Table of Contents
State of Practice
Review Articles
Radiology-Pathology Correlation
General Contents
- Cracking the Code of Calcification: How Presence and Burden among Intracranial Arteries Influence Stroke Incidence and Recurrence
This systematic review and meta-analysis analyzed published articles on intracranial arterial segments to understand the role of plaque calcification in stroke events. Weak association between intracranial calcification and stroke incidence/recurrence was found as well as weak association between calcium burden and stroke incidence/recurrence.
- Antiamyloid Therapy and Cerebral Blood Flow Changes on MRI: A Potential Longitudinal Biomarker of Treatment Response?
AD is characterized by the accumulation of extracellular amyloid-β in the brain parenchyma and along the walls of cerebral blood vessels, leading to decreased CBF. CBF changes on ASL-MR could reflect clearance of amyloid-β on lecanemab therapy, raising the possibility that ASL-MR could serve as a tool for monitoring the neurovascular treatment response.
- Deep Invasion Volume of the Primary Nasopharyngeal Carcinoma Predicts Treatment Outcome
The results of this study on quantification of deep invasion of NPC showed that the tumors with a relatively large deep component compared with the superficial component had a poorer outcome. Specifically, volume of deep invasion in primary NPC (ratio of deep to the total primary tumor volume) was found to correlate with the presence of nodal metastases and the best predictor of outcome, especially distant metastases-free survival.
- Comparing CT-Like Bone Images Based on Fast Field Echo Resembling a CT Using Restricted Echo Spacing (FRACTURE) MR with CT in Pediatric Congenital Vertebral Anomalies
FRACTURE MR is reliable for bone imaging in pediatric complex spinal anomalies and can be complementary to conventional MR in providing osseous details, reducing the need for additional study, and avoiding radiation. The bone signal and cortical trabecular differentiation are excellent in older children (>3 years old).
- Management Outcomes after Image-Guided Percutaneous Biopsy for Suspected Vertebral Osteomyelitis-Discitis
This retrospective study of patients who underwent image-guided biopsy for suspected vertebral osteomyelitis-discitis aimed to assess how biopsy results impact clinical management. It was found that biopsy results changed management in 36% of cases, mostly in culture-positive cases allowing for customizing antibiotic treatment. While antibiotic therapy at the time of biopsy did not impact yield, it was concluded that it may lead to less management change.
- MRI Interpretation Errors in Adult Patients with Medically Refractory Epilepsy
This retrospective observational study highlights common diagnostic pitfalls in epilepsy MRI interpretation, with MTS, FCD, and enlarged amygdala being the most frequently missed pathologies. It highlights the importance of combining clinical information and EEG findings to enhance diagnostic accuracy.