Articles

Magnetic resonance imaging for deep infiltrating endometriosis: current concepts, imaging technique and key findings

Endometriosis is an estrogen-dependent chronic disease affecting about 10% of reproductive-age women with symptoms like pelvic pain and infertility. Pathologically, it is defined by the presence of endometrial...

Authors: Filomenamila Lorusso, Marco Scioscia, Dino Rubini, Amato Antonio Stabile Ianora, Doriana Scardigno, Carla Leuci, Michele De Ceglie, Angela Sardaro, Nicola Lucarelli and Arnaldo Scardapane

Perinatal post-mortem magnetic resonance imaging (MRI) of the central nervous system (CNS): a pictorial review

Central nervous system (CNS) abnormalities cause approximately 32–37.7% of terminations of pregnancy (TOP). Autopsy is currently the gold standard for assessing dead foetuses and stillborn. However, it has lim...

Authors: Carlos Pérez-Serrano, Álvaro Bartolomé, Núria Bargalló, Carmen Sebastià, Alfons Nadal, Olga Gómez and Laura Oleaga

Emergency teleradiological activity is an epidemiological estimator and predictor of the covid-19 pandemic in mainland France

COVID-19 pandemic highlighted the need for real-time monitoring of diseases evolution to rapidly adapt restrictive measures. This prospective multicentric study aimed at investigating radiological markers of C...

Authors: Amandine Crombé, Jean-Christophe Lecomte, Nathan Banaste, Karim Tazarourte, Mylène Seux, Hubert Nivet, Vivien Thomson and Guillaume Gorincour

Complications of renal interventions: a pictorial review of CT findings

A number of potential vascular and non-vascular complications can arise from surgical, extracorporeal shock wave lithotripsy, radiotherapy and radiological renal interventions, including percutaneous image-gui...

Authors: Jean S. Z. Lee, Jonathan Hall and Tom Sutherland

A pragmatic evidence-based approach to post-mortem perinatal imaging

Post-mortem imaging has a high acceptance rate amongst parents and healthcare professionals as a non-invasive method for investigating perinatal deaths. Previously viewed as a ‘niche’ subspecialty, it is becom...

Authors: Susan C. Shelmerdine, J. Ciaran Hutchinson, Celine Lewis, Ian C. Simcock, Thivya Sekar, Neil J. Sebire and Owen J. Arthurs

Imaging of gallbladder metastasis

Gallbladder metastasis (GM) is a rare condition, often with a late diagnosis or detected upon autopsy. There is no extensive literature on the imaging diagnosis of GM. Here we present a comprehensive review of...

Authors: Giulio Cocco, Andrea Delli Pizzi, Raffaella Basilico, Stefano Fabiani, Alessio Lino Taraschi, Luca Pascucci, Andrea Boccatonda, Orlando Catalano and Cosima Schiavone

Dosimetric quantities and effective dose in medical imaging: a summary for medical doctors

This review presents basic information on the dosimetric quantities used in medical imaging for reporting patient doses and establishing diagnostic reference levels. The proper use of the radiation protection ...

Authors: Eliseo Vano, Guy Frija, Reinhard Loose, Graciano Paulo, Efstathios Efstathopoulos, Claudio Granata and Jonas Andersson

Giant cell tumour of the tendon sheath of the spine: clinical features and imaging findings

To review the clinical and imaging data of spinal giant cell tumour of the tendon sheath (GCTTS) to improve our understanding of the disease.

Authors: Piaoe Zeng, Annan Zhang, Le Song, Jianfang Liu, Huishu Yuan and Weifang Zhang

Tumor and tumorlike conditions of the pleura and juxtapleural region: review of imaging findings

Pleural lesions form a diagnostic challenge for the radiologist. Whereas lesions can be initially detected on chest radiographs, CT and MRI imaging are the imaging modalities of choice for further characteriza...

Authors: Julie Desimpel, Filip M. Vanhoenacker, Laurens Carp and Annemiek Snoeckx

Quantitative ultrasound shear wave elastography (USWE)-measured tissue stiffness correlates with PIRADS scoring of MRI and Gleason score on whole-mount histopathology of prostate cancer: implications for ultrasound image-guided targeting approach

To correlate quantitative tissue stiffness measurements obtained by transrectal ultrasound shear wave elastography (USWE) with PI-RADS scoring of multiparametric magnetic imaging resonance (mpMRI) using Gleaso...

Authors: Wael Ageeli, Cheng Wei, Xinyu Zhang, Magdalena Szewcyk-Bieda, Jennifer Wilson, Chunhui Li and Ghulam Nabi

Identifying the deceiver: the non-neoplastic mimickers of genital system neoplasms

Tumors of the genital system are common and imaging is of crucial importance for their detection and diagnosis. Several non-neoplastic diseases may mimic these tumors and differential diagnosis may be difficul...

Authors: Omer Onder, Ali Devrim Karaosmanoglu, Jessica Kraeft, Aycan Uysal, Musturay Karcaaltincaba, Deniz Akata, Mustafa Nasuh Ozmen and Peter F. Hahn

Duodenal imaging on the spotlight: from A to Z

Abdominal computed tomography (CT) is frequently performed to evaluate gastrointestinal pathologic conditions. The majority of the gastrointestinal radiology literature has concentrated on the colon, stomach, ...

Authors: Carolina Terra, Daniel Ramos-Andrade, Ivo Sá-Marques, Jorge Brito, Filipe Caseiro-Alves and Luís Curvo-Semedo

Fully automated pelvic bone segmentation in multiparameteric MRI using a 3D convolutional neural network

Accurate segmentation of pelvic bones is an initial step to achieve accurate detection and localisation of pelvic bone metastases. This study presents a deep learning-based approach for automated segmentation ...

Authors: Xiang Liu, Chao Han, He Wang, Jingyun Wu, Yingpu Cui, Xiaodong Zhang and Xiaoying Wang

A critical review on altmetrics: can we measure the social impact factor?

Altmetrics measure the digital attention received by a research output. They allow us to gauge the immediate social impact of an article by taking real-time measurements of how it circulates in the Internet. W...

Authors: Cristina García-Villar

Appearance of the levator ani muscle subdivisions on 3D transperineal ultrasound

The levator ani muscle (LAM) consists of different subdivisions, which play a specific role in the pelvic floor mechanics. The aim of this study is to identify and describe the appearance of these subdivisions...

Authors: Claudia Manzini, Frieda van den Noort, Anique T. M. Grob, Mariëlla I. J. Withagen, Cornelis H. Slump and C. Huub van der Vaart

Clinical value of 3'-deoxy-3'-[¹⁸F]fluorothymidine-positron emission tomography for diagnosis, staging and assessing therapy response in lung cancer

Lung cancer has the highest mortality rate of any tumour type. The main driver of lung tumour growth and development is uncontrolled cellular proliferation. Poor patient outcomes are partly the result of the l...

Authors: Bandar Alwadani, Sergio Dall’Angelo and Ian N. Fleming

A team-based competition for undergraduate medical students to learn radiology within the virtual world Second Life

A multi-user competitive game within the virtual world Second Life for undergraduate radiology learning was adapted for team participation. This study aimed to assess student perception, impact on learning, an...

Authors: Teodoro Rudolphi-Solero, Alberto Jimenez-Zayas, Rocio Lorenzo-Alvarez, Dolores Domínguez-Pinos, Miguel Jose Ruiz-Gomez and Francisco Sendra-Portero

Workload of diagnostic radiologists in the foreseeable future based on recent scientific advances: growth expectations and role of artificial intelligence

To determine the anticipated contribution of recently published medical imaging literature, including artificial intelligence (AI), on the workload of diagnostic radiologists.

Authors: Thomas C. Kwee and Robert M. Kwee

Muscle elasticity is different in individuals with diastasis recti abdominis than healthy volunteers

To determine the value of shear wave elastography (SWE) in assessing abdominal wall muscles, including rectus abdominis (RA), external oblique muscle (EO), internal oblique muscle, and transversus abdominis (T...

Authors: Kai He, Xiuling Zhou, Yulan Zhu, Bo Wang, Xiaojian Fu, Qiyuan Yao, Hao Chen and Xiaohong Wang

Investigating errors in medical imaging: medical malpractice cases in Finland

The objectives of the study were to survey patient injury claims concerning medical imaging in Finland in 1991–2017, and to investigate the nature of the incidents, the number of claims, the reasons for the cl...

Authors: Tarja Tarkiainen, Miia Turpeinen, Marianne Haapea, Esa Liukkonen and Jaakko Niinimäki

Comparison of three embolic materials at partial splenic artery embolization for hypersplenism: clinical, laboratory, and radiological outcomes

To compare effectiveness of three widely used embolic agents in partial splenic embolization (PSE) by analyzing their clinical, laboratory, and radiological outcomes within one year of follow-up.

Authors: Mohamed M. A. Zaitoun, Mohammad Abd Alkhalik Basha, Saeed Bakry Elsayed, Dalia Salah El Deen, Nahla A. Zaitoun, Husain Alturkistani, Alaa A. Farag, Hassan Abdelsalam, Hossam A. El-Kenawy, Nader E. M. Mahmoud, Nader Ali Alayouty, Ibrahim M. Eladl, Shahenda Shahin, Mohamed-Karji Almarzooqi, Ali M. Hendi, Ahmad El-Morsy…

The impact of lung parenchyma attenuation on nodule volumetry in lung cancer screening

Recent recommendations for lung nodule management include volumetric analysis using tools that present intrinsic measurement variability, with possible impacts on clinical decisions and patient safety. This st...

Authors: Diana Penha, Erique Pinto, Bruno Hochhegger, Colin Monaghan, Edson Marchiori, Luís Taborda-Barata and Klaus Irion

Is hypnosis a valid alternative to spontaneous breathing general anesthesia for claustrophobic patients undergoing MR exams? A preliminary retrospective study

The purpose of our retrospective study was to assess the termination rate and the image quality of MR exams performed in claustrophobic patients under medical hypnosis, as compared to patients undergoing MR un...

Authors: Stefania Rizzo, Nicole Ferrera, Emanuele Pravatà, Roman Guggenberger, Steven Stern and Filippo Del Grande

ESR white paper: blockchain and medical imaging

Blockchain can be thought of as a distributed database allowing tracing of the origin of data, and who has manipulated a given data set in the past. Medical applications of blockchain technology are emerging. ...

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The role of lung ultrasound in COVID-19 disease

This statement summarises basic settings in lung ultrasonography and best practice recommendations for lung ultrasonography in COVID-19, representing the agreed consensus of experts from the Ultrasound Subcomm...

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Artificial intelligence in medical imaging practice in Africa: a qualitative content analysis study of radiographers’ perspectives

Studies have documented the clinical potentials of artificial intelligence (AI) in medical imaging practice to improving patient care. This study aimed to qualitatively explore the perception of radiographers ...

Authors: William Kwadwo Antwi, Theophilus N. Akudjedu and Benard Ohene Botwe

Differential diagnosis of uncommon prostate diseases: combining mpMRI and clinical information

The differential diagnosis of abnormalities in the prostate is broad, covering common (acinar adenocarcinoma, benign prostatic hyperplasia, chronic prostatitis, hemorrhage, cysts, calcifications, atrophy and f...

Authors: Chao Han, Lina Zhu, Xiang Liu, Shuai Ma, Yi Liu and Xiaoying Wang

Letter to the editor: “Not all biases are bad: equitable and inequitable biases in machine learning and radiology”

Artificial intelligence algorithms are booming in medicine, and the question of biases induced or perpetuated by these tools is a very important topic. There is a greater risk of these biases in radiology, whi...

Authors: Antoine Iannessi, Hubert Beaumont and Anne Sophie Bertrand

ECR 2021 Book of Abstracts

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ESGAR 2021 Book of Abstracts

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T-staging pulmonary oncology from radiological reports using natural language processing: translating into a multi-language setting

In the era of datafication, it is important that medical data are accurate and structured for multiple applications. Especially data for oncological staging need to be accurate to stage and treat a patient, as...

Authors: J. Martijn Nobel, Sander Puts, Jakob Weiss, Hugo J. W. L. Aerts, Raymond H. Mak, Simon G. F. Robben and André L. A. J. Dekker

Imaging side effects and complications of chemotherapy and radiation therapy: a pictorial review from head to toe

Newer biologic drugs and immunomodulatory agents, as well as more tolerated and effective radiation therapy schemes, have reduced treatment toxicity in oncology patients. However, although imaging assessment o...

Authors: Domenico Albano, Massimo Benenati, Antonio Bruno, Federico Bruno, Marco Calandri, Damiano Caruso, Diletta Cozzi, Riccardo De Robertis, Francesco Gentili, Irene Grazzini, Giuseppe Micci, Anna Palmisano, Carlotta Pessina, Paola Scalise, Federica Vernuccio, Antonio Barile…

CT appearances, patterns of progression, and follow-up of COVID-19: evaluation on thin-section CT

To retrospectively analyze CT appearances and progression pattern of COVID-19 during hospitalization, and analyze imaging findings of follow-up on thin-section CT.

Authors: Chun-Shuang Guan, Zhi-Bin Lv, Jing-Jing Li, Yan-Ni Du, Hui Chen, Tao Cui, Ning Guo, Bu-Dong Chen and Ru-Ming Xie

The preoperative localisation of small parathyroid adenomas improves when adding Tc-99m-Sestamibi SPECT to multiphase contrast-enhanced CT

To investigate the incremental value of Sestamibi SPECT combined with a non-enhanced and contrast-enhanced CT, using SPECT/CT, for the preoperative localisation of small parathyroid adenomas (PTA).

Authors: Patricia Sandqvist, Jacob Farnebo, Inga-Lena Nilsson, Per Grybäck, Anders Sundin and Alejandro Sanchez-Crespo

Challenge of prostate MRI segmentation on T2-weighted images: inter-observer variability and impact of prostate morphology

Accurate prostate zonal segmentation on magnetic resonance images (MRI) is a critical prerequisite for automated prostate cancer detection. We aimed to assess the variability of manual prostate zonal segmentat...

Authors: Sarah Montagne, Dimitri Hamzaoui, Alexandre Allera, Malek Ezziane, Anna Luzurier, Raphaelle Quint, Mehdi Kalai, Nicholas Ayache, Hervé Delingette and Raphaële Renard-Penna

Computed tomography imaging of septic shock. Beyond the cause: the “CT hypoperfusion complex”. A pictorial essay

Septic shock is a medical emergency that represents one of the most important underlying causes for presentation to the Emergency Department. Sepsis is defined as organ dysfunction, life-threatening event caus...

Authors: Marco Di Serafino, Daniela Viscardi, Francesca Iacobellis, Luigi Giugliano, Luigi Barbuto, Gaspare Oliva, Roberto Ronza, Antonio Borzelli, Antonio Raucci, Filomena Pezzullo, Maria Giovanna De Cristofaro and Luigia Romano

Diagnostic methods and therapeutic options of uveal melanoma with emphasis on MR imaging—Part II: treatment indications and complications

Therapy of uveal melanoma aims to preserve the eye and its function and to avoid metastatic dissemination. The treatment choice is difficult and must keep into account several factors; the therapeutic strategy...

Authors: Pietro Valerio Foti, Mario Travali, Renato Farina, Stefano Palmucci, Corrado Spatola, Rocco Luca Emanuele Liardo, Roberto Milazzotto, Luigi Raffaele, Vincenzo Salamone, Rosario Caltabiano, Giuseppe Broggi, Lidia Puzzo, Andrea Russo, Michele Reibaldi, Antonio Longo, Paolo Vigneri…

Diagnostic methods and therapeutic options of uveal melanoma with emphasis on MR imaging—Part I: MR imaging with pathologic correlation and technical considerations

Uveal melanoma is a malignant neoplasm that derives from pigmented melanocytes of the uvea and involves, in order of decreasing prevalence, the choroid, ciliary body and iris. Its prognosis is related to histo...

Authors: Pietro Valerio Foti, Mario Travali, Renato Farina, Stefano Palmucci, Corrado Spatola, Luigi Raffaele, Vincenzo Salamone, Rosario Caltabiano, Giuseppe Broggi, Lidia Puzzo, Andrea Russo, Michele Reibaldi, Antonio Longo, Paolo Vigneri, Teresio Avitabile, Giovani Carlo Ettorre…

Development of a balanced scorecard as a strategic performance measurement system for clinical radiology as a cost center

To develop a goal-oriented indicator system based on the balanced scorecard (BSC) concept, which takes into account the perspectives of the referring physician and patient and emphasizes the focus on the inter...

Authors: Ulf Teichgräber, Rainer Sibbel, Andreas Heinrich and Felix Güttler

CT and MRI radiomics of bone and soft-tissue sarcomas: a systematic review of reproducibility and validation strategies

Feature reproducibility and model validation are two main challenges of radiomics. This study aims to systematically review radiomic feature reproducibility and predictive model validation strategies in studie...

Authors: Salvatore Gitto, Renato Cuocolo, Domenico Albano, Francesco Morelli, Lorenzo Carlo Pescatori, Carmelo Messina, Massimo Imbriaco and Luca Maria Sconfienza

Significance of intra-nodular vessel sign in differentiating benign and malignant pulmonary ground-glass nodules

The presence of pulmonary vessels inside ground-glass nodules (GGNs) of different nature is a very common occurrence. This study aimed to reveal the significance of pulmonary vessels displayed in GGNs in their...

Authors: Bin-jie Fu, Fa-jin Lv, Wang-jia Li, Rui-yu Lin, Yi-neng Zheng and Zhi-gang Chu

Do oncologists prefer subspecialty radiology reports? A quality care study

The main objective was to assess whether CT reports of radiologists subspecialized in oncologic imaging respond better to oncological referrals than reports from general radiologists. The secondary objective w...

Authors: Stefania Rizzo, Maria Del Grande, Vittoria Espeli, Anastasios Stathis, Gabriele Maria Nicolino and Filippo Del Grande

High-risk lesions of the breast: concurrent diagnostic tools and management recommendations

Breast lesions with uncertain malignant behavior, also known as high-risk or B3 lesions, are composed of a variety of pathologies with differing risks of associated malignancy. While open excision was previous...

Authors: Francesca Catanzariti, Daly Avendano, Giuseppe Cicero, Margarita Garza-Montemayor, Carmelo Sofia, Emmanuele Venanzi Rullo, Giorgio Ascenti, Katja Pinker-Domenig and Maria Adele Marino

Reply to the Letter to the editor in response to the Position statement and best practice recommendations on the imaging use of ultrasound from the European Society of Radiology ultrasound subcommittee

Authors: Adrian P. Brady, Dirk-André Clevert and Paul S. Sidhu

Letter to the Editor in response to the Position statement and best practice recommendations on the imaging use of ultrasound from the European Society of Radiology ultrasound subcommittee

This letter to the editor is in response to the consensus statement from the Ultrasound Subcommittee of the European Society of Radiology, the European Union of Medical Specialists (UEMS) Section of Radiology,...

Authors: Chris Kalinka, Jeanette Dickson, Richard Evans, Edward Morris, Pamela Parker, Gill Walton, William Ramsden and Gill Harrison

Low-grade serous epithelial ovarian cancer: a comprehensive review and update for radiologists

Low-grade serous carcinoma (LGSC) is an infrequent subtype of ovarian cancer, corresponding to 5% of epithelial neoplasms. This subtype of ovarian carcinoma characteristically has molecular features, pathogene...

Authors: Sofia Amante, Filipa Santos and Teresa Margarida Cunha

Understanding PI-QUAL for prostate MRI quality: a practical primer for radiologists

Prostate magnetic resonance imaging (MRI) of high diagnostic quality is a key determinant for either detection or exclusion of prostate cancer. Adequate high spatial resolution on T2-weighted imaging, good dif...

Authors: Francesco Giganti, Alex Kirkham, Veeru Kasivisvanathan, Marianthi-Vasiliki Papoutsaki, Shonit Punwani, Mark Emberton, Caroline M. Moore and Clare Allen

CT facilitates improved diagnosis of adult intestinal malrotation: a 7-year retrospective study based on 332 cases

To classify adult intestinal malrotation by CT.

Authors: Ziman Xiong, Yaqi Shen, John N. Morelli, Zhen Li, Xuemei Hu and Daoyu Hu

Image-guided percutaneous ablation for the treatment of lung malignancies: current state of the art

Image-guided percutaneous lung ablation has proven to be a valid treatment alternative in patients with early-stage non-small cell lung carcinoma or oligometastatic lung disease. Available ablative modalities ...

Authors: Alfredo Páez-Carpio, Fernando M. Gómez, Gemma Isus Olivé, Pilar Paredes, Tarik Baetens, Enrique Carrero, Marcelo Sánchez and Ivan Vollmer

Many faces of acute bowel ischemia: overview of radiologic staging

Acute bowel ischemia (ABI) can be life threatening with high mortality rate. In spite of the advances made in diagnosis and treatment of ABI, no significant change has occurred in the mortality over the past d...

Authors: Amir H. Davarpanah, Afshar Ghamari Khameneh, Bardia Khosravi, Ali Mir, Hiva Saffar and Amir Reza Radmard