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Insights into Imaging

@insightsimaging.bsky.social
440 followers 29 following 1.3K posts

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

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Insights into Imaging @insightsimaging.bsky.social · 17h
🎯 Combined clinical, inflammatory and imaging markers differentiated stroke phenotypes (area under the curve 0.794) 📈 Adding systemic inflammation improved prognostic performance link.springer.com/article/10.1... (Ke Lv et al.)
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Systemic inflammatory factors combined with HR-VWI-based plaque vulnerability discriminate ischemic phenotypes and predict prognosis in patients with intracranial atherosclerosis - Insights into Imaging
Background The relationship between systemic inflammation, plaque vulnerability, and stroke phenotypes in intracranial atherosclerotic stenosis (ICAS) is unclear. This study investigated inflammatory…
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Insights into Imaging @insightsimaging.bsky.social · 17h
Can systemic inflammation help identify high-risk intracranial atherosclerosis? 🧠 Higher systemic inflammation was associated with acute ischemic stroke and high-risk plaque features 📊 Each increase in the systemic inflammation response index was associated with 32.4% higher stroke risk
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Insights into Imaging @insightsimaging.bsky.social · 07/10/2026
📋 High-pitch free-breathing TRO-CTA may facilitate rapid low-dose emergency imaging link.springer.com/article/10.1... (Juan Yu et al.)
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High-pitch free-breathing triple rule-out CT angiography for acute chest pain: a prospective sequential two-cohort comparison of radiation dose and diagnostic image quality - Insights into Imaging
Objectives To evaluate the feasibility of high-pitch free-breathing triple rule-out CT angiography (TRO-CTA) by comparing image quality and radiation dose with a standard breath-hold protocol in…
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Insights into Imaging @insightsimaging.bsky.social · 07/10/2026
Can high-pitch free-breathing TRO-CTA reduce radiation dose in acute chest pain? ⚡ Acquisition time: 0.48 vs 6.83 s ☢️ Effective dose reduced by 88%: 1.81 vs 15.63 mSv 🫀 Diagnostic image quality remained comparable across coronary, pulmonary and aortic territories
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Insights into Imaging @insightsimaging.bsky.social · 06/10/2026
🌍 External validation achieved an AUC of 0.85 link.springer.com/article/10.1... (Wei Liu et al.)
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MST-Net: a multi-scale spatial transformation network for automated T2/T3 staging of rectal cancer on preoperative T2-weighted MRI - Insights into Imaging
Objective This study aimed to develop a deep learning model (MST-Net) for the segmentation-free automated and precise differentiation between T2 and T3 staging of rectal cancer based on preoperative…
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Insights into Imaging @insightsimaging.bsky.social · 06/10/2026
Can deep learning improve T2–T3 staging of rectal cancer on MRI? 🧠 MST-Net enabled segmentation-free T2–T3 classification from routine T2-weighted MRI 📊 AUC 0.95 and 90% accuracy in internal testing 🎯 Performance exceeded junior radiologists and was comparable to senior readers
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Insights into Imaging @insightsimaging.bsky.social · 05/10/2026
🔬 Iodine density and effective atomic number provided complementary spectral CT information 🎯 Strong diagnostic performance was maintained for subcentimeter nodules, including those ≤10 mm link.springer.com/article/10.1... (Yanyan Wang et al.)
link.springer.com
Noninvasive differentiation of benign and malignant solid pulmonary nodules using multiparameter dual-layer spectral CT radiomics - Insights into Imaging
Objectives To establish and validate a noninvasive multiparametric radiomics model based on dual-layer spectral CT (DLCT) for distinguishing preoperatively malignant from benign solid pulmonary…
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Insights into Imaging @insightsimaging.bsky.social · 05/10/2026
🫁 A multiparametric spectral CT radiomics model accurately differentiated benign and malignant solid pulmonary nodules 📊 The combined clinical-radiomics model outperformed clinical-radiological assessment across all cohorts
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Insights into Imaging @insightsimaging.bsky.social · 05/10/2026
🪨 Matrix calcifications were significantly more frequent in inactive cysts and uncommon in mimickers 📊 T2 signal evolution enabled a three-tier MRI subclassification of inactive cysts for stage-adapted follow-up link.springer.com/article/10.1... (Marine Julien et al.)
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From fluid loss to calcification: MRI and CT matrix features in cystic echinococcosis - Insights into Imaging
Objective To characterize MRI matrix signal and CT calcification patterns across WHO-IWGE stages, compare them with lesion mimicking cystic echinococcosis (CE), and derive an MRI-based…
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Insights into Imaging @insightsimaging.bsky.social · 05/10/2026
Can matrix MRI and CT features help identify inactive cystic echinococcosis? 🔍 Fatty T1 hyperintensity and the new “matrix flip-flop” sign were strongly associated with cyst inactivity 🎯 Both features showed high specificity (97.4%) for inactive cysts
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Insights into Imaging @insightsimaging.bsky.social · 02/10/2026
📈 Structured training improved performance, with the greatest gains among ultrasound beginners link.springer.com/article/10.1... (Jie Zhang et al.)
link.springer.com
Inter-reader agreement in multimodality imaging of carotid plaque-RADS: considerations for modality selection - Insights into Imaging
Objectives Plaque-RADS was recently developed to standardize reporting and risk stratification of carotid plaques. This study aimed to evaluate inter-reader agreement of Plaque-RADS across US, CTA,…
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Insights into Imaging @insightsimaging.bsky.social · 02/10/2026
🩻 Plaque-RADS showed moderate to substantial inter-reader agreement across US, CTA and MRI 🎯 Agreement was highest for low-risk plaques (RADS 1–2), while high-risk categories were more challenging 🔍 Experienced readers achieved substantial to almost perfect agreement across imaging modalities
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Insights into Imaging @insightsimaging.bsky.social · 02/10/2026
🔍 PSA or PSA density thresholds alone did not reach consensus for GBCA administration 🧬 WB-MRI escalation was supported for T3 disease, suspected metastases and high-risk profiles link.springer.com/article/10.1... (Eric Nduka Onwuharine et al.)
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Delphi consensus of specialist radiologists on imaging criteria for gadolinium contrast use and whole-body MRI in prostate cancer - Insights into Imaging
Objective To achieve expert consensus on structured prostate MRI criteria for gadolinium-based contrast agent (GBCA) administration and whole-body MRI (WB-MRI) escalation in the diagnostic evaluation…
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Insights into Imaging @insightsimaging.bsky.social · 02/10/2026
Can expert consensus help guide contrast administration and whole-body MRI escalation in prostate MRI? 🎯 Delphi consensus established structured criteria for GBCA administration and WB-MRI escalation 💉 GBCA use was supported for PI-RADS 3 lesions and low-quality MRI (PI-QUAL ≤3)
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Insights into Imaging @insightsimaging.bsky.social · 01/10/2026
🤝 100% of participants recommended repeating the challenge in future academic years link.springer.com/article/10.1... (Carlo Cosimo Quattrocchi et al.)
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ANATOMIADI: a national, image-based anatomy competition for residents in Italy to enhance postgraduate education through interactive learning - Insights into Imaging
Background For radiology residents, the steep learning curve of cross-sectional anatomy (especially in CT and MRI) demands more efficient and engaging educational tools. In recent years, game-based…
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Insights into Imaging @insightsimaging.bsky.social · 01/10/2026
🧠 ANATOMIADI used image-based games to challenge residents on cross-sectional anatomy 🎮 Over 400 games were developed across anatomical systems and three difficulty levels 141 participants from 28 Italian radiology residency programs joined the competition
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Insights into Imaging @insightsimaging.bsky.social · 30/09/2026
🎯 Automated 3D muscle quantification may improve assessment of pulmonary disease link.springer.com/article/10.1... (Yi Wang et al.)🎯
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Automated 3D chest CT muscle segmentation–derived model development and explanation in discrimination of normal, preserved ratio impaired spirometry, and COPD: a multicenter study - Insights into Imaging
Objectives To develop and validate an automated 3D chest CT muscle segmentation model using an exploratory normalization method to discriminate normal, preserved ratio impaired spirometry (PRISm),…
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Insights into Imaging @insightsimaging.bsky.social · 30/09/2026
Can 3D muscle analysis on chest CT help identify chronic obstructive pulmonary disease (COPD)? 🫁 3D muscle analysis outperformed conventional 2D assessment 📊 Muscle density progressively decreased from normal to PRISm to COPD 🔍 Erector spinae muscle density was the most relevant parameter
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Insights into Imaging @insightsimaging.bsky.social · 30/09/2026
🔍 Next: assess whether perceived clarity improves objective understanding. link.springer.com/article/10.1... (Agreen Horr et al.)
link.springer.com
Perceived communication quality of a standardized neuroradiology report following AI-based simplification: a randomized, blinded study - Insights into Imaging
Objectives Radiology reports are primarily written for professional communication and may be difficult for patients to understand. We investigated whether AI-based simplification of a single…
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Insights into Imaging @insightsimaging.bsky.social · 30/09/2026
Can AI make radiology reports easier for patients to understand? 🧠 In 100 adults, AI-simplified neuroradiology reports scored better across all communication domains. 📈 Large effects for clarity, tone, usability & overall impression.
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Insights into Imaging @insightsimaging.bsky.social · 29/09/2026
📊 Event rates ranged from 8.8% to 58.3% across risk groups. 🎯 A cardiac magnetic resonance-based score integrating quantitative microvascular injury and clinical variables achieved an AUC of 0.853. link.springer.com/article/10.1... (Xing-Yu Gu et al.)
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A contrast-enhanced CMR-based risk score integrating microvascular obstruction and intramyocardial hemorrhage extent for prognostic evaluation - Insights into Imaging
Objectives This study aims to compare the prognostic value of the extent of microvascular obstruction (MVO) combined with intramyocardial hemorrhage (IMH) for major adverse cardiovascular events…
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Insights into Imaging @insightsimaging.bsky.social · 29/09/2026
After ST-elevation myocardial infarction, the extent of microvascular injury matters. 🫀 Combining microvascular obstruction and intramyocardial hemorrhage identified patients at substantially higher risk of major adverse cardiovascular events.
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Insights into Imaging @insightsimaging.bsky.social · 28/09/2026
⚠️ Higher extracellular volume was associated with more aggressive tumor features 🎯 Spectral CT may provide a noninvasive biomarker of tumor proliferation link.springer.com/article/10.1... (Zhuofeng Liang et al.)
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Performance of dual-layer spectral CT-based extracellular volume fraction to assess Ki-67 proliferation status in rectal cancer: comparison with diffusion kurtosis imaging - Insights into Imaging
Objective To evaluate and compare MRI-based diffusion kurtosis imaging (DKI), diffusion-weighted imaging (DWI), and dual-layer spectral CT (DLSCT)-derived extracellular volume (ECV) fraction for…
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Insights into Imaging @insightsimaging.bsky.social · 28/09/2026
Can dual-layer spectral CT better predict tumor proliferation than diffusion MRI in rectal cancer? 🧬 Extracellular volume fraction showed the strongest association with Ki-67 📊 It achieved an AUC of 0.815, outperforming diffusion MRI parameters
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Insights into Imaging @insightsimaging.bsky.social · 28/09/2026
This year, for the first time, European Radiology and Insights into Imaging are joining forces for a joint call, offering two parallel fellowships – the Yves Menu Review Fellowship in European Radiology and the Insights into Imaging Review Fellowship. buff.ly/CQ8SM9N
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One call, two Review Fellowships: Applications are now open! - European Radiology
Insights into Imaging European Radiology Experimental European Radiology Breast European Radiology Abdomen European Radiology Cardiovascular and Thoracic European Society of Radiology Behind every…
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Insights into Imaging @insightsimaging.bsky.social · 28/09/2026
Discover what makes a great reviewer, sharpen your critical appraisal skills, and gain practical insights to help you leave your own mark on the next paper you review.
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One call, two Review Fellowships: Applications are now open! - European Radiology
Insights into Imaging European Radiology Experimental European Radiology Breast European Radiology Abdomen European Radiology Cardiovascular and Thoracic European Society of Radiology Behind every…
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Insights into Imaging @insightsimaging.bsky.social · 28/09/2026
🎓 The ESR Journals Review Fellowships 2027 are now open for applications! Behind every published paper are reviewers who helped shape it. Join us for an exclusive look into the world of the peer-review process at two of Europe’s leading radiology journals.
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One call, two Review Fellowships: Applications are now open! - European Radiology
Insights into Imaging European Radiology Experimental European Radiology Breast European Radiology Abdomen European Radiology Cardiovascular and Thoracic European Society of Radiology Behind every…
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Insights into Imaging @insightsimaging.bsky.social · 28/09/2026
🎯 Both approaches added value beyond guideline-based risk models ⚙️ Standardized late gadolinium enhancement quantification may improve risk stratification link.springer.com/article/10.1... (Lili Wang et al.)
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Enhancing risk prediction for sudden cardiac death: quantitative late gadolinium enhancement analysis in hypertrophic cardiomyopathy - Insights into Imaging
Objectives To assess the prognostic value of multiple late gadolinium enhancement (LGE) quantification methods for sudden cardiac death (SCD) prediction in hypertrophic cardiomyopathy (HCM).…
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Insights into Imaging @insightsimaging.bsky.social · 28/09/2026
Can late gadolinium enhancement quantification improve sudden cardiac death risk stratification in hypertrophic cardiomyopathy? 🫀 Both single-threshold and dual-threshold approaches predicted sudden cardiac death 📊 The gray zone showed stronger prognostic associations
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Insights into Imaging @insightsimaging.bsky.social · 25/09/2026
⚠️ Performance remained poor on one device despite threshold optimization 🎯 AI training and validation should account for device-specific variability link.springer.com/article/10.1... (Marcel Blum et al.)
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AI performance varies considerably across mammography devices: a multi-site and multi-vendor retrospective study - Insights into Imaging
Objectives To evaluate an artificial intelligence (AI) algorithm on three different mammography devices and assess screening performance using general and device-specific thresholds. Materials and…
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Insights into Imaging @insightsimaging.bsky.social · 25/09/2026
Does artificial intelligence perform consistently across different mammography devices? 📊 AI performance varied considerably across 3 mammography devices ⚙️ Device-specific thresholds improved cancer detection and reduced radiologist workload
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Insights into Imaging @insightsimaging.bsky.social · 25/09/2026
⚠️ Showed a non-significant trend toward higher post-mastectomy malignancy risk 🩻 A baseline postoperative MRI may help identify residual tissue for future surveillance link.springer.com/article/10.1... (Nieke N. P. M. Smeins et al.)
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Detection of residual fibroglandular tissue on breast MRI and associated factors in women treated with mastectomy and DIEP flap breast reconstruction - Insights into Imaging
Objectives This study investigates the frequency, extent and location of residual fibroglandular tissue (RFGT) on breast MRI after mastectomy and deep inferior epigastric perforator (DIEP) flap…
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Insights into Imaging @insightsimaging.bsky.social · 25/09/2026
Residual fibroglandular tissue is frequently seen on breast MRI after mastectomy and deep inferior epigastric perforator flap reconstruction. 🔎 Detected in 27.4% of patients 📍 Most commonly located in the upper outer quadrant
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Insights into Imaging @insightsimaging.bsky.social · 24/09/2026
🛠️ Standardized reconstructions or alternative markers may improve reliability link.springer.com/article/10.1... (Frederik Van den Kerkhof et al.)
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The angular trajectory of the vestibular aqueduct: evaluation using photon-counting CT - Insights into Imaging
Abstract The angular trajectory of the vestibular aqueduct (ATVA) has been proposed as a radiographic marker for developmental endotypes of Menière’s disease. Current ATVA measurements rely on…
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Insights into Imaging @insightsimaging.bsky.social · 24/09/2026
Can photon-counting CT directly measure the vestibular aqueduct trajectory in Menière’s disease? 🔬 PCCT enables direct visualization of the proximal vestibular aqueduct 📐 Mean ATVA was 106.9°, consistent with previous reports ⚠️ Reproducibility was poor despite direct visualization
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Insights into Imaging @insightsimaging.bsky.social · 23/09/2026
🎯 A noninvasive approach may support preoperative risk stratification and personalized neoadjuvant therapy decisions link.springer.com/article/10.1... (Yuhang Wang et al.)
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Super-resolution MRI and 2.5D deep learning for intratumoral-peritumoral radiomics in preoperative prediction of rectal cancer perineural invasion - Insights into Imaging
Objectives Preoperative prediction of perineural invasion (PNI) in rectal cancer (RC) is challenging due to limited MRI resolution and the neglect of extramural microenvironmental features. We…
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Insights into Imaging @insightsimaging.bsky.social · 23/09/2026
🔬 Super-resolution MRI enhances tumour definition and tissue detail 🧠 2.5D deep learning captures spatial context across adjacent slices 📊 Integrating intratumoral and peritumoral radiomics achieved an external testing AUC of 0.868
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Insights into Imaging @insightsimaging.bsky.social · 22/09/2026
link.springer.com/article/10.1... (Maheran Che Ha et al.)
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Technical challenges in establishing local native T1 reference ranges in cardiac MRI: a critical review - Insights into Imaging
Abstract Establishing local reference ranges for native T1 in healthy myocardium is critical in cardiac magnetic resonance imaging (CMR) for the accurate detection of myocardial fibrosis and other…
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Insights into Imaging @insightsimaging.bsky.social · 22/09/2026
Native myocardial T1 mapping is powerful, but T1 values are not directly comparable across scanners and centers. 📏 Field strength, B0/B1, vendors & protocols affect T1 values ⚙️ Standardization and vendor-specific benchmarks are key 🧪 Robust QA/QC improves reliability and comparability
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Insights into Imaging @insightsimaging.bsky.social · 22/09/2026
🎯 Context-aware reporting using percentiles, probabilistic assessment, and longitudinal evaluation may better reflect biological variability and diagnostic uncertainty link.springer.com/article/10.1... (Isabelle Schöpper et al.)
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Beyond single cut-off values in ultrasound: limitations and implications for context-aware radiology reporting - Insights into Imaging
Abstract Quantitative ultrasound frequently relies on single cut-off values to dichotomize continuous measurements into “normal” and “abnormal.” Although embedded in workflows and guidelines, their…
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Insights into Imaging @insightsimaging.bsky.social · 22/09/2026
📏 Are fixed ultrasound cut-offs always clinically meaningful? 🔎 Single thresholds may oversimplify continuous biological processes, increasing the risk of misclassification near decision boundaries
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Insights into Imaging @insightsimaging.bsky.social · 10/09/2026
link.springer.com/article/10.1... (Bowen Zheng et al.)
link.springer.com
A comprehensive framework for multi-class prostate cancer classification using biparametric MRI: a multi-center retrospective study - Insights into Imaging
Objectives Accurate pre-biopsy or preoperative diagnosis and risk stratification of prostate cancer remain challenging. This study aimed to develop an automated framework for prostate and suspicious…
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Insights into Imaging @insightsimaging.bsky.social · 10/09/2026
🔎 An automated biparametric magnetic resonance imaging framework achieved a macro-area under the curve of 0.87 for multiclass prostate cancer classification, outperforming prostate-specific antigen, prostate-specific antigen density, and Prostate Imaging Reporting and Data System scores.
link.springer.com
A comprehensive framework for multi-class prostate cancer classification using biparametric MRI: a multi-center retrospective study - Insights into Imaging
Objectives Accurate pre-biopsy or preoperative diagnosis and risk stratification of prostate cancer remain challenging. This study aimed to develop an automated framework for prostate and suspicious…
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Insights into Imaging @insightsimaging.bsky.social · 10/09/2026
🎯 AI for prostate cancer risk stratification
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Insights into Imaging @insightsimaging.bsky.social · 09/09/2026
link.springer.com/article/10.1... (Yan Zhang et al.)
link.springer.com
Optimizing coronary CT angiography in patients with delayed contrast arrival using a free-breathing, high-threshold bolus-tracking protocol - Insights into Imaging
Objective To investigate the performance of a free-breathing coronary computed tomography angiography (CCTA) protocol using a high-threshold bolus-tracking strategy in improving coronary enhancement…
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Insights into Imaging @insightsimaging.bsky.social · 09/09/2026
Can bolus tracking improve coronary computed tomography angiography when contrast arrival is delayed? 📌A modified free-breathing, high-threshold bolus-tracking protocol improved coronary enhancement uniformity and increased optimal-phase acquisitions compared with a conventional approach.
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Insights into Imaging @insightsimaging.bsky.social · 09/09/2026
link.springer.com/article/10.1... (Qingling Yang et al.)
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Assessment of the real MDT teaching model in medical imaging internship: an educational-oriented study - Insights into Imaging
Objectives To investigate whether the real multidisciplinary team (MDT) teaching mode can improve the learning effectiveness of interns majoring in medical imaging. Materials and methods Prospective…
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Insights into Imaging @insightsimaging.bsky.social · 09/09/2026
📚 Can real multidisciplinary team teaching improve radiology training? A prospective study found that multidisciplinary team-based teaching improved practical skills, clinical reasoning, and overall satisfaction among medical imaging interns compared with traditional teaching.
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Insights into Imaging @insightsimaging.bsky.social · 08/09/2026
📌 Complications were minor and self-limiting, with 92.4% of patients reporting excellent cosmetic satisfaction link.springer.com/article/10.1... (Ying Zhou et al.)
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Clinical observation of ultrasound-guided microwave ablation for 1717 benign breast lesions: a multicenter study - Insights into Imaging
Objectives To evaluate the clinical effectiveness of ultrasound-guided microwave ablation (MWA) for benign breast lesions (BBLs). Materials and methods This prospective multicenter study (January…
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Insights into Imaging @insightsimaging.bsky.social · 08/09/2026
A multicenter study of 1,717 biopsy-proven benign breast lesions showed 99.77% complete non-enhancement on day-1 contrast-enhanced ultrasound, with durable lesion regression over a median 38.7-month follow-up.
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