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Real-time multislice MR-thermometry of the prostate: Assessment of feasibility, accuracy and sources of biases in patients 前列腺实时多层磁共振测温:可行性、准确性和患者偏倚来源的评估。
IF 4.9 2区 医学 Q1 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2025-05-01 DOI: 10.1016/j.diii.2024.11.006
Clément Marcelin , Amandine Crombé , Eva Jambon , Grégoire Robert , Franck Bladou , Pierre Bour , Thibaut Faller , Valéry Ozenne , Nicolas Grenier , Bruno Quesson

Purpose

The primary purpose of this study was to evaluate the accuracy of an MR-thermometry sequence for monitoring prostate temperature. The secondary purposes were to analyze clinical and technical factors that may affect accuracy and testing the method in a realistic setting, with MR-guided Laser ablation on an ex vivo muscle sample.

Materials and methods

An ex vivo muscle sample was subjected to Laser ablation while using a two-dimensional multislice segmented echo planar imaging sequence for MR thermometry. The MR thermometry measurements were compared with invasive sensor temperature readings to assess accuracy. Subsequently, 56 men with a median age of 70 years (age range: 53–84 years) who underwent prostate MRI examinations at 1.5- (n = 27) or 3 T (n = 24) were prospectively included. For each patient, the proportion of 'noisy voxels' (i.e., those with a temporal standard deviation of temperature [SD(T)] > 2 °C) in the prostate was calculated. The impact of clinical and technical factors on the proportion of noisy voxels was also examined.

Results

MR-thermometry showed excellent correlation with invasive sensors during MR-guided Laser ablation on the ex vivo muscle sample. The median proportion of noisy voxels per patient in the entire cohort was 1 % (Q1, 0.2; Q3, 4.9; range: 0–90.4). No significant differences in median proportion of noisy voxels were observed between examinations performed at 1.5 T and those at 3 T (P = 0.89 before and after adjustment). No clinical or technical factors significantly influenced the proportion of noisy voxels.

Conclusion

Two-dimensional real time multislice MR-thermometry is feasible and accurate for monitoring prostate temperature in patients.
目的:本研究的主要目的是评估核磁共振测温序列监测前列腺温度的准确性。次要目的是分析可能影响准确性的临床和技术因素,并在现实环境中对离体肌肉样本进行核磁共振引导激光消融测试。材料和方法:利用二维多层分割回波平面成像序列对离体肌肉样本进行激光消融,进行磁共振测温。将磁共振测温测量结果与侵入式传感器温度读数进行比较,以评估准确性。随后,56名中位年龄为70岁(年龄范围:53-84岁)的男性在1.5 T (n = 27)或3 T (n = 24)时接受了前列腺MRI检查。对于每个患者,计算前列腺中“噪声体素”(即温度[SD(T)]的时间标准偏差[SD(T)] >2°C)的比例。临床和技术因素对噪声体素比例的影响也进行了研究。结果:核磁共振温度测量与有创传感器在核磁共振引导下对离体肌肉样本进行激光消融时表现出良好的相关性。在整个队列中,每个患者的噪声体素的中位数比例为1% (Q1, 0.2;第三,4.9;范围:0 - 90.4)。在1.5 T和3 T时进行的检查中,噪声体素的中位数比例无显著差异(调整前后P = 0.89)。没有临床或技术因素显著影响噪声体素的比例。结论:二维实时多层磁共振测温法监测前列腺温度是可行且准确的。
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引用次数: 0
Improved myocardial scar visualization using free-breathing motion-corrected wideband black-blood late gadolinium enhancement imaging in patients with implantable cardiac devices 使用自由呼吸运动校正宽带黑血后期钆增强成像改善植入式心脏装置患者的心肌瘢痕可视化。
IF 4.9 2区 医学 Q1 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2025-05-01 DOI: 10.1016/j.diii.2024.12.001
Pauline Gut , Hubert Cochet , Panagiotis Antiochos , Guido Caluori , Baptiste Durand , Marion Constantin , Konstantinos Vlachos , Kalvin Narceau , Ambra Masi , Jürg Schwitter , Frederic Sacher , Pierre Jaïs , Matthias Stuber , Aurélien Bustin

Purpose

The purpose of this study was to introduce and evaluate a novel 2D wideband black-blood (BB) LGE sequence, incorporating wideband inversion recovery, wideband T2 preparation, and non-rigid motion correction (MOCO) reconstruction, to improve myocardial scar detection and address artifacts associated with implantable cardioverter defibrillators (ICDs).

Materials and methods

The wideband MOCO free-breathing BB-LGE sequence was tested on a sheep with ischemic scar and in 22 patients with cardiac disease, including 15 with cardiac implants, at 1.5T. Wideband MOCO free-breathing BB-LGE sequence was compared with conventional and wideband breath-held PSIR-LGE and conventional and wideband breath-held BB-LGE techniques. Image sharpness, entropy, and scar-to-blood, scar-to-myocardium, and blood-to-myocardium contrast were analyzed and reconstruction times were measured. Two expert readers assessed the image quality, ICD artifact severity, and the diagnostic confidence with scar extent. Finally, for the animal study, a histology of the heart was performed to confirm the presence and localization of scar tissue.

Results

In the animal, wideband MOCO free-breathing BB-LGE were reconstructed in 0.6 s and demonstrated a 200 % improvement in scar-to-blood contrast compared to wideband breath-held PSIR-LGE, with significant improvement in image sharpness and reduction in entropy. It also effectively minimized ICD artifacts and accurately detected scars. In patients, wideband MOCO free-breathing BB-LGE were reconstructed in 1.5 ± 0.4 (standard deviation) s per slice. Seventeen patients (17/22; 77%) with myocardial scars were confidently diagnosed with wideband MOCO free-breathing BB-LGE, compared to 11 (11/22; 50 %) with wideband breath-held PSIR-LGE (P < 0.01).

Conclusion

Free-breathing wideband T2-prepared black-blood LGE imaging, combined with motion-corrected reconstruction, offers a promising diagnostic approach for the evaluation of myocardial lesions in patients with ICDs.
目的:本研究的目的是介绍和评估一种新的二维宽带黑血(BB) LGE序列,包括宽带反转恢复、宽带T2准备和非硬性运动校正(MOCO)重建,以改善心肌疤痕检测和解决与植入式心律转复除颤器(ICDs)相关的伪影。材料与方法:在1只缺血性瘢痕羊和22例心脏病患者(其中15例植入心脏)身上进行1.5 t的宽带MOCO自由呼吸BB-LGE序列测试,将宽带MOCO自由呼吸BB-LGE序列与常规和宽带屏气PSIR-LGE技术以及常规和宽带屏气BB-LGE技术进行比较。分析图像清晰度、熵、疤痕到血液、疤痕到心肌和血液到心肌的对比,并测量重建时间。两位专家读者评估了图像质量、ICD伪影严重程度和疤痕程度的诊断信心。最后,在动物实验中,对心脏进行组织病理学评估,以确认疤痕组织的存在和定位。结果:在动物中,宽带MOCO自由呼吸BB-LGE在0.6 s内重建,与宽带屏息PSIR-LGE相比,疤痕与血液的对比度提高了200%,图像清晰度显著提高,熵值降低。它还有效地减少了ICD伪影,准确地检测了疤痕。患者以1.5±0.4 s(标准差)/片重建宽带MOCO自由呼吸BB-LGE。17例(17/22;77%的患者有信心地诊断为宽带MOCO自由呼吸BB-LGE,而11 (11/22;50%)与宽带憋气PSIR-LGE (P < 0.01)。结论:自由呼吸宽频带t2制备的黑血LGE显像,结合运动校正重建,为评估icd患者心肌病变提供了一种有前景的诊断方法。
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引用次数: 0
First in-human gadolinium K-edge imaging with spectral photon counting CT 首次使用光谱光子计数CT进行人体钆k边缘成像。
IF 4.9 2区 医学 Q1 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2025-05-01 DOI: 10.1016/j.diii.2024.12.004
Sara Boccalini , Salim Si-Mohamed , Klaus Erhard , Marine Bordet , Yoad Yagil , Philippe Douek
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引用次数: 0
Robotics and artificial intelligence in the real world of interventional radiology: Innovation or illusion? 介入放射现实世界中的机器人和人工智能:创新还是错觉?
IF 4.9 2区 医学 Q1 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2025-05-01 DOI: 10.1016/j.diii.2025.01.006
Baptiste Bonnet , Lambros Tselikas
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引用次数: 0
Myocardial scar detection in patients with implantable cardiac device: Wideband free-breathing motion-corrected black-blood late gadolinium enhancement could be the answer 植入式心脏装置患者心肌瘢痕检测:宽带自由呼吸运动校正黑血晚期钆增强可能是答案。
IF 4.9 2区 医学 Q1 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2025-05-01 DOI: 10.1016/j.diii.2025.01.002
Farah Cadour , Benjamin Longère
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引用次数: 0
Evaluation of navigation and robotic systems for percutaneous image-guided interventions: A novel metric for advanced imaging and artificial intelligence integration 经皮图像引导干预的导航和机器人系统评估:先进成像和人工智能集成的新指标。
IF 4.9 2区 医学 Q1 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2025-05-01 DOI: 10.1016/j.diii.2025.01.004
Francois H. Cornelis , Dimitrios K Filippiadis , Philipp Wiggermann , Stephen B. Solomon , David C. Madoff , Laurent Milot , Sylvain Bodard

Purpose

Navigation and robotic systems aim to improve the accuracy and efficiency of percutaneous image-guided interventions, but the evaluation of their autonomy and integration of advanced imaging and artificial intelligence (AI) is lacking. The purpose of this study was to evaluate the level of automation and integration of advanced imaging and artificial intelligence in navigation and robotic systems for percutaneous image-guided interventions, using established and novel metrics to categorize and compare their capabilities.

Materials and methods

Following PRISMA guidelines, a systematic review was conducted to identify studies on clinically validated navigation and robotic systems published between 2000 and May 2024. The PubMed, Embase, Cochrane Library, and Web of Science databases were searched. Data on navigation devices were extracted and analyzed. The levels of autonomy in surgical robotics (LASR) classification system (from 1 to 5) was used to analyze automation. A novel taxonomy, the Levels of Integration of Advanced Imaging and AI (LIAI2) classification system, was created to categorize the integration of imaging technologies and AI (from 1 to 5). These two scores were combined into an aggregate score (from 1 to 10) to reflect the autonomy in percutaneous image-guided intervention.

Results

The review included 20 studies assessing two navigation systems and eight robotic devices. The median LASR score was 1 (Q1, Q3: 1, 1), the median LIAI2 score was 2 (Q1, Q3: 2, 3), and the median aggregate score was 3 (Q1, Q3: 3, 4). Only one robotic system (10 % of those reviewed) achieved the highest LASR qualification in the literature, a level 2/5. Four systems (40 %) shared the highest rating for LIAI2, which was a score of 3/5. Four systems (40 %) achieved the highest aggregate scores of 4/10.

Conclusion

None of the navigation and robotic systems achieved full autonomy for percutaneous image-guided intervention. The LASR and LIAI2 scales can guide innovation by identifying areas for further development and integration.
目的:导航和机器人系统旨在提高经皮图像引导干预的准确性和效率,但缺乏对其自主性的评估以及先进成像和人工智能(AI)的整合。本研究的目的是评估用于经皮图像引导干预的导航和机器人系统中先进成像和人工智能的自动化和集成水平,使用已建立的和新颖的指标对其能力进行分类和比较。材料和方法:遵循PRISMA指南,对2000年至2024年5月期间发表的经临床验证的导航和机器人系统的研究进行了系统回顾。检索了PubMed、Embase、Cochrane Library和Web of Science数据库。对导航设备上的数据进行提取和分析。采用手术机器人(LASR)分类系统中的自主性等级(1 ~ 5)来分析自动化程度。我们创建了一种新的分类法,即高级成像与人工智能整合水平(LIAI2)分类系统,对成像技术与人工智能的整合进行分类(从1到5)。这两个分数被合并成一个总分(从1到10),以反映经皮图像引导干预的自主性。结果:该综述包括20项研究,评估了两种导航系统和8种机器人设备。LASR得分中位数为1 (Q1, Q3: 1,1), LIAI2得分中位数为2 (Q1, Q3: 2,3),总得分中位数为3 (Q1, Q3: 3,4)。只有一个机器人系统(占审查机器人系统的10%)达到了文献中最高的LASR资格,即2/5级。四个系统(40%)分享了LIAI2的最高评级,得分为3/5。四个系统(40%)获得了最高的总分4/10。结论:导航系统和机器人系统均未达到经皮图像引导介入治疗的完全自主性。LASR和LIAI2量表可以通过确定进一步发展和整合的领域来指导创新。
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引用次数: 0
Standard of care versus standard of care plus Ericksonian hypnosis for percutaneous liver biopsy: Results of a randomized control trial 经皮肝活检的标准护理与标准护理加艾瑞克森催眠:随机对照试验结果。
IF 4.9 2区 医学 Q1 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2025-03-01 DOI: 10.1016/j.diii.2024.09.009
Maxime Barat , Camille Ollivier , Linda Taibi , Véronique Nitsche , Philippe Sogni , Philippe Soyer , Lucia Parlati , Anthony Dohan , Hendy Abdoul , Marie-Pierre Revel

Purpose

The purpose of this study was to compare levels of pain and anxiety during percutaneous ultrasound-guided liver biopsy between patients receiving standard of care and those receiving standard of care plus the support of Ericksonian hypnosis.

Materials and methods

This prospective, single-center, single-blind, randomized controlled superiority trial included 70 participants. Participants were randomly assigned to either the standard of care group and received oral anxiolytic medications with reassuring conversational support, or to the experimental group, and received Ericksonian hypnosis (i.e., conversational hypnosis) in addition to standard of care. The primary outcome was the level of pain experienced during the biopsy, measured on a 10-point visual analog scale (0 indicating no pain to 10 indicating excruciating pain). Secondary outcomes included anxiety level during the biopsy, pain level within one hour of the biopsy measured using the same 10-point visual analog scale, amount of analgesic medication taken in the 24 h following the biopsy, and patient willingness to undergo another ultrasound-guided percutaneous liver biopsy in the future.

Results

Thirty-six participants were included in the standard of care group, and 34 were included in the experimental group. The mean score of pain experienced during the biopsy was lower in the experimental group (2.4 ± 1.9 [standard deviation (SD)]) compared to the standard of care group (4.4 ± 2.6 [SD]) (P = 0.001). The level of anxiety experienced during the biopsy was lower in the hypnosis group (2.1 ± 1.8 [SD]) compared to the standard of care group (4.8 ± 2.4 [SD]) (P < 0.001). No significant differences in other secondary outcomes were observed between the two groups.

Conclusion

The addition of Ericksonian hypnosis to standard of care reduces the pain experienced by patients during percutaneous ultrasound-guided percutaneous liver biopsy by comparison with standard of care alone.
目的:本研究旨在比较接受标准护理和接受标准护理加艾瑞克森催眠支持的患者在经皮超声引导肝脏活检过程中的疼痛和焦虑程度:这项前瞻性、单中心、单盲、随机对照的优越性试验包括 70 名参与者。参与者被随机分配到标准护理组,接受口服抗焦虑药物和安慰性对话支持;或分配到实验组,在标准护理的基础上接受艾瑞克森催眠(即对话催眠)。主要研究结果是活组织切片检查过程中的疼痛程度,采用 10 点视觉模拟量表进行测量(0 表示无痛,10 表示剧痛)。次要结果包括活检过程中的焦虑程度、活检后一小时内的疼痛程度、活检后24小时内的镇痛药物用量以及患者今后再次接受超声引导下经皮肝穿刺活检的意愿:标准护理组有36人,实验组有34人。与标准护理组(4.4 ± 2.6 [标准差])相比,实验组在活检过程中的平均疼痛评分较低(2.4 ± 1.9 [标准差])(P = 0.001)。与标准护理组(4.8 ± 2.4 [标准差])相比,催眠组在活检过程中的焦虑程度较低(2.1 ± 1.8 [标准差])(P < 0.001)。两组患者在其他次要结果上无明显差异:结论:与单纯的标准护理相比,在标准护理的基础上增加艾瑞克森催眠可减轻患者在经皮超声引导下经皮肝穿刺活检过程中的疼痛。
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引用次数: 0
Evaluation of a deep learning-based software to automatically detect and quantify breast arterial calcifications on digital mammogram 评估基于深度学习的软件,以自动检测和量化数字乳房 X 光照片上的乳腺动脉钙化。
IF 4.9 2区 医学 Q1 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2025-03-01 DOI: 10.1016/j.diii.2024.10.001
Laetitia Saccenti , Bilel Ben Jedida , Lise Minssen , Refaat Nouri , Lina El Bejjani , Haifa Remili , An Voquang , Vania Tacher , Hicham Kobeiter , Alain Luciani , Jean Francois Deux , Thu Ha Dao

Purpose

The purpose of this study was to evaluate an artificial intelligence (AI) software that automatically detects and quantifies breast arterial calcifications (BAC).

Materials and methods

Women who underwent both mammography and thoracic computed tomography (CT) from 2009 to 2018 were retrospectively included in this single-center study. Deep learning-based software was used to automatically detect and quantify BAC with a BAC AI score ranging from 0 to 10-points. Results were compared using Spearman correlation test with a previously described BAC manual score based on radiologists’ visual quantification of BAC on the mammogram. Coronary artery calcification (CAC) score was manually scored using a 12-point scale on CT. The diagnostic performance of the marked BAC AI score (defined as BAC AI score ≥ 5) for the detection of marked CAC (CAC score ≥ 4) was analyzed in terms of sensitivity, specificity, accuracy and area under the receiver operating characteristic curve (AUC).

Results

A total of 502 women with a median age of 62 years (age range: 42–96 years) were included. The BAC AI score showed a very strong correlation with the BAC manual score (r = 0.83). Marked BAC AI score had 32.7 % sensitivity (37/113; 95 % confidence interval [CI]: 24.2–42.2), 96.1 % specificity (374/389; 95 % CI: 93.7–97.8), 71.2 % positive predictive value (37/52; 95 % CI: 56.9–82.9), 83.1 % negative predictive value (374/450; 95 % CI: 79.3–86.5), and 81.9 % accuracy (411/502; 95 % CI: 78.2–85.1) for the diagnosis of marked CAC. The AUC of the marked BAC AI score for the diagnosis of marked CAC was 0.64 (95 % CI: 0.60–0.69).

Conclusion

The automated BAC AI score shows a very strong correlation with manual BAC scoring in this external validation cohort. The automated BAC AI score may be a useful tool to promote the integration of BAC into mammography reports and to improve awareness of a woman's cardiovascular risk status.
目的:本研究旨在评估一款可自动检测和量化乳腺动脉钙化(BAC)的人工智能(AI)软件:这项单中心研究回顾性地纳入了 2009 年至 2018 年期间接受乳腺 X 射线照相术和胸部计算机断层扫描(CT)的女性。使用基于深度学习的软件自动检测和量化 BAC,BAC AI 得分从 0 分到 10 分不等。研究结果通过斯皮尔曼相关性检验与之前描述的基于放射科医师对乳房 X 光片上 BAC 的视觉量化的 BAC 人工评分进行了比较。冠状动脉钙化(CAC)评分是在 CT 上使用 12 分制手动评分的。从敏感性、特异性、准确性和接收器操作特征曲线下面积(AUC)等方面分析了标记的 BAC AI 评分(定义为 BAC AI 评分≥5)在检测标记的 CAC(CAC 评分≥4)方面的诊断性能:共纳入 502 名妇女,中位年龄为 62 岁(年龄范围:42-96 岁)。BAC AI 评分与 BAC 手工评分有很强的相关性(r = 0.83)。标记的 BAC AI 评分具有 32.7 % 的灵敏度(37/113;95 % 置信区间 [CI]:24.2-42.2)、96.1 % 的特异性(374/389;95 % CI:93.7-97.8)、71.2 % 的阳性预测值(37/52;95 % CI:56.诊断明显 CAC 的阳性预测值为 71.2%(37/52;95 % CI:56.9-82.9),阴性预测值为 83.1%(374/450;95 % CI:79.3-86.5),准确率为 81.9%(411/502;95 % CI:78.2-85.1)。诊断明显 CAC 的 BAC AI 评分的 AUC 为 0.64(95 % CI:0.60-0.69):结论:在这一外部验证队列中,自动 BAC AI 评分与手动 BAC 评分显示出很强的相关性。自动 BAC AI 评分可能是促进将 BAC 纳入乳腺 X 射线摄影报告并提高对妇女心血管风险状况认识的有用工具。
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引用次数: 0
CT features of tension neck subcutaneous emphysema (tension pneumocollum) 紧张性颈部皮下气肿(紧张性气肿)的 CT 特征。
IF 4.9 2区 医学 Q1 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2025-03-01 DOI: 10.1016/j.diii.2024.10.007
Mohamed S. Muneer , Rowa A. Mohamed , Tarik F. Massoud
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引用次数: 0
Shaping the future of MRI in upper abdominal imaging: The promise of deep learning reconstruction 塑造上腹部MRI成像的未来:深度学习重建的前景。
IF 4.9 2区 医学 Q1 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2025-03-01 DOI: 10.1016/j.diii.2024.12.003
Anita Paisant , Sébastien Mulé
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引用次数: 0
期刊
Diagnostic and Interventional Imaging
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