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European Journal of Radiology

Rossano Girometti, Serena Pullini, Marco Andrea Signor, Chiara Zuiani
No abstract text is available yet for this article.
October 17, 2016: European Journal of Radiology
Takeshi Kubo, Yoshiharu Ohno, Joon Beom Seo, Tsuneo Yamashiro, Willi A Kalender, Chang Hyun Lee, David A Lynch, Hans-Ulrich Kauczor, Hiroto Hatabu
The increase in the radiation exposure from CT examinations prompted the investigation on the various dose-reduction techniques. Significant dose reduction has been achieved and the level of radiation exposure of thoracic CT is expected to reach the level equivalent to several chest X-ray examinations. With more scanners with advanced dose reduction capability deployed, knowledge on the radiation dose reduction methods has become essential to clinical practice as well as academic research. This article reviews the history of dose reduction techniques, ongoing changes brought by newer technologies and areas of further investigation...
October 13, 2016: European Journal of Radiology
David L Levin, Mark L Schiebler, Susan R Hopkins
As pulmonary functional imaging moves beyond the realm of the radiologist and physicist, it is important that imagers have a common language and understanding of the relevant physiology of the lung. This review will focus on key physiological concepts and pitfalls relevant to functional lung imaging.
September 28, 2016: European Journal of Radiology
Lukas Ebner, Jeff Kammerman, Bastiaan Driehuys, Mark L Schiebler, Robert V Cadman, Sean B Fain
In the last two decades, functional imaging of the lungs using hyperpolarized noble gases has entered the clinical stage. Both helium ((3)He) and xenon ((129)Xe) gas have been thoroughly investigated for their ability to assess both the global and regional patterns of lung ventilation. With advances in polarizer technology and the current transition towards the widely available (129)Xe gas, this method is ready for translation to the clinic. Currently, hyperpolarized (HP) noble gas lung MRI is limited to selected academic institutions; yet, the promising results from initial clinical trials have drawn the attention of the pulmonary medicine community...
September 16, 2016: European Journal of Radiology
Juergen Biederer, Yoshiharu Ohno, Hiroto Hatabu, Mark L Schiebler, Edwin J R van Beek, Jens Vogel-Claussen, Hans-Ulrich Kauczor
While the inauguration of national low dose computed tomographic (LDCT) lung cancer screening programs has started in the USA, other countries remain undecided, awaiting the results of ongoing trials. The continuous technical development achieved by stronger gradients, parallel imaging and shorter echo time has made lung magnetic resonance imaging (MRI) an interesting alternative to CT. For the detection of solid lesions with lung MRI, experimental and clinical studies have shown a threshold size of 3-4mm for nodules, with detection rates of 60-90% for lesions of 5-8mm and close to 100% for lesions of 8mm or larger...
September 16, 2016: European Journal of Radiology
Delphine L Chen, Mark L Schiebler, Jin Mo Goo, Edwin J R van Beek
Inflammatory lung disease is one of the most common clinical scenarios, and yet, it is often poorly understood. Inflammatory lung disorders, such as chronic obstructive pulmonary diseases, which are causing significant mortality and morbidity, have limited therapeutic options. Recently, new treatments have become available for pulmonary fibrosis. This review article will describe the new insights that are starting to be gained from positron emission tomography (PET) methods, by targeting molecular processes using dedicated radiotracers...
September 16, 2016: European Journal of Radiology
Felipe Couñago, Elia Del Cerro, Ana Aurora Díaz-Gavela, Francisco José Marcos, Manuel Recio, Israel Thuissard, David Sanz-Rosa, Karmele Olaciregui, María Mateo, Laura Cerezo
No abstract text is available yet for this article.
September 15, 2016: European Journal of Radiology
Geewon Lee, Ho Yun Lee, Hyunjin Park, Mark L Schiebler, Edwin J R van Beek, Yoshiharu Ohno, Joon Beom Seo, Ann Leung
With the development of functional imaging modalities we now have the ability to study the microenvironment of lung cancer and its genomic instability. Radiomics is defined as the use of automated or semi-automated post-processing and analysis of large amounts of quantitative imaging features that can be derived from medical images. The automated generation of these analytical features helps to quantify a number of variables in the imaging assessment of lung malignancy. These imaging features include: tumor spatial complexity, elucidation of the tumor genomic heterogeneity and composition, subregional identification in terms of tumor viability or aggressiveness, and response to chemotherapy and/or radiation...
September 10, 2016: European Journal of Radiology
Miranda Kirby, Edwin J R van Beek, Joon Beom Seo, Juergen Biederer, Yasutaka Nakano, Harvey O Coxson, Grace Parraga
While the recent development of quantitative imaging methods have led to their increased use in the diagnosis and management of many chronic diseases, medical imaging still plays a limited role in the management of chronic obstructive pulmonary disease (COPD). In this review we highlight three pulmonary imaging modalities: computed tomography (CT), magnetic resonance imaging (MRI) and optical coherence tomography (OCT) imaging and the COPD biomarkers that may be helpful for managing COPD patients. We discussed the current role imaging plays in COPD management as well as the potential role quantitative imaging will play by identifying imaging phenotypes to enable more effective COPD management and improved outcomes...
August 28, 2016: European Journal of Radiology
Annemarie M den Harder, Jelmer M Wolterink, Martin J Willemink, Arnold M R Schilham, Pim A de Jong, Ricardo P J Budde, Hendrik M Nathoe, Ivana Išgum, Tim Leiner
PURPOSE: To determine the effect of model-based iterative reconstruction (IR) on coronary calcium quantification using different submillisievert CT acquisition protocols. METHODS: Twenty-eight patients received a clinically indicated non contrast-enhanced cardiac CT. After the routine dose acquisition, low-dose acquisitions were performed with 60%, 40% and 20% of the routine dose mAs. Images were reconstructed with filtered back projection (FBP), hybrid IR (HIR) and model-based IR (MIR) and Agatston scores, calcium volumes and calcium mass scores were determined...
November 2016: European Journal of Radiology
Atsushi Nambu, Jordan Zach, Joyce Schroeder, Gongyoung Jin, Song Soo Kim, Yu-Il Kim, Christina Schnell, Russell Bowler, David A Lynch
PURPOSE: To correlate currently available quantitative CT measurements for airway disease with physiological indices and the body-mass index, airflow obstruction, dyspnea, and exercise capacity (BODE) index in patients with chronic obstructive pulmonary disease (COPD). MATERIALS AND METHODS: This study was approved by our institutional review board (IRB number 2778). Written informed consent was obtained from all subjects. The subjects included 188 current and former cigarette smokers from the COPDGene cohort who underwent inspiratory and expiratory CT and also had physiological measurements for the evaluation of airflow limitation, including FEF25-75%, airway resistance (Raw), and specific airway conductance (sGaw)...
November 2016: European Journal of Radiology
Hythem Omar, Vikram Saini, Vibhor Wadhwa, George Liu, Avneesh Chhabra
The spring (plantar calcaneonavicular) ligament complex connects the calcaneus and navicular bone of the foot and serves as the primary static stabilizer of the medial longitudinal arch of the foot. In this article, we describe the normal anatomy of the spring ligament complex, illustrate 3T magnetic resonance imaging appearances in its normal and abnormal states, and discuss the pathological associations with relevant case examples.
November 2016: European Journal of Radiology
Yücel Korkusuz, Oscar Maximilian Mader, Wolfgang Kromen, Christian Happel, Shadi Ahmad, Daniel Gröner, Mithat Koca, Alexander Mader, Frank Grünwald, Hüdayi Korkusuz
OBJECTIVE: To evaluate if internally cooled microwave ablation (cMWA) is a safe and effective method for treatment of benign and malign thyroid nodules. METHODS: 9 patients with 11 symptomatic cold benign thyroid nodules and 1 recurrent thyroid carcinoma ranging in volume from 9.1 to 197ml (mean size 52± 57ml) were treated with cMWA. The mean age of the patients was 59 years. Pain during the treatment was measured on a 10-point scale. Side effects revealed by ultrasound or patients' complaints were documented...
November 2016: European Journal of Radiology
Roberto Sanz-Requena, Luis Martí-Bonmatí, Rosario Pérez-Martínez, Gracián García-Martí
PURPOSE: The aim of this work is to establish normality and tumor tissue ranges for perfusion parameters from dynamic contrast-enhanced (DCE) MR of the peripheral prostate at 3T and to compare the diagnostic performance of quantitative and semi-quantitative parameters. MATERIALS AND METHODS: Thirty-six patients with prostate carcinomas (18 Gleason-6, 15 Gleason-7, and 3 Gleason-8) and 33 healthy subjects were included. Image analysis workflow comprised four steps: manual segmentation of whole prostate and lesions, series registration, voxelwise T1 mapping and calculation of pharmacokinetic and semi-quantitative parameters...
November 2016: European Journal of Radiology
Chuan Peng, Long-Zhong Liu, Wei Zheng, Yan-Jun Xie, Yong-Hong Xiong, An-Hua Li, Xiao-Qing Pei
OBJECTIVE: To evaluate the feasibility of quantitative contrast-enhanced ultrasonography (CEUS) for predicting and assessing cervical tumor response to neoadjuvant chemotherapy (NACT). METHODS: Thirty-eight cases with stage IB2 or IIA cervical cancer were studied using CEUS before and after one cycle of NACT. The quantitative CEUS parameters maximum intensity (IMAX), rise time (RT), time to peak (TTP), and mean transit time (MTT) were compared between cervical tumors and myometrium (reference zone) using Sonoliver software...
November 2016: European Journal of Radiology
X Wang, T Henzler, J Gawlitza, S Diehl, T Wilhelm, S O Schoenberg, Z Y Jin, H D Xue, A Smakic
PURPOSE: Dynamic volume perfusion CT (dVPCT) provides valuable information on tissue perfusion in patients with hepatocellular carcinoma (HCC) and pancreatic cancer. However, currently dVPCT is often performed in addition to conventional CT acquisitions due to the limited morphologic image quality of dose optimized dVPCT protocols. The aim of this study was to prospectively compare objective and subjective image quality, lesion detectability and radiation dose between mean temporal arterial (mTA) and mean temporal portal venous (mTPV) images calculated from low dose dynamic volume perfusion CT (dVPCT) datasets with linearly blended 120-kVp arterial and portal venous datasets in patients with HCC and pancreatic cancer...
November 2016: European Journal of Radiology
Andrew S Wilmot, Alexander T Ruutiainen, Prashant T Bakhru, Mark E Schweitzer, Nogah Shabshin
OBJECTIVE: Primary: to describe the presence and pattern of soft tissue edema in subchondral insufficiency fractures of the knee (SIFK). Secondary: to investigate the gender distribution and identify factors associated with disease progression. METHODS: MR images of 74 SIFKs in 74 patients were retrospectively reviewed for soft tissue edema presence and location, meniscal tears and extrusion and synovitis. The clinical records were reviewed for age, gender, and BMI...
November 2016: European Journal of Radiology
Dong Ho Lee, Jae Young Lee, Joon Koo Han
PURPOSE: To explore whether superb microvascular imaging (SMI) technology could be helpful for the evaluation of hepatic tumors. MATERIALS AND METHODS: Our institutional review board approved this study, and informed consent was obtained from all of the patients. Twenty-three patients with 29 hepatic tumors were enrolled in our study. The tumors consisted of hemangiomas (n=15), focal nodular hyperplasias (FNHs) (n=7), and hepatocellular carcinomas (n=7). All lesions were pathologically (n=2) or radiologically (n=27) confirmed...
November 2016: European Journal of Radiology
Yongyan Gao, Ping Liang, Xiaoling Yu, Jie Yu, Zhigang Cheng, Zhiyu Han, Shaobo Duan, Hui Huang
PURPOSE: To evaluate the efficacy and safety of ultrasound (US)-guided percutaneous microwave ablation (MWA) for renal cell carcinoma (RCC) adjacent to renal sinus. MATERIALS AND METHODS: This retrospective study included 41 patients who underwent US-guided percutaneous MWA of 41 RCCs adjacent to the renal sinus from April 2006 to December 2015. Contrast-enhanced images of US and computed tomography (CT) or magnetic resonance (MR) imaging were performed at pre-ablation and 1day, 1 month, 3 months, and every 6 months after ablation...
November 2016: European Journal of Radiology
Imane El Sanharawi, Jean-Michel Correas, Ludivine Glas, Sophie Ferlicot, Vincent Izard, Béatrice Ducot, Marie-France Bellin, Gérard Benoît, Laurence Rocher
PURPOSE: To evaluate qualitative, semi-quantitative, and quantitative parameters obtained by dynamic contrast-enhanced (DCE)-MRI for the characterization of histologically proven, non-palpable, incidentally found intratesticular tumors. MATERIALS AND METHODS: From 2006 to 2014, we included men with non-palpable, incidentally found testicular tumors on ultrasound, normal tumoral marker levels,referred for surgery. DCE-MRI data were analyzed retrospectively and independently by two radiologists blinded to the histological diagnosis...
November 2016: European Journal of Radiology
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