Pub Date : 2023-07-01DOI: 10.1016/j.rxeng.2020.12.006
C. Gatica T , D. Hasson A , I. Díaz A , D. Barahona Z , G. Chong M
Introduction
Intussusception is the insertion of a bowel loop segment into an adjacent segment. Unlike in children, where the condition is mainly idiopathic, intussusception in adults is more often associated with severe disease. The growing use of imaging studies to evaluate the abdomen has resulted in a higher rate of detection of cases of intussusception without underlying disease in which it is not possible to determine the cause. This study aimed to review the clinical presentation, evaluation, and treatment of patients in whom abdominal ultrasonography or computed tomography diagnosed intussusception.
Method
We retrospectively reviewed radiology reports of abdominal ultrasound and computed tomography studies done at our hospital in a 10-year period.
Results
In the 40 cases found, intussusception was an incidental finding in 10%. No underlying cause was identified in 68%, and posterior imaging studies showed spontaneous resolution in 75%. The most common symptom was abdominal pain, being present in 60%. Intussusception affected only the small bowel in 90% of cases (entero-enteric intussusception). Intussusception was attributed to malignancy in only 8% of cases. In 7 patients, intussusception was resolved surgically.
Conclusion
The increased use of abdominal imaging has shown that a significant proportion of cases of intussusception are idiopathic and resolve spontaneously.
{"title":"Role of imaging in the evaluation of intussusception in adults: A 10-year retrospective study","authors":"C. Gatica T , D. Hasson A , I. Díaz A , D. Barahona Z , G. Chong M","doi":"10.1016/j.rxeng.2020.12.006","DOIUrl":"10.1016/j.rxeng.2020.12.006","url":null,"abstract":"<div><h3>Introduction</h3><p><span>Intussusception<span> is the insertion of a bowel loop segment into an adjacent segment. Unlike in children, where the condition is mainly idiopathic, intussusception in adults is more often associated with severe disease. The growing use of imaging studies to evaluate the abdomen has resulted in a higher rate of detection of cases of intussusception without underlying disease in which it is not possible to determine the cause. This study aimed to review the clinical presentation, evaluation, and treatment of patients in whom </span></span>abdominal ultrasonography<span> or computed tomography diagnosed intussusception.</span></p></div><div><h3>Method</h3><p>We retrospectively reviewed radiology<span> reports of abdominal ultrasound and computed tomography studies done at our hospital in a 10-year period.</span></p></div><div><h3>Results</h3><p><span>In the 40 cases found, intussusception was an incidental finding in 10%. No underlying cause was identified in 68%, and posterior imaging studies showed spontaneous resolution in 75%. The most common symptom was abdominal pain, being present in 60%. Intussusception affected only the small bowel in 90% of cases (entero-enteric intussusception). Intussusception was attributed to </span>malignancy in only 8% of cases. In 7 patients, intussusception was resolved surgically.</p></div><div><h3>Conclusion</h3><p>The increased use of abdominal imaging has shown that a significant proportion of cases of intussusception are idiopathic and resolve spontaneously.</p></div>","PeriodicalId":94185,"journal":{"name":"Radiologia","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9886624","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-07-01DOI: 10.1016/j.rxeng.2023.01.008
A. Martínez de Alegría Alonso, A. Bermúdez Naveira, D. Uceda Navarro, M. Domínguez Robla
Expiratory CT scan is a complementary technique of inspiratory CT that provide valuable physiological information and may be more sensitive to detect air trapping than pul-monary function tests. It is useful in many obstructive airway diseases, including obliterative bronchiolitis, asthma, Swyer-James syndrome, tracheomalacia, hypersensitivity pneumonitis and sarcoidosis. In obliterative bronchiolitis, expiratory CT scan may be the only imaging technique that shows abnormalities in the early phase of disease. In order to obtain a good quality study, we should explain the procedure to the patient, use precise instructions and do some practice before image acquisition. Here we describe strategies to optimize the techni-que and propose an algorithm that help in interpretation of imaging findings in patients with obstructive airway disease.
{"title":"Expiratory CT scan: When to do it and how to interpret it","authors":"A. Martínez de Alegría Alonso, A. Bermúdez Naveira, D. Uceda Navarro, M. Domínguez Robla","doi":"10.1016/j.rxeng.2023.01.008","DOIUrl":"10.1016/j.rxeng.2023.01.008","url":null,"abstract":"<div><p><span>Expiratory CT scan<span> is a complementary technique of inspiratory CT that provide valuable physiological information and may be more sensitive to detect air trapping than pul-monary function tests. It is useful in many obstructive airway diseases, including </span></span>obliterative bronchiolitis<span><span>, asthma, Swyer-James syndrome, tracheomalacia<span>, hypersensitivity pneumonitis<span><span> and sarcoidosis. In obliterative bronchiolitis, expiratory CT scan may be the only </span>imaging technique that shows abnormalities in the early phase of disease. In order to obtain a good quality study, we should explain the procedure to the patient, use precise instructions and do some practice before image acquisition. Here we describe strategies to optimize the techni-que and propose an algorithm that help in interpretation of imaging findings </span></span></span>in patients with obstructive airway disease.</span></p></div>","PeriodicalId":94185,"journal":{"name":"Radiologia","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9886628","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-07-01DOI: 10.1016/j.rxeng.2023.07.001
N. Roson , A. Antolín , A. Torregrosa , S. Pedraza Gutiérrez , M. Lopez Cano , J.M. Badia
Introduction
The choice of imaging techniques in the diagnosis of acute diverticulitis is controversial. This study aimed to determine radiologists’ preferences for different imaging techniques in the management of acute diverticulitis and the extent to which they use the different radiologic techniques for this purpose.
Methods
An online survey was disseminated through the Spanish Society of Abdominal Imaging (Sociedad Española de Diagnóstico por Imagen del Abdomen (SEDIA)) and Twitter. The survey included questions about respondents’ working environments, protocolization, personal preferences, and actual practice in the radiological management of acute diverticulitis.
Results
A total of 186 responses were obtained, 72% from radiologists working in departments organized by organ/systems. Protocols for managing acute diverticulitis were in force in 48% of departments. Ultrasonography was the initial imaging technique in 47.5%, and 73% of the respondents considered that ultrasonography should be the first-choice technique; however, in practice, ultrasonography was the initial imaging technique in only 24% of departments. Computed tomography was the first imaging technique in 32.8% of departments, and its use was significantly more common outside normal working hours. The most frequently employed classification was the Hinchey classification (75%). Nearly all (96%) respondents expressed a desire for a consensus within the specialty about using the same classification. Hospitals with >500 beds and those organized by organ/systems had higher rates of protocolization, use of classifications, and belief that ultrasonography is the best first-line imaging technique.
Conclusions
The radiologic management of acute diverticulitis varies widely, with differences in the protocols used, radiologists’ opinions, and actual clinical practice.
引言影像学技术在诊断急性憩室炎中的选择存在争议。本研究旨在确定放射科医生在治疗急性憩室炎时对不同成像技术的偏好,以及他们为此目的使用不同放射学技术的程度。方法通过西班牙腹部成像学会(Sociedad Española de Diagnóstico por Imagen del Abdomen(SEDIA))和推特进行在线调查。该调查包括关于受访者的工作环境、协议、个人偏好以及急性憩室炎放射治疗的实际实践的问题。结果共获得186份回复,其中72%来自按器官/系统组织的科室的放射科医生。48%的科室实施了治疗急性憩室炎的方案。超声检查是最初的成像技术,占47.5%,73%的受访者认为超声检查应是首选技术;然而,在实践中,超声是最初的成像技术,只有24%的部门。在32.8%的部门中,计算机断层扫描是第一种成像技术,在正常工作时间之外,它的使用更为常见。最常用的分类法是Hinchey分类法(75%)。几乎所有(96%)的受访者都表示希望在专业内部就使用相同的分类达成共识。拥有>;500张床位和按器官/系统组织的床位具有更高的原球茎形成率、分类使用率,并相信超声检查是最好的一线成像技术。结论急性憩室炎的放射学治疗方法差异很大,在使用的方案、放射科医生的意见和实际临床实践方面存在差异。
{"title":"How do we diagnose acute diverticulitis? Results of a national survey about the role of imaging techniques","authors":"N. Roson , A. Antolín , A. Torregrosa , S. Pedraza Gutiérrez , M. Lopez Cano , J.M. Badia","doi":"10.1016/j.rxeng.2023.07.001","DOIUrl":"10.1016/j.rxeng.2023.07.001","url":null,"abstract":"<div><h3>Introduction</h3><p>The choice of imaging techniques<span> in the diagnosis of acute diverticulitis is controversial. This study aimed to determine radiologists’ preferences for different imaging techniques in the management of acute diverticulitis and the extent to which they use the different radiologic techniques for this purpose.</span></p></div><div><h3>Methods</h3><p><span>An online survey was disseminated through the Spanish Society of Abdominal Imaging (</span><em>Sociedad Española de Diagnóstico por Imagen del Abdomen</em> (SEDIA)) and Twitter. The survey included questions about respondents’ working environments, protocolization, personal preferences, and actual practice in the radiological management of acute diverticulitis.</p></div><div><h3>Results</h3><p><span>A total of 186 responses were obtained, 72% from radiologists working in departments organized by organ/systems. Protocols for managing acute diverticulitis were in force in 48% of departments. Ultrasonography was the initial imaging technique in 47.5%, and 73% of the respondents considered that ultrasonography should be the first-choice technique; however, in practice, ultrasonography was the initial imaging technique in only 24% of departments. </span>Computed tomography was the first imaging technique in 32.8% of departments, and its use was significantly more common outside normal working hours. The most frequently employed classification was the Hinchey classification (75%). Nearly all (96%) respondents expressed a desire for a consensus within the specialty about using the same classification. Hospitals with >500 beds and those organized by organ/systems had higher rates of protocolization, use of classifications, and belief that ultrasonography is the best first-line imaging technique.</p></div><div><h3>Conclusions</h3><p>The radiologic management of acute diverticulitis varies widely, with differences in the protocols used, radiologists’ opinions, and actual clinical practice.</p></div>","PeriodicalId":94185,"journal":{"name":"Radiologia","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9886623","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-07-01DOI: 10.1016/j.rxeng.2022.12.004
M.M. Pérez-Peña del Llano , F. Matute Teresa , Á. Morales Santos
The Royal Decree 601/2019 of 18th October is the result of the partial transposition into the Spanish legal system of the Euratom Directive 59/2013. This Royal Decree includes the mandates of the Directive related to the need to justify and optimize medical exposure, including that of asymptomatic people, proposal of stricter requirements regarding the information that must be provided to the patient, registration and notification of the doses of medical-radiological procedures, use of reference levels for diagnosis and the availability of dose-indicating devices. The article reviews the most relevant aspects and novelties related to the principles of justification, optimization, dose control and the obligations derived from the right to information and consent. This Royal Decree considers essential for radiologists to develop a high level of competence and a new list of responsibilities and functions, which are detailed and analysed in this article.
{"title":"Royal Decree 601/2019 on justification and optimization: Practical aspects","authors":"M.M. Pérez-Peña del Llano , F. Matute Teresa , Á. Morales Santos","doi":"10.1016/j.rxeng.2022.12.004","DOIUrl":"10.1016/j.rxeng.2022.12.004","url":null,"abstract":"<div><p>The Royal Decree 601/2019 of 18th October is the result of the partial transposition into the Spanish legal system of the Euratom Directive 59/2013. This Royal Decree includes the mandates of the Directive related to the need to justify and optimize medical exposure, including that of asymptomatic people, proposal of stricter requirements regarding the information that must be provided to the patient, registration and notification of the doses of medical-radiological procedures, use of reference levels for diagnosis and the availability of dose-indicating devices. The article reviews the most relevant aspects and novelties related to the principles of justification, optimization, dose control and the obligations derived from the right to information and consent. This Royal Decree considers essential for radiologists to develop a high level of competence and a new list of responsibilities and functions, which are detailed and analysed in this article.</p></div>","PeriodicalId":94185,"journal":{"name":"Radiologia","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9886622","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-07-01DOI: 10.1016/j.rxeng.2023.07.002
L. González-Campo , A. Vicente-Bártulos , A. Gaetano-Gil , P. Estelles-Lerga , I. Pecharromán-de las Heras , J. Zamora
Introduction
Incorporating coronary computed tomography angiography (CTA) in the hospital workup for suspected acute coronary syndrome requires appropriate skills for interpreting this imaging test. Radiologists’ skills can affect the interobserver agreement in evaluating these studies.
Objective
To determine the interobserver agreement according to radiologists’ experience in the interpretation of coronary CTA studies done in patients who present at the emergency department with acute chest pain and low-to-intermediate probability of acute coronary syndrome.
Materials and methods
We studied the interobserver agreement in the urgent evaluation of coronary CTA studies in which CAD-RADS was used to register the findings. We created pairs of observers among a total of 8 assessors (4 attending radiologists and 4 radiology residents). We used the kappa coefficient to estimate the overall concordance and the concordance between subgroups according to their experience.
Results
The agreement was substantial between experienced radiologists and residents (k = 0.627; 95%CI: 0.436–0.826) as well as between all the pairs of observers (k = 0.661; 95%CI: 0.506–0.823) for all the CAD-RADS together. The degree of agreement within the group of experienced radiologists was greater than that within the group of residents in all the analyses. The agreement was excellent for the overall CAD-RADS (k = 0.950; 95% CI: 0.896–1) and for CAD-RADS ≥ 4 (k = 1); the agreement was lower for CAD-RADS ≥ 3 (k = 0.754; 95% CI: 0.246–1.255). The agreement for the residents for these categories was k = 0.623, k = 0.596, and k = 0.473, respectively.
Conclusion
The agreement among attending radiologists regarding the assessment of urgent coronary CTA studies is excellent. The agreement is lower when residents are paired with attending radiologists. These findings should be taken into consideration when implementing coronary CTA in emergency departments and in the organisation of radiological staff for interpreting and reporting this imaging test.
{"title":"Coronary computed tomography in emergencies: The importance of the radiologist’s experience","authors":"L. González-Campo , A. Vicente-Bártulos , A. Gaetano-Gil , P. Estelles-Lerga , I. Pecharromán-de las Heras , J. Zamora","doi":"10.1016/j.rxeng.2023.07.002","DOIUrl":"10.1016/j.rxeng.2023.07.002","url":null,"abstract":"<div><h3>Introduction</h3><p><span>Incorporating coronary computed tomography angiography (CTA) in the hospital workup for suspected </span>acute coronary syndrome requires appropriate skills for interpreting this imaging test. Radiologists’ skills can affect the interobserver agreement in evaluating these studies.</p></div><div><h3>Objective</h3><p><span>To determine the interobserver agreement according to radiologists’ experience in the interpretation of coronary CTA studies done in patients who present at the </span>emergency department<span> with acute chest pain and low-to-intermediate probability of acute coronary syndrome.</span></p></div><div><h3>Materials and methods</h3><p><span>We studied the interobserver agreement in the urgent evaluation of coronary CTA studies in which CAD-RADS was used to register the findings. We created pairs of observers among a total of 8 assessors (4 attending radiologists and 4 radiology residents). We used the </span>kappa coefficient to estimate the overall concordance and the concordance between subgroups according to their experience.</p></div><div><h3>Results</h3><p>The agreement was substantial between experienced radiologists and residents (<em>k</em> <!-->=<!--> <!-->0.627; 95%CI: 0.436–0.826) as well as between all the pairs of observers (<em>k</em> <!-->=<!--> <!-->0.661; 95%CI: 0.506–0.823) for all the CAD-RADS together. The degree of agreement within the group of experienced radiologists was greater than that within the group of residents in all the analyses. The agreement was excellent for the overall CAD-RADS (<em>k</em> <!-->=<!--> <!-->0.950; 95% CI: 0.896–1) and for CAD-RADS ≥ 4 (<em>k</em> <!-->=<!--> <!-->1); the agreement was lower for CAD-RADS ≥ 3 (<em>k</em> <!-->=<!--> <!-->0.754; 95% CI: 0.246–1.255). The agreement for the residents for these categories was <em>k</em> <!-->=<!--> <!-->0.623, <em>k</em> <!-->=<!--> <!-->0.596, and <em>k</em> <!-->=<!--> <!-->0.473, respectively.</p></div><div><h3>Conclusion</h3><p>The agreement among attending radiologists regarding the assessment of urgent coronary CTA studies is excellent. The agreement is lower when residents are paired with attending radiologists. These findings should be taken into consideration when implementing coronary CTA in emergency departments and in the organisation of radiological staff for interpreting and reporting this imaging test.</p></div>","PeriodicalId":94185,"journal":{"name":"Radiologia","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9891994","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-07-01DOI: 10.1016/j.rxeng.2022.11.001
A. Mohammed Ali , S. Al-Murshedi
Introduction and objectives
In order to perform chest dose optimisation studies, the imaging phantom should be adequate for image quality evaluation. Since high-end phantoms are cost prohibitive, there is a need for a low-cost construction method with fairly available tissue substitutes.
Materials and methods
Theoretical calculations of radiological characteristics were performed for each of lung, cortical bone and soft tissues in order to choose appropriate substitute, then, cork, P.V.C. (Polyvinyl chloride) and water were chosen, respectively. Validation included, firstly, measuring CT Hounsfield Units (HU) of a real patient’s tissues then compared against their corresponding anatomies in the constructed phantom. Secondly, Signal-to-noise ratio (SNR) and contrast-to-noise ratio (CNR) values were acquired in this study to evaluate the quality of images generated from the constructed phantom, then, compare their trends with a valid phantom under different exposure parameters (kVp and mAs).
Results
From theoretical calculations, the percentage differences showed high accuracy of tissue substitutes when simulating real patient tissues; P.V.C. was ≥5.78%, cork was ≥4.46% and water ≥5%. The percentage difference (CT HU) between lung and cortical bone and their equivalent tissue substitutes were 10.44% and 0.53%–3.17%, respectively. Strong positive correlations were found for SNR when changing both kVp (0.79) and mAs (0.65). While the correlation strength of CNR values were found to be moderate when changing both kVp (0.58) and mAs (0.53).
Conclusions
Our low-cost phantom approved through CT HU that their materials replicate the radiological characteristics of real one-year-old child while SNR and SNR correlations confirmed its applicability in imaging and optimisation studies.
{"title":"Low-cost chest paediatric phantom for dose optimisation: construction and validation","authors":"A. Mohammed Ali , S. Al-Murshedi","doi":"10.1016/j.rxeng.2022.11.001","DOIUrl":"10.1016/j.rxeng.2022.11.001","url":null,"abstract":"<div><h3>Introduction and objectives</h3><p>In order to perform chest dose optimisation studies, the imaging phantom should be adequate for image quality evaluation. Since high-end phantoms are cost prohibitive, there is a need for a low-cost construction method with fairly available tissue substitutes.</p></div><div><h3>Materials and methods</h3><p><span>Theoretical calculations of radiological characteristics were performed for each of lung, cortical bone and soft tissues in order to choose appropriate substitute, then, cork, P.V.C. (Polyvinyl chloride) and water were chosen, respectively. Validation included, firstly, measuring CT Hounsfield Units (HU) of a real patient’s tissues then compared against their corresponding </span>anatomies in the constructed phantom. Secondly, Signal-to-noise ratio (SNR) and contrast-to-noise ratio (CNR) values were acquired in this study to evaluate the quality of images generated from the constructed phantom, then, compare their trends with a valid phantom under different exposure parameters (kVp and mAs).</p></div><div><h3>Results</h3><p>From theoretical calculations, the percentage differences showed high accuracy of tissue substitutes when simulating real patient tissues; P.V.C. was ≥5.78%, cork was ≥4.46% and water ≥5%. The percentage difference (CT HU) between lung and cortical bone and their equivalent tissue substitutes were 10.44% and 0.53%–3.17%, respectively. Strong positive correlations were found for SNR when changing both kVp (0.79) and mAs (0.65). While the correlation strength of CNR values were found to be moderate when changing both kVp (0.58) and mAs (0.53).</p></div><div><h3>Conclusions</h3><p>Our low-cost phantom approved through CT HU that their materials replicate the radiological characteristics of real one-year-old child while SNR and SNR correlations confirmed its applicability in imaging and optimisation studies.</p></div>","PeriodicalId":94185,"journal":{"name":"Radiologia","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9886626","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Extrauterine leiomyomatosis, the great mimicker","authors":"M. Martínez-Cachero García , R. Menéndez de Llano Ortega , L. Martínez Camblor , B. Carrasco Aguilera , J. Rodríguez Castro , R. Gómez Illán","doi":"10.1016/j.rxeng.2023.01.004","DOIUrl":"10.1016/j.rxeng.2023.01.004","url":null,"abstract":"<div><h3>Objectives</h3><p>Describe the radiographic features of the different forms of extrauterine leiomyomatosis.</p></div><div><h3>Conclusions</h3><p>Leiomyomas with a rare growth pattern occur most often in women of reproductive age and with a history of hysterectomy.</p><p>Extrauterine leiomyomas present a greater diagnostic challenge because they may mimic malignancies, and serious diagnostic errors may result.</p></div>","PeriodicalId":94185,"journal":{"name":"Radiologia","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9945701","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-05-01DOI: 10.1016/j.rxeng.2023.01.006
A.J. Láinez Ramos-Bossini , F. Ruiz Santiago , B. Moraleda Cabrera , D. López Zúñiga , A. Ariza Sánchez
Low-energy vertebral fractures pose a diagnostic challenge for the radiologist due to their often-inadvertent nature and often subtle imaging semiology. However, the diagnosis of this type of fractures can be decisive, not only because it allows targeted treatment to prevent complications, but also because of the possibility of diagnosing systemic pathologies such as osteoporosis or metastatic disease. Pharmacological treatment in the first case has been shown to prevent the development of other fractures and complications, while percutaneous treatments and various oncological therapies can be an alternative in the second case. Therefore, it is necessary to know the epidemiology and typical imaging findings of this type of fractures. The objective of this work is to review the imaging diagnosis of low-energy fractures, with special emphasis on the characteristics that should be outlined in the radiological report to guide a specific diagnosis that favours and optimizes the treatment of patients suffering of low energy fractures.
{"title":"Imaging of low-energy vertebral fractures","authors":"A.J. Láinez Ramos-Bossini , F. Ruiz Santiago , B. Moraleda Cabrera , D. López Zúñiga , A. Ariza Sánchez","doi":"10.1016/j.rxeng.2023.01.006","DOIUrl":"10.1016/j.rxeng.2023.01.006","url":null,"abstract":"<div><p><span>Low-energy vertebral fractures<span><span> pose a diagnostic challenge for the radiologist due to their often-inadvertent nature and often subtle imaging semiology. However, the diagnosis of this type of fractures can be decisive, not only because it allows targeted treatment to prevent complications, but also because of the possibility of diagnosing systemic pathologies such as </span>osteoporosis<span><span> or metastatic disease. Pharmacological treatment in the first case has been shown to prevent the development of other fractures and complications, while percutaneous </span>treatments and various oncological therapies can be an alternative in the second case. Therefore, it is necessary to know the </span></span></span>epidemiology and typical imaging findings of this type of fractures. The objective of this work is to review the imaging diagnosis of low-energy fractures, with special emphasis on the characteristics that should be outlined in the radiological report to guide a specific diagnosis that favours and optimizes the treatment of patients suffering of low energy fractures.</p></div>","PeriodicalId":94185,"journal":{"name":"Radiologia","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9929000","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}