Abstract:
RATIONALE AND OBJECTIVES:To determine computed tomography (CT) radiological features and texture features that are rewarding in differentiating nonhypervascular pancreatic neuroendocrine neoplasms (PNENs) from pancreatic ductal adenocarcinomas (PDACs). MATERIALS AND METHODS:We compared patients to pathologically proven nonhypervascular PNENs and age-matched controls with pathologically proven PDACs in a 1:2 ratio. Preoperative CT images in the arterial phase (AP) and portal vein phase (PVP) were obtained. Two radiologists independently reviewed the morphological characteristics of each tumor. Three-dimensional regions of interest (ROIs), drawn using ITK-SNAP software, were input into AK software (Artificial Intelligent Kit, GE) to extract texture features from AP and PVP images. Differences between PNENs and PDACs were analyzed with the chi-squared test, least absolute shrinkage and selection operator, kappa statistics, and uni- and multivariate logistic regression analyses. RESULTS:In total, 40 nonhypervascular PNENs and 80 PDACs were evaluated. Maximum diameter on axial section, margin, calcification, vascularity in the tumor, and tumor heterogeneity were significantly different between PDACs and nonhypervascular PNENs. Multivariate analysis showed well-defined tumor margin (odds ratio: 21.0) and presence of calcification (odds ratio: 4.4) were significant predictors of nonhypervascular PNENs. The area under the receiver operating characteristic curve of the radiological feature model, AP texture model, and PVP texture model were 0.780, 0.855, and 0.929, respectively, based on logistic regression. CONCLUSION:A well-defined margin and calcification in the tumor were helpful in discriminating nonhypervascular PNENs from PDACs. Texture analysis of contrast-enhanced CT images could be beneficial in differentially diagnosing nonhypervascular PNENs and PDACs.
journal_name
Acad Radioljournal_title
Academic radiologyauthors
Yu H,Huang Z,Li M,Wei Y,Zhang L,Yang C,Zhang Y,Song Bdoi
10.1016/j.acra.2019.06.012subject
Has Abstractpub_date
2020-03-01 00:00:00pages
332-341issue
3eissn
1076-6332issn
1878-4046pii
S1076-6332(19)30317-4journal_volume
27pub_type
杂志文章abstract:RATIONALE AND OBJECTIVES:The purpose of this study was to assess resident scores on the American College of Radiology (ACR) In-Training Examination and on the written American Board of Radiology (ABR) Examination relative to attendance at and timing of the Armed Forces Institute of Pathology (AFIP) Radiologic Pathology...
journal_title:Academic radiology
pub_type: 杂志文章
doi:10.1016/s1076-6332(00)80525-5
更新日期:2000-09-01 00:00:00
abstract:RATIONALE AND OBJECTIVES:We report social media (SoMe) utilization trends at an academic radiology department, highlighting differences between trainees and faculty and between Baby Boomers versus Generation X and Millennials. MATERIALS AND METHODS:An anonymous online survey regarding SoMe utilization and SoMe-based e...
journal_title:Academic radiology
pub_type: 杂志文章
doi:10.1016/j.acra.2017.08.012
更新日期:2018-01-01 00:00:00
abstract:RATIONALE AND OBJECTIVES:We have been called to reform radiology undergraduate medical education (UME) curricula. Clinically available clinical decision support provides an opportunity to improve education regarding appropriate imaging utilization, patient safety, and cost-effective care. MATERIAL AND METHODS:We creat...
journal_title:Academic radiology
pub_type: 杂志文章
doi:10.1016/j.acra.2016.01.020
更新日期:2016-10-01 00:00:00
abstract:RATIONALE AND OBJECTIVES:Micro-computed tomography (CT) is a important tool for longitudinal imaging of tumor development. The detection and monitoring of tumors in the liver in live animals using micro-CT is challenging. We evaluated the feasibility of high-resolution micro-CT enhanced with a hepatocyte-selective cont...
journal_title:Academic radiology
pub_type: 杂志文章
doi:10.1016/j.acra.2008.03.021
更新日期:2008-10-01 00:00:00
abstract:RATIONALE AND OBJECTIVES:Catheter-directed intraarterial (IA) injections of gadolinium contrast agents may be used during endovascular interventions with magnetic resonance (MR) imaging guidance. Injection protocols require further validation. Using a flow phantom and swine, the authors aimed to (a) measure the optimal...
journal_title:Academic radiology
pub_type: 杂志文章
doi:10.1016/s1076-6332(03)80167-8
更新日期:2002-02-01 00:00:00
abstract:RATIONALE AND OBJECTIVES:The purpose of this study was to compare the efficacy of dual-energy computed tomography (DECT), time-resolved magnetic resonance (MR) imaging (MRI) perfusion measurements, and high-resolution MR angiography (MRA) for the detection of pulmonary embolism (PE) in a rabbit model. MATERIALS AND ME...
journal_title:Academic radiology
pub_type: 杂志文章
doi:10.1016/j.acra.2010.09.004
更新日期:2010-12-01 00:00:00
abstract:RATIONALE AND OBJECTIVES:Diffusion-weighted imaging (DWI) is a noninvasive imaging technique that reflects the diffusion movement of water molecules through apparent diffusion coefficient (ADC) values. The role of DWI in predicting the histological response to neoadjuvant chemotherapy in osteosarcoma is being increasin...
journal_title:Academic radiology
pub_type: 杂志文章,评审
doi:10.1016/j.acra.2020.11.013
更新日期:2020-12-29 00:00:00
abstract:RATIONALE AND OBJECTIVES:This study aimed to determine whether mammographic features assessed by radiologists and using computer algorithms are prognostic of occult invasive disease for patients showing ductal carcinoma in situ (DCIS) only in core biopsy. MATERIALS AND METHODS:In this retrospective study, we analyzed ...
journal_title:Academic radiology
pub_type: 杂志文章
doi:10.1016/j.acra.2017.03.013
更新日期:2017-09-01 00:00:00
abstract:RATIONAL AND OBJECTIVES:This study aims to evaluate the diagnostic utility of breast imaging using transmission ultrasound. We present readers' accuracy in determining whether a breast lesion is a cyst versus a solid using transmission ultrasound as an adjunct to mammography. MATERIALS AND METHODS:This retrospective m...
journal_title:Academic radiology
pub_type: 杂志文章
doi:10.1016/j.acra.2017.03.024
更新日期:2017-09-01 00:00:00
abstract:RATIONALE AND OBJECTIVES:The American Cancer Society (ACS) and the United States Preventive Services Task Force (USPSTF) recommend colorectal cancer (CRC) screening to begin at age 50 in individuals at average risk for CRC. To estimate rate at which women eligible for CRC screening at the time of screening mammography ...
journal_title:Academic radiology
pub_type: 杂志文章
doi:10.1016/j.acra.2004.07.025
更新日期:2004-11-01 00:00:00
abstract:RATIONALE AND OBJECTIVES:The authors performed this study to determine the feasibility of using quantitative 2-[fluorine-18]fluoro-2-deoxy-D-glucose (FDG) positron emission tomography (PET) to monitor the response of breast cancer bone metastases to therapy. MATERIALS AND METHODS:Twenty-four women with stage IV bone-d...
journal_title:Academic radiology
pub_type: 杂志文章
doi:10.1016/s1076-6332(03)80461-0
更新日期:2002-08-01 00:00:00
abstract:RATIONALE AND OBJECTIVES:To analyze the statistical biases in the studies used to derive cardiac magnetic resonance-based major and minor criteria for the diagnosis of arrhythmogenic right ventricular cardiomyopathy (ARVC). MATERIALS AND METHODS:ARVC is a rare disorder of the heart that can lead to sudden death in you...
journal_title:Academic radiology
pub_type: 杂志文章
doi:10.1016/j.acra.2015.04.009
更新日期:2015-08-01 00:00:00
abstract:RATIONALE AND OBJECTIVES:Most secondary intramammary tumors occur as metastatic involvement from the contralateral breast. Breast metastases (BM) from nonmammary malignancies are very rare. The aims of this study were to estimate retrospectively the prevalence of BM from nonmammary malignancies and to describe their ra...
journal_title:Academic radiology
pub_type: 杂志文章
doi:10.1016/j.acra.2010.12.009
更新日期:2011-05-01 00:00:00
abstract:RATIONALE AND OBJECTIVES:To compare upper abdominal computed tomography (CT) image quality of new model-based iterative reconstruction (MBIR) with low-contrast resolution preference (MBIRNR40), conventional MBIR (MBIRc), and adaptive statistical iterative reconstruction (ASIR) at low dose with ASIR at routine-dose. MA...
journal_title:Academic radiology
pub_type: 杂志文章
doi:10.1016/j.acra.2018.11.020
更新日期:2019-10-01 00:00:00
abstract:RATIONALE AND OBJECTIVES:Pathogenic mutations in some genes elevate women's breast cancer risk, necessitating risk-reduction strategies. Unfortunately, women are underscreened for cancer risk, and when identified as potentially high risk, women seldom pursue genetic counseling or testing. To improve cancer risk managem...
journal_title:Academic radiology
pub_type: 杂志文章
doi:10.1016/j.acra.2020.12.005
更新日期:2020-12-15 00:00:00
abstract:RATIONALE AND OBJECTIVES:In patients with severe emphysema and poor quality of life, bronchoscopic lung volume reduction (BLVR) may be considered and guided based on lobar emphysema severity. In particular, x-ray computed tomography (CT) emphysema measurements are used to identify the most diseased and the second-most ...
journal_title:Academic radiology
pub_type: 杂志文章
doi:10.1016/j.acra.2017.08.010
更新日期:2018-02-01 00:00:00
abstract:RATIONALE AND OBJECTIVES:SYNTAX score is a useful metric determined at the time of invasive coronary angiography (ICA) to assess the complexity of coronary artery disease, and improves prediction of complications at the time of percutaneous complex intervention (PCI). We aimed to determine whether SYNTAX score can be r...
journal_title:Academic radiology
pub_type: 杂志文章
doi:10.1016/j.acra.2016.07.003
更新日期:2016-11-01 00:00:00
abstract:RATIONALE AND OBJECTIVES:We compared the peritumoral vascular definition in rats using either a paramagnetic extracellular or a macromolecular contrast medium in combination with high-resolution magnetic resonance (MR) imaging. METHODS:High-resolution, three-dimensional spoiled gradient-refocused acquisition in a stea...
journal_title:Academic radiology
pub_type: 杂志文章
doi:10.1016/s1076-6332(05)80059-5
更新日期:1995-10-01 00:00:00
abstract:RATIONALE AND OBJECTIVES:The authors performed this study to assess the performance of a computer-based classification system that uses gaze locations of observers to define the subspace for machine learning. MATERIALS AND METHODS:Thirty-two dental radiographs were classified by an expert viewer into four categories o...
journal_title:Academic radiology
pub_type: 杂志文章
doi:10.1016/S1076-6332(03)80706-7
更新日期:2001-12-01 00:00:00
abstract:RATIONALE AND OBJECTIVES:The authors evaluated the clinical utility of image coregistration in the interpretation of follow-up computed tomographic (CT) studies of the head. MATERIALS AND METHODS:Fourteen patients with 34 intracranial lesions underwent follow-up head CT. The images were coregistered automatically with...
journal_title:Academic radiology
pub_type: 杂志文章
doi:10.1016/s1076-6332(03)80097-1
更新日期:2003-03-01 00:00:00
abstract:RATIONALE AND OBJECTIVES:(23)Na magnetic resonance imaging is a promising technique for the noninvasive imaging of renal function. Past investigations of the renal corticomedullary [(23)Na] gradient have relied on imaging only in the coronal plane and on cumbersome calculations of [(23)Na], which require the use of ext...
journal_title:Academic radiology
pub_type: 杂志文章
doi:10.1016/j.acra.2012.10.009
更新日期:2013-04-01 00:00:00
abstract:RATIONALE AND OBJECTIVES:The aim of this study was to prospectively examine the impact of a tablet-based curriculum on the radiology resident educational experience. MATERIALS AND METHODS:A comprehensive tablet-based curriculum was developed by creating subspecialty modules with appropriate content level for each requ...
journal_title:Academic radiology
pub_type: 杂志文章
doi:10.1016/j.acra.2018.05.018
更新日期:2018-12-01 00:00:00
abstract:RATIONALE AND OBJECTIVES:Geometrical distortion is a well-known problem in structural magnetic resonance imaging (MRI), leading to pixel shifts with variations up to several millimeters. Because the main factors of geometrical distortion are proportional to B(0), MRI spatial encoding distortions tend to increase with h...
journal_title:Academic radiology
pub_type: 杂志文章
doi:10.1016/j.acra.2011.02.011
更新日期:2011-07-01 00:00:00
abstract:RATIONALE AND OBJECTIVES:Evidence is inconsistent about whether radiologists' interpretive performance on a screening mammography test set reflects their performance in clinical practice. This study aimed to estimate the correlation between test set and clinical performance and determine if the correlation is influence...
journal_title:Academic radiology
pub_type: 杂志文章
doi:10.1016/j.acra.2017.03.016
更新日期:2017-10-01 00:00:00
abstract:RATIONALE AND OBJECTIVES:To investigate the value of texture analysis and conventional magnetic resonance imaging (MRI) features for predicting the early recurrence (ER) of single hepatocellular carcinoma (HCC) after hepatectomy. MATERIALS AND METHODS:A total of 100 HCC patients were first divided into group A (tumor ...
journal_title:Academic radiology
pub_type: 杂志文章
doi:10.1016/j.acra.2018.10.011
更新日期:2019-09-01 00:00:00
abstract:RATIONALE AND OBJECTIVES:The addition of digital breast tomosynthesis (DBT) to digital screening mammography (DM) has been shown to decrease recall rates and improve cancer detection rates, but there is a lack of data regarding the impact of DBT on rates of short-term follow-up. We assessed possible changes in performa...
journal_title:Academic radiology
pub_type: 杂志文章
doi:10.1016/j.acra.2016.10.001
更新日期:2017-03-01 00:00:00
abstract::The authors describe the establishment of a radiology residency research track at their institution. Based on growing biomedical technology needs and the tremendous increase in imaging-based research, the importance of training and cultivating future clinical investigators continues to grow. Within the framework of a ...
journal_title:Academic radiology
pub_type: 杂志文章
doi:10.1016/j.acra.2012.08.011
更新日期:2013-02-01 00:00:00
abstract:PURPOSE:This investigation is part of a prospective National Institutes of Health-funded study evaluating three different methods for estimating the optimal length for placement of a new nasogastric (NG) tube. Abdomen radiographs were required to determine the location of the tube tip. Our objective was to analyze diff...
journal_title:Academic radiology
pub_type: 杂志文章
doi:10.1016/j.acra.2012.02.007
更新日期:2012-06-01 00:00:00
abstract:RATIONALE AND OBJECTIVES:Breast dynamic contrast-enhanced magnetic resonance imaging (DCE-MRI) scanning protocols vary widely. The purpose of this study was to determine the effects of postcontrast timing on delayed-phase lesion kinetics assessment and ability to discriminate malignant from benign lesions. MATERIALS A...
journal_title:Academic radiology
pub_type: 杂志文章
doi:10.1016/j.acra.2014.04.013
更新日期:2014-09-01 00:00:00
abstract:RATIONALE AND OBJECTIVES:To establish the range of normal for quantitative computed tomography (CT)-based measures of lung structure and function, we seek to develop methods for matching pulmonary structures across individuals and establishing a normative human lung atlas. MATERIALS AND METHODS:In our previous work, w...
journal_title:Academic radiology
pub_type: 杂志文章
doi:10.1016/j.acra.2012.04.025
更新日期:2012-11-01 00:00:00