CLINICAL IMAGING

Impact of breast MRI on the surgical management of young women with breast cancer
Erguven T, Akiska YM, Arafat A and Brem R
This study evaluates the impact of preoperative breast MRI on surgical management in young women diagnosed with breast cancer.
The lumbosacral plexus: Anatomy, clinical imaging, and proof-of-concept insights with ultra-high-field 7 Tesla MRI
Beutler BD, Chan J, Tsuruda J, Wang DJ, Chin CT, Patel DB, Gevorkian M and Rajagopalan P
The lumbosacral plexus is the human neural network that provides motor and sensory innervation to the pelvis and lower extremities. Injury to the lumbosacral plexus may result due to trauma, compression, diabetes, infection, inflammation, or demyelination. Patients may present with persistent or progressive pain, paresthesia, or paresis. A diagnosis can typically be established based on correlation of clinical history, physical examination, and electromyography. However, although conventional diagnostic modalities provide vital functional information pertaining to motor unit activity and muscle response, it is often challenging to localize lesions and identify specific structural or intrinsic causes of nerve injury. Magnetic resonance neurography harnesses high-resolution imaging to delineate pathology of the lumbosacral plexus and identify sources of nerve compression, fascicular thickening, and inflammation that may be implicated in peripheral neuropathy. In this narrative review, we detail the anatomy of the lumbosacral plexus, describe common and uncommon neuropathology, summarize our early-stage investigation of lumbosacral plexus imaging using ultra-high-field 7 Tesla MRI. In addition, we provide case examples from our institutions that illustrate the value of magnetic resonance neurography for diagnosing lumbosacral plexus pathology and developing individualized treatment strategies.
Investigation of the relationship between background parenchymal enhancement and breast cancer using 3.0 Tesla magnetic resonance imaging
Sekmen S, Hursoy N, Panc K and Tascı F
This study aims to explore the correlation between background parenchymal enhancement (BPE) observed in breast magnetic resonance imaging (MRI) and the presence of breast cancer.
Adrenal vein sampling with continuous infusion of cosyntropin for identifying surgically curable cases of primary aldosteronism
Liu L, Trivedi P, Marchak K, Ho B, da Silva HN, Selph C, Hughes M and Casadaban L
Cosyntropin (ACTH) bolus stimulation prior to adrenal vein sampling (AVS) increases sampling selectivity but reduces sensitivity for lateralization, predictive of surgical cure. We examined effectiveness of an alternative continuous cosyntropin stimulation, without bolus, specifically via rates of sampling adequacy, lateralization, and surgical cure among patients with primary hyperaldosteronism.
Clinical value and cost effectiveness of FFR-CT in guiding revascularization and predicting major adverse cardiac events: A meta-analysis
Alabdullah AA, Marey A, Li Y, Jha S, Rogers C, Abdulla J and Umair M
To assess the clinical value of FFR-CT (Computed Tomography Fractional Flow Reserve) in guiding revascularization, predicting major adverse cardiac events (MACE), and conducting a cost-effectiveness analysis in patients with low-to-moderate risk coronary artery disease.
Design and implementation of a patient management system for coordination of theranostics care at a major referral center
Kako B, Strand ET, White MM, Carroll C, Seaman K, McCullough S, O'Shea A, Kaiser JA, Stanford L, Esfahani SA, Mahmood U, Heidari P and Ng TSC
Evolution of Medicare/Medicaid imaging reimbursements from 2003 to 2025
Huang A, Pirasteh A and Reeder S
Cost often weighs heavily in a physician's decision to request a diagnostic imaging exam. Further, the reimbursement for shortened, i.e. focused or abbreviated MRI exams is currently undefined at a systematic level. The purpose of this study is to examine the reimbursement of common imaging exams, as a surrogate for cost, and its evolution over the past two decades to frame a discussion on the appropriate reimbursement for both focused and abbreviated MRI exams.
Amplifying signal-to-noise: Responsible use of large language models in radiology publishing
Song AS, Masutani EM, Tejani AS and Retson TA
Diagnostic accuracy and limitations of intravoxel incoherent motion diffusion-weighted imaging for differentiating breast tumors: A systematic review and meta-analysis
Lahooti A, Farahani S, Stait-Gardner T, De Deene Y, Moses D, Pham TT and Price WS
Breast cancer diagnosis relies on early detection and accurate subtype identification. This meta-analysis evaluated Diffusion-weighted imaging (DWI) and Intravoxel incoherent motion (IVIM)-DWI techniques for differentiating breast lesions, focusing on sensitivity, specificity, and limitations, to address inconsistencies and enhance diagnostic reliability.
Inappropriate use of oncological F-FDG PET/CT scans: A cross-sectional analysis of prevalence and associated factors
Xiong Y, Deng K, Cui F, Li L, Tian R, Ren Y and Li Q
To examine the prevalence of inappropriate F-FDG PET/CT use in oncological patients and associated factors.
Diagnostic value of grayscale inversion imaging for detecting difficult cases of pulmonary nodules
Mai M, Baird G, Dietsche E, Healey T, Atalay M and Agarwal S
This study evaluates the utility of gray-scale inversion imaging for the detection of pulmonary nodules on chest radiography, which are often difficult to appreciate in traditional imaging.
Creating a dedicated radionuclide therapy clinic and leveraging telemedicine to increase access to radiopharmaceutical therapies
O'Brien SR, Pantel AR, Taunk N, Mankoff D, Gray D and Mulugeta P
Comment on "common applications of noncosmetic dermatologic sonography: A comprehensive overview" - expanding the role of bedside ultrasound in dermatology: The Australian experience in hidradenitis suppurativa
Sarsam S, Varey A, Truong K, Fernandez-Penas P and Smith A
Limited performance of ChatGPT-4v and ChatGPT-4o in image-based core radiology cases
Noy Achiron R, Kagasov S, Neeman R, Peri T and Fenton C
Large language models such as ChatGPT have shown potential in clinical reasoning and radiologic interpretation. Recent versions with image-analysing capabilities allow for combined visual and textual processing. This study aims to assess the performance and limitations of ChatGPT-4v and ChatGPT-4o in interpreting image-based multiple-choice questions from official national radiology board examinations, which are designed to reflect core radiologic scenarios.
Node-RADS score on CT imaging predicts lymph node metastasis and survival in renal cell carcinoma: A multicenter diagnostic study
Gu D, Shen C, Zhu H, Chen J, Gu Z, Chang J and Zheng B
To evaluate the diagnostic performance of Node-RADS for assessing regional lymph node metastasis (RLNM) in renal cell carcinoma (RCC) by computed tomography (CT) and explore its prognostic value.
Advantages of intravascular ultrasound guidance for TIPS: Systematic review of the literature and a single institution propensity score-matched study
Kola O, Pudar N, Shah Y, Ayyappan S, Bahramipour T, Kumar A and Shukla P
Systematically review safety and efficacy of intravascular ultrasound (IVUS)-guided transjugular intrahepatic portosystemic shunt (TIPS) (iTIPS) and to evaluate outcomes following conventional TIPS (cTIPS) versus iTIPS in propensity score-matched patients.
Extramammary metastases to the breast: Radiologic and histologic review
Sasiponganan C, Scoggins ME, Arjmandi FK, Ozcan BB, Seiler SJ, Hwang H and Dogan BE
Extramammary metastases to the breast are extremely rare and vary widely in their clinical and imaging features. Diagnosis may be challenging as lesions can mimic both primary breast cancer as well as benign breast lesions. The goal of this review is to describe the radiologic and pathologic features of the most common primary tumors that metastasize to the breast including lymphoma, melanoma, lung carcinoma, gynecologic carcinoma and sarcomas.
Response to "Beyond readability: Toward empathetic patient-friendly radiology reports"
Prucker P and Adams LC
The importance of FDG avidity in incidental thyroid nodules on FDG PET/CT
Abdulrezzak U, Temizer E and Tutus A
The aim of this study was to determine the relationship between fluoro 2-deoxy-d-glucose (FDG) uptake patterns and malignancy potential in thyroid incidentalomas detected on FDG positron emission tomography/computed tomography (PET/CT).
Superior semicircular canal abnormalities are more common in patients presenting to the emergency room with unexplained vertigo
Matari NH, Lalwani AK, Mingomataj E, Nguyen P, Bloch BN, Famuyide A and Garcon E
Vertigo is associated with superior semicircular canal (SSC) abnormalities such as thinning (SST) and dehiscence (SSD). Recent work demonstrates that SST/SSD be reliably assessed using high-resolution non-contrast enhanced CT head (HR-NECTH). This study investigates and compares the prevalence of SST/SSD in emergency department (ED) patients without vertigo, with vertigo with identifiable causes of their symptoms (explained vertigo), and without (unexplained vertigo).
Comparing prostate diffusion weighted images reconstructed with a commercial deep-learning product to a deep learning phase corrected model at 1.5 T
Cochran RL, Bradley WR, Dhami RS, Milshteyn E, Pohl M, Ghosh S, Nakrour N, Lan P, Wang X, Guidon A and Harisinghani MG
To determine whether a new deep learning (DL) based phase corrected (DLPC) reconstruction model can enhance image quality of diffusion weighted images of the prostate acquired at 1.5 T compared to a commercially available DL based product.