3,169 results match your criteria Clinical Imaging[Journal]


Utility of Likert scale (Deauville criteria) in assessment of Chemoradiotherapy response of primary oropharyngeal squamous cell Cancer site.

Clin Imaging 2019 Jan 16;55:89-94. Epub 2019 Jan 16.

Department of Radiology, Division of Nuclear Medicine, University of Minnesota Medical Center, Minneapolis, MN, USA. Electronic address:

Introduction: The aim of this study is to determine whether Likert scale (Deauville criteria) can be used to classify oropharyngeal squamous cell cancer (OPSCC) patients as 'responders' and 'nonresponders' by utilizing FDG-PET/CT for primary tumor site. The second aim is to compare the performance of methods used in interpretation of posttreatment PET/CT scans (Likert scale, SUVmax, ratios of SUVmax primary lesion to mediastinum 'SUVmax P/M' and SUVmax primary lesion to liver 'SUVmax P/L') in predicting treatment response.

Methods: Seventy-seven PET/CT scans were assessed by Deauville criteria, five-point Likert scale. Read More

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http://dx.doi.org/10.1016/j.clinimag.2019.01.007DOI Listing
January 2019

Dual energy head CT to maintain image quality while reducing dose in pediatric patients.

Clin Imaging 2019 Feb 7;55:83-88. Epub 2019 Feb 7.

Department of Radiology, Children's Hospital Colorado, 13123 E. 16th Ave., Box 125, Aurora, CO 80045, USA.

Aim: The aim of this study was to use dual energy CT technology to maintain or improve image quality in pediatric head CT while simultaneously reducing radiation dose.

Materials And Methods: In this retrospective study, helical head CTs performed using a standard head CT protocol were compared to studies performed with a dual energy (DE) protocol. Objective comparison was performed by measuring regions of interest in 11 areas of the brain. Read More

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http://dx.doi.org/10.1016/j.clinimag.2019.02.005DOI Listing
February 2019

Application of diffusion-weighted MR imaging with ADC measurement for distinguishing between the histopathological types of sinonasal neoplasms.

Clin Imaging 2019 Feb 7;55:76-82. Epub 2019 Feb 7.

Department of Radiology, University of Minnesota Medical Center, Minneapolis, MN, USA. Electronic address:

Purpose: To evaluate the potential contribution of quantitative DWI parameters including ADC and ADC values to help in distinguishing the histopathological types of sinonasal neoplasms.

Methods: This retrospective study included 83 patients (50 males, 33 females; mean age 61 years) with pathologically proven untreated sinonasal neoplasms who have undergone diffusion-weighted MRI imaging from February 2010 to August 2017. Diffusion-weighted MRI was performed on a 3 T unit with b factors of 0 and 1000 s/mm, and ADC maps were generated. Read More

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http://dx.doi.org/10.1016/j.clinimag.2019.02.004DOI Listing
February 2019

Spinal cord watershed infarction: Novel findings on magnetic resonance imaging.

Clin Imaging 2019 Jan 31;55:71-75. Epub 2019 Jan 31.

Department of Radiology, University of Florida College of Medicine, 1600 SW Archer Road, Gainesville, FL 32611, USA. Electronic address:

Spinal cord watershed ischemia is a rare phenomenon often associated with cardiac arrest, prolonged hypotension, and atherosclerotic disease. It can manifest as central necrosis with peripheral sparing in the transverse axis, and central lesion with rostral and caudal sparing in the longitudinal axis. Few reports provide detailed imaging findings of spinal cord watershed ischemia lesions. Read More

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http://dx.doi.org/10.1016/j.clinimag.2019.01.023DOI Listing
January 2019
1 Read

Measurement of the liver iron concentration in transfusional iron overload by MRI R2* and by high-transition-temperature superconducting magnetic susceptometry.

Clin Imaging 2019 Jan 31;55:65-70. Epub 2019 Jan 31.

Columbia University Medical Center, New York, NY, USA. Electronic address:

Purpose: To compare measurement of the liver iron concentration in patients with transfusional iron overload by magnetic resonance imaging (MRI), using R2*, and by magnetic susceptometry, using a new high-transitiontemperature (high-Tc; operating at 77 K, cooled by liquid nitrogen) superconducting magnetic susceptometer.

Methods: In 28 patients with transfusional iron overload, 43 measurements of the liver iron concentration were made by both R2* and high-Tc magnetic susceptometry.

Results: Measurements of the liver iron concentration by R2* and high-Tc magnetic susceptometry were significantly correlated when comparing all patients (Pearson's r = 0. Read More

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http://dx.doi.org/10.1016/j.clinimag.2019.01.012DOI Listing
January 2019

Interatrial septum: A pictorial review of congenital and acquired pathologies and their management.

Clin Imaging 2019 Feb 6;55:53-64. Epub 2019 Feb 6.

Department of Radiology, Duke University Medical Center, Durham, NC, USA. Electronic address:

There are many different congenital abnormalities and acquired pathologies involving the interatrial septum. Differentiation of these pathologies significantly affects patient management. We have reviewed the various interatrial septal pathologies and discussed their congenital associates, clinical significance, and management. Read More

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http://dx.doi.org/10.1016/j.clinimag.2019.02.002DOI Listing
February 2019

Resident bullying in diagnostic radiology.

Clin Imaging 2019 Jan 31;55:47-52. Epub 2019 Jan 31.

Section of Breast Imaging, Department of Diagnostic Radiology, The University of Texas MD Anderson Cancer Center, Houston, TX, United States of America. Electronic address:

Purpose: Workplace bullying has been reported in multiple medical specialties outside of diagnostic radiology within the United States. The purpose of this study was to survey diagnostic radiology residents in the United States to determine if: (1) residents had experienced bullying, (2) residents had witnessed bullying of other residents, (3) residents were aware of zero-tolerance policy for workplace bullying at their institution, (4) residents were aware of no retaliation policies for reporting bullying at their institution.

Materials And Methods: In December 2017, a weekly E-mail for 4 weeks was sent to diagnostic radiology residents in the United States (residents) who had attended the July 2017, September 2017 and October 2017 4-week American Institute for Radiologic Pathology (AIRP) resident course to participate in an online, anonymous, voluntary survey. Read More

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http://dx.doi.org/10.1016/j.clinimag.2019.01.024DOI Listing
January 2019

Ultrasound echogenicity reveals the response of breast cancer to chemotherapy.

Clin Imaging 2019 Jan 26;55:41-46. Epub 2019 Jan 26.

Ultrasound Department, Institute of Fundamental Technological Research, Polish Academy of Sciences, Warsaw, Pawińskiego 5B, 02-106, Poland.

Purpose: To evaluate the ultrasound (US) response in patients with breast cancer (BC) during neoadjuvant chemotherapy (NAC).

Methods: Prospective US analysis was performed on 19 malignant tumors prior to NAC treatment and 7 days after each first four courses of NAC in 13 patients (median age = 57 years). Echogenicity, size, vascularity, and sonoelastography were measured and compared with posttreatment scores of residual cancers burden. Read More

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http://dx.doi.org/10.1016/j.clinimag.2019.01.021DOI Listing
January 2019

Radiographic and surgical findings of type I obturator hernias in patients with refractory groin pain.

Clin Imaging 2019 Jan 31;55:35-40. Epub 2019 Jan 31.

Department of Radiology, Lenox Hill Hospital, 100 East 77th St, New York, NY 10075, United States of America. Electronic address:

Groin pain is a common complaint in the general population, with an underlying etiology that may be difficult to diagnose. Although uncommon, type I obturator hernias may be a significant source of chronic or refractory groin pain. In this review, we discuss the commonly missed findings of type I obturator hernias at CT and MRI, as well as correlate these findings with images obtained at the time of laparoscopic repair. Read More

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http://dx.doi.org/10.1016/j.clinimag.2019.01.016DOI Listing
January 2019

Pre-operative MRI predictors of hormonal remission status post pituitary adenoma resection.

Clin Imaging 2019 Jan 25;55:29-34. Epub 2019 Jan 25.

Department of Radiology and Imaging Sciences, Emory University School of Medicine, 100 Woodruff Circle, Atlanta, GA 30322, United States of America. Electronic address:

Introduction: Contrast-enhanced (CE) Constructive Interference in Steady State (CISS) and Volumetric Interpolated Breath-hold Examination (VIBE) are MRI sequences used to improve the detection of pituitary adenomas and adjacent cranial nerves. The purpose of this study was to assess image quality and identify imaging predictors of postoperative hormonal remission of functioning pituitary adenomas using CE-T1 weighted image (WI), T2WI, CE-CISS, and CE-VIBE MRI sequences.

Materials And Methods: Patients with pre-operative CE-T1WI, T2WI, CE-CISS, and CE-VIBE pituitary MRI sequences were included in this institutional retrospective review. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S08997071193002
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http://dx.doi.org/10.1016/j.clinimag.2019.01.020DOI Listing
January 2019
7 Reads

Improving liver lesion characterisation using retrospective fusion of FDG PET/CT and MRI.

Clin Imaging 2019 Jan 23;55:23-28. Epub 2019 Jan 23.

Royal Marsden Hospital, United Kingdom of Great Britain and Northern Ireland.

Aim: To compare retrospectively fused FDG PET/CT and MRI (PET/MRI) to FDG PET/CT and MRI for characterisation of indeterminate focal liver lesions as malignant or benign in patients with a known primary malignancy.

Materials And Method: A retrospective review of 70 patients (30 females, 40 males; mean age 56 ± 14 years) with 150 indeterminate lesions after FDG PET/CT and MRI (mean scan time interval 21 ± 11 days). HERMES® software was used to fuse PET/CT and MRI scans which were reviewed by 2 readers using the Likert score (scale 1-5) to characterise lesions as benign (1-3) or malignant (4-5). Read More

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http://dx.doi.org/10.1016/j.clinimag.2019.01.018DOI Listing
January 2019

Long-term natural history of a neuromuscular choristoma of the sciatic nerve: a case report and literature review.

Authors:
Ji Eun Park

Clin Imaging 2019 Jan 5;55:18-22. Epub 2019 Jan 5.

Department of Radiology, Kyung Hee University College of Medicine, Kyung Hee University Hospital, #26 Kyunghee-daero, Dongdaemun-gu, Seoul 02447, Republic of Korea. Electronic address:

Neuromuscular choristomas are rare tumors with mature skeletal muscle elements admixed with neural elements. Follow-up results are limited, the natural history of neuromuscular choristomas is poorly understood. To date, 14 cases of sciatic nerve neuromuscular choristomas have been reported, but follow-up results were provided only for 10 cases (median duration: 2 years). Read More

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http://dx.doi.org/10.1016/j.clinimag.2019.01.003DOI Listing
January 2019

Quantitative analysis of radiation dosage and image quality between digital breast tomosynthesis (DBT) with two-dimensional synthetic mammography and full-field digital mammography (FFDM).

Clin Imaging 2019 Jan 17;55:12-17. Epub 2019 Jan 17.

Department of Radiology, Korea University Guro Hospital, Republic of Korea.

Purpose: Currently in diagnostic setting for breast cancer, FFDM and DBT are performed conjunctively. However, performing two imaging modalities may increase radiation exposure by double. Two-dimensional reconstructed images created from DBT with 2DSM, has a potential to replace conventional FFDM in concerning both radiation dosage and image quality. Read More

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http://dx.doi.org/10.1016/j.clinimag.2019.01.014DOI Listing
January 2019

Microvascular volume visualization utilizing computed tomographic angiography data facilitates resection of a complicated massive congenital hemangioma.

Clin Imaging 2019 Jan 17;55:8-11. Epub 2019 Jan 17.

Department of Radiology, University of Kentucky Chandler Medical Center, Lexington, KY, United States of America.

CT angiography (CTA) can be used for planning procedural and operative therapies for neonatal vascular lesions, such as congenital hemangiomas (CH), that are too morbid for medical therapy. Neonatal anatomy can be displayed within a small enough field-of-view that the nominal resolution of a modern CT scanner can be realized with a standard 512 × 512 storage matrix, yielding isometric ultrahigh resolution data and allowing for microvascular volume visualization. This case report details the creation and use of microvascular volume visualizations of CTA data during pre-procedural planning for treatment of this pathological entity. Read More

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http://dx.doi.org/10.1016/j.clinimag.2019.01.015DOI Listing
January 2019

Prevalence of polyps ≥6 mm on follow-up CT colonography in a cohort with no significant colon polyps at baseline.

Clin Imaging 2019 Jan 20;55:1-7. Epub 2019 Jan 20.

MOR Institute for Medical Data, Bnei Brak 51377, Israel; University of Haifa, School of Public Health, Faculty of Social Welfare & Health Sciences, Haifa 34988, Israel. Electronic address:

Aim: Assess the prevalence of neoplasia ≥6 mm at repeat CT colonoscopy (CTC) in individuals with no significant lesions at baseline.

Methods: Individuals aged ≥18 years, with/without CRC risk factors, with no polyps ≥6 mm on baseline CTC (negative baseline) who underwent repeat CTC in a large HMO from 2001 to 2011 were retrospectively identified. Studies were reviewed by board-certified radiologists with experience interpreting CTC. Read More

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http://dx.doi.org/10.1016/j.clinimag.2019.01.010DOI Listing
January 2019

Multisystem imaging review of human schistosomiasis: characteristic imaging findings.

Clin Imaging 2019 Jan 19;54:163-171. Epub 2019 Jan 19.

Dept of Radiology, Ohio State University Wexner Medical Center, Columbus, OH, USA. Electronic address:

Human schistosomiasis is one of the major tropical/subtropical parasitic diseases with significant morbidity and mortality. Although, the majority of the cases are seen within the endemic region, upsurge in recent immigration as well as frequent travel to endemic areas allows cases reported worldwide. Thus, it is important for radiologists and physicians be familiarized with the imaging features of schistosomiasis. Read More

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http://dx.doi.org/10.1016/j.clinimag.2019.01.011DOI Listing
January 2019
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Gastric remnant perforation in a gastric bypass patient secondary to splenic artery pseudoaneurysm: radiologic-surgical correlation.

Clin Imaging 2019 Jan 8;54:159-162. Epub 2019 Jan 8.

Department of Radiology, Keck School of Medicine of the University of Southern California, Los Angeles, California, United States of America. Electronic address:

One of the more common effective surgical procedures performed today for obesity is the Roux-en-Y gastric bypass. Though effective, both early and late complications do occur. Gastric remnant hemorrhage after gastric bypass is an uncommon late complication, posing both diagnostic and therapeutic difficulties. Read More

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http://dx.doi.org/10.1016/j.clinimag.2019.01.006DOI Listing
January 2019
1 Read

Feasible scan timing for 320-row coronary CT angiography generated by the time to peak in the ascending aorta.

Clin Imaging 2019 Jan 10;54:153-158. Epub 2019 Jan 10.

Department of Clinical Radiology, Graduate School of Medical Sciences, Kyushu University, 3 Chome-1-1 Maidashi, Higashi Ward, Fukuoka, Fukuoka Prefecture 812-8582, Japan.

Purpose: A 320-row CT scanner can briefly scan the entire heart. Therefore, the feasible scan timing is required. The aim of this study was to propose a refined method for feasible scan timing for coronary CT angiography (CCTA) using a time-density curve of the ascending aorta (AAo). Read More

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http://dx.doi.org/10.1016/j.clinimag.2019.01.005DOI Listing
January 2019
1 Read

Incidental myocardial perfusion defect detected on ECG-gated CT aortogram.

Clin Imaging 2019 Jan 9;54:148-152. Epub 2019 Jan 9.

Department of Radiology, Northwell Health System, The Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, 300 Community Drive, Manhasset, NY 11030, USA. Electronic address:

We report the case of a 49-year-old man with a history of diabetes and hypertension who presented to the emergency room with intermittent chest pain radiating to the back for one day. An electrocardiogram-gated CT aortogram excluded the emergency department's primary consideration of aortic dissection, but incidentally revealed a myocardial perfusion defect and corresponding coronary artery stenosis. Cardiac catheterization performed the following day confirmed the CT findings and the patient underwent angioplasty and stent placement. Read More

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http://dx.doi.org/10.1016/j.clinimag.2019.01.008DOI Listing
January 2019
2 Reads

Preliminary investigation of mammographic density among women in Riyadh: association with breast cancer risk factors and implications for screening practices.

Clin Imaging 2019 Jan 6;54:138-147. Epub 2019 Jan 6.

Medical Radiation Sciences, Medical Image Optimization and Perception Group (MIOPeG), Australia.

Purpose: Improved mammographic sensitivity is associated with reduced mammographic density. This study aims to: provide a preliminary report on mammographic density among women in Riyadh; identify risk factors associated with mammographic density; and consider the potential implications for screening practices.

Methods: Based on a cross-sectional design, we examined a total of 792 women using an area-based mammographic density method (LIBRA). Read More

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http://dx.doi.org/10.1016/j.clinimag.2019.01.002DOI Listing
January 2019
1 Read

Architectural distortion in the era of digital breast tomosynthesis: outcomes and implications for management.

Clin Imaging 2019 Jan 5;54:133-137. Epub 2019 Jan 5.

Department of Radiology, Northwestern University, 250 East Superior Street, 4th Floor, Chicago, IL 60611, USA. Electronic address:

Purpose: Digital breast tomosynthesis (DBT) has been shown to increase conspicuity of some mammographic findings, particularly architectural distortion (AD). The purpose of this retrospective study was to determine the positive predictive value of AD on diagnostic DBT, and evaluate associations between AD characteristics and histopathologic outcomes.

Methods: This IRB-approved, HIPAA-compliant study included diagnostic DBT exams performed between 1/2014 and 12/2015 that demonstrated AD. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S08997071193000
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http://dx.doi.org/10.1016/j.clinimag.2019.01.004DOI Listing
January 2019
10 Reads

MRI, arthroscopic and histopathologic cross correlation in biceps tenodesis specimens with emphasis on the normal appearing proximal tendon.

Clin Imaging 2019 Jan 7;54:126-132. Epub 2019 Jan 7.

NYU Langone Orthopedic Hospital, Department of Radiology, 301 E 17th St, New York, NY 10003, United States of America.

Purpose: To correlate the histopathologic appearances of resected long head of the biceps tendon (LHBT) specimens following biceps tenodesis, with pre-operative MRI and arthroscopic findings, with attention to the radiologically normal biceps.

Material And Methods: Retrospective analysis of patients who had undergone preoperative MRI, subsequent arthroscopic subpectoral tenodesis for SLAP tears and histopathologic inspection of the excised sample between 2013 and 16. Those with a normal MRI appearance or mildly increased intrasubstance signal were independently analyzed by 2 blinded radiologists. Read More

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http://dx.doi.org/10.1016/j.clinimag.2019.01.001DOI Listing
January 2019
2 Reads

How to survive and thrive as a new breast imager: what they don't teach in fellowship.

Clin Imaging 2018 Dec 28;54:121-125. Epub 2018 Dec 28.

Department of Radiology, MD Anderson Cancer Center, 1515 Holcombe Blvd., CPB 5.3208, Houston, TX 77030, USA. Electronic address:

Purpose: To provide practical tips to assist new breast imagers succeed in their first job after fellowship training.

Methods: Transitioning from fellowship to a practicing breast radiologist is daunting for the new radiologist. There is a void in the literature addressing this transition. Read More

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http://dx.doi.org/10.1016/j.clinimag.2018.12.010DOI Listing
December 2018
1 Read

Readability of radiology reports: implications for patient-centered care.

Clin Imaging 2018 Dec 28;54:116-120. Epub 2018 Dec 28.

Department of Radiology, Hospital of the University of Pennsylvania, 3400 Spruce Street, Philadelphia, PA 19104, United States of America; Institute for Biomedical Informatics, University of Pennsylvania, United States of America; Leonard Davis Institute of Health Economics, University of Pennsylvania, United States of America.

Introduction: Radiology reports, although written primarily for healthcare providers, are read increasingly by patients and their family. This study sought to assess the readability of radiology reports.

Materials And Methods: From 108,228 consecutive radiology reports from a large US health system, we excluded duplicate reports, reports of research exams, and reports with missing data. Read More

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http://dx.doi.org/10.1016/j.clinimag.2018.12.006DOI Listing
December 2018
1 Read

Computed tomography imaging characteristics of primary atrial intimal sarcoma.

Clin Imaging 2018 Dec 10;54:112-115. Epub 2018 Dec 10.

Newark Beth Israel Medical Center, Radiology Department, USA. Electronic address:

We present a 36-year-old man who presented to our emergency department with acute onset shortness of breath and syncope. He was found to have a large left atrial mass on initial computed tomography (CT) which was confirmed by echocardiography. Tumor biopsy and attempted excision were performed, showing a primary cardiac spindle cell sarcoma that was unable to be resected, to which the patient eventually succumbed to. Read More

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http://dx.doi.org/10.1016/j.clinimag.2018.12.004DOI Listing
December 2018
2 Reads

Telephone reminders reduce no-shows: A quality initiative at a breast imaging center.

Clin Imaging 2018 Dec 28;54:108-111. Epub 2018 Dec 28.

Department of Radiology, Nassau University Medical Center, East Meadow, NY, USA.

Purpose: To improve the workflow and productivity at a Breast Imaging Center, primarily by decreasing the no-show rate.

Materials And Methods: Mammography clinic data were recorded and analyzed for a 6-month period prior to our intervention. Personal pre-appointment phone calls were then instituted for all patients, following which data was recorded and analyzed for a 2-month period. Read More

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http://dx.doi.org/10.1016/j.clinimag.2018.12.007DOI Listing
December 2018
1 Read

Sensitivity and specificity of post-operative interference gap assessment on plain radiographs after cementless primary THA.

Clin Imaging 2018 Dec 28;54:103-107. Epub 2018 Dec 28.

Dept. of Orthopaedic Surgery, Copenhagen University Hospital Hvidovre, Kettegård Alle 30, 2650 Hvidovre, Copenhagen, Denmark.

Introduction: Implant performance of cementless THA is often evaluated by radiolucency on plain radiographs, often classified as interference gaps on direct post-operative radiographs. However, the diagnostic performance is unknown. The aim was to evaluate the diagnostic performance of radiographic assessment of post-operative gaps after primary THA by comparing it with CT confirmed gaps, and secondary to define optimal cut-off criteria for assessing gaps on plain radiographs compared with CT. Read More

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http://dx.doi.org/10.1016/j.clinimag.2018.12.009DOI Listing
December 2018
2 Reads

Classic metaphyseal lesion acquired during physical therapy.

Clin Imaging 2018 Nov 20;54:100-102. Epub 2018 Nov 20.

Department of Radiology and Imaging Sciences, Riley Hospital for Children, Indiana University School of Medicine, Indianapolis, IN, USA.

A classic metaphyseal lesion (CML) is highly specific for nonaccidental trauma. Missing CMLs can be devastating to the child as the child can continue to be exposed to inflicted trauma. Yet, there are rare case reports on CMLs that occur due to birth trauma, IV line placement, and treatment for clubfoot. Read More

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http://dx.doi.org/10.1016/j.clinimag.2018.11.007DOI Listing
November 2018
2 Reads

Survey on practice patterns in imaging utilization in patients with Crohn's disease.

Clin Imaging 2018 Dec 14;54:91-99. Epub 2018 Dec 14.

Department of Radiology, Massachusetts General Hospital, Boston, MA, United States of America. Electronic address:

Purpose: To perform a survey-based assessment of imaging practice preferences in Crohn's disease (CD).

Methods: An internet-based questionnaire was sent to physicians involved in CD care. The questionnaire addressed the experience, practice patterns, choice of modality, and recent trends in imaging utilization. Read More

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http://dx.doi.org/10.1016/j.clinimag.2018.12.003DOI Listing
December 2018
1 Read

Usefulness of digital breast tomosynthesis for non-calcified benign breast masses.

Clin Imaging 2018 Dec 13;54:84-90. Epub 2018 Dec 13.

Department of Radiology, Shimane University Faculty of Medicine, P.O. Box 00693-8501, 89-1 Enya Izumo, Japan. Electronic address:

Digital breast tomosynthesis (DBT) is a new modality that assists in detection of breast cancer. However, benign masses are also detected more easily by DBT and may require further workup. This article reviews typical imaging features of non-calcified benign masses on DBT. Read More

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http://dx.doi.org/10.1016/j.clinimag.2018.12.005DOI Listing
December 2018
1 Read
0.596 Impact Factor

Does MR enterography offer added value after a recent CT in the evaluation of abdominal pain in Crohn's disease patients?

Clin Imaging 2018 Dec 10;54:78-83. Epub 2018 Dec 10.

Yale New Haven Hospital, Department of Radiology and Biomedical Imaging, 20 York Street, New Haven, CT 06520, United States of America. Electronic address:

Purpose: To determine if there is added value in performing MR enterography shortly after a contrast-enhanced CT of the abdomen and pelvis in patients with Crohn's disease presenting with acute abdominal pain.

Materials And Methods: A total of 45 consecutive patients who underwent MRE examination <7 days after a CT met our strict inclusion criteria. Independent and blinded review of both MRE and CT exams was performed by two abdominal radiologists. Read More

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http://dx.doi.org/10.1016/j.clinimag.2018.12.002DOI Listing
December 2018
2 Reads

Efficacy and safety of partial splenic embolization for hypersplenism in pre- and post-liver transplant patients: A 16-year comparative analysis.

Clin Imaging 2018 Nov 27;54:71-77. Epub 2018 Nov 27.

Department of Radiology, Division of Vascular and Interventional Radiology, Columbia University Medical Center, 177 Fort Washington Ave, Milstein Hospital - 4 Hudson North, New York, NY 10032, United States of America.

Purpose: To report the effect of partial splenic embolization (PSE) on hematological indices and the procedure's safety in pre- and post-liver transplant (LT) patients.

Materials And Methods: A single-center retrospective study evaluating all patients who underwent PSE over a 16-year period was performed. Inclusion criteria were splenomegaly confirmed by imaging and at least one of the following cytopenias: hemoglobin ≤10 g/dL, WBC count ≤1500 μL, or platelet count ≤100,000 μL. Read More

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http://dx.doi.org/10.1016/j.clinimag.2018.11.012DOI Listing
November 2018
3 Reads

Usefulness of noncontrast MRI in differentiation between gallbladder carcinoma and benign conditions manifesting as focal mild wall thickening.

Clin Imaging 2018 Dec 4;54:63-70. Epub 2018 Dec 4.

Department of Radiology and Center for Imaging Science, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea.

Background: Magnetic resonance imaging (MRI) is a reliable imaging tool for evaluating gallbladder carcinoma, but it is costly and time-consuming.

Purpose: To compare noncontrast MRI with multidetector row CT (MDCT) and gadoxetic acid-enhanced whole MRI in distinguishing gallbladder carcinoma from benign disease.

Materials And Methods: 101 patients (36 with gallbladder carcinoma and 65 with benign disease) with mild focal gallbladder wall thickening were included. Read More

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http://dx.doi.org/10.1016/j.clinimag.2018.12.001DOI Listing
December 2018
1 Read

Normal axillary thickness thresholds as a metric for nutritional status of children.

Clin Imaging 2018 Dec 1;54:57-62. Epub 2018 Dec 1.

Department of Radiology, University of Michigan Medical School, 3208C Medical Sciences Building 1, B1D502, Ann Arbor, MI 48109-5030, United States of America. Electronic address:

Introduction: Childhood pneumonia is a major cause of death in the 3rd world, and undernourishment increases the severity of the condition. We considered axillary thickness as a simple measurement to evaluate nutritional status that can be performed simultaneously with lung ultrasound. Our goal was to determine the distribution of axillary thickness in a cohort of children to determine a threshold for malnutrition. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S08997071183031
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http://dx.doi.org/10.1016/j.clinimag.2018.11.010DOI Listing
December 2018
7 Reads

Cryptococcal meningitis in a multiple sclerosis patient treated with Fingolimod: a case report and review of imaging findings.

Clin Imaging 2018 Nov 14;54:53-56. Epub 2018 Nov 14.

Department of Radiology, Baylor College of Medicine, One Baylor Plaza, BCM 360, Houston, TX 77030, United States.

Fingolimod is an oral medication approved by the Food and Drug Administration in 2009 for the treatment of relapsing remitting multiple sclerosis (RRMS). Initial clinical trials did not show a significantly increased rate of serious infections with fingolimod therapy. However, a mildly increased risk of less serious infections, such as varicella zoster virus and herpes simplex virus, was reported. Read More

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http://dx.doi.org/10.1016/j.clinimag.2018.11.005DOI Listing
November 2018
3 Reads

Emergent cervical internal carotid artery angioplasty before endovascular thrombectomy for acute ischemic stroke: a report of clinical and imaging outcome.

Clin Imaging 2018 Dec 2;54:48-52. Epub 2018 Dec 2.

Neurointervention Centre, Sunnybrook Health Sciences Centre, Toronto, ON, Canada. Electronic address:

A case of tandem occlusion consisting of right internal carotid artery (ICA) origin dissection and middle cerebral artery (MCA) thromoboembolism is reported. A 45 year-old male with right-sided neurological symptoms of emergent large vessel occlusion was treated with same-session angioplasty and mechanical thrombectomy of the respective lesions. The complete neurological recovery and radiological investigations are chronicled herein, and a review of the state of tandem occlusion management is discussed. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S08997071183032
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http://dx.doi.org/10.1016/j.clinimag.2018.11.014DOI Listing
December 2018
9 Reads

Infantile myofibromatosis: review of imaging findings and emphasis on correlation between MRI and histopathological findings.

Clin Imaging 2018 Nov 8;54:40-47. Epub 2018 Nov 8.

Diagnostic Radiology Department, American University of Beirut Medical Center, PO Box 11-0236, Riad El Solh, 1107 2020 Beirut, Lebanon. Electronic address:

Background: Infantile myofibromatosis (IM) is the most common fibrous tumor of infancy. MRI is considered the gold standard in IM evaluation. Very little has been published about IM with histopathology correlation in the pediatric age. Read More

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http://dx.doi.org/10.1016/j.clinimag.2018.11.003DOI Listing
November 2018
7 Reads

Dr. Lucy Frank Squire: Fundamentally better together.

Clin Imaging 2018 Nov - Dec;52:vii-ix. Epub 2018 Sep 22.

Department of Radiology, University of Alabama at Birmingham, Birmingham, AL, USA. Electronic address:

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http://dx.doi.org/10.1016/j.clinimag.2018.09.007DOI Listing
September 2018
2 Reads

Combined juvenile polyposis syndrome and hereditary hemorrhagic telangiectasia (JPS/HHT) with MRI and endoscopic correlation.

Clin Imaging 2018 Dec 2;54:37-39. Epub 2018 Dec 2.

Department of Radiology, Beth Israel Deaconess Medical Center, 330 Brookline Ave., Boston, MA 02215, USA.

Juvenile polyposis syndrome (JPS) may coexist with hereditary hemorrhagic telangiectasia (HHT) due to implication of the SMAD4 gene in a subset of both diseases. To the best of our knowledge, we present the first case in the radiologic literature on the MRI findings in a patient with this rare combined diagnosis undergoing workup for burden of disease. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S08997071183031
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http://dx.doi.org/10.1016/j.clinimag.2018.11.011DOI Listing
December 2018
15 Reads

Gastric wall fat halo sign in patients without intestinal disease.

Clin Imaging 2018 Nov 30;54:31-36. Epub 2018 Nov 30.

Trabzon Kanuni Education and Research Hospital, Department of Radiology, 61080 Trabzon, Turkey.

Purpose: To investigate the relationship between gastric wall fat halo sign and visceral obesity with potentially associated diseases.

Materials And Methods: Between September 2015 and April 2017, 90 patients with gastric wall fat halo signs and 130 controls were prospectively evaluated. Patient height, weight, body mass index (BMI), sex, age, subcutaneous fat area (SFA), visceral fat area (VFA), total fat area (TFA), percentage of visceral fat (VF%) and the presence of colic or ileal fat halo signs, hepatic steatosis and aortic calcified plaques were recorded for the two groups. Read More

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http://dx.doi.org/10.1016/j.clinimag.2018.11.013DOI Listing
November 2018
18 Reads

Imaging of liver fusion and vascular intra-hepatic shunts in omphalopagus conjoined twins: The role of a double CT study.

Clin Imaging 2018 Nov 22;54:25-30. Epub 2018 Nov 22.

Department of Radiology, Papa Giovanni XXIII Hospital, Piazza OMS 1, Bergamo, Italy.

Omphalopagus twins are joined ventrally in the umbilical region. In omphalopagus twins, liver's fusion is very frequent, being present in about 80% of cases. Two conjoined twins born in our Hospital were evaluated using plain x-rays, ultrasound (US), gastrointestinal xrays, Tc-99 hepatobiliary scintigraphy (SC) and contrast enhanced computed tomography (CT). Read More

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http://dx.doi.org/10.1016/j.clinimag.2018.11.009DOI Listing
November 2018
5 Reads

Clinical, imaging, and intervention factors associated with the upgrade of isolated flat epithelial atypia.

Clin Imaging 2018 Nov 20;54:21-24. Epub 2018 Nov 20.

Mather Pavilion B402, 11100 Euclid Avenue, Cleveland, OH, 44106, United States of America. Electronic address:

Purpose: This study aims to determine clinical, imaging, and intervention factors associated with the upgrade of flat epithelial atypia (FEA) diagnosed on vacuum-assisted biopsy (VAB) in order to formulate criteria for excision and better assist in management.

Methods: Between 2012 and 2015, 254 patients had a form of atypia diagnosed on ultrasound, MRI or stereotactic VAB and met eligibility for this study. Demographic, imaging, biopsy and pathology characteristics were analyzed for association with upgrade. Read More

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http://dx.doi.org/10.1016/j.clinimag.2018.11.008DOI Listing
November 2018
11 Reads

T2-blackout effect on DWI as a sign of early bone infarct and sequestration in a patient with sickle cell disease.

Clin Imaging 2018 Nov 15;54:15-20. Epub 2018 Nov 15.

Department of Radiology, University of Florida, Gainesville, FL, United States of America.

Differentiation of bone infarct from osteomyelitis is one of the most challenging issues in the evaluation of acute bone pain in sickle cell patients. The imaging modalities that are currently being used for assessment of bone marrow in this population have several limitations. We present a case of an 18-year-old male with a history of sickle cell disease, who was transferred to our emergency department with progressively severe headache and jaw pain for one-week. Read More

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http://dx.doi.org/10.1016/j.clinimag.2018.11.006DOI Listing
November 2018
11 Reads

Intra-arterial ampicillin and gentamicin and the incidence of splenic abscesses following splenic artery embolization: A 20-year case control study.

Clin Imaging 2018 Oct 3;54:6-11. Epub 2018 Oct 3.

Department of Radiology, Division of Vascular and Interventional Radiology, University of Michigan Health System, 1500 East Medical Center Drive, Ann Arbor, MI 48109, United States of America; Cardiovascular and Interventional Radiology, Inova Alexandria Hospital, 4320 Seminary Road, Alexandria, VA 22304, United States of America. Electronic address:

Purpose: Splenic abscesses represent a major complication following splenic artery embolization. The purpose of this study was to assess the effectiveness of intra-arterial antibiotics administered during splenic artery embolization in reducing splenic abscess formation.

Materials And Methods: 406 patients were screened. Read More

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http://dx.doi.org/10.1016/j.clinimag.2018.10.005DOI Listing
October 2018
2 Reads

Embolization of a congenital arteriovenous malformation arising off the internal mammary artery.

Clin Imaging 2018 Nov 15;54:12-14. Epub 2018 Nov 15.

Mallinckrodt Institute of Radiology, Washington University in St. Louis, 510 S Kingshighway Blvd, CB 8131, Saint Louis, MO 63110, United States of America. Electronic address:

Congenital arteriovenous malformations (AVM) of the internal mammary artery (IMA) are exceptionally rare. Patients with AVMs arising off the left IMA may present with continuous precordial murmurs and/or a pulsatile chest mass. AVMs in this location pose a risk of enlargement, rupture, infection, or high-output cardiac failure. Read More

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http://dx.doi.org/10.1016/j.clinimag.2018.11.004DOI Listing
November 2018
9 Reads

Clinical metric for differentiating intracranial hemangiopericytomas from meningiomas using diffusion weighted MRI.

Clin Imaging 2018 Nov 1;54:1-5. Epub 2018 Nov 1.

Department of Radiology, Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Lenox Hill Hospital, 100 East 77th Street, New York, NY 10075, USA.

Purpose: Intracranial Hemangiopericytomas (IHP) are dural based tumors that frequently recur/metastasize. Unfortunately, their imaging appearance overlaps significantly with more benign meningiomas. We evaluated the use of diffusion weighted imaging (DWI) to differentiate IHP from meningioma. Read More

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http://dx.doi.org/10.1016/j.clinimag.2018.10.018DOI Listing
November 2018
2 Reads
0.596 Impact Factor

Clinico-radiologic factors in paraclinoid aneurysms associated with aneurysm rupture: A CTA study.

Clin Imaging 2019 Jan - Feb;53:225-229. Epub 2018 Oct 22.

Department of Radiology (Neuroradiology Division), Massachusetts General Hospital, Harvard Medical School, Boston, MA, United States of America.

Background And Purpose: Paraclinoid aneurysms are commonly noted as incidental findings by computed tomography angiography (CTA), and there exists disagreement in the literature as to which patient and aneurysm characteristics predict subsequent rupture. This question is of particular significance given the complex anatomy of the paraclinoid region and the associated risks of aneurysm treatment. The purpose of this study was to determine significant associated risk factors for paraclinoid aneurysm rupture. Read More

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http://dx.doi.org/10.1016/j.clinimag.2018.10.016DOI Listing
October 2018
11 Reads

Percutaneous extrahepatic splenomeso-caval shunt creation in a patient with portal vein thrombosis after Whipple procedure.

Clin Imaging 2019 Jan - Feb;53:221-224. Epub 2018 Oct 23.

Division of Vascular and Interventional Radiology, Department of Radiology, Mayo Clinic, Rochester, MN, USA.

A 72-year-old male presented with refractory ascites secondary to portal vein occlusion with cavernomatous transformation following pancreaticoduodenectomy (Whipple procedure). Due to the unfavorable anatomy, transjugular intrahepatic portosystemic shunt was not an option. However, given patency of the spleno-mesenteric confluence and absence of the pancreatic head after the Whipple procedure, a splenomeso-caval shunt was successfully created using a transjugular-transsplenic rendezvous technique. Read More

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http://dx.doi.org/10.1016/j.clinimag.2018.10.019DOI Listing
October 2018
5 Reads

Multi-phase 3D arterial spin labeling brain MRI in assessing cerebral blood perfusion and arterial transit times in children at 3T.

Clin Imaging 2019 Jan - Feb;53:210-220. Epub 2018 Nov 6.

Laboratory of FMRI Technology (LOFT), Stevens Neuroimaging and Informatics Institute, University of Southern California, Los Angeles, CA, USA.

Background: 3D pseudocontinuous arterial spin labeling (pCASL) with a single post-labeling delay time is commonly used to measure cerebral blood flow (CBF). Multi-phase pCASL has been developed to simultaneously estimate CBF and arterial transit time (ATT).

Purpose: To evaluate the clinical feasibility of multi-phase 3D pCASL in pediatric patients, and to compare the estimation of ATT and CBF via linear weighted-delay and traditional non-linear iterative curve-fitting routines. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S08997071183029
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http://dx.doi.org/10.1016/j.clinimag.2018.11.001DOI Listing
November 2018
19 Reads

Clinical, mammographic, and ultrasonographic characteristics of diabetic mastopathy: A case series.

Clin Imaging 2019 Jan - Feb;53:204-209. Epub 2018 Nov 6.

Department of Radiology, Faculty of Medicine Siriraj Hospital, Mahidol University, 2 Wanglang Road, Bangkoknoi, Bangkok 10700, Thailand.

Purpose: Diabetic mastopathy (DMP) is a rare benign breast lesion that mimics breast cancer on ultrasound. Our aims were to identify patient characteristics and imaging features of the disease.

Methods: We conducted retrospective searches of our database for DMP lesions that were pathologically confirmed between January 2004 and November 2015. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S08997071183029
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http://dx.doi.org/10.1016/j.clinimag.2018.11.002DOI Listing
November 2018
14 Reads