Radiologia最新文献

{"title":"The flipped classroom as a method to improve learning in radiology","authors":"M.L. Nieto Morales ,&nbsp;C.C. Linares Bello ,&nbsp;L. Pérez-Méndez","doi":"10.1016/j.rxeng.2025.501728","DOIUrl":"10.1016/j.rxeng.2025.501728","url":null,"abstract":"<div><div>This article is a narrative review of the flipped classroom methodology, with a special emphasis on its application in radiology teaching within medical degree programmes. Both traditional teaching methods and the flipped classroom model are described, highlighting their benefits and drawbacks based on previous studies and the authors’ personal experience in the Diagnostic Imaging and Physical Medicine course.</div><div>The flipped classroom approach requires students to review educational material before attending class, allowing in-person sessions to focus on practical activities and problem-solving, thereby promoting active and meaningful learning. This method demands greater dedication and autonomy from students, as well as preparation and commitment from instructors.</div><div>The findings from the teaching experience suggest that students perceive the flipped classroom as a useful method for understanding concepts, but are unkeen on it being implemented in other subjects due to the additional effort required.</div><div>It is concluded that the flipped classroom can be an effective pedagogical method for teaching radiology if properly integrated into the curriculum and combined with traditional methods.</div></div>","PeriodicalId":94185,"journal":{"name":"Radiologia","volume":"68 1","pages":"Article 501728"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146154388","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 “Fetal Magnetic Resonance Imaging”","authors":"M.I. Martínez León","doi":"10.1016/j.rxeng.2025.501749","DOIUrl":"10.1016/j.rxeng.2025.501749","url":null,"abstract":"","PeriodicalId":94185,"journal":{"name":"Radiologia","volume":"68 1","pages":"Article 501749"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146154391","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":"Integration of outpatient consultation and inpatient care in interventional vascular radiology units: SERVEI position statement","authors":"J.M. Abadal Villayandre ,&nbsp;S. Lojo-Lendoiro ,&nbsp;C.J. González Nieto ,&nbsp;I. Insausti Gorbea ,&nbsp;S. Méndez Alonso ,&nbsp;M. Gamo Gallego ,&nbsp;J.J. Ciampi Dopazo ,&nbsp;R. Pintado Garrido ,&nbsp;J.A. Guirola Ortiz","doi":"10.1016/j.rxeng.2025.501739","DOIUrl":"10.1016/j.rxeng.2025.501739","url":null,"abstract":"<div><div>What was once a technical discipline, interventional vascular radiology (IVR) has now developed into a patient-centred clinical-surgical speciality. The integration of outpatient consultation and inpatient care within IVR units enhances safety, improves clinical outcomes and consolidates the speciality’s role within the healthcare system. However, barriers such as lack of time, resources and recognition hinder its implementation. This SERVEI position statement defines the core principles of clinical care in IVR, examines the legal frameworks underpinning it and identifies viable models for hospitalisation, ranging from day units to dedicated inpatient wards. Progressive levels of healthcare provision are proposed, and an organisational model based on homogeneous functional groups (HFGs) is advocated to achieve greater efficiency and visibility. Outpatient consultation plays a central role in accreditation, the training of future specialists and the sustainability of the speciality in an evolving healthcare landscape.</div></div>","PeriodicalId":94185,"journal":{"name":"Radiologia","volume":"68 1","pages":"Article 501739"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146154387","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":"The implications of the 9th lung cancer TNM classification on the thoracic interventional radiologist: A pictorial review","authors":"L. Gorospe ,&nbsp;M.Á. Gómez-Bermejo ,&nbsp;R.M. Mirambeaux-Villalona ,&nbsp;O. Ajuria-Illarramendi ,&nbsp;G.M. Muñoz-Molina ,&nbsp;M. García-Pardo de Santayana","doi":"10.1016/j.rxeng.2025.501709","DOIUrl":"10.1016/j.rxeng.2025.501709","url":null,"abstract":"<div><div>Lung cancer (LC) remains the leading cause of cancer mortality worldwide. An accurate staging is pivotal for the development of successful treatment approaches and improvement of patient outcomes. Traditionally, LC staging has depended on the TNM staging system, and the International Association for the Study of Lung Cancer (IASLC) has recently recommended modifications. The updated classification for the ninth edition of the TNM staging system (TNM-9), slated to take effect in January 2025, is derived from an exhaustive analysis of a newly established large international database of LC cases compiled by the IASLC. The main changes in TNM-9 include the following: (1) The N2 category is split into single-station (N2a) and multiple-station (N2b) subcategories, and (2) the multiple extrathoracic metastatic category (M1c) is split into single-organ system (M1c1) and multiple-organ systems (M1c2) subcategories. With these changes in mind, adjustments have been made to the established stage groups. Understanding the changes introduced in TNM-9 enables interventional thoracic radiologists to refine the percutaneous procedures necessary for a more accurate initial staging of LC patients and, subsequently, for an optimized customized treatment.</div></div>","PeriodicalId":94185,"journal":{"name":"Radiologia","volume":"68 1","pages":"Article 501709"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146154386","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":"Magnetic resonance imaging of fetal cerebral ventriculomegaly","authors":"P. Caro-Domínguez ,&nbsp;L. García Díaz ,&nbsp;G. Antiñolo ,&nbsp;E. Miller ,&nbsp;M. Carvajo ,&nbsp;J.A. Sainz-Bueno","doi":"10.1016/j.rxeng.2025.101571","DOIUrl":"10.1016/j.rxeng.2025.101571","url":null,"abstract":"<div><div>Fetal ventriculomegaly is one of the most common findings on prenatal ultrasound, and one of the most common indications for fetal magnetic resonance imaging (MRI). The aim of this article is to explain the different terminology used to describe the dilatation of the fetal cerebral ventricles, explain the impact of imaging (ultrasound and MRI) in this clinical scenario, illustrate common causes of ventriculomegaly and summarise the evidence regarding prognosis for these children, in order to be able to provide appropriate prenatal advice.</div></div>","PeriodicalId":94185,"journal":{"name":"Radiologia","volume":"68 1","pages":"Article 101571"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146154204","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":"Spontaneous contrast enhancement fluctuation in adult pilocytic astrocytoma","authors":"S.R.K. Ong ,&nbsp;T.J. Rohringer ,&nbsp;A.F. Gao ,&nbsp;A.E. Para ,&nbsp;S. Hiremath ,&nbsp;P. Alcaide-Leon","doi":"10.1016/j.rxeng.2025.101658","DOIUrl":"10.1016/j.rxeng.2025.101658","url":null,"abstract":"<div><h3>Background</h3><div>Follow-up imaging is crucial in managing primary brain tumors, with changes in contrast enhancement often used as a marker of tumor activity. However, fluctuations of enhancement independent of tumor progression have been described in low grade tumors in the paediatric population. This study aims to characterize the phenomenon of spontaneous contrast enhancement fluctuations in pilocytic astrocytoma and other low-grade primary brain tumors in the adult population.</div></div><div><h3>Methods</h3><div>A retrospective review of our MRI database (2011–2021) identified cases of pilocytic astrocytomas, pilomyxoid astrocytoma and rosette-forming glioneuronal tumors with stable tumor size with enhancement changes in clinically stable adult patients off medical treatment. After excluding those without serial MRIs, we reviewed the MRIs and clinical records of 238 patients. Number of cases with enhancement fluctuations, mean duration of increasing enhancement prior to stability or decline and number of fluctuation cycles were recorded.</div></div><div><h3>Results</h3><div>The cohort included 9 adult patients, 6 pilocytic astrocytomas, 1 pilomyxoid astrocytoma and 2 rosette-forming glioneuronal tumors. Four of these were unresected (44%), while five were residual or recurrent tumors (56%). Despite stable tumor size and clinical status, a variety of enhancement patterns over time were observed: 44% of cases (4/9) demonstrated new or increasing enhancement on follow-up, with subsequent regression of enhancement over a 1−4 year follow-up period. An additional 44% of cases (4/9) displayed cyclical increasing and decreasing enhancement over a longer 7−15 year follow-up period. Mean duration of increasing enhancement prior to stability or decline was 12.3 months (SD 7.1). One case exhibited complete spontaneous resolution of enhancement. Fluctuation in morphology of enhancement was also observed in 44% of cases (4/9).</div></div><div><h3>Conclusions</h3><div>This is the first study to describe spontaneous fluctuation of enhancement in pilocytic astrocytoma and other circumscribed low-grade brain tumors in an adult population. Awareness of this phenomenon is crucial to prevent misinterpretation of enhancement changes as evidence of tumor progression or regression in clinically stable patients, circumventing unnecessary treatment changes and interventions.</div></div>","PeriodicalId":94185,"journal":{"name":"Radiologia","volume":"68 1","pages":"Article 101658"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146154396","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":"Training Diagnostic Radiology specialists: The disconnect between the Spanish MIR curriculum and the demands of daily practice","authors":"D. Castanedo Vázquez ,&nbsp;E. Marco de Lucas","doi":"10.1016/j.rxeng.2025.501738","DOIUrl":"10.1016/j.rxeng.2025.501738","url":null,"abstract":"","PeriodicalId":94185,"journal":{"name":"Radiologia","volume":"68 1","pages":"Article 501738"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146154392","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":"Ultrasound imaging of the normal axilla: Anatomical characteristics of lymph nodes and age-related variations","authors":"A.C. Igual Rouilleault ,&nbsp;I. Soriano Aguadero ,&nbsp;C. Sitges Puigvila ,&nbsp;P.L. Quan López ,&nbsp;A. Elizalde Pérez ,&nbsp;L. Pina","doi":"10.1016/j.rxeng.2025.101653","DOIUrl":"10.1016/j.rxeng.2025.101653","url":null,"abstract":"<div><h3>Objectives</h3><div>To describe the ultrasound characteristics of axillary lymph nodes in healthy individuals and analyse how these characteristics vary with age.</div></div><div><h3>Methods</h3><div>Between February and April 2021, we enrolled a total of 91 healthcare professionals from our centre with no relevant medical history. All participants underwent an axillary ultrasound before participating in the COVID-19 vaccination campaign. The following parameters were recorded: total number of visible lymph nodes, maximum longitudinal diameter and cortical thickness, Bedi classification, and signal intensity on colour Doppler evaluation. We compared the data collected between two age groups [young (&lt;45 years) vs middle-aged (≥45 years)] using the Student’s <em>t</em>-test for continuous quantitative variables and the Mann-Whitney <em>U</em> test for ordinal variables. Variables with a p-value &lt; 0.05 were considered statistically significant.</div></div><div><h3>Results</h3><div>An average of 2.96 lymph nodes was observed, with mean maximum longitudinal diameter and cortical thickness of 15.8 mm and 1.6 mm, respectively. Regarding the Bedi classification and colour Doppler scale, types 2 and 1 were the most common. A comparative analysis between the two age groups showed significantly higher values for cortical thickness, Bedi classification, and colour Doppler classification in the younger volunteers (<em>p</em> &lt; 0.05).</div></div><div><h3>Conclusions</h3><div>Our study highlights the radiological differences between lymph nodes in young and middle-aged volunteers under baseline conditions, emphasizing the importance of careful assessments of borderline-appearing nodes in older patients, especially in oncological contexts.</div></div>","PeriodicalId":94185,"journal":{"name":"Radiologia","volume":"68 1","pages":"Article 101653"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146154395","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":"Radiology as a pillar in AI-based COVID-19 research: Insights from a diverse bibliometric analysis","authors":"A. Navarro Ballester ,&nbsp;J.A. Merino Bonilla ,&nbsp;L.H. Ros Mendoza ,&nbsp;R. Álvaro Ballester ,&nbsp;S.F. Marco Doménech","doi":"10.1016/j.rxeng.2025.101651","DOIUrl":"10.1016/j.rxeng.2025.101651","url":null,"abstract":"<div><h3>Background</h3><div>The COVID-19 pandemic has spurred significant research into artificial intelligence (AI) applications in healthcare. This study analyzes the intellectual structure and knowledge flow in COVID-19 and AI research through descriptive citation and bibliographic coupling analysis.</div></div><div><h3>Purpose</h3><div>This study aims to explore the current research landscape on AI in the context of COVID-19, identify the most influential publications, and outline the conceptual framework of this research area.</div></div><div><h3>Material and methods</h3><div>Using the Web of Science (WoS) and Scopus databases, documents were collected with keywords such as “COVID-19,” “SARS-CoV-2,” “coronavirus,” “artificial intelligence” and “deep learning.” After merging results and removing duplicates, the final sample included 8057 documents. The top 1000 most cited papers were selected for descriptive citation analysis, while the entire sample was used for bibliographic coupling analysis. Data analysis and visualization were conducted using R Bibliometrix/Biblioshiny and VOSviewer.</div></div><div><h3>Results</h3><div>The descriptive analysis revealed that original research papers were predominant (85.21%), with a substantial increase in publications on COVID-19 and AI since the pandemic began. China and the United States led in publication volume, with notable international collaborations. Network analysis identified research clusters such as AI-driven diagnostics and healthcare resource optimization. The bibliographic coupling analysis highlighted influential research themes, mainly focusing on diagnostic imaging and AI algorithms.</div></div><div><h3>Conclusion</h3><div>AI has played a crucial role in addressing the COVID-19 crisis, especially in diagnostics and healthcare optimization. The bibliometric analysis provides insights into the research landscape, emphasizing AI's multifactorial contributions and suggesting areas for future research.</div></div>","PeriodicalId":94185,"journal":{"name":"Radiologia","volume":"68 1","pages":"Article 101651"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146154394","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":"Acute myocarditis secondary to prostatitis following water vapour thermal therapy for benign prostatic hyperplasia: Presentation of two cases","authors":"C. Lozano ,&nbsp;M. Cufí ,&nbsp;M. Sutil ,&nbsp;M. Andreu ,&nbsp;E. Guillaumet ,&nbsp;L. Guillamon","doi":"10.1016/j.rxeng.2025.501731","DOIUrl":"10.1016/j.rxeng.2025.501731","url":null,"abstract":"<div><div>Myocarditis presents with a wide range of symptoms, including chest pain that mimics acute coronary syndrome, heart failure and conduction disturbances. It is typically caused by viral infections, although pharmacological and autoimmune causes are also common, with bacterial myocarditis being rare. Myocarditis is a rare complication of acute prostatitis. Likewise, acute prostatitis can be a complication of water vapour thermal therapy, a relatively new treatment increasingly used for benign prostatic hyperplasia. We present two cases of acute myocarditis following acute prostatitis, both with a recent history of water vapour thermal therapy.</div></div>","PeriodicalId":94185,"journal":{"name":"Radiologia","volume":"68 1","pages":"Article 501731"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146154389","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}