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American Journal of Roentgenology最新文献

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Reply to "Enhancing Radiation Safety Education During Medical Training: A Canadian Perspective". 对 "加强医学培训期间的辐射安全教育:加拿大视角"。
IF 4.7 2区 医学 Q1 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2024-11-06 DOI: 10.2214/AJR.24.32291
Anisha Mittal
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引用次数: 0
A Musculoskeletal Radiology Medical School Elective Rotation: Perspective of an Orthopedic Surgery Subintern. 医学院肌肉骨骼放射学选修轮转:一名骨外科实习生的观点。
IF 4.7 2区 医学 Q1 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2024-11-06 DOI: 10.2214/AJR.24.31836
Kristen E Hines
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引用次数: 0
Editorial Comment: In Radiomics Veritas? The Continuing Quest for Identification of HER2-Low Breast Cancers. 编辑评论:放射组学的真理?识别 HER2 低乳腺癌的持续探索。
IF 4.7 2区 医学 Q1 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2024-11-06 DOI: 10.2214/AJR.24.32295
Benoit Mesurolle
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引用次数: 0
MR and Ultrasound Elastography for Fibrosis Assessment in Children: Practical Implementation and Supporting Evidence-AJR Expert Panel Narrative Review. 用于儿童纤维化评估的磁共振和超声弹性成像:实际应用和支持性证据--JJR 专家小组叙述性综述。
IF 4.7 2区 医学 Q1 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2024-11-06 DOI: 10.2214/AJR.23.30506
Suraj D Serai, Stéphanie Franchi-Abella, Ali B Syed, Jean A Tkach, Seema Toso, Giovanna Ferraioli

Quantitative MRI and ultrasound biomarkers of liver fibrosis have become important tools in the diagnosis and clinical management of children with chronic liver disease (CLD). In particular, MR elastography is now routinely performed in clinical practice to evaluate the liver for fibrosis. Ultrasound shear-wave elastography has also become widely performed for this purpose, especially in young children. These noninvasive methods are increasingly used to replace liver biopsy for the diagnosis, quantitative staging, and treatment monitoring of patients with CLD. Although ultrasound has the advantages of portability and lower equipment cost than MRI, available evidence indicates that MRI may have greater reliability and accuracy in liver fibrosis evaluation. In this AJR Expert Panel Narrative Review, we describe how, why, and when to use MRI- and ultrasound-based elastography methods for liver fibrosis assessment in children. Practical approaches are discussed for adapting and optimizing these methods in children, with consideration of clinical indications, patient preparation, equipment requirements, and acquisition technique, as well as pitfalls and confounding factors. Guidance is provided for interpretation and reporting, and representative case examples are presented.

肝纤维化的定量核磁共振成像和超声生物标志物已成为慢性肝病(CLD)患儿诊断和临床管理的重要工具。尤其是磁共振弹性成像(MRE),目前已成为临床上评估肝纤维化的常规方法。超声剪切波弹性成像也已广泛用于此目的,尤其是在幼儿中。这些无创方法越来越多地被用来替代肝活检,对慢性肝病患者进行诊断、定量分期和治疗监测。虽然超声波具有便携性和设备成本低的优点,但现有证据表明,核磁共振成像在肝纤维化评估中可能具有更高的可靠性和准确性。在这篇 AJR 专家小组叙述性综述中,我们介绍了如何、为何以及何时使用基于 MRI 和超声的弹性成像方法来评估儿童肝纤维化。文中讨论了在儿童中调整和优化这些方法的实用方法,并考虑了临床适应症、患者准备、设备要求、采集技术以及陷阱和混杂因素。还提供了解释和报告指南,并介绍了具有代表性的病例。
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引用次数: 0
Strategies for Climate-Resilient Imaging Services: AJR Podcast Series on Sustainability, Episode 3. 适应气候的影像服务战略:AJR 可持续性播客系列,第 3 集。
IF 4.7 2区 医学 Q1 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2024-11-06 DOI: 10.2214/AJR.24.32299
Sean Woolen, Amanda Marrero-Gonzalez
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引用次数: 0
Editorial Comment: An Alternate Method for Primary Breast Cancer Screening in Low-Resource Settings. 编辑评论:低资源环境中乳腺癌初筛的替代方法。
IF 4.7 2区 医学 Q1 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2024-11-06 DOI: 10.2214/AJR.24.32256
Eniola Oluyemi
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引用次数: 0
Reply to "Initial Attempted Contrast-Enhanced Mammography-Guided Biopsy for Suspicious Breast MRI Findings: A Single Institution's Experience". 对 "针对可疑乳腺 MRI 检查结果的初次尝试对比增强乳腺 X 线造影引导活检:单一机构的经验"。
IF 4.7 2区 医学 Q1 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2024-11-06 DOI: 10.2214/AJR.24.32279
Michael F Morris, Danielle Summers, Leslie A Welk, Molly Harrison, Brian Johnston, Vilert A Loving
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引用次数: 0
Beyond the AJR: Imaging Underutilization and Overutilization Are Both Patient Safety Issues. 超越 AJR:成像利用不足和过度利用都是患者安全问题。
IF 4.7 2区 医学 Q1 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2024-10-30 DOI: 10.2214/AJR.24.32244
Jinel Scott, Stephen Waite
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引用次数: 0
Transarterial Embolization for Musculoskeletal Pain Management: AJR Expert Panel Narrative Review. 经动脉栓塞治疗肌肉骨骼疼痛:AJR 专家小组叙述性评论。
IF 4.7 2区 医学 Q1 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2024-10-30 DOI: 10.2214/AJR.24.31626
Abin Sajan, Yan Epelboym, Ana Fernandez Martinez, Mark Little, Reza Talaie, Ari Isaacson

Musculoskeletal embolization has emerged in recent years as a treatment for chronic joint pain, as the inflammatory cascade responsible for such pain has become better understood. Studies have demonstrated a complex interplay between joint inflammation and synovial hypervascularity that causes growth of new unmyelinated nerve fibers responsible for pain. Embolization targets joint hypervascularity, to disrupt the inflammatory cycle and provide pain relief. The standard treatment algorithm for chronic joint pain is well-established and entails escalating therapeutic options that include exercise, self-management programs, analgesic medications, intra-articular injections, and finally surgical replacement or release. Genicular artery embolization (GAE), targeting abnormal vasculature around the knee joint, is the most heavily studied musucloskeletal embolization procedure, reflecting the high worldwide prevalence and increasing incidence of knee osteoarthritis. GAE is now supported by multiple prospective studies, including randomized control trials comparing GAE versus sham treatment. Embolization has also extended outside of the knee joint to include the shoulder (treatment of adhesive capsulitis or secondary stiff shoulder), elbow (medial/lateral epicondylitis), hip (osteoarthritis, great trochanteric pain syndrome), and ankle (plantar fasciitis). This AJR Expert Panel Narrative Review discusses the current status of transarterial embolization for musculoskeletal pain management, focusing on treatment of knee osteoarthritis and chronic shoulder pain.

近年来,随着人们对导致慢性关节疼痛的炎症级联反应有了更深入的了解,肌肉骨骼栓塞疗法已成为一种治疗慢性关节疼痛的方法。研究表明,关节炎症和滑膜血管亢进之间存在着复杂的相互作用,导致新的无髓鞘神经纤维生长,从而引起疼痛。栓塞治疗针对关节血管过多,可破坏炎症循环,缓解疼痛。慢性关节疼痛的标准治疗方案已经确立,包括运动、自我管理计划、镇痛药物、关节内注射,最后是手术置换或松解。针对膝关节周围异常血管的膝关节动脉栓塞术(GAE)是目前研究最多的肌肉骨骼栓塞术,反映了膝关节骨关节炎在全球的高发病率和不断增长的发病率。GAE 目前已得到多项前瞻性研究的支持,包括比较 GAE 与假治疗的随机对照试验。栓塞治疗的范围也从膝关节扩展到肩关节(治疗粘连性肩关节囊炎或继发性肩关节僵硬)、肘关节(内/外上髁炎)、髋关节(骨关节炎、大转子疼痛综合征)和踝关节(足底筋膜炎)。这篇 AJR 专家小组叙述性综述讨论了经动脉栓塞治疗肌肉骨骼疼痛的现状,重点是膝关节骨性关节炎和慢性肩痛的治疗。
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引用次数: 0
Editorial Comment: MRI Radiomics and Machine Learning to Advance the Precision of HER2 Classification. 编辑评论:核磁共振成像放射组学和机器学习提高 HER2 分类的精确度。
IF 4.7 2区 医学 Q1 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2024-10-30 DOI: 10.2214/AJR.24.32269
Manisha Bahl
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引用次数: 0
期刊
American Journal of Roentgenology
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