Insights Into Imaging

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Insights Into Imaging

Insights into Imaging is a gold open access journal owned by the European Society of Radiology. Social Media Editor: Roberto Cannella

Insights into Imaging

Insights into Imaging is a gold open access journal owned by the European Society of Radiology and edited by Editor-in-Chief, Paola Clauser. It publishes educational and critical reviews, as well as radiological guidelines and statements from leading European societies. All published articles are freely accessible worldwide which allows for the widest possible dissemination.

14/11/2025

🩻 The falciform ligament & ligamentum teres hepatis (LTH) play important clinical and imaging roles.

📘 Highlights:
• Anatomy & congenital variants
• Inflammatory, infectious, neoplastic, & vascular pathologies
• Imaging pearls to avoid pseudolesion misinterpretation

🎯 Takeaway:
Recognizing falciform & LTH abnormalities is key for accurate diagnosis, surgical planning, & preventing unnecessary interventions. (Sevtap Arslan et al.)

https://insightsimaging.springeropen.com/articles/10.1186/s13244-025-02116-0

13/11/2025

🧬 In HCC patients treated with immune checkpoint inhibitors (ICIs), diffusion MRI reveals prognostic insights.

📊 Key Findings:
• Higher substantial tumor ADC (sADC) → longer overall survival (HR 0.63, p = 0.015)
• Positive ΔsADC group → better PFS (12 vs 6.4 mo) & OS (20.5 vs 13.3 mo, p < 0.001)
• sADC links tumor burden ↔ inflammation

🧠 Takeaway:
Baseline and posttreatment sADC may serve as prognostic imaging biomarkers in HCC patients receiving ICIs. (Xiaona Fu et al.)

https://insightsimaging.springeropen.com/articles/10.1186/s13244-025-02115-1

12/11/2025

🧠 Conus medullaris & cauda equina syndromes often overlap clinically - but imaging reveals the difference.

🩻 Key takeaway: Contrast-enhanced MRI is essential for distinguishing tumors, infections, vascular & inflammatory causes.

🔑 Highlights:
• Myxopapillary ependymomas → vertebral scalloping
• Schwannomas → cystic lesions
• AVFs & infarcts → mimic neoplasms (Nerses Nersesyan et al.)

https://insightsimaging.springeropen.com/articles/10.1186/s13244-025-02117-z

11/11/2025

🧠 New study:

A post-hoc analysis of the MR CLEAN-MED trial examined whether white matter lesion (WML) volume modifies the effect of periprocedural aspirin or heparin during endovascular treatment for acute ischemic stroke.

📈 Findings show that WML volume significantly modified the effect of aspirin on symptomatic intracranial hemorrhage (sICH) risk, with higher WML volumes linked to a lower aspirin-associated risk. However, no WML-based subgroup demonstrated a clear benefit from aspirin or heparin use. (Laura M. van Poppel et al.)

https://insightsimaging.springeropen.com/articles/10.1186/s13244-025-02095-2

10/11/2025

💡 helps decode lung nodules!

A deep learning model (Swin Transformer) can noninvasively predict the pathological subtypes of pure ground-glass nodules (pGGN) on CT - better than radiologists.

✅ Accuracy: 91–95%
✅ F1-score: 91%
🩺 Supports preoperative decision-making and patient prognosis (Yanhua Wen et al.)

https://insightsimaging.springeropen.com/articles/10.1186/s13244-025-02113-3

10/11/2025

🌍 Global snapshot of spectral CT use

An IAEA survey across 80+ institutions reveals:
⚡ Access to spectral CT is growing, but clinical use lags behind.
🧩 Over 50% lack dedicated QA/QC programs.
🎓 Training gaps - especially among medical physicists - persist.

💡 Standardized protocols & targeted education are key for safe, effective adoption (Virginia Tsapaki et al.)

https://insightsimaging.springeropen.com/articles/10.1186/s13244-025-02109-z

08/11/2025

🥳 Happy International Day of Radiology!! Join us in celebrating with and let us know how you’re marking the day! Send us your photos and the best will be featured on the European Society of Radiology page!

07/11/2025

⚠️ New study!

In patients with hepatocellular carcinoma (HCC) undergoing preoperative radiotherapy, changes in the apparent diffusion coefficient (ADC) predicted pathological response better than conventional mRECIST or LR-TR criteria.

📈 Δ-ADCslice% showed the best performance (AUC = 0.92) and excellent reproducibility - making it a promising biomarker for early treatment assessment and surgical planning. (Rong Cong et al.)

https://insightsimaging.springeropen.com/articles/10.1186/s13244-025-02090-7

07/11/2025

⚠️ New study

Using the Reason for Exam Imaging Reporting and Data System (RI-RADS), this study found that:
• Only 22% of requisitions were adequate (RI-RADS A)
• Poor-quality requisitions were linked to weaker clinical reasoning
• Fever clinic & thoracic surgery requests were least adequate

💡 Standardized tools like RI-RADS could help bridge the gap between clinical reasoning and imaging quality - promoting safer, more effective care. (Xianwei Liu et al.)

https://insightsimaging.springeropen.com/articles/10.1186/s13244-025-02111-5

06/11/2025

Can MR nerve/bone fusion imaging improve grading of cervical neural foraminal stenosis (CNFS)?

✅ In a prospective study, 3-T MR nerve/bone fusion (3D-T2-FFE + FRACTURE) showed:
• Better visualization of extraforaminal nerve roots (100% vs 63%)
• Higher grading reliability (κ = 0.77–0.84)
• Correlation with patient symptoms

💡 A promising, radiation-free “one-stop” tool for precise CNFS assessment. (Dongmei Jiang et al.)

https://insightsimaging.springeropen.com/articles/10.1186/s13244-025-02094-3

05/11/2025

💡 Does re**al gas affect prostate MRI accuracy?
A 3-center study of 34,697 MRI exams found no drop in cancer detection rate even when DWI showed gas-induced artifacts.

🧠 Takeaway: Image quality matters - but gas artifacts may not compromise diagnosis. (Hirotsugu Nakai et al.)

https://insightsimaging.springeropen.com/articles/10.1186/s13244-025-02110-6

04/11/2025

⚠️ New study
Are all risk factors for iodinated contrast media (ICM) hypersensitivity reactions truly relevant?

🔍 After reviewing 126 publications, authors identified 43 published risks - but only 4 remain clinically meaningful:
1️⃣ Prior ICM hypersensitivity reaction
2️⃣ Acute allergic symptoms
3️⃣ The culprit ICM itself
4️⃣ Documentation or management errors

💡 Simplifying risk assessment could improve patient safety and reduce unnecessary concern.

(Lukas Beiner & Ingrid Boehm)

https://insightsimaging.springeropen.com/articles/10.1186/s13244-025-02099-y

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