British Journal of Radiology最新文献

{"title":"Unlocking the Potential of Training: Enhancing Inter-reader Agreement in Background Parenchymal Enhancement Assessment.","authors":"Danping Huang, Sina Wang, Zhendong Luo, Lijun Chen, Hui Zeng, Fengxia Zeng, Jialing Liu, Weimin Xu, Genggeng Qin","doi":"10.1093/bjr/tqaf240","DOIUrl":"https://doi.org/10.1093/bjr/tqaf240","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to evaluate the inter-reader agreement of visual background parenchymal enhancement (BPE) assessment and determine if training can improve this assessment.</p><p><strong>Methods: </strong>Five hundred and forty-eight women who underwent contrast-enhanced mammography from 2018 through 2022 were included. A total of 2135 images were read by six radiologists (Group A) independently and rated BPE with the ordinal scale: minimal, mild, moderate, or marked. After a dedicated training, the same cases were reread in a new random order within two weeks. To further verify the effectiveness of training, four radiologists (Group B) from four different institutions were invited to assess BPE in the same way with 800 images. The accuracy of each reader and agreement on BPE categorization between radiologists and the reference standard were evaluated.</p><p><strong>Results: </strong>The percentage of correct BPE assignments increased from 62.3% (range, 48.6%-73.6%) to 75.5% (range, 69.0%-79.7%) after training in Group A, and increased from 55.7% (range, 52.0%-58.9%) to 66.9% (range, 62.0%-71.0%) after training in Group B. With training, inter-reader agreement increased from fair to moderate in both Group A (κ  =  0.32 to 0.52) and Group B (κ  =  0.40 to 0.53), indicating readers learned and the training can be rolled out to different institutions.</p><p><strong>Conclusion: </strong>The initial inter-reader agreement in assessing BPE among radiologists was fair but showed enhancement following training, highlighting the necessity of training and standard sets of reference images that should be made available for training.</p><p><strong>Advances in knowledge: </strong>This study demonstrates that dedicated training improves inter-reader agreement in BPE assessment on CEM, highlighting the need for standardized training programs to enhance consistency in clinical practice and research.</p>","PeriodicalId":9306,"journal":{"name":"British Journal of Radiology","volume":" ","pages":""},"PeriodicalIF":3.4,"publicationDate":"2025-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145191104","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 additional role of contrast-enhanced ultrasound in identifying lesions in pathological nipple discharge patients: a prospective study comparing with DCE-MRI.","authors":"Qinghua Niu, Shiyun Yang, Lianfang Du, Chao Jia, Gang Li, Yingyu Cai, An Chen, Fan Li","doi":"10.1093/bjr/tqaf244","DOIUrl":"https://doi.org/10.1093/bjr/tqaf244","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the auxiliary role of contrast-enhanced ultrasound (CEUS) in the etiological diagnosis of pathological nipple discharge (PND) and compare its effectiveness with dynamic contrast-enhanced magnetic resonance imaging (DCE-MRI).</p><p><strong>Methods: </strong>In this prospective study conducted from March 2021 to February 2024, PND patients underwent breast ultrasound and DCE-MRI after initial history and physical examination. Lesions were categorized as mass or non-mass-like on baseline US and assessed for vascularity using color Doppler. CEUS was utilized to refine the breast imaging reporting and data system (BI-RADS) classification. Logistic regression identified risk factors, and diagnostic performance was evaluated using receiver operating characteristic curve analysis.</p><p><strong>Results: </strong>A total of 116 lesions from 112 PND patients were analyzed. CEUS-assisted ultrasound showed increased specificity (ranging from 50.0% to 80.0% compared to US alone, p = 0.009) while maintaining sensitivity. Of the 81 patients who underwent DCE-MRI, CEUS demonstrated a higher positive predictive value (83.3% vs. 75.5%), with comparable negative predictive values (97.0% vs. 96.4%). CEUS was particularly effective in accurately diagnosing benign lesions that were overestimated by DCE-MRI and in identifying ductal carcinoma in situ with greater precision than US alone.</p><p><strong>Conclusion: </strong>The auxiliary use of CEUS with ultrasound improves the specificity and positive predictive value in diagnosing PND-associated malignancies and serves as a valuable secondary imaging method to DCE-MRI, potentially reducing unnecessary biopsies of benign lesions.</p><p><strong>Advances in knowledge: </strong>CEUS can enhance the diagnostic accuracy of PND, effectively differentiating benign from malignant lesions, and its integration into clinical practice could offer significant benefits in patient management.</p>","PeriodicalId":9306,"journal":{"name":"British Journal of Radiology","volume":" ","pages":""},"PeriodicalIF":3.4,"publicationDate":"2025-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145191107","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":"Correlation between left ventricular myocardial fibrosis and left atrial dysfunction in patients with non-obstructive hypertrophic cardiomyopathy.","authors":"Yan Zheng, Xiaochun Zhang, Huairong Zhang, Liyuan Ma, Xiao Sun, Pei Wang, Li Zhu","doi":"10.1093/bjr/tqaf135","DOIUrl":"https://doi.org/10.1093/bjr/tqaf135","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to investigate the impact of left ventricular myocardial fibrosis on left atrial function in patients with non-obstructive hypertrophic cardiomyopathy (NOHCM).</p><p><strong>Methods: </strong>A total of 103 NOHCM patients and 28 healthy controls (HC) were included retrospectively. Patients were stratified based on late gadolinium enhancement (LGE) into the following groups: NOHCM LGE (-) group, mild LGE% (+) group (LGE% < 7%), moderate LGE% (+) group (7% ≤ LGE% < 15%), and severe LGE% (+) group (LGE% ≥ 15%). CMR-FT strain analysis assessed left atrial strain and strain rate across different cardiac phases. Statistical analyses for clinical and imaging parameters, and Spearman correlation analysis for assessing correlations between left ventricular myocardial fibrosis and left atrial volume and function.</p><p><strong>Results: </strong>There were no significant differences in left atrial function and volume parameters between the LGE (-) group and the mild LGE% (+) group. However, εs, εe, SRs, and SRe showed gradual decreases across mild, moderate, and severe LGE% (+) groups, with significant differences observed among the three groups. εa and SRa in the moderate and severe LGE% (+) groups were significantly lower than those in the mild LGE% (+) group. There are strong correlations between the degree of left ventricular myocardial fibrosis and LAEF, LAEDV, LAESV, εs, εe, εa, SRs, SRe, and SRa.</p><p><strong>Conclusion: </strong>As left ventricular myocardial fibrosis progressed, left atrial function deteriorated further, highlighting an interaction between left ventricular myocardial structure and left atrial function that promotes NOHCM progression.</p><p><strong>Advances in knowledge: </strong>Complement the guidelines（2020 AHA/ACC Guideline for the Diagnosis and Treatment of Patients With Hypertrophic Cardiomyopathy）.</p>","PeriodicalId":9306,"journal":{"name":"British Journal of Radiology","volume":" ","pages":""},"PeriodicalIF":3.4,"publicationDate":"2025-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145173627","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":"Oxygen concentration alters ROS yields with minor plasmid DNA damage change at Ultra High Dose Rate.","authors":"William Thomas, Siddharth Kulkarni, Aleksandra Ilina, Matthew Reed, Brian W Pogue","doi":"10.1093/bjr/tqaf245","DOIUrl":"https://doi.org/10.1093/bjr/tqaf245","url":null,"abstract":"<p><strong>Objective: </strong>Ultra-high dose rate (UHDR) radiotherapy has become a large area of research due to observed normal tissue sparing without sacrificing tumor control, termed the FLASH effect. The purpose of this study was to compare reactive oxygen species (ROS) production and DNA damage across various O2 levels at UHDR and conventional dose rates (CDR) in solutions without repair enzymes and radical scavengers.</p><p><strong>Methods: </strong>Solution assays of both ROS and DNA damage assessed dose rate and oxygen dependent (0-20% O2) changes between UHDR and CDR from an IntraOp Mobetron. For ROS reporters Amplex UltraRed (H2O2), and CellROX Deep Red (non-H2O2) were quantified via intensity per unit dose. DNA damage assayed plasmid pBR322 gel electrophoresis, to differentiate both single (SSB) and double strand breaks (DSB).</p><p><strong>Results: </strong>For ROS assays, a significant reduction was noted from CDR to UHDR across all measured oxygen levels. The generation of H2O2 decreased when departing from physiologically relevant oxygen levels (1-5%), with generation 30-40% lower at UHDR. The DNA damage assay showed no trends in the SSB or DSB values with O2.</p><p><strong>Conclusion: </strong>Examination of trends between ROS and DNA damage from factors such as oxygen can help elucidate FLASH mechanisms. The H2O2 yield has maximum yield at physiological oxygenation levels (1-5%), and UHDR further diminishes yield. In DNA damage no trend was observed. It is possible that these mechanisms have underlying effects on the FLASH effect in vivo.</p><p><strong>Advances in knowledge: </strong>This study is the first to directly compare radiation chemistry differences caused by UHDR to biologically relevant DNA damage in identical solutions.</p>","PeriodicalId":9306,"journal":{"name":"British Journal of Radiology","volume":" ","pages":""},"PeriodicalIF":3.4,"publicationDate":"2025-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145147675","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":"How can children benefit from total-body PET?","authors":"Paul J H van Snick, Sasha O V Ivashchenko, Joyce van Sluis, Limme B de Langen, Georgie C van den Oever, Mostafa Roya, Andor W J M Glaudemans, Riemer H J A Slart","doi":"10.1093/bjr/tqaf242","DOIUrl":"https://doi.org/10.1093/bjr/tqaf242","url":null,"abstract":"<p><p>The introduction of long axial field-of-view (LAFOV) PET/CT scanners marks a major advancement in paediatric nuclear medicine. These systems provide greatly enhanced sensitivity, enabling superior image quality with reduced radiopharmaceutical doses and substantially shorter scan times. This is particularly advantageous in children, who are more radiosensitive and often struggle with prolonged procedures that may require sedation. LAFOV PET/CT allows whole-body imaging in a single bed position, reducing motion artefacts, improving patient comfort, and lessening procedural anxiety. Such benefits align with the ALARA (As Low As Reasonably Achievable) principle, critical for minimising radiation exposure in children given their increased sensitivity and longer life expectancy. Although associated with higher initial costs and increased data demands, LAFOV technology offers significant clinical advantages, including the potential for personalised imaging protocols tailored to each child's needs. This review discusses the technical attributes of LAFOV PET/CT and its expanding role in paediatric imaging, addressing both opportunities and challenges. By overcoming previous limitations related to scan duration and radiation dose, LAFOV PET/CT is poised to transform paediatric diagnostics, enabling safer, faster, and more comprehensive assessments.</p>","PeriodicalId":9306,"journal":{"name":"British Journal of Radiology","volume":" ","pages":""},"PeriodicalIF":3.4,"publicationDate":"2025-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145136515","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":"Variational autoencoder-based deep learning and radiomics for predicting pathologic complete response to neoadjuvant chemoimmunotherapy in locally advanced esophageal squamous cell carcinoma.","authors":"Qing Gu, Shenlun Chen, Andre Dekker, Leonard Wee, Petros Kalendralis, Meng Yan, Jin Wang, Jingping Yuan, Youhua Jiang","doi":"10.1093/bjr/tqaf239","DOIUrl":"https://doi.org/10.1093/bjr/tqaf239","url":null,"abstract":"<p><strong>Objectives: </strong>Neoadjuvant chemoimmunotherapy (nCIT) is gradually becoming an important treatment strategy for patients with locally advanced esophageal squamous cell carcinoma (LA-ESCC). This study aimed to predict the pathological complete response (pCR) of these patients using variational autoencoder (VAE)-based deep learning and radiomics technology.</p><p><strong>Methods: </strong>A total of 253 LA-ESCC patients who were treated with nCIT and underwent enhanced CT at our hospital between July 2019 and July 2023 were included in the training cohort. VAE-based deep learning and radiomics were utilized to construct deep learning (DL) models and deep learning radiomics (DLR) models. The models were trained and validated via 5-fold cross-validation among 253 patients. Forty patients were recruited from our institution between August 2023 and August 2024 as the test cohort.</p><p><strong>Results: </strong>The AUCs of DL and DLR model were 0.935 (95% CI: 0.786-0.992) and 0.949 (95% CI: 0.910-0.986) in the validation cohort and 0.839 (95% CI: 0.726-0.853), 0.926 (95% CI: 0.886-0.934) in the test cohort. The performance gap between Precision and Recall of the DLR model was smaller than that of DL model. The F1 scores of the DL and DLR model were 0.726 (95% confidence interval [CI]: 0.476-0.842) and 0.766 (95% CI: 0.625-0.842) in the validation cohort and 0.727 (95% CI: 0.645-0.811), 0.836 (95% CI: 0.820-0.850) in the test cohort.</p><p><strong>Conclusions: </strong>We constructed a DLR model to predict pCR in nCIT treated LA-ESCC patients, which demonstrated superior performance compared to the DL model.</p><p><strong>Advances in knowledge: </strong>We innovatively used VAE-based deep learning and radiomics to construct the DLR model for predicting pCR of LA-ESCC after nCIT.</p>","PeriodicalId":9306,"journal":{"name":"British Journal of Radiology","volume":" ","pages":""},"PeriodicalIF":3.4,"publicationDate":"2025-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145136517","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":"Theranostics and Molecular Imaging are taking off- current situation, requirements and how to train more physicians to fill the gap. A perspective from three different continents.","authors":"Patrick Veit-Haibach, Winnie Lam, Rebecca K S Wong, Gary J R Cook","doi":"10.1093/bjr/tqaf243","DOIUrl":"https://doi.org/10.1093/bjr/tqaf243","url":null,"abstract":"<p><p>The field of radiopharmaceuticals and therapies is currently rapidly increasing. However, there is no consensus about how to address the expected shortage of qualified personnel to deliver such therapies. This commentary gives an overview over the current situation in different exemplary jurisdictions and also tries to show possible paths forward and how to prepare the upcoming physician's generation for these radiopharmaceutical therapies.</p>","PeriodicalId":9306,"journal":{"name":"British Journal of Radiology","volume":" ","pages":""},"PeriodicalIF":3.4,"publicationDate":"2025-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145136502","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":"Disparities in Imaging and Management of Multiple Sclerosis: A Review.","authors":"Alvin Tran, George F Grant, Olutola P Akande, Gelareh Sadigh","doi":"10.1093/bjr/tqaf233","DOIUrl":"https://doi.org/10.1093/bjr/tqaf233","url":null,"abstract":"<p><p>Despite advancements in multiple sclerosis (MS) imaging and treatment, there are sex-specific differences and disparities across sociodemographic factors (e.g., race, ethnicity, socioeconomic status, health literacy, and geography) that can result in disparate clinical presentation, diagnosis, management, and outcomes. These social determinants of health often intersect, limiting access to MRI or disease-modifying therapies. Financial and geographic barriers can delay diagnosis and treatment, particularly in rural or underserved areas. Patients with low health literacy may have difficulty navigating care, while provider-related factors, like implicit biases and varying practices in low-resource settings, contribute to unequal imaging and treatment utilization. Radiologists are uniquely positioned to help reduce these inequities. By collaborating with clinical teams, standardizing imaging protocols, and expanding access through extended service hours and patient navigation programs, radiology practices can address many barriers. Subspecialized neuroradiology expertise, delivered through teleradiology, can help mitigate diagnostic disparities in underserved regions. Radiologists can support health equity by engaging in community outreach to improve health literacy and by working to increase workforce diversity. This review examines the intersection of clinical and radiologic disparities in MS, identifies key barriers to imaging access and utilization, and highlights how radiology can promote equitable MS care to improve outcomes across all populations.</p>","PeriodicalId":9306,"journal":{"name":"British Journal of Radiology","volume":" ","pages":""},"PeriodicalIF":3.4,"publicationDate":"2025-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145091184","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":"Self-request chest X-ray services-reducing barriers to diagnosis of lung cancer.","authors":"Joanna L Start, Stephen Bradley, Matthew E J Callister, Willy Choon Kon Yune, Tom Daniels, Matthew Evison, Seamus Grundy, Rehan Naseer, Ben Noble, Charlotte A Porter, Bobby S K Bhartia","doi":"10.1093/bjr/tqaf232","DOIUrl":"https://doi.org/10.1093/bjr/tqaf232","url":null,"abstract":"<p><p>Despite the welcome introduction of the NHS Lung Cancer Screening Programme, most diagnoses of lung cancer will continue to be made via symptomatic and emergency presentations. Multiple patient related factors act as a barrier to symptomatic presentation and eventual diagnosis including perceptions of personal risk and a view that the often-non-specific symptoms may be unworthy of medical attention in an ever-busy NHS. Self-request chest x-ray services rolled out in Leeds and Greater Manchester aim to reduce these barriers to diagnosis in order to achieve earlier diagnosis of lung cancer and improve outcomes. The services have been accessed over 14 000 times. Lung cancer is a leading cause of health inequality, and these services effectively target populations with high levels of deprivation who are at the greatest risk of lung cancer and yet face the greatest barriers to diagnosis. Self-request services empower patients to take ownership of their health. Supported by organisations representing those affected by lung cancer, the initiative is a step towards restoring access to healthcare. This commentary discusses the rationale for the self-request chest x-ray service and describes the service model, addressing areas of potential concern and controversy.</p>","PeriodicalId":9306,"journal":{"name":"British Journal of Radiology","volume":" ","pages":""},"PeriodicalIF":3.4,"publicationDate":"2025-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145091127","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":"Pregnancy outcomes in childhood cancer survivors according to uterine radiation dose and other factors.","authors":"Christophe Legrand, Boris Schwartz, Stéphanie Bolle, Francois Doz, Vassilis Tsatsaris, Sabine Sarnacki, Brice Fresneau, Claire Alapetite, Sylvie Helfre, Anne Laprie, Pierre-Yves Bondiau, Monia Zidane, Rodrigue Allodji, Nadia Haddy, Neige Journy, Marjorie Boussac, Cécile Thomas-Teinturier, Ibrahima Diallo, Cristina Veres, Vincent Souchard, Giao Vu-Bezin, Florent De Vathaire, Charlotte Demoor-Goldschmidt","doi":"10.1093/bjr/tqaf130","DOIUrl":"https://doi.org/10.1093/bjr/tqaf130","url":null,"abstract":"<p><strong>Objectives: </strong>This study aimed to describe pregnancy and maternal outcomes according to radiation doses received to the uterus during photon beam therapy in the French Childhood Cancer Survivor Study (FCCSS) cohort.</p><p><strong>Methods: </strong>Of the 7670 5-years survivors, 1159 women treated by radiotherapy and with no hysterectomy, followed between 2006-2018 were included. Uterus dose were reconstructed within phantoms modelling patient's anatomy in treatment position. A statistical analysis was performed including demographic information, treatment variables and co-factors.</p><p><strong>Results: </strong>Among 1,159 women, 297(25.6%) had at least one pregnancy, of whom 105/297(35.3%) had a uterine dose of Dmedian>1Gy. The proportion of ectopic pregnancy, spontaneous and medical abortions was 20.3%(101/498) and increased to 39% if Dmedian_uterus>20Gy, versus 12% reported in the French's general population. When medical pregnancy terminations were excluded significant associations with an increase in risks were found for women who were older than 40 at the time of pregnancy and Dmedian_uterus>20Gy. Two women whose entire uterus received over 40 Gy had one pregnancy, resulting in a live birth. One woman passed away due to haemorrhage during delivery, treated at age 16 with D80%uterus=35Gy. No other delivery-related deaths were reported.</p><p><strong>Conclusion: </strong>Assessing the dose to the uterus for pelvic irradiation treatments is necessary and volume receiving 20 Gy should be minimised. Even if pregnancy is feasible after really high dose received on the uterus (Dmean>40Gy), a close obstetrical monitoring is recommended and home delivery should be contraindicated due to the risk of vital hemorrhage.</p>","PeriodicalId":9306,"journal":{"name":"British Journal of Radiology","volume":" ","pages":""},"PeriodicalIF":3.4,"publicationDate":"2025-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145091141","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}