Pub Date : 2025-07-01DOI: 10.1016/j.rx.2024.09.003
B. Domenech-Ximenos , R. Jiménez-Arjona , J.T. Ortiz-Pérez , R.J. Perea , M. Sánchez , S. Prat-González , A. Doltra
Sudden cardiac death (SCD) is recognised as a public health problem and can be caused by multiple heart diseases, which vary depending on the age of the patient. SCD risk stratification is a controversial topic surrounded by debate, since it is not easy to determine the appropriate timing for implanting an automatic defibrillator. Given that arrhythmic events are associated with myocardial scars, SCD stratification should go beyond the assessment of systolic function. Cardiac magnetic resonance imaging plays a fundamental role since it enables the non-invasive characterisation of macroscopic and interstitial myocardial fibrosis, revealing the pattern and extent. This article reviews the role of cardiac magnetic resonance imaging in SCD risk prediction.
{"title":"Muerte súbita: estratificación del riesgo por resonancia magnética cardíaca","authors":"B. Domenech-Ximenos , R. Jiménez-Arjona , J.T. Ortiz-Pérez , R.J. Perea , M. Sánchez , S. Prat-González , A. Doltra","doi":"10.1016/j.rx.2024.09.003","DOIUrl":"10.1016/j.rx.2024.09.003","url":null,"abstract":"<div><div>Sudden cardiac death (SCD) is recognised as a public health problem and can be caused by multiple heart diseases, which vary depending on the age of the patient. SCD risk stratification is a controversial topic surrounded by debate, since it is not easy to determine the appropriate timing for implanting an automatic defibrillator. Given that arrhythmic events are associated with myocardial scars, SCD stratification should go beyond the assessment of systolic function. Cardiac magnetic resonance imaging plays a fundamental role since it enables the non-invasive characterisation of macroscopic and interstitial myocardial fibrosis, revealing the pattern and extent. This article reviews the role of cardiac magnetic resonance imaging in SCD risk prediction.</div></div>","PeriodicalId":31509,"journal":{"name":"RADIOLOGIA","volume":"67 4","pages":"Article 101639"},"PeriodicalIF":1.1,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144588801","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}
Pub Date : 2025-07-01DOI: 10.1016/j.rx.2024.11.002
F.L. Begliardo, P. Cebrián Villar, J.C. Diez Hernández, D. Martin Hernández, M.E. Bonal González
Radiation-induced angiosarcoma of the breast is a rare and highly aggressive malignant neoplasm. Its incidence is likely to rise in the coming years due to the increasing use of breast-conserving surgery techniques.
Changes in the skin colour of the irradiated area in a patient treated with conservative surgery should raise suspicion of this pathology. The diagnostic work-up for this disease includes different imaging modalities including mammography, ultrasound, or magnetic resonance imaging. However, the most accurate diagnostic method is skin biopsy. Treatment typically involves surgical resection, while the role of chemotherapy and radiotherapy is not well established.
{"title":"Angiosarcoma radioinducido de la mama: una patología rara pero agresiva que no debemos olvidar","authors":"F.L. Begliardo, P. Cebrián Villar, J.C. Diez Hernández, D. Martin Hernández, M.E. Bonal González","doi":"10.1016/j.rx.2024.11.002","DOIUrl":"10.1016/j.rx.2024.11.002","url":null,"abstract":"<div><div>Radiation-induced angiosarcoma of the breast is a rare and highly aggressive malignant neoplasm. Its incidence is likely to rise in the coming years due to the increasing use of breast-conserving surgery techniques.</div><div>Changes in the skin colour of the irradiated area in a patient treated with conservative surgery should raise suspicion of this pathology. The diagnostic work-up for this disease includes different imaging modalities including mammography, ultrasound, or magnetic resonance imaging. However, the most accurate diagnostic method is skin biopsy. Treatment typically involves surgical resection, while the role of chemotherapy and radiotherapy is not well established.</div></div>","PeriodicalId":31509,"journal":{"name":"RADIOLOGIA","volume":"67 4","pages":"Article 101645"},"PeriodicalIF":1.1,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144588509","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}
Pub Date : 2025-07-01DOI: 10.1016/j.rx.2023.11.003
I. Suñén , A.I. García Barrado , S. Cruz Ciria , J.G. Maroto , S. Lozares Cordero , B. Gros Bañeres , C. García Mur
Introduction
The use of contrast-enhanced spectral mammography (CESM) has increased in recent years, as has awareness of radiation dose safety among professionals and patients. The principal aim of this study was to compare radiation exposure measured using the entrance surface dose (ESD) and the average glandular dose (AGD) in CESM, full-field digital mammography (FFDM) and digital breast tomosynthesis (DBT). Our second objective was to evaluate differences caused by compressed breast thickness, compression force and patient age.
Material and methods
A retrospective observational study included all patients who had undergone a CESM between May 2021 and May 2022. Data was collected on ESD and AGD from the different CESM studies, and breast density and volume were determined by 2 expert radiologists. The comparative analysis focused on the dose of radiation received during the craniocaudal (CC) projection of the right breast in CESM studies and FFDM or DBT, performed within a 12-month period. Lastly, a statistical analysis was performed to determine the influence of breast compression thickness, compression force and patient age.
Results
Seventy-seven patients participated in the comparative study and forty-four in the dosimetric study. Differences in radiation dose (ESD/AGD) were found among the 3 breast imaging techniques. The dose in CESM (1.70/5.39 mGy) was lower than in DBT (2.19/6.79 mGy) and higher than in FFDM (1.26/4.06 mGy) for an average breast compression thickness of 59.64 mm. A positive correlation was observed between the dose received in CESM and breast compression thickness (ρ=0.55), and a negative correlation was observed with patient age (ρ= –0.27). No differences in dosimetric variables were observed for different compression forces.
Conclusions
The ESD and AGD in the CC projection of the right breast in CESM are higher than in FFDM but lower than in DBT. The dose had a positive correlation with breast compression thickness and a negative correlation with patient age.
{"title":"Estudio comparativo de la dosis de radiación de la mamografía espectral con contraste (CEM), mamografía digital y tomosíntesis mamaria","authors":"I. Suñén , A.I. García Barrado , S. Cruz Ciria , J.G. Maroto , S. Lozares Cordero , B. Gros Bañeres , C. García Mur","doi":"10.1016/j.rx.2023.11.003","DOIUrl":"10.1016/j.rx.2023.11.003","url":null,"abstract":"<div><h3>Introduction</h3><div>The use of contrast-enhanced spectral mammography (CESM) has increased in recent years, as has awareness of radiation dose safety among professionals and patients. The principal aim of this study was to compare radiation exposure measured using the entrance surface dose (ESD) and the average glandular dose (AGD) in CESM, full-field digital mammography (FFDM) and digital breast tomosynthesis (DBT). Our second objective was to evaluate differences caused by compressed breast thickness, compression force and patient age.</div></div><div><h3>Material and methods</h3><div>A retrospective observational study included all patients who had undergone a CESM between May 2021 and May 2022. Data was collected on ESD and AGD from the different CESM studies, and breast density and volume were determined by 2<!--> <!-->expert radiologists. The comparative analysis focused on the dose of radiation received during the craniocaudal (CC) projection of the right breast in CESM studies and FFDM or DBT, performed within a 12-month period. Lastly, a statistical analysis was performed to determine the influence of breast compression thickness, compression force and patient age.</div></div><div><h3>Results</h3><div>Seventy-seven patients participated in the comparative study and forty-four in the dosimetric study. Differences in radiation dose (ESD/AGD) were found among the 3<!--> <!-->breast imaging techniques. The dose in CESM (1.70/5.39 mGy) was lower than in DBT (2.19/6.79 mGy) and higher than in FFDM (1.26/4.06 mGy) for an average breast compression thickness of 59.64<!--> <!-->mm. A positive correlation was observed between the dose received in CESM and breast compression thickness (ρ=0.55), and a negative correlation was observed with patient age (ρ= –0.27). No differences in dosimetric variables were observed for different compression forces.</div></div><div><h3>Conclusions</h3><div>The ESD and AGD in the CC projection of the right breast in CESM are higher than in FFDM but lower than in DBT. The dose had a positive correlation with breast compression thickness and a negative correlation with patient age.</div></div>","PeriodicalId":31509,"journal":{"name":"RADIOLOGIA","volume":"67 4","pages":"Article 101546"},"PeriodicalIF":1.1,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139394369","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}
Pub Date : 2025-07-01DOI: 10.1016/j.rx.2023.09.008
J.A. Gómez Patiño , M.T. Fontanilla Echeveste , M. Alfageme Zubillaga , S. Méndez Alonso , A. Royuela Vicente , R. González Costero , A. García Suárez
Introduction and objective
CT navigation systems enable access to lesions that are in difficult locations, with poor ultrasound visualisation, and adjacent to vulnerable structures. The objective of this study is to show how navigation systems can increase safety and precision in the ablative treatment of lesions in the hepatic dome.
Materials and methods
A retrospective single-centre study was carried out from April 2018 to February 2022. Percutaneous ablation procedures were performed with CT-navigation system assistance on 75 patients, of which 18 had lesions in the hepatic dome (16 HCCs and 5 metastatic tumours). Syngo.via VB30 software was used to analyse the volume of lesions and ablation areas in pre- and post-treatment CT images. Technical success was determined 24 hours following the procedure and according to the length of time free from tumour viability (through imaging tests every three months).
Results
A volumetric study was carried out for 20 of the 21 lesions (95%) and technical success was achieved in 11 of the 21 lesions (52%). In 9 of the 12 lesions that completed a year of follow-up (75%), no signs of tumour viability were detected, achieving local control of the disease. Furthermore, in 5 of these 9 lesions (56%) no progression was observed in other locations of the liver. The syngo.via software version VB30 was able to predict the area of recurrence in 71% of cases. No permanent side effects or death were secondary to the procedure.
Conclusion
CT navigation systems provide increased safety and precision in the percutaneous ablative treatment of tumours in the hepatic dome, making this technique a good treatment option.
{"title":"Ablación percutánea de tumores en la cúpula hepática asistida por sistemas de navegación para TC. Descripción técnica y experiencia inicial","authors":"J.A. Gómez Patiño , M.T. Fontanilla Echeveste , M. Alfageme Zubillaga , S. Méndez Alonso , A. Royuela Vicente , R. González Costero , A. García Suárez","doi":"10.1016/j.rx.2023.09.008","DOIUrl":"10.1016/j.rx.2023.09.008","url":null,"abstract":"<div><h3>Introduction and objective</h3><div>CT navigation systems enable access to lesions that are in difficult locations, with poor ultrasound visualisation, and adjacent to vulnerable structures. The objective of this study is to show how navigation systems can increase safety and precision in the ablative treatment of lesions in the hepatic dome.</div></div><div><h3>Materials and methods</h3><div>A retrospective single-centre study was carried out from April 2018 to February 2022. Percutaneous ablation procedures were performed with CT-navigation system assistance on 75 patients, of which 18 had lesions in the hepatic dome (16 HCCs and 5 metastatic tumours). Syngo.via VB30 software was used to analyse the volume of lesions and ablation areas in pre- and post-treatment CT images. Technical success was determined 24<!--> <!-->hours following the procedure and according to the length of time free from tumour viability (through imaging tests every three months).</div></div><div><h3>Results</h3><div>A volumetric study was carried out for 20 of the 21 lesions (95%) and technical success was achieved in 11 of the 21 lesions (52%). In 9 of the 12 lesions that completed a year of follow-up (75%), no signs of tumour viability were detected, achieving local control of the disease. Furthermore, in 5 of these 9 lesions (56%) no progression was observed in other locations of the liver. The syngo.via software version VB30 was able to predict the area of recurrence in 71% of cases. No permanent side effects or death were secondary to the procedure.</div></div><div><h3>Conclusion</h3><div>CT navigation systems provide increased safety and precision in the percutaneous ablative treatment of tumours in the hepatic dome, making this technique a good treatment option.</div></div>","PeriodicalId":31509,"journal":{"name":"RADIOLOGIA","volume":"67 4","pages":"Article 101542"},"PeriodicalIF":1.1,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139014814","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}
Pub Date : 2025-07-01DOI: 10.1016/j.rx.2024.09.002
R. Salvador , D. Vas , L. Oleaga , M. Matute-González , À. Castillo-Fortuño , X. Setoain , C. Nicolau
Introduction
Artificial intelligence models can provide textual answers to a wide range of questions, including medical questions. Recently, these models have incorporated the ability to interpret and answer image-based questions, and this includes radiological images. The main objective of this study is to analyse the performance of ChatGPT-4o compared to third-year medical students in a Radiology and Applied Physics in Medicine practical exam. We also intend to assess the capacity of ChatGPT to interpret medical images and answer related questions.
Materials and method
Thirty-three students set an exam of 10 questions on radiological and nuclear medicine images. Exactly the same exam in the same format was given to ChatGPT (version GPT-4o) without prior training. The exam responses were evaluated by professors who were unaware of which exam corresponded to which respondent type. The Mann-Whitney U test was used to compare the results of the 2 groups.
Results
The students outperformed ChatGPT on 8 questions. The students’ average final score was 7.78, while ChatGPT's was 6.05, placing it in the 9th percentile of the students’ grade distribution.
Discussion
ChatGPT demonstrates competent performance in several areas, but students achieve better grades, especially in the interpretation of images and contextualised clinical reasoning, where students’ training and practical experience play an essential role. Improvements in artificial intelligence models are still needed to achieve human-like capabilities in interpreting radiological images and integrating clinical information.
{"title":"Comparación del rendimiento entre ChatGPT y estudiantes de Medicina en un examen real práctico con imágenes de Radiología y Medicina Física","authors":"R. Salvador , D. Vas , L. Oleaga , M. Matute-González , À. Castillo-Fortuño , X. Setoain , C. Nicolau","doi":"10.1016/j.rx.2024.09.002","DOIUrl":"10.1016/j.rx.2024.09.002","url":null,"abstract":"<div><h3>Introduction</h3><div>Artificial intelligence models can provide textual answers to a wide range of questions, including medical questions. Recently, these models have incorporated the ability to interpret and answer image-based questions, and this includes radiological images. The main objective of this study is to analyse the performance of ChatGPT-4o compared to third-year medical students in a Radiology and Applied Physics in Medicine practical exam. We also intend to assess the capacity of ChatGPT to interpret medical images and answer related questions.</div></div><div><h3>Materials and method</h3><div>Thirty-three students set an exam of 10 questions on radiological and nuclear medicine images. Exactly the same exam in the same format was given to ChatGPT (version GPT-4o) without prior training. The exam responses were evaluated by professors who were unaware of which exam corresponded to which respondent type. The Mann-Whitney U test was used to compare the results of the 2 groups.</div></div><div><h3>Results</h3><div>The students outperformed ChatGPT on 8 questions. The students’ average final score was 7.78, while ChatGPT's was 6.05, placing it in the 9th percentile of the students’ grade distribution.</div></div><div><h3>Discussion</h3><div>ChatGPT demonstrates competent performance in several areas, but students achieve better grades, especially in the interpretation of images and contextualised clinical reasoning, where students’ training and practical experience play an essential role. Improvements in artificial intelligence models are still needed to achieve human-like capabilities in interpreting radiological images and integrating clinical information.</div></div>","PeriodicalId":31509,"journal":{"name":"RADIOLOGIA","volume":"67 4","pages":"Article 101638"},"PeriodicalIF":1.1,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144588798","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}
Pub Date : 2025-07-01DOI: 10.1016/j.rx.2024.04.008
A. Martinez , G. Mattiello , A. Oliva , D. Tovar , P. Cuadras , P. Puyalto
Infection remains the most common cause of non-traumatic acute orbital pathology and a relatively common reason for requesting radiological examinations in the emergency department. Infection can affect any part of the orbit but postseptal involvement most frequently justifies imaging requests, due to its potential severity and associated complications. The differential diagnosis of acute orbital pathology is broad and includes not only infectious entities but also inflammatory and neoplastic conditions. It is important to know how to recognise these entities in order to establish early treatment and avoid serious complications. This article reviews, through case images, orbital pathologies of infectious origin, their potential complications and their differential diagnosis.
{"title":"Infecciones orbitarias y sus complicaciones: una revisión en imágenes","authors":"A. Martinez , G. Mattiello , A. Oliva , D. Tovar , P. Cuadras , P. Puyalto","doi":"10.1016/j.rx.2024.04.008","DOIUrl":"10.1016/j.rx.2024.04.008","url":null,"abstract":"<div><div>Infection remains the most common cause of non-traumatic acute orbital pathology and a relatively common reason for requesting radiological examinations in the emergency department. Infection can affect any part of the orbit but postseptal involvement most frequently justifies imaging requests, due to its potential severity and associated complications. The differential diagnosis of acute orbital pathology is broad and includes not only infectious entities but also inflammatory and neoplastic conditions. It is important to know how to recognise these entities in order to establish early treatment and avoid serious complications. This article reviews, through case images, orbital pathologies of infectious origin, their potential complications and their differential diagnosis.</div></div>","PeriodicalId":31509,"journal":{"name":"RADIOLOGIA","volume":"67 4","pages":"Article 101597"},"PeriodicalIF":1.1,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141395825","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}
Pub Date : 2025-05-01DOI: 10.1016/j.rx.2023.09.001
C. Moreno-Reina, M. Bueno-Gómez, J.I. Gutiérrez-Carrasco, P. Caro-Domínguez
Introduction
Osteosarcoma and Ewing sarcoma are the most frequent malignant bone tumours in children. The aim of this study is to characterize clinical and radiological features at presentation of a large cohort of children with these diseases, radiological findings useful to differentiate them and the main prognostic factors.
Material and methods
Retrospective analysis of clinical and imaging findings of 83 children diagnosed and treated of Ewing sarcoma and osteosarcoma in a paediatric hospital during a period of 10 years.
Results
Both tumours showed aggressive radiological features such as permeative or moth-eaten margins, cortical disruption, discontinuous periosteal reaction, intense contrast uptake, tumoral necrosis and soft-tissue component. They differed in their location, osseous matrix and gender predilection. Osteosarcoma occurred more frequently in the metaphysis of long bones (62%) with a blastic appearance (53%). Ewing sarcoma showed a predilection for male patients (71%), occurred in flat bones (42%) and in the diaphysis of long bones (58%) with a lytic appearance (82%). 29% of children presented with metastases at diagnosis, most frequently located in the lungs. Survival rates were 78% in osteosarcoma and 76% in Ewing sarcoma. Metastatic disease, aggressive radiological features and low percentage of tumoral necrosis after neoadjuvant chemotherapy were associated with poor prognosis (P < .05).
Conclusions
Imaging can confidently diagnose malignant paediatric bone tumours in children and may differentiate Ewing sarcoma from osteosarcoma, based on gender, location and appearance of the neoplasm. Metastatic disease, presence of aggressive radiological features and low percentage of tumoral necrosis after neoadjuvant chemotherapy were associated with poor prognosis.
{"title":"Diagnóstico inicial del osteosarcoma y sarcoma de Ewing en la edad pediátrica","authors":"C. Moreno-Reina, M. Bueno-Gómez, J.I. Gutiérrez-Carrasco, P. Caro-Domínguez","doi":"10.1016/j.rx.2023.09.001","DOIUrl":"10.1016/j.rx.2023.09.001","url":null,"abstract":"<div><h3>Introduction</h3><div>Osteosarcoma and Ewing sarcoma are the most frequent malignant bone tumours in children. The aim of this study is to characterize clinical and radiological features at presentation of a large cohort of children with these diseases, radiological findings useful to differentiate them and the main prognostic factors.</div></div><div><h3>Material and methods</h3><div>Retrospective analysis of clinical and imaging findings of 83 children diagnosed and treated of Ewing sarcoma and osteosarcoma in a paediatric hospital during a period of 10<!--> <!-->years.</div></div><div><h3>Results</h3><div>Both tumours showed aggressive radiological features such as permeative or moth-eaten margins, cortical disruption, discontinuous periosteal reaction, intense contrast uptake, tumoral necrosis and soft-tissue component. They differed in their location, osseous matrix and gender predilection. Osteosarcoma occurred more frequently in the metaphysis of long bones (62%) with a blastic appearance (53%). Ewing sarcoma showed a predilection for male patients (71%), occurred in flat bones (42%) and in the diaphysis of long bones (58%) with a lytic appearance (82%). 29% of children presented with metastases at diagnosis, most frequently located in the lungs. Survival rates were 78% in osteosarcoma and 76% in Ewing sarcoma. Metastatic disease, aggressive radiological features and low percentage of tumoral necrosis after neoadjuvant chemotherapy were associated with poor prognosis (<em>P</em> <!--><<!--> <!-->.05).</div></div><div><h3>Conclusions</h3><div>Imaging can confidently diagnose malignant paediatric bone tumours in children and may differentiate Ewing sarcoma from osteosarcoma, based on gender, location and appearance of the neoplasm. Metastatic disease, presence of aggressive radiological features and low percentage of tumoral necrosis after neoadjuvant chemotherapy were associated with poor prognosis.</div></div>","PeriodicalId":31509,"journal":{"name":"RADIOLOGIA","volume":"67 3","pages":"Pages 253-262"},"PeriodicalIF":1.1,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136167041","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}
Pub Date : 2025-05-01DOI: 10.1016/j.rx.2024.05.002
A.I. Barrio Alonso , J. Broncano Cabrero , A.M. Villán González , Y. López Suárez , C. López Muñiz , A. Luna Alcalá
Thoracic pain is the most prevalent symptom in patients with cardiovascular diseases. Diagnosis and patient management are guided by the pain attributes, analytical parameters, and several different imaging modalities. Invasive imaging tests and cardiac magnetic resonance are highly relevant in this context, as set out in the 2023 European guidelines for the management of acute coronary syndromes, the 2023 American guidelines for the management of patients with chronic coronary disease, and the 2021 American guidelines for the evaluation and diagnosis of chest pain. This article focuses on the role that these guidelines attribute to non-invasive cardiac imaging (computed tomography and cardiac magnetic resonance) in the management of both acute and chronic coronary syndromes.
{"title":"Dolor torácico: de las guías a la práctica clínica","authors":"A.I. Barrio Alonso , J. Broncano Cabrero , A.M. Villán González , Y. López Suárez , C. López Muñiz , A. Luna Alcalá","doi":"10.1016/j.rx.2024.05.002","DOIUrl":"10.1016/j.rx.2024.05.002","url":null,"abstract":"<div><div>Thoracic pain is the most prevalent symptom in patients with cardiovascular diseases. Diagnosis and patient management are guided by the pain attributes, analytical parameters, and several different imaging modalities. Invasive imaging tests and cardiac magnetic resonance are highly relevant in this context, as set out in the 2023 European guidelines for the management of acute coronary syndromes, the 2023 American guidelines for the management of patients with chronic coronary disease, and the 2021 American guidelines for the evaluation and diagnosis of chest pain. This article focuses on the role that these guidelines attribute to non-invasive cardiac imaging (computed tomography and cardiac magnetic resonance) in the management of both acute and chronic coronary syndromes.</div></div>","PeriodicalId":31509,"journal":{"name":"RADIOLOGIA","volume":"67 3","pages":"Pages 399-412"},"PeriodicalIF":1.1,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141391343","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}
Pub Date : 2025-05-01DOI: 10.1016/j.rx.2024.12.004
A. Pérez Lara , E. Arana , A. Bello Báez , D. de Araujo Martins-Romeo
Malignant spinal cord compression is a serious complication secondary to both primary and metastatic vertebral tumours, potentially leading to permanent loss of spinal functions. The Spanish Society of Neuroradiology (SENR), Spanish Society of Emergency Radiology (SERAU), and Spanish Society of Musculoskeletal Radiology (SERME) have convened to draft this consensus document, which describes practical aspects of the radiological management of malignant spinal cord compression. The document includes guidelines on appropriate indications for imaging studies, imaging modality options, technical specifications tailored to different clinical scenarios, recommended time intervals, and the type of facility where the imaging studies can be performed. Additionally, it provides recommendations on using spinal cord compression and instability scales, as well as structured reports for describing the radiological findings.
{"title":"Diagnóstico radiológico del síndrome de compresión medular oncológico: documento de consenso SENR, SERAU, SERME, SERAM","authors":"A. Pérez Lara , E. Arana , A. Bello Báez , D. de Araujo Martins-Romeo","doi":"10.1016/j.rx.2024.12.004","DOIUrl":"10.1016/j.rx.2024.12.004","url":null,"abstract":"<div><div>Malignant spinal cord compression is a serious complication secondary to both primary and metastatic vertebral tumours, potentially leading to permanent loss of spinal functions. The Spanish Society of Neuroradiology (SENR), Spanish Society of Emergency Radiology (SERAU), and Spanish Society of Musculoskeletal Radiology (SERME) have convened to draft this consensus document, which describes practical aspects of the radiological management of malignant spinal cord compression. The document includes guidelines on appropriate indications for imaging studies, imaging modality options, technical specifications tailored to different clinical scenarios, recommended time intervals, and the type of facility where the imaging studies can be performed. Additionally, it provides recommendations on using spinal cord compression and instability scales, as well as structured reports for describing the radiological findings.</div></div>","PeriodicalId":31509,"journal":{"name":"RADIOLOGIA","volume":"67 3","pages":"Pages 384-394"},"PeriodicalIF":1.1,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143903969","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}
Pub Date : 2025-05-01DOI: 10.1016/j.rx.2024.01.008
A. Catanese , G. Mattiello , S. Azam , P. Puyalto
Background and objectives
The purpose of this study was to investigate perspectives held by radiologists on the use of artificial intelligence (AI) in their day-to-day work and to identify factors limiting its routine implementation.
Materials and methods
Spanish board-certified radiologists and trainees completed an online survey of 21 questions on general information and communications technology (ICT) and AI in radiology. Analysis was carried out for the subgroups of gender, age, and professional experience. Associations with a p-value < 0.05 were considered statistically significant.
Results
A total of 102 radiologists and trainees completed the questionnaire. No significant statistical differences between the age groups or gender were observed. A significant difference was detected in ICT and AI knowledge between age groups, with participants under 40 and those between 40–55 years old demonstrating better ICT knowledge (p< 0.01). The survey results revealed that 77.4% of participants believed that AI represents an opportunity for the radiology profession in the future, while 9.8% believed it would have no impact. Three main practical application areas for AI in radiology were proposed: in screening (23.36%), in image interpretation and reporting (21.17%), and in the requesting of imaging and patient scheduling (14.6%). The biggest concern among the surveyed population was the potential increase in workload.
Conclusions
A positive attitude toward AI was observed among Spanish radiologists, with the majority believing that AI could offer opportunities for the radiology profession in the near future. AI training programmes may further improve its acceptance among professionals.
{"title":"Opiniones de los especialistas y residentes de radiología sobre la inteligencia artificial","authors":"A. Catanese , G. Mattiello , S. Azam , P. Puyalto","doi":"10.1016/j.rx.2024.01.008","DOIUrl":"10.1016/j.rx.2024.01.008","url":null,"abstract":"<div><h3>Background and objectives</h3><div>The purpose of this study was to investigate perspectives held by radiologists on the use of artificial intelligence (AI) in their day-to-day work and to identify factors limiting its routine implementation.</div></div><div><h3>Materials and methods</h3><div>Spanish board-certified radiologists and trainees completed an online survey of 21 questions on general information and communications technology (ICT) and AI in radiology. Analysis was carried out for the subgroups of gender, age, and professional experience. Associations with a p-value <<!--> <!-->0.05 were considered statistically significant.</div></div><div><h3>Results</h3><div>A total of 102 radiologists and trainees completed the questionnaire. No significant statistical differences between the age groups or gender were observed. A significant difference was detected in ICT and AI knowledge between age groups, with participants under 40 and those between 40–55 years old demonstrating better ICT knowledge (p<<!--> <!-->0.01). The survey results revealed that 77.4% of participants believed that AI represents an opportunity for the radiology profession in the future, while 9.8% believed it would have no impact. Three main practical application areas for AI in radiology were proposed: in screening (23.36%), in image interpretation and reporting (21.17%), and in the requesting of imaging and patient scheduling (14.6%). The biggest concern among the surveyed population was the potential increase in workload.</div></div><div><h3>Conclusions</h3><div>A positive attitude toward AI was observed among Spanish radiologists, with the majority believing that AI could offer opportunities for the radiology profession in the near future. AI training programmes may further improve its acceptance among professionals.</div></div>","PeriodicalId":31509,"journal":{"name":"RADIOLOGIA","volume":"67 3","pages":"Pages 287-298"},"PeriodicalIF":1.1,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140271272","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}
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