Polish journal of radiology最新文献

{"title":"Brain neuroplasticity in multiple sclerosis patients in functional magnetic resonance imaging. Part 1: Comparison with healthy volunteers.","authors":"Mariusz Rafał Wachowski, Marcin Majos, Marta Milewska-Jędrzejczak, Andrzej Głąbiński, Agata Majos","doi":"10.5114/pjr/188633","DOIUrl":"10.5114/pjr/188633","url":null,"abstract":"<p><strong>Purpose: </strong>The aim of this study was to assess the activity of motor cortical areas and the resting brain activity in a group of multiple sclerosis (MS) patients compared to a group of healthy individuals according to task-based functional magnetic resonance imaging (t-fMRI), resting state functional MRI (rs-fMRI), and volumetric MRI studies.</p><p><strong>Material and methods: </strong>The study enrolled 28 MS patients and 20 healthy volunteers who underwent MRI examinations. Primary motor cortex (M1), premotor area (PMA), supplementary motor area, as well as resting state networks (RSN's) and volumes of selected brain structures were subjected to a detailed analysis.</p><p><strong>Results: </strong>In MS patients, a motor task more often resulted in the activation of ipsilateral M1 cortex (observed in 39% of the studied group) as well as the PMA cortex (observed in 32% of MS patients). No differences in resting brain activity were found between the studied groups. Significant differences were observed in volumetric parameters of the total brain volume (healthy volunteers vs. MS patients, respectively): (1197 cm³ vs. 1150 cm³) and volumes of the grey matter (517 cm³ vs. 481 cm³), cerebellum (150 cm³ vs. 136 cm³), thalamus (16.3 cm³ vs. 12.6 cm³), putamen (8.9 cm³ vs. 7.7 cm³), and globus pallidus (4.57 cm³ vs. 3.57 cm³).</p><p><strong>Conclusions: </strong>In the MS patients, the motor task required significantly more frequent activation of the primary and secondary ipsilateral motor cortex compared to the group of healthy volunteers. The rs-fMRI study showed no differences in activity patterns within the RSN's. Differences in the total cerebral volume and the volume of the grey matter, cerebellum, thalamus, putamen, and globus pallidus were observed.</p>","PeriodicalId":94174,"journal":{"name":"Polish journal of radiology","volume":"89 ","pages":"e308-e315"},"PeriodicalIF":0.0,"publicationDate":"2024-06-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11262016/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141750104","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}

{"title":"Major aortopulmonary collateral arteries: clinical, echocardiographic, and radiologic characteristics.","authors":"Alexander Suchodolski, Karol Wielgus, Mateusz Strojek, Mariola Szulik, Jan Głowacki","doi":"10.5114/pjr/188331","DOIUrl":"10.5114/pjr/188331","url":null,"abstract":"<p><strong>Purpose: </strong>Major aortopulmonary collateral arteries (MAPCAs) are rare congenital anomalies with significant clinical implications, often associated with congenital heart diseases like tetralogy of Fallot (TOF) and pulmonary atresia (PA). This study aimed to investigate the clinical, echocardiographic, and radiologic characteristics of MAPCAs in patients with congenital heart diseases admitted to our clinic between 2016 and 2023.</p><p><strong>Material and methods: </strong>A retrospective analysis of 46 cases was conducted using chest computed tomography exams performed on a dual-source 128-slice CT scanner. Clinical data and radiologic characteristics were collected and analysed.</p><p><strong>Results: </strong>The study revealed a strong correlation between congenital heart diseases and the presence of MAPCAs, with TOF, PA, and ventricular septal defect (VSD) being the most common, and it indicated that these collaterals may exist with non-diagnosed congenital heart disease. Tricuspid regurgitation and aortic insufficiency were the predominant echocardiographic findings. Radiologically, MAPCAs primarily originated from the descending aorta (type II) in 85% of cases, and their sizes ranged from ≤ 3 mm to > 10 mm, with an average of 5 mm.</p><p><strong>Conclusions: </strong>This study provides comprehensive insights into the clinical and radiologic aspects of MAPCAs in patients with congenital heart diseases. The findings emphasise the importance of early detection and intervention for better managing of these complex conditions and the need for further research.</p>","PeriodicalId":94174,"journal":{"name":"Polish journal of radiology","volume":"89 ","pages":"e302-e307"},"PeriodicalIF":0.0,"publicationDate":"2024-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11262015/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141750105","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}

{"title":"The diagnostic accuracy of cone beam computed tomography in detecting temporomandibular joint bony disorders: a systematic review.","authors":"Marta Szcześniak, Julien Issa, Irem Öztürk, Emre Karahan, Agata Czajka-Jakubowska, Kaan Orhan, Marta Dyszkiewicz-Konwińska","doi":"10.5114/pjr/187943","DOIUrl":"10.5114/pjr/187943","url":null,"abstract":"<p><p>Computed tomography (CT) has been recognized as a robust and dependable technique for delineating osseous alterations and anomalies within hard tissues. The necessity for accurate diagnosis and management of patients with temporomandibular disorders in dental practices has increasingly come to the forefront. There is ongoing scholarly debate regarding the equivalence of diagnostic outcomes yielded by cone beam computed tomography (CBCT), which offers greater accessibility in dental settings than traditional CT, in identifying bony changes within the temporomandibular joint (TMJ). Our principal aim was to conduct a systematic review of studies that compare the efficacy of CT and CBCT in the detailed assessment of bone conditions affecting the TMJ. An electronic search was conducted across databases: PubMed, Medline, Web of Science, Cochrane and Scopus. Two independent reviewers screened titles and abstracts against predefined inclusion criteria. The included articles underwent rigorous critical appraisal, during which relevant data were extracted and systematically presented in a tabular format. This systematic review incorporates 5 studies published between 2006 and 2015. In 3 studies, CBCT demonstrated comparable outcomes to CT, while 2 investigations revealed significantly enhanced accuracy for CBCT compared to CT, with reported accuracies of 0.95 ± 0.04, 0.77 ± 0.17, and 89-91% for CBCT. The aggregated evidence from the included studies indicates that CBCT offers comparable or superior accuracy in detecting osseous changes within TMJ structures. Owing to its lower radiation exposure and increased accessibility, CBCT emerges as the preferred choice over conventional CT for evaluating bony structures of the TMJ.</p>","PeriodicalId":94174,"journal":{"name":"Polish journal of radiology","volume":"89 ","pages":"e292-e301"},"PeriodicalIF":0.0,"publicationDate":"2024-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11262012/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141750108","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}

{"title":"Performance of different cone-beam computed tomography scan modes with and without metal artifact reduction in detection of recurrent dental caries under various restorative materials.","authors":"Farida Abesi, Fatemehzahra Talachi, Fariba Ezoji","doi":"10.5114/pjr/188257","DOIUrl":"10.5114/pjr/188257","url":null,"abstract":"<p><strong>Purpose: </strong>We aimed to compare the diagnostic performance of different cone-beam computed tomography (CBCT) scan modes with and without the application of a metal artifact reduction (MAR) option under 5 different restorative materials.</p><p><strong>Material and methods: </strong>Our research was an in vitro study with 150 caries-free premolars and molars. The teeth were randomly divided into experimental (with artificially induced caries, <i>n</i> = 75) and control (without caries, <i>n</i> = 75) groups and were prepared based on 5 types of restorative materials, including conventional composites (Filtek Z250, Gradia), flow composite, glass ionomer, and amalgam. The teeth were examined under 2 CBCT scan modes (high-resolution [HIRes] and standard) with and without MAR application. Finally, the diagnostic accuracy index values (area under the receiver operating characteristic curve [AUC], sensitivity, and specificity) were calculated.</p><p><strong>Results: </strong>The AUC of standard scan mode with the MAR option was significantly lower than that of HIRes with MAR (<i>p</i> = 0.018) and without MAR option (<i>p</i> = 0.011) in detecting recurrent caries. Also, without MAR option, the diagnostic accuracy (AUC) of the standard mode was significantly lower than that of the HIRes (<i>p</i> = 0.020). Similar findings were observed for sensitivity and specificity. Moreover, diagnostic performance of standard and HIRes scan modes with and without MAR in the amalgam group was lower than that in other restorative material groups.</p><p><strong>Conclusions: </strong>Diagnostic performance of HIRes CBCT mode was higher than that of standard mode for recurrent caries and remained unaffected by MAR application. However, the accuracy in detecting recurrent caries was lower in the amalgam group compared with other restorative material groups.</p>","PeriodicalId":94174,"journal":{"name":"Polish journal of radiology","volume":"89 ","pages":"e281-e291"},"PeriodicalIF":0.0,"publicationDate":"2024-06-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11262014/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141750107","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}

{"title":"Association of mammographic breast density measurements and hormone receptor status of breast cancer.","authors":"Shweta Priti, Rashmi Dixit, Anju Garg, Nita Khurana, Rajdeep Singh","doi":"10.5114/pjr/187679","DOIUrl":"10.5114/pjr/187679","url":null,"abstract":"<p><strong>Purpose: </strong>Breast cancer is the most frequent cancer in women, with significant mortality. Mammography is a routine investigation for breast disease. A known risk factor for breast cancer is increased breast density. Here, we tried to observe if mammographic density also affects the hormone receptor status of breast cancer, which will help in the understanding of the biological mechanisms of breast cancer development.</p><p><strong>Material and methods: </strong>Suspected breast cancer patients at Lok Nayak Hospital, Delhi, underwent mammography in the Department of Radiodiagnosis. The density of breast contralateral to the mass was assessed using Hologic Quantra software version 2.1.1 [Area Breast Density(ABD)]. The hormone receptor status of all the tumours was recorded on histopathology. Of these, 100 confirmed cases were included in the study.</p><p><strong>Results: </strong>ER-positive, PR-positive, and HER2-positive tumours were seen in 41%, 33%, and 34% patients, respectively. Regarding ER receptor status, the mean ABD for positive and negative tumours was 27% and 23%, respectively, <i>p</i>-value = 0.01, showing significant relation between them. Mean ABD for HER2-positive and -negative tumours was 25% and 24%, respectively, <i>p</i>-value = 0.75. Mean ABD for PR-positive and PR-negative tumours was 23% and 25%, respectively, <i>p</i>-value = 0.42 (not significant).</p><p><strong>Conclusions: </strong>We found that ER-positive tumours were common in dense breasts, which was statistically significant. However, this was not true for PR and HER2 receptor status. Limited studies have been done to study MD using computerised software and its effect on hormone receptor status, with conflicting results. Further, large, multicentric studies can be useful in understanding the mechanism and providing better treatment for breast cancer patients.</p>","PeriodicalId":94174,"journal":{"name":"Polish journal of radiology","volume":"89 ","pages":"e273-e280"},"PeriodicalIF":0.0,"publicationDate":"2024-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11262017/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141750103","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}

{"title":"Can initial apparent diffusion coefficient and tumour volume predict future metastases in treatment-naive patients with laryngeal squamous cell carcinoma.","authors":"Elif Dilara Topcuoglu","doi":"10.5114/pjr/187675","DOIUrl":"https://doi.org/10.5114/pjr/187675","url":null,"abstract":"<p><strong>Purpose: </strong>To evaluate the predictive capability of the apparent diffusion coefficient (ADC) at initial diagnosis in treatment-naive patients with laryngeal squamous cell carcinoma (LSCC) for the development of future metastases.</p><p><strong>Material and methods: </strong>Magnetic resonance images of patients with pathologically proven non-metastatic, treatmentnaive LSCC were retrospectively evaluated. Follow-up positron emission tomography scans were assessed for the scanning of metastases.</p><p><strong>Results: </strong>A total of 37 patients (32 males and 5 females) with a mean age of 62.8 ± 8.9 years were enrolled. Mean tumour volume and ADC were 4.8 ± 62 cm³ and 0.72 ± 0.51 × 10^-3 mm²/s, respectively. Six local and 8 distant metastases were detected in a mean follow-up period of 17.5 ± 10.2 months. A significant association between ADC and the presence distant metastases (<i>p</i> = 0.046) and local metastases (<i>p</i> = 0.042) was found. The difference in mean ADC values between future metastatic and non-metastatic initial tumours was significant (<i>p</i> = 0.017).</p><p><strong>Conclusions: </strong>Pre-treatment ADC values and volume of the initial tumour might provide early information about the development of future metastases in patients with LSCC in this series.</p>","PeriodicalId":94174,"journal":{"name":"Polish journal of radiology","volume":"89 ","pages":"e267-e272"},"PeriodicalIF":0.0,"publicationDate":"2024-05-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11210382/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141474658","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}

{"title":"Update on elbow arthroplasties with emphasis on imaging.","authors":"Nicholson S Chadwick, Jennifer S Weaver, Joanna L Shechtel, Gregory L Hall, Christopher L Shultz, Mihra S Taljanovic","doi":"10.5114/pjr/186592","DOIUrl":"https://doi.org/10.5114/pjr/186592","url":null,"abstract":"<p><p>Elbow arthroplasty is increasing in popularity and can be used to treat many conditions, such as trauma, primary and secondary osteoarthritis, inflammatory arthritis, and osteonecrosis. Total elbow arthroplasty (TEA) is reserved for patients with severe symptoms refractory to more conservative management. In addition to TEA, hemi-arthroplasty, interposition arthroplasty, and resection arthroplasty also play roles in the management of elbow pain. There are specific indications for each type of arthroplasty. Postoperative complications may occur with elbow arthroplasties and may be surgery or hardware related. Imaging is important in both pre-operative planning as well as in post-surgical follow-up. This article reviews the different types of elbow arthroplasties, their indications, their normal postoperative imaging appearances, and imaging findings of potential complications.</p>","PeriodicalId":94174,"journal":{"name":"Polish journal of radiology","volume":"89 ","pages":"e249-e266"},"PeriodicalIF":0.0,"publicationDate":"2024-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11210383/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141474167","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}

{"title":"Comparison of the effectiveness of contrast-enhanced mammography in detecting malignant lesions in patients with extremely dense breasts compared to the all-densities population.","authors":"Anna Grażyńska, Agnieszka Niewiadomska, Aleksander J Owczarek, Mateusz Winder, Jakub Hołda, Olga Zwolińska, Anna Barczyk-Gutkowska, Sandra Modlińska, Andrzej Lorek, Aleksandra Kuźbińska, Katarzyna Steinhof-Radwańska","doi":"10.5114/pjr/186180","DOIUrl":"https://doi.org/10.5114/pjr/186180","url":null,"abstract":"<p><strong>Purpose: </strong>To assess the effectiveness of contrast-enhanced mammography (CEM) recombinant images in detecting malignant lesions in patients with extremely dense breasts compared to the all-densities population.</p><p><strong>Material and methods: </strong>792 patients with 808 breast lesions, in whom the final decision on core-needle biopsy was made based on CEM, and who received the result of histopathological examination, were qualified for a single-centre, retrospective study. Patient electronic records and imaging examinations were reviewed to establish demographics, clinical and imaging findings, and histopathology results. The CEM images were reassessed and assigned to the appropriate American College of Radiology (ACR) density categories.</p><p><strong>Results: </strong>Extremely dense breasts were present in 86 (10.9%) patients. Histopathological examination confirmed the presence of malignant lesions in 52.6% of cases in the entire group of patients and 43% in the group of extremely dense breasts. CEM incorrectly classified the lesion as false negative in 16/425 (3.8%) cases for the whole group, and in 1/37 (2.7%) cases for extremely dense breasts. The sensitivity of CEM for the group of all patients was 96.2%, specificity - 60%, positive predictive values (PPV) - 72.8%, and negative predictive values (NPV) - 93.5%. In the group of patients with extremely dense breasts, the sensitivity of the method was 97.3%, specificity - 59.2%, PPV - 64.3%, and NPV - 96.7%.</p><p><strong>Conclusions: </strong>CEM is characterised by high sensitivity and NPV in detecting malignant lesions regardless of the type of breast density. In patients with extremely dense breasts, CEM could serve as a complementary or additional examination in the absence or low availability of MRI.</p>","PeriodicalId":94174,"journal":{"name":"Polish journal of radiology","volume":"89 ","pages":"e240-e248"},"PeriodicalIF":0.0,"publicationDate":"2024-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11210381/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141474165","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}

{"title":"Enhancing diagnostic precision: comparative analysis of MR-guided breast biopsies performed in two centres.","authors":"Sylwia Heinze, Wojciech Krzysztof Rudnicki, Joanna Paluchowska, Joanna Szpor, Elżbieta Łuczyńska","doi":"10.5114/pjr/186862","DOIUrl":"https://doi.org/10.5114/pjr/186862","url":null,"abstract":"<p><strong>Purpose: </strong>Breast lesions that remain elusive in traditional imaging techniques such as ultrasound and mammography pose a diagnostic challenge. In such cases, magnetic resonance (MR)-guided breast biopsy emerges as a crucial tool for accurate histopathological verification. This article presents a comparative study conducted at 2 centres, exploring the results of MR-guided breast biopsies performed by experienced radiologists, based on inside and external referrals.</p><p><strong>Material and methods: </strong>The study involved 228 patients, 120 of whom underwent biopsies at Centre 1, where the same radiologist performed both the qualification and biopsy. The remaining 108 patients were biopsied at Centre 2, based on referrals from different institutions. Uniform examination protocols were adopted at both centres, and all biopsies underwent histopathological verification.</p><p><strong>Results: </strong>The distribution of lesion types was found to be independent of the apparatus used for biopsies (<i>p</i> = 0.759). Interestingly, Centre 1 exhibited a higher prevalence of infiltrating carcinomas compared to Centre 2 (<i>p</i> = 0.12). Furthermore, the analysis demonstrated a significant variance in the nature of the lesions in relation to breast structure and biopsy centre (<i>p</i> < 0.001).</p><p><strong>Conclusions: </strong>MR-guided breast biopsy serves as a remarkable tool for verifying lesions that evade detection through conventional imaging methods and physical examinations. The study findings underscore the crucial role of radiologist experience in determining the efficacy of MR-guided breast biopsies.</p>","PeriodicalId":94174,"journal":{"name":"Polish journal of radiology","volume":"89 ","pages":"e235-e239"},"PeriodicalIF":0.0,"publicationDate":"2024-05-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11210378/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141474166","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}

{"title":"Value of computed tomography pulmonary angiography measurements in predicting 30-day mortality among patients with acute pulmonary embolism.","authors":"Seray Akcalar Zorlu","doi":"10.5114/pjr/186184","DOIUrl":"https://doi.org/10.5114/pjr/186184","url":null,"abstract":"<p><strong>Purpose: </strong>Late diagnosis is associated with high mortality rates in acute pulmonary embolism (PE), so early diagnosis and risk assessment are crucial. We aim to evaluate computed tomography pulmonary angiography measurements to identify relationships with 30-day mortality in patients with pulmonary embolism. This study investigated the utility of computed tomography pulmonary angiography (CTPA) measures in determining 30-day PE-related mortality and identified various echocardiographic, demographic, and clinical variables that were independently associated with short-term mortality in patients with acute PE.</p><p><strong>Material and methods: </strong>This retrospective study examined data from July 2018 to April 2023. A total of 118 patients were included in the study. Clinical and demographic characteristics, laboratory findings, echocardiographic data, and CTPA images were retrieved from the electronic database and patient charts.</p><p><strong>Results: </strong>The rate of 30-day mortality was 14.41%. Deceased patients were significantly older than survivors (73.53 ± 14.17 vs. 60.23 ± 17.49 years; <i>p</i> = 0.004), but the sex distribution was similar. In multivariable logistic regression, having received radiotherapy for malignancy, high pulmonary artery obstruction index % (> 46.2), high left pulmonary artery diameter (> 23.9 mm), and high coronary artery calcification score (> 5.5) were independently associated with mortality.</p><p><strong>Conclusions: </strong>These results reveal specific parameters that can assist acute PE management by enabling the identification of critical events. Despite promising results in predicting short-term mortality in acute PE, further prospective cohort studies are needed to confirm the results of the present study.</p>","PeriodicalId":94174,"journal":{"name":"Polish journal of radiology","volume":"89 ","pages":"e225-e234"},"PeriodicalIF":0.0,"publicationDate":"2024-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11210380/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141474168","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}