Radiologia最新文献

{"title":"Acute abdomen secondary to torsion of a wandering spleen","authors":"C. García-Hidalgo , M. Abellán López , J.M. Plasencia Martínez","doi":"10.1016/j.rxeng.2024.11.006","DOIUrl":"10.1016/j.rxeng.2024.11.006","url":null,"abstract":"","PeriodicalId":94185,"journal":{"name":"Radiologia","volume":"67 3","pages":"Pages 395-398"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144106177","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}

{"title":"Role of diffusion-weighted MR imaging in the initial diagnosis of soft tissue tumours","authors":"R. Oca Pernas ,&nbsp;N. Hormaza Aguirre ,&nbsp;T. Salinas Yeregui ,&nbsp;T. Palomares Casado ,&nbsp;B. Fernández Ruanova ,&nbsp;C. Trinidad López","doi":"10.1016/j.rxeng.2023.09.008","DOIUrl":"10.1016/j.rxeng.2023.09.008","url":null,"abstract":"<div><h3>Background</h3><div>Soft tissue tumours (STT) constitute a heterogeneous group of lesions frequently studied by Magnetic Resonance Imaging (MRI). It has not yet been clearly established whether the inclusion of apparent diffusion coefficient (ADC) diffusion-weighted imaging (DWI) maps would better determine tumour aggressiveness.</div></div><div><h3>Purpose</h3><div>To assess the diagnostic value of quantitative ADC DWI maps in the initial diagnosis of STT; and to determine whether the inclusion of DWI provides more valuable information than conventional sequences alone.</div></div><div><h3>Material and methods</h3><div><span>Retrospective study of patients with histologically proven STT. Conventional morphological MRI sequences and the DWI sequence were analysed. The ADC was quantified using a region of interest (ROI) that covered the largest sectional area (global ADC) and another that selected the area of ​​greatest restriction (selected ADC). Differences in ADC values ​​were analysed between both benign and malignant lesions and high and low-grade sarcomas. A </span>multivariate analysis<span> was performed to determine the ability of ADC ​​to adequately diagnose the nature of STTs when associated with other morphological characteristics.</span></div></div><div><h3>Results</h3><div>84 patients with STT, of which 40 were benign and 44 malignant. The malignant group included 10 low-grade sarcomas, 23 high-grade sarcomas, 4 non-sarcomatous neoplasms and 7 sarcomas with no histological grading. The ADC values ​​were significantly higher in benign lesions for the selected ADC. Significantly higher selected ADC values ​​were also obtained in low-grade sarcomas. In the multivariate analysis, the highest diagnostic precision values were obtained when morphological features and ADC were included, with a sensitivity, specificity, and area under the curve (AUC) of 84, 75 and 91%, respectively.</div></div><div><h3>Conclusion</h3><div>The inclusion of ADC DWI values ​​improves the diagnostic accuracy of MRI for STTs, especially when used in combination with conventional MRI sequences.</div></div>","PeriodicalId":94185,"journal":{"name":"Radiologia","volume":"67 3","pages":"Pages 263-272"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139021420","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}

{"title":"Radiologists and trainees’ perspectives on artificial intelligence","authors":"A. Catanese ,&nbsp;G. Mattiello ,&nbsp;S. Azam ,&nbsp;P. Puyalto","doi":"10.1016/j.rxeng.2024.01.002","DOIUrl":"10.1016/j.rxeng.2024.01.002","url":null,"abstract":"<div><h3>Background and objectives</h3><div>The purpose of this study was to investigate perspectives held by radiologists on the use of artificial intelligence (AI) in their day-to-day work and to identify factors limiting its routine implementation.</div></div><div><h3>Materials and methods</h3><div>Spanish board-certified radiologists and trainees completed an online survey of 21 questions on general information and communications technology (ICT) and AI in radiology. Analysis was carried out for the subgroups of gender, age, and professional experience. Associations with a p-value &lt;0.05 were considered statistically significant.</div></div><div><h3>Results</h3><div>A total of 102 radiologists and trainees completed the questionnaire. No se observaron diferencias estadísticas significativas entre los grupos de sexo. A significant difference was detected in ICT and AI knowledge between age groups, with participants under 40 and those between 40 and 55 years old demonstrating better ICT knowledge (p &lt; 0.01). The survey results revealed that 77.4% of participants believed that AI represents an opportunity for the radiology profession in the future, while 9.8% believed it would have no impact. Three main practical application areas for AI in radiology were proposed: in screening (23.36%), in image interpretation and reporting (21.17%), and in the requesting of imaging and patient scheduling (14.6%). The biggest concern among the surveyed population was the potential increase in workload.</div></div><div><h3>Conclusions</h3><div>A positive attitude toward AI was observed among Spanish radiologists, with the majority believing that AI could offer opportunities for the radiology profession in the near future. AI training programmes may further improve its acceptance among professionals.</div></div>","PeriodicalId":94185,"journal":{"name":"Radiologia","volume":"67 3","pages":"Pages 287-298"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140760316","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}

{"title":"Anxiety reduction in patients undergoing MRI: A single institutional study of two novel non pharmacological interventions","authors":"S. Panda ,&nbsp;A. Malhotra ,&nbsp;S. Chandak ,&nbsp;A. Agarwal ,&nbsp;S. Dash ,&nbsp;P. Singh","doi":"10.1016/j.rxeng.2024.01.004","DOIUrl":"10.1016/j.rxeng.2024.01.004","url":null,"abstract":"<div><h3>Introduction and objectives</h3><div>Patients undergoing Magnetic Resonance Imaging (MRI) might face feelings of anxiety and fear in different magnitudes, before and during the scanning process with incidence as high as 37% having been reported, which sometimes leads to motion artifacts or premature termination of the scan. This study was conducted to evaluate the efficacy of two novel interventions, namely, Mock Computerised Tomography (CT) run and counselling by consultant, in anxiety reduction of patients undergoing MRI by 1.5<!--> <!-->T scanner.</div></div><div><h3>Methods</h3><div>This was a prospective study. 90 patients referred for non contrast MRI of Brain or Spine fulfilling inclusion criteria were enrolled in the study and randomized into three groups (Control Group, Mock CT Group and counselling by consultant Group) using chit and box method. Outcome measures included STAI questionnaire, heart rate measurements and motion artifact assessment by two Radiologists. Statistical significance was set at <em>P</em> <!-->&lt;<!--> <!-->.05.</div></div><div><h3>Results</h3><div>ANCOVA showed statistically significant improvement in Post-intervention STAI scores in the Mock CT Group (<em>P</em> <!-->=<!--> <!-->.002) and counselling Group (<em>P</em> <!-->=<!--> <!-->.02) compared to controls. ANOVA demonstrated significantly lower heart rate elevations for the Mock CT Group compared to Control Group (<em>P</em> <!-->=<!--> <!-->.001) and counselling Group (<em>P</em> <!-->=<!--> <!-->.02). Motion artifacts were significantly lower in Mock CT Group compared to controls (<em>P</em> <!-->=<!--> <!-->.01) as evaluated by Chi Square test. No significant difference was achieved when comparing controls with counselling Group (<em>P</em> <!-->=<!--> <!-->.07).</div></div><div><h3>Conclusion</h3><div>This study showed that Mock CT can significantly lower anxiety levels in patients undergoing MRI, an intervention largely unexplored in existing literature. Although counselling by consultant lowered pre-MRI anxiety levels, this group did not perform as good as Mock CT when assessing anxiety during MRI. It is suggested that patients experiencing anxiety before MRI may undergo pre-MRI Mock CT with the option of counselling whenever feasible.</div></div>","PeriodicalId":94185,"journal":{"name":"Radiologia","volume":"67 3","pages":"Pages 299-308"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144106066","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}

{"title":"CT assessment of complications from gastric or duodenal ulcers","authors":"D. Herrán de la Gala ,&nbsp;C. Cantolla Nates ,&nbsp;M. Moris ,&nbsp;R. Pellón Daben ,&nbsp;J. Crespo del Pozo ,&nbsp;F.J. González Sánchez ,&nbsp;S. Sánchez Bernal","doi":"10.1016/j.rxeng.2023.12.001","DOIUrl":"10.1016/j.rxeng.2023.12.001","url":null,"abstract":"<div><div>Gastric and duodenal ulcers (GDUs) are decreasing both in frequency and rate of mortality. However, GDUs with complications continue to have higher mortality rates and are seldom suspected in patients presenting with acute abdomen. Although upper endoscopy plays a central role in the diagnosis and treatment of GDUs, CT is crucial when serious complications appear, namely uncontrolled acute haemorrhage, perforation, organ penetration, or gastric obstruction. Radiologists have a special role to play in these situations, providing the diagnosis and extent of complications, thus contributing to decision making which can range from conservative management to endoscopic, surgical or interventional radiology procedures. The aim of our study is to describe the CT indications and protocols for patients with a suspected GDU with complications and present the main imaging findings for the different types of complications, while providing differential diagnoses.</div></div>","PeriodicalId":94185,"journal":{"name":"Radiologia","volume":"67 3","pages":"Pages 343-356"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144106171","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}

{"title":"Eduardo Amorós Martí: Radiology and the fight against cancer in the early decades of the 20th century","authors":"E. Perdiguero Gil,&nbsp;B. Echániz Martínez,&nbsp;E. Bueno Vergara","doi":"10.1016/j.rxeng.2025.04.001","DOIUrl":"10.1016/j.rxeng.2025.04.001","url":null,"abstract":"<div><div>This article highlights the role of radiologist Eduardo Amorós Martí (1888–1936) in the use of radioactivity for cancer treatment in Spain during the first third of the 20th century. Following the discovery of radium by the Curies in 1898, Amorós became interested in radiology and established his practice in Alicante. He acquired X-ray and radium equipment, contributing to the development of radiation therapy. He directed the Cancer Pavilion at the Provincial Hospital of Alicante, where he promoted the application of radiation in cancer treatment. Like other historical figures associated with radioactivity, his prolonged exposure deteriorated his health, leading to his premature death in 1936.</div></div>","PeriodicalId":94185,"journal":{"name":"Radiologia","volume":"67 3","pages":"Pages 365-369"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144106173","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}

{"title":"Radiological diagnosis of malignant spinal cord compression syndrome: Consensus document from SENR, SERAU, SERME, SERAM","authors":"A. Pérez Lara ,&nbsp;E. Arana ,&nbsp;A. Bello Báez ,&nbsp;D. de Araujo Martins-Romeo","doi":"10.1016/j.rxeng.2024.12.001","DOIUrl":"10.1016/j.rxeng.2024.12.001","url":null,"abstract":"<div><div>Malignant spinal cord compression is a serious complication secondary to both primary and metastatic vertebral tumours, potentially leading to permanent loss of spinal functions. The Spanish Society of Neuroradiology (SENR), Spanish Society of Emergency Radiology (SERAU), and Spanish Society of Musculoskeletal Radiology (SERME) have convened to draft this consensus document, which describes practical aspects of the radiological management of malignant spinal cord compression. The document includes guidelines on appropriate indications for imaging studies, imaging modality options, technical specifications tailored to different clinical scenarios, recommended time intervals, and the type of facility where the imaging studies can be performed. Additionally, it provides recommendations on using spinal cord compression and instability scales, as well as structured reports for describing the radiological findings.</div></div>","PeriodicalId":94185,"journal":{"name":"Radiologia","volume":"67 3","pages":"Pages 384-394"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144106176","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}

{"title":"A radiological review of male nipple discharge","authors":"J. Azcona Sáenz ,&nbsp;C.V. Martinez Stocker ,&nbsp;E.N. Arenas Rivera ,&nbsp;S. Marsico ,&nbsp;E. Arizaga Batiz ,&nbsp;R. Alcantara Souza","doi":"10.1016/j.rxeng.2023.11.006","DOIUrl":"10.1016/j.rxeng.2023.11.006","url":null,"abstract":"<div><div><span>Male nipple discharge<span> is uncommon and highly associated with malignancy. However, it can also be due to benign processes. In addition to physical examination, all patients should undergo a </span></span>radiological examination<span> with mammography and/or ultrasound. Furthermore, we propose the use of contrast-enhanced mammography (CEM) in cases of suspicious nipple discharge due to the high negative predictive value of this technique, potentially reducing the number of unnecessary biopsies. The aim of this article is to review the imaging findings of the most common causes of male nipple discharge, both benign and malignant. Additionally, we would like to share our experience with the use of CEM in studying this condition.</span></div></div>","PeriodicalId":94185,"journal":{"name":"Radiologia","volume":"67 3","pages":"Pages 319-330"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141393886","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}

{"title":"Imaging findings for severe traumatic brain injury","authors":"A. Hilario,&nbsp;E. Salvador,&nbsp;Z.H. Chen,&nbsp;A. Cárdenas,&nbsp;J. Romero,&nbsp;A. Ramos","doi":"10.1016/j.rxeng.2024.05.009","DOIUrl":"10.1016/j.rxeng.2024.05.009","url":null,"abstract":"<div><div>Traumatic brain injury (TBI) is the leading cause of morbidity and mortality in young patients. The Marshall classification predicts six-month mortality and divides severe TBI patients into six groups based on CT findings in the acute phase of trauma. MRI also has prognostic value because it detects 30% more traumatic lesions, especially brainstem injury and diffuse axonal injury. Diffuse axonal injury occurs in three different anatomical areas, graded according to severity, and the greater the trauma, the deeper the brain involvement extends. Traumatic brainstem injuries with the worst prognosis are those of posterior location, with bilateral or haemorrhagic involvement. This article analyses the prognostic value of CT and MRI in the assessment of severe TBI and describes the main intracranial traumatic injuries.</div></div>","PeriodicalId":94185,"journal":{"name":"Radiologia","volume":"67 3","pages":"Pages 331-342"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144106170","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}

{"title":"Quantitative diffusion weighted imaging (DWI) improves the diagnostic accuracy of the O-RADS MRI scoring system in indeterminate adnexal lesions","authors":"M. Arraiza ,&nbsp;E. Chacón ,&nbsp;A. Ezponda ,&nbsp;D. Cano ,&nbsp;J.Á. Mínguez ,&nbsp;A. Benito ,&nbsp;J.L. Alcázar","doi":"10.1016/j.rxeng.2024.01.005","DOIUrl":"10.1016/j.rxeng.2024.01.005","url":null,"abstract":"<div><h3>Introduction</h3><div>Despite the overall high accuracy of the O-RADS MRI scoring system for characterization of indeterminate adnexal lesions, a non-negligible percentage of adnexal lesions remains indeterminate. Given this, the main objective of this study was to evaluate the value of adding quantitative diffusion-weighted imaging (DWI) to Ovarian-Adnexal Reporting and Data System (O-RADS) MRI to improve the diagnostic accuracy of the scoring system in a cohort of indeterminate adnexal lesions according to International Ovarian Tumor Analysis Group Simple Rules (IOTA-SR).</div></div><div><h3>Methods and material</h3><div>Seventy-nine women with 81 pelvic lesions classified as indeterminate according to IOTA-SR underwent 3-Tesla MRI with a conventional multiparametric protocol. DWI was quantitatively analyzed. Lesions were surgically removed or followed-up, according to a local protocol. Sensitivity, specificity, positive and negative predictive values and accuracy were determined for conventional multiparametric MRI and quantitative DWI-derived data.</div></div><div><h3>Results</h3><div>Twenty masses in 72 patients (27.8%) were malignant. An apparent diffusion coefficient (ADC) cut-off value of 1.30 × 10^–3 mm²/s had 89% sensitivity and 80% specificity for malignancy. Overall, adding quantitative DWI to O-RADS MRI increased the specificity (98.08%, <em>P</em> &lt; .001), positive predictive value (94.12%, <em>P</em> &lt; .001), and accuracy (93.06%, <em>P</em> = .05). In the specific O-RADS MRI score 4 subgroup, an ADC cut-off value of 1.22 × 10^–3 mm²/s had 86% sensitivity and 67% specificity for distinguishing benign from malignant lesions.</div></div><div><h3>Conclusion</h3><div>In IOTA-SR indeterminate adnexal lesions, quantitative DWI significantly improves the diagnostic performance of conventional multiparametric MRI in all O-RADS MRI score groups.</div></div>","PeriodicalId":94185,"journal":{"name":"Radiologia","volume":"67 3","pages":"Pages 309-318"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144106067","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}