Pub Date : 2025-09-15DOI: 10.1016/j.clinimag.2025.110622
Andrew Kim , Sara Strauss , Gayle Salama
The glossopharyngeal nerve block is an interventional technique utilized for head and neck pain management in the setting of glossopharyngeal neuralgia, dental procedures, awake endotracheal intubations, and post-pharyngeal surgery. This procedure is traditionally performed with landmark technique or ultrasound-guided techniques, all of which are associated with potential risks and complications for the patient. We report the novel technique of a CT-guided paramaxillary approach glossopharyngeal nerve block, which has not been previously reported, eliminates the trans-parotid trajectory, and reduces potential risks and complications associated with other established techniques, particularly those related to the parotid gland, including intraparotid facial nerve injury.
{"title":"CT-guided paramaxillary glossopharyngeal nerve block: A novel and potentially safer approach for diagnostic confirmation and temporary treatment of glossopharyngeal neuralgia","authors":"Andrew Kim , Sara Strauss , Gayle Salama","doi":"10.1016/j.clinimag.2025.110622","DOIUrl":"10.1016/j.clinimag.2025.110622","url":null,"abstract":"<div><div>The glossopharyngeal nerve block is an interventional technique utilized for head and neck pain management in the setting of glossopharyngeal neuralgia, dental procedures, awake endotracheal intubations, and post-pharyngeal surgery. This procedure is traditionally performed with landmark technique or ultrasound-guided techniques, all of which are associated with potential risks and complications for the patient. We report the novel technique of a CT-guided paramaxillary approach glossopharyngeal nerve block, which has not been previously reported, eliminates the trans-parotid trajectory, and reduces potential risks and complications associated with other established techniques, particularly those related to the parotid gland, including intraparotid facial nerve injury.</div></div>","PeriodicalId":50680,"journal":{"name":"Clinical Imaging","volume":"127 ","pages":"Article 110622"},"PeriodicalIF":1.5,"publicationDate":"2025-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145097891","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-09-13DOI: 10.1016/j.clinimag.2025.110616
Benjamin D. Simon, Stephanie A. Harmon, Baris Turkbey
{"title":"Reply to “A critical appraisal and methodological inquiry into an automated multimodal deep learning model for predicting biochemical recurrence in prostate cancer”","authors":"Benjamin D. Simon, Stephanie A. Harmon, Baris Turkbey","doi":"10.1016/j.clinimag.2025.110616","DOIUrl":"10.1016/j.clinimag.2025.110616","url":null,"abstract":"","PeriodicalId":50680,"journal":{"name":"Clinical Imaging","volume":"127 ","pages":"Article 110616"},"PeriodicalIF":1.5,"publicationDate":"2025-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145082431","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
This review aims to highlight the increasing role of ultrasound in dermatology, emphasizing its utility in assessing skin and nail lesions. It focuses on the technological advancements and research driving its adoption as a safe, cost-effective, and non-invasive diagnostic tool.
Methods
We conducted a comprehensive review of the literature, focusing on the technical aspects of dermatologic ultrasound, including real-time visualization, color Doppler for vascularity detection, and high axial spatial resolution. The ultrasonographic patterns of common benign and malignant conditions, inflammatory diseases, vascular anomalies, and nail lesions were analyzed.
Results
Ultrasound provides detailed real-time imaging, enabling accurate diagnosis and treatment planning for various dermatologic conditions. Key findings include the identification of characteristic ultrasonographic patterns for skin neoplasms, inflammatory diseases, and vascular malformations, as well as its efficacy in evaluating nail lesions.
Conclusions
Dermatologic ultrasound is a valuable tool for early diagnosis and management of skin and nail conditions. Its ability to visualize structural and vascular features in real-time improves diagnostic accuracy, making it an essential addition to dermatologic practice. Knowledge of ultrasonographic patterns can significantly benefit patient care.
{"title":"Common applications of noncosmetic dermatologic sonography: A comprehensive overview","authors":"Mohammadreza Tahamtan , Shahriar Rahmani , Hadi Koohi , Faezeh Khorasanizadeh , Khadijeh Shirazkeytabar , Elnaz Pourgholi , Ximena Wortsman","doi":"10.1016/j.clinimag.2025.110608","DOIUrl":"10.1016/j.clinimag.2025.110608","url":null,"abstract":"<div><h3>Purpose</h3><div>This review aims to highlight the increasing role of ultrasound in dermatology, emphasizing its utility in assessing skin and nail lesions. It focuses on the technological advancements and research driving its adoption as a safe, cost-effective, and non-invasive diagnostic tool.</div></div><div><h3>Methods</h3><div>We conducted a comprehensive review of the literature, focusing on the technical aspects of dermatologic ultrasound, including real-time visualization, color Doppler for vascularity detection, and high axial spatial resolution. The ultrasonographic patterns of common benign and malignant conditions, inflammatory diseases, vascular anomalies, and nail lesions were analyzed.</div></div><div><h3>Results</h3><div>Ultrasound provides detailed real-time imaging, enabling accurate diagnosis and treatment planning for various dermatologic conditions. Key findings include the identification of characteristic ultrasonographic patterns for skin neoplasms, inflammatory diseases, and vascular malformations, as well as its efficacy in evaluating nail lesions.</div></div><div><h3>Conclusions</h3><div>Dermatologic ultrasound is a valuable tool for early diagnosis and management of skin and nail conditions. Its ability to visualize structural and vascular features in real-time improves diagnostic accuracy, making it an essential addition to dermatologic practice. Knowledge of ultrasonographic patterns can significantly benefit patient care.</div></div>","PeriodicalId":50680,"journal":{"name":"Clinical Imaging","volume":"127 ","pages":"Article 110608"},"PeriodicalIF":1.5,"publicationDate":"2025-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145097889","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-09-12DOI: 10.1016/j.clinimag.2025.110620
Caitlin Deffler , Ashkan Eighaei Sedeh , Ellen Leitman , Thomas S.C. Ng , David Z. Chow , Umar Mahmood , Pedram Heidari , Nathaniel Mercaldo , Shadi A. Esfahani
Purpose
To evaluate the ability of prostate-specific membrane antigen (PSMA) PET/CT to detect and characterize intracranial lesions in patients with prostate cancer (PCa), using brain MRI as a gold standard method.
Methods
In this retrospective single-center study, standard-of-care 18F-piflufolastat and 68Ga-gozetotide PSMA PET/CT scans for PCa patients were reviewed from August 2021 to February 2023. Patients with a brain MRI taken within 6 months of their PSMA PET/CT were enrolled. Sensitivity, specificity, positive predictive value (PPV), and negative predictive value (NPV) of PSMA PET/CT were calculated for the detection of brain metastases. Lesion uptake and patients' clinical information, including prostate-specific antigen (PSA) were compared between metastatic and non-metastatic brain lesions.
Results
Of 1482 reviewed PCa patients, 141 with available brain MRI within six months of PSMA PET/CT were included. The estimated incidence rate of brain metastasis was 1.1 % (17/1482; Exact 95 % CI: 0.7–1.83), using brain MRI. PSMA PET/CT had a sensitivity of 81.2 % (95 % CI: 54.4–96.0), a specificity of 93.6 % (95 % CI: 87.8–97.2), a PPV of 61.9 % (95 % CI: 44.4–76.8), and an NPV of 97.5 % (95 % CI: 93.3–99.1) for detecting at least one metastatic PCa lesion as confirmed by MRI. Although not statistically significant, the mean SUVmax was higher in patients with intracranial PCa metastasis than those with other etiologies (fold change: 2.88, 95 % CI: 0.88, 9.43, p = 0.077), and a similar pattern was shown for mean PSA (fold-change: 17.2, 95 % CI: 0.95–312.6, p = 0.054).
Conclusion
Intracranial uptake on PSMA PET/CT may require further clinical and imaging correlation for accurate characterization.
{"title":"The role of PSMA PET/CT in identifying benign and malignant intracranial lesions in patients with prostate cancer","authors":"Caitlin Deffler , Ashkan Eighaei Sedeh , Ellen Leitman , Thomas S.C. Ng , David Z. Chow , Umar Mahmood , Pedram Heidari , Nathaniel Mercaldo , Shadi A. Esfahani","doi":"10.1016/j.clinimag.2025.110620","DOIUrl":"10.1016/j.clinimag.2025.110620","url":null,"abstract":"<div><h3>Purpose</h3><div>To evaluate the ability of prostate-specific membrane antigen (PSMA) PET/CT to detect and characterize intracranial lesions in patients with prostate cancer (PCa), using brain MRI as a gold standard method.</div></div><div><h3>Methods</h3><div>In this retrospective single-center study, standard-of-care <sup>18</sup>F-piflufolastat and <sup>68</sup>Ga-gozetotide PSMA PET/CT scans for PCa patients were reviewed from August 2021 to February 2023. Patients with a brain MRI taken within 6 months of their PSMA PET/CT were enrolled. Sensitivity, specificity, positive predictive value (PPV), and negative predictive value (NPV) of PSMA PET/CT were calculated for the detection of brain metastases. Lesion uptake and patients' clinical information, including prostate-specific antigen (PSA) were compared between metastatic and non-metastatic brain lesions.</div></div><div><h3>Results</h3><div>Of 1482 reviewed PCa patients, 141 with available brain MRI within six months of PSMA PET/CT were included. The estimated incidence rate of brain metastasis was 1.1 % (17/1482; Exact 95 % CI: 0.7–1.83), using brain MRI. PSMA PET/CT had a sensitivity of 81.2 % (95 % CI: 54.4–96.0), a specificity of 93.6 % (95 % CI: 87.8–97.2), a PPV of 61.9 % (95 % CI: 44.4–76.8), and an NPV of 97.5 % (95 % CI: 93.3–99.1) for detecting at least one metastatic PCa lesion as confirmed by MRI. Although not statistically significant, the mean SUV<sub>max</sub> was higher in patients with intracranial PCa metastasis than those with other etiologies (fold change: 2.88, 95 % CI: 0.88, 9.43, <em>p</em> = 0.077), and a similar pattern was shown for mean PSA (fold-change: 17.2, 95 % CI: 0.95–312.6, <em>p</em> = 0.054).</div></div><div><h3>Conclusion</h3><div>Intracranial uptake on PSMA PET/CT may require further clinical and imaging correlation for accurate characterization.</div></div>","PeriodicalId":50680,"journal":{"name":"Clinical Imaging","volume":"128 ","pages":"Article 110620"},"PeriodicalIF":1.5,"publicationDate":"2025-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145092900","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-09-11DOI: 10.1016/j.clinimag.2025.110617
Kennedy Sparling , Nathan Amann , Eduardo Thadeu de Oliveira Correia , Richard Barger , Navid Faraji
With pickleball's rapid rise in participation, there has been a parallel increase in pickleball-related injuries. This review focuses on a comprehensive overview of common pickleball-related injuries, emphasizing likely mechanisms of injury and corresponding radiologic manifestations. Musculoskeletal injuries make up the majority of pickleball-related afflictions, with trauma to other organ systems reported less frequently. Although not always necessary for diagnosis, imaging modalities, including plain radiography, ultrasound, and magnetic resonance imaging, can aid in identifying injury severity and guide effective treatment. Furthermore, understanding the distinct mechanisms of these injuries, including falls, sudden lateral movements, and direct contact with players or equipment, is also essential for effective and efficient recognition of these afflictions. By becoming familiar with the nature of pickleball-related injuries and their radiologic manifestations, radiologists can ultimately more accurately identify the imaging patterns amid the sport's growing popularity.
{"title":"From paddle to pathology: A radiologic review of common pickleball-related injuries","authors":"Kennedy Sparling , Nathan Amann , Eduardo Thadeu de Oliveira Correia , Richard Barger , Navid Faraji","doi":"10.1016/j.clinimag.2025.110617","DOIUrl":"10.1016/j.clinimag.2025.110617","url":null,"abstract":"<div><div>With pickleball's rapid rise in participation, there has been a parallel increase in pickleball-related injuries. This review focuses on a comprehensive overview of common pickleball-related injuries, emphasizing likely mechanisms of injury and corresponding radiologic manifestations. Musculoskeletal injuries make up the majority of pickleball-related afflictions, with trauma to other organ systems reported less frequently. Although not always necessary for diagnosis, imaging modalities, including plain radiography, ultrasound, and magnetic resonance imaging, can aid in identifying injury severity and guide effective treatment. Furthermore, understanding the distinct mechanisms of these injuries, including falls, sudden lateral movements, and direct contact with players or equipment, is also essential for effective and efficient recognition of these afflictions. By becoming familiar with the nature of pickleball-related injuries and their radiologic manifestations, radiologists can ultimately more accurately identify the imaging patterns amid the sport's growing popularity.</div></div>","PeriodicalId":50680,"journal":{"name":"Clinical Imaging","volume":"127 ","pages":"Article 110617"},"PeriodicalIF":1.5,"publicationDate":"2025-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145076519","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A critical appraisal and methodological inquiry into an automated multimodal deep learning model for predicting biochemical recurrence in prostate cancer","authors":"Parth Aphale , Shashank Dokania , Himanshu Shekhar","doi":"10.1016/j.clinimag.2025.110615","DOIUrl":"10.1016/j.clinimag.2025.110615","url":null,"abstract":"","PeriodicalId":50680,"journal":{"name":"Clinical Imaging","volume":"127 ","pages":"Article 110615"},"PeriodicalIF":1.5,"publicationDate":"2025-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145082437","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-09-11DOI: 10.1016/j.clinimag.2025.110613
Hinpetch Daungsupawong , Viroj Wiwanitkit
This correspondence discuss on published article and shows future direction.
本文对已发表的文章进行了讨论，并指出了未来的发展方向。
{"title":"Large language models for imaging modality selection: Comment","authors":"Hinpetch Daungsupawong , Viroj Wiwanitkit","doi":"10.1016/j.clinimag.2025.110613","DOIUrl":"10.1016/j.clinimag.2025.110613","url":null,"abstract":"<div><div>This correspondence discuss on published article and shows future direction.</div></div>","PeriodicalId":50680,"journal":{"name":"Clinical Imaging","volume":"127 ","pages":"Article 110613"},"PeriodicalIF":1.5,"publicationDate":"2025-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145076491","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-09-10DOI: 10.1016/j.clinimag.2025.110612
Ami Gokli , Clay Oliver , Cory M. Pfeifer
{"title":"US news & world report children's hospital assessments: The role of radiology","authors":"Ami Gokli , Clay Oliver , Cory M. Pfeifer","doi":"10.1016/j.clinimag.2025.110612","DOIUrl":"10.1016/j.clinimag.2025.110612","url":null,"abstract":"","PeriodicalId":50680,"journal":{"name":"Clinical Imaging","volume":"127 ","pages":"Article 110612"},"PeriodicalIF":1.5,"publicationDate":"2025-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145087993","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-09-10DOI: 10.1016/j.clinimag.2025.110614
Eren Çamur , Turay Cesur , Yasin Celal Güneş , Yusuf Öztürk , Yunus Şerefettin , Ersin Doğanözü , Ayşegül Akçebe , Ahmet Kürşad Güneş , İbrahim Ethem Cakcak
{"title":"Reply: clinical imaging large language models for imaging modality selection: comment","authors":"Eren Çamur , Turay Cesur , Yasin Celal Güneş , Yusuf Öztürk , Yunus Şerefettin , Ersin Doğanözü , Ayşegül Akçebe , Ahmet Kürşad Güneş , İbrahim Ethem Cakcak","doi":"10.1016/j.clinimag.2025.110614","DOIUrl":"10.1016/j.clinimag.2025.110614","url":null,"abstract":"","PeriodicalId":50680,"journal":{"name":"Clinical Imaging","volume":"127 ","pages":"Article 110614"},"PeriodicalIF":1.5,"publicationDate":"2025-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145066611","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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