Radiologia最新文献

{"title":"Evaluating the role of radiology in endometriosis in Spain","authors":"A. Villanueva Campos,&nbsp;A. Salgado-Parente,&nbsp;M.C. Sebastiá,&nbsp;M.M. Otero-García","doi":"10.1016/j.rxeng.2026.501748","DOIUrl":"10.1016/j.rxeng.2026.501748","url":null,"abstract":"<div><h3>Introduction</h3><div>Endometriosis is a chronic condition affecting approximately 10% of women of reproductive age and is frequently associated with pelvic pain and infertility. Diagnosis can be delayed by up to a decade, partly due to a lack of awareness of the disease among both patients and healthcare professionals. Magnetic resonance imaging (MRI) is a key tool in the diagnosis and management of endometriosis, but accurate interpretation requires experience and the use of appropriate protocols.</div></div><div><h3>Aim</h3><div>To analyse the current state of training, clinical practice and MRI protocols for endometriosis among radiologists in Spain, in order to identify areas for improvement that could help reduce diagnostic delays and optimise management.</div></div><div><h3>Methods</h3><div>A 23-question digital survey was designed, divided into four sections (self-assessment, clinical practice, training and protocol) and distributed via the mailing list of the Spanish Society of Radiology (SERAM).</div></div><div><h3>Results</h3><div>A descriptive analysis was performed on 160 valid responses. A total of 48.4% of radiologists reported not feeling adequately trained in MRI for endometriosis, and 75% had not received specific training. Over 80% of participants did not have access to multidisciplinary teams at their centre, and 80% did not use structured reporting. Additionally, 24% did not follow a specific MRI protocol for endometriosis, and patient preparation practices varied widely across centres.</div></div><div><h3>Conclusion</h3><div>Insufficient training, lack of standardised protocols and limited participation in multidisciplinary committees may contribute to delayed diagnosis and suboptimal management of endometriosis in Spain. Addressing these issues could improve the diagnostic and therapeutic approach to this complex condition.</div></div>","PeriodicalId":94185,"journal":{"name":"Radiologia","volume":"68 5","pages":"Article 501748"},"PeriodicalIF":0.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148914958","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":"The dehumanisation of radiological practice: A reflection inspired by Ortega y Gasset","authors":"M.L. Liébana Carpio","doi":"10.1016/j.rxeng.2026.501834","DOIUrl":"10.1016/j.rxeng.2026.501834","url":null,"abstract":"","PeriodicalId":94185,"journal":{"name":"Radiologia","volume":"68 5","pages":"Article 501834"},"PeriodicalIF":0.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148915037","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":"European Diploma in Radiology (EDiR) clinical cases","authors":"Editorial Board of Radiology","doi":"10.1016/j.rxeng.2026.501857","DOIUrl":"10.1016/j.rxeng.2026.501857","url":null,"abstract":"","PeriodicalId":94185,"journal":{"name":"Radiologia","volume":"68 5","pages":"Article 501857"},"PeriodicalIF":0.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148914966","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":"Introduction to the \"Forensic Radiology\" series","authors":"J.M. Plasencia-Martínez","doi":"10.1016/j.rxeng.2026.501878","DOIUrl":"10.1016/j.rxeng.2026.501878","url":null,"abstract":"","PeriodicalId":94185,"journal":{"name":"Radiologia","volume":"68 5","pages":"Article 501878"},"PeriodicalIF":0.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148914969","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":"Head and neck radiology in Spain: Results of the Spanish Society of Neuroradiology Survey","authors":"S. Medrano Martorell,&nbsp;Y. Rodríguez Álvarez,&nbsp;A. Pérez Lara,&nbsp;E. Santos Armentia,&nbsp;E. Salvador Álvarez,&nbsp;C. Tortajada Bustelo,&nbsp;B. Brea Álvarez","doi":"10.1016/j.rxeng.2026.501754","DOIUrl":"10.1016/j.rxeng.2026.501754","url":null,"abstract":"<div><h3>Background and objectives</h3><div>Head and neck radiology (HN-Rad) is a subspeciality that is on the rise but not sufficiently consolidated in Spain. The main objective of this work is to assess the current situation of HN-Rad in Spain, focusing on organisational, educational, technical and multidisciplinary aspects.</div></div><div><h3>Materials and methods</h3><div>A structured 28-item questionnaire was designed and distributed through email and social networks between April and December 2023 by the Spanish Society of Neuroradiology (SENR) and the Spanish Society of Radiology (SERAM).</div></div><div><h3>Results</h3><div>A total of 149 valid responses were received. Most of them were obtained from tertiary hospitals (69 %). The age of respondents was over 40 years in more than 60 % of cases. While 79 % of centres had neuroradiology units, only 11 % had a specific head and neck section. A total of 78% used CT as the main imaging modality and 66 % performed MRI. A total of 84 % of respondents participated in multidisciplinary committees. Only 28 % offered specific head and neck radiology rotations for radiology trainees. Composite indices by thematic area were constructed to assess development across each centre.</div></div><div><h3>Conclusions</h3><div>HN-Rad is well established in Spanish tertiary centres, with high adoption of advanced imaging and multidisciplinary collaboration. However, significant gaps remain in training, report standardisation and its consolidation as a subspeciality. The number of responses limits reliable territorial assessment, although regional heterogeneity in the subspeciality’s development likely exists, supporting the need for national harmonisation strategies.</div></div>","PeriodicalId":94185,"journal":{"name":"Radiologia","volume":"68 5","pages":"Article 501754"},"PeriodicalIF":0.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148915012","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":"Spectral computed tomography in thoracic pathology: A technological and clinical update","authors":"R. Sutil Berjón,&nbsp;M.E. Peña Gómez,&nbsp;V. Fernández Lobo,&nbsp;T. Cobo Ruiz","doi":"10.1016/j.rxeng.2026.501701","DOIUrl":"10.1016/j.rxeng.2026.501701","url":null,"abstract":"<div><div>Spectral computed tomography (CT) is an advanced imaging technique known for its ability to decompose and characterise materials. Understanding the underlying physics can aid radiologists in using the technique effectively, interpreting its imaging signs and identifying potential artifacts or limitations. In the field of thoracic radiology, it provides significant contributions to the diagnosis of vascular diseases such as acute and chronic pulmonary thromboembolism, in the follow-up of malignant pulmonary masses treated with percutaneous ablation, and it plays an emerging role in the characterisation of pulmonary tumours. The aims of this article are, firstly, to review the advantages and limitations of spectral imaging, and secondly, to discuss its applications in thoracic radiology.</div></div>","PeriodicalId":94185,"journal":{"name":"Radiologia","volume":"68 5","pages":"Article 501701"},"PeriodicalIF":0.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148915085","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":"Equity in radiology research output: does where you work matter?","authors":"M.L. Nieto Morales","doi":"10.1016/j.rxeng.2026.501854","DOIUrl":"10.1016/j.rxeng.2026.501854","url":null,"abstract":"","PeriodicalId":94185,"journal":{"name":"Radiologia","volume":"68 5","pages":"Article 501854"},"PeriodicalIF":0.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148915001","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":"Involvement of cerebral medullary veins in infants and newborns: Imaging findings","authors":"M. Sánchez Pérez,&nbsp;E. Martín Ramírez,&nbsp;A. Aguado del Hoyo,&nbsp;L. Vara de Andrés,&nbsp;Y. Ruiz Martín","doi":"10.1016/j.rxeng.2026.501708","DOIUrl":"10.1016/j.rxeng.2026.501708","url":null,"abstract":"<div><div>Cerebral medullary veins are involved in a wide range of pathologies affecting the central nervous system during childhood. The aim of this article is to provide an anatomical overview of the cerebral venous system and to review the main conditions affecting the medullary veins in this age group, outlining their pathophysiology and the characteristic imaging findings across different imaging modalities. Vascular causes are the most common, but medullary vein involvement can also be seen in hypoxic-ischaemic encephalopathy, malformative syndromes, and inflammatory or infectious diseases.</div></div>","PeriodicalId":94185,"journal":{"name":"Radiologia","volume":"68 5","pages":"Article 501708"},"PeriodicalIF":0.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148914991","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":"Proximal interruption of the left main pulmonary artery: A rare anomaly","authors":"P. Menor García,&nbsp;I. Jiménez García,&nbsp;J. Hernández Muñoz","doi":"10.1016/j.rxeng.2026.501756","DOIUrl":"10.1016/j.rxeng.2026.501756","url":null,"abstract":"","PeriodicalId":94185,"journal":{"name":"Radiologia","volume":"68 5","pages":"Article 501756"},"PeriodicalIF":0.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148914998","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":"Use of contrast-enhanced mammography for the diagnosis and staging of invasive lobular breast cancer","authors":"A. Mariscal Martínez,&nbsp;H. Peris Alvà,&nbsp;A.P. Salazar Gómez,&nbsp;P. Rodríguez Martínez,&nbsp;A. Catanese,&nbsp;M. Negrini Morux,&nbsp;P. Puyalto de Pablo","doi":"10.1016/j.rxeng.2026.501725","DOIUrl":"10.1016/j.rxeng.2026.501725","url":null,"abstract":"<div><h3>Objective</h3><div>To evaluate the accuracy of contrast-enhanced mammography (CEM) in the diagnosis and local staging of invasive lobular carcinoma (ILC) of the breast.</div></div><div><h3>Materials and methods</h3><div>A single-centre retrospective study was conducted between September 2019 and June 2024, including patients with a histological diagnosis of pure invasive lobular carcinoma (ILC) who underwent primary surgery and contrast-enhanced mammography (CEM) as part of preoperative planning. Tumour characteristics and multifocality were analysed using conventional mammography, CEM and breast magnetic resonance imaging (MRI) when available. Diagnostic accuracy was analysed based on the detection rates of the imaging techniques. Local staging was evaluated by comparing the preoperative tumour size and presence of multifocality with the pathological findings.</div></div><div><h3>Results</h3><div>A total of 16 patients with pure ILC were included. Conventional mammography detected the tumour in only 56.2% of cases (9/16). CEM detected 100% of ILCs, and MRI detected 100% of the cases evaluated (14/14). Accuracy in tumour size assessment among detected cases showed mean tumour sizes of 13.87 mm with conventional mammography, 36.06 mm with CEM, and 38.71 mm with MRI, compared to 35.1 mm on pathological examination. A statistically significant difference was observed between tumour size measurements by conventional mammography and the histological size (<em>P</em> = .0075). No statistically significant differences were found between tumour sizes measured by CEM (<em>P</em> = .85) or MRI (<em>P</em> = .75) and histological size. CEM demonstrated a higher detection rate of multifocality compared to conventional mammography, and a rate similar to that of MRI.</div></div><div><h3>Conclusions</h3><div>CEM is an emerging radiological technique that has shown high accuracy for the diagnosis and staging of ILC of the breast, with a diagnostic performance comparable to that of MRI.</div></div>","PeriodicalId":94185,"journal":{"name":"Radiologia","volume":"68 5","pages":"Article 501725"},"PeriodicalIF":0.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148915034","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}