Pub Date : 2024-04-25eCollection Date: 2024-01-01DOI: 10.5334/jbsr.3574
Andrea Dell'Aria, Denis Tack, Najat Saddiki, Sonia Makdoud, Jean Alexiou, François-Xavier De Hemptinne, Ivan Berkenbaum, Carine Neugroschl, Nunzia Tacelli
Objectives: The aims of this study were: (a) to evaluate the performance of an artificial intelligence (AI) software package (Boneview Trauma, Gleamer) for the detection of post-traumatic bone fractures in radiography as a standalone; (b) used by two radiologists (osteoarticular senior and junior); and (c) to determine to whom AI would be most helpful.
Materials and methods: Within 14 days of a trauma, 101 consecutive patients underwent radiographic examination of the upper or lower limbs. The definite diagnosis for identifying fractures was: (a) radio-clinical consensus between the radiologist on-call who analyzed the images and the orthopedist (Group 1); (b) Cone Beam computed tomography (CBCT) exploration of the area of interest, in case of doubts or absence of consensus (Group 2). Independently of this diagnosis for both groups, the radiographic images were separately analyzed by two radiologists (osteoarticular senior: SR; junior: JR) prior without, and thereafter with the results of AI.
Results: AI performed better than the radiologists in detecting common fractures (Group 1), but not subtle fractures (Group 2). In association with AI, both radiologists increased their overall performances in both groups, whereas this increase was significantly higher for the JR (p < 0.05).
Conclusion: AI is reliable for common radiographic fracture identification and is a useful learning tool for radiologists in training. However, the software's overall performance does not exceed that of an osteoarticular senior radiologist, particularly in case of subtle lesions.
{"title":"Radiographic Detection of Post-Traumatic Bone Fractures: Contribution of Artificial Intelligence Software to the Analysis of Senior and Junior Radiologists.","authors":"Andrea Dell'Aria, Denis Tack, Najat Saddiki, Sonia Makdoud, Jean Alexiou, François-Xavier De Hemptinne, Ivan Berkenbaum, Carine Neugroschl, Nunzia Tacelli","doi":"10.5334/jbsr.3574","DOIUrl":"https://doi.org/10.5334/jbsr.3574","url":null,"abstract":"<p><strong>Objectives: </strong>The aims of this study were: (a) to evaluate the performance of an artificial intelligence (AI) software package (Boneview Trauma, Gleamer) for the detection of post-traumatic bone fractures in radiography as a standalone; (b) used by two radiologists (osteoarticular senior and junior); and (c) to determine to whom AI would be most helpful.</p><p><strong>Materials and methods: </strong>Within 14 days of a trauma, 101 consecutive patients underwent radiographic examination of the upper or lower limbs. The definite diagnosis for identifying fractures was: (a) radio-clinical consensus between the radiologist on-call who analyzed the images and the orthopedist (Group 1); (b) Cone Beam computed tomography (CBCT) exploration of the area of interest, in case of doubts or absence of consensus (Group 2). Independently of this diagnosis for both groups, the radiographic images were separately analyzed by two radiologists (osteoarticular senior: SR; junior: JR) prior without, and thereafter with the results of AI.</p><p><strong>Results: </strong>AI performed better than the radiologists in detecting common fractures (Group 1), but not subtle fractures (Group 2). In association with AI, both radiologists increased their overall performances in both groups, whereas this increase was significantly higher for the JR (<i>p</i> < 0.05).</p><p><strong>Conclusion: </strong>AI is reliable for common radiographic fracture identification and is a useful learning tool for radiologists in training. However, the software's overall performance does not exceed that of an osteoarticular senior radiologist, particularly in case of subtle lesions.</p>","PeriodicalId":55987,"journal":{"name":"Journal of the Belgian Society of Radiology","volume":null,"pages":null},"PeriodicalIF":2.0,"publicationDate":"2024-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11049681/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140857053","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-04-25eCollection Date: 2024-01-01DOI: 10.5334/jbsr.3576
Eya Chaouch, Selda Aydin, Dragean Cristina Anca
Teaching point: Microcystic lymphangioma is a rare but benign lesion that should be differentiated from a neoplasm.
教学要点:微囊性淋巴管瘤是一种罕见的良性病变,应与肿瘤相鉴别。
{"title":"Unusually Hypervascularized Liver Lesion.","authors":"Eya Chaouch, Selda Aydin, Dragean Cristina Anca","doi":"10.5334/jbsr.3576","DOIUrl":"https://doi.org/10.5334/jbsr.3576","url":null,"abstract":"<p><p><i>Teaching point:</i> Microcystic lymphangioma is a rare but benign lesion that should be differentiated from a neoplasm.</p>","PeriodicalId":55987,"journal":{"name":"Journal of the Belgian Society of Radiology","volume":null,"pages":null},"PeriodicalIF":2.0,"publicationDate":"2024-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11049680/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140866861","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-04-22eCollection Date: 2024-01-01DOI: 10.5334/jbsr.3555
Valerie Van Ballaer, Nico Hustings
Teaching point: Computed tomography is essential for timely diagnosing infected mesenteric cysts as a cause of acute abdomen, ultimately requiring complete excision to confirm diagnosis given the potential of malignant transformation.
{"title":"Acute Abdomen Caused by Infected Mesenteric Cyst.","authors":"Valerie Van Ballaer, Nico Hustings","doi":"10.5334/jbsr.3555","DOIUrl":"https://doi.org/10.5334/jbsr.3555","url":null,"abstract":"<p><p><i>Teaching point:</i> Computed tomography is essential for timely diagnosing infected mesenteric cysts as a cause of acute abdomen, ultimately requiring complete excision to confirm diagnosis given the potential of malignant transformation.</p>","PeriodicalId":55987,"journal":{"name":"Journal of the Belgian Society of Radiology","volume":null,"pages":null},"PeriodicalIF":2.0,"publicationDate":"2024-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11049661/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140872249","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-04-22eCollection Date: 2024-01-01DOI: 10.5334/jbsr.3542
Quentin Rahier, Géraldine Debehogne, Frédéric E Lecouvet
Teaching point: The appearance of an avulsion of the ossification center of the iliac crest is reported on ultrasound, radiographs, and magnetic resonance imaging (MRI), with emphasis on the role of the "pseudo-CT" zero echo time (oZTEo) sequence to highlight the lesion.
{"title":"Avulsion of the Ossification Center of the Iliac Crest in a Sporty Teenager: Multimodal Imaging Approach with Emphasis on the Role of the oZTEo MRI Pseudo-CT Sequence.","authors":"Quentin Rahier, Géraldine Debehogne, Frédéric E Lecouvet","doi":"10.5334/jbsr.3542","DOIUrl":"https://doi.org/10.5334/jbsr.3542","url":null,"abstract":"<p><p><i>Teaching point:</i> The appearance of an avulsion of the ossification center of the iliac crest is reported on ultrasound, radiographs, and magnetic resonance imaging (MRI), with emphasis on the role of the \"pseudo-CT\" zero echo time (oZTEo) sequence to highlight the lesion.</p>","PeriodicalId":55987,"journal":{"name":"Journal of the Belgian Society of Radiology","volume":null,"pages":null},"PeriodicalIF":2.0,"publicationDate":"2024-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11049667/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140857052","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-04-22eCollection Date: 2024-01-01DOI: 10.5334/jbsr.3563
Ramazan Orkun Onder, Emel Agca Nasuhbeyoglu, Tümay Bekci
Teaching point: Due to the mass-like appearance of pulmonary histoplasmosis in the lung, radiological misdiagnosis may occur. Fungal infections should be considered in the differential diagnosis, especially in immune-compromised patients.
{"title":"Pulmonary Histoplasmosis Mimicking Lung Cancer.","authors":"Ramazan Orkun Onder, Emel Agca Nasuhbeyoglu, Tümay Bekci","doi":"10.5334/jbsr.3563","DOIUrl":"https://doi.org/10.5334/jbsr.3563","url":null,"abstract":"<p><p><i>Teaching point:</i> Due to the mass-like appearance of pulmonary histoplasmosis in the lung, radiological misdiagnosis may occur. Fungal infections should be considered in the differential diagnosis, especially in immune-compromised patients.</p>","PeriodicalId":55987,"journal":{"name":"Journal of the Belgian Society of Radiology","volume":null,"pages":null},"PeriodicalIF":2.0,"publicationDate":"2024-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11049679/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140873408","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-04-17eCollection Date: 2024-01-01DOI: 10.5334/jbsr.3385
Thomas Jardinet
The most common cause of peripheral arterial disease (PAD) is atherosclerosis. PAD can be considered a global pandemic, as it affected a quarter billion people worldwide in 2013 [1]. The prevalence and complexity of the disease is increasing due to aging populations and the rise in risk factors including diabetes and kidney disease.
外周动脉疾病(PAD)最常见的病因是动脉粥样硬化。PAD 可被视为一种全球流行病,因为 2013 年全球有 25 亿人受到了 PAD 的影响[1]。由于人口老龄化以及糖尿病和肾病等风险因素的增加,该疾病的发病率和复杂性也在不断增加。
{"title":"Peripheral Artery Disease: Why Do We Need CT Imaging?","authors":"Thomas Jardinet","doi":"10.5334/jbsr.3385","DOIUrl":"10.5334/jbsr.3385","url":null,"abstract":"<p><p>The most common cause of peripheral arterial disease (PAD) is atherosclerosis. PAD can be considered a global pandemic, as it affected a quarter billion people worldwide in 2013 [1]. The prevalence and complexity of the disease is increasing due to aging populations and the rise in risk factors including diabetes and kidney disease.</p>","PeriodicalId":55987,"journal":{"name":"Journal of the Belgian Society of Radiology","volume":null,"pages":null},"PeriodicalIF":2.0,"publicationDate":"2024-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11141513/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141201244","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Objectives: To evaluate the imaging characteristics of the tumor, emphasizing its location, and to determine the frequency of typical and atypical locations of olfactory neuroblastoma (ONB).
Materials and methods: We retrospectively reviewed the computed tomography and magnetic resonance imaging findings of patients with pathologically proven ONB between April 2000 and April 2023. Demographic information, chief complaints, tumor location, and tumor extension were extracted.
Results: Of the 58 patients, 50 (86.2%) had the epicenter of the mass at the superior part of the nasal cavity, while eight patients (13.8%) had the epicenter at other atypical locations: seven patients (12.1%) at the middle part of the nasal cavity and one patient (1.7%) within both sphenoid sinuses.
Conclusion: ONB is not always present in the upper part or the roof of the nasal cavity, and a significant number of ONBs are occasionally found in the rest of the nasal cavity and other atypical locations.
{"title":"Olfactory Neuroblastoma Is Not Always Located at the Roof of the Nasal Cavity.","authors":"Pornrujee Hirunpat, Theeraphol Panyaping, Siriporn Hirunpat","doi":"10.5334/jbsr.3562","DOIUrl":"10.5334/jbsr.3562","url":null,"abstract":"<p><strong>Objectives: </strong>To evaluate the imaging characteristics of the tumor, emphasizing its location, and to determine the frequency of typical and atypical locations of olfactory neuroblastoma (ONB).</p><p><strong>Materials and methods: </strong>We retrospectively reviewed the computed tomography and magnetic resonance imaging findings of patients with pathologically proven ONB between April 2000 and April 2023. Demographic information, chief complaints, tumor location, and tumor extension were extracted.</p><p><strong>Results: </strong>Of the 58 patients, 50 (86.2%) had the epicenter of the mass at the superior part of the nasal cavity, while eight patients (13.8%) had the epicenter at other atypical locations: seven patients (12.1%) at the middle part of the nasal cavity and one patient (1.7%) within both sphenoid sinuses.</p><p><strong>Conclusion: </strong>ONB is not always present in the upper part or the roof of the nasal cavity, and a significant number of ONBs are occasionally found in the rest of the nasal cavity and other atypical locations.</p>","PeriodicalId":55987,"journal":{"name":"Journal of the Belgian Society of Radiology","volume":null,"pages":null},"PeriodicalIF":2.0,"publicationDate":"2024-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11141505/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141201178","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Teaching point: Magnetic resonance imaging (MRI) and ultrasound may be useful to assess the extent of onychodystrophy associated with psoriatic dactylitis by showing nail bed thickening, matrix changes, and vascularity indicative of active inflammation.
{"title":"Psoriatic Dactylitis with Onychodystrophy","authors":"Lucas Van Houtven, Filip M. Vanhoenacker","doi":"10.5334/jbsr.3559","DOIUrl":"https://doi.org/10.5334/jbsr.3559","url":null,"abstract":"Teaching point: Magnetic resonance imaging (MRI) and ultrasound may be useful to assess the extent of onychodystrophy associated with psoriatic dactylitis by showing nail bed thickening, matrix changes, and vascularity indicative of active inflammation.","PeriodicalId":55987,"journal":{"name":"Journal of the Belgian Society of Radiology","volume":null,"pages":null},"PeriodicalIF":2.0,"publicationDate":"2024-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140716384","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}
Chest compressions, used in cardiopulmonary resuscitation (CPR), cause rib and sternum fractures in around 79% and 54% of patients, respectively. Spinal fractures resulting from CPR are far rarer. We present the case of a 70-year-old man who underwent mechanical CPR after choking whilst eating. The patient received a cerebral and thoracic CT scan upon arrival to the hospital. The cerebral scan was normal, but the chest CT scan revealed signs of ankylosing spondylitis and an unstable Chance fracture of the 12th thoracic vertebra. The patient was hospitalised but passed away. This case highlights the need for awareness of uncommon spine fractures due to the high associated morbidity. Teaching point: In patients who have undergone thoracic compressions, one should not only search for rib fractures but also for spine fractures, which, though uncommon, have a far greater impact on the patient’s morbidity, especially in patients with predisposing spine conditions.
{"title":"Thoracic Vertebra Chance Fracture Resulting from Mechanical CPR","authors":"T. Saliba, S. Pather, Olivier Cappeliez","doi":"10.5334/jbsr.3564","DOIUrl":"https://doi.org/10.5334/jbsr.3564","url":null,"abstract":"Chest compressions, used in cardiopulmonary resuscitation (CPR), cause rib and sternum fractures in around 79% and 54% of patients, respectively. Spinal fractures resulting from CPR are far rarer. We present the case of a 70-year-old man who underwent mechanical CPR after choking whilst eating. The patient received a cerebral and thoracic CT scan upon arrival to the hospital. The cerebral scan was normal, but the chest CT scan revealed signs of ankylosing spondylitis and an unstable Chance fracture of the 12th thoracic vertebra. The patient was hospitalised but passed away. This case highlights the need for awareness of uncommon spine fractures due to the high associated morbidity. Teaching point: In patients who have undergone thoracic compressions, one should not only search for rib fractures but also for spine fractures, which, though uncommon, have a far greater impact on the patient’s morbidity, especially in patients with predisposing spine conditions.","PeriodicalId":55987,"journal":{"name":"Journal of the Belgian Society of Radiology","volume":null,"pages":null},"PeriodicalIF":2.0,"publicationDate":"2024-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140732212","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 : 2024-03-29eCollection Date: 2024-01-01DOI: 10.5334/jbsr.3547
Martin Fievez, Ana Falticeanu, Olivier Lebecque
Teaching point: While demanding urgent management, limited intimal tear (LIT), a rare subtype of acute aortic syndrome (AAS), poses challenges in terms of accurate and timely diagnosis.
{"title":"Aortic Limited Intimal Tear in a 16-Year-Old Boy.","authors":"Martin Fievez, Ana Falticeanu, Olivier Lebecque","doi":"10.5334/jbsr.3547","DOIUrl":"10.5334/jbsr.3547","url":null,"abstract":"<p><p><i>Teaching point:</i> While demanding urgent management, limited intimal tear (LIT), a rare subtype of acute aortic syndrome (AAS), poses challenges in terms of accurate and timely diagnosis.</p>","PeriodicalId":55987,"journal":{"name":"Journal of the Belgian Society of Radiology","volume":null,"pages":null},"PeriodicalIF":2.0,"publicationDate":"2024-03-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11141503/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141200899","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}