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Japanese Journal of Radiology

Yusuke Ito, Ikuo Yamazaki, Yoichi Kikuchi, Eri O'uchi, Toshihiro O'uchi, Hiroaki Kato, Kazuki Hotta
Recognizing imaging characteristics after ophthalmic surgery is necessary for radiologists to prevent misdiagnosis. We review typical appearances of intraorbital implanted devices and materials on CT and MRI with demonstration of the common surgical procedures. EX-PRESS glaucoma filtration devices appear as punctate areas of metal attenuation on CT and are typically placed at the corneoscleral junction. The imaging manifestations after cataract extraction are absence of the native lens of ovoid mass and the intraocular lens with high attenuation on CT and low signal intensity on MRI...
October 13, 2016: Japanese Journal of Radiology
Berna A Yildirim, Cem Onal, Yemliha Dolek
PURPOSE: To compare soft-tissue cone-beam computed tomography (CBCT-P) and fiducial marker (CBCT-FM)-based image guided radiotherapy in prostate cancer patients. MATERIALS AND METHODS: Sixteen prostate cancer patients were treated with volumetric modulated arc therapy. Manual alignment using CBCT-P and CBCT-FM was performed for each patient. Couch shifts were calculated and compared between methods in the left-right (x), superior-inferior (y), and anterior-posterior (z) directions...
October 11, 2016: Japanese Journal of Radiology
Mitsutoshi Miyasaka, Daisuke Tsurumaru, Yusuke Nishimuta, Yoshiki Asayama, Satoshi Kawanami, Eiji Oki, Minako Hirahashi, Hiroshi Honda
OBJECTIVE: To investigate the feasibility of diagnosing the invasion depth of early colorectal cancer (CRC) by quantitatively evaluating the basal indentation (BI)-i.e., the intestinal lateral deformity-in CT colonography (CTC). MATERIALS AND METHODS: 34 early CRCs (13 Tis CRCs and 21 T1 CRCs) in 32 patients who underwent a preoperative CTC were retrospectively examined. Two radiologists calculated the depth of the BI on a computed tomographic air-contrast enema (CT enema) image, the depth of the BI due to the geometric function (BI-G) on a cross-sectional multiplanar reconstruction (CS-MPR) image, and the ratio of the BI to the BI-G (i...
October 7, 2016: Japanese Journal of Radiology
Mohammad Zare Mehrjardi, Elham Keshavarz, Andrea Poretti, Adriano N Hazin
Zika virus (ZIKV) is an arbovirus from the Flaviviridae family. It is usually transmitted by mosquito bite. There have been no reports of severe symptoms caused by ZIKV infection up until the last few years. In October 2013 an outbreak was reported in French Polynesia with severe neurological complications in some affected cases. In November 2015, the Ministry of Health of Brazil attributed the increased number of neonatal microcephaly cases in northeastern Brazil to congenital ZIKV infection. The rapid spread of the virus convinced the World Health Organization to announce ZIKV infection as a "Public Health Emergency of International Concern" in February 2016...
October 6, 2016: Japanese Journal of Radiology
Shirou Ishii, Takamitsu Hara, Takeyuki Nanbu, Hiroki Suenaga, Shigeyasu Sugawara, Daichi Kuroiwa, Hirofumi Sekino, Masayuki Miyajima, Hitoshi Kubo, Noboru Oriuchi, Hiroshi Ito
Although PET/MRI has the advantages of a simultaneous acquisition of PET and MRI, high soft-tissue contrast of the MRI images, and reduction of radiation exposure, its low profitability and long acquisition time are significant problems in clinical settings. Thus, MRI protocols that meet oncological purposes need to be used in order to reduce examination time while securing detectability. Currently, half-Fourier acquisition single-shot turbo spin echo and 3D-T1 volumetric interpolated breath-hold examination may be the most commonly used sequences for whole-body imaging due to their shorter acquisition time and higher diagnostic accuracy...
October 6, 2016: Japanese Journal of Radiology
Fumihiro Tsubaki, Seiji Kurata, Shuji Nagata, Kiminori Fujimoto, Toshi Abe
Bone scintigraphy with technetium-99m ((99m)Tc)-labeled diphosphonates is one of the most frequently performed radionuclide procedures. Accumulation of (99m)Tc-labeled diphosphonate is well recognized to reflect conditions of accelerated bone turnover and metabolism. Therefore, it is a functional imaging modality for detecting metastatic bone tumors, metabolic bone disease, traumatic injury, and inflammation. This pictorial essay describes the possible patterns of distribution of abnormal uptake for differential diagnosis of metastatic bone tumor, as well as the diagnostic pitfalls of bone scintigraphy...
September 29, 2016: Japanese Journal of Radiology
Selcuk Demiral, Ferrat Dincoglan, Omer Sager, Hakan Gamsiz, Bora Uysal, Esin Gundem, Yelda Elcim, Bahar Dirican, Murat Beyzadeoglu
PURPOSE: While microsurgical resection plays a central role in the management of ACMs, extensive surgery may be associated with substantial morbidity particularly for tumors in intimate association with critical structures. In this study, we evaluated the use of HFSRT in the management of ACM. MATERIALS AND METHODS: A total of 22 patients with ACM were treated using HFSRT. Frameless image guided volumetric modulated arc therapy (VMAT) was performed with a 6 MV linear accelerator (LINAC)...
September 22, 2016: Japanese Journal of Radiology
Bin Xu, Guoping Jiang, Jingjing Ye, Jin He, Wangfang Xie
PURPOSE: To evaluate the renal cortex stiffness in children with glomerular disease by shear wave based elastography point quantification (ElastPQ), and to investigate the association between shear wave velocity (SWV) in the renal cortex and age in normal children, and the inter-gender differences. MATERIALS AND METHODS: One hundred and five children who were pathologically confirmed with glomerular diseases were selected as the disease group. Meanwhile, 120 healthy children were selected as the control group...
September 22, 2016: Japanese Journal of Radiology
Mitsuhiro Kinoshita, Katsuya Takechi, Seiji Iwamoto, Shoichiro Takao, Ryozo Shirono, Masafumi Harada
PURPOSE: To evaluate the usefulness of cone-beam computed tomography (CBCT) for monitoring the transcatheter arterial chemoembolization (TACE) of hepatocellular carcinomas supplied by the cystic artery. MATERIALS AND METHODS: In seven tumors (mean diameter: 19 mm), the iodized oil distributions in the tumor and gallbladder wall were evaluated by CBCT after injecting iodized oil emulsion (LipCBCT) through the cystic artery. Gelatin sponge particles were injected to completely obstruct the tumor-feeding vessel when iodized oil deposition was seen in less than one third of the wall circumference...
September 21, 2016: Japanese Journal of Radiology
Takuji Araki, Hiroki Okada, Hiroshi Onishi
PURPOSE: To evaluate the importance of selecting an appropriate catheter shape for the right adrenal vein (RAV) anatomy on CT to the success of right adrenal venous sampling (RAVS) by elucidating the interactions of anatomical factors with catheter shape. MATERIALS AND METHODS: 130 patients with enhanced CT underwent RAVS using two catheters: catheter 1 was planar and catheter 2 was a three-dimensional shape. The following anatomical factors on CT were evaluated in each patient: presence of a right adrenal tumor, presence of a common trunk with an accessory right hepatic vein, diameter of the RAV, short and long diameters of the IVC, ratio of the long to the short diameter of IVC, and the transverse, modified transverse, and vertical angles of the RAV...
September 20, 2016: Japanese Journal of Radiology
Shiro Onozawa, Satoru Murata, Takayoshi Kimura, Tatsuo Ueda, Fumie Sugihara, Daisuke Yasui, Hiroyuki Tajima
PURPOSE: To investigate how elevation of the arms affects diaphragm height. MATERIALS AND METHODS: We retrospectively reviewed angiography and computed tomography (CT) portography data from 44 patients who were treated for hepatocellular carcinoma at our institution from July 2013 to May 2014. Diaphragm height was determined independently by two radiologists as the distance from the upper edge of the first lumbar vertebra to the highest point of the right diaphragm...
September 9, 2016: Japanese Journal of Radiology
Katsumi Hirose, Masahiko Aoki, Mariko Sato, Hiroyoshi Akimoto, Yasuhiro Hashimoto, Atsushi Imai, Noritaka Kamimura, Hideo Kawaguchi, Yoshiomi Hatayama, Ichitaro Fujioka, Mitsuki Tanaka, Chikara Ohyama, Yoshihiro Takai
PURPOSE: The aim was to determine the dose-specific incidence and predictors of seed loss/migration after permanent seed implantation (PI) for localized prostate cancer. MATERIALS AND METHODS: The records of 79 patients with T1c-T3a prostate cancer who underwent prostate brachytherapy with loose iodine-125 seeds were retrospectively reviewed. Of these patients, 33 with low or intermediate risk underwent PI with the prescribed dose of 160 Gy for the clinical target volume (CTV), and 46 with high risk underwent PI with 110 Gy for the CTV followed by external beam radiotherapy (EBRT) with 45 Gy...
September 8, 2016: Japanese Journal of Radiology
Mika Hori, Hiroaki Onaya, Nobuyoshi Hiraoka, Taiki Yamaji, Hideaki Kobayashi, Mami Takahashi, Michihiro Mutoh, Kazuaki Shimada, Hitoshi Nakagama
PURPOSE: The purpose of this study was to evaluate the degree of fatty infiltration (FI) of the pancreas using area-based assessment on computed tomography (CT) (CT area-based assessment) in its correlation and agreement/concordance with histopathology-based assessment. Furthermore, we examined whether CT area-based assessment was better than CT attenuation index-based assessment. MATERIALS AND METHODS: We retrospectively evaluated the degree of FI of the pancreas in 37 pancreatic cancer patients who had undergone preoperative CT and pancreaticoduodenectomy...
October 2016: Japanese Journal of Radiology
Mehmet Burak Çildağ, Ömer Faruk Kutsi Köseoğlu, Hakan Akdam, Yavuz Yeniçerioğlu
OBJECTIVE: The aim of this article is to assess and compare the rate of primary patency achieved by drug-eluting balloon angioplasty (DEBA) and conventional balloon angioplasty (CBA) in hemodialysis arteriovenous fistula stenoses. METHODS: This retrospective study consists of 52 patients with significant arteriovenous fistulas stenoses who were treated with DEBA (n = 26) or CBA (n = 26) between January 2013 and January 2015. Only those patients with postprocedural technical and clinical success of 100 % were selected from the database...
October 2016: Japanese Journal of Radiology
Eri Hayashida, Toshinori Hirai, Hideo Nakamura, Masafumi Kidoh, Minako Azuma, Yasuhiko Iryo, Mika Kitajima, Seitaro Oda, Daisuke Utsunomiya, Takeshi Nakaura, Yasuyuki Yamashita
PURPOSE: To assess whether 320-section low-dose dynamic volume computed tomography (320-LDVCT) with adaptive iterative dose reduction (AIDR) adds value to 3-T MRI for the preoperative evaluation of brain tumors. METHODS: The study population was comprised of 16 consecutive patients with brain tumors who, in addition to preoperative 3-T MRI, underwent 320-LDVCT with AIDR. Two radiologists independently evaluated the CT and MRI studies; one measured the relative cerebral blood volume (rCBV) in the tumor and contralateral brain on CT and MR perfusion maps...
October 2016: Japanese Journal of Radiology
Shigeru Ehara, Shigeki Aoki, Hiroshi Honda
Because of the globalization of environment around the academic society, the expected roles have changed significantly. In this short communication, we present the current situation in our international activities of the Japan Radiological Society, particularly in the academic activities and clinical practice. Establishing and reinforcing international network is one process of their promotion.
October 2016: Japanese Journal of Radiology
Yun Ju Kim, Sung Hun Kim, Ah Won Lee, Min-Sun Jin, Bong Joo Kang, Byung Joo Song
PURPOSE: To evaluate the changes in the apparent diffusion coefficient (ADC) histogram during neoadjuvant chemotherapy (NAC) for breast cancer, and to compare the observed changes in pathologically verified responders and non-responders. MATERIALS AND METHODS: Sixty-two patients received NAC followed by surgery. Responders were defined by a tumor cell reduction of at least 30 % using the Miller-Payne grading system. All the patients underwent 3T magnetic resonance with diffusion-weighted imaging (b values of 0 and 750 s/mm(2)) before the NAC and after the completion of two cycles of NAC...
October 2016: Japanese Journal of Radiology
Kotaro Ouchi, Toru Sakuma, Makoto Kawai, Kunihiko Fukuda
PURPOSE: The aim of this study was to analyze the frequency and appearances of coronary sinus (CS) anomalies on cardiac computed tomography (CT) of adult patients and to compare them with transthoracic echocardiography (TTE) findings. METHODS: We retrospectively evaluated cardiac CT images for the presence of CS anomalies in 6936 adult patients who underwent imaging from April 1 2008 to March 31 2015 at our institution. We also reviewed and compared with TTE findings for the cases of CS anomalies...
October 2016: Japanese Journal of Radiology
Sarah Keller, Harald Ittrich, Christoph Schramm, Ansgar W Lohse, Michael Amling, Gerhard Adam, Jin Yamamura
PURPOSE: Osteodystrophy is a frequent complication in primary sclerosing cholangitis (PSC). The aim was to test the feasibility of vertebral bone diffusion-weighted imaging (DWI) in routine liver MRI for detection of osteoporosis using dual-energy X-ray absorptiometry (DXA) as gold standard. MATERIALS AND METHODS: Forty PSC patients (50 ± 12.6 years) and ten controls (49.5 ± 13.0 years) were scanned using a DWI spin echo echo-planar sequence (b-factors 0-800 s/mm(2)) on a 3-T MRI system and DXA (76 kVp)...
October 2016: Japanese Journal of Radiology
Ken Nakajima, Takashi Yamanaka, Atsuhiro Nakatsuka, Takaki Haruyuki, Masashi Fujimori, Yuichi Sugino, Naritaka Matsushita, Hajime Sakuma, Shuji Isaji, Yoshiyuki Takei, Koichiro Yamakado
PURPOSE: To retrospectively evaluate the clinical utility of radiofrequency ablation (RFA) following transarterial injection of miriplatin-iodized oil suspension (MPT-RFA) for hepatocellular carcinoma treatment. MATERIALS AND METHODS: We evaluated clinical outcomes of MPT-RFA for three or fewer hepatocellular carcinomas. Twenty-one patients with 30 tumors (maximum diameter: mean 1.4 ± 0.4 cm, range 0.7-2.2 cm) received MPT-RFA. RESULTS: Nineteen patients (90...
September 2016: Japanese Journal of Radiology
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