Radiologia最新文献

{"title":"MRI biomarkers and their correlation with the Oncotype DX test","authors":"A. Aranaz Murillo,&nbsp;S. Cruz Ciria,&nbsp;A. García Barrado,&nbsp;C. García Mur","doi":"10.1016/j.rxeng.2023.11.012","DOIUrl":"10.1016/j.rxeng.2023.11.012","url":null,"abstract":"<div><div>Breast cancer (BC) has high rates of incidence and prevalence, causing significant impact in our society. Magnetic resonance imaging (MRI) plays a crucial role in its detection and staging. The Oncotype DX Breast Recurrence Score (ODXRS) test can be used to guide decision making regarding adjuvant chemotherapy (CT) in early-stage luminal BC to allow for more tailored cancer treatment. The aim of this article is to review knowledge regarding MRI biomarkers to date according to the BI-RADS® classification and the use of artificial intelligence (AI) in this imaging technique to establish its correlation with the ODXRS test. The latest studies published on AI and MRI present promising findings, and their standardisation could mark a turning point in breast radiology.</div></div>","PeriodicalId":94185,"journal":{"name":"Radiologia","volume":"67 1","pages":"Pages 54-60"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143430017","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 role of contrast-enhanced ultrasound in the evaluation of focal splenic lesions","authors":"P. García Barquín ,&nbsp;E. Lángara García-Echave ,&nbsp;I. Pérez Arroyuelos ,&nbsp;E. Ingunza Loizaga ,&nbsp;C. Berastegi Santamaría ,&nbsp;G. Irigoyen","doi":"10.1016/j.rxeng.2023.07.008","DOIUrl":"10.1016/j.rxeng.2023.07.008","url":null,"abstract":"<div><div>The purpose of this article is to evaluate the role of contrast-enhanced ultrasound in the characterization of non-traumatic focal splenic lesions.</div><div>Focal splenic lesions are less common than in other abdominal organs like the liver. Conventional ultrasound and Doppler ultrasound have a limited role in the characterization of splenic lesions, resulting in many of them unspecified.</div><div>Contrast ultrasound is an accessible, cheap, and safe technique which can help in the immediate characterization of lesions incidentally detected in the ultrasound examination, being a good alternative to others imaging techniques.</div><div>We review in detail the technique and the main indications. We also analyze imaging findings and enhancement pattern by using representative case of the main splenic lesions for both benign (epithelial cyst, cystic lymphangioma, hemangioma, hamartoma, infarction, sclerosing angiomatous nodular transformation, abscesses, sarcoidosis), and malignant (lymphoma, metastasis) and its pathological correlation in some cases.</div></div>","PeriodicalId":94185,"journal":{"name":"Radiologia","volume":"67 1","pages":"Pages 61-73"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143430018","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":"Classic radiological signs in pulmonary alveolar microlithiasis. Radiopathological correlation with explanted lungs","authors":"D. Varona Porres ,&nbsp;I. Sansano","doi":"10.1016/j.rxeng.2024.03.014","DOIUrl":"10.1016/j.rxeng.2024.03.014","url":null,"abstract":"","PeriodicalId":94185,"journal":{"name":"Radiologia","volume":"67 1","pages":"Pages 96-98"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143430020","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":"Radiological manifestations of synovial sarcoma","authors":"A.M. Mazza Rapagna ,&nbsp;P. Bas Alcolea ,&nbsp;N. Martínez Arnau ,&nbsp;M.L. Monreal ,&nbsp;C. García Mur ,&nbsp;A. Romeo Tris","doi":"10.1016/j.rxeng.2024.01.006","DOIUrl":"10.1016/j.rxeng.2024.01.006","url":null,"abstract":"<div><div>Synovial sarcoma (SS) is a rare malignant neoplasm of the soft tissue adjacent to joints. It is the most commonly diagnosed non-rhabdomyosarcoma soft-tissue sarcoma (STS) in childhood (30%). Its most frequent location is the knee and ankle, and it is the most common STS to affect the foot. Unlike other STS, it has slow growth and an earlier age at diagnosis (adolescents and young adults), which is why many cases are initially misdiagnosed as benign processes. Magnetic resonance imaging (MRI) is key due to its characterisation capabilities as SS shares features with other STS. Definitive diagnosis is achieved through a pathological study that shows the pathognomonic translocation t(x;18)(p11;q11) with the fluorescence in situ hybridisation (FISH) technique. The objective of this article is to highlight the key characteristics that are useful for diagnosing SS, fundamentally through the use of radiological imaging techniques, as well as nuclear medicine and pathological studies, illustrated with cases diagnosed in our centre.</div></div>","PeriodicalId":94185,"journal":{"name":"Radiologia","volume":"67 1","pages":"Pages 74-84"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143430019","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 ‘Advances in cardiac imaging’","authors":"B. Domenech-Ximenos ,&nbsp;G. Bastarrika","doi":"10.1016/j.rxeng.2024.11.004","DOIUrl":"10.1016/j.rxeng.2024.11.004","url":null,"abstract":"","PeriodicalId":94185,"journal":{"name":"Radiologia","volume":"67 1","pages":"Pages 99-100"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143428225","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":"Bone fracture after minor trauma in Pyle’s disease: A rare case in an adult","authors":"A. Berasategui Criado ,&nbsp;A. Aranaz Murillo ,&nbsp;R.M. Landeras Alvaro ,&nbsp;M.E. Peña Gómez","doi":"10.1016/j.rxeng.2023.08.005","DOIUrl":"10.1016/j.rxeng.2023.08.005","url":null,"abstract":"<div><div>Pyle's disease (PD) is a rare autosomal recessive metaphyseal dysplasia with approximately 30 reported cases and has recently gained interest due to its association with specific genes. While most cases are diagnosed in childhood and are asymptomatic, we present the case of a 39-year-old woman who presented to the Emergency Department with left knee pain, patellar fracture, and “Erlenmeyer flask” deformity. Retrospective review of imaging studies and medical history revealed the symmetric and systemic nature of the skeletal disorder, confirming the diagnosis of PD. Familiarity with this disease is crucial for optimal patient management, and the radiologist plays a crucial role in its diagnosis.</div></div>","PeriodicalId":94185,"journal":{"name":"Radiologia","volume":"66 6","pages":"Pages 588-591"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142824945","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":"Interval carcinomas in a breast cancer screening program (2007–2018): Characteristics and prognosis","authors":"P. Alonso Bartolomé ,&nbsp;P. Merino Rasillo ,&nbsp;S. Sánchez Gómez ,&nbsp;E. Herrera Romero ,&nbsp;E. Ortega García ,&nbsp;M. Sánchez Movellán ,&nbsp;P. Muñoz Cacho ,&nbsp;A. Vega Bolívar","doi":"10.1016/j.rxeng.2023.03.009","DOIUrl":"10.1016/j.rxeng.2023.03.009","url":null,"abstract":"<div><h3>Background and aims</h3><div>To analyze the radiologic and histologic characteristics of screening and interval cancers diagnosed in the period comprising 2007 through 2018 in a total of six rounds of a population-based breast cancer screening program.</div></div><div><h3>Material and methods</h3><div>We analyzed 1395 carcinomas detected at screening and 300 interval carcinomas diagnosed in women aged 50–69 years old who underwent digital mammography every two years during the study period. Screening mammograms were read once.</div><div>To classify the interval carcinomas, we retrospectively reviewed (blind reading followed by unblinded reading) at the end of each round, recording the radiologic findings, breast density, histologic characteristics, phenotype, and surgical treatment.</div></div><div><h3>Results</h3><div>The interval carcinomas were classified as true interval cancers in 156 (52%) cases, false-negatives in 62 (20.5%), minimal signs in 39 (13%), occult lesions in 29 (9.5%), and impossible to classify in 14 (5%).</div><div>Retrospectively, the most common radiologic findings in the false-negative cases were mass/asymmetry (64%), calcifications (16%), and distortion (13%); the most common radiologic findings in the cases with minimal signs were mass/asymmetry (58%) and calcifications (31%).</div><div>There were significant differences in the histologic characteristics between cancers detected at screening and interval cancers: T1a-b [9% of the interval cancers vs. 34% of those detected at screening, <em>P</em> &lt; .001]; T1c [30% of the interval cancers vs. 44% of those detected at screening <em>P</em> &lt; .001], T2 or greater [61% of the interval cancers vs. 22% of those detected at screening <em>P</em> &lt; .001], and the degree of axillary involvement [45% of the interval cancers vs. 27% of those detected at screening, <em>P</em> &lt; .001].</div><div>There were also significant differences between cancers detected at screening and interval cancers in the proportion of cases with more aggressive subtypes (HER2+ and triple-negative): [38.5% of the interval cancers vs. 23% of those detected at screening, <em>P</em> &lt; .001].</div><div>A significantly higher proportion of interval cancers were treated with mastectomies [80% vs. 67% of those detected at screening, <em>P</em> &lt; .001].</div></div><div><h3>Conclusions</h3><div>About 20% of interval cancers were evident on screening mammograms. The most common radiologic finding in interval cancers was asymmetry/mass. Interval cancers are diagnosed at a more advanced stage than cancers identified at screening, so they sre more often treated by mastectomy. Reviewing interval cancers is essential for quality control in screening programs.</div></div>","PeriodicalId":94185,"journal":{"name":"Radiologia","volume":"66 6","pages":"Pages 513-525"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142824949","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 of acute rhinossinusitis. A clinical radiological review","authors":"P. Carvalho dos Santos ,&nbsp;P. Costa ,&nbsp;I. Carvalho ,&nbsp;C. Sousa","doi":"10.1016/j.rxeng.2022.03.006","DOIUrl":"10.1016/j.rxeng.2022.03.006","url":null,"abstract":"<div><div>Acute rhinossinusitis is defined as a symptomatic inflammation of the nasal fossa and paranasal sinuses. The diagnosis of this disease is clinical and usually does not require imaging evaluation. However, when there is a suspicion of a complication or even for surgical planning, imaging is of primordial importance.</div><div>The aim of this paper is to provide a concise pictorial review with clinical and imagiological correlation of the most common complications in acute rhinossinusitis to provide relevant clinical data and highlight the most important imaging findings.</div></div>","PeriodicalId":94185,"journal":{"name":"Radiologia","volume":"66 6","pages":"Pages 577-587"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142824946","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":"Efficacy and safety of uterine artery embolization in the management of postpartum hemorrhage","authors":"R.A. Amat Pérez ,&nbsp;J. Gómez Valdés ,&nbsp;E. Lonjedo Vicent ,&nbsp;M. Sarrió Llavata ,&nbsp;J.V. Quirante Cascales ,&nbsp;A. Ruiz Guanter","doi":"10.1016/j.rxeng.2023.01.016","DOIUrl":"10.1016/j.rxeng.2023.01.016","url":null,"abstract":"<div><h3>Objective</h3><div>To demonstrate the safety and efficacy of endovascular treatment in postpartum hemorrhage (PPH).</div></div><div><h3>Material and methods</h3><div>We conducted a retrospective observational study with a sample from our Interventional Vascular Radiology unit, from 2004 to 2020. Patients who developed postpartum hemorrhage treated by arterial embolization were selected. Inclusion criteria were established to standardize the study group. Variables for the study of the efficacy and safety of the technique are defined.</div></div><div><h3>Results</h3><div>The final sample of the study was 56 patients. Technical success turned was 100%, while clinical success after endovascular treatment was 92.85%, with a hysterectomy rate due to failed arterial embolization of 7.14%, with uterine rupture observed in 3 cases as a cause of PPH and another case was a placenta accreta. No technique-related mortality was recorded. The rate of periprocedural complications was 3.56%, the same as that of late complications. No major or infectious complications were recorded. The pregnancy rate after embolization was 23.52%.</div></div><div><h3>Conclusions</h3><div>Selective arterial embolization of the uterine artery in PPH is a safe and effective procedure, being a therapeutic alternative in the face of failure of pharmacological and obstetric management, with preservation of fertility.</div></div>","PeriodicalId":94185,"journal":{"name":"Radiologia","volume":"66 6","pages":"Pages 501-512"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142824947","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":"Lung adenocarcinoma: characteristic radiological presentations","authors":"A. Robles Gómez ,&nbsp;J. Oliva Lozano ,&nbsp;P. Rodríguez Fernández ,&nbsp;E. Ruiz González ,&nbsp;A. Tilve Gómez ,&nbsp;J. Arenas-Jiménez","doi":"10.1016/j.rxeng.2024.11.003","DOIUrl":"10.1016/j.rxeng.2024.11.003","url":null,"abstract":"<div><div>Radiology, mainly computed tomography, has a fundamental role in diagnosis, staging and follow-up of lung adenocarcinoma, the most common type of pulmonary cancer.</div><div>Within its broad spectrum of presentation, the pathological, clinical and morphological characteristics of this neoplasm allow, in an appropriate clinical context, to suggest certain histological subtypes among which are mucinous adenocarcinoma, lepidic growth adenocarcinoma or associated with cystic lung lesions.</div><div>The objective of this review is to describe the pathologic, clinical and radiological features of those characteristic forms of lung carcinoma that can be diagnosed radiologically with fair accuracy.</div></div>","PeriodicalId":94185,"journal":{"name":"Radiologia","volume":"66 6","pages":"Pages 542-554"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142824950","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}