Acta radiologica open最新文献

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Evaluation of virtual monochromatic imaging with dual-energy computed tomography of small liver metastases from malignant abdominal tumours: Quantitative and qualitative analyses 腹部恶性肿瘤小肝脏转移的双能计算机断层扫描虚拟单色成像评估:定量和定性分析
Acta radiologica open Pub Date : 2023-12-01 DOI: 10.1177/20584601231220324
Hiroaki Okada, Nozomu Matsunaga, Takahiro Yamamoto, Masato Yamauchi, Kojiro Suzuki
{"title":"Evaluation of virtual monochromatic imaging with dual-energy computed tomography of small liver metastases from malignant abdominal tumours: Quantitative and qualitative analyses","authors":"Hiroaki Okada, Nozomu Matsunaga, Takahiro Yamamoto, Masato Yamauchi, Kojiro Suzuki","doi":"10.1177/20584601231220324","DOIUrl":"https://doi.org/10.1177/20584601231220324","url":null,"abstract":"Background The assessment of small metastatic liver tumours using dual-energy computed tomography (DECT) has not been fully established. Purpose To assess the effect of low-keV virtual monochromatic imaging (VMI) with non-contrast and contrast-enhanced DECT on the qualitative and quantitative image parameters of small liver metastases. Material and methods Two radiologists retrospectively evaluated 92 metastatic liver tumours (5–20 mm) in 32 patients. Non-contrast and contrast-enhanced VMI were reconstructed at seven energy levels (40–100 keV) with 10-keV intervals. Lesion boundary, lesion delineation, image noise, and overall image quality were evaluated using the visual analogue scale. A high subjective score indicates good overall image quality, clear nodal boundaries and delineation, and less noticeable image noise. Subjective scores were compared using the Kruskal–Wallis test. A quantitative analysis involving the signal-to-noise ratio (SNR) and contrast-to-noise ratio (CNR) was performed. Results The lesion boundary was highest at 40 keV and significantly improved during the non-contrast portal venous phase compared to that at higher keV (p < .005). The lesion delineation score was significantly higher at 40 keV and tended to decrease at higher keV. Image noise and overall image quality were rated low at low keV; however, those at 80, 90, and 100 keV were rated the highest (p < .005). The CNR and SNR were highest for non-contrast CT at 100 keV. During the portal venous phase, no significant differences were observed in CNR and SNR at each keV. Conclusion Low-keV imaging using non-contrast and contrast-enhanced DECT is useful for delineating small hepatic metastatic tumours.","PeriodicalId":72063,"journal":{"name":"Acta radiologica open","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138624662","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","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 hyperdense whirl sign for the diagnosis of gallbladder torsion. 高密度旋流征在胆囊扭转诊断中的应用。
Acta radiologica open Pub Date : 2023-11-29 eCollection Date: 2023-11-01 DOI: 10.1177/20584601231218994
Osamu Sato, Tomoya Kotani, Taisei Kanayama, Bunta Tokuda, Kei Yamada
{"title":"Utility of hyperdense whirl sign for the diagnosis of gallbladder torsion.","authors":"Osamu Sato, Tomoya Kotani, Taisei Kanayama, Bunta Tokuda, Kei Yamada","doi":"10.1177/20584601231218994","DOIUrl":"10.1177/20584601231218994","url":null,"abstract":"<p><p>The purpose of this report was to evaluate the usefulness of hyperdense whirl sign on unenhanced computed tomography (CT) for diagnosing gallbladder torsion. The CT scans of seven patients with gallbladder torsion were independently reviewed by two board-certified radiologists for locating the high-density core with twisting between the gallbladder neck and liver bed, termed hyperdense whirl sign. The sign was observed in six cases. The detection of a hyperdense whirl sign on unenhanced CT appears useful for diagnosing gallbladder torsion.</p>","PeriodicalId":72063,"journal":{"name":"Acta radiologica open","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10687929/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138479530","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Mapping gender and geographic diversity in artificial intelligence research: Editor representation in leading computer science journals. 绘制人工智能研究中的性别和地理多样性:主要计算机科学期刊的编辑代表性。
Acta radiologica open Pub Date : 2023-11-28 eCollection Date: 2023-10-01 DOI: 10.1177/20584601231213740
Felix Busch, Sarah Keller, Christopher Rueger, Avan Kader, Katharina Ziegeler, Keno K Bressem, Lisa C Adams
{"title":"Mapping gender and geographic diversity in artificial intelligence research: Editor representation in leading computer science journals.","authors":"Felix Busch, Sarah Keller, Christopher Rueger, Avan Kader, Katharina Ziegeler, Keno K Bressem, Lisa C Adams","doi":"10.1177/20584601231213740","DOIUrl":"10.1177/20584601231213740","url":null,"abstract":"<p><strong>Background: </strong>The growing role of artificial intelligence (AI) in healthcare, particularly radiology, requires its unbiased and fair development and implementation, starting with the constitution of the scientific community.</p><p><strong>Purpose: </strong>To examine the gender and country distribution among academic editors in leading computer science and AI journals.</p><p><strong>Material and methods: </strong>This cross-sectional study analyzed the gender and country distribution among editors-in-chief, senior, and associate editors in all 75 Q1 computer science and AI journals in the Clarivate Journal Citations Report and SCImago Journal Ranking 2022. Gender was determined using an open-source algorithm (Gender Guesser™), selecting the gender with the highest calibrated probability.</p><p><strong>Result: </strong>Among 4,948 editorial board members, women were underrepresented in all positions (editors-in-chief/senior editors/associate editors: 14%/18%/17%). The proportion of women correlated positively with the SCImago Journal Rank indicator (ρ = 0.329; <i>p</i> = .004). The U.S., the U.K., and China comprised 50% of editors, while Australia, Finland, Estonia, Denmark, the Netherlands, the U.K., Switzerland, and Slovenia had the highest women editor representation per million women population.</p><p><strong>Conclusion: </strong>Our results highlight gender and geographic disparities on leading computer science and AI journal editorial boards, with women being underrepresented in all positions and a disproportional relationship between the Global North and South.</p>","PeriodicalId":72063,"journal":{"name":"Acta radiologica open","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10685787/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138464698","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Assessment of articular cartilage of ankle joint in stable and unstable unilateral weber type-B/SER-type ankle fractures shortly after trauma using T2 relaxation time. 使用T2放松时间评估稳定和不稳定的单侧weber型B/SER型踝关节骨折创伤后不久的踝关节关节软骨。
Acta radiologica open Pub Date : 2023-09-29 eCollection Date: 2023-09-01 DOI: 10.1177/20584601231202033
Sami Lehtovirta, Victor Casula, Marianne Haapea, Simo Nortunen, Sannamari Lepojärvi, Harri Pakarinen, Miika T Nieminen, Eveliina Lammentausta, Jaakko Niinimäki
{"title":"Assessment of articular cartilage of ankle joint in stable and unstable unilateral weber type-B/SER-type ankle fractures shortly after trauma using T2 relaxation time.","authors":"Sami Lehtovirta,&nbsp;Victor Casula,&nbsp;Marianne Haapea,&nbsp;Simo Nortunen,&nbsp;Sannamari Lepojärvi,&nbsp;Harri Pakarinen,&nbsp;Miika T Nieminen,&nbsp;Eveliina Lammentausta,&nbsp;Jaakko Niinimäki","doi":"10.1177/20584601231202033","DOIUrl":"https://doi.org/10.1177/20584601231202033","url":null,"abstract":"<p><strong>Background: </strong>Early detection of post-traumatic cartilage damage in the ankle joint in magnetic resonance images can be difficult due to disturbances to structures usually appearing over time.</p><p><strong>Purpose: </strong>To study the articular cartilage of unilateral Weber type-B/SER-type ankle fractures shortly post-trauma using T2 relaxation time.</p><p><strong>Material and methods: </strong>Fifty one fractured ankles were gathered from consecutively screened patients, compiled initially for RCT studies, and treated at Oulu University Hospital and classified as stable (<i>n</i> = 28) and unstable fractures (<i>n</i> = 23) based on external-rotation stress test: medial clear space of ≥5 mm was interpreted as unstable. A control group of healthy young individuals (<i>n</i> = 19) was also gathered. All ankles were imaged on average 9 (range: 1 to 25) days after injury on a 3.0T MRI unit for T2 relaxation time assessment, and the cartilage was divided into sub-regions for comparison.</p><p><strong>Results: </strong>Control group displayed significantly higher T2 values in tibial cartilage compared to stable (six out of nine regions, <i>p</i>-values = .003-.043) and unstable (six out of nine regions, <i>p</i>-values = .001-.037) ankle fractures. No differences were detected in talar cartilage. Also, no differences were observed between stable and unstable fractures in tibial or talar cartilage.</p><p><strong>Conclusions: </strong>Lower T2 relaxation times of tibial cartilage in fractured ankles suggest intact extra cellular matrix (ECM) of the cartilage. Severity of the ankle fracture, measured by ankle stability, does not seem to increase ECM degradation immediately after trauma.</p>","PeriodicalId":72063,"journal":{"name":"Acta radiologica open","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10540593/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41175631","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Accuracy of radiographic measurements of fracture-induced deformity in the distal radius. 桡骨远端骨折引起畸形的放射学测量准确性。
Acta radiologica open Pub Date : 2023-09-25 eCollection Date: 2023-09-01 DOI: 10.1177/20584601231205986
Janni Jensen, Ole Graumann, Oke Gerke, Trine Torfing, Helle Precht, Benjamin S Rasmussen, Hans B Tromborg
{"title":"Accuracy of radiographic measurements of fracture-induced deformity in the distal radius.","authors":"Janni Jensen,&nbsp;Ole Graumann,&nbsp;Oke Gerke,&nbsp;Trine Torfing,&nbsp;Helle Precht,&nbsp;Benjamin S Rasmussen,&nbsp;Hans B Tromborg","doi":"10.1177/20584601231205986","DOIUrl":"https://doi.org/10.1177/20584601231205986","url":null,"abstract":"<p><strong>Background: </strong>Management of the distal radius fracture (DRF) is to some extent based on radiographic characterization of fracture displacement. It remains unclear, however, if the measurements used to quantify displacement are accurate.</p><p><strong>Purpose: </strong>To quantify accuracy of two radiographic measurements: dorsal/volar tilt and fracture compression, measured indirectly as ulnar variance (UV), using radiostereometric analyses (RSA) as reference standard.</p><p><strong>Material and methods: </strong>Twenty-one fresh frozen non-fractured human cadaveric forearms (right = 11, left = 10) were thawed and eligible for inclusion. The forearms were mounted on a custom made platform that allowed for controlled forearm rotation, and they underwent two rounds of imaging (both rounds consisted of RSA and radiographs). In round one, the non-fractured forearms were radiographed. In round two, artificial DRF´s with compression and dorsal angulation were created and imaging procedures repeated. Change in tilt and UV between the non-fractured and later fractured forearms was defined as fracture-induced deformity. Deformity was measured radiographically and additionally calculated using RSA. Bland Altman analyses were used to estimate agreement between radiographically measured, and RSA calculated, fracture-induced deformity.</p><p><strong>Results: </strong>Our results indicated that radiographs underestimate the amount of fracture-induced deformity. Mean measured differences (bias) in dorsal tilt deformity between radiographs and RSA were -2.5° for both observers. The corresponding values for UV were -1.4 mm and -1.5 mm.</p><p><strong>Conclusion: </strong>Quantifying fracture-induced deformity on radiographs underestimated the actual deformity when compared to RSA calculated deformity. These findings suggest that clinicians, at least in part, base fracture management and potentially corrective surgery on inaccurate measurements.</p>","PeriodicalId":72063,"journal":{"name":"Acta radiologica open","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/70/df/10.1177_20584601231205986.PMC10521277.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41166762","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Can virtual non-contrast imaging replace true non-contrast imaging in multiphase scanning of the neck region? 在颈部多相扫描中,虚拟非对比度成像能否取代真正的非对比度图像?
Acta radiologica open Pub Date : 2023-09-25 eCollection Date: 2023-08-01 DOI: 10.1177/20584601231205159
Zaid Al-Difaie, Max Hmc Scheepers, Nicole D Bouvy, Sanne Engelen, Bas Havekes, Alida A Postma
{"title":"Can virtual non-contrast imaging replace true non-contrast imaging in multiphase scanning of the neck region?","authors":"Zaid Al-Difaie,&nbsp;Max Hmc Scheepers,&nbsp;Nicole D Bouvy,&nbsp;Sanne Engelen,&nbsp;Bas Havekes,&nbsp;Alida A Postma","doi":"10.1177/20584601231205159","DOIUrl":"10.1177/20584601231205159","url":null,"abstract":"<p><strong>Background: </strong>Dual-energy computed tomography (DECT) is an advanced imaging method that enables reconstruction of virtual non-contrast (VNC) images from a contrast-enhanced acquisition. This has the potential to reduce radiation exposure by eliminating the need for a true non-contrast (TNC) phase.</p><p><strong>Purpose: </strong>The purpose is to evaluate the feasibility of VNC images in the neck region.</p><p><strong>Materials and methods: </strong>A total of 100 patients underwent a DECT scan as part of diagnostic workup of primary hyperparathyroidism. VNC images were reconstructed from 30 s (arterial) and 50 s (venous) post-contrast scans. Regions of interest (ROIs) were placed in thyroid tissue, lymph node, carotid artery, jugular vein, fat, and sternocleidomastoid muscle. Mean densities of all anatomical structures were compared between VNC and TNC images.</p><p><strong>Results: </strong>For all anatomical structures except the thyroid gland, the difference in mean density between TNC and VNC images was less than 15 HU. The mean difference in density between TNC and VNC images of the thyroid was 53.2 HU (95% CI 46.8; 59.6, <i>p</i> = <0.001).</p><p><strong>Conclusion: </strong>This study demonstrated an acceptable agreement in density between true non-contrast and virtual non-contrast images for most anatomical structures in the neck region. Therefore, VNC images may have the potential to replace TNC images in the neck. However, due to significant differences in CT density of thyroid tissue, true non-contrast imaging cannot be directly substituted by virtual non-contrast imaging when examining the thyroid and its surrounding tissue.</p>","PeriodicalId":72063,"journal":{"name":"Acta radiologica open","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10521284/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41170489","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The T2-FLAIR mismatch sign in glioblastoma, isocitrate dehydrogenase wild-type A case report. 胶质母细胞瘤T2-FLAIR不匹配征象,异柠檬酸脱氢酶野生型A例报告。
Acta radiologica open Pub Date : 2023-06-01 DOI: 10.1177/20584601231184565
Shunsuke Nishimura, Koji Yamashita, Osamu Togao, Kazufumi Kikuchi, Daisuke Kuga, Hidetaka Yamamoto, Koji Yoshimoto, Kousei Ishigami
{"title":"The T2-FLAIR mismatch sign in glioblastoma, isocitrate dehydrogenase wild-type A case report.","authors":"Shunsuke Nishimura,&nbsp;Koji Yamashita,&nbsp;Osamu Togao,&nbsp;Kazufumi Kikuchi,&nbsp;Daisuke Kuga,&nbsp;Hidetaka Yamamoto,&nbsp;Koji Yoshimoto,&nbsp;Kousei Ishigami","doi":"10.1177/20584601231184565","DOIUrl":"https://doi.org/10.1177/20584601231184565","url":null,"abstract":"<p><p>We present a case of the T2-FLAIR mismatch sign in glioblastoma, <i>isocitrate dehydrogenase (IDH</i>)-wild type. The T2-FLAIR mismatch sign is known as a highly specific imaging finding of astrocytoma, <i>IDH</i>-mutant. Meanwhile, <i>IDH</i>-wildtype diffuse astrocytic gliomas with <i>telomerase reverse transcriptase</i> (<i>TERT</i>) promoter mutation in adults are defined as glioblastoma in the 2021 World Health Organization Classification of Tumors of the Central Nervous System, fifth edition (2021 WHO classification), which underscores the importance of molecular information in central nervous system tumors. This indicates even glioblastoma, <i>IDH</i>-wild type may be masquerading as lower-grade glioma in histology. The reasons for the discrepancy between tumors with less aggressive histology and poor prognosis caused by <i>telomerase reverse transcriptase</i> promoter mutation of <i>IDH</i>-wildtype diffuse glioma remain unclear. However, glioblastoma, <i>IDH</i>-wildtype should be considered as a potential differential diagnosis even in patients with the T2-FLAIR mismatch sign in diffuse gliomas.</p>","PeriodicalId":72063,"journal":{"name":"Acta radiologica open","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/a7/66/10.1177_20584601231184565.PMC10278412.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10646907","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Does the clot burden as assessed by the Mean Bilateral Proximal Extension of the Clot score reflect mortality and adverse outcome after pulmonary embolism? 由平均双侧近端延伸血块评分评估的血块负担是否反映肺栓塞后的死亡率和不良后果?
Acta radiologica open Pub Date : 2023-06-01 DOI: 10.1177/20584601231187094
Jostein Gleditsch, Øyvind Jervan, Frederikus Klok, René Holst, Einar Hopp, Mazdak Tavoly, Waleed Ghanima
{"title":"Does the clot burden as assessed by the Mean Bilateral Proximal Extension of the Clot score reflect mortality and adverse outcome after pulmonary embolism?","authors":"Jostein Gleditsch,&nbsp;Øyvind Jervan,&nbsp;Frederikus Klok,&nbsp;René Holst,&nbsp;Einar Hopp,&nbsp;Mazdak Tavoly,&nbsp;Waleed Ghanima","doi":"10.1177/20584601231187094","DOIUrl":"https://doi.org/10.1177/20584601231187094","url":null,"abstract":"<p><strong>Background: </strong>Rapid diagnosis and risk stratification are important to reduce the risk of adverse clinical events and mortality in acute pulmonary embolism (PE). Although clot burden has not been consistently shown to correlate with disease outcomes, proximally located PE is generally perceived as more severe.</p><p><strong>Purpose: </strong>To explore the ability of the Mean Bilateral Proximal Extension of the Clot (MBPEC) score to predict mortality and adverse outcome.</p><p><strong>Methods: </strong>This was a single center retrospective cohort study. 1743 patients with computed tomography pulmonary arteriography (CTPA) verified PE diagnosed between 2005 and 2020 were included. Patients with active malignancy were excluded. The PE clot burden was assessed with MBPEC score: The most proximal extension of PE was scored in each lung from 1 = sub-segmental to 4 = central. The MBPEC score is the score from each lung divided by two and rounded up to nearest integer.</p><p><strong>Results: </strong>We found inconsistent associations between higher and lower MBPEC scores versus mortality. The all-cause 30-day mortality of 3.9% (95% CI: 3.0-4.9). The PE-related mortality was 2.4% (95% CI: 1.7-3.3). Patients with MBPEC score 1 had higher all-cause mortality compared to patients with MBPEC score 4: Crude Hazard Ratio (cHR) was 2.02 (95% CI: 1.09-3.72). PE-related mortality was lower in patients with MBPEC score 3 compared to score 4: cHR 0.22 (95% CI: 0.05-0.93). Patients with MBPEC score 4 did more often receive systemic thrombolysis compared to patients with MBPEC score 1-3: 3.2% vs. 0.6% (<i>p</i> < .001). Patients with MBPEC score 4 where more often admitted to the intensive care unit: 13% vs. 4.7% (<i>p</i> < .001).</p><p><strong>Conclusion: </strong>We found no consistent association between the MBPEC score and mortality. Our results therefore indicate that peripheral PE does not necessarily entail a lower morality risk than proximal PE.</p>","PeriodicalId":72063,"journal":{"name":"Acta radiologica open","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10328056/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10647915","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Assessing the impact and resource implications of contrast-enhanced ultrasound on workflow of patients with incidental focal liver lesions on the UK national health service. 评估造影剂增强超声对偶发性局灶性肝脏病变患者工作流程的影响和资源意义。
Acta radiologica open Pub Date : 2023-06-01 DOI: 10.1177/20584601231183131
Megan O'Brien, Louisa Oliver, Nick Proctor, Maro Siakantari, Peter Cantin, Colin P Griffin, Ben Stenberg
{"title":"Assessing the impact and resource implications of contrast-enhanced ultrasound on workflow of patients with incidental focal liver lesions on the UK national health service.","authors":"Megan O'Brien,&nbsp;Louisa Oliver,&nbsp;Nick Proctor,&nbsp;Maro Siakantari,&nbsp;Peter Cantin,&nbsp;Colin P Griffin,&nbsp;Ben Stenberg","doi":"10.1177/20584601231183131","DOIUrl":"https://doi.org/10.1177/20584601231183131","url":null,"abstract":"<p><strong>Background: </strong>Focal liver lesions (FLL) are abnormal growths that require timely identification. Contrast-enhanced ultrasound (CEUS) is a cost-effective imaging modality for characterising FLL with similar sensitivity to computed tomography (CT) and magnetic resonance imaging (MRI). Despite being recommended by NICE, its adoption within the national health service (NHS) is limited due to low clinical demand, limited referral, and lack of knowledge.</p><p><strong>Purpose: </strong>To evaluate the impact of CEUS on patients with incidental FLL and assess the resource implications of introducing CEUS as a diagnostic service within the NHS.</p><p><strong>Material and methods: </strong>A patient flow review and cost-minimisation analysis were conducted. This involved a targeted literature review, NHS Trust stakeholder consultations, and development of a Microsoft Excel cost-minimisation model to explore potential value of CEUS use versus CT and MRI by episode. A scenario analysis of the base-case explored increasing CEUS use to 50% and 90%. A sensitivity analysis was performed to assess how changes in assumptions impacted the model and the resulting cost estimates.</p><p><strong>Results: </strong>The model, comparing a world with and without CEUS, showed that current use (base-case: 5%) resulted in cost savings of £224,790/year. The sensitivity analysis indicated that regardless of changes to the assumptions, CEUS still resulted in cost savings to the NHS. By increasing CEUS use to 50% and 90%, cost savings of up to £2,247,894/year and £4,046,208/year could be achieved, respectively.</p><p><strong>Conclusion: </strong>By standardising CEUS use for characterising FLL, substantial cost savings could be realised, whilst reducing wait times and expanding diagnostic capacity, thus preserving limited CT and MRI capacity for high-priority cases.</p>","PeriodicalId":72063,"journal":{"name":"Acta radiologica open","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/43/02/10.1177_20584601231183131.PMC10280539.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10291725","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Lymphoplasmacytic lymphoma relapse presenting as isolated multifocal subcutaneous adipose tissue infiltrates on 18F-FDG PET/CT. 淋巴浆细胞性淋巴瘤复发在18F-FDG PET/CT上表现为孤立的多灶皮下脂肪组织浸润。
Acta radiologica open Pub Date : 2023-05-01 DOI: 10.1177/20584601231173052
Saša Anžej Doma, Andrej Doma
{"title":"Lymphoplasmacytic lymphoma relapse presenting as isolated multifocal subcutaneous adipose tissue infiltrates on 18F-FDG PET/CT.","authors":"Saša Anžej Doma,&nbsp;Andrej Doma","doi":"10.1177/20584601231173052","DOIUrl":"https://doi.org/10.1177/20584601231173052","url":null,"abstract":"<p><p>Lymphoplasmacytic lymphoma (LPL)/Waldenström macroglobulinemia (WM) is an uncommon mature B cell lymphoma usually involving the bone marrow and, less commonly, the spleen and/or lymph nodes. This case presents a pathology-confirmed isolated extramedullary relapse of LPL, located in subcutaneous adipose tissue, 5 years after successful treatment of WM.</p>","PeriodicalId":72063,"journal":{"name":"Acta radiologica open","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/29/ca/10.1177_20584601231173052.PMC10170594.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10297874","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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