Pub Date : 2024-05-03eCollection Date: 2024-01-01DOI: 10.5334/jbsr.3578
Jarno De Craemer, Bart Mortelé, Bart Lutin
Teaching point: When confronted with multifocal "metastasis-like" liver lesions without a known primary tumor, in particular in younger female patients, considering hepatic epithelioid hemangioendothelioma (HEHE) in the differential diagnosis can guide pathological examination and potentially avoid the need for multiple invasive biopsies.
{"title":"Hepatic Epithelioid Hemangioendothelioma Mimicking Liver Metastases in a Young Woman.","authors":"Jarno De Craemer, Bart Mortelé, Bart Lutin","doi":"10.5334/jbsr.3578","DOIUrl":"10.5334/jbsr.3578","url":null,"abstract":"<p><p><i>Teaching point:</i> When confronted with multifocal \"metastasis-like\" liver lesions without a known primary tumor, in particular in younger female patients, considering hepatic epithelioid hemangioendothelioma (HEHE) in the differential diagnosis can guide pathological examination and potentially avoid the need for multiple invasive biopsies.</p>","PeriodicalId":55987,"journal":{"name":"Journal of the Belgian Society of Radiology","volume":"108 1","pages":"48"},"PeriodicalIF":2.0,"publicationDate":"2024-05-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11086594/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140913147","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}
This article discusses the rarity of primary cardiac tumors, particularly angiosarcomas, accounting for 10% of primary cardiac neoplasms. The article highlights the challenge of early diagnosis due to nonspecific symptoms. The importance of sectional imaging, particularly computed tomography (CT) scans, in emergent situations is emphasized. Teaching point: Despite the rarity of primary cardiac tumors, radiologists should remain alert, especially when pericardial effusion is present.
{"title":"Unusual Finding in a Patient Presenting with Abdominal Pain and Dyspnea.","authors":"Wisam Al-Saad, Nasroola Damry, Gerogiana Pintea Bentea","doi":"10.5334/jbsr.3549","DOIUrl":"10.5334/jbsr.3549","url":null,"abstract":"<p><p>This article discusses the rarity of primary cardiac tumors, particularly angiosarcomas, accounting for 10% of primary cardiac neoplasms. The article highlights the challenge of early diagnosis due to nonspecific symptoms. The importance of sectional imaging, particularly computed tomography (CT) scans, in emergent situations is emphasized. <i>Teaching point:</i> Despite the rarity of primary cardiac tumors, radiologists should remain alert, especially when pericardial effusion is present.</p>","PeriodicalId":55987,"journal":{"name":"Journal of the Belgian Society of Radiology","volume":"108 1","pages":"49"},"PeriodicalIF":2.0,"publicationDate":"2024-05-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11086608/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140913196","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 : 2024-05-03eCollection Date: 2024-01-01DOI: 10.5334/jbsr.3572
Jose Taouk, Douglas Lacomblez, Pierre Bosschaert
Teaching point: Cystic artery pseudoaneurysm is a rare condition that should be considered in patients with unexplained abdominal pain, a history of gallbladder disorders, or signs of hemorrhage, and can be diagnosed by Doppler ultrasound.
{"title":"Doppler Ultrasound Diagnosis of Cystic Artery Pseudo-Aneurysm Causing Hemobilia.","authors":"Jose Taouk, Douglas Lacomblez, Pierre Bosschaert","doi":"10.5334/jbsr.3572","DOIUrl":"10.5334/jbsr.3572","url":null,"abstract":"<p><p><i>Teaching point:</i> Cystic artery pseudoaneurysm is a rare condition that should be considered in patients with unexplained abdominal pain, a history of gallbladder disorders, or signs of hemorrhage, and can be diagnosed by Doppler ultrasound.</p>","PeriodicalId":55987,"journal":{"name":"Journal of the Belgian Society of Radiology","volume":"108 1","pages":"50"},"PeriodicalIF":2.0,"publicationDate":"2024-05-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11086603/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140913699","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 : 2024-05-03eCollection Date: 2024-01-01DOI: 10.5334/jbsr.3553
Karel Mercken, Sten Deschuyffeleer, Peter Matthys
Teaching point: Angioleiomyoma is defined on MR by a peripheral T1- and T2-hypointense rim, adjacent tortuous vascular structures, and a dark reticular sign.
{"title":"A Rare Case of Angioleiomyoma of the Palm.","authors":"Karel Mercken, Sten Deschuyffeleer, Peter Matthys","doi":"10.5334/jbsr.3553","DOIUrl":"10.5334/jbsr.3553","url":null,"abstract":"<p><p><i>Teaching point:</i> Angioleiomyoma is defined on MR by a peripheral T1- and T2-hypointense rim, adjacent tortuous vascular structures, and a dark reticular sign.</p>","PeriodicalId":55987,"journal":{"name":"Journal of the Belgian Society of Radiology","volume":"108 1","pages":"47"},"PeriodicalIF":2.0,"publicationDate":"2024-05-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11086589/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140913698","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 : 2024-04-29eCollection Date: 2024-01-01DOI: 10.5334/jbsr.3556
Ertugrul Cakir, Serdar Aslan, Esra Ibis
Teaching Point: Synthetic cannabinoids are drugs whose use has increased significantly in recent years and whose toxicological effects cannot be ignored. Chronic inflammatory processes such as vasculitis that may be caused by these substances pose serious health problems at all ages.
{"title":"Acute Liver Ischemia Caused by Vasculitis Due to the Use of Synthetic Cannabinoids.","authors":"Ertugrul Cakir, Serdar Aslan, Esra Ibis","doi":"10.5334/jbsr.3556","DOIUrl":"https://doi.org/10.5334/jbsr.3556","url":null,"abstract":"<p><p><i>Teaching Point</i>: Synthetic cannabinoids are drugs whose use has increased significantly in recent years and whose toxicological effects cannot be ignored. Chronic inflammatory processes such as vasculitis that may be caused by these substances pose serious health problems at all ages.</p>","PeriodicalId":55987,"journal":{"name":"Journal of the Belgian Society of Radiology","volume":"108 1","pages":"46"},"PeriodicalIF":2.0,"publicationDate":"2024-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11067973/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140869551","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.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":"108 1","pages":"44"},"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":"108 1","pages":"45"},"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":"108 1","pages":"41"},"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":"108 1","pages":"42"},"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":"108 1","pages":"43"},"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}