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Insights into Imaging

@insightsimaging.bsky.social

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#InsightsIntoImaging is a gold open access journal owned by the European Society of Radiology and edited by Editor-in-Chief, Paola Clauser. 🟣 https://www.i3-journal.org/ Social Media Editor: @cannellaroberto.bsky.social

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Insights into Imaging @insightsimaging.bsky.social · 1d

🔹 Blood supply is central to fibroid genesis, diagnosis & treatment
🔹 Ultrasound & MRI reveal complex vascular composition
🔹 Authors propose a generic nomenclature to standardize terminology (Derk Jan Slotman et al.)

#InsightsintoImaging

insightsimaging.springeropen.com/articles/10....

Understanding different aspects of blood supply of uterine fibroids: an overview of ultrasound and magnetic resonance imaging techniques - Insights into Imaging

Background Vasculature and blood flow play a crucial role in the genesis, diagnosis, and treatment of uterine fibroids. Assessment of the different aspects of blood flow by medical imaging has…

insightsimaging.springeropen.com

Insights into Imaging @insightsimaging.bsky.social · 1d

A new #InsightsintoImaging narrative review: The role of blood flow & vasculature in uterine fibroids and how imaging can improve clinical care.

Insights into Imaging @insightsimaging.bsky.social · 1d

🔹 584 patients (2010–2022), median follow-up 5.8 yrs
🔹 OS: similar between LTP & IDR (70.3 vs 93.1 mo, p=0.974)
🔹 PFS: worse in LTP (13.8 vs 20.9 mo, p=0.028)
🔹 ≥3 LTP episodes = markedly reduced OS (44.9 mo, p=0.031) (Guo et al.)

#InsightsintoImaging

shorturl.at/Ikd7C

Radiofrequency ablation for recurrent hepatocellular carcinoma: 10-year outcomes of local tumor progression vs intrahepatic distant recurrence - Insights into Imaging

Objectives To compare the long-term outcome of radiofrequency ablation (RFA) for local tumor progression (LTP) vs intrahepatic distant recurrence (IDR) in recurrent hepatocellular carcinoma (rHCC),…

insightsimaging.springeropen.com

Insights into Imaging @insightsimaging.bsky.social · 1d

This multicenter study compared outcomes of radiofrequency ablation (RFA) for local tumor progression (LTP) vs intrahepatic distant recurrence (IDR) in recurrent hepatocellular carcinoma (rHCC).

Insights into Imaging @insightsimaging.bsky.social · 2d

🔹 Best-performing model: Combined Phase
🔹 AUCs: 0.831 (training), 0.785 (internal), 0.746 (external)
🔹 Stratified OS (p=0.011) & DFS (p=0.022)
🔹 RNA-seq linked to fibrosis production & remodeling (Fangqing Wang et al.)

insightsimaging.springeropen.com/articles/10....

CT-based radiomics models decode fibrosis content and molecular differences in pancreatic ductal adenocarcinoma: a multi-institutional study - Insights into Imaging

Objectives To develop a CT radiomics model for predicting fibrosis grade in pancreatic ductal adenocarcinoma (PDAC) and to investigate the underlying prognosis value and biological basis. Methods…

insightsimaging.springeropen.com

Insights into Imaging @insightsimaging.bsky.social · 2d

📢 New article in #InsightsintoImaging

A multicenter study developed a CT radiomics model to predict fibrosis grade in pancreatic ductal adenocarcinoma.

Insights into Imaging @insightsimaging.bsky.social · 3d

The review also highlights contrast-enhanced mammography as an alternative when MRI is unavailable and introduces an updated diagnostic algorithm to support clinical decision-making and improve patient outcomes. (Pitarch et al.)

#FromTheExperts #InsightsintoImaging

shorturl.at/uu4Hg

An update on multimodal imaging strategies for nipple discharge: from detection to decision - Insights into Imaging

Abstract Nipple discharge affects over 80% of women at some point in their lives, with malignancy detected in up to 23% of cases. This review highlights the shift from traditional surgical approaches…

insightsimaging.springeropen.com

Insights into Imaging @insightsimaging.bsky.social · 3d

It outlines a stepwise approach beginning with ultrasound and mammography, progressing to MRI when initial imaging is negative. With MRI’s high negative predictive value, surveillance may replace surgery in select cases.

An update on multimodal imaging strategies for nipple discharge: from detection to decision - Insights into Imaging

Abstract Nipple discharge affects over 80% of women at some point in their lives, with malignancy detected in up to 23% of cases. This review highlights the shift from traditional surgical approaches…

insightsimaging.springeropen.com

Insights into Imaging @insightsimaging.bsky.social · 3d

This educational review provides a practical guide for breast radiologists in evaluating pathological nipple discharge, emphasizing the role of imaging in reducing unnecessary surgeries.

Insights into Imaging @insightsimaging.bsky.social · 3d

New study shows a combined clinical and radiomics model can:
✅ Preoperatively predict intratumoural tertiary lymphoid structures
✅ Stratify recurrence-free survival after surgery
✅ Identify patients likely to benefit from immunotherapy (Ying Xu et al.)

#InsightsintoImaging

shorturl.at/dFhGU

An MRI-based model for preoperative prediction of tertiary lymphoid structures in patients with gallbladder cancer - Insights into Imaging

Objectives To predict tertiary lymphoid structures (TLSs) in gallbladder cancer (GBC) using preoperative magnetic resonance imaging (MRI)-based radiomics. Methods Patients with GBC from two centres…

insightsimaging.springeropen.com

Insights into Imaging @insightsimaging.bsky.social · 3d

🩺📷 Predicting tertiary lymphoid structures in gallbladder cancer using MRI #radiomics

Insights into Imaging @insightsimaging.bsky.social · 4d

✅ Left ventricular remodeling index ≥7.5 linked to higher risk of lethal ventricular tachyarrhythmias
✅ Independent predictor beyond conventional cardiac magnetic resonance parameters
✅ Offers incremental value for risk stratification (Xi Jia et al.)

#InsightsintoImaging

shorturl.at/3QrP0

Left ventricular remodeling index to predict ventricular tachyarrhythmia in dilated cardiomyopathy with ejection fraction < 35% - Insights into Imaging

Objectives To assess the left ventricular remodeling index (LVRI) for predicting ventricular tachyarrhythmia (VTA) in patients with dilated cardiomyopathy (DCM) with left ventricular ejection…

insightsimaging.springeropen.com

Insights into Imaging @insightsimaging.bsky.social · 4d

🫀📷 Left ventricular remodeling index predicts ventricular tachyarrhythmia

New study in patients with nonischemic dilated cardiomyopathy and left ventricular ejection fraction below 35%:

Insights into Imaging @insightsimaging.bsky.social · 5d

✅ Ischemic cardiomyopathy: good agreement with unipolar mapping
✅ Non-ischemic cardiomyopathy: moderate to fair agreement
✅ Feasible even in patients with cardiac devices (Victor Mergen et al.)

#InsightsintoImaging

insightsimaging.springeropen.com/articles/10....

insightsimaging.springeropen.com

Insights into Imaging @insightsimaging.bsky.social · 5d

🫀📷 Photon-counting CT for ventricular arrhythmias

This study shows late enhancement photon-counting CT can characterize pathologic left ventricular segments with good agreement to endocardial electroanatomical mapping:

Insights into Imaging @insightsimaging.bsky.social · 8d

✅ External test AUC = 0.93
✅ Outperforms baseline deep learning (AUC 0.46–0.72) and machine learning models (0.49–0.60)
✅ Alpha-Fetoprotein biomarker added little benefit (Lulu Jia et al.)

#InsightsintoImaging

insightsimaging.springeropen.com/articles/10....

Macrotrabecular-massive subtype in hepatocellular carcinoma based on contrast-enhanced CT: deep learning outperforms machine learning - Insights into Imaging

Objective To develop a CT-based deep learning model for predicting the macrotrabecular-massive (MTM) subtype of hepatocellular carcinoma (HCC) and to compare its diagnostic performance with machine…

insightsimaging.springeropen.com

Insights into Imaging @insightsimaging.bsky.social · 8d

A new ResNet-ViT Contrastive Learning (RVCL) model predicts the macrotrabecular-massive (MTM) subtype of HCC from contrast-enhanced CT.

Insights into Imaging @insightsimaging.bsky.social · 9d

A wonderful time in Valencia last week at the ESOR/ESR Journals Advancing Excellence In Manuscript Review Workshop – a huge thanks to all that attended and all the speakers! 🇪🇸 📖

Insights into Imaging @insightsimaging.bsky.social · 9d

#InsightsintoImaging

insightsimaging.springeropen.com/articles/10....

Evaluating head CT referral quality and appropriateness in an Italian emergency department: a monocentric retrospective study - Insights into Imaging

Objectives To analyze the quality and appropriateness of head CT referrals from the emergency department (ED) of a single hospital in Italy. Materials and methods A quality care study was designed to…

insightsimaging.springeropen.com

Insights into Imaging @insightsimaging.bsky.social · 9d

Study of 2,908 requests in Italy:
- Only 21% had adequate referral quality (RI-RADS A/B)
- 25% were “usually not appropriate” (ACR)
- Inappropriate CTs rarely detected acute disease (1% vs 11%, p<0.001)
- Headache & syncope = most frequent unjustified indications (Marco Parillo et al.)

Evaluating head CT referral quality and appropriateness in an Italian emergency department: a monocentric retrospective study - Insights into Imaging

Objectives To analyze the quality and appropriateness of head CT referrals from the emergency department (ED) of a single hospital in Italy. Materials and methods A quality care study was designed to…

insightsimaging.springeropen.com

Insights into Imaging @insightsimaging.bsky.social · 9d

🧠📊 Head CT in the ED: are referrals appropriate?

Insights into Imaging @insightsimaging.bsky.social · 10d

The study concludes that while ultrasound shows promise, offering women informed choices and involving them in decision-making is essential to ensure acceptance and maintain quality care. (Carmen C. N. Siebers et al.)

#InsightsintoImaging #FromTheExperts

shorturl.at/uverm

Women’s perspectives on ultrasound as primary imaging modality for focal breast complaints: a qualitative study - Insights into Imaging

Objectives The breast ultrasound trial (BUST) demonstrates a high negative predictive value of ultrasound for women presenting with focal breast complaints, suggesting a potential shift from…

insightsimaging.springeropen.com

Insights into Imaging @insightsimaging.bsky.social · 10d

Attitudes were also shaped by healthcare system dynamics and trust in medical professionals. The findings highlight the importance of clear communication, patient education, and shared decision-making.

Women’s perspectives on ultrasound as primary imaging modality for focal breast complaints: a qualitative study - Insights into Imaging

Objectives The breast ultrasound trial (BUST) demonstrates a high negative predictive value of ultrasound for women presenting with focal breast complaints, suggesting a potential shift from…

insightsimaging.springeropen.com

Insights into Imaging @insightsimaging.bsky.social · 10d

Many participants appreciated ultrasound’s comfort and lower cost, but concerns about missed cancers, limited scientific evidence, and personal health factors led to mixed views.

Women’s perspectives on ultrasound as primary imaging modality for focal breast complaints: a qualitative study - Insights into Imaging

Objectives The breast ultrasound trial (BUST) demonstrates a high negative predictive value of ultrasound for women presenting with focal breast complaints, suggesting a potential shift from…

insightsimaging.springeropen.com

Insights into Imaging @insightsimaging.bsky.social · 10d

This study explored women's perspectives on replacing mammography/DBT with ultrasound as the first-line imaging for focal breast complaints.

Women’s perspectives on ultrasound as primary imaging modality for focal breast complaints: a qualitative study - Insights into Imaging

Objectives The breast ultrasound trial (BUST) demonstrates a high negative predictive value of ultrasound for women presenting with focal breast complaints, suggesting a potential shift from…

insightsimaging.springeropen.com