.1177/02841851241286109","DOIUrl":"10.1177/02841851241286109","url":null,"abstract":"<p><strong>Background: </strong>Sialic acid-binding immunoglobulin-like lectin 15 (Siglec-15) enhances tumor immune escape and leads to tumor growth.</p><p><strong>Purpose: </strong>To investigate the expression of Siglec-15 in diffuse gliomas and its correlation with tumor magnetic resonance imaging (MRI) features.</p><p><strong>Material and methods: </strong>This study included 57 patients with gliomas. Morphological MRI features, including the largest tumor diameter, enhancement category, location, calcification, cysts, and hemorrhage, were visually rated. Apparent diffusion coefficient (ADC) values were calculated in tumor region. MRI morphologic features and ADC were compared between patients with positive and negative Siglec-15 expression. Receiver operating characteristic (ROC) curves were further constructed to assess the diagnostic performance.</p><p><strong>Results: </strong>Siglec-15 was expressed in immunocytes, such as macrophages in the peritumoral area. Siglec-15 expression was positive in 20/57 (35.09%) patients, with higher expression in patients with IDH-mutant gliomas and lower grade gliomas. The tumor diameter was significantly smaller in patients with positive Siglec-15 expression than in those with negative expression for all patients (<i>P</i> = 0.017) and for patients with IDH-mutant gliomas (<i>P</i> = 0.020). Moreover, ADC values of the tumor were significantly higher in patients with positive Siglec-15 expression than in those with negative expression for all patients (<i>P</i> = 0.027). The areas under the ROC curve (AUCs) of the diameter and ADC were 0.702 and 0.686, respectively. A combination of these two parameters generated an improved AUC of 0.762.</p><p><strong>Conclusion: </strong>Siglec-15 was expressed in immunocytes such as macrophages in the peritumoral area, with a positive rate of 35.09%. Positive Siglec-15 expression in diffuse gliomas was correlated with smaller tumor size and higher ADC values.</p>","PeriodicalId":7143,"journal":{"name":"Acta radiologica","volume":" ","pages":"1401-1410"},"PeriodicalIF":1.1,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142455569","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
Implementation of template-based reporting for rectal cancer. 对直肠癌实施基于模板的报告。
IF 1.1 4区 医学
Acta radiologica Pub Date : 2024-11-01 Epub Date: 2024-09-23 DOI: 10.1177/02841851241285545
Søren Rafael Rafaelsen
{"title":"Implementation of template-based reporting for rectal cancer.","authors":"Søren Rafael Rafaelsen","doi":"10.1177/02841851241285545","DOIUrl":"10.1177/02841851241285545","url":null,"abstract":"","PeriodicalId":7143,"journal":{"name":"Acta radiologica","volume":" ","pages":"1305-1306"},"PeriodicalIF":1.1,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142278722","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
Nomograms combining clinical factors and apparent diffusion coefficient to predict downstaging and progression-free survival after concurrent chemoradiotherapy in patients with cervical cancer. 结合临床因素和表观扩散系数预测宫颈癌患者同期化放疗后的降期和无进展生存期的提名图。
IF 1.1 4区 医学
Acta radiologica Pub Date : 2024-11-01 DOI: 10.1177/02841851241283042
Jiawei Fan, Wenfei Li, Mengyu Cheng, Zhehan Wang, Zhanqiu Wang, Tao Chen, Tao Gu
{"title":"Nomograms combining clinical factors and apparent diffusion coefficient to predict downstaging and progression-free survival after concurrent chemoradiotherapy in patients with cervical cancer.","authors":"Jiawei Fan, Wenfei Li, Mengyu Cheng, Zhehan Wang, Zhanqiu Wang, Tao Chen, Tao Gu","doi":"10.1177/02841851241283042","DOIUrl":"https://doi.org/10.1177/02841851241283042","url":null,"abstract":"<p><strong>Background: </strong>Concurrent chemoradiotherapy (CCRT) is used as the primary treatment modality for currently limited cervical cancer and lacks non-invasive quantitative parameters to assess clinical outcomes of treatment for cervical cancer treatment.</p><p><strong>Purpose: </strong>To develop nomograms based on clinical prognostic factors and apparent diffusion coefficient (ADC) in predicting downstaging and progression-free survival (PFS) after CCRT for cervical cancer.</p><p><strong>Material and methods: </strong>X-tile was used to calculate the optimal threshold for ΔADC<sub>mean</sub>(%) for prognostic stratification. Kaplan-Meier curves were used to calculate the difference in PFS between high- and low-risk groups. Univariate and multivariate Cox proportional risk regression models were used to identify clinical and radiological risk factors for prognosis and construct a prognostic nomogram model.</p><p><strong>Results: </strong>ΔADC<sub>mean</sub>(%) was significantly correlated with tumor downstaging; the area under the receiver operating characteristic curve (AUC) was 0.868. X-tile showed that the optimal threshold for ΔADC<sub>mean</sub>(%) to diagnose prognosis was 40.8. Kaplan-Meier curves showed that the low-risk population in the training group had significantly longer PFS within 3 years (<i>P </i>< 0.001). Multivariate Cox regression showed that ΔADC (%) is independent risk factor for PFS. The C-index of ΔADC(%) predicting 3-year PFS in the training set is 0.761 and the C-index of the nomogram model is 0.862.</p><p><strong>Conclusion: </strong>ΔADC<sub>mean</sub>(%) is a non-invasive biomarker for predicting tumor downstaging in cervical cancer after CCRT. The nomograms based on ΔADC<sub>mean</sub>(%) predict PFS of patients with cervical cancer with moderate accuracy.</p>","PeriodicalId":7143,"journal":{"name":"Acta radiologica","volume":"65 11","pages":"1430-1439"},"PeriodicalIF":1.1,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142611775","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 new era of high-resolution CT diagnostics of the lung: improved image quality, detailed morphology, and reduced radiation dose with high-resolution photon-counting CT of the lungs compared to high-resolution energy-integrated CT. 肺部高分辨率 CT 诊断的新时代:与高分辨率能量积分 CT 相比,肺部高分辨率光子计数 CT 可提高图像质量、改善形态细节并减少辐射剂量。
IF 1.1 4区 医学
Acta radiologica Pub Date : 2024-10-01 Epub Date: 2024-08-20 DOI: 10.1177/02841851241269918
Marie-Louise Aurumskjöld, Lotta Sjunnesson, Adrian Pistea, Gylfi Ásbjörnsson, Fredrik Wellman, Gracijela Bozovic
{"title":"A new era of high-resolution CT diagnostics of the lung: improved image quality, detailed morphology, and reduced radiation dose with high-resolution photon-counting CT of the lungs compared to high-resolution energy-integrated CT.","authors":"Marie-Louise Aurumskjöld, Lotta Sjunnesson, Adrian Pistea, Gylfi Ásbjörnsson, Fredrik Wellman, Gracijela Bozovic","doi":"10.1177/02841851241269918","DOIUrl":"10.1177/02841851241269918","url":null,"abstract":"<p><strong>Background: </strong>High-resolution computed tomography (HRCT) is dependent on detailed morphology in diagnostic assessment of interstitial lung diseases. Photon-counting CT (PCCT) enables improved resolution while reducing radiation.</p><p><strong>Purpose: </strong>To compare if the image quality, detailed morphology, and radiation dose in HRCT of the lung improves with PCCT compared to energy-integrated CT (EICT).</p><p><strong>Material and methods: </strong>HRCT with PCCT in patients with body mass index (BMI) from normal to obese, previously examined with different EICT were included. They were evaluated in a five-step scale for image quality according to Quality Criteria for CT (Diagnostic Requirement of the ImPACT group-European standardization). In addition, ground-glass opacities, bronchiectasis, emphysema, nodules, and subpleural detailed morphology (≤1 cm from the pleural border) were evaluated by three independent thoracic and/or pediatric radiologists. Visual grading characteristics (VGC) were used for comparison of image quality and detailed morphology and Fleiss kappa for intra-observer variability. Dose-length product (DLP) and CT dose index-volume (CTDI<sub>vol</sub>) were collected to calculate effective radiation dose.</p><p><strong>Results: </strong>HRCT with PCCT in 52 women and 48 men (mean age=67.2 ± 13.6 years; age range=27-87 years; BMI=26.9 kg/m<sup>2</sup>; range=18.6-45 kg/m<sup>2</sup>) previously examined with EICT (mean age=65.3 ± 13.6 years; age range=27-85 years; BMI=27 kg/m<sup>2</sup>; range=18.9-45 kg/m<sup>2</sup>) were included. There were significant differences in image quality for all entities in favor of PCCT. The radiation dose was reduced with PCCT by 47% in all, particularly pronounced in obese with 48.5%.</p><p><strong>Conclusion: </strong>Image quality, detailed morphology, and radiation dose, particularly in obese patients, were significantly improved in HRCT with PCCT compared to conventional EICT. The new technique enables visualization of subpleural structures.</p>","PeriodicalId":7143,"journal":{"name":"Acta radiologica","volume":" ","pages":"1211-1221"},"PeriodicalIF":1.1,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142003371","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
Increased extracellular free water is related to white matter hyperintensity burden. 细胞外游离水的增加与白质高密度负荷有关。
IF 1.1 4区 医学
Acta radiologica Pub Date : 2024-10-01 Epub Date: 2024-09-23 DOI: 10.1177/02841851241282085
Xinjun Lei, Weiwen Qiu, Zhihua Xu, Jie Yu, Haiyuan Lan
{"title":"Increased extracellular free water is related to white matter hyperintensity burden.","authors":"Xinjun Lei, Weiwen Qiu, Zhihua Xu, Jie Yu, Haiyuan Lan","doi":"10.1177/02841851241282085","DOIUrl":"10.1177/02841851241282085","url":null,"abstract":"<p><strong>Background: </strong>Extracellular free water (FW) has important roles in the occurrence and development of white matter hyperintensity (WMH).</p><p><strong>Purpose: </strong>To explore the correlations between FW and WMH burden.</p><p><strong>Material and methods: </strong>A prospective analysis was conducted using magnetic resonance imaging (MRI) data from 126 individuals. WMH burden was determined based on WMH volumes and Fazekas scores from deep and periventricular white matter hyperintensity (DWMH and PWMH, respectively) in fluid-attenuated inversion recovery (FLAIR) images. FW values were taken from diffusion tensor imaging (DTI).</p><p><strong>Results: </strong>Univariate analysis showed that FW values were correlated with WMH burden, including WMH volumes and DWMH and PWMH Fazekas scores (<i>P </i>< 0.05). After multivariate analysis, FW values were correlated with WMH volumes and DWMH and PWMH Fazekas scores when adjusted for age and hypertension (<i>P </i>< 0.05).</p><p><strong>Conclusion: </strong>Using MRI, increasing extracellular FW was related to WMH burden.</p>","PeriodicalId":7143,"journal":{"name":"Acta radiologica","volume":" ","pages":"1265-1271"},"PeriodicalIF":1.1,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142278723","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
Peak enhancement in contrast-enhanced ultrasound for assessing endoscopic disease activity in patients with Crohn's disease: a meta-analysis. 用于评估克罗恩病患者内镜下疾病活动性的对比增强超声波峰值增强:一项荟萃分析。
IF 1.1 4区 医学
Acta radiologica Pub Date : 2024-10-01 Epub Date: 2024-09-19 DOI: 10.1177/02841851241275982
Lei Yuan, Ruifang Hao, Leilei Zou, Deyin Zhai, Junlian Wang, Ruining Jiao
{"title":"Peak enhancement in contrast-enhanced ultrasound for assessing endoscopic disease activity in patients with Crohn's disease: a meta-analysis.","authors":"Lei Yuan, Ruifang Hao, Leilei Zou, Deyin Zhai, Junlian Wang, Ruining Jiao","doi":"10.1177/02841851241275982","DOIUrl":"10.1177/02841851241275982","url":null,"abstract":"<p><strong>Background: </strong>Contrast-enhanced ultrasound (CEUS) has been proposed as a valuable tool for detecting disease activity in patients with Crohn's disease (CD). However, previous studies have utilized different parameters, leading to variation in clinical assessment of this technique.</p><p><strong>Purpose: </strong>To assess the effectiveness of peak enhancement (PE) in CEUS for evaluating endoscopic disease activity in patients with CD.</p><p><strong>Material and methods: </strong>Articles were obtained by searching PubMed, Embase, Web of Science, Wanfang, and CNKI databases. Only studies that investigated the effectiveness of PE in CEUS to discriminate endoscopic disease activity in patients with CD were considered. Pooled sensitivity and specificity were then calculated using a random effects model.</p><p><strong>Results: </strong>Overall, seven studies were included. The endoscopic disease activity of CD was determined based on the simple endoscopic score for Crohn's disease and Crohn's Disease Endoscopic Index of Severity scores. Pooled results showed that a high PE was associated with increased detection efficacy for endoscopic disease activity in CD. Pooled sensitivity, specificity, and positive and negative likelihood ratios were 0.88 (95% confidence interval [CI] = 0.71-0.96), 0.88 (95% CI = 0.81-0.93), 7.60 (95% CI = 4.61-12.53), and 0.14 (95% CI = 0.05-0.35), respectively. The pooled receiver operating characteristic was 0.90 (95% CI = 0.87-0.92), suggesting a good discriminating efficacy of PE in CEUS for endoscopic disease activity of patients with CD.</p><p><strong>Conclusions: </strong>A high PE in CEUS displayed substantial distinguishing accuracy for assessing endoscopic disease activity of patients with CD.</p>","PeriodicalId":7143,"journal":{"name":"Acta radiologica","volume":" ","pages":"1170-1177"},"PeriodicalIF":1.1,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142278725","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
Predicting axillary lymph node metastasis in breast cancer based on ultrasound radiofrequency time-series analysis. 基于超声射频时间序列分析预测乳腺癌腋窝淋巴结转移。
IF 1.1 4区 医学
Acta radiologica Pub Date : 2024-10-01 Epub Date: 2024-09-02 DOI: 10.1177/02841851241268463
Pengfei Sun, Ruifang Guo, Xiangdong Hu, Andre Dekker, Alberto Traverso, Linxue Qian, Zhixiang Wang
{"title":"Predicting axillary lymph node metastasis in breast cancer based on ultrasound radiofrequency time-series analysis.","authors":"Pengfei Sun, Ruifang Guo, Xiangdong Hu, Andre Dekker, Alberto Traverso, Linxue Qian, Zhixiang Wang","doi":"10.1177/02841851241268463","DOIUrl":"10.1177/02841851241268463","url":null,"abstract":"<p><strong>Background: </strong>The status of axillary lymph nodes (ALN) plays a critical role in the management of patients with breast cancer. It is an urgent demand to develop highly accurate, non-invasive methods for predicting ALN status.</p><p><strong>Purpose: </strong>To evaluate the efficacy of ultrasound radiofrequency (URF) time-series parameters, in combination with clinical data, in predicting ALN metastasis in patients with breast cancer.</p><p><strong>Material and methods: </strong>We prospectively gathered clinicopathologic and ultrasonic data from patients diagnosed with breast cancer. Various machine-learning (ML) models were developed using all available features to determine the most efficient diagnostic model. Subsequently, distinct prediction models were created using the optimal ML model, and their diagnostic performances were evaluated and compared.</p><p><strong>Results: </strong>The study encompassed 240 patients, of whom 88 had lymph node metastases. A leave-one-out cross-validation (LOOCV) method was used to split the entire dataset into training and testing subsets. The random forest ML model outperformed the other algorithms, with an area under the curve (AUC) of 0.92. Prediction models based on clinical, ultrasonic, URF parameters, clinical + ultrasonic, clinical + URF, and ultrasonic + URF parameters had AUCs of 0.56, 0.79, 0.78, 0.90, 0.80, and 0.84, respectively, in the testing set. The comprehensive diagnostic model (clinical + ultrasonic + URF parameters) demonstrated strong diagnostic capability, with an AUC of 0.94 in the testing set, exceeding any single prediction model.</p><p><strong>Conclusion: </strong>The combined model (clinical + ultrasonic + URF parameters) could be used preoperatively to predict lymph node status, offering valuable input for the design of individualized surgical approaches.</p>","PeriodicalId":7143,"journal":{"name":"Acta radiologica","volume":" ","pages":"1178-1185"},"PeriodicalIF":1.1,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142103323","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
Radiographic assessment of incidental bone lesions of the proximal humerus: a prevalence study. 肱骨近端偶然骨质病变的放射学评估:一项患病率研究。
IF 1.1 4区 医学
Acta radiologica Pub Date : 2024-10-01 Epub Date: 2024-08-30 DOI: 10.1177/02841851241275058
Mustafa Kara, Serkan Bayram, Emre Kocazeybek, Gökhan Demirtaş
{"title":"Radiographic assessment of incidental bone lesions of the proximal humerus: a prevalence study.","authors":"Mustafa Kara, Serkan Bayram, Emre Kocazeybek, Gökhan Demirtaş","doi":"10.1177/02841851241275058","DOIUrl":"10.1177/02841851241275058","url":null,"abstract":"<p><strong>Background: </strong>An increased prevalence of benign lesions has been associated with the increased use of radiological tools in orthopedic practice.</p><p><strong>Purpose: </strong>To investigate the inter-observer reliability of the radiographic detection of lesions on the proximal humerus between different observers.</p><p><strong>Material and methods: </strong>X-ray radiological examinations of 17,243 patients were performed by an orthopedic surgeon to assess the presence of proximal humeral bone lesions. After this initial screening, 201 patients with lesions were identified and these 201 scans were assessed by three different physicians: an orthopedic oncologist, an orthopedic surgeon, and a musculoskeletal radiologist. Of the 201 patients with lesions, 80 had magnetic resonance imaging in addition to X-rays and were assessed. The diagnosis of the lesions was determined by each participant according to their radiological appearance to assess inter-observer reliability.</p><p><strong>Results: </strong>The prevalence of proximal humeral lesions was determined by the orthopedic surgeon to be 1.165% (201 of 17,243 patients). In 201 patients with a lesion, the mean age was 48 ± 17 years (range = 18-91 years). According to the assessments of the orthopedic oncologist, orthopedic surgeon, and musculoskeletal radiologist, the most common bone lesion identified was enostosis, with prevalence percentages of 53.7%, 59.7%, and 64.7%, respectively. A noteworthy consensus exists in the collective diagnosis of bone lesions among the three investigators, demonstrated by a substantial agreement with Fleiss' κ at 0.74 (<i>P</i> < 0.001).</p><p><strong>Conclusion: </strong>There was remarkable agreement between the three investigators on the collective diagnosis of bone lesions. Enostosis was the most common bone lesion at the proximal humerus in our series.</p>","PeriodicalId":7143,"journal":{"name":"Acta radiologica","volume":" ","pages":"1246-1251"},"PeriodicalIF":1.1,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142103324","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 usefulness of contrast-enhanced subtraction magnetic resonance imaging for detecting endoleaks after endovascular aortic repair with prophylactic intraoperative sac embolization. 造影剂增强减影磁共振成像对检测术中囊栓塞预防性主动脉腔内修复术后内漏的作用。
IF 1.1 4区 医学
Acta radiologica Pub Date : 2024-10-01 Epub Date: 2024-08-01 DOI: 10.1177/02841851241263987
Atsufumi Kamisako, Motoki Nakai, Toru Saguchi, Taro Tanaka, Yukinori Okada, Masanori Ishida, Kazuhiro Saito
{"title":"The usefulness of contrast-enhanced subtraction magnetic resonance imaging for detecting endoleaks after endovascular aortic repair with prophylactic intraoperative sac embolization.","authors":"Atsufumi Kamisako, Motoki Nakai, Toru Saguchi, Taro Tanaka, Yukinori Okada, Masanori Ishida, Kazuhiro Saito","doi":"10.1177/02841851241263987","DOIUrl":"10.1177/02841851241263987","url":null,"abstract":"<p><strong>Background: </strong>Metallic and hyperdense artifacts and T1-shortening substances in the abdominal aortic aneurysm (AAA) sac generated by embolic materials and lipiodol pose challenges in the identification of endoleaks on follow-up computed tomography (CT) or magnetic resonance imaging (MRI).</p><p><strong>Purpose: </strong>To evaluate the usefulness of contrast-enhanced subtraction MRI (CES-MRI) for detecting endoleaks after endovascular abdominal aortic aneurysm repair (EVAR) with intraoperative AAA sac embolization compared with CE-CT, this study was conducted.</p><p><strong>Material and methods: </strong>In this study, 28 consecutive patients who underwent EVAR with prophylactic AAA sac embolization were included. All patients underwent CES-MRI and CE-CT to detect endoleaks. The definitive diagnosis of endoleaks was a consensus reading of CE-CT and CES-MRI by two certified radiologists, in addition to angiography or reproducible radiological findings in the observational examination. Analysis was performed to evaluate which examination was better for detecting endoleaks.</p><p><strong>Results: </strong>The sensitivity, specificity, and area under the curve of CE-CT and CES-MRI according to observer 1 were 50%, 100%, and 0.813 (95% confidence interval [CI] = 0.625-1.00) and 100%, 95%, and 0.997 (95% CI = 0.984-1.00), respectively, and those according to observer 2 were 50%, 100%, and 0.750 (95% CI = 0.514-0.986) and 100%, 95%, and 0.969 (95% CI = 0.903-1.00), respectively. Intolerable artifacts were significantly observed on CE-CT. The severity of the artifacts did not depend on the stent graft on CT and MRI.</p><p><strong>Conclusion: </strong>Although no significant difference was observed, CES-MRI tended to have better accuracy for endoleak detection in EVAR with intraoperative AAA sac embolization than CE-CT.</p>","PeriodicalId":7143,"journal":{"name":"Acta radiologica","volume":" ","pages":"1205-1210"},"PeriodicalIF":1.1,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141873924","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}
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