Radiologia最新文献

{"title":"Bone fracture after minor trauma in Pyle’s disease: A rare case in an adult","authors":"A. Berasategui Criado ,&nbsp;A. Aranaz Murillo ,&nbsp;R.M. Landeras Alvaro ,&nbsp;M.E. Peña Gómez","doi":"10.1016/j.rxeng.2023.08.005","DOIUrl":"10.1016/j.rxeng.2023.08.005","url":null,"abstract":"<div><div>Pyle's disease (PD) is a rare autosomal recessive metaphyseal dysplasia with approximately 30 reported cases and has recently gained interest due to its association with specific genes. While most cases are diagnosed in childhood and are asymptomatic, we present the case of a 39-year-old woman who presented to the Emergency Department with left knee pain, patellar fracture, and “Erlenmeyer flask” deformity. Retrospective review of imaging studies and medical history revealed the symmetric and systemic nature of the skeletal disorder, confirming the diagnosis of PD. Familiarity with this disease is crucial for optimal patient management, and the radiologist plays a crucial role in its diagnosis.</div></div>","PeriodicalId":94185,"journal":{"name":"Radiologia","volume":"66 6","pages":"Pages 588-591"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142824945","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":"Interval carcinomas in a breast cancer screening program (2007–2018): Characteristics and prognosis","authors":"P. Alonso Bartolomé ,&nbsp;P. Merino Rasillo ,&nbsp;S. Sánchez Gómez ,&nbsp;E. Herrera Romero ,&nbsp;E. Ortega García ,&nbsp;M. Sánchez Movellán ,&nbsp;P. Muñoz Cacho ,&nbsp;A. Vega Bolívar","doi":"10.1016/j.rxeng.2023.03.009","DOIUrl":"10.1016/j.rxeng.2023.03.009","url":null,"abstract":"<div><h3>Background and aims</h3><div>To analyze the radiologic and histologic characteristics of screening and interval cancers diagnosed in the period comprising 2007 through 2018 in a total of six rounds of a population-based breast cancer screening program.</div></div><div><h3>Material and methods</h3><div>We analyzed 1395 carcinomas detected at screening and 300 interval carcinomas diagnosed in women aged 50–69 years old who underwent digital mammography every two years during the study period. Screening mammograms were read once.</div><div>To classify the interval carcinomas, we retrospectively reviewed (blind reading followed by unblinded reading) at the end of each round, recording the radiologic findings, breast density, histologic characteristics, phenotype, and surgical treatment.</div></div><div><h3>Results</h3><div>The interval carcinomas were classified as true interval cancers in 156 (52%) cases, false-negatives in 62 (20.5%), minimal signs in 39 (13%), occult lesions in 29 (9.5%), and impossible to classify in 14 (5%).</div><div>Retrospectively, the most common radiologic findings in the false-negative cases were mass/asymmetry (64%), calcifications (16%), and distortion (13%); the most common radiologic findings in the cases with minimal signs were mass/asymmetry (58%) and calcifications (31%).</div><div>There were significant differences in the histologic characteristics between cancers detected at screening and interval cancers: T1a-b [9% of the interval cancers vs. 34% of those detected at screening, <em>P</em> &lt; .001]; T1c [30% of the interval cancers vs. 44% of those detected at screening <em>P</em> &lt; .001], T2 or greater [61% of the interval cancers vs. 22% of those detected at screening <em>P</em> &lt; .001], and the degree of axillary involvement [45% of the interval cancers vs. 27% of those detected at screening, <em>P</em> &lt; .001].</div><div>There were also significant differences between cancers detected at screening and interval cancers in the proportion of cases with more aggressive subtypes (HER2+ and triple-negative): [38.5% of the interval cancers vs. 23% of those detected at screening, <em>P</em> &lt; .001].</div><div>A significantly higher proportion of interval cancers were treated with mastectomies [80% vs. 67% of those detected at screening, <em>P</em> &lt; .001].</div></div><div><h3>Conclusions</h3><div>About 20% of interval cancers were evident on screening mammograms. The most common radiologic finding in interval cancers was asymmetry/mass. Interval cancers are diagnosed at a more advanced stage than cancers identified at screening, so they sre more often treated by mastectomy. Reviewing interval cancers is essential for quality control in screening programs.</div></div>","PeriodicalId":94185,"journal":{"name":"Radiologia","volume":"66 6","pages":"Pages 513-525"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142824949","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":"Complications of acute rhinossinusitis. A clinical radiological review","authors":"P. Carvalho dos Santos ,&nbsp;P. Costa ,&nbsp;I. Carvalho ,&nbsp;C. Sousa","doi":"10.1016/j.rxeng.2022.03.006","DOIUrl":"10.1016/j.rxeng.2022.03.006","url":null,"abstract":"<div><div>Acute rhinossinusitis is defined as a symptomatic inflammation of the nasal fossa and paranasal sinuses. The diagnosis of this disease is clinical and usually does not require imaging evaluation. However, when there is a suspicion of a complication or even for surgical planning, imaging is of primordial importance.</div><div>The aim of this paper is to provide a concise pictorial review with clinical and imagiological correlation of the most common complications in acute rhinossinusitis to provide relevant clinical data and highlight the most important imaging findings.</div></div>","PeriodicalId":94185,"journal":{"name":"Radiologia","volume":"66 6","pages":"Pages 577-587"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142824946","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":"Efficacy and safety of uterine artery embolization in the management of postpartum hemorrhage","authors":"R.A. Amat Pérez ,&nbsp;J. Gómez Valdés ,&nbsp;E. Lonjedo Vicent ,&nbsp;M. Sarrió Llavata ,&nbsp;J.V. Quirante Cascales ,&nbsp;A. Ruiz Guanter","doi":"10.1016/j.rxeng.2023.01.016","DOIUrl":"10.1016/j.rxeng.2023.01.016","url":null,"abstract":"<div><h3>Objective</h3><div>To demonstrate the safety and efficacy of endovascular treatment in postpartum hemorrhage (PPH).</div></div><div><h3>Material and methods</h3><div>We conducted a retrospective observational study with a sample from our Interventional Vascular Radiology unit, from 2004 to 2020. Patients who developed postpartum hemorrhage treated by arterial embolization were selected. Inclusion criteria were established to standardize the study group. Variables for the study of the efficacy and safety of the technique are defined.</div></div><div><h3>Results</h3><div>The final sample of the study was 56 patients. Technical success turned was 100%, while clinical success after endovascular treatment was 92.85%, with a hysterectomy rate due to failed arterial embolization of 7.14%, with uterine rupture observed in 3 cases as a cause of PPH and another case was a placenta accreta. No technique-related mortality was recorded. The rate of periprocedural complications was 3.56%, the same as that of late complications. No major or infectious complications were recorded. The pregnancy rate after embolization was 23.52%.</div></div><div><h3>Conclusions</h3><div>Selective arterial embolization of the uterine artery in PPH is a safe and effective procedure, being a therapeutic alternative in the face of failure of pharmacological and obstetric management, with preservation of fertility.</div></div>","PeriodicalId":94185,"journal":{"name":"Radiologia","volume":"66 6","pages":"Pages 501-512"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142824947","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":"Lung adenocarcinoma: characteristic radiological presentations","authors":"A. Robles Gómez ,&nbsp;J. Oliva Lozano ,&nbsp;P. Rodríguez Fernández ,&nbsp;E. Ruiz González ,&nbsp;A. Tilve Gómez ,&nbsp;J. Arenas-Jiménez","doi":"10.1016/j.rxeng.2024.11.003","DOIUrl":"10.1016/j.rxeng.2024.11.003","url":null,"abstract":"<div><div>Radiology, mainly computed tomography, has a fundamental role in diagnosis, staging and follow-up of lung adenocarcinoma, the most common type of pulmonary cancer.</div><div>Within its broad spectrum of presentation, the pathological, clinical and morphological characteristics of this neoplasm allow, in an appropriate clinical context, to suggest certain histological subtypes among which are mucinous adenocarcinoma, lepidic growth adenocarcinoma or associated with cystic lung lesions.</div><div>The objective of this review is to describe the pathologic, clinical and radiological features of those characteristic forms of lung carcinoma that can be diagnosed radiologically with fair accuracy.</div></div>","PeriodicalId":94185,"journal":{"name":"Radiologia","volume":"66 6","pages":"Pages 542-554"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142824950","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 in multidisciplinary teams in Spain: reality of care, effort invested and necessary improvement measures","authors":"L. Concepción Aramendía,&nbsp;M. Otero García,&nbsp;J.C. Albillos Merino,&nbsp;M.J. Díaz Candamio,&nbsp;M. Navallas Irujo,&nbsp;D. Domínguez Pinos,&nbsp;E. Alvarez-Hornia Pérez,&nbsp;M. Rovira Cañellas,&nbsp;E. Inarejos Clemente,&nbsp;A. Arjonilla López,&nbsp;M.L. Parra Gordo","doi":"10.1016/j.rxeng.2024.09.001","DOIUrl":"10.1016/j.rxeng.2024.09.001","url":null,"abstract":"","PeriodicalId":94185,"journal":{"name":"Radiologia","volume":"66 6","pages":"Pages 499-500"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142824952","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":"Multidisciplinary boards: Survey on the current situation and needs of Spanish radiologists","authors":"A. Viteri Jusué ,&nbsp;P. Puyalto de Pablo ,&nbsp;L. Concepción Aramendía ,&nbsp;C. García Villar","doi":"10.1016/j.rxeng.2024.04.003","DOIUrl":"10.1016/j.rxeng.2024.04.003","url":null,"abstract":"<div><h3>Introduction and objectives</h3><div>The increasing participation of radiologists in multidisciplinary boards brings about advantages, challenges and specific needs. The aim of this paper is to identify the boards in which radiologists participate and to detect the needs, problems and opportunities that these boards pose for our specialty.</div></div><div><h3>Methods and materials</h3><div>The Spanish Society of Medical Radiology (SERAM) conducted an ad-hoc survey that was distributed among members and through social networks. The results were analysed with Stata® v14.2 (StataCorp, Texas, USA).</div></div><div><h3>Results</h3><div>Between 15 November 2022 and 24 December 2022, we received 743 anonymous responses with 93.7% coming from SERAM members (642 radiologists and 101 radiology trainees). Among the specialists, 82.7% regularly participate in one or more boards (92.5% oncology/50.7% non-oncology/43.3% both), which implies two or more meetings per week for 41.6% of the respondents.</div><div>Both radiologists who regularly participate in boards and those who do not, are very positive about this aspect of professional activity and agree on its benefits. However, the specialists who do participate, lack enough allocated time and information to prepare cases prior to the meeting. Although attendance is often recorded (69.7%), it is generally not included in the work plan (20.5% of physicians and 30.8% of middle managers, <em>p</em> = 0.028).</div><div>Regarding operational functioning, according to 46.9% of respondents there is no record of imaging tests reviewed, and the handling of discrepancies within radiology departments is poor (written recommendations and review sessions are only available to 14.3% and 7.7% of respondents respectively).</div></div><div><h3>Conclusions</h3><div>The radiologists surveyed report the high impact of multidisciplinary committees on their workload and clinical decisions. They mention a number of problems, some of which are specific to radiology, which can undermine efficiency and safety. These include work organisation, lack of time and problems of accessibility and the recording of imaging tests and other medical record data.</div></div>","PeriodicalId":94185,"journal":{"name":"Radiologia","volume":"66 6","pages":"Pages 526-541"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142824951","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 abdominal and pelvic pathologies. A practical guide","authors":"E. Canales Lachén ,&nbsp;A. Villanueva Campos ,&nbsp;R. García Latorre ,&nbsp;S. Sigüenza González ,&nbsp;N. Almeida Arostegui","doi":"10.1016/j.rxeng.2024.11.002","DOIUrl":"10.1016/j.rxeng.2024.11.002","url":null,"abstract":"<div><div>Spectral computed tomography has represented a major breakthrough in radiology thanks to its multiple applications and potential to provide more information than conventional CT techniques. It is very useful for diagnosing and describing findings as well as the management of patients, thus avoiding further imaging or invasive procedures.</div><div>The aim of this article is to explain basic concepts of spectral CT and highlight key practical features in a range of abdominal and pelvic pathologies, along with a brief description of different post-processing maps and their clinical applications including incidental, oncological and urgent findings.</div></div>","PeriodicalId":94185,"journal":{"name":"Radiologia","volume":"66 6","pages":"Pages 564-576"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142824953","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":"Sprengel’s deformity: Two illustrative cases in paediatric patients","authors":"M. Sánchez Martínez,&nbsp;R.M. Sánchez Jiménez","doi":"10.1016/j.rxeng.2024.01.003","DOIUrl":"10.1016/j.rxeng.2024.01.003","url":null,"abstract":"","PeriodicalId":94185,"journal":{"name":"Radiologia","volume":"66 6","pages":"Pages 592-594"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142824954","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":"Atypical presentations of primary lymphoproliferative processes in the central nervous system","authors":"E. Salvador Álvarez,&nbsp;A. Hilario Barrio,&nbsp;Z.H. Chen Zhou,&nbsp;A. Cárdenas del Carré,&nbsp;C. Lechuga Vázquez,&nbsp;A. Ramos González","doi":"10.1016/j.rxeng.2024.05.003","DOIUrl":"10.1016/j.rxeng.2024.05.003","url":null,"abstract":"<div><div>Central nervous system (CNS) involvement by lymphoproliferative disorders is rare and associated with a poor prognosis. CNS involvement can be exclusive, primary or appear in a secondary manner as part of a systemic process. The spectrum of involvement that we encounter is varied and neuroimaging plays a key role in diagnosis. This article reviews less commonly presented patterns of primary involvement of CNS lymphoproliferative processes such as lymphomatosis cerebri, intravascular lymphoma or dural lymphoma. We will also review other atypical lymphoproliferative processes associated with Epstein-Barr virus (EBV) infection, such as lymphomatoid granulomatosis (LG) or post-transplant lymphoproliferative disorders (PTLD). An awareness of these patterns of presentation and less frequent entities will allow us to make earlier diagnoses and establish treatments that will lead to better prognoses for patients.</div></div>","PeriodicalId":94185,"journal":{"name":"Radiologia","volume":"66 6","pages":"Pages 555-563"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142824944","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}