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European Radiology
@europeanradiology.bsky.social
📚 Home of #EuropeanRadiology and #EuropeanRadiologyExperimental

🔵 https://www.european-radiology.org/
🟢 https://www.er-x.org/

🤖 ESR #AI blog ➡️ http://ai.myesr.org
Due to the current lack of biological or molecular markers assisting clinical decision-making, VHL patients undergo multiple surgical interventions with an incremental risk of complications and morbidity (Isaline Rowe et al.)

#EuropeanRadiologyExperimental

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Intra- and inter-tumoural heterogeneity in von Hippel–Lindau disease-related renal cancer: a multimodal data study protocol - European Radiology Experimental
Abstract von Hippel–Lindau (VHL) disease is a rare hereditary cancer syndrome caused by germline pathogenic variants in the VHL gene. The current standard of care primarily involves surgical…
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December 19, 2025 at 2:02 PM
With practical pearls on marrow evaluation, pitfalls in PET interpretation, and emerging tracers like CXCR4-targeted imaging, this review is a crisp, high-yield resource for anyone reporting lymphoma imaging.

Give this article a quick look; it’s genuinely worth your time! - Amit Gupta
ESR Essentials: imaging of lymphoma—practice recommendations by the European Society of Oncologic Imaging - European Radiology
Abstract Imaging is used for lymphoma detection, Ann Arbor/Lugano staging, and treatment response assessment. [18F]FDG PET/CT should be used for most lymphomas, including Hodgkin lymphoma,…
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December 19, 2025 at 11:01 AM
It clearly explains the Lugano staging framework, the principles of nodal vs extranodal assessment, and the correct use of the Deauville 5-point score for treatment response.
ESR Essentials: imaging of lymphoma—practice recommendations by the European Society of Oncologic Imaging - European Radiology
Abstract Imaging is used for lymphoma detection, Ann Arbor/Lugano staging, and treatment response assessment. [18F]FDG PET/CT should be used for most lymphomas, including Hodgkin lymphoma,…
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December 19, 2025 at 11:01 AM
This concise guidance from the European Society of Oncologic Imaging (ESOI) walks through the best-practice approach to imaging lymphoma: from when to use PET to when CECT remains the modality of choice.
ESR Essentials: imaging of lymphoma—practice recommendations by the European Society of Oncologic Imaging - European Radiology
Abstract Imaging is used for lymphoma detection, Ann Arbor/Lugano staging, and treatment response assessment. [18F]FDG PET/CT should be used for most lymphomas, including Hodgkin lymphoma,…
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December 19, 2025 at 11:01 AM
"From a clinical perspective, this reinforces that while MRI remains indispensable 🧠, its diagnostic value depends strongly on protocol quality and consistency - making standardization of imaging and interpretation essential to improve diagnostic confidence and guide more precise decision-making 🔍."
Magnetic resonance imaging in the diagnosis of trigeminal neuralgia: a systematic review of the imaging protocol and diagnostic accuracy - European Radiology
Objectives Trigeminal neuralgia (TN) is a severe pain disorder for which MRI helps to identify the anatomical causes of pain. However, imaging protocols vary widely, and a plethora of imaging…
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December 19, 2025 at 8:01 AM
This systematic review highlights the value of advanced MRI sequences and higher field strength (3.0 T) for improved detection of neurovascular conflict in trigeminal neuralgia, while also emphasizing persistent challenges such as variable imaging protocols and limited clinical correlation.
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December 19, 2025 at 8:01 AM
"This novel scoring approach holds promise for more precise surgical planning—helping avoid unnecessary lymph node dissections in low-risk PTC while identifying occult metastases in patients at higher risk." - Kevin Fung

#ThyroidCancer #PTC #PrecisionMedicine #HeadAndNeckRadiology #CancerImaging
December 18, 2025 at 2:04 PM
Compared with a conventional ultrasound model, this new system demonstrated superior diagnostic performance (AUC 0.809 vs 0.732, p < 0.01), offering a more reliable preoperative assessment.

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US risk stratification system based on tumor burden for lateral lymph node metastasis in papillary thyroid carcinoma - European Radiology
Objectives To develop a tumor burden score (TBS)-based risk stratification system (RSS) for preoperative discrimination of lateral lymph node metastasis (LLNM) and compare it with conventional US and…
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December 18, 2025 at 2:04 PM
Zhang et al. developed a tumor burden–based risk stratification system that integrates multiple variables - including age, sex, proportional nodule involvement on transverse sonogram, tumor burden score, and the presence of peripheral punctate echogenic foci - to more accurately estimate LLNM risk.
US risk stratification system based on tumor burden for lateral lymph node metastasis in papillary thyroid carcinoma - European Radiology
Objectives To develop a tumor burden score (TBS)-based risk stratification system (RSS) for preoperative discrimination of lateral lymph node metastasis (LLNM) and compare it with conventional US and…
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December 18, 2025 at 2:04 PM
🔹 Only 1.4% revealed potentially serious findings, like suspected extra-prostatic tumors or metastases.
🔹 Reporting of minor findings varied significantly between centers.

buff.ly/e5Add1H (Victoria Huang et al.)
Incidental findings on prostate MRI in a population-based screening setting - Insights into Imaging
Objective To describe the frequency and types of incidental findings on prostate MRI in a screening setting. Materials and methods Prostate MRI reports from 2020 to 2024 for men aged 50–56 years were…
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December 18, 2025 at 11:01 AM
A study of 1,202 men aged 50–56 across three Swedish screening programs shows:

🔹 9.9% had at least one incidental finding.
🔹 Most (87%) were of low or no clinical relevance (e.g., inguinal hernia, colon diverticulosis).
Incidental findings on prostate MRI in a population-based screening setting - Insights into Imaging
Objective To describe the frequency and types of incidental findings on prostate MRI in a screening setting. Materials and methods Prostate MRI reports from 2020 to 2024 for men aged 50–56 years were…
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December 18, 2025 at 11:01 AM
"Just as fractional flow reserve has transformed decision-making in coronary artery disease, Angio-FF may help us identify truly flow-limiting lesions and avoid unnecessary interventions in cases where anatomical severity does not reflect functional significance." - Kevin Fung
December 18, 2025 at 8:01 AM
In a single-centre retrospective study of 120 patients with carotid artery stenosis, Liu et al. demonstrated that Angio-FF outperformed conventional angiography in identifying symptomatic IVBS (AUC 0.847 vs 0.640, p < 0.001).

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Angiography versus angio-based fractional flow in assessing intracranial vertebrobasilar artery stenosis - European Radiology
Objectives To evaluate the diagnostic performance of Angio-based fractional flow (Angio-FF) compared to the degree of stenosis (DS) in identifying symptomatic intracranial vertebrobasilar artery…
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December 18, 2025 at 8:01 AM
Fractional flow offers a functional measure of stenosis severity, and a novel technique - angio-based fractional flow (Angio-FF) - now allows this to be computed from a single angiographic projection.
Angiography versus angio-based fractional flow in assessing intracranial vertebrobasilar artery stenosis - European Radiology
Objectives To evaluate the diagnostic performance of Angio-based fractional flow (Angio-FF) compared to the degree of stenosis (DS) in identifying symptomatic intracranial vertebrobasilar artery…
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December 18, 2025 at 8:01 AM
The authors investigated the optimal combination of SPIO injection and T2*-weighted MRI setting to identify the sentinel lymph nodes (SLNs), the lymphatic drainage pattern, and possibly to detect metastatic SLNs (Gijs T. N. Heldens et al.)

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SPIO-enhanced MRI for sentinel lymph node mapping in oral cancer: a prospective feasibility study - European Radiology Experimental
Background Patients with early-stage node-negative oral cancer undergo a sentinel lymph node biopsy (SLNB) or elective neck dissection under general anesthesia. A noninvasive imaging alternative…
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December 17, 2025 at 2:01 PM