Pub Date : 2024-08-23eCollection Date: 2024-01-01DOI: 10.5334/jbsr.3691
Virginie Van Boeckel, Denis Danthine, Jean-Luc Nizet
Silicone gel-filled breast implants are widely used for breast augmentation and reconstruction after mastectomy. However, there are some known complications associated with silicone implants: Leakage and migration of silicone particles from the implant cause a granulomatous reaction. Granulomas may present as masses with features of malignancy on breast MRI. We present a case of a giant breast siliconoma in a woman who had undergone reconstruction with breast prostheses, which were surgically removed because of rupture 8 years ago. Teaching point: Despite increasingly efficient diagnostic tools, siliconoma diagnosis remains challenging.
{"title":"A Case of a Giant Siliconoma Mimicking Localized Breast Cancer.","authors":"Virginie Van Boeckel, Denis Danthine, Jean-Luc Nizet","doi":"10.5334/jbsr.3691","DOIUrl":"10.5334/jbsr.3691","url":null,"abstract":"<p><p>Silicone gel-filled breast implants are widely used for breast augmentation and reconstruction after mastectomy. However, there are some known complications associated with silicone implants: Leakage and migration of silicone particles from the implant cause a granulomatous reaction. Granulomas may present as masses with features of malignancy on breast MRI. We present a case of a giant breast siliconoma in a woman who had undergone reconstruction with breast prostheses, which were surgically removed because of rupture 8 years ago. <i>Teaching point:</i> Despite increasingly efficient diagnostic tools, siliconoma diagnosis remains challenging.</p>","PeriodicalId":55987,"journal":{"name":"Journal of the Belgian Society of Radiology","volume":"108 1","pages":"74"},"PeriodicalIF":1.0,"publicationDate":"2024-08-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11363885/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142115216","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 : 2024-08-23eCollection Date: 2024-01-01DOI: 10.5334/jbsr.3686
Quentin Conroux, Emmanuel Agneessens, Vincent Scavee
Teaching point: Aortoenteric fistula, a major complication of aortic surgery, can be identified with certainty on CT scan with opacification of the intestinal tract.
教学要点:肠主动脉瘘是主动脉手术的主要并发症之一,可通过 CT 扫描确定肠道是否通畅。
{"title":"Aortoenteric Fistula with Digestive Contrast Material Leaking in the Aneurysmal Sac.","authors":"Quentin Conroux, Emmanuel Agneessens, Vincent Scavee","doi":"10.5334/jbsr.3686","DOIUrl":"10.5334/jbsr.3686","url":null,"abstract":"<p><p><i>Teaching point:</i> Aortoenteric fistula, a major complication of aortic surgery, can be identified with certainty on CT scan with opacification of the intestinal tract.</p>","PeriodicalId":55987,"journal":{"name":"Journal of the Belgian Society of Radiology","volume":"108 1","pages":"73"},"PeriodicalIF":1.0,"publicationDate":"2024-08-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11363893/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142115218","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 : 2024-08-19eCollection Date: 2024-01-01DOI: 10.5334/jbsr.3695
Leizhi Ku, Yuhang Wang, Xiaojing Ma
Teaching point: A ruptured aorto-iliac aneurysm, complicated by an iliac arteriovenous fistula, is rare but has a possibly fatal outcome and requires prompt diagnosis and appropriate treatment.
教学要点:髂主动脉瘤破裂并发髂动静脉瘘的情况非常罕见,但可能造成致命后果,需要及时诊断和适当治疗。
{"title":"Arteriovenous Fistula Caused by Ruptured Abdominal Aortoiliac Aneurysm.","authors":"Leizhi Ku, Yuhang Wang, Xiaojing Ma","doi":"10.5334/jbsr.3695","DOIUrl":"10.5334/jbsr.3695","url":null,"abstract":"<p><p><i>Teaching point:</i> A ruptured aorto-iliac aneurysm, complicated by an iliac arteriovenous fistula, is rare but has a possibly fatal outcome and requires prompt diagnosis and appropriate treatment.</p>","PeriodicalId":55987,"journal":{"name":"Journal of the Belgian Society of Radiology","volume":"108 1","pages":"72"},"PeriodicalIF":1.0,"publicationDate":"2024-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11342842/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142057402","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 : 2024-08-14eCollection Date: 2024-01-01DOI: 10.5334/jbsr.3662
Brecht Van Berkel, Vincent Sneyers, Sofie Van Cauter
Teaching point: Meningovascular neurosyphilis is a cause of stroke in the young, and the diagnosis could be aided by black-blood MRI sequences.
教学要点:脑膜血管神经梅毒是导致年轻人中风的原因之一,黑血磁共振成像序列可以帮助诊断。
{"title":"A Case of Meningovascular Neurosyphilis with Black-Blood MRI Sequences.","authors":"Brecht Van Berkel, Vincent Sneyers, Sofie Van Cauter","doi":"10.5334/jbsr.3662","DOIUrl":"10.5334/jbsr.3662","url":null,"abstract":"<p><p><i>Teaching point:</i> Meningovascular neurosyphilis is a cause of stroke in the young, and the diagnosis could be aided by black-blood MRI sequences.</p>","PeriodicalId":55987,"journal":{"name":"Journal of the Belgian Society of Radiology","volume":"108 1","pages":"71"},"PeriodicalIF":1.0,"publicationDate":"2024-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11328676/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142001431","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 : 2024-07-19eCollection Date: 2024-01-01DOI: 10.5334/jbsr.3680
Ahmet Bozer, Hinpetch Daungsupawong, Viroj Wiwanitkit
{"title":"Ultrasonographic Characteristics of Thyroid Nodules with Nondiagnostic and Atypia of Undetermined Significance in Fine-Needle Aspiration Cytology: Correspondence.","authors":"Ahmet Bozer, Hinpetch Daungsupawong, Viroj Wiwanitkit","doi":"10.5334/jbsr.3680","DOIUrl":"10.5334/jbsr.3680","url":null,"abstract":"","PeriodicalId":55987,"journal":{"name":"Journal of the Belgian Society of Radiology","volume":"108 1","pages":"70"},"PeriodicalIF":1.0,"publicationDate":"2024-07-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11276472/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141790096","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 : 2024-07-13eCollection Date: 2024-01-01DOI: 10.5334/jbsr.3651
Bjorn Valgaeren, Elyn Van Snick, Bart Claikens
Objectives: It is clinically relevant to prevent overtreatment of tendinopathy diagnosed solely on imaging. Therefore, the prevalence of presumable asymptomatic signal changes in the common flexor origin, biceps insertion, brachialis insertion, and triceps insertion were assessed.
Materials and methods: Two hundred and five magnetic resonance imaging (MRI) exams of the elbow with coronal and axial fat-saturated fluid-sensitive sequences between January 1, 2018 and July 31, 2022 were retrospectively identified in our center.Two radiology residents reviewed the exams independently. The elbow tendons were given a score from 0 to 4. Score 0: no signal abnormality; score 1: increased T2-weighted signal around the tendon; score 2: increased T2-weighted signal compared to muscle within the tendon; score 3: partial tear; and score 4: complete tear.
Results: The common flexor tendon showed signal alterations in 8% of patients; nine patients had an increased signal around the tendon, and eight patients had an increased signal within the tendon. Three patients (1.5%) had an altered signal intensity in the biceps tendon. All triceps tendons showed a linear hyperintense signal, suggesting that it is physiological. There were no partial or complete tears. No signal abnormalities were noted in the brachialis tendon among all patients.
Conclusion: The prevalence of presumable asymptomatic signal alterations seen in the common flexor origin on MRI is not negligible; therefore, clinical correlation is advised to prevent overtreatment of tendinopathy in these cases. No partial or complete tears were seen.
{"title":"Tendinous Signal Alterations on MRI in the Asymptomatic Elbow: A Retrospective Cross-Sectional Study.","authors":"Bjorn Valgaeren, Elyn Van Snick, Bart Claikens","doi":"10.5334/jbsr.3651","DOIUrl":"10.5334/jbsr.3651","url":null,"abstract":"<p><strong>Objectives: </strong>It is clinically relevant to prevent overtreatment of tendinopathy diagnosed solely on imaging. Therefore, the prevalence of presumable asymptomatic signal changes in the common flexor origin, biceps insertion, brachialis insertion, and triceps insertion were assessed.</p><p><strong>Materials and methods: </strong>Two hundred and five magnetic resonance imaging (MRI) exams of the elbow with coronal and axial fat-saturated fluid-sensitive sequences between January 1, 2018 and July 31, 2022 were retrospectively identified in our center.Two radiology residents reviewed the exams independently. The elbow tendons were given a score from 0 to 4. Score 0: no signal abnormality; score 1: increased T2-weighted signal around the tendon; score 2: increased T2-weighted signal compared to muscle within the tendon; score 3: partial tear; and score 4: complete tear.</p><p><strong>Results: </strong>The common flexor tendon showed signal alterations in 8% of patients; nine patients had an increased signal around the tendon, and eight patients had an increased signal within the tendon. Three patients (1.5%) had an altered signal intensity in the biceps tendon. All triceps tendons showed a linear hyperintense signal, suggesting that it is physiological. There were no partial or complete tears. No signal abnormalities were noted in the brachialis tendon among all patients.</p><p><strong>Conclusion: </strong>The prevalence of presumable asymptomatic signal alterations seen in the common flexor origin on MRI is not negligible; therefore, clinical correlation is advised to prevent overtreatment of tendinopathy in these cases. No partial or complete tears were seen.</p>","PeriodicalId":55987,"journal":{"name":"Journal of the Belgian Society of Radiology","volume":"108 1","pages":"69"},"PeriodicalIF":1.0,"publicationDate":"2024-07-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11259101/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141735785","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 : 2024-07-05eCollection Date: 2024-01-01DOI: 10.5334/jbsr.3641
Miloud Dewilde, Peter Brys
Teaching point: To emphasize the importance of recognizing mirror image artifacts in musculoskeletal ultrasound to avoid misdiagnosis, unnecessary interventions, and additional diagnostic procedures that can lead to patient anxiety, increased healthcare costs, and potential harm.
{"title":"A Case of a Mirror Image Artifact in the Forearm.","authors":"Miloud Dewilde, Peter Brys","doi":"10.5334/jbsr.3641","DOIUrl":"10.5334/jbsr.3641","url":null,"abstract":"<p><p><i>Teaching point:</i> To emphasize the importance of recognizing mirror image artifacts in musculoskeletal ultrasound to avoid misdiagnosis, unnecessary interventions, and additional diagnostic procedures that can lead to patient anxiety, increased healthcare costs, and potential harm.</p>","PeriodicalId":55987,"journal":{"name":"Journal of the Belgian Society of Radiology","volume":"108 1","pages":"68"},"PeriodicalIF":1.0,"publicationDate":"2024-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11225551/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141556021","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 : 2024-07-03eCollection Date: 2024-01-01DOI: 10.5334/jbsr.3551
Miloud Dewilde, Bart Lutin
A case of complete recovery of negative pressure pulmonary edema after a Cottle surgery in a 24-year-old male. Teaching point: Negative pressure pulmonary edema is an important cause of postoperative noncardiogenic edema, with the spontaneous disappearance of all complaints within a relatively short period.
{"title":"A Case of Postoperative Noncardiogenic Edema: Negative Pressure Pulmonary Edema.","authors":"Miloud Dewilde, Bart Lutin","doi":"10.5334/jbsr.3551","DOIUrl":"10.5334/jbsr.3551","url":null,"abstract":"<p><p>A case of complete recovery of negative pressure pulmonary edema after a Cottle surgery in a 24-year-old male. <i>Teaching point:</i> Negative pressure pulmonary edema is an important cause of postoperative noncardiogenic edema, with the spontaneous disappearance of all complaints within a relatively short period.</p>","PeriodicalId":55987,"journal":{"name":"Journal of the Belgian Society of Radiology","volume":"108 1","pages":"67"},"PeriodicalIF":1.0,"publicationDate":"2024-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11225549/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141556022","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: Contrast-enhanced FLAIR fat-suppressed (CE-FLAIR-FS) imaging can potentially increase the diagnostic accuracy of uveal diseases and ultimately provide better patient management. This study aimed to determine the diagnostic value of CE-FLAIR-FS imaging versus contrast-enhanced T1-weighted imaging (CE-T1WI) in the assessment of pediatric patients with uveitis. Material and methods: Twenty-one children with uveitis who underwent whole brain magnetic resonance imaging (MRI), including CE-FLAIR-FS and CE-T1WI, were retrospectively included in the study. We evaluated the presence of uveal tract contrast enhancement with thickening, vitreous humor signal abnormality, and accompanying brain abnormalities. The uveal enhancement intensity was assessed semiquantitatively as mild, moderate, and marked uveitis compared to CE-T1WI and CE-FLAIR-FS images. Results: Panuveitis (61.9%) was the most frequent anatomic location, and most of them were idiopathic (47.6%). Of the 42 eyes with clinical uveitis, enhancement of the uveal tract was observed on CE-FLAIR-FS images in 21 eyes (50%), while in 5 eyes (11.9%) on CE-T1WI. The sensitivity of CE-FLAIR-FS in panuveitis was detected to be quite high (80.8%). The number of affected eyes and enhancement degree were found to be higher on CE-FLAIR-FS (p < 0.001). In assessing the severity of uveitis, CE-FLAIR-FS grades were significantly higher and more sensitive than CE-T1WI (p < 0.001, Z: -4.347). Three patients had vitreous abnormal signals on CE-FLAIR-FS images, but none on CE-T1WI. Conclusion: CE-FLAIR-FS plays a significant role in the diagnosis of pediatric uveitis, identifying the involvement and severity of the uveal inflammation and guiding the appropriate management. It would be beneficial to add it as a standard sequence to the routine MRI protocol for uveal pathologies.
{"title":"The Diagnostic Utility of Contrast-Enhanced FLAIR Imaging in the Diagnosis of Pediatric Uveitis.","authors":"Saffet Ozturk, Esin Kurtulus Ozturk, Yasemin Tasci Yildiz, Bahadir Konuskan","doi":"10.5334/jbsr.3565","DOIUrl":"10.5334/jbsr.3565","url":null,"abstract":"<p><p><i>Objectives:</i> Contrast-enhanced FLAIR fat-suppressed (CE-FLAIR-FS) imaging can potentially increase the diagnostic accuracy of uveal diseases and ultimately provide better patient management. This study aimed to determine the diagnostic value of CE-FLAIR-FS imaging versus contrast-enhanced T1-weighted imaging (CE-T1WI) in the assessment of pediatric patients with uveitis. <i>Material and methods:</i> Twenty-one children with uveitis who underwent whole brain magnetic resonance imaging (MRI), including CE-FLAIR-FS and CE-T1WI, were retrospectively included in the study. We evaluated the presence of uveal tract contrast enhancement with thickening, vitreous humor signal abnormality, and accompanying brain abnormalities. The uveal enhancement intensity was assessed semiquantitatively as mild, moderate, and marked uveitis compared to CE-T1WI and CE-FLAIR-FS images. <i>Results:</i> Panuveitis (61.9%) was the most frequent anatomic location, and most of them were idiopathic (47.6%). Of the 42 eyes with clinical uveitis, enhancement of the uveal tract was observed on CE-FLAIR-FS images in 21 eyes (50%), while in 5 eyes (11.9%) on CE-T1WI. The sensitivity of CE-FLAIR-FS in panuveitis was detected to be quite high (80.8%). The number of affected eyes and enhancement degree were found to be higher on CE-FLAIR-FS (<i>p</i> < 0.001). In assessing the severity of uveitis, CE-FLAIR-FS grades were significantly higher and more sensitive than CE-T1WI (<i>p</i> < 0.001, <i>Z</i>: -4.347). Three patients had vitreous abnormal signals on CE-FLAIR-FS images, but none on CE-T1WI. <i>Conclusion:</i> CE-FLAIR-FS plays a significant role in the diagnosis of pediatric uveitis, identifying the involvement and severity of the uveal inflammation and guiding the appropriate management. It would be beneficial to add it as a standard sequence to the routine MRI protocol for uveal pathologies.</p>","PeriodicalId":55987,"journal":{"name":"Journal of the Belgian Society of Radiology","volume":"108 1","pages":"66"},"PeriodicalIF":1.0,"publicationDate":"2024-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11212780/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141473010","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 : 2024-06-25eCollection Date: 2024-01-01DOI: 10.5334/jbsr.3593
Brecht Van Berkel, Vincent Sneyers, Geert Verswijvel
Teaching point: A longitudinal intramural fistula is a rare complication of diverticulitis that can be visualised by computed tomography (CT).
教学要点:纵向壁内瘘是一种罕见的憩室炎并发症,可通过计算机断层扫描(CT)观察到。
{"title":"Intramural Longitudinal Sigmoid Fistula.","authors":"Brecht Van Berkel, Vincent Sneyers, Geert Verswijvel","doi":"10.5334/jbsr.3593","DOIUrl":"10.5334/jbsr.3593","url":null,"abstract":"<p><p><i>Teaching point:</i> A longitudinal intramural fistula is a rare complication of diverticulitis that can be visualised by computed tomography (CT).</p>","PeriodicalId":55987,"journal":{"name":"Journal of the Belgian Society of Radiology","volume":"108 1","pages":"65"},"PeriodicalIF":1.0,"publicationDate":"2024-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11212781/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141473009","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}