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The volumetric ADC histogram analysis in differentiating stage IA endometrial carcinoma from endometrial polyp. 区分 IA 期子宫内膜癌和子宫内膜息肉的容积 ADC 直方图分析。
Pub Date : 2024-04-25 DOI: 10.1093/bjr/tqae081
Yujiao Zhao, Cong You, Xin Zhou, Xiaotian Li, Cheng Zhang, Yanhong Wu, Wen Shen
OBJECTIVEThis study aimed to explore the value of ADC histogram based on whole lesion volume in distinguishing stage IA endometrial carcinoma from the endometrial polyp.METHODSMR images of 108 patients with endometrial lesions confirmed by pathology were retrospectively analyzed, including 65 cases of stage IA endometrial carcinoma and 43 cases of endometrial polyp. The volumetric ADC histogram metrics and general imaging features were evaluated and measured simultaneously. All the features were compared between the two groups. The receiver operating characteristic curve (ROC) was utilized to evaluate the diagnostic performance.RESULTSThe mean, max, min, and percentiles (10th, 25th, 50th, 75th, 95th) ADC values of endometrial carcinoma were significantly lower than that of polyp (all P<0.05). The skewness and kurtosis of ADC values in the endometrial carcinoma group were significantly higher than those in the endometrial polyp group, and the variance of ADC values in the endometrial carcinoma group was lower than those in the endometrial polyp group (all P<0.05). Endometrial carcinoma demonstrated more obvious myometrial invasion combined with intra-lesion hemorrhage than polyp (all P<0.05). The 25th percentile of ADC values achieved the largest AUC (0.861) among all the ADC histogram metrics and general imaging features, and the sensitivity and specificity were 83.08% and 76.74%, with the cut-off value of 1.01 × 10-3mm2/s.CONCLUSIONSThe volumetric ADC histogram analysis was an effective method in differentiating endometrial carcinoma from an endometrial polyp. The 25th percentile of ADC values has satisfactory performance for detecting malignancy in the endometrium.ADVANCES IN KNOWLEDGEThe ADC histogram metric based on whole lesion is a promising imaging-maker in differentiating endometrial benign and malignant lesions.
方法回顾性分析了108例经病理确诊的子宫内膜病变患者的SMR图像,其中包括65例IA期子宫内膜癌和43例子宫内膜息肉。同时评估和测量了容积 ADC 直方图指标和一般成像特征。对两组患者的所有特征进行比较。结果子宫内膜癌的 ADC 平均值、最大值、最小值和百分位数(第 10 位、第 25 位、第 50 位、第 75 位、第 95 位)均显著低于息肉(均 P<0.05)。子宫内膜癌组 ADC 值的偏度和峰度明显高于子宫内膜息肉组,子宫内膜癌组 ADC 值的方差低于子宫内膜息肉组(均 P<0.05)。子宫内膜癌比子宫内膜息肉表现出更明显的子宫肌层浸润合并病灶内出血(均P<0.05)。在所有 ADC 直方图指标和一般成像特征中,ADC 值第 25 百分位数的 AUC 最大(0.861),敏感性和特异性分别为 83.08% 和 76.74%,截断值为 1.01 × 10-3mm2/s。ADVANCES IN KNOWLEDGETThe ADC histogram metric based on whole lesion is a promising imaging-maker in differentiation endometrial benign and malign lesions.ADC值的第25百分位数在检测子宫内膜恶性病变方面表现令人满意。
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引用次数: 0
Magnetic Resonance Imaging of Cardiac Involvement in COVID-19. COVID-19 中心脏受累的磁共振成像。
Pub Date : 2024-04-24 DOI: 10.1093/bjr/tqae086
M. Rafiee, Matthias G Friedrich
The COVID-19 pandemic, caused by the SARS-CoV-2 virus, has led to a diverse pattern of myocardial injuries, including myocarditis, which is linked to adverse outcomes in patients. Research indicates that myocardial injury is associated with higher mortality in hospitalized severe COVID-19 patients (75.8% versus 9.7%). Cardiovascular Magnetic Resonance (CMR) has emerged as a crucial tool in diagnosing both ischemic and non-ischemic myocardial injuries, providing detailed insights into the impact of COVID-19 on myocardial tissue and function. This review synthesizes existing studies on the histopathological findings and CMR imaging patterns of myocardial injuries in COVID-19 patients. CMR imaging has revealed a complex pattern of cardiac damage in these patients, including myocardial inflammation, oedema, fibrosis, and ischemic injury, due to coronary microthrombi. This review also highlights the role of LLC criteria in diagnosis of COVID-related myocarditis and the importance of CMR in detecting cardiac complications of COVID-19 in specific groups, such as children, manifesting multisystem inflammatory syndrome (MIS-C) and athletes, as well as myocardial injuries post-COVID-19 infection or following COVID-19 vaccination. By summarizing existing studies on CMR in COVID-19 patients and highlighting ongoing research, this review contributes to a deeper understanding of the cardiac impacts of COVID-19. It emphasizes the effectiveness of CMR in assessing a broad spectrum of myocardial injuries, thereby enhancing the management and prognosis of patients with COVID-19 related cardiac complications (Figure of summarized illustration of CMR findings of cardiac involvement in COVID-19).
由 SARS-CoV-2 病毒引起的 COVID-19 大流行导致了多种心肌损伤,包括心肌炎,这与患者的不良预后有关。研究表明,心肌损伤与住院的严重 COVID-19 患者较高的死亡率有关(75.8% 对 9.7%)。心血管磁共振(CMR)已成为诊断缺血性和非缺血性心肌损伤的重要工具,可详细了解 COVID-19 对心肌组织和功能的影响。本综述综合了有关 COVID-19 患者心肌损伤的组织病理学发现和 CMR 成像模式的现有研究。CMR 成像显示了这些患者复杂的心脏损伤模式,包括心肌炎症、水肿、纤维化以及冠状动脉微血栓导致的缺血性损伤。本综述还强调了 LLC 标准在诊断 COVID 相关心肌炎中的作用,以及 CMR 在检测特定人群(如表现为多系统炎症综合征 (MIS-C) 的儿童和运动员)的 COVID-19 心脏并发症以及 COVID-19 感染后或接种 COVID-19 疫苗后的心肌损伤中的重要性。本综述总结了有关 COVID-19 患者 CMR 的现有研究,并重点介绍了正在进行的研究,有助于加深对 COVID-19 对心脏影响的理解。它强调了 CMR 在评估各种心肌损伤方面的有效性,从而加强了对 COVID-19 相关心脏并发症患者的管理和预后(COVID-19 心脏受累的 CMR 发现摘要图)。
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引用次数: 0
Imaging in the era of risk-adapted treatment in Colon cancer. 结肠癌风险适应性治疗时代的成像技术。
Pub Date : 2024-04-22 DOI: 10.1093/bjr/tqae061
M. Lahaye, D. Lambregts, A. Aalbers, P. Snaebjornsson, R. Beets-Tan, Niels F M Kok
The treatment landscape for patients with colon cancer is continuously evolving. Risk-adapted treatment strategies, including neoadjuvant chemotherapy and immunotherapy, are slowly finding their way into clinical practice and guidelines. Radiologists are pivotal in guiding clinicians toward the most optimal treatment for each colon cancer patient. This review provides an overview of recent and upcoming advances in the diagnostic management of colon cancer and the radiologist's role in the multidisciplinary approach to treating colon cancer.
结肠癌患者的治疗形势在不断变化。适应风险的治疗策略,包括新辅助化疗和免疫疗法,正慢慢进入临床实践和指南。放射科医生在指导临床医生为每位结肠癌患者制定最佳治疗方案方面发挥着关键作用。本综述概述了结肠癌诊断管理方面最近和即将取得的进展,以及放射科医生在结肠癌多学科治疗中的作用。
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引用次数: 0
Feasibility of a portable respiratory training system with a gyroscope sensor. 带有陀螺仪传感器的便携式呼吸训练系统的可行性。
Pub Date : 2024-04-22 DOI: 10.1093/bjr/tqae085
Yuya Nitta, Y. Ueda, S. Ohira, M. Isono, Asako Hirose, S. Inui, S. Murata, Hikari Minami, Tomohiro Sagawa, Yukari Nagayasu, M. Miyazaki, K. Konishi
OBJECTIVESA portable respiratory training system with a gyroscope sensor (GRTS) was developed and the feasibility of respiratory training was evaluated.METHODSSimulated respiratory waveforms from a respiratory motion phantom and actual respirator waveforms from volunteers were acquired using the GRTS and Respiratory Gating for Scanners system (RGSC). Respiratory training was evaluated by comparing the stability and reproducibility of respiratory waveforms from patients undergoing liver stereotactic body radiation therapy, with and without the GRTS. The stability and reproducibility of respiratory waveforms were assessed by root mean square error and gold marker placement-based success rate of expiratory breath-hold, respectively.RESULTSThe absolute mean difference for sinusoidal waveforms between the GRTS and RGSC was 2.1%. Among volunteers, the mean percentages of errors within ±15% of the respiratory waveforms acquired by the GRTS and RGSC were 95.5% for free breathing and 80.7% for expiratory breath-hold. The mean root mean square error and success rate of expiratory breath-hold (standard deviation) with and without the GRTS were 0.65 (0.24) and 0.88 (0.89) cm, and 91.0% (6.9) and 89.1% (11.6), respectively.CONCLUSIONSRespiratory waveforms acquired by the GRTS exhibit good agreement with waveforms acquired by the RGSC. Respiratory training with the GRTS reduces inter-patient variability in respiratory waveforms, thereby improving the success of expiratory breath-hold liver stereotactic body radiation therapy.ADVANCES IN KNOWLEDGEA respiratory training system with a gyroscope sensor is inexpensive and portabl, making it ideal for respiratory training. This is the first report concerning clinical implementation of a respiratory training system.
目的开发了带陀螺仪传感器的便携式呼吸训练系统(GRTS),并评估了呼吸训练的可行性。方法使用 GRTS 和扫描仪呼吸选通系统 (RGSC) 从呼吸运动模型中获取模拟呼吸波形,并从志愿者身上获取实际呼吸波形。通过比较接受肝脏立体定向体放射治疗和未使用 GRTS 患者呼吸波形的稳定性和可重复性,对呼吸训练进行了评估。呼吸波形的稳定性和再现性分别通过均方根误差和基于金标记置放的呼气憋气成功率进行评估。结果GRTS和RGSC之间正弦波形的绝对平均差异为2.1%。在志愿者中,GRTS 和 RGSC 获取的呼吸波形误差在±15%以内的平均百分比分别为:自由呼吸 95.5%,呼气屏气 80.7%。使用和不使用 GRTS 的平均均方根误差和呼气憋气成功率(标准偏差)分别为 0.65 (0.24) 厘米和 0.88 (0.89) 厘米,以及 91.0% (6.9) 和 89.1% (11.6)。使用陀螺仪传感器进行呼吸训练可减少患者间呼吸波形的差异,从而提高呼气憋肝立体定向体外放射治疗的成功率。这是第一份有关呼吸训练系统临床应用的报告。
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引用次数: 0
Minimum library size determination for RapidPlan knowledge based planning system using multicriteria optimization. 利用多标准优化确定基于知识的 RapidPlan 规划系统的最小库规模。
Pub Date : 2024-04-19 DOI: 10.1093/bjr/tqae084
Subhra S Biswal, Biplab Sarkar, Monika Goyal
The aim of this study was to determine the number of trade-off explored (TO) library plans required for building a RapidPlan (RP) library that would generate the optimal clinical treatment plan.
本研究旨在确定建立可生成最佳临床治疗方案的 RapidPlan(RP)库所需的权衡探索(TO)库计划数量。
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引用次数: 0
Association between repeat imaging and readmission in patients with acute ischemic stroke: a 16-year nationwide population-based study. 急性缺血性脑卒中患者重复成像与再入院之间的关系:一项为期 16 年的全国性人群研究。
Pub Date : 2024-04-18 DOI: 10.1093/bjr/tqae082
Han-Hsuan Liang, Hung-Yi Liu, Russell Oliver Kosik, Wing P Chan, Li-Nien Chien
This study aims to evaluate such usage patterns and identify factors that may contribute to the need for repeat imaging in acute ischemic stroke patients, and determine the association between repeat imaging and readmission in Taiwan.
本研究旨在评估这种使用模式,找出可能导致急性缺血性卒中患者需要重复成像的因素,并确定台湾重复成像与再入院之间的关联。
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引用次数: 0
Correction to: The dosimetric parameters impact on local recurrence in stereotactic radiotherapy for brain metastases. 更正:剂量参数对脑转移立体定向放射治疗局部复发的影响。
Pub Date : 2024-04-17 DOI: 10.1093/bjr/tqae073
{"title":"Correction to: The dosimetric parameters impact on local recurrence in stereotactic radiotherapy for brain metastases.","authors":"","doi":"10.1093/bjr/tqae073","DOIUrl":"https://doi.org/10.1093/bjr/tqae073","url":null,"abstract":"","PeriodicalId":516851,"journal":{"name":"The British Journal of Radiology","volume":" 19","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140690376","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}
引用次数: 0
Clinical evaluation of the efficacy of limbus artificial intelligence software to augment contouring for prostate and nodes radiotherapy. 对前列腺和结节放射治疗中使用 "跛行 "人工智能软件增强轮廓设计的临床疗效进行评估。
Pub Date : 2024-04-16 DOI: 10.1093/bjr/tqae077
Alison Starke, Jacqueline Poxon, Kishen Patel, Paula Wells, Max Morris, Pandora Rudd, Karen Tipples, Niall MacDougall
To determine if Limbus, an AI auto-contouring software, can offer meaningful time savings for prostate radiotherapy treatment planning.
目的是确定人工智能自动轮廓软件 Limbus 能否为前列腺放射治疗规划节省大量时间。
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引用次数: 0
Accuracy of Magnetic Resonance Imaging-Ultrasound Fusion-Guided and Systematic Biopsy of the Prostate. 磁共振成像-超声波融合引导和系统性前列腺活检的准确性。
Pub Date : 2024-04-16 DOI: 10.1093/bjr/tqae080
Thomas In de Braekt, Sanne B T van Rooij, Alette W Daniels-Gooszen, Wout A Scheepens, Rik de Jongh, Steven L Bosch, Joost Nederend
Prostate multiparametric magnetic resonance imaging (mpMRI) with subsequent targeted biopsy of suspicious lesions have a critical role in the diagnostic workup of prostate cancer. The objective was to evaluate the diagnostic accuracy of systematic biopsies, targeted biopsies, and the combination of both in prostate cancer detection.
前列腺多参数磁共振成像(mpMRI)和随后的可疑病灶靶向活检在前列腺癌的诊断工作中起着至关重要的作用。该研究旨在评估系统活检、靶向活检以及两者结合在前列腺癌检测中的诊断准确性。
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引用次数: 0
Conversion of single-energy computed tomography to parametric maps of dual-energy computed tomography using convolutional neural network. 利用卷积神经网络将单能量计算机断层扫描转换为双能量计算机断层扫描的参数图。
Pub Date : 2024-04-10 DOI: 10.1093/bjr/tqae076
Sangwook Kim, Jimin Lee, Jungye Kim, Bitbyeol Kim, Chang Heon Choi, Seongmoon Jung
We propose a deep learning (DL) multi-task learning framework using convolutional neural network (CNN) for a direct conversion of single-energy CT (SECT) to three different parametric maps of dual-energy CT (DECT): Virtual-monochromatic image (VMI), effective atomic number (EAN), and relative electron density (RED).
我们提出了一种使用卷积神经网络(CNN)的深度学习(DL)多任务学习框架,用于将单能 CT(SECT)直接转换为双能 CT(DECT)的三种不同参数图:虚拟单色图像 (VMI)、有效原子序数 (EAN) 和相对电子密度 (RED)。
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引用次数: 0
期刊
The British Journal of Radiology
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