RadiologiaPub Date : 2024-09-01DOI: 10.1016/j.rxeng.2023.06.010
E. Murias Quintana , S.M. Costilla García , J.J. Curbelo García , J. Calvo Blanco , J. Vega Villar , J. Baladrón Romero
{"title":"Analysis and technical aspects of image-related questions in the exam for Medical Internal Residence in Spain, 2022","authors":"E. Murias Quintana , S.M. Costilla García , J.J. Curbelo García , J. Calvo Blanco , J. Vega Villar , J. Baladrón Romero","doi":"10.1016/j.rxeng.2023.06.010","DOIUrl":"10.1016/j.rxeng.2023.06.010","url":null,"abstract":"<div><div>The examination for the Medical Intern Resident (MIR) is a multiple-choice test aimed at ranking candidates for specialized medical training positions in Spain. The objective of this study is to provide an objective analysis of this test in its 2022 edition as an evaluative tool for discrimination, with a particular focus on the field of radiology and nuclear medicine. The clinical cases associated with radiology images or nuclear medicine pose greater difficulty compared to the rest of the MIR exam questions. Out of the 14 questions related to radiological or nuclear medicine images, six of them exhibit high difficulty, and only 5 out of the 14 questions demonstrate good or excellent discriminatory capacity. While the MIR exam proves to be an excellent discriminatory tool in psychometric terms, the image-related questions show a significant potential for improvement. In order for the image-associated question to exhibit appropriate discrimination, it is essential to minimize irrelevant information, ensure that it complements the clinical information provided in the text without contradicting it, represent the characteristic imaging finding of the disease, utilize the appropriate imaging modality, maintain a moderate difficulty level for the questions, and ensure that the distractors are clearly false.</div></div>","PeriodicalId":94185,"journal":{"name":"Radiologia","volume":"66 5","pages":"Pages 489-496"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142445719","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}
RadiologiaPub Date : 2024-09-01DOI: 10.1016/j.rxeng.2023.11.010
S. Durán Lojo , J. Martel Villagrán
{"title":"Calcific tendinitis of the longus colli muscle: From ignorance to misdiagnosis","authors":"S. Durán Lojo , J. Martel Villagrán","doi":"10.1016/j.rxeng.2023.11.010","DOIUrl":"10.1016/j.rxeng.2023.11.010","url":null,"abstract":"","PeriodicalId":94185,"journal":{"name":"Radiologia","volume":"66 5","pages":"Pages 487-488"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142445718","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}
RadiologiaPub Date : 2024-09-01DOI: 10.1016/j.rxeng.2024.07.001
E. Serrano
{"title":"Updating the rules for Scientific Letters and Brief Reports","authors":"E. Serrano","doi":"10.1016/j.rxeng.2024.07.001","DOIUrl":"10.1016/j.rxeng.2024.07.001","url":null,"abstract":"","PeriodicalId":94185,"journal":{"name":"Radiologia","volume":"66 5","pages":"Pages 401-402"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142445710","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}
RadiologiaPub Date : 2024-09-01DOI: 10.1016/j.rxeng.2023.05.003
{"title":"Usefulness of the superior orbitomeatal line without the lens included in the scan range at different tube voltage during pediatric head CT","authors":"","doi":"10.1016/j.rxeng.2023.05.003","DOIUrl":"10.1016/j.rxeng.2023.05.003","url":null,"abstract":"<div><h3>Introduction and objectives</h3><div>To compare the real time skin dosimeter values at lens between with the lens included in the scan range (orbitomeatal base line [OML]) or without the lens included in the scan range (superior orbitomeatal line [SOML]) at different tube voltages.</div></div><div><h3>Materials and methods</h3><div><span>We used three pediatric anthropomorphic phantoms with a 64 detector-row </span>computed tomography (CT) scanner with the OML- or SOML-protocol at different tube voltages during the head CT. A real time skin dosimeter was inserted into the phantom center of the head, and surfaces of the lens. We compared the real time skin dosimeter values at lens between the OML- and SOML-protocol.</div></div><div><h3>Results</h3><div>There were no significant differences in the real time skin dosimeter values for the head in the scan area for each phantom at different tube voltages between the OML- and SOML-protocol (<em>p</em> > 0.05 for all phantom). Compared with the OML protocol, it is possible to reduce the real time skin dosimeter values at lens by approximately 80% by using the SOML protocol (<em>p</em> < 0.05) at all tube voltages. Compared with the OML protocol, it is possible to reduce the real time skin dosimeter values at mammary gland by approximately 20% by using the SOML protocol (<em>p</em> < 0.05) at all tube voltages.</div></div><div><h3>Conclusions</h3><div>During the pediatric head CT examination, SOML protocol was possible to reduce the real time skin dosimeter values at lens by approximately 80% compared with OML protocol at all tube voltages.</div></div>","PeriodicalId":94185,"journal":{"name":"Radiologia","volume":"66 5","pages":"Pages 403-409"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131692056","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}
RadiologiaPub Date : 2024-09-01DOI: 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 , 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":"66 5","pages":"Pages 471-478"},"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}
RadiologiaPub Date : 2024-09-01DOI: 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 , E. Iglesias Bravo , H. Peris Alvà , P. Rodríguez Martínez , M. Luna Tomás , I. Pascual Miguel , 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":"66 5","pages":"Pages 419-430"},"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}
RadiologiaPub Date : 2024-07-01DOI: 10.1016/j.rxeng.2023.01.014
A. García Bolado , D. Castanedo Vázquez
{"title":"Coaching in a Radiology department","authors":"A. García Bolado , 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":"66 4","pages":"Pages 374-380"},"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}