Radiologia最新文献

{"title":"Social networks in radiology: Toward a new paradigm in medical education?","authors":"J.L. del Cura Rodríguez","doi":"10.1016/j.rxeng.2023.01.011","DOIUrl":"10.1016/j.rxeng.2023.01.011","url":null,"abstract":"<div><p>The universally accepted system for the transmission of scientific knowledge in the field of medicine has long been grounded in scientific publications. Social networks can be a useful alternative or complementary method of transmitting this knowledge.</p><p>Social networks (e.g., Twitter, Instagram, Facebook, LinkedIn, YouTube, and TikTok) generate educational contents that enable quality training, despite their informality. Each of these networks has strengths and weaknesses that users should know about.</p><p>These platforms are free and allow for real-time discussion. They make it easy to incorporate content and to contact experts or access sources of knowledge directly. Aware of their influence, publishers have incorporated metrics to measure the impact of their articles in social networks (Altmetrics).</p><p>These networks should be incorporated into departmental training programs immediately. Nevertheless, navigating through social networks is complex, and the hashtag-based system of searching is inefficient, limiting their use in education.</p><p>Despite the informality of the knowledge generated on social networks, the importance of these networks as a source of knowledge is growing. Radiology departments must design a strategy for using social networks for education rather than for propaganda, creating well-organized focal groups that search for contents through systematic, filtered review of information, digital repositories, and review sessions and for sharing this knowledge both inside and outside the department. Departments must also implement a strategy for communicating through these networks.</p></div>","PeriodicalId":94185,"journal":{"name":"Radiologia","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139631513","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":"Implementing a coronary CT angiography protocol based on the body mass index: Radiation dose reduction, image quality, and diagnostic performance","authors":"H. Cuellar-Calabria ,&nbsp;G. Burcet ,&nbsp;M.S. Juarez-Garcia ,&nbsp;J.L. Reyes-Juárez ,&nbsp;M.N. Pizzi ,&nbsp;S. Aguadé-Bruix ,&nbsp;A. Roque","doi":"10.1016/j.rxeng.2022.01.004","DOIUrl":"10.1016/j.rxeng.2022.01.004","url":null,"abstract":"<div><h3>Objectives</h3><p>To evaluate the relation between the coronary calcium score and the posterior choice of kilovoltage according to radiologists’ criteria in a standard coronary CT angiography<span> protocol to rule out coronary disease.</span></p><p><span>To quantify the reduction in ionizing radiation after linking kilovoltage to patients’ </span>body mass index in a low-dose protocol with iterative model reconstruction.</p><p>To evaluate the image quality and diagnostic performance of the low-dose protocol.</p></div><div><h3>Material and methods</h3><p><span>We compared anthropometric characteristics, calcium score, kilovoltage levels, size-specific dose estimates (SSDE), and the dose-length product (DLP) between a group of 50 patients who were prospectively recruited to undergo coronary CT angiography with a low-dose protocol and a historical group of 50 patients who underwent coronary CT angiography with the standard protocol. We correlated these parameters, the number of coronary segments that could not be evaluated with and without temporal padding, the attenuation, and the signal-to-noise ratio in the </span>ascending aorta in the low-dose protocol with excellent imaging quality according to a semiquantitative scale. To calculate the diagnostic performance per patient, we used 24-month clinical follow-up including all tests as the gold standard.</p></div><div><h3>Results</h3><p>In the standard protocol, the presence of coronary calcium correlated with the selection of high kilovoltage (p = 0.02); this correlation was not found in the low-dose protocol (p = 0.47). Median values of SSDE and DLP were significantly (p &lt; 0.001) lower and less dispersed in the low-dose protocol [9.22 mGy (IQR 7.84–12.1 mGy) vs. 26.5 mGy (IQR 21.3–36.3 mGy) in the standard protocol] and [97 mGy cm (IQR 78–134 mGy cm) vs. 253 mGy cm (IQR 216–404 mGy cm) in the standard protocol], respectively.</p><p>The overall quality of the images obtained with the low-dose protocol was considered good or excellent in 96% of the studies. The parameters associated with image quality in a multivariable model (C statistic = 0.792) were heart rate (estimated coefficient, −0,12 [95% confidence interval: −0.2, −0.04]; p &lt; 0.01) and the SSDE (estimated coefficient, −0,26 [95% confidence interval: −0.51, −0.01]; p &lt; 0.05).</p><p>The CAD-RADS modifier for a not fully evaluable or diagnostic study was used on two occasions (4%); the final measures for the diagnosis of coronary disease were sensitivity 100%, specificity 94%, and efficacy 94%.</p></div><div><h3>Conclusions</h3><p>In the standard protocol, the radiologist selects higher kilovoltage for CT angiography studies for patients whose previous calcium score indicates the presence of coronary calcium. In the low-dose protocol, linking kilovoltage with body mass index enables the dose of radiation to be reduced by 65% while obtaining excellent or good image quality in 96% of studies and excellent diagnostic performan","PeriodicalId":94185,"journal":{"name":"Radiologia","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139639454","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":"Usefulness of resuscitative endovascular balloon occlusion of the aorta (REBOA) in controlling puerperal bleeding in patients with abnormal placental implantation","authors":"L. Fernández Rodríguez,&nbsp;J. Novo Torres,&nbsp;M.D. Ponce Dorrego,&nbsp;R. Rodríguez Díaz,&nbsp;M.L. Collado Torres,&nbsp;G. Garzón Moll,&nbsp;T. Hernández Cabrero","doi":"10.1016/j.rxeng.2022.05.005","DOIUrl":"https://doi.org/10.1016/j.rxeng.2022.05.005","url":null,"abstract":"<div><h3>Background and aims</h3><p>Abnormalities of placental implantation, which make up the spectrum of placenta accreta<span><span>, are associated with high maternal morbidity<span><span> and mortality due to massive bleeding during delivery. Placing aortic occlusion balloons helps control the bleeding, facilitating surgical intervention. A new device, resuscitative endovascular </span>balloon occlusion of the aorta (REBOA), minimizes the risks and complications associated with the placement of traditional aortic balloons and is also efficacious in controlling bleeding. The aim of this study is to evaluate the usefulness, efficacy, and safety of REBOA in </span></span>puerperal bleeding due to abnormalities of placental implantation.</span></p></div><div><h3>Material and methods</h3><p><span>Between November 2019 and November 2021, our interventional radiology<span> team placed six REBOA devices in six women scheduled for cesarean section due to </span></span>placenta accrete.</p></div><div><h3>Results</h3><p>Mean blood loss during cesarean section after REBOA (3507.5 mL) was similar to the amounts reported for other aortic balloons. The mean number of units of packed red blood cells required for transfusion was 3.5. Using REBOA provided the surgical team with adequate conditions to perform the surgery. There were no complications derived from REBOA, and the mean ICU stay was &lt;2 days.</p></div><div><h3>Conclusion</h3><p>The technical characteristics of the REBOA device make it a safe and useful alternative for controlling massive bleeding in patients with placenta accreta.</p></div>","PeriodicalId":94185,"journal":{"name":"Radiologia","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138474603","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":"Performance in prognostic capacity and efficiency of the Thoracic Care Suite GE AI tool applied to chest radiography of patients with COVID-19 pneumonia","authors":"J.M. Plasencia-Martínez ,&nbsp;R. Pérez-Costa ,&nbsp;M. Ballesta-Ruiz ,&nbsp;J.M. García-Santos","doi":"10.1016/j.rxeng.2022.11.007","DOIUrl":"10.1016/j.rxeng.2022.11.007","url":null,"abstract":"<div><h3>Objective</h3><p>Rapid progression of COVID-19 pneumonia may put patients at risk of requiring ventilatory support, such as non-invasive mechanical ventilation or endotracheal intubation<span>. Implementing tools that detect COVID-19 pneumonia can improve the patient’s healthcare. We aim to evaluate the efficacy and efficiency of the artificial intelligence (AI) tool GE Healthcare’s Thoracic Care Suite (featuring Lunit INSIGHT CXR, TCS) to predict the ventilatory support need based on pneumonic progression of COVID-19 on consecutive chest X-rays.</span></p></div><div><h3>Methods</h3><p>Outpatients with confirmed SARS-CoV-2 infection, with chest X-ray (CXR) findings probable or indeterminate for COVID-19 pneumonia, who required a second CXR due to unfavorableclinical course, were collected. The number of affected lung fields for the two CXRs was assessed using the AI tool.</p></div><div><h3>Results</h3><p>One hundred fourteen patients (57.4<!--> <!-->±<!--> <!-->14.2 years, 65−57%-men) were retrospectively collected. Fifteen (13.2%) required ventilatory support. Progression of pneumonic extension ≥0.5 lung fields per day compared to pneumonia onset, detected using the TCS tool, increased the risk of requiring ventilatory support by 4-fold. Analyzing the AI output required 26<!--> <!-->s of radiological time.</p></div><div><h3>Conclusions</h3><p>Applying the AI tool, Thoracic Care Suite, to CXR of patients with COVID-19 pneumonia allows us to anticipate ventilatory support requirements requiring less than half a minute.</p></div>","PeriodicalId":94185,"journal":{"name":"Radiologia","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135664889","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":"Back to normal: Burnout syndrome in radiology professionals","authors":"A. Medina Gamero","doi":"10.1016/j.rxeng.2023.04.004","DOIUrl":"10.1016/j.rxeng.2023.04.004","url":null,"abstract":"","PeriodicalId":94185,"journal":{"name":"Radiologia","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135664887","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":"10th anniversary of the Dr. Calatayud grant in editorialism SERAM (2012-2022)","authors":"B. Domenech-Ximenos ,&nbsp;E. Serrano","doi":"10.1016/j.rxeng.2023.06.003","DOIUrl":"10.1016/j.rxeng.2023.06.003","url":null,"abstract":"","PeriodicalId":94185,"journal":{"name":"Radiologia","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135665065","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":"Clinically Oriented Reasoning Evaluation (CORE)","authors":"Editorial Board of Radiology","doi":"10.1016/j.rxeng.2023.10.001","DOIUrl":"10.1016/j.rxeng.2023.10.001","url":null,"abstract":"","PeriodicalId":94185,"journal":{"name":"Radiologia","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136153528","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":"Presentation of the series “The challenges in undergraduate radiology education”","authors":"F. Sendra Portero ,&nbsp;J.D. Aquerreta Beola","doi":"10.1016/j.rxeng.2023.04.005","DOIUrl":"https://doi.org/10.1016/j.rxeng.2023.04.005","url":null,"abstract":"","PeriodicalId":94185,"journal":{"name":"Radiologia","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138474611","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":"Percutaneous ablation of renal tumors: Long-term outcomes","authors":"J.L. del Cura Rodríguez ,&nbsp;R. Zabala-Landa ,&nbsp;I. Korta-Gomez","doi":"10.1016/j.rxeng.2021.12.003","DOIUrl":"https://doi.org/10.1016/j.rxeng.2021.12.003","url":null,"abstract":"<div><h3>Objective</h3><p>To evaluate the long-term outcomes of renal tumor ablation, analyzing efficacy, long-term survival, and factors associated with complications and therapeutic success.</p></div><div><h3>Material and methods</h3><p>We retrospectively reviewed 305 ablations (generally done with expandable electrodes) of 273 renal tumors between May 2005 and April 2019. We analyzed survival, primary and secondary efficacy, and complications according to various patient factors and tumor characteristics.</p></div><div><h3>Results</h3><p><span>Mean blood creatinine was 1.14 mg/dL before treatment and 1.30 mg/dL after treatment (</span><em>p</em> &lt; 0.0001). Complications were observed in 13.25% of the ablations, including major complications in in 4.97%. Complications were associated with age (<em>p</em> = 0.013) and tumor diameter (<em>p</em> &lt; 0.0001). Primary efficacy was 96.28%. Incomplete ablation was more common in lesions measuring &gt; 4 cm in diameter (<em>p</em> = 0.002). Secondary efficacy was 95.28%. The only factor associated with the risk of recurrence was the size of the tumor (<em>p</em><span><span> = 0.02). Overall survival was 95.26% at 1 year, 77.01% at 5 years, and 51.78% at 10 years, with no differences between patients with malignant and benign lesions. Mortality was higher </span>in patients with creatinine &gt;1 (</span><em>p</em><span> = 0.05) or ASA &gt; 2 (</span><em>p</em> = 0.0001).</p></div><div><h3>Conclusions</h3><p>Percutaneous ablation is extremely efficacious for renal tumors; it improves the prognosis of renal carcinoma to the point where it does not differ from that of benign lesions. Complications are rare. Like survival, complications are associated with age and overall health status.</p></div>","PeriodicalId":94185,"journal":{"name":"Radiologia","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138474602","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":"What do we see when we do not see the bladder? Review of the main urinary diversion techniques and their complications","authors":"A. Salgado-Parente,&nbsp;E. Antolinos-Macho,&nbsp;A. González-Huete,&nbsp;R. García-Latorre,&nbsp;E. Canales-Lachén,&nbsp;M.C. González-Gordaliza","doi":"10.1016/j.rxeng.2023.11.001","DOIUrl":"10.1016/j.rxeng.2023.11.001","url":null,"abstract":"<div><h3>Objective</h3><p><span><span>To review the different types of urinary diversion surgeries (UDS) in order to recognize the expected findings in a postoperative study, using different </span>imaging techniques. To recognize the main </span>postoperative complications, both early and late.</p></div><div><h3>Conclusion</h3><p>UDS are surgical procedures whose purpose is to redirect urine flow after cystectomy<span>, generally in an oncologic context. The imaging evaluation of urological surgeries is often a radiological challenge, with CT being the most commonly used image modality. Therefore, it is essential to know the main surgical techniques, the expected postoperative findings and the optimization of imaging techniques for early diagnosis and correct evaluation of postoperative complications.</span></p></div>","PeriodicalId":94185,"journal":{"name":"Radiologia","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135664893","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}