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Radiological findings of adenoid cystic carcinoma of the breast 乳腺腺样囊性癌的影像学表现
Pub Date : 2025-05-01 DOI: 10.1016/j.rxeng.2024.11.005
M. Fresno Vallespir , I. Vázquez de las Heras , D. Gasior , A. Morales Rosa , X. Bargalló Castelló
Adenoid cystic carcinoma (ACC) of the breast is a rare tumour that represents less than 0.1% of breast carcinomas. It has a triple-negative phenotype; however, it is associated with a benign course, and both lymph node involvement and distant metastasis are rare. We present seven cases of ACC of the breast diagnosed in our centre. We describe their radiological characteristics, and specifically highlight the findings from magnetic resonance imaging.
乳腺腺样囊性癌(ACC)是一种罕见的肿瘤,占乳腺癌的不到0.1%。它具有三阴性表型;然而,它与良性病程相关,淋巴结累及和远处转移是罕见的。我们提出7例乳腺ACC的诊断在我们的中心。我们描述了它们的放射学特征,并特别强调了磁共振成像的发现。
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引用次数: 0
The role of gynecologic sonography in sexual development assessment of girls and adolescents 妇科超声检查在女童和青少年性发育评估中的作用
Pub Date : 2025-03-01 DOI: 10.1016/j.rxeng.2023.08.006
G. Rahman , M.A. Urrutia , M.I. Salaberry , P. Risso , D.C. Ocampo , V.G. Gonzalez , A.V. Rubinstein

Introduction and objectives

Transabdominal ultrasonography (US) is the technique of choice for pelvis evaluation in paediatric population. The results of studies regarding US findings show a wide variation. The objectives of our study were: to estimate and correlate uterine and ovarian ultrasound measures (longitudinal diameter and volume) with chronological age, breast Tanner stage (TS) and gynaecological age (GA); to evaluate presence and size of follicles in patients according to their pubertal stage; and to determine the endometrial length in prepubertal and pubertal girls.

Material and methods

Unicentric, observational, retrospective, analytical study, conducted between 2010 and 2019. Healthy girls between 8.0 and 16.0 years, attended in the deparment of radiology were evaluated. Breast Tanner's stage (TS) was evaluated and gynaecological age was determined. Ultrasounds were performed by a paediatric diagnostic radiospecialist. Uterus length (UL) and ovarian length (OL) were measured; uterus and ovarian volume were calculated (UV and OV). Diameter of the largest follicle and endometrial thickness were measured.

Results

292 patients were analyzed, mean age was 12.5 years (SD: 2.1). A significant correlation was observed between uterine and ovarian measurements with chronological age (CA), TS and GA (p < 0.0001). A significant increase in DLU and VU is described as the CA intervals increase, also in ovarian measurements. No significant differences in measurements were observed between TS I and II. An increase was evidenced at menarche. In 30.9% of pubertal patients and 11.8% of prepubertal patients showed ovarian follicles. The endometrium was not measurable in 88.24% of the pre-pubertal population and was always measurable in patients with TS IV and V.

Conclusions

Uterine and ovarian measurements increased with CE and ET (except ETI and II). The greatest increase occurred with menarche. Ovarian follicles and endometrium thickness less than or equal to 1 mm were presented in prepubertal patients.
简介与目的经腹超声检查(US)是儿童骨盆检查的首选技术。有关美国调查结果的研究结果显示了很大的差异。本研究的目的是:估计子宫和卵巢超声测量(纵向直径和体积)与实足年龄、乳房Tanner分期(TS)和妇科年龄(GA)之间的相关性;根据不同的青春期阶段评价患者卵泡的存在和大小;并测定青春期前和青春期女孩的子宫内膜长度。材料与方法:2010年至2019年间进行的一项中心、观察、回顾性、分析性研究。对在放射科就诊的8.0 ~ 16.0岁健康女童进行评价。评估乳腺Tanner分期(TS)并确定妇科年龄。超声检查由儿科诊断放射专家进行。测量子宫长度(UL)和卵巢长度(OL);计算子宫和卵巢体积(UV和OV)。测量最大卵泡直径和子宫内膜厚度。结果共分析292例患者,平均年龄12.5岁(SD: 2.1)。子宫和卵巢测量值与实足年龄(CA)、TS和GA之间存在显著相关性(p <; 0.0001)。DLU和VU的显著增加被描述为CA间隔的增加,卵巢测量也是如此。在TS I和TS II之间没有观察到显著的测量差异。在月经初潮时明显增加。30.9%的青春期患者和11.8%的青春期前患者出现卵巢卵泡。88.24%的青春期前人群子宫内膜未检出,而tsiv和tsv患者子宫内膜均可检出。结论子宫内膜和卵巢内膜随CE和ET升高(ETI和ET除外),以月经初潮升高最多。青春期前患者卵巢卵泡和子宫内膜厚度小于或等于1 mm。
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引用次数: 0
New-onset hepatic lesions in oncological patients: A challenging diagnosis 肿瘤患者新发肝脏病变:一个具有挑战性的诊断
Pub Date : 2025-03-01 DOI: 10.1016/j.rxeng.2023.07.009
H. Peris Alvà, C. Cano Rodríguez, F. Bosch Barragan, A. Framis Utset, F. Novell Teixidó, M.J. Prieto del Rey
The appearance of new-onset liver lesions is frequent during imaging follow-up of oncological patients. Most of these lesions will be metastases. But in the presence of atypical radiological findings, there are other diagnoses to consider. Hepatic abscesses, focal nodular hyperplasia-like in patients treated with platinum salts, or hepatocarcinoma in cirrhotic patients are examples of lesions that may appear in the imaging follow-up and should not be confused with metastases. It is essential to establish the nature of the lesion as this will determine the therapeutic management and might avoid unnecessary invasive procedures. The evaluation of previous radiological studies and the global vision of the patient will be primordial. While liver MRI is mainly the indicated imaging technique for these cases, sometimes a biopsy will be unavoidable. In this article, we will discuss through clinical cases some new-onset liver lesions in oncological patients that generated diagnostic doubts and will explain how to orient the diagnosis.
在肿瘤患者的影像学随访中,新发肝脏病变的出现是常见的。这些病变大多会发生转移。但如果有不典型的影像学表现,就需要考虑其他的诊断。肝脓肿、铂盐治疗患者的局灶性结节样增生或肝硬化患者的肝癌都是影像学随访中可能出现的病变,不应与转移相混淆。确定病变的性质至关重要,因为这将决定治疗管理,并可能避免不必要的侵入性手术。对先前的放射学研究和患者的全局视野的评估将是原始的。虽然肝脏MRI是这些病例的主要指示成像技术,但有时活检是不可避免的。在本文中,我们将通过临床病例讨论一些肿瘤患者新发肝脏病变产生的诊断疑虑,并将解释如何定位诊断。
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引用次数: 0
Percutaneous cystogastrostomy for treatment of pancreatic collections 经皮囊胃造口术治疗胰腺积液
Pub Date : 2025-03-01 DOI: 10.1016/j.rxeng.2024.02.004
J.H. García Vila, L. Grimalt García, A. Lorenzo Górriz, A. Tamayo Vasquez, R. Diaitz-Usetxi Laplaza, A. Boscá Ramón

Objective

Acute pancreatitis (AP) is an inflammatory condition associated with a potential torpid evolution comprising multiple organ failure, pancreatic necrosis, infected collections and high mortality. Current management tends use the step-up approach, with endoscopic collection drainage, followed by percutaneous drainage by an interventional radiologist and video-assisted necrosectomy. We present our experience with a new percutaneous technique of establishing an anastomosis of the pancreatic collection with the closest loop, stomach, duodenum or jejunum that uses balloon dilation and drainage in cases of infection.

Material and methods

Between 2009 and 2023 we have applied this technique in 30 patients, aged between 32 and 82 years (mean = 67 years), 14 with pseudocysts (infected in six cases) and 16 with encapsulated necrosis (all infected). We use dilation balloons of different calibre, to establish the anastomosis between the digestive loop and the collection, as well as different drainages.

Results

The intervention had a primary technical success of 93%. In two patients the cystogastrostomy had to be repeated due to initial technical failure; in both cases a good result was achieved. One patient had a severe postintervention haemorrhage (3%) that required embolisation. Length of follow-up has ranged from between three months and 10 years (mean = 4 years), with no recurrence of the anastomosed collection or cutaneous fistula observed in any case.

Conclusion

Percutaneous cystogastrostomy is a technique that allows infected collections to be resolved and pancreatic fistulas to be avoided, with few complications, which can be resolved by interventional vascular radiologists.
目的:急性胰腺炎(AP)是一种与潜在的迟钝演变相关的炎症性疾病,包括多器官衰竭、胰腺坏死、集合感染和高死亡率。目前的治疗倾向于采用逐步的方法,内镜下收集引流,然后由介入放射科医生进行经皮引流和视频辅助的坏死切开术。我们介绍了一种新的经皮技术,在感染的情况下,使用球囊扩张和引流的方法,将胰腺集合与最近的袢、胃、十二指肠或空肠建立吻合。材料和方法在2009年至2023年间,我们应用该技术治疗了30例患者,年龄在32岁至82岁之间(平均67岁),其中14例为假性囊肿(6例感染),16例为囊性坏死(均感染)。我们使用不同口径的扩张气球,建立消化道与集合之间的吻合,以及不同的引流。结果干预的初步技术成功率为93%。2例患者由于最初的技术故障不得不重复进行囊胃造口术;在这两种情况下都取得了良好的结果。1例患者有严重的干预后出血(3%),需要栓塞。随访时间从3个月到10年(平均4年)不等,在任何情况下均未观察到吻合集或皮瘘复发。结论经皮囊胃造口术是一种治疗胰腺感染、避免胰腺瘘的技术,并发症少,可由介入血管放射科医师解决。
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引用次数: 0
Artificial intelligence in cardiovascular magnetic resonance imaging 心血管磁共振成像中的人工智能
Pub Date : 2025-03-01 DOI: 10.1016/j.rxeng.2025.03.001
A. Castellaccio, N. Almeida Arostegui, M. Palomo Jiménez, D. Quiñones Tapia, M. Bret Zurita, E. Vañó Galván
Artificial intelligence is rapidly evolving and its possibilities are endless. Its primary applications in cardiac magnetic resonance imaging have focused on: image acquisition (in terms of acceleration and quality improvement); segmentation (in terms of saving time and reproducibility); tissue characterisation (including radiomic techniques and the non-contrast assessment of myocardial fibrosis); automatic diagnosis; and prognostic stratification. The aim of this article is to attempt to provide an overview of the current situation as preparation for the significant changes currently underway or imminent in the very near future.
人工智能正在迅速发展,它的可能性是无限的。它在心脏磁共振成像中的主要应用集中在:图像采集(在加速和质量改善方面);分割(在节省时间和可重复性方面);组织表征(包括放射技术和心肌纤维化的非对比评估);自动诊断;以及预后分层。本文的目的是试图提供当前形势的概述,为当前正在进行或即将在不久的将来发生的重大变化做准备。
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引用次数: 0
A new year, a new hope 新的一年,新的希望
Pub Date : 2025-03-01 DOI: 10.1016/j.rxeng.2025.01.003
C. García-Villar
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引用次数: 0
Influence of social media on the download of radiology articles 社交媒体对放射学文章下载的影响
Pub Date : 2025-03-01 DOI: 10.1016/j.rxeng.2024.08.002
D. Herrán de la Gala , E. Serrano Alcalá , B. Domenech-Ximenos , C. García Villar

Introduction

Social Media (SM) has transformed how content is shared, especially in the case of medicine. These platforms allow scientific literature to be shared and discussed. SM extends the reach of these scientific articles independent of their quality. The aim of this study was to discover whether sharing an article from Radiología on X (formerly known as Twitter) impacted its reach by analysing the number of downloads, taking into account the different article sections and types.

Material and methods

We selected articles published in Radiología between 2020 and 2022. The articles were promoted by two X accounts: @SERAM_RX and @RevistaRADIOLO2, and downloads were analysed prior to and following dissemination on X.

Results

A total of 100 articles were examined. There was a significant increase in downloads after dissemination on both X accounts (@SERAM_RX: median 49.50, IQR 18.50–73.50 vs median 76.50, IQR 23.75–19; P < ,001 and @RevistaRADIOLO2: median 43, IQR 13.75–133 vs median 65,50, IQR 20,50–277,50; P < ,001), with no significant differences between the two accounts. Posts from @RevistaRADIOLO2 generated more interactions (views, ‘likes’, reposts; P < ,05). Clinical care articles were downloaded more from @SERAM_RX (@SERAM_RX: median 83, IQR 24–198 vs @RevistaRADIOLO2: median 38, IQR 16–79; P < .045).

Conclusion

Sharing articles on SM increases downloads. SM significantly increases the reach of scientific articles and the number of downloads, highlighting the importance of a solid editorial strategy for these platforms.
社交媒体(SM)已经改变了内容的共享方式,尤其是在医学领域。这些平台允许科学文献被共享和讨论。SM扩展了这些科学文章的影响范围,而不依赖于它们的质量。本研究的目的是通过分析下载数量,考虑到不同的文章部分和类型,发现在X(以前称为Twitter)上分享Radiología的文章是否会影响其影响力。材料和方法我们选择了2020年至2022年期间在Radiología上发表的文章。文章由两个X账号:@SERAM_RX和@RevistaRADIOLO2进行推广,并在X上传播之前和之后分析下载情况。在这两个X账户(@SERAM_RX:中位数49.50,IQR 18.50-73.50 vs中位数76.50,IQR 23.75-19;P & lt;,001和@RevistaRADIOLO2:中位数43,IQR 13.75-133 vs中位数65,50,IQR 20,50 - 277,50;P & lt;,001),两个账户之间没有显著差异。@RevistaRADIOLO2的帖子产生了更多的互动(浏览量、“赞”、转发;P & lt;05)。临床护理文章从@SERAM_RX下载更多(@SERAM_RX:中位数83,IQR 24-198 vs @RevistaRADIOLO2:中位数38,IQR 16-79;P & lt;.045)。在SM上分享文章可以增加下载量。SM显著地增加了科学文章的传播范围和下载量,突出了这些平台可靠的编辑策略的重要性。
{"title":"Influence of social media on the download of radiology articles","authors":"D. Herrán de la Gala ,&nbsp;E. Serrano Alcalá ,&nbsp;B. Domenech-Ximenos ,&nbsp;C. García Villar","doi":"10.1016/j.rxeng.2024.08.002","DOIUrl":"10.1016/j.rxeng.2024.08.002","url":null,"abstract":"<div><h3>Introduction</h3><div>Social Media (SM) has transformed how content is shared, especially in the case of medicine. These platforms allow scientific literature to be shared and discussed. SM extends the reach of these scientific articles independent of their quality. The aim of this study was to discover whether sharing an article from <em>Radiología</em> on X (formerly known as Twitter) impacted its reach by analysing the number of downloads, taking into account the different article sections and types.</div></div><div><h3>Material and methods</h3><div>We selected articles published in <em>Radiología</em> between 2020 and 2022. The articles were promoted by two X accounts: @SERAM_RX and @RevistaRADIOLO2, and downloads were analysed prior to and following dissemination on X.</div></div><div><h3>Results</h3><div>A total of 100 articles were examined. There was a significant increase in downloads after dissemination on both X accounts (@SERAM_RX: median 49.50, IQR 18.50–73.50 vs median 76.50, IQR 23.75–19; <em>P</em> <!-->&lt;<!--> <!-->,001 and @RevistaRADIOLO2: median 43, IQR 13.75–133 vs median 65,50, IQR 20,50–277,50; <em>P</em> <!-->&lt;<!--> <!-->,001), with no significant differences between the two accounts. Posts from @RevistaRADIOLO2 generated more interactions (views, ‘likes’, reposts; <em>P</em> <!-->&lt;<!--> <!-->,05). Clinical care articles were downloaded more from @SERAM_RX (@SERAM_RX: median 83, IQR 24–198 vs @RevistaRADIOLO2: median 38, IQR 16–79; <em>P</em> <!-->&lt;<!--> <!-->.045).</div></div><div><h3>Conclusion</h3><div>Sharing articles on SM increases downloads. SM significantly increases the reach of scientific articles and the number of downloads, highlighting the importance of a solid editorial strategy for these platforms.</div></div>","PeriodicalId":94185,"journal":{"name":"Radiologia","volume":"67 2","pages":"Pages 155-161"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143760703","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}
引用次数: 0
Diagnostic Radiology conferences: From Chicago to Vienna, and Barcelona this year 诊断放射学会议:今年从芝加哥到维也纳和巴塞罗那
Pub Date : 2025-03-01 DOI: 10.1016/j.rxeng.2024.07.003
A. Aranaz Murillo
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引用次数: 0
The importance of data: Monitoring variables in causal inference with medical imaging 数据的重要性:监测变量与医学影像的因果推理
Pub Date : 2025-03-01 DOI: 10.1016/j.rxeng.2024.08.003
C.M. Baracaldo Silva , P.M. Martínez Gironés , A. Galiana Bordera , L. Cerdá-Alberich , D. Martí-Aguado , C. García Villar , L. Martí-Bonmatí

Background and objectives

In scientific studies with medical imaging, it is important that the process involved in selecting the explanatory variables is closely monitored, as this can lead to significant confounding biases in its methodology. The aim of this paper is to explore whether it is feasible to use criteria for causation (such as those outlined by Bradford Hill) when selecting variables in articles published in the journal RADIOLOGÍA.

Material and methods

We selected the July-August issue of Radiología, issue 4 of 2023. Four original articles with sample sizes of at least 100 patients were chosen and their follow-up of causation was analysed.

Results

The criteria of temporality, consistency, coherence, plausibility and analogy were observed. The criteria of specificity, experiment, strength and biological gradient were not consistently applied. The methodological robustness and quality of these studies was also noted.

Conclusion

Bradford Hill's criteria for causation are useful for the selection of variables in medical imaging studies. The most relevant criteria in medical imaging are temporality, consistency, coherence, plausibility and analogy.
背景和目的在医学影像学的科学研究中,密切监测选择解释变量的过程是很重要的,因为这可能导致其方法中的显著混淆偏差。本文的目的是探讨在RADIOLOGÍA期刊上发表的文章中选择变量时,使用因果关系标准(如Bradford Hill所概述的标准)是否可行。材料和方法我们选择了2023年第4期Radiología 7 - 8月刊。选取四篇样本量至少为100例患者的原创文章,并对其因果关系进行随访分析。结果观察到时间性、一致性、连贯性、可信性和相似性标准。特异性、实验性、强度和生物梯度标准应用不一致。这些研究的方法学稳健性和质量也得到了注意。结论bradford Hill的因果标准对医学影像学研究中变量的选择是有用的。医学影像中最相关的标准是时间性、一致性、连贯性、合理性和类比性。
{"title":"The importance of data: Monitoring variables in causal inference with medical imaging","authors":"C.M. Baracaldo Silva ,&nbsp;P.M. Martínez Gironés ,&nbsp;A. Galiana Bordera ,&nbsp;L. Cerdá-Alberich ,&nbsp;D. Martí-Aguado ,&nbsp;C. García Villar ,&nbsp;L. Martí-Bonmatí","doi":"10.1016/j.rxeng.2024.08.003","DOIUrl":"10.1016/j.rxeng.2024.08.003","url":null,"abstract":"<div><h3>Background and objectives</h3><div>In scientific studies with medical imaging, it is important that the process involved in selecting the explanatory variables is closely monitored, as this can lead to significant confounding biases in its methodology. The aim of this paper is to explore whether it is feasible to use criteria for causation (such as those outlined by Bradford Hill) when selecting variables in articles published in the journal <em>RADIOLOGÍA</em>.</div></div><div><h3>Material and methods</h3><div>We selected the July-August issue of <em>Radiología</em>, issue 4 of 2023. Four original articles with sample sizes of at least 100 patients were chosen and their follow-up of causation was analysed.</div></div><div><h3>Results</h3><div>The criteria of temporality, consistency, coherence, plausibility and analogy were observed. The criteria of specificity, experiment, strength and biological gradient were not consistently applied. The methodological robustness and quality of these studies was also noted.</div></div><div><h3>Conclusion</h3><div>Bradford Hill's criteria for causation are useful for the selection of variables in medical imaging studies. The most relevant criteria in medical imaging are temporality, consistency, coherence, plausibility and analogy.</div></div>","PeriodicalId":94185,"journal":{"name":"Radiologia","volume":"67 2","pages":"Pages 226-230"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143760710","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}
引用次数: 0
Acute phlegmonous gastritis: A diagnostic challenge for radiologists 急性痰性胃炎:对放射科医生的诊断挑战
Pub Date : 2025-03-01 DOI: 10.1016/j.rxeng.2024.05.005
E. Sierra Beltrán, E. Pascual Pérez, J. García Maroto
{"title":"Acute phlegmonous gastritis: A diagnostic challenge for radiologists","authors":"E. Sierra Beltrán,&nbsp;E. Pascual Pérez,&nbsp;J. García Maroto","doi":"10.1016/j.rxeng.2024.05.005","DOIUrl":"10.1016/j.rxeng.2024.05.005","url":null,"abstract":"","PeriodicalId":94185,"journal":{"name":"Radiologia","volume":"67 2","pages":"Pages 231-233"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143760711","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}
引用次数: 0
期刊
Radiologia
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