EUROPEAN RADIOLOGY

Performance of novel multiparametric second-generation dual-layer spectral detector CT in gouty arthritis
Li M, Zhang H, Liu JN, Zhong F, Zheng SY, Zhang J, Chen SX, Lin RF, Zhang KY, Liu XM, Xu YK and Li J
This study aimed to compare the performance of different dual-energy computed tomography (DECT) technologies in detecting monosodium urate (MSU) crystals and evaluate the potential clinical value of novel second-generation dual-layer spectral detector CT (dlDECT) in gouty arthritis.
Embolization with gelatin foam in the management of vascularized retained products of conception: a multicenter study by the French Society of Cardiovascular Imaging
Ghelfi J, Marcelin C, Buisson A, Mathieu E, Sentilhes L, Thubert T, Boizet A, Midulla M, Kovacsik H, Caudron S, Thouveny F, Barat M, Frandon J, Barral PA, Delouche A and David A
Vascularized retained products of conception (vRPOC) are the most frequent cause of delayed hemorrhage after abortion, spontaneous miscarriage, or delivery. This study evaluated the efficacy of uterine artery embolization (UAE) with gelatin foam in the management of symptomatic of vRPOC.
Left-sided portal hypertension: what an interventional radiologist can offer?
Patel RK, Tripathy T, Chandel K, Marri UK, Giri S, Nayak HK, Panigrahi MK, Pattnaik B, Dutta T, Gupta S and Naik S
Left-sided portal hypertension (LPH) refers to increased splenic venous pressure caused by splenic vein stenosis or occlusion. Pancreatitis is the leading cause of LPH. Typically, LPH remains asymptomatic, but it can lead to life-threatening hemorrhage from ruptured fundal varices in about 10% of patients. Further, it may be complicated by hypersplenism. Interventional radiology plays an essential role in LPH patients with failed endoscopic treatment. Variceal embolization is an effective salvage measure in bleeding gastric varices, but it carries a risk of recurrence and worsening of hypersplenism. Considering the pathophysiology, splenic vein recanalization (SVR) appears to be the best treatment; nevertheless, its lower technical success rate limits its utility only to a subgroup of LPH patients. Partial splenic embolization (PSE), a non-surgical alternative to splenectomy, reduces the splenic volume and venous outflow, thereby lowering variceal pressure. PSE is technically easier, which may explain its widespread use. Nonetheless, PSE can be complicated by life-threatening sepsis and portal vein thrombosis. Despite all attempts, some LPH patients eventually require a splenectomy. Importantly, the choice of therapy requires multidisciplinary discussion and is often influenced by availability, expertise, and clinical context. This article discusses various interventional strategies for managing LPH with the available evidence. KEY POINTS: Question Pressure within the main portal vein is normal in left-sided portal hypertension; thus, transjugular intrahepatic portosystemic shunt is ineffective. Findings Splenic vein stent placement can restore hepatopetal splenic blood flow and decompress splenic venous pressure. Clinical relevance Partial splenic embolization (PSE) is the most widely used interventional approach to manage left-sided portal hypertension-related complications.
Screening for Fabry disease in patients with hypertrophic cardiomyopathy using cardiac magnetic resonance imaging
Li J, Pu L, Xu Z, Wan K, Xu Y, Wang J, Han Y and Chen Y
Fabry disease (FD) usually mimics hypertrophic cardiomyopathy (HCM). Decreased native T1 mapping and a unique late gadolinium enhancement (LGE) pattern by cardiac magnetic resonance (CMR) imaging are specific imaging markers for FD.
On how SAM might help improving personalized treatments in relapsing-remitting multiple sclerosis
Le NQK
Cryoablation for treatment of peripheral lung metastases from colorectal cancer: a bicenter retrospective study
Izaaryene J, Grange R, Habouzit V, Grange S, Orsini B, Dassa M, Daidj N, Thierry L, Ferre M, Phelip JM, Lelong B, De Chaisemartin C, Mitry E and Piana G
To evaluate the oncological efficacy and complications of cryoablation (CA) in treating lung metastases from colorectal cancer (CRC) at the lung periphery.
Restoring mobility: roles of percutaneous consolidation for pelvic ring bone lesions-a multicenter study
Dien E, Stacoffe N, Pavan LJ, Torre F, Ranc PA, Vivarrat-Perrin T, Chalamet B, Pialat JB, Kastler A and Amoretti N
This study aimed to assess the early functional rehabilitation outcomes following percutaneous consolidation for pelvic ring tumor lesions.
Quantitative assessment of ultrasound microvessel imaging in Crohn's disease: correlation with pathological inflammation
Lok UW, Tang S, Gong P, Smyrk T, Huang C, DeRuiter RM, Knoll KM, Robinson KA, Sheedy SP, Holmes PM, Zhang J, El Sadaney AO, Harmsen W, Fletcher JG, Knudsen JM, Chen S and Bruining DH
Ultrasound microvessel imaging (UMI) may offer noninvasive, highly sensitive microvessel imaging for assessing Crohn's disease (CD). However, a quantification metric that demonstrates a strong correlation with pathological inflammation is preferred. The objective was to determine if UMI can enhance IBD imaging interrogations.
Artificial intelligence in respiratory pandemics-ready for disease X? A scoping review
Straub J, Estrada Lobato E, Paez D, Langs G and Prosch H
This study aims to identify repeated previous shortcomings in medical imaging data collection, curation, and AI-based analysis during the early phase of respiratory pandemics. Based on the results, it seeks to highlight essential steps for improving future pandemic preparedness.
The prognostic value of pretreatment [F]FDG PET/CT parameters in esophageal cancer: a meta-analysis
Huang M, Wang W, Wang R and Tian R
This study aims to evaluate the prognostic implications of pretreatment [F]FDG-PET metrics in esophageal cancer patients through a meta-analysis of the existing literature.
Automatic patient centering in computed tomography: a systematic review and meta-analysis
Hadi YH, Keaney L, England A, Moore N and McEntee M
To comprehensively examine the influence of auto-patient centering technologies on positioning accuracy, radiation dose, image quality, and time efficiency of computed tomography (CT) scans.
Challenges when comparing tomosynthesis and 2D mammography in breast cancer screening
Hoff SR
Relationship between [F]FDG PET/CT findings and claudin 18.2 expression in metastatic gastric cancer
Yin H, Luo R, Lv J, Mao W and Shi H
Given that claudin 18.2 (CLDN18.2) is a cell surface protein specifically expressed by gastric cancer cells, anti-CLDN18.2 antibodies have demonstrated significant antitumor effects in patients with advanced gastric adenocarcinoma. The correlation of [F]FDG PET/CT with CLDN18.2 expression remains unexplored. This study aimed to investigate whether CLDN18.2 expression was associated with [F]FDG uptake and whether [F]FDG PET/CT can be used to predict the CLDN18.2 status of gastric cancer.
Efficiency and cost-effectiveness of lung cancer screening: is combined screening of Big-3 diseases a major opportunity?
Ravara S
Burnout crisis in Chinese radiology: will artificial intelligence help?
Fang X, Ma C, Liu X, Deng X, Liao J and Zhang T
To assess the correlation between the use of artificial intelligence (AI) software and burnout in the radiology departments of hospitals in China.
Minimally interactive segmentation of soft-tissue tumors on CT and MRI using deep learning
Spaanderman DJ, Starmans MPA, van Erp GCM, Hanff DF, Sluijter JH, Schut AW, van Leenders GJLH, Verhoef C, Grünhagen DJ, Niessen WJ, Visser JJ and Klein S
Segmentations are crucial in medical imaging for morphological, volumetric, and radiomics biomarkers. Manual segmentation is accurate but not feasible in clinical workflow, while automatic segmentation generally performs sub-par.
Prognostic significance of stress dynamic myocardial CT perfusion: comparison with CT-FFR and CT angiography stenosis-the multicenter VALIDITY trial
Yi Y, Li D, Xu C, Zou L, Yu XB, Wang M, Sun G, Zhang Z, Gao Y, Liu H, Lu B, Zhang JY and Wang YN
This study aimed to investigate the prognostic significance of stress dynamic myocardial CT perfusion imaging (CTP) and determine whether it has incremental advantages over coronary computed tomography angiography (CTA)-derived parameters.
Beyond silent scans: voice assistants and the future of diagnostic imaging
Fink MA
ESR Bridges: image-guided breast cancer treatment de-escalation-a multidisciplinary view
Mann RM, Rubio IT, Menke-van der Houven van Oordt CW and Fuchsjäger M
Positive MRI and ISUP GG1 on initial prostate biopsy? Reassessing baseline MRI is key
Dias AB and Ghai S
Fat fraction quantification by MRI predicts diagnosis and prognosis of HBV-related steatohepatitic hepatocellular carcinoma
Zhang L, Mai X, Li B, Li H, Liu Q, Li Y, Zhu Y, Jiang X, Wang W, Qiao C, Chen J, Xu C, Chen J and Yu D
This study explored the clinical prognosis and lipidomics of hepatitis B virus steatohepatitic hepatocellular carcinoma (HBV-SHHCC) and aimed to identify a noninvasive and convenient method to diagnose this phenotype and guide treatment using MRI.