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Acta Radiologica

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https://www.readbyqxmd.com/read/28286979/the-value-of-preoperative-computed-tomography-combined-with-ultrasound-in-the-investigation-of-small-indeterminate-liver-lesions-in-patients-with-colorectal-cancer
#1
Mirna Abraham-Nordling, Emma Öistämö, Thomas Josephson, Fredrik Hjern, Lennart Blomqvist
Background Computed tomography (CT) is used routinely for the preoperative detection of colorectal cancer (CRC) metastases. When small indeterminate focal liver lesions are detected that are too small to characterize (TSTC) on CT, additional imaging is usually needed, resulting in a potential delay in obtaining a complete diagnostic work-up. Purpose To determine the diagnostic accuracy of ultrasound (US) of the liver performed in direct conjunction to CT in the preoperative investigation among patients with newly diagnosed CRC when indeterminate liver lesions were found on CT...
November 2017: Acta Radiologica
https://www.readbyqxmd.com/read/28273748/the-effects-of-uterine-artery-embolization-with-a-new-degradable-microsphere-in-an-experimental-study
#2
Johan Bengtsson, Wojciech Cwikiel, Pia C Sundgren, Erika Karlstam, Dolores Gavier-Widén, Inger Keussen
Background Transarterial particle embolization is a common treatment of uterine fibroids, aiming to obtain ischemia resulting in shrinking of the fibroid with preservation of normal uterine tissue. Embolization with non-degradable microspheres is established, but causes permanent occlusion of the arteries, affecting both the uterus as well as the fibroids. Purpose To evaluate in vivo degradation, local tissue effects, and possible recanalization following intra-arterial deposition of the new, degradable starch microspheres (DSM), in a short-term experimental pilot study...
November 2017: Acta Radiologica
https://www.readbyqxmd.com/read/28273747/histogram-analysis-of-volume-based-apparent-diffusion-coefficient-in-breast-cancer
#3
Ga Eun Park, Sung Hun Kim, Eun Jeong Kim, Bong Joo Kang, Mi Sun Park
Background Breast cancer is a heterogeneous disease. Recent studies showed that apparent diffusion coefficient (ADC) values have various association with tumor aggressiveness and prognosis. Purpose To evaluate the value of histogram analysis of ADC values obtained from the whole tumor volume in invasive ductal cancer (IDC) and ductal carcinoma in situ (DCIS). Material and Methods This retrospective study included 201 patients with confirmed DCIS (n = 37) and IDC (n = 164). The IDC group was divided into two groups based on the presence of a DCIS component: IDC-DCIS (n = 76) and pure IDC (n = 88)...
November 2017: Acta Radiologica
https://www.readbyqxmd.com/read/28273745/histogram-analysis-of-apparent-diffusion-coefficient-for-monitoring-early-response-in-patients-with-advanced-cervical-cancers-undergoing-concurrent-chemo-radiotherapy
#4
Jie Meng, Lijing Zhu, Li Zhu, Yun Ge, Jian He, Zhengyang Zhou, Xiaofeng Yang
Background Apparent diffusion coefficient (ADC) histogram analysis has been widely used in determining tumor prognosis. Purpose To investigate the dynamic changes of ADC histogram parameters during concurrent chemo-radiotherapy (CCRT) in patients with advanced cervical cancers. Material and Methods This prospective study enrolled 32 patients with advanced cervical cancers undergoing CCRT who received diffusion-weighted (DW) magnetic resonance imaging (MRI) before CCRT, at the end of the second and fourth week during CCRT and one month after CCRT completion...
November 2017: Acta Radiologica
https://www.readbyqxmd.com/read/28273743/periradicular-infiltration-of-the-lumbar-spine-testing-the-robustness-of-an-interventional-ultra-low-dose-protocol-at-different-body-mass-index-levels
#5
Fabian Henry Jürgen Elsholtz, Lars-Arne Schaafs, Thorsten Köhlitz, Bernd Hamm, Stefan Markus Niehues
Background Computed tomography (CT)-guided periradicular infiltration remains a frequent interventional procedure for treatment of low back pain. Purpose To present an interventional ultra-low-dose protocol for CT-guided periradicular infiltration therapy and assess its application at different body mass index (BMI) levels. Material and Methods Over a period of 14 months, 79 patients underwent 183 CT-guided interventions for single-site lumbar periradicular therapy using an ultra-low-dose protocol with a basic setup of 100 kV and 5 mAs...
November 2017: Acta Radiologica
https://www.readbyqxmd.com/read/28273742/n-butyl-2-cyanoacrylate-nbca-embolus-in-the-graft-portal-vein-after-portosystemic-collateral-embolization-in-liver-transplantation-recipient-what-is-the-clinical-significance
#6
Hye Young Jang, Kyoung Won Kim, Jae Hyun Kwon, Heon-Ju Kwon, Bohyun Kim, Nieun Seo, Jeongjin Lee, Gi-Won Song, Sung-Gyu Lee
Background An N-butyl-2 cyanoacrylate (NBCA) embolus in the graft portal vein was frequently observed after an intraoperative embolization of portosystemic collaterals performed to prevent portal steal in liver transplant (LT) recipients. The radiological and clinical features of NBCA emboli have not yet been described. Purpose To describe radiological and clinical features of NBCA embolus in graft portal vein after portosystemic collateral embolization in LT recipients. Material and Methods A total of 165 consecutive LT recipients who had undergone intraoperative NBCA embolization of varix were found in single institution's computerized databases of a clinical cohort of LT...
November 2017: Acta Radiologica
https://www.readbyqxmd.com/read/28273741/endovascular-management-for-significant-iatrogenic-portal-vein-bleeding
#7
Jong Woo Kim, Ji Hoon Shin, Jonathan K Park, Hyun-Ki Yoon, Gi-Young Ko, Dong Il Gwon, Jin Hyoung Kim, Kyu-Bo Sung
Background Despite conservative treatment, hemorrhage from an intrahepatic branch of the portal vein can cause hemodynamic instability requiring urgent intervention. Purpose To retrospectively report the outcomes of hemodynamically significant portal vein bleeding after endovascular management. Material and Methods During a period of 15 years, four patients (2 men, 2 women; median age, 70.5 years) underwent angiography and embolization for iatrogenic portal vein bleeding. Causes of hemorrhage, angiographic findings, endovascular treatment, and complications were reported...
November 2017: Acta Radiologica
https://www.readbyqxmd.com/read/28273740/automatic-image-fusion-of-real-time-ultrasound-with-computed-tomography-images-a-prospective-comparison-between-two-auto-registration-methods
#8
COMPARATIVE STUDY
Dong Ik Cha, Min Woo Lee, Ah Yeong Kim, Tae Wook Kang, Young-Taek Oh, Ja-Yeon Jeong, Jung-Woo Chang, Jiwon Ryu, Kyong Joon Lee, Jaeil Kim, Won-Chul Bang, Dong Kuk Shin, Sung Jin Choi, Dalkwon Koh, Bong Koo Seo, Kyunga Kim
Background A major drawback of conventional manual image fusion is that the process may be complex, especially for less-experienced operators. Recently, two automatic image fusion techniques called Positioning and Sweeping auto-registration have been developed. Purpose To compare the accuracy and required time for image fusion of real-time ultrasonography (US) and computed tomography (CT) images between Positioning and Sweeping auto-registration. Material and Methods Eighteen consecutive patients referred for planning US for radiofrequency ablation or biopsy for focal hepatic lesions were enrolled...
November 2017: Acta Radiologica
https://www.readbyqxmd.com/read/28273739/dual-energy-ct-with-virtual-monochromatic-images-and-metal-artifact-reduction-software-for-reducing-metallic-dental-artifacts
#9
Jihoon Cha, Hyung-Jin Kim, Sung Tae Kim, Yi Kyung Kim, Ha Youn Kim, Gyeong Min Park
Background Metallic dental prostheses may degrade image quality on head and neck computed tomography (CT). However, there is little information available on the use of dual-energy CT (DECT) and metal artifact reduction software (MARS) in the head and neck regions to reduce metallic dental artifacts. Purpose To assess the usefulness of DECT with virtual monochromatic imaging and MARS to reduce metallic dental artifacts. Material and Methods DECT was performed using fast kilovoltage (kV)-switching between 80-kV and 140-kV in 20 patients with metallic dental prostheses...
November 2017: Acta Radiologica
https://www.readbyqxmd.com/read/28194993/preoperative-prediction-of-papillary-thyroid-microcarcinoma-via-multiparameter-ultrasound
#10
Hui Juan Ma, Jing Chun Yang, Zhen Peng Leng, Ying Chang, Hua Kang, Liang Hong Teng
Background Accurate diagnosis of papillary thyroid microcarcinoma (PTMC) is important for further management. Ultrasound (US) is the most frequently used imaging modality for PTMC. Purpose To evaluate the diagnostic value of conventional US, contrast-enhanced ultrasound (CEUS) and real-time elastography (RTE) for patients with PTMC. Material and Methods In total, 135 patients with subcentimeter thyroid nodules who underwent conventional US, CEUS, and RTE before surgery were enrolled. A multivariate logistic regression analysis was performed to assess the independent predictors of PTMC...
November 2017: Acta Radiologica
https://www.readbyqxmd.com/read/28181466/microstructures-in-striato-thalamo-orbitofrontal-circuit-in-methamphetamine-users
#11
Yadi Li, Haibo Dong, Feng Li, Gaoyan Wang, Wenhua Zhou, Rongbin Yu, Lingjun Zhang
Background Striato-thalamo-orbitofrontal (STO) circuit plays a key role in the development of drug addiction. Few studies have investigated its microstructural abnormalities in methamphetamine (MA) users. Purpose To evaluate the microstructural changes and relevant clinical relevance of the STO circuit in MA users using diffusion tensor imaging (DTI). Material and Methods Twenty-eight MA users and 28 age-matched normal volunteers were enrolled. 3T magnetic resonance imaging (MRI) was employed to obtain structural T1-weighted (T1W) imaging and diffusion-tensor imaging (DTI) data...
November 2017: Acta Radiologica
https://www.readbyqxmd.com/read/28181465/the-effect-of-ulnar-variance-on-scapholunate-and-capitolunate-angles
#12
Ozgur Tosun, Atilla Hikmet Çilengir, Berna Dirim Mete, Muhsin Engin Uluc, Orhan Oyar, Aliye Tosun
Background Ulnar variance (UV), which is measured using anteroposterior (AP) X-rays, is associated with the development of multiple wrist pathologies. The scapholunate angle (SLA) and capitolunate angle (CLA) are measured using lateral X-rays, and these can be used in the diagnosis of intercalated segmental instability. Purpose To determine the effect of UV on SLA and CLA. Material and Methods A total of 140 patients (73 women, 67 men; mean age, 37.8 ± 14.6 years; 95% confidence interval [CI], 35.4-40...
November 2017: Acta Radiologica
https://www.readbyqxmd.com/read/28173725/contrast-enhanced-ultrasound-using-sulfur-hexafluoride-is-safe-in-the-pediatric-setting
#13
Alvaro Torres, Seppo K Koskinen, Henrik Gjertsen, Björn Fischler
Background Contrast-enhanced ultrasound (CEUS) by using sulfur hexafluoride microbubbles is not licensed for use in children, but its off-label use is widespread. Purpose To outline our experience with the off-label use of CEUS in children, specifically with regards to safety. Material and Methods We retrieved all records of 10681 patients aged under 18 years who underwent abdominal ultrasound (US) January 2004 to December 2014. We then identified those who underwent an abdominal CEUS using sulfur hexafluoride microbubbles...
November 2017: Acta Radiologica
https://www.readbyqxmd.com/read/28165290/improved-fat-suppression-homogeneity-with-mdixon-turbo-spin-echo-tse-in-pediatric-spine-imaging-at-3-0%C3%A2-t
#14
Amber L Pokorney, Jonathan M Chia, Cory M Pfeifer, Jeffrey H Miller, Houchun H Hu
Background Robust fat suppression remains essential in clinical MRI to improve tissue signal contrast, minimize fat-related artifacts, and enhance image quality. Purpose To compare fat suppression between mDIXON turbo spin echo (TSE) and conventional frequency-selective and inversion-recovery methods in pediatric spine MRI. Material and Methods Images from T1-weighted (T1W) and T2-weighted (T2W) TSE sequences coupled with conventional methods and the mDIXON technique were compared in 36 patients (5.8 ± 5...
November 2017: Acta Radiologica
https://www.readbyqxmd.com/read/28132530/computed-tomography-lymphangiography-findings-in-27-cases-of-lymphangioleiomyomatosis
#15
Chunyan Zhang, Xiaobai Chen, Tingguo Wen, Qijin Zhang, Meng Huo, Jian Dong, Wen-Bin Shen, Rengui Wang
Background Lymphangioleiomyomatosis (LAM) is a rare disease involving the bronchi, lymphatic vessels, and veins. However, there are few reports about lymphatic vessel abnormalities associated with LAM. Purpose To evaluate computed tomography (CT) lymphangiography findings in cases of LAM, especially lymphatic vessel abnormalities. Material and Methods Twenty-seven patients with LAM underwent direct lymphangiography (DLG), followed by a post-procedural thoracoabdominal CT examination. Results All 27 patients were diagnosed with LAM, including 25 (93%) with chylothorax, eight (30%) with chyloperitoneum, seven (26%) with chylous fluid in the chest and abdomen, and one (4%) with lower-limb lymphedema...
November 2017: Acta Radiologica
https://www.readbyqxmd.com/read/28090792/cerebral-schistosomiasis-diffusion-weighted-imaging-helps-to-differentiate-from-brain-glioma-and-metastasis
#16
Jinbai Huang, Jing Luo, Jie Peng, Tao Yang, Huanghua Zheng, Chunping Mao
Background Diffusion-weighted imaging (DWI) was introduced into clinical use some years ago. However, its use in the diagnosis of cerebral schistosomiasis has not been reported. Purpose To investigate the ability of the apparent diffusion coefficient (ADC) value of DWI in the diagnosis of cerebral schistosomiasis, and to differentiate it from brain high-grade gliomas and metastasis. Material and Methods Conventional brain MRI with pre-contrast, post-contrast, and DWI was performed on 50 cases of cerebral schistosomiasis, high-grade glioma, and brain metastasis...
November 2017: Acta Radiologica
https://www.readbyqxmd.com/read/28350255/diagnostic-performance-of-breast-ultrasonography-and-mri-in-the-prediction-of-lymph-node-status-after-neoadjuvant-chemotherapy-for-breast-cancer
#17
Su Min Ha, Joo Hee Cha, Hak Hee Kim, Hee Jung Shin, Eun Young Chae, Woo Jung Choi
Background Neoadjuvant chemotherapy (NAC) is widely used to treat breast cancer. Sentinel lymph node biopsy has replaced axillary lymph node dissection in patients who convert to node-negative status after NAC. However, few studies have evaluated the diagnostic performance of ultrasonography and magnetic resonance imaging (MRI) in determining axillary lymph node status after NAC. Purpose To evaluate the diagnostic performance of breast ultrasonography and MRI in determining residual metastatic axillary lymph node status after NAC for breast cancer and to identify histopathological factors affecting radiological performance...
October 2017: Acta Radiologica
https://www.readbyqxmd.com/read/28347158/effective-dose-in-low-dose-ct-compared-with-radiography-for-templating-of-total-hip-arthroplasty
#18
Mats Geijer, Gustav Rundgren, Lars Weber, Gunnar Flivik
Background Recently, total hip arthroplasty (THA) has come to focus on restoration of individual anatomy including femoral neck anteversion and global offset (femoral and acetabular offset). Three-dimensional (3D) computed tomography (CT) data could provide a better basis for preoperative templating. The use of CT has been hampered by high radiation dose. Purpose To evaluate the effective dose used in pelvis and hip CT for THA templating. Material and Methods CT data from two clinical trials of THA were evaluated for CT scan length and volume CT dose index (CTDIvol)...
October 2017: Acta Radiologica
https://www.readbyqxmd.com/read/28273744/the-influence-of-diffusion-gradient-direction-on-diffusion-weighted-imaging-of-breast-mass-like-lesions-at-3-0t
#19
Feifei Yao, Ying Li, Yunfei Xiao, Dandan Zheng, Yan Zhang, Jingliang Cheng
Background It has been challenging to achieve ideal breast diffusion-weighted imaging (DWI). The optimization of diffusion gradient direction is of great importance. Purpose To evaluate the effect of diffusion gradient direction on the apparent diffusion coefficient (ADC) values of breast mass-like lesions and the visual grades of image quality, lesion visibility, and sharpness of breast contour at 3.0T. Material and Methods Sixty consecutive patients with mass-like lesions were enrolled in this study. In addition to typical breast magnetic resonance imaging (MRI) protocols, the breasts were scanned with conventional orthogonal DWI (c-DWI), tetrahedral DWI (t-DWI), and 3in1 DWI (3in1-DWI) sequences...
October 2017: Acta Radiologica
https://www.readbyqxmd.com/read/28173727/differentiation-of-ductal-carcinoma-in-situ-versus-fibrocystic-changes-by-magnetic-resonance-imaging-are-there-pathognomonic-imaging-features
#20
COMPARATIVE STUDY
Matthias Dietzel, Clemens G Kaiser, Evelyn Wenkel, Paola Clauser, Michael Uder, Rüdiger Schulz-Wendtland, Pascal At Baltzer
Background In breast magnetic resonance imaging (MRI), the diagnosis of ductal carcinoma in situ (DCIS) remains controversial; the most challenging cause of false-positive DCIS diagnosis is fibrocystic changes (FC). Purpose To search for typical and pathognomonic patterns of DCIS and FC using a standard clinical MRI protocol. Material and Methods Consecutive patients scheduled for breast MRI (standardized protocols @ 1.5T: dynamic-T1-GRE before/after Gd-DTPA [0.1 mmol/kg body weight (BW)]; T1-TSE), with subsequent pathological sampling, were investigated...
October 2017: Acta Radiologica
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