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Clinical Radiology

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https://www.readbyqxmd.com/read/29773220/nhs-breast-screening-multidisciplinary-working-group-guidelines-for-the-diagnosis-and-management-of-breast-lesions-of-uncertain-malignant-potential-on-core-biopsy-b3-lesions
#1
S E Pinder, A Shaaban, R Deb, A Desai, A Gandhi, A H S Lee, S Pain, L Wilkinson, N Sharma
Needle core biopsy is considered the histological diagnostic method of choice for screen-detected breast lesions. Although the majority are definitively diagnosed as normal, benign, or malignant, approximately 7% are categorised as B3, of uncertain malignant potential. These include a wide range of lesions with different risks of associated malignancy from <2% to approaching 40% from literature review in UK practice. Historically, these have typically been surgically excised as a diagnostic procedure but the majority are then proven to be benign...
May 15, 2018: Clinical Radiology
https://www.readbyqxmd.com/read/29764622/absolute-cbv-for-the-differentiation-of-recurrence-and-radionecrosis-of-brain-metastases-after-gamma-knife-radiotherapy-a-comparison-with-relative-cbv
#2
B Wang, B Zhao, Y Zhang, M Ge, P Zhao, Na Sun, C Li, Q Pang, S Xu, Y Liu
AIM: To investigate the efficiency of absolute cerebral blood volume (CBV) in the differentiation of tumour recurrence (TR) and radionecrosis (RN) in brain metastases (BM) and to evaluate the performance of absolute CBV compared to relative CBV (rCBV). MATERIALS AND METHODS: Between March 2015 and June 2017, 46 patients with BM underwent quantitative dynamic susceptibility contrast perfusion-weighted imaging (DSC-PWI) because new enhancement had been demonstrated in irradiated lesions after gamma knife radiotherapy...
May 12, 2018: Clinical Radiology
https://www.readbyqxmd.com/read/29759590/reasons-for-non-participation-in-supplemental-population-based-mri-breast-screening-for-women-with-extremely-dense-breasts
#3
S V de Lange, M F Bakker, E M Monninkhof, P H M Peeters, P K de Koekkoek-Doll, R M Mann, M J C M Rutten, R H C Bisschops, J Veltman, K M Duvivier, M B I Lobbes, H J de Koning, N Karssemeijer, R M Pijnappel, W B Veldhuis, C H van Gils
AIM: To determine the willingness of women with extremely dense breasts to undergo breast cancer screening with magnetic resonance imaging (MRI) in a research setting, and to examine reasons for women to participate or not. MATERIALS AND METHODS: Between 2011 and 2015, 8,061 women (50-75 years) were invited for supplemental MRI as part of the Dense Tissue and Early Breast Neoplasm Screening (DENSE) trial (ClinicalTrials.gov Identifier: NCT01315015), after a negative screening mammography in the national population-based mammography screening programme...
May 11, 2018: Clinical Radiology
https://www.readbyqxmd.com/read/29759589/ultrasound-guided-subacromial-subdeltoid-bursa-corticosteroid-injections-a-study-of-short-and-long-term-outcomes
#4
R Fawcett, A Grainger, P Robinson, M Jafari, E Rowbotham
AIM: To assess shoulder pain and disability in patients undergoing corticosteroid injection into the subacromial-subdeltoid (SA-SD) bursa under ultrasound guidance, evaluating both short and long-term outcomes. MATERIALS AND METHODS: In this prospective, longitudinal, analytical study 376 patients referred for SA-SD bursa injection during a 6 month period were asked to complete a questionnaire assessing shoulder pain and disability in the form of the Shoulder Pain and Disability Index (SPADI)...
May 11, 2018: Clinical Radiology
https://www.readbyqxmd.com/read/29731127/the-need-for-triple-assessment-and-predictors-for-diagnosis-of-breast-cancer-in-patients-40-years-of-age
#5
F A K Mazari, N Sharma, D Reid, K Horgan
AIM: To assess the safety of selective use of triple assessment with omission of radiological assessment proposed in patients <40-years old. MATERIALS AND METHODS: Data were collected retrospectively for all patients seen in the one-stop breast clinic between January 2014 and August 2015. Demographics, symptoms, diagnostics, and treatment details were recorded. Subgroup and logistic regression analysis was performed to identify predictors for breast cancer. RESULTS: Of the 3,305 patients included, 95...
May 3, 2018: Clinical Radiology
https://www.readbyqxmd.com/read/29731126/ferumoxytol-enhanced-mri-in-the-peripheral-vasculature
#6
REVIEW
E D Lehrman, A N Plotnik, T Hope, D Saloner
Ferumoxytol is a promising non-gadolinium-based contrast agent with numerous varied magnetic resonance imaging applications. Previous reviews of vascular applications have focused primarily on cardiac and aortic applications. After considering safety concerns and technical issues, the objective of this paper is to explore peripheral applications for ferumoxytol-enhanced magnetic resonance angiography (MRA) and venography (MRV) in the upper and lower extremities. Separate searches for each of the following keywords were performed in pubmed: "ferumoxytol," "ultrasmall superparamagnetic iron oxide," and "USPIO...
May 3, 2018: Clinical Radiology
https://www.readbyqxmd.com/read/29731125/utility-of-intravoxel-incoherent-motion-diffusion-weighted-imaging-in-predicting-early-response-to-concurrent-chemoradiotherapy-in-oesophageal-squamous-cell-carcinoma
#7
F P Li, H Wang, J Hou, J Tang, Q Lu, L L Wang, X P Yu
AIM: To investigate the utility of intravoxel incoherent motion diffusion-weighted imaging (IVIM-DWI) in predicting the early response to concurrent chemoradiotherapy (CRT) in oesophageal squamous cell carcinoma (OSCC). MATERIALS AND METHODS: Thirty-three patients with OSCC who received CRT underwent IVIM-DWI at three time points (before CRT, at the end of radiotherapy 20 Gy, and immediately after CRT). After CRT, the patients were divided into the responders (complete response or partial response) and the non-responders (stable disease) based on RECIST 1...
May 3, 2018: Clinical Radiology
https://www.readbyqxmd.com/read/29724434/visual-criterion-for-evaluating-hepatobiliary-phase-image-acquisition-of-gadolinium-ethoxybenzyl-diethylenetriaminepentaacetic-acid-enhanced-mri
#8
Y Takatsu, M Nakamura, S Kobayashi, T Miyati
AIM: To evaluate the hepatobiliary phase (HBP) of liver magnetic resonance imaging (MRI) using gadolinium-ethoxybenzyl-diethylenetriamine penta-acetic acid, and report a visual criterion based on the portal vein (PV), which can be used as a substitute for the quantitative liver-spleen contrast ratio (Q-LSC). MATERIALS AND METHODS: In HBP images of 167 patients, a visual criterion was established based on the sufficient contrast between the liver parenchyma (LP) and PV...
April 30, 2018: Clinical Radiology
https://www.readbyqxmd.com/read/29724433/the-effect-of-the-addition-of-tomosynthesis-to-digital-mammography-on-reader-recall-rate-and-reader-confidence-in-the-uk-prevalent-screening-round
#9
N Upadhyay, N Soneji, V Stewart, G Ralleigh
AIM: To compare reader recall rate and confidence associated with recall decisions for digital mammography (DM) alone with DM plus digital breast tomosynthesis (DBT) in the prevalent screening round. MATERIALS AND METHODS: Following regional ethics committee approval and written informed consent from all participating women, DM and DBT were obtained. DM followed by the combination of DM plus DBT were reviewed retrospectively by one of nine radiologists, for 880 women aged between 46 and 53...
April 30, 2018: Clinical Radiology
https://www.readbyqxmd.com/read/29716721/diagnostic-performance-of-a-streamlined-18-f-choline-pet-ct-protocol-for-the-detection-of-prostate-carcinoma-recurrence-in-combination-with-appropriate-use-criteria
#10
R Frood, J Baren, G McDermott, D Bottomley, C Patel, A Scarsbrook
AIM: To evaluate the efficacy of single time point half-body (skull base to thighs) fluorine-18 choline positron-emission tomography (PET) in combination with computed tomography (CT) compared to a triple-phase acquisition protocol in the detection of prostate carcinoma recurrence. MATERIALS AND METHODS: Consecutive choline PET-CT studies performed at a single tertiary referral centre in patients with biochemical recurrence of prostate carcinoma between September 2012 and March 2017 were reviewed retrospectively...
April 28, 2018: Clinical Radiology
https://www.readbyqxmd.com/read/29709237/an-optimised-repetition-time-tr-for-cine-imaging-of-uterine-peristalsis-on-3-t-mri
#11
S Liu, Q Zhang, C Yin, W Chen, Q Chan, J He, B Zhu
AIM: To determine the optimal repetition time (TR) of cine imaging for uterine peristalsis on 3 T magnetic resonance imaging (MRI). MATERIALS AND METHODS: Twenty-three young female volunteers (age range: 23-28 years, mean: 24.91±1.12 years) underwent 3 T MRI for uterine peristalsis in the periovulatory phase. A midsagittal section of their uteri was scanned using a single-shot fast spin echo sequence with TR of 2 seconds (Cine2s ) and 4 seconds (Cine4s ) for 3 minutes...
April 28, 2018: Clinical Radiology
https://www.readbyqxmd.com/read/29709236/radiofrequency-ablation-versus-surgical-resection-for-multiple-hccs-meeting-the-milan-criteria-propensity-score-analyses-of-10-year-therapeutic-outcomes
#12
J H Min, T W Kang, D I Cha, K D Song, M W Lee, H Rhim, D H Sinn, J M Kim, I Sohn
AIM: To assess the long-term therapeutic outcomes of radiofrequency ablation (RFA) versus surgical resection (SR) as a first-line treatment for patients meeting the Milan criteria with multiple hepatocellular carcinomas (HCCs). MATERIALS AND METHODS: This retrospective study was approved by the institutional review board and the requirement for informed consent was waived. Between January 2004 and December 2009, among 3,441 patients with treatment-naive HCCs, 88 patients meeting the Milan criteria with multiple HCCs (Barcelona Clinic Liver Cancer [BCLC] A stage) who underwent either RFA (n=62) or SR (n=26) were included...
April 27, 2018: Clinical Radiology
https://www.readbyqxmd.com/read/29685803/the-emerging-roles-of-functional-imaging-in-ovarian-cancer-with-peritoneal-carcinomatosis
#13
REVIEW
H An, E Y P Lee, K Chiu, C Chang
This article reviews the emerging roles of functional imaging in the assessment of peritoneal carcinomatosis in ovarian cancer, focusing on the use of diffusion-weighted magnetic resonance imaging (DW-MRI) and 2-[18 F]-fluoro-2-deoxy-d-glucose positron-emission tomography combined with computed tomography (PET-CT), their advantages and shortcomings as well as the added-value over conventional imaging.
April 20, 2018: Clinical Radiology
https://www.readbyqxmd.com/read/29685802/imaging-sphenoid-diseases
#14
REVIEW
J J Braun, C Debry, A Imperiale, S Riehm
In this review we provide comprehensive analysis of the imaging features of diseases affecting the sphenoid sinus, including a large and heterogeneous spectrum of pathologies such as sinusitis, pseudotumours, bony pathologies, and tumours. Clinical symptomatology related to sphenoid pathologies is often non-specific and patient clinical examination and endoscopic investigations are not definitive; thus, radiological imaging is mandatory for diagnosis. Strengths and limitations of both morphological and functional imaging methods such as computed tomography (CT), magnetic resonance imaging (MRI), and combined positron-emission tomography/computed tomography (PET/CT) have been considered and integrated into a well-defined clinical context in order to recognise specific imaging features and to underline their clinical relevance for an early and accurate diagnosis...
April 20, 2018: Clinical Radiology
https://www.readbyqxmd.com/read/29678275/re-a-comprehensive-toolkit-for-imaging-children-who-may-have-been-abused-new-guidance-from-the-royal-college-of-radiologists-and-the-society-and-college-of-radiographers
#15
LETTER
M Paddock, A Sprigg, K Halliday, A C Offiah
No abstract text is available yet for this article.
April 17, 2018: Clinical Radiology
https://www.readbyqxmd.com/read/29678274/preoperative-mri-evaluation-of-lesion-nipple-distance-in-breast-cancer-patients-thresholds-for-predicting-occult-nipple-areola-complex-involvement
#16
G Mariscotti, M Durando, N Houssami, C M Berzovini, F Esposito, M Fasciano, P P Campanino, D Bosco, R Bussone, A Ala, I Castellano, A Sapino, L Bergamasco, P Fonio, G Gandini
AIM: To identify clinically occult nipple-areola complex (NAC) involvement using preoperative magnetic resonance imaging (MRI), to inform selection of patients eligible for nipple-sparing mastectomy (NSM) or skin-sparing mastectomy (SSM). MATERIAL AND METHODS: This was a retrospective study of 195 patients, who had preoperative breast MRI (February 2011 to January 2017) before undergoing surgical treatments (NSM or SSM) for newly diagnosed breast cancer. Tumour features at MRI (mass or non-mass lesion, diameter, lesion-NAC distance [LND]) and pathology (lesion diameter, histopathological type, receptor status) were recorded, as well as the type of surgery (NSM/SSM) and presence (NAC+) or absence (NAC-) of tumour at intraoperative evaluation of retroareolar tissue...
April 17, 2018: Clinical Radiology
https://www.readbyqxmd.com/read/29678273/preoperative-ct-based-predictive-factors-for-resectability-and-medium-term-overall-survival-in-patients-with-peritoneal-carcinomatosis-from-colorectal-cancer
#17
C Suzuki, H Wallgren, M Abraham-Nordling, G Palmer
AIM: To determine preoperative radiological findings that may correlate with resectability and medium-term overall survival (OS) in patients with peritoneal carcinomatosis (PC) from colorectal cancer (CRC). MATERIALS AND METHODS: The study included 81 consecutive patients with PC scheduled for cytoreductive surgery (CRS) with hyperthermic intraperitoneal chemotherapy (HIPEC). PCI scores from preoperative computed tomography (CT) were compared with Peritoneal Cancer Index (PCI) scores at laparotomy...
April 17, 2018: Clinical Radiology
https://www.readbyqxmd.com/read/29661559/stickler-syndrome-in-children-a-radiological-review
#18
N McArthur, A Rehm, N Shenker, A J Richards, A M McNinch, A V Poulson, J Tanner, M P Snead, P W P Bearcroft
AIM: To review the radiological findings of the largest cohort to date of paediatric patients with Stickler syndrome, all with confirmed molecular genetic analysis and sub-typing. PATIENTS AND METHODS: It is understood that the National Health Service (NHS) commissioned service at Addenbrookes Hospital, Cambridge, UK has the largest cohort of Stickler syndrome patients in the paediatric age group worldwide with 240 registered children. Fifty-nine were assessed radiologically and for their genotypes...
April 13, 2018: Clinical Radiology
https://www.readbyqxmd.com/read/29655908/virtual-special-issue-endocrine
#19
EDITORIAL
A Shaw
No abstract text is available yet for this article.
April 11, 2018: Clinical Radiology
https://www.readbyqxmd.com/read/29650360/re-radiology-led-lung-escalation-pathway-a-streamlined-innovative-service-expediting-the-diagnosis-of-lung-cancer-a-reply
#20
LETTER
J Cox
No abstract text is available yet for this article.
April 9, 2018: Clinical Radiology
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