Can PRECISE scoring guide repeat prostate biopsy? 🎯 Clinically significant prostate cancer detection increased with higher PRECISE scores 📊 0% with PRECISE 1–2 vs 52.4% with PRECISE 4–5

Can open-source AI improve ultrasound report quality control? 🧠 Fine-tuned open-source models detected report errors with high accuracy 📊 Qwen3-14B achieved 93.1% detection accuracy and a Macro-F1 score of 0.739

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

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

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

🫁 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

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

🩻 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

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)

🧠 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

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

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.

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.

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

🎓 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.

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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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

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

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

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

🔬 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

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

📏 Are fixed ultrasound cut-offs always clinically meaningful? 🔎 Single thresholds may oversimplify continuous biological processes, increasing the risk of misclassification near decision boundaries

🎯 AI for prostate cancer risk stratification

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.

📚 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.

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.

🖐️ Beyond the Palmer classification: a topographic approach to triangular fibrocartilage complex injuries 🔎 A new educational review classifies non-Palmer injuries into central, capsular, and complex or combined lesions, highlighting their distinct imaging features and therapeutic implications.

🦵 Beyond the ACL tear: what should radiologists look for on MRI? A new critical dialogue article highlights the expanding role of magnetic resonance imaging in preoperative assessment of anterior cruciate ligament injuries, going beyond simply confirming ligament disruption.

Critical dialogue: Anterior cruciate ligament reconstruction: evolving surgical concepts and their radiological implications - Insights into Imaging

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🫁 Interstitial lung abnormalities: incidental, but not insignificant A new critical dialogue article discusses how to recognize and classify interstitial lung abnormalities on computed tomography, with a focus on fibrotic patterns and their clinical relevance.

Critical dialogue: Interstitial lung abnormalities: an evolving concept - Insights into Imaging

Insights into Imaging -

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🫁 Is Europe ready to train the workforce needed for lung cancer screening? A European expert survey found substantial variation in low-dose computed tomography lung cancer screening training across countries, with gaps in awareness and education.