Imaging of Sacroiliac Joints
The central role of imaging in diagnosing disorders affecting the sacroiliac joints (SIJs) necessitates a comprehensive understanding of the advantages, limitations, and potential pitfalls of the imaging techniques that can be used. In this article, the anatomy and biomechanics of SIJs are exposed, outlining their unique features, particularly the division into anteroinferior cartilaginous and postero-superior ligamentous parts. Overall, the goal of this article is to offer a comprehensive understanding of imaging techniques, anatomic complexity, and diagnostic considerations relevant to SIJs disorders, facilitating accura...
Source: Radiologic Clinics of North America - April 6, 2024 Category: Radiology Authors: Maxime Lacroix, Micka ël Tordjman, Arthur Bouchut, Adrien Bordner, Amandine Laporte, Antoine Feydy Source Type: research

Update on MRI in Rheumatic Diseases
Over the past decade, MRI has significantly advanced the diagnosis of rheumatic disease in both adults and juveniles. In this article, the authors present an update on MRI applications in rheumatology, based on a review of the most recent publications. New developments in adults related to, among others, axial spondyloarthritis, peripheral arthritis, and the whole body-MRI (WB-MRI) are presented. In juveniles, this update addresses the latest advancements in diagnostic MRI of peripheral joints, followed by MRI of the axial skeleton and implementation of the WB-MRI for the screening of inflammation. The authors also discuss...
Source: Radiologic Clinics of North America - April 4, 2024 Category: Radiology Authors: Iwona Sudo ł-Szopińska, Michał Lanckoroński, Torsten Diekhoff, Damjana Ključevšek, Filippo Del Grande, Andrea Doria Source Type: research

Updates in Ultrasound in Rheumatology
Conclusions: In rheumatology's dynamic landscape, this review provides valuable insights for researchers and clinicians on ultrasound's role in improving patient care and outcomes in rheumatic diseases. (Source: Radiologic Clinics of North America)
Source: Radiologic Clinics of North America - April 3, 2024 Category: Radiology Authors: Georgios Filippou, Maria Elena Pellegrino, Adriana Sorce, Silvia Sirotti, Matteo Ferrito, Salvatore Gitto, Carmelo Messina, Domenico Albano, Luca Maria Sconfienza Source Type: research

Imaging Response to Treatment in Rheumatology
This article highlights the crucial role of various imaging techniques in the diagnosis and monitoring of rheumatologic diseases. It provides an overview of the different modalities available for imaging rheumatic diseases, the disease processes they are able to demonstrate, and their utility in the monitoring response to therapy. It emphasizes the need for a multifaceted approach that combines radiography, ultrasound, MR imaging, and PET imaging to gain a comprehensive understanding of disease progression and treatment response. Standardized grading systems along with quantitative imaging techniques are playing an increas...
Source: Radiologic Clinics of North America - April 3, 2024 Category: Radiology Authors: Sarim Ather, Adil Naeem, James Teh Source Type: research

Iodine and Gadolinium Contrast Reactions
Immediate hypersensitivity reactions to iodinated contrast media and gadolinium-based contrast media can be life-threatening. While corticosteroid premedication or agent-switching may mitigate risk, evidence is largely indirect and based on historical studies; recent literature refutes the efficacy. Guidance on premedication varies between organizations worldwide. No strategy eliminates reactions, and indirect consequences of premedication are substantial. Accelerated regimens are often used for emergencies, but are of questionable efficacy. Identifying “high-risk” patients is complex, but a history of reactions (to th...
Source: Radiologic Clinics of North America - April 3, 2024 Category: Radiology Authors: Benjamin M. Mervak, Jennifer S. McDonald Source Type: research

Iodinated Contrast and Nephropathy
This study will discuss current knowledge of contrast-induced AKI, including the incidence, sequelae, risk factors, and prevention strategies of this potential complication. (Source: Radiologic Clinics of North America)
Source: Radiologic Clinics of North America - April 3, 2024 Category: Radiology Authors: Robert J. McDonald, Jennifer S. McDonald Source Type: research

Computed Tomography Angiography: Principles and Advances
This article reviews the latest methods to optimize contrast timing and minimize motion.PMID:38553175 | DOI:10.1016/j.rcl.2024.01.005 (Source: Radiologic Clinics of North America)
Source: Radiologic Clinics of North America - March 29, 2024 Category: Radiology Authors: Timothy P Szczykutowicz Source Type: research

Coronary Artery Disease: Role of Computed Tomography and Recent Advances
Radiol Clin North Am. 2024 May;62(3):385-398. doi: 10.1016/j.rcl.2023.12.017. Epub 2024 Jan 20.ABSTRACTIn this review, the authors summarize the role of coronary computed tomography angiography and coronary artery calcium scoring in different clinical presentations of chest pain and preventative care and discuss future directions and new technologies such as pericoronary fat inflammation and the growing footprint of artificial intelligence in cardiovascular medicine.PMID:38553176 | DOI:10.1016/j.rcl.2023.12.017 (Source: Radiologic Clinics of North America)
Source: Radiologic Clinics of North America - March 29, 2024 Category: Radiology Authors: Elizabeth Lee Chiemezie Amadi Michelle C Williams Prachi P Agarwal Source Type: research

Cardiac Computed Tomography of Native Cardiac Valves
Radiol Clin North Am. 2024 May;62(3):399-417. doi: 10.1016/j.rcl.2023.12.004. Epub 2024 Jan 29.ABSTRACTValvular heart disease (VHD) is a significant clinical problem associated with high morbidity and mortality. Although not being the primary imaging modality in VHD, cardiac computed tomography (CCT) provides relevant information about its morphology, function, severity grading, and adverse cardiac remodeling assessment. Aortic valve calcification quantification is necessary for grading severity in cases of low-flow/low-gradient aortic stenosis. Moreover, CCT details significant information necessary for adequate percutane...
Source: Radiologic Clinics of North America - March 29, 2024 Category: Radiology Authors: Jordi Broncano Kate Hanneman Brian Ghoshhajra Prabhakar Shanta Rajiah Source Type: research

Pretranscatheter and Posttranscatheter Valve Planning with Computed Tomography
Radiol Clin North Am. 2024 May;62(3):419-434. doi: 10.1016/j.rcl.2024.01.007.ABSTRACTThe range of potential transcatheter solutions to valve disease is increasing, bringing treatment options to those in whom surgery confers prohibitively high risk. As the range of devices and their indications grow, so too will the demand for procedural planning. Computed tomography will continue to enable this growth through the provision of accurate device sizing and procedural risk assessment.PMID:38553178 | DOI:10.1016/j.rcl.2024.01.007 (Source: Radiologic Clinics of North America)
Source: Radiologic Clinics of North America - March 29, 2024 Category: Radiology Authors: Thomas Clifford Vitaliy Androshchuk Ronak Rajani Jonathan R Weir-McCall Source Type: research

Cardiac Computed Tomography in Congenital Heart Disease
Radiol Clin North Am. 2024 May;62(3):435-452. doi: 10.1016/j.rcl.2023.12.015. Epub 2024 Feb 1.ABSTRACTComputed tomography (CT) has emerged as a leading imaging modality in the evaluation of congenital heart disease (CHD). With ever-faster acquisition speed, decreasing radiation exposure, impeccable anatomic detail, optional functional data, and numerous post-processing tools, CT offers broad utility in CHD diagnosis, preoperative planning, and postoperative assessment. In this article, the far-reaching role of CT in CHD is reviewed, focusing on technical imaging considerations and key clinical applications.PMID:38553179 | ...
Source: Radiologic Clinics of North America - March 29, 2024 Category: Radiology Authors: Evan J Zucker Source Type: research

Role of Radiology in Assessment of Postoperative Complications of Heart Transplantation
Radiol Clin North Am. 2024 May;62(3):453-471. doi: 10.1016/j.rcl.2023.12.002. Epub 2024 Jan 25.ABSTRACTHeart transplantation is a pivotal treatment of end-stage heart failure, and recent advancements have extended median posttransplant life expectancy. However, despite the progress in surgical techniques and medical treatment, heart transplant patients still face complications such as rejection, infections, and drug toxicity. CT is a reliable tool for detecting most of these complications, whereas MR imaging is particularly adept at identifying pericardial pathologies and signs of rejection. Awareness of these nuances by r...
Source: Radiologic Clinics of North America - March 29, 2024 Category: Radiology Authors: Mangun K Randhawa Sadia Sultana Matthew T Stib Prashant Nagpal Eriberto Michel Sandeep Hedgire Source Type: research

The Role of Artificial Intelligence in Cardiac Imaging
Radiol Clin North Am. 2024 May;62(3):473-488. doi: 10.1016/j.rcl.2024.01.002. Epub 2024 Feb 7.ABSTRACTArtificial intelligence (AI) is having a significant impact in medical imaging, advancing almost every aspect of the field, from image acquisition and postprocessing to automated image analysis with outreach toward supporting decision making. Noninvasive cardiac imaging is one of the main and most exciting fields for AI development. The aim of this review is to describe the main applications of AI in cardiac imaging, including CT and MR imaging, and provide an overview of recent advancements and available clinical applicat...
Source: Radiologic Clinics of North America - March 29, 2024 Category: Radiology Authors: Carlotta Onnis Marly van Assen Emanuele Muscogiuri Giuseppe Muscogiuri Gabrielle Gershon Luca Saba Carlo N De Cecco Source Type: research

Role of Computed Tomography in Cardiac Electrophysiology
This article highlights the strengths and weaknesses of cardiac CT in EP.PMID:38553182 | DOI:10.1016/j.rcl.2023.12.016 (Source: Radiologic Clinics of North America)
Source: Radiologic Clinics of North America - March 29, 2024 Category: Radiology Authors: Sadia Sultana Cian P McCarthy Mangun Randhawa Jinjin Cao Anushri Parakh Vinit Baliyan Source Type: research

Computed Tomography Angiography for Aortic Diseases
Radiol Clin North Am. 2024 May;62(3):509-525. doi: 10.1016/j.rcl.2024.01.001. Epub 2024 Feb 15.ABSTRACTAortic pathologies encompass a heterogeneous group of disorders, including acute aortic syndrome, traumatic aortic injury , aneurysm, aortitis, and atherosclerosis. The clinical manifestations of these disorders can be varied and non-specific, ranging from acute presentations in the emergency department to chronic incidental findings in an outpatient setting. Given the non-specific nature of their clinical presentations, the reliance on non-invasive imaging for screening, definitive diagnosis, therapeutic strategy plannin...
Source: Radiologic Clinics of North America - March 29, 2024 Category: Radiology Authors: Ishan Garg Jakub M Siembida Sandeep Hedgire Sarv Priya Prashant Nagpal Source Type: research