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Meta-analysis of transjugular intrahepatic portosystemic shunt creation with intravascular ultrasound guidance. 血管内超声引导下经颈静脉肝内门体分流术的 Meta 分析。
Pub Date : 2024-04-08 DOI: 10.1093/bjr/tqae074
Qian Yu, Osman Ahmed, Subhash Gutti, Deepak Iyer, Daniel Kwak, Syed Samaduddin Ahmed, Adam Said, J Fritz Angle, Rakesh Navuluri, Jonathan M Lorenz, Mikin Patel
To conduct a meta-analysis to assess the efficacy of intravascular ultrasound (IVUS) during transjugular intrahepatic portosystemic shunt (TIPS) creation.
进行荟萃分析,评估经颈静脉肝内门体分流术(TIPS)中血管内超声(IVUS)的疗效。
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引用次数: 0
Safety and efficacy of cryoablation of Soft-Tissue tumors. 软组织肿瘤冷冻消融的安全性和有效性。
Pub Date : 2024-04-08 DOI: 10.1093/bjr/tqae075
Sylvain Bodard, Clement Marcelin, Adrian Kastler, Platon M Dimopoulos, Elena N Petre, Julien Frandon, Leo Razakamanantsoa, Francois H Cornelis
To assess the safety and efficacy of percutaneous cryoablation (CA) of soft-tissue tumors (desmoid tumors (DT), vascular malformations (VM), and abdominal wall endometriosis (AWE)).
目的:评估经皮冷冻消融术(CA)治疗软组织肿瘤(类软骨瘤(DT)、血管畸形(VM)和腹壁子宫内膜异位症(AWE))的安全性和有效性。
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引用次数: 0
MRI classification of uterosacral ligament involvement in endometriosis: the Hôtel-Dieu (HTD) classification. 子宫内膜异位症子宫骶骨韧带受累的磁共振成像分类:Hôtel-Dieu(HTD)分类。
Pub Date : 2024-04-05 DOI: 10.1093/bjr/tqae072
Siegfried Hélage, Lucas Rivière, Jean-Noël Buy, Corinne Bordonné, Frédéric Préaux, Pierre-Alexandre Just, Nizar Aflak, Pascal Rousset, Élisabeth Dion
This study aimed to establish the first-ever MRI classification of uterosacral ligament (USL) involvement in deep endometriosis (DIE), based on reliable preoperative MRI features correlated with positive predictive values (PPVs) determined through histopathological analysis.
本研究旨在根据可靠的术前磁共振成像特征与组织病理学分析确定的阳性预测值(PPV)的相关性,首次建立深部子宫内膜异位症(DIE)子宫骶韧带(USL)受累的磁共振成像分类。
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引用次数: 0
How to use MRI in cardiac disease with diastolic dysfunction? 如何在舒张功能障碍的心脏病中使用磁共振成像?
Pub Date : 2024-04-04 DOI: 10.1093/bjr/tqae071
Farah Cadour, Adrien Cour, Jules Senlis, Stanislas Rapacchi, Hajer Chennoufi, Paul Michelin, Colin McQuade, Matthieu Demeyere, Jean-Nicolas Dacher
Left ventricular (LV) diastolic dysfunction (DD) is an initially asymptomatic condition that can progress to heart failure, either with preserved or reduced ejection fraction. As such, DD is a growing public health problem. Impaired relaxation, the first stage of DD, is associated with altered LV filling. With progression, reducing LV compliance leads to restrictive cardiomyopathy. While cardiac magnetic resonance (CMR) imaging is the reference for LV systolic function assessment, transthoracic echocardiography (TTE) with Doppler flow measurements remains the standard for diastolic function assessment. Rather than simply replicating TTE measurements, CMR should complement and further advance TTE findings. We provide herein a step-by-step review of CMR findings in DD as well as imaging features which may help to identify the underlying cause.
左心室舒张功能障碍(LV diastolic dysfunction,DD)是一种起初无症状的疾病,可发展为射血分数保留或降低的心力衰竭。因此,舒张功能障碍是一个日益严重的公共健康问题。松弛受损是 DD 的第一阶段,与左心室充盈改变有关。随着病情的发展,左心室顺应性的降低会导致限制性心肌病。心脏磁共振(CMR)成像是评估左心室收缩功能的参考,而带有多普勒血流测量的经胸超声心动图(TTE)仍是评估舒张功能的标准。CMR 不是简单地复制 TTE 测量结果,而是对 TTE 结果的补充和进一步推进。在此,我们将逐步回顾 DD 的 CMR 发现以及有助于确定潜在病因的成像特征。
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引用次数: 0
Diffusion tensor imaging reveals subclinical alterations in muscles of patients with becker muscular dystrophy. 弥散张量成像揭示了贝克肌肉萎缩症患者肌肉的亚临床改变。
Pub Date : 2024-04-04 DOI: 10.1093/bjr/tqae070
Simone Nava, Giorgio Conte, Fabio M Triulzi, Giacomo P Comi, Francesca Magri, Daniele Velardo, Claudia M Cinnante
Becker muscular dystrophy (BMD) is a relatively less investigated neuromuscular disease, partially overlapping the phenotype of Duchenne dystrophy (DMD). Physiopathological and anatomical patterns are still not comprehensively known, despite recent effort in the search of early biomarkers.
贝克尔肌营养不良症(BMD)是一种研究相对较少的神经肌肉疾病,与杜氏肌营养不良症(DMD)的表型部分重叠。尽管近年来人们一直在努力寻找早期生物标志物,但对其生理病理和解剖模式的了解仍不够全面。
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引用次数: 0
An evaluation of CT radiation doses within the Yorkshire Lung Screening Trial. 约克郡肺部筛查试验中 CT 辐射剂量的评估。
Pub Date : 2024-02-03 DOI: 10.1093/bjr/tqad045
Gareth R Iball, Charlotte E Beeching, Rhian Gabe, Hui Zhen Tam, Michael Darby, Philip A J Crosbie, Matthew E J Callister
To evaluate radiation doses for all low-dose CT scans performed during the first year of a lung screening trial.
评估肺部筛查试验第一年内进行的所有低剂量 CT 扫描的辐射剂量。
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引用次数: 0
Imaging spectrum in tropical breast infections. 热带乳腺感染的成像谱。
Pub Date : 2024-02-03 DOI: 10.1093/bjr/tqad032
Ekta Dhamija, Shrea Gulati, Smriti Hari
While breast carcinoma is the most feared pathology in women with breast lumps, infections continue to be an important aetiology, especially in countries with low to middle socio-economic status. The breast infections or mastitis can present as acute painful breast or recurrent episodes of breast lumps with or without pain. The common causes include puerperal, non-puerperal, and idiopathic mastitis whereas uncommon causes like tuberculosis, filariasis, hydatid and other parasitic infections are still seen in developing countries. Imaging with digital mammography may be difficult due to pain or inadequate due to increased breast density. Ultrasound serves as the modality of choice for detailed assessment in these patients. Since the imaging features are often overlapping with malignancy, biopsy is almost always indicated. However, there are certain imaging findings that may point to the diagnosis of mastitis and can help in accurate radiologic-pathologic correlation. This article aims to illustrate the varied clinico-radiological features of patients with tropical breast infections.
虽然乳腺癌是患有乳房肿块的妇女最担心的病理原因,但感染仍然是一个重要的病因,尤其是在社会经济地位处于中低水平的国家。乳房感染或乳腺炎可表现为急性乳房疼痛或反复发作的乳房肿块,伴有或不伴有疼痛。常见病因包括产褥期、非产褥期和特发性乳腺炎,而结核病、丝虫病、包虫病和其他寄生虫感染等不常见病因仍见于发展中国家。数字乳腺 X 线照相术可能会因疼痛而难以成像,或因乳腺密度增加而无法成像。超声波是对这些患者进行详细评估的首选方式。由于影像学特征往往与恶性肿瘤重叠,因此几乎总是需要进行活组织检查。不过,某些影像学检查结果可能指向乳腺炎的诊断,并有助于进行准确的放射学和病理学关联。本文旨在说明热带乳腺感染患者的各种临床放射学特征。
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引用次数: 0
Diagnostic value of PET imaging in clinically unresponsive patients. PET 成像对临床无反应患者的诊断价值。
Pub Date : 2024-02-03 DOI: 10.1093/bjr/tqad040
Hashim Farg, Ahmed Elnakib, Ahmad Gebreil, Ahmed Alksas, Eric van Bogaert, Ali Mahmoud, Ashraf Khalil, Mohammed Ghazal, Mohamed Abou El-Ghar, Ayman El-Baz, Sohail Contractor
Rapid advancements in the critical care management of acute brain injuries have facilitated the survival of numerous patients who may have otherwise succumbed to their injuries. The probability of conscious recovery hinges on the extent of structural brain damage and the level of metabolic and functional cerebral impairment, which remain challenging to assess via laboratory, clinical, or functional tests. Current research settings and guidelines highlight the potential value of fluorodeoxyglucose-PET (FDG-PET) for diagnostic and prognostic purposes, emphasizing its capacity to consistently illustrate a metabolic reduction in cerebral glucose uptake across various disorders of consciousness. Crucially, FDG-PET might be a pivotal tool for differentiating between patients in the minimally conscious state and those in the unresponsive wakefulness syndrome, a persistent clinical challenge. In patients with disorders of consciousness, PET offers utility in evaluating the degree and spread of functional disruption, as well as identifying irreversible neural damage. Further, studies that capture responses to external stimuli can shed light on residual or revived brain functioning. Nevertheless, the validity of these findings in predicting clinical outcomes calls for additional long-term studies with larger patient cohorts suffering from consciousness impairment. Misdiagnosis of conscious illnesses during bedside clinical assessments remains a significant concern. Based on the clinical research settings, current clinical guidelines recommend PET for diagnostic and/or prognostic purposes. This review article discusses the clinical categories of conscious disorders and the diagnostic and prognostic value of PET imaging in clinically unresponsive patients, considering the known limitations of PET imaging in such contexts.
急性脑损伤重症监护管理的快速发展使许多患者得以存活,否则他们可能会因伤势过重而死亡。意识恢复的可能性取决于脑部结构损伤的程度以及大脑代谢和功能障碍的程度,而通过实验室、临床或功能测试来评估这些损伤仍然具有挑战性。目前的研究环境和指南都强调了氟脱氧葡萄糖-PET(FDG-PET)在诊断和预后方面的潜在价值,强调其能够持续显示各种意识障碍中脑葡萄糖摄取的代谢减少。最重要的是,FDG-PET 可能是区分微意识状态患者和无反应清醒综合征患者的关键工具,这是一个长期存在的临床难题。对于意识障碍患者,正电子发射计算机断层显像可用于评估功能紊乱的程度和范围,以及确定不可逆的神经损伤。此外,捕捉外部刺激反应的研究还能揭示大脑功能的残余或恢复情况。然而,这些研究结果在预测临床结果方面的有效性还需要对更多意识障碍患者进行长期研究。在床边临床评估中对有意识疾病的误诊仍是一个重大问题。基于临床研究环境,目前的临床指南建议将 PET 用于诊断和/或预后目的。这篇综述文章讨论了意识障碍的临床类别以及 PET 成像在临床无反应患者中的诊断和预后价值,同时考虑到 PET 成像在这种情况下的已知局限性。
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引用次数: 0
Non-traumatic head and neck emergencies. 非创伤性头颈部急症。
Pub Date : 2024-02-03 DOI: 10.1093/bjr/tqad022
Elizabeth L Loney
This review aims to provide pictorial examples of non-traumatic head and neck emergencies one may commonly encounter in the Emergency Department, with a few important, rarer cases for educational purposes. It begins with a brief introduction to compartmental neck space anatomy and how one might approach choosing an imaging modality, moving on to consider a variety of predominantly infective pathologies that may present acutely. It is not a comprehensive overview of all non-traumatic emergencies but will hopefully stimulate interest in the subject and encourage further reading.
本综述旨在提供急诊科常见的非外伤性头颈部急症的图解示例,并附有一些重要的罕见病例,以达到教育目的。文章首先简要介绍了颈部间隙的解剖结构,以及如何选择成像方式,然后介绍了各种可能出现的急性感染性病变。这并不是对所有非创伤性急症的全面概述,但希望能激发读者对这一主题的兴趣,并鼓励他们进一步阅读。
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引用次数: 0
Metabolic syndrome: imaging features and clinical outcomes. 代谢综合征:影像特征和临床结果。
Pub Date : 2024-02-03 DOI: 10.1093/bjr/tqad044
Mohamed Badawy, Khaled M Elsayes, Meghan G Lubner, Mostafa A Shehata, Kathryn Fowler, Arwa Kaoud, Perry J Pickhardt
Metabolic syndrome, which affects around a quarter of adults worldwide, is a group of metabolic abnormalities characterized mainly by insulin resistance and central adiposity. It is strongly correlated with cardiovascular and all-cause mortality. Early identification of the changes induced by metabolic syndrome in target organs and timely intervention (eg, weight reduction) can decrease morbidity and mortality. Imaging can monitor the main components of metabolic syndrome and identify early the development and progression of its sequelae in various organs. In this review, we discuss the imaging features across different modalities that can be used to evaluate changes due to metabolic syndrome, including fatty deposition in different organs, arterial stiffening, liver fibrosis, and cardiac dysfunction. Radiologists can play a vital role in recognizing and following these target organ injuries, which in turn can motivate lifestyle modification and therapeutic intervention.
代谢综合征影响着全球约四分之一的成年人,是一组以胰岛素抵抗和中心性肥胖为主要特征的代谢异常。它与心血管疾病和全因死亡率密切相关。及早发现代谢综合征引起的目标器官的变化并及时干预(如减轻体重),可以降低发病率和死亡率。影像学可监测代谢综合征的主要成分,并及早发现代谢综合征后遗症在各器官中的发展和进展。在这篇综述中,我们将讨论可用于评估代谢综合征引起的变化的不同模式的成像特征,包括不同器官的脂肪沉积、动脉硬化、肝纤维化和心功能障碍。放射科医生在识别和跟踪这些靶器官损伤方面可以发挥重要作用,进而促进生活方式的改变和治疗干预。
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The British Journal of Radiology
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