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Contrast-enhanced mammography and preoperative magnetic seed placement in breast cancer patients for the detection of residual disease following neoadjuvant systemic therapy 乳腺癌患者术前使用对比增强乳腺X光造影术和磁性粒子植入术检测新辅助系统疗法后的残留疾病
Radiologia Pub Date : 2024-09-01 DOI: 10.1016/j.rxeng.2024.04.001
A. Mariscal Martínez , E. Iglesias Bravo , H. Peris Alvà , P. Rodríguez Martínez , M. Luna Tomás , I. Pascual Miguel , P. Puyalto de Pablo
{"title":"Contrast-enhanced mammography and preoperative magnetic seed placement in breast cancer patients for the detection of residual disease following neoadjuvant systemic therapy","authors":"A. Mariscal Martínez ,&nbsp;E. Iglesias Bravo ,&nbsp;H. Peris Alvà ,&nbsp;P. Rodríguez Martínez ,&nbsp;M. Luna Tomás ,&nbsp;I. Pascual Miguel ,&nbsp;P. Puyalto de Pablo","doi":"10.1016/j.rxeng.2024.04.001","DOIUrl":"10.1016/j.rxeng.2024.04.001","url":null,"abstract":"<div><h3>Purpose</h3><div>Assess whether contrast-enhanced mammography (CEM) enables an evaluation of the residual size of breast tumours following neoadjuvant systemic therapy (NAST) in patients initially marked with magnetic seed.</div></div><div><h3>Materials and methods</h3><div>This single-centre prospective study was performed between March 2022 and April 2023 with patients with invasive breast carcinoma and lesional marking with magnetic seed. CEM was performed before and after NAST. The lesion size in CEM after NAST was compared to the pathological examination after surgery. Differences between sizes were evaluated and we determined the diagnostic capability indices.</div></div><div><h3>Results</h3><div>The breast lesions marked with magnetic seed were successfully localised in the preoperative stage for the 42 patients included in the study and selective surgical excision was also achieved in all cases. Tumour diameter after NAST was determined by comparing enhancement on combined CEM images from before and after NAST. The mean diameter was 13.6 mm while post-surgical pathological examination determined the mean diameter to be 12.9 mm. There were therefore no statistically significant differences between the measurements.</div></div><div><h3>Conclusions</h3><div>There is a positive correlation and similarity between CEM and pathological examination with regards to the detection of residual disease after NAST, with high specificity and PPV.</div></div>","PeriodicalId":94185,"journal":{"name":"Radiologia","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142445711","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}
引用次数: 0
Debunking myths in radiology: ending pre-contrast fasting 揭开放射学的神秘面纱：结束造影前禁食
Radiologia Pub Date : 2024-09-01 DOI: 10.1016/j.rxeng.2023.11.008
A. Moreno Pastor , E. Girela Baena
{"title":"Debunking myths in radiology: ending pre-contrast fasting","authors":"A. Moreno Pastor ,&nbsp;E. Girela Baena","doi":"10.1016/j.rxeng.2023.11.008","DOIUrl":"10.1016/j.rxeng.2023.11.008","url":null,"abstract":"<div><div>Radiology departments have traditionally observed fasting protocols for patients undergoing radiological studies with intravenous contrast. However, there is no scientific evidence to support these protocols.</div><div>This practice has potentially harmful consequences, such as interruptions to long-term medication, dehydration, hypoglycaemia, test delays or anxiety, and has no benefits in terms of study interpretation or patient safety.</div><div>Numerous studies now suggest the need to review these protocols, as reflected in the updated policies of our specialty's main societies, such as the ESUR (European Society of Urogenital Radiology) and the ACR (American College of Radiology).</div><div>In this article, we review the available scientific evidence on this topic, and present our centre's experience of eliminating fasting prior to contrast-enhanced imaging studies.</div></div>","PeriodicalId":94185,"journal":{"name":"Radiologia","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142445715","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}
引用次数: 0
European Diploma in Radiology (EDiR) clinical cases 欧洲放射学文凭（EDiR）临床病例
Radiologia Pub Date : 2024-09-01 DOI: 10.1016/j.rxeng.2024.03.006
Editorial Board of Radiology
{"title":"European Diploma in Radiology (EDiR) clinical cases","authors":"Editorial Board of Radiology","doi":"10.1016/j.rxeng.2024.03.006","DOIUrl":"10.1016/j.rxeng.2024.03.006","url":null,"abstract":"","PeriodicalId":94185,"journal":{"name":"Radiologia","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142445720","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}
引用次数: 0
Coaching in a Radiology department 放射科教练
Radiologia Pub Date : 2024-07-01 DOI: 10.1016/j.rxeng.2023.01.014
A. García Bolado , D. Castanedo Vázquez
{"title":"Coaching in a Radiology department","authors":"A. García Bolado ,&nbsp;D. Castanedo Vázquez","doi":"10.1016/j.rxeng.2023.01.014","DOIUrl":"10.1016/j.rxeng.2023.01.014","url":null,"abstract":"<div><p>Coaching is an effective tool that seeks personal reflection as a way for people to find their own solutions. In this article we show our results when applying it in our Radiology Service. The article includes a bibliographic review on its potential applications in Medicine and in Radiology. We specifically reviewed the fields of improving self-care and preventing burnout as well as the teaching field, both for residents in training and for certified radiologists.</p></div>","PeriodicalId":94185,"journal":{"name":"Radiologia","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141847799","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}
引用次数: 0
Persistent left superior vena cava: clinical and radiological significance 持续存在的左上腔静脉：临床和放射学意义
Radiologia Pub Date : 2024-07-01 DOI: 10.1016/j.rxeng.2023.11.007
T. Cobo Ruiz, M.E. Peña Gómez
{"title":"Persistent left superior vena cava: clinical and radiological significance","authors":"T. Cobo Ruiz,&nbsp;M.E. Peña Gómez","doi":"10.1016/j.rxeng.2023.11.007","DOIUrl":"10.1016/j.rxeng.2023.11.007","url":null,"abstract":"","PeriodicalId":94185,"journal":{"name":"Radiologia","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141842724","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}
引用次数: 0
To our reviewers 致我们的评论员
Radiologia Pub Date : 2024-07-01 DOI: 10.1016/j.rxeng.2024.05.001
C. García-Villar
{"title":"To our reviewers","authors":"C. García-Villar","doi":"10.1016/j.rxeng.2024.05.001","DOIUrl":"10.1016/j.rxeng.2024.05.001","url":null,"abstract":"","PeriodicalId":94185,"journal":{"name":"Radiologia","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141847313","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}
引用次数: 0
The importance of MDCT in the evaluation of risk factors before the TAVI procedure and its complications after implantation MDCT 在评估 TAVI 术前风险因素和植入术后并发症方面的重要性
Radiologia Pub Date : 2024-07-01 DOI: 10.1016/j.rxeng.2023.05.010
A. Aranaz Murillo , M.C. Ferrer Gracia , I. Dieste Grañena , M.E. Guillén Subirán
{"title":"The importance of MDCT in the evaluation of risk factors before the TAVI procedure and its complications after implantation","authors":"A. Aranaz Murillo ,&nbsp;M.C. Ferrer Gracia ,&nbsp;I. Dieste Grañena ,&nbsp;M.E. Guillén Subirán","doi":"10.1016/j.rxeng.2023.05.010","DOIUrl":"10.1016/j.rxeng.2023.05.010","url":null,"abstract":"<div><p>Transcatheter aortic valve implantation (TAVI) is the alternative to surgical valve replacement, expanding its indications in the latest guidelines. Multimodal CT (MDCT) is essential in patient selection and detection of complications. Vascular complications are frequent, so it is important to analyse the anatomy of the vessels before the procedure. Regarding annular ruptures and ventricular perforations, the volume and distribution of calcium and the ventricular diameter play an important role. Finally, valve migration is a rare complication that can occur both during and after TAVI. Proper planning of the MDCT procedure reduces the risk of complications and gives the interventional cardiologist security both before and during the procedure.</p></div>","PeriodicalId":94185,"journal":{"name":"Radiologia","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141840582","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}
引用次数: 0
Papillary endothelial hyperplasia (Masson’s tumor) of the breast: A diagnostic challenge 乳腺乳头状内皮增生症（马森氏瘤）：诊断难题
Radiologia Pub Date : 2024-07-01 DOI: 10.1016/j.rxeng.2023.03.007
G.M. Oliveros Cartagena , A. Aranaz Murillo , S. Cruz Ciria , C. García Mur
{"title":"Papillary endothelial hyperplasia (Masson’s tumor) of the breast: A diagnostic challenge","authors":"G.M. Oliveros Cartagena ,&nbsp;A. Aranaz Murillo ,&nbsp;S. Cruz Ciria ,&nbsp;C. García Mur","doi":"10.1016/j.rxeng.2023.03.007","DOIUrl":"10.1016/j.rxeng.2023.03.007","url":null,"abstract":"<div><p><span>Papillary endothelial hyperplasia (PEH) or Masson's tumor is a rare benign </span>vascular tumor<span> that usually appears in the soft tissues of the head and neck, trunk and extremities, being extremely rare in the breast. Its diagnosis can be a challenge, especially in the follow-up of patients with previous disease of breast carcinoma. We present the case of a 65-year-old patient, with a history of bilateral breast cancer and reconstruction with implants, who presented a Masson's tumor during follow-up. An ultrasound scan was performed, showing a well-circumscribed mass in the left breast, located in the posterior contour of the implant. Subsequently, magnetic resonance imaging (MR) depicted an enhancing tumor, without infiltration of adjacent structures. Finally, the definitive anatomopathological diagnosis was obtained after surgical excision.</span></p></div>","PeriodicalId":94185,"journal":{"name":"Radiologia","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141848159","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}
引用次数: 0
European Diploma in Radiology (EDiR) clinical cases 欧洲放射学文凭（EDiR）临床病例
Radiologia Pub Date : 2024-07-01 DOI: 10.1016/j.rxeng.2024.03.005
Editorial Board of Radiology
{"title":"European Diploma in Radiology (EDiR) clinical cases","authors":"Editorial Board of Radiology","doi":"10.1016/j.rxeng.2024.03.005","DOIUrl":"10.1016/j.rxeng.2024.03.005","url":null,"abstract":"","PeriodicalId":94185,"journal":{"name":"Radiologia","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141950255","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}
引用次数: 0
Imaging findings of the postoperative chest: What the radiologist should know 术后胸部成像结果：放射医师须知
Radiologia Pub Date : 2024-07-01 DOI: 10.1016/j.rxeng.2023.05.009
S. Ventura-Díaz, A. González-Huete, M.A. Gómez-Bermejo, E. Antolinos-Macho, J. Alarcón-Rodríguez, L. Gorospe-Sarasúa
{"title":"Imaging findings of the postoperative chest: What the radiologist should know","authors":"S. Ventura-Díaz,&nbsp;A. González-Huete,&nbsp;M.A. Gómez-Bermejo,&nbsp;E. Antolinos-Macho,&nbsp;J. Alarcón-Rodríguez,&nbsp;L. Gorospe-Sarasúa","doi":"10.1016/j.rxeng.2023.05.009","DOIUrl":"10.1016/j.rxeng.2023.05.009","url":null,"abstract":"<div><p><span><span>Thoracic surgical procedures are increasing in recent years, and there are different types of </span>lung resections<span>. Postsurgical complications<span> vary depending on the type of resection and the time elapsed, with imaging techniques being key in the postoperative follow-up. Multidisciplinary management of these patients throughout the </span></span></span>perioperative period is essential to ensure an optimal surgical outcome. This pictorial review will review the different thoracic surgical techniques, normal postoperative findings and postsurgical complications.</p></div>","PeriodicalId":94185,"journal":{"name":"Radiologia","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141852854","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}
引用次数: 0
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