Radiologia最新文献

{"title":"Magnetic resonance imaging of the fingers: Anatomical assessment and evaluation of traumatic pathology","authors":"R. Oca Pernas ,&nbsp;N. Hormaza Aguirre ,&nbsp;A. Capelastegui Alber ,&nbsp;F.J. García Bernal ,&nbsp;A. Dehesa García ,&nbsp;F. Livrone","doi":"10.1016/j.rxeng.2026.101655","DOIUrl":"10.1016/j.rxeng.2026.101655","url":null,"abstract":"<div><div>MRI is useful in the evaluation of traumatic soft tissue injuries of the fingers due to its high spatial and contrast resolution, as well as its ability to provide multiplanar imaging that adapts the field of view to the region under study.</div><div>Advanced MRI allows precise identification of the small anatomical structures of the fingers and reliable injury diagnoses.</div><div>This article reviews the anatomy of the fingers, highlighting the unique features of the thumb. It discusses the most common traumatic soft tissue pathologies, and correlates them with clinical findings.</div><div>This article is intended to aid the planning of optimal MRI evaluation of traumatic pathologies, describe the imaging features of these injuries through representative cases, and discuss the implications that MRI findings may have on patient management and treatment.</div></div>","PeriodicalId":94185,"journal":{"name":"Radiologia","volume":"68 3","pages":"Article 101655"},"PeriodicalIF":0.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147936865","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 following radiofrequency ablation of the pulmonary veins. A radiologist’s guide","authors":"A. Michael Fernández,&nbsp;M.A. Fernández Méndez,&nbsp;A. Arribas Marcos,&nbsp;J. Martín Pinacho,&nbsp;P. Torres Rubio,&nbsp;J. Alarcón Rodríguez","doi":"10.1016/j.rxeng.2026.501698","DOIUrl":"10.1016/j.rxeng.2026.501698","url":null,"abstract":"<div><div>Radiofrequency ablation (RFA) of the pulmonary veins is a common procedure used to treat persistent atrial fibrillation. Although it is generally safe and effective, it can be associated with complications of varying nature and severity. These include vascular access-related issues such as puncture site haematomas, complications involving the pulmonary veins themselves such as stenosis or thrombosis, and injuries to adjacent organs, including the development of atrio-oesophageal fistula, among others. Multidetector computed tomography (MDCT) is the technique of choice to assess these complications, as well as for identifying key anatomical features that should be considered during pre-procedural planning.</div></div>","PeriodicalId":94185,"journal":{"name":"Radiologia","volume":"68 3","pages":"Article 501698"},"PeriodicalIF":0.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147936704","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":"Computed tomography-based sarcopenia and pancreatic cancer: Prognostic value and variability based on different methods and thresholds","authors":"A. Gámez Martínez ,&nbsp;F. Valverde López ,&nbsp;M.J. Moreno Martínez ,&nbsp;D. López Cornejo ,&nbsp;D. Luengo Gómez ,&nbsp;J.M. Benítez ,&nbsp;A.J. Láinez Ramos-Bossini","doi":"10.1016/j.rxeng.2026.501723","DOIUrl":"10.1016/j.rxeng.2026.501723","url":null,"abstract":"<div><h3>Objective</h3><div>To evaluate the prognostic value of Computed Tomography (CT)-determined sarcopenia on overall survival in patients with pancreatic cancer, and to assess the variability in outcomes according to different criteria described in the literature.</div></div><div><h3>Materials and methods</h3><div>This was a retrospective observational study including patients with histologically confirmed pancreatic adenocarcinoma treated at our institution. Two automatic artificial intelligence (Comp2Comp and TotalSegmentator) segmentation methods were applied to extract various body composition parameter values. Sarcopenia was defined according to the criteria proposed by Prado et al. (2008) (&lt;52.4 cm²/m² in men and &lt;38.5 cm²/m² in women), as well as using additional thresholds described in previous studies. Descriptive analyses (univariate and bivariate) and survival analyses were performed using Kaplan–Meier curves, Log-Rank tests, and univariate and multivariate Cox regression models.</div></div><div><h3>Results</h3><div>A total of 71 patients were included (39.4% female; mean age: 64.1 years), with a median overall survival of 10 months. The prevalence of sarcopenia according to Prado et al. was 59.2%, ranging from 5.6% to 70.4% depending on the alternative methods described in the literature. Sarcopenia defined by Prado et al. was associated with reduced overall survival (crude Hazard Ratio [cHR]: 2.03; 95% CI: 1.19–3.45). However, substantial variability was observed when using other criteria, with cHR values ranging from non-significant to as high as 6.05 (95% CI: 2.04–17.96).</div></div><div><h3>Conclusions</h3><div>CT-determined sarcopenia is a prognostic factor for overall survival in patients with pancreatic cancer. However, there is a need to harmonise and standardise the methods and thresholds used for its assessment.</div></div>","PeriodicalId":94185,"journal":{"name":"Radiologia","volume":"68 3","pages":"Article 501723"},"PeriodicalIF":0.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147936790","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":"Hamman–Rich syndrome: Presentation of a typical case","authors":"J. García López ,&nbsp;S. Gómez-Pena ,&nbsp;A. García Egido","doi":"10.1016/j.rxeng.2026.501702","DOIUrl":"10.1016/j.rxeng.2026.501702","url":null,"abstract":"","PeriodicalId":94185,"journal":{"name":"Radiologia","volume":"68 3","pages":"Article 501702"},"PeriodicalIF":0.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147936873","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 after cryoablation of breast cancer","authors":"L. Graña-López ,&nbsp;L. Abelairas-López ,&nbsp;N. Correa-Lugilde ,&nbsp;I. Fernández-Sobredo ,&nbsp;L. López-Rodríguez ,&nbsp;A. Villares-Armas ,&nbsp;M. Vázquez-Caruncho","doi":"10.1016/j.rxeng.2026.501688","DOIUrl":"10.1016/j.rxeng.2026.501688","url":null,"abstract":"<div><h3>Introduction</h3><div>Cryoablation has emerged as an alternative treatment for early-stage, low-risk breast cancer, particularly in patients who are not suitable candidates for surgery.</div></div><div><h3>Objective</h3><div>The aim of this article is to describe mammography, ultrasound, and contrast-enhanced mammography findings after successful percutaneous cryoablation (PCA) and describe signs of residual tumour or recurrence. In addition, we use our experience to propose a follow-up protocol for breast cancer patients treated with cryoablation.</div></div><div><h3>Material and methods</h3><div>We retrospectively reviewed all cases of biopsy-proven early-diagnosed breast cancer in non-surgical patients in our institution between May 2019 and December 2024. We included those cases that were treated with PCA alone, with no known distant metastases and which had at least one available follow-up image study. The following radiological studies were carried out every six months: mammography and ultrasound until November 2023 and contrast-enhanced mammography thereafter. Benign and suspicious imaging findings were assessed.</div></div><div><h3>Results</h3><div>From May 2019 to December 2024, 85 malignant breast tumours were treated with PCA in our institution. Of these, 63 cases met the inclusion criteria. Mammographic studies after PCA revealed findings consistent with fat necrosis which persisted or reduced in size during follow-up. Contrast administration helped exclude malignancy, especially in cases in which the findings did not change over time in conventional imaging or in those which were high in density or had spiculated margins. The appearance of a dense mass or mass-like enhancement at the periphery of the treated area suggested malignancy.</div></div><div><h3>Conclusion</h3><div>Contrast-enhanced mammography is preferred for follow-up after PCA. Post-ablation findings—both on functional and conventional imaging techniques—are variable and it is important for radiologists to be familiar with them. We recommend performing a functional imaging study every six months for at least two years, followed by annual evaluations.</div></div>","PeriodicalId":94185,"journal":{"name":"Radiologia","volume":"68 3","pages":"Article 501688"},"PeriodicalIF":0.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147936942","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":"Diagnostic potential of contrast-enhanced ultrasound in scrotal pathology","authors":"A. Castillo-Fortuño,&nbsp;D. Corominas,&nbsp;D. Vas,&nbsp;L. Buñesch,&nbsp;C. Nicolau","doi":"10.1016/j.rxeng.2026.501687","DOIUrl":"10.1016/j.rxeng.2026.501687","url":null,"abstract":"<div><div>Contrast-enhanced ultrasound (CEUS) is an advanced technique that stands out for its ability to assess macrovascularisation and organ and tumour perfusion in situations where Doppler mode has limitations, such as small lesions, slow flow, or artifacts. These features make it a highly valuable tool for the accurate diagnosis of scrotal pathologies, especially in cases where determining the need for surgical intervention is critical. Additionally, CEUS is a safe and well-tolerated technique, applicable to virtually all patients, including the paediatric population. Its applications include managing testicular torsion, trauma, segmental infarctions, and focal lesions, as well as characterising tumours and evaluating complications such as abscesses and haematomas. This review aims to provide a guide on the use of CEUS in scrotal pathology, highlighting its clinical indications and advantages over conventional ultrasound.</div></div>","PeriodicalId":94185,"journal":{"name":"Radiologia","volume":"68 3","pages":"Article 501687"},"PeriodicalIF":0.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147936842","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":"Applying the BI-RADS® lexicon to contrast-enhanced mammography: Establishing a framework for report standardisation","authors":"R. Alcantara ,&nbsp;J. Azcona ,&nbsp;E. Vall ,&nbsp;E. Vila-Trias ,&nbsp;E.N. Arenas","doi":"10.1016/j.rxeng.2026.101641","DOIUrl":"10.1016/j.rxeng.2026.101641","url":null,"abstract":"<div><div>Contrast-enhanced mammography (CEM) is an advanced breast radiology technique, comparable to magnetic resonance imaging (MRI). In 2022, the American College of Radiology (ACR) published a supplement on the BI-RADS® lexicon for mammography that included specifications for CEM, given its increasing popularity. The aim was to promote consistency in reporting and to encourage future research. However, an official Spanish version does not yet exist. This article reviews and applies a Spanish version of the lexicon, establishing an initial framework for the standardisation of interpreting and report writing for this modality. Future revisions of the lexicon are expected to be based on further experience and research. It should be used systematically to ensure clarity and accuracy in diagnostic reports and assessments.</div></div>","PeriodicalId":94185,"journal":{"name":"Radiologia","volume":"68 3","pages":"Article 101641"},"PeriodicalIF":0.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147936694","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":"Articles recommended by Radiology trainees for Radiology trainees","authors":"V. Moratalla Sasu ,&nbsp;G. Santabrígida Oreja ,&nbsp;A. Rueda de Eusebio ,&nbsp;P. Menor García","doi":"10.1016/j.rxeng.2026.501830","DOIUrl":"10.1016/j.rxeng.2026.501830","url":null,"abstract":"","PeriodicalId":94185,"journal":{"name":"Radiologia","volume":"68 3","pages":"Article 501830"},"PeriodicalIF":0.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147936742","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.2025.501772","DOIUrl":"10.1016/j.rxeng.2025.501772","url":null,"abstract":"","PeriodicalId":94185,"journal":{"name":"Radiologia","volume":"68 3","pages":"Article 501772"},"PeriodicalIF":0.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147936765","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":"Corona mortis: The leading pelvic vascular variant","authors":"R. Alonso-González ,&nbsp;M.A. Udaondo Cascante ,&nbsp;J. Velasco Gómez ,&nbsp;M. Parra Calleja ,&nbsp;J.M. del Monte Diez ,&nbsp;M. Gallego-Verdejo ,&nbsp;I. Sánchez Lite","doi":"10.1016/j.rxeng.2025.501686","DOIUrl":"10.1016/j.rxeng.2025.501686","url":null,"abstract":"<div><div>Corona mortis is a common vascular variant in the pelvis with significant clinical importance. While there is no standardised definition, the term generally refers to any anatomical situation where a vessel—either arterial or venous—crosses over the superior pubic ramus and is thus susceptible to injury. This anatomical course places it at high risk of injury in numerous clinical scenarios, including pelvic trauma and various surgical procedures. The aim of this article is to review the anatomy of arterial corona mortis using computed tomography angiography (CTA) and digital subtraction angiography and to use examples to illustrate the considerable clinical significance of this vascular variant. With its high prevalence and relevance, arterial corona stands out as the leading pelvic vascular variant. Radiologists should be familiar with its anatomy and high haemorrhagic risk, explicitly including it in radiological reports when the clinical situation means it could be of significance.</div></div>","PeriodicalId":94185,"journal":{"name":"Radiologia","volume":"68 3","pages":"Article 501686"},"PeriodicalIF":0.0,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147936844","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}