Clinical radiology最新文献_第3页

Embedding equity, diversity, and inclusion in radiology: insights from the 2024 British Society of Gastrointestinal and Abdominal Radiology (BSGAR) member survey and mentorship programme 在放射学中嵌入公平、多样性和包容性：来自2024年英国胃肠和腹部放射学会（BSGAR）成员调查和指导计划的见解

IF 1.9 3区医学 Q2 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING

Clinical radiology

Pub Date : 2025-12-26 DOI: 10.1016/j.crad.2025.107220

K. ElGendy , S. Chawla , B. Rea , M.M. Kiandee , S. Haldar , C. Chew

引用次数: 0

Accuracy of MRI for adolescent adnexal torsion in ultrasound-equivocal cases: correlation of imaging features with surgical confirmation 超声不明确病例中青少年附件扭转的MRI准确性：影像学特征与手术证实的相关性

IF 1.9 3区医学 Q2 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING

Clinical radiology

Pub Date : 2025-12-26 DOI: 10.1016/j.crad.2025.107222

E. Ayaz , N.G. Akyel , M. Yazici , F. Sarac , A.H. Yardimci

Aim

Although MRI studies report sensitivity and specificity rates of 80–90 % in acute adnexal torsion, the proportion of patients without torsion undergoing emergency surgery following pelvic MRI is significantly higher. This study aims to compare MRI findings between surgically confirmed torsion-positive and torsion-negative cases.

Materials and Methods

Paediatric patients who underwent pelvic MRI and emergency surgery were retrospectively reviewed. Thirteen distinct MRI features were visually scored. Additionally, measurements of both ovaries, ADC values, the stromal thickness of the affected ovary, and the predisposing lesion were recorded. Two paediatric radiologists independently evaluated the images without knowledge of surgical outcomes. In cases of disagreement, a final consensus was reached with the involvement of an experienced abdominal radiologist.

Results

Among 64 surgically treated patients, 31 (48.4 %) had torsion. MRI of 58 patients (29 torsion-positive) was deemed of sufficient quality. All categorical variables significantly differed between groups, with the most indicative feature being the presence of a twisted pedicle (p<0.05). Differences were observed in T2-weighted, T1-weighted, and post-contrast ovarian parenchymal findings (p<0.05), whereas free fluid (p=0.352) and predisposing cysts (p=0.467) did not show significant differences. Ovarian size, volume, and ADC measurements were significantly different (p<0.05). ROC analysis identified stromal thickness as the most discriminative, with an AUC of 0.85.

Conclusions

In cases where ultrasound is inconclusive, MRI provides high accuracy and interobserver agreement for acute adnexal torsion. While all ovarian and pedicle-related findings were significantly different between groups, the most diagnostically relevant features were the presence of a twisted pedicle, increased ovarian long-axis diameter, stromal thickening, and T2-weighted hypointense stroma.

目的尽管MRI研究报告急性附件扭转的敏感性和特异性为80 - 90%，但盆腔MRI检查后无扭转的患者接受急诊手术的比例明显更高。本研究旨在比较手术证实的扭转阳性和扭转阴性病例的MRI表现。材料与方法回顾性分析接受盆腔MRI和急诊手术的儿科患者。对13个不同的MRI特征进行视觉评分。此外，测量两个卵巢，ADC值，受影响的卵巢间质厚度和易感病变记录。两名儿科放射科医生在不了解手术结果的情况下独立评估图像。在有不同意见的情况下，最终的共识是在有经验的腹部放射科医生的参与下达成的。结果64例手术患者中有31例（48.4%）发生扭转。58例患者（29例扭转阳性）MRI表现良好。各组间所有分类变量均有显著差异，最具指示性的特征是存在扭曲的椎弓根（p<0.05）。在t2加权、t1加权和对比后卵巢实质发现上观察到差异（p<0.05），而游离液（p=0.352）和易感囊肿（p=0.467）无显著差异。卵巢大小、体积和ADC测量值差异有统计学意义（p < 0.05）。ROC分析发现基质厚度最具判别性，AUC为0.85。结论在超声诊断不明确的情况下，MRI对急性附件扭转的诊断具有较高的准确性和观察者间的一致性。虽然所有卵巢和蒂相关的发现在两组之间有显著差异，但最具诊断相关性的特征是蒂扭曲、卵巢长轴直径增加、间质增厚和t2加权间质低度化。

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引用次数: 0

Recasting lumbar spine magnetic resonance imaging (MRI) appropriateness as a documentation-sensitive quality metric 重新塑造腰椎磁共振成像（MRI）适当性作为文件敏感的质量指标

IF 1.9 3区医学 Q2 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING

Clinical radiology

Pub Date : 2025-12-24 DOI: 10.1016/j.crad.2025.107219

A.K. Gupta , A. Putcha , V. Vadhithala , S. Kumar

引用次数: 0

Corrigendum to “Assessment of thyroid-associated ophthalmopathy activity using corrected standardised uptake value maximum (SUVmax) and uptake ratios from 99Tcm-diethylene triamine pentaacetic acid single photon emission computed tomography/computed tomography (99Tcm-DTPA SPECT/CT) imaging” [Clin Radiol 86 (2025) 106946] “使用99tcm -二乙烯三胺五乙酸单光子发射计算机断层扫描/计算机断层扫描（99Tcm-DTPA SPECT/CT）成像的校正标准化最大摄取值（SUVmax）和摄取比率评估甲状腺相关眼病活动性”的更正[临床放射学86 (2025)106946]

IF 1.9 3区医学 Q2 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING

Clinical radiology

Pub Date : 2025-12-18 DOI: 10.1016/j.crad.2025.107190

J. Sun , L. Ma , X. Yuan , M. Wang

引用次数: 0

Soft-Tissue Tumor Reporting and Data System (ST-RADS): Prospective implementation and diagnostic accuracy 软组织肿瘤报告和数据系统（ST-RADS）：前瞻性实施和诊断准确性

IF 1.9 3区医学 Q2 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING

Clinical radiology

Pub Date : 2025-12-16 DOI: 10.1016/j.crad.2025.107216

A. Zhu , E. Mesarick , Y. Mian , A. Mohamed , F.D. Silva , A.K. Taneja , A. Chhabra

Aim

To assess clinical performance with prospective implementation of the ST-RADS scoring and compare it to traditional descriptions.

Materials and methods

Following prospective implementation of ST-RADS in the electronic dictation system, fellowship-trained musculoskeletal radiologists classified soft tissue tumors and tumor-like lesions routinely. This IRB-approved audit study included 236 consecutive patients with MRIs from 01/2023 to 05/2024 at a tertiary care center. Data on patient demographics, imaging findings, lesion characteristics, biopsy results, treatments, and clinical outcomes were collected. Diagnostic accuracy of ST-RADS versus descriptive reporting was compared using McNemar test.

Results

The cohort (mean age: 54.3 years; 61.02 % female) had both lower extremity (47.03 %) and upper extremity (37.29 %) masses. The distribution included ST-RADS I (2.12 %), ST-RADS II (36.86 %), ST-RADS III (22.03 %), ST-RADS IV (5.93 %), ST-RADS V (4.24 %), and ST-RADS VI (28.81 %). ST-RADS demonstrated superior diagnostic accuracy compared to descriptive reporting overall (99.15 % vs. 92.80 %, p=0.000) and also within biopsy-confirmed cases (97.73 % vs. 82.95 %, p=0.00098). For benign tumors (ST-RADS I-III), ST-RADS achieved 100 % accuracy compared to 93.75 % for descriptive reporting (p=0.003). For malignant tumors (ST-RADS IV-VI), ST-RADS also showed higher accuracy compared to descriptive reporting (96.74 % vs. 89.13 %), although difference did not reach statistical significance (p=0.109).

Conclusions

Prospective application of the ST-RADS scoring system demonstrated significantly superior accuracy compared to traditional descriptive methods. These results advocate for broader implementation of ST-RADS in clinical practice as a standardized method for classifying musculoskeletal soft tissue tumors, providing standardized management recommendations, and longitudinal data collection for tracking patient outcomes.

目的评价前瞻性ST-RADS评分的临床表现，并将其与传统的描述进行比较。材料和方法在电子听写系统中前瞻性地实施ST-RADS后，获得奖学金培训的肌肉骨骼放射科医师常规地对软组织肿瘤和肿瘤样病变进行分类。这项经irb批准的审计研究包括236例连续患者，于2023年1月至2024年5月在三级保健中心进行mri。收集了患者人口统计学、影像学表现、病变特征、活检结果、治疗和临床结果的数据。采用McNemar检验比较ST-RADS与描述性报告的诊断准确性。结果本组患者平均年龄54.3岁，女性61.02%，均有下肢（47.03%）和上肢（37.29%）肿块。分布包括ST-RADS I型（2.12%）、ST-RADS II型（36.86%）、ST-RADS III型（22.03%）、ST-RADS IV型（5.93%）、ST-RADS V型（4.24%）和ST-RADS VI型（28.81%）。与描述性报告相比，ST-RADS表现出更高的诊断准确性（99.15%对92.80%,p=0.000），在活检确诊病例中也表现出更高的诊断准确性（97.73%对82.95%,p=0.00098）。对于良性肿瘤（ST-RADS I-III）， ST-RADS的准确率为100%，而描述性报告的准确率为93.75% （p=0.003）。对于恶性肿瘤（ST-RADS IV-VI）， ST-RADS的准确率也高于描述性报告（96.74% vs 89.13%），但差异无统计学意义（p=0.109）。结论ST-RADS评分系统的前瞻性应用与传统的描述性方法相比具有显著的准确性。这些结果提倡在临床实践中更广泛地实施ST-RADS，作为对肌肉骨骼软组织肿瘤进行分类的标准化方法，提供标准化的管理建议，以及跟踪患者结果的纵向数据收集。

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引用次数: 0

CT and MRI characteristics of ovarian mucinous tumors associated with mature teratomas 卵巢黏液性肿瘤合并成熟畸胎瘤的CT和MRI特征

IF 1.9 3区医学 Q2 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING

Clinical radiology

Pub Date : 2025-12-15 DOI: 10.1016/j.crad.2025.107218

M. Hattori , H. Kato , M. Kawaguchi , K. Kobayashi , T. Miyazaki , N. Watanabe , H. Nishibori , Y. Noda , F. Hyodo , M. Matsuo

Aim

This study aimed to evaluate the CT and MRI features of ovarian mucinous tumors associated with mature teratomas.

Materials and Methods

The present study enrolled a total of 34 patients with histopathologically proven ovarian mucinous tumors associated with mature teratomas, including collision tumors composed of mucinous tumors and mature teratomas and mucinous tumors arising from mature teratomas. All patients underwent preoperative pelvic CT and/or MRI. Imaging findings were retrospectively reviewed.

Results

Histopathological diagnosis of mucinous tumors included mucinous cystadenoma in 22 patients, mucinous borderline tumor (MBT) in 10 patients, and mucinous carcinoma in two patients. The mean maximum tumor diameter was 168 mm (range, 39–314 mm). All tumors were unilateral, well-defined, predominantly cystic, and multilocular. A total of 14 tumors (41 %) had fewer than 10 loculi, while 12 tumors (35 %) had 30 or more. Fatty components were observed in 30 tumors (88 %), and 20 of 30 tumors (67 %) had multiple fatty components. On MRI, stained glass appearance was observed in 20 of 29 tumors (69 %). On CT, nodular calcifications within fatty components were observed in 12 of 21 tumors (57 %), whereas flattened calcifications within the septa of non-fatty components were observed in 7 of 21 tumors (33 %). Pseudomyxoma peritonei (PMP) was observed in three patients (9 %) with MBT.

Conclusions

Ovarian mucinous tumors associated with mature teratomas typically presented as large, multilocular cystic lesions with fatty components and teratoma/mucinous tumor-associated calcifications. Although PMP was uncommon, it was rarely observed in patients with MBT.

目的探讨卵巢黏液性肿瘤合并成熟畸胎瘤的CT和MRI表现。材料与方法本研究共纳入34例经组织病理学证实的卵巢黏液性肿瘤伴成熟畸胎瘤患者，包括黏液性肿瘤与成熟畸胎瘤组成的碰撞瘤和由成熟畸胎瘤引起的黏液性肿瘤。所有患者术前均行盆腔CT和/或MRI检查。回顾性回顾影像学表现。结果组织学诊断为粘液性囊腺瘤22例，粘液性交界性肿瘤10例，粘液性癌2例。平均最大肿瘤直径为168 mm（范围39 ~ 314 mm）。所有肿瘤均为单侧，界限分明，主要为囊性，多房性。14例（41%）肿瘤少于10个腔室，12例（35%）肿瘤超过30个腔室。30例（88%）肿瘤中存在脂肪成分，其中20例（67%）肿瘤存在多种脂肪成分。在MRI上，29例肿瘤中有20例（69%）可见染色玻璃样外观。在CT上，21个肿瘤中有12个（57%）在脂肪成分内观察到结节状钙化，而21个肿瘤中有7个（33%）在非脂肪成分的间隔内观察到扁平钙化。3例（9%）MBT患者出现腹膜假性粘液瘤（PMP）。结论卵巢黏液性肿瘤合并成熟畸胎瘤典型表现为大的、多室的囊性病变，伴脂肪成分和畸胎瘤/黏液性肿瘤相关的钙化。虽然PMP不常见，但在MBT患者中很少观察到。

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引用次数: 0

Association between deep medullary veins and grey matter volume fraction in patients with cerebral small vessel disease 脑小血管疾病患者深髓静脉与灰质体积分数的关系

IF 1.9 3区医学 Q2 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING

Clinical radiology

Pub Date : 2025-12-15 DOI: 10.1016/j.crad.2025.107200

Y. Han , Y. Wang , H. Wang , L. Yan , M. Wei , L. Zhou

Aim

Cerebral small vessel disease (CSVD) is a disorder of cerebral microvessels defined by clinical presentation and imaging that affects cerebral small arteries, arterioles, capillaries, and venules. Previous studies on CSVD were mainly focused on cerebral small arteries; however, there are only a few reports on the association between deep medullary veins (DMVs) and CSVD, especially the association between the number of DMVs and one of the imaging makers of CSVD-brain atrophy. The aim of this study is to investigate the relationship between DMVs and brain atrophy using 3.0T magnetic resonance images (MRI).

Material and Methods

We analyzed the complete clinical and imaging data of 101 hospitalized patients diagnosed with CSVD. DMVs was identified in the periventricular area using susceptibility-weighted imaging (SWI). Brain atrophy was assessed using voxel-based morphometry (VBM) calculations of gray matter (GM), white matter (WM), and cerebrospinal fluid volume fractions.

Results

Our results showed that the number of DMVs was significantly correlated with GM fraction (β = 0.315, P = 0.019, adjusted for age, hypertension, diabetes mellitus, and WM fraction). We also found that with increase in CSVD burden, there was no statistically significant association between the number of DMVs and GM fraction (β = 0.071, P = 0.688, adjusted for age, hypertension, diabetes mellitus, and WM fraction).

Conclusion

Our results provide evidence that fewer DMVs are associated with a smaller GM fraction in patients with a low burden of CSVD (β = 0.604, P = 0.008, adjusted for age, hypertension, diabetes mellitus, and WM fraction), while the number of DMVs is associated with brain atrophy and the progression of CSVD.

目的：脑小血管疾病（CSVD）是一种影响脑小动脉、小动脉、毛细血管和小静脉的脑微血管疾病，其临床表现和影像学特征明确。以往对心血管疾病的研究主要集中在脑小动脉；然而，关于深髓静脉（dmv）与CSVD之间关系的报道很少，特别是dmv的数量与CSVD脑萎缩的显像因素之一之间的关系。本研究目的是利用3.0T磁共振成像（MRI）研究dmv与脑萎缩的关系。材料和方法：我们分析了101例诊断为CSVD的住院患者的完整临床和影像学资料。使用敏感性加权成像（SWI）在心室周围区域识别dmv。脑萎缩的评估采用基于体素的形态学（VBM）计算灰质（GM）、白质（WM）和脑脊液体积分数。结果：dmv数量与GM分数显著相关（β = 0.315, P = 0.019，经年龄、高血压、糖尿病和WM分数校正）。我们还发现，随着CSVD负担的增加，dmv数量与GM分数之间没有统计学意义的相关性（β = 0.071, P = 0.688，经年龄、高血压、糖尿病和WM分数校正）。结论：我们的研究结果表明，在CSVD负担较轻的患者中，dmv的减少与GM分数的减少相关（β = 0.604, P = 0.008，经年龄、高血压、糖尿病和WM分数校正），而dmv的数量与脑萎缩和CSVD的进展相关。

{"title":"Association between deep medullary veins and grey matter volume fraction in patients with cerebral small vessel disease","authors":"Y. Han , Y. Wang , H. Wang , L. Yan , M. Wei , L. Zhou","doi":"10.1016/j.crad.2025.107200","DOIUrl":"10.1016/j.crad.2025.107200","url":null,"abstract":"<div><h3>Aim</h3><div>Cerebral small vessel disease (CSVD) is a disorder of cerebral microvessels defined by clinical presentation and imaging that affects cerebral small arteries, arterioles, capillaries, and venules. Previous studies on CSVD were mainly focused on cerebral small arteries; however, there are only a few reports on the association between deep medullary veins (DMVs) and CSVD, especially the association between the number of DMVs and one of the imaging makers of CSVD-brain atrophy. The aim of this study is to investigate the relationship between DMVs and brain atrophy using 3.0T magnetic resonance images (MRI).</div></div><div><h3>Material and Methods</h3><div>We analyzed the complete clinical and imaging data of 101 hospitalized patients diagnosed with CSVD. DMVs was identified in the periventricular area using susceptibility-weighted imaging (SWI). Brain atrophy was assessed using voxel-based morphometry (VBM) calculations of gray matter (GM), white matter (WM), and cerebrospinal fluid volume fractions.</div></div><div><h3>Results</h3><div>Our results showed that the number of DMVs was significantly correlated with GM fraction (β = 0.315, <em>P</em> = 0.019, adjusted for age, hypertension, diabetes mellitus, and WM fraction). We also found that with increase in CSVD burden, there was no statistically significant association between the number of DMVs and GM fraction (β = 0.071, <em>P</em> = 0.688, adjusted for age, hypertension, diabetes mellitus, and WM fraction).</div></div><div><h3>Conclusion</h3><div>Our results provide evidence that fewer DMVs are associated with a smaller GM fraction in patients with a low burden of CSVD (β = 0.604, <em>P</em> = 0.008, adjusted for age, hypertension, diabetes mellitus, and WM fraction), while the number of DMVs is associated with brain atrophy and the progression of CSVD.</div></div>","PeriodicalId":10695,"journal":{"name":"Clinical radiology","volume":"93 ","pages":"Article 107200"},"PeriodicalIF":1.9,"publicationDate":"2025-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145965419","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Effectiveness of single-energy metallic artifact reduction in CT angiography for patients with lower extremity metallic implants 下肢金属植入物CT血管造影中单能量金属伪影降低的效果。

IF 1.9 3区医学 Q2 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING

Clinical radiology

Pub Date : 2025-12-15 DOI: 10.1016/j.crad.2025.107217

M. Kara, A. Shatat, M.K. Dönmez, M. Tosun, H. Uslu, A. Yalnız, Ö. Çakır, E. Çiftçi, I. Cam

Aim

To evaluate the impact of a single-energy metal artifact reduction algorithm on image quality in lower extremity CT angiography (CTA) of patients with metallic implants.

Materials and Methods

This retrospective, single-center study included patients with metallic implants in the lower extremity who underwent lower extremity CTA between January 2021 and December 2024. All scans were performed on a 320–detector row CT scanner. Standard images were reconstructed with hybrid iterative reconstruction, and an additional reconstruction was performed with a projection-based single-energy metal artifact reduction (SEMAR) algorithm. Objective image quality was assessed by measuring image noise in target tissues (arteries, muscle, subcutaneous fat, cortical bone, medullary bone) on both standard and SEMAR images. Subjective image quality was evaluated for arteries, muscle, and bone using a 5-point scale. Scores ≥4 were considered diagnostic. Paired t-tests or Wilcoxon signed-rank tests were used for comparisons, as appropriate

Results

The study group included 30 patients. SEMAR reconstruction significantly reduced image noise and artifact index in all evaluated tissues compared to standard images with objective assessment (p<0.001 for each target tissue). Subjective evaluation of diagnostic-quality showed marked improvements with the SEMAR algorithm for each target tissue compared to the standard images using a 5-point scale (p<0.001 for each). For arterial structures, only 5 of 30 cases (16.6 %) were considered diagnostic on the standard images (score 4 or 5), whereas with SEMAR 28 of 30 cases (93.3 %) were diagnostic.

Conclusions

SEMAR significantly reduced artifacts and image noise, restoring diagnostic image quality for vessels and surrounding tissues.

目的：评价单能量金属伪影降低算法对金属植入患者下肢CT血管造影（CTA）图像质量的影响。材料和方法：这项回顾性的单中心研究纳入了2021年1月至2024年12月期间接受下肢CTA治疗的下肢金属植入物患者。所有扫描均在320排CT扫描仪上进行。采用混合迭代重建方法重建标准图像，并采用基于投影的单能量金属伪影减少（SEMAR）算法进行额外重建。通过在标准和SEMAR图像上测量目标组织（动脉、肌肉、皮下脂肪、皮质骨、髓质骨）的图像噪声来评估客观图像质量。采用5分制对动脉、肌肉和骨骼的主观图像质量进行评估。得分≥4分被认为是诊断。采用配对t检验或Wilcoxon符号秩检验进行比较。结果：研究组包括30例患者。与客观评估的标准图像相比，SEMAR重建显著降低了所有评估组织的图像噪声和伪影指数(pp结论：SEMAR显著降低了伪影和图像噪声，恢复了血管和周围组织的诊断图像质量。

{"title":"Effectiveness of single-energy metallic artifact reduction in CT angiography for patients with lower extremity metallic implants","authors":"M. Kara, A. Shatat, M.K. Dönmez, M. Tosun, H. Uslu, A. Yalnız, Ö. Çakır, E. Çiftçi, I. Cam","doi":"10.1016/j.crad.2025.107217","DOIUrl":"10.1016/j.crad.2025.107217","url":null,"abstract":"<div><h3>Aim</h3><div>To evaluate the impact of a single-energy metal artifact reduction algorithm on image quality in lower extremity CT angiography (CTA) of patients with metallic implants.</div></div><div><h3>Materials and Methods</h3><div>This retrospective, single-center study included patients with metallic implants in the lower extremity who underwent lower extremity CTA between January 2021 and December 2024. All scans were performed on a 320–detector row CT scanner. Standard images were reconstructed with hybrid iterative reconstruction, and an additional reconstruction was performed with a projection-based single-energy metal artifact reduction (SEMAR) algorithm. Objective image quality was assessed by measuring image noise in target tissues (arteries, muscle, subcutaneous fat, cortical bone, medullary bone) on both standard and SEMAR images. Subjective image quality was evaluated for arteries, muscle, and bone using a 5-point scale. Scores ≥4 were considered diagnostic. Paired t-tests or Wilcoxon signed-rank tests were used for comparisons, as appropriate</div></div><div><h3>Results</h3><div>The study group included 30 patients. SEMAR reconstruction significantly reduced image noise and artifact index in all evaluated tissues compared to standard images with objective assessment (<em>p</em><0.001 for each target tissue). Subjective evaluation of diagnostic-quality showed marked improvements with the SEMAR algorithm for each target tissue compared to the standard images using a 5-point scale (<em>p</em><0.001 for each). For arterial structures, only 5 of 30 cases (16.6 %) were considered diagnostic on the standard images (score 4 or 5), whereas with SEMAR 28 of 30 cases (93.3 %) were diagnostic.</div></div><div><h3>Conclusions</h3><div>SEMAR significantly reduced artifacts and image noise, restoring diagnostic image quality for vessels and surrounding tissues.</div></div>","PeriodicalId":10695,"journal":{"name":"Clinical radiology","volume":"93 ","pages":"Article 107217"},"PeriodicalIF":1.9,"publicationDate":"2025-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145965440","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Substantial discordance between structured pre-operative computed tomography (CT) reports and intraoperative findings in advanced ovarian cancer cytoreductive surgery, affecting treatment decisions 在晚期卵巢癌细胞减少手术中，结构化的术前计算机断层扫描（CT）报告与术中发现之间存在实质性的不一致，影响治疗决策。

IF 1.9 3区医学 Q2 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING

Clinical radiology

Pub Date : 2025-12-13 DOI: 10.1016/j.crad.2025.107214

M. Kengsakul , H.J. van Beekhuizen , A. Bijleveld , D.C. Plak , B.M. de Kok , I.G. Schoots , J.M.J. Piek , S.J. Kerr , M.G.J. Thomeer , G.M. Nieuwenhuyzen-de Boer

AIM

The aim of this study was to assess the agreement and diagnostic accuracy of structured preoperative computed tomography (CT) findings compared to intraoperative findings in advanced ovarian cancer patients undergoing primary or interval cytoreductive surgery.

MATERIALS AND METHODS

Patients with CT scans suggesting advanced ovarian cancer were enrolled in the study. Agreement between CT reports, reviewed using European Society of Urogenital Radiology (ESUR) criteria, and surgical findings were evaluated with the kappa coefficient. Sensitivity, specificity, positive predictive value (PPV), and negative predictive value (NPV) were calculated for each radiologic feature.

RESULTS

From February 2018 to September 2020, 258 patients with International Federation of Gynaecology and Obstetrics (FIGO) stage IIIB-IV epithelial ovarian cancer were enrolled. Agreement between ESUR-reviewed CT reports and surgical findings was slight to fair (kappa = 0.115–0.352). The most common CT findings were peritoneal carcinomatosis, omental metastases, and bowel involvement. Sensitivity and specificity of peritoneal carcinomatosis were 0.91 (95% confidence interval [CI]: 0.86–0.94) and 0.19 (95% CI: 0.10–0.31), with an area under the receiver operating characteristic curve (AUC) of 0.55 (95% CI: 0.46–0.64). Omental metastases had a sensitivity of 0.91 (95% CI: 0.87–0.95) and specificity of 0.27 (95% CI: 0.16–0.40) with an AUC of 0.59 (95% CI: 0.52–0.65). Bowel involvement showed a sensitivity of 0.61 (95% CI: 0.54–0.67), specificity of 0.71 (95% CI: 0.58–0.83), and AUC of 0.66 (95% CI: 0.58–0.74).

CONCLUSION

This study demonstrates limited concordance between ESUR-reviewed CT reports and intraoperative findings in advanced ovarian cancer. Even when interpreted by expert radiologists, CT imaging alone may inadequately reflect disease burden. These findings emphasise the ongoing challenges of imaging-based surgical planning and support the need for further development and validation of more accurate preoperative assessment tools.

目的：本研究的目的是评估术前结构化计算机断层扫描（CT）结果与行原发性或间隔期细胞减少手术的晚期卵巢癌患者术中结果的一致性和诊断准确性。材料和方法：CT扫描提示晚期卵巢癌的患者入组研究。采用欧洲泌尿生殖系统放射学会（ESUR）标准审查CT报告与手术结果之间的一致性，用kappa系数进行评估。计算每个放射学特征的敏感性、特异性、阳性预测值（PPV）和阴性预测值（NPV）。结果：2018年2月至2020年9月，纳入258例国际妇产科联合会（FIGO） iii期b - iv期上皮性卵巢癌患者。esur复查CT报告与手术结果的一致性为轻微到一般（kappa = 0.115-0.352）。最常见的CT表现为腹膜癌、大网膜转移和肠受累。腹膜癌的敏感性和特异性分别为0.91（95%可信区间[CI]: 0.86-0.94）和0.19 (95% CI: 0.10-0.31)，受者工作特征曲线下面积（AUC）为0.55 （95% CI: 0.46-0.64）。网膜转移的敏感性为0.91 (95% CI: 0.87-0.95)，特异性为0.27 (95% CI: 0.16-0.40)， AUC为0.59 （95% CI: 0.52-0.65）。肠受累的敏感性为0.61 (95% CI: 0.54-0.67)，特异性为0.71 (95% CI: 0.58-0.83)， AUC为0.66 （95% CI: 0.58-0.74）。结论：本研究显示晚期卵巢癌的esur复查CT报告与术中发现有一定的一致性。即使由放射科专家解释，单独的CT成像也不能充分反映疾病负担。这些发现强调了基于成像的手术计划的持续挑战，并支持进一步开发和验证更准确的术前评估工具的必要性。

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引用次数: 0

Lung computed tomography (CT) imaging findings of chronic obstructive pulmonary disease patients with impaired sleep quality 慢性阻塞性肺疾病患者睡眠质量受损的肺部CT影像学表现

IF 1.9 3区医学 Q2 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING

Clinical radiology

Pub Date : 2025-12-13 DOI: 10.1016/j.crad.2025.107215

P. Zhang , T. Li , Q. Song , C. Liu , Y. Zeng , S. Chen , P. Chen , L. Lin

Aim

To investigate the computed tomography (CT) imaging characteristics (including diaphragm thickness [DT], pulmonary artery to aorta ratio [dPA/A], and airway indices) associated with impaired sleep quality in chronic obstructive pulmonary disease (COPD) patients.

Materials and Methods

This cross-sectional study enrolled 190 COPD patients (December 2021–September 2024). Baseline data included demographics, COPD Assessment Test (CAT) scores, pulmonary function, exacerbation history, and CT parameters. Impaired sleep quality was defined as Pittsburgh Sleep Quality Index (PSQI) score ≥5, grouping patients accordingly.

Results

Patients (mean age 64.8 years; 93.1% male) included 56% with impaired sleep quality (linked to higher CAT scores and lower FEV₁/FVC). The impaired sleep group had smaller airway lumen area (LA), mean inner/outer diameters (mID/mOD), and DT; plus higher wall area percentage (WA%) and dPA/A. DT, WA%, and dPA/A were independent risk factors for impaired sleep; dPA/A had the highest ROC AUC (0.688), followed by CAT (0.667), DT (0.632), and WA% (0.602).

Conclusion

Impaired sleep quality in COPD may relate to airway narrowing, airway wall thickening, reduced lumen diameter, and enlarged dPA/A.

目的探讨慢性阻塞性肺疾病（COPD）患者睡眠质量受损的CT影像学特征（包括膈膜厚度[DT]、肺动脉/主动脉比值[dPA/A]、气道指数）。材料与方法本横断面研究纳入190例COPD患者（2021年12月- 2024年9月）。基线数据包括人口统计、COPD评估测试（CAT）评分、肺功能、加重史和CT参数。以匹兹堡睡眠质量指数（PSQI）评分≥5分为睡眠质量受损患者进行分组。结果患者（平均年龄64.8岁，93.1%为男性）中有56%的患者睡眠质量受损（与CAT评分较高和FEV1/FVC较低有关）。睡眠障碍组气道管腔面积（LA）、平均内径/外径（mID/mOD）和DT较小；加上更高的墙面积百分比（WA%）和dPA/A。DT、WA%和dPA/A是睡眠障碍的独立危险因素；dPA/A的ROC AUC最高（0.688），其次是CAT（0.667）、DT（0.632）和WA%（0.602）。结论COPD患者睡眠质量下降可能与气道狭窄、气道壁增厚、管腔直径减小、dPA/A增大有关。

{"title":"Lung computed tomography (CT) imaging findings of chronic obstructive pulmonary disease patients with impaired sleep quality","authors":"P. Zhang , T. Li , Q. Song , C. Liu , Y. Zeng , S. Chen , P. Chen , L. Lin","doi":"10.1016/j.crad.2025.107215","DOIUrl":"10.1016/j.crad.2025.107215","url":null,"abstract":"<div><h3>Aim</h3><div>To investigate the computed tomography (CT) imaging characteristics (including diaphragm thickness [DT], pulmonary artery to aorta ratio [dPA/A], and airway indices) associated with impaired sleep quality in chronic obstructive pulmonary disease (COPD) patients.</div></div><div><h3>Materials and Methods</h3><div>This cross-sectional study enrolled 190 COPD patients (December 2021–September 2024). Baseline data included demographics, COPD Assessment Test (CAT) scores, pulmonary function, exacerbation history, and CT parameters. Impaired sleep quality was defined as Pittsburgh Sleep Quality Index (PSQI) score ≥5, grouping patients accordingly.</div></div><div><h3>Results</h3><div>Patients (mean age 64.8 years; 93.1% male) included 56% with impaired sleep quality (linked to higher CAT scores and lower FEV<sub>1</sub>/FVC). The impaired sleep group had smaller airway lumen area (LA), mean inner/outer diameters (mID/mOD), and DT; plus higher wall area percentage (WA%) and dPA/A. DT, WA%, and dPA/A were independent risk factors for impaired sleep; dPA/A had the highest ROC AUC (0.688), followed by CAT (0.667), DT (0.632), and WA% (0.602).</div></div><div><h3>Conclusion</h3><div>Impaired sleep quality in COPD may relate to airway narrowing, airway wall thickening, reduced lumen diameter, and enlarged dPA/A.</div></div>","PeriodicalId":10695,"journal":{"name":"Clinical radiology","volume":"93 ","pages":"Article 107215"},"PeriodicalIF":1.9,"publicationDate":"2025-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145941300","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0