2021 Top Images in Radiology : Radiology In Training Editors’ Choices
2021; Radiological Society of North America; Volume: 302; Issue: 3 Linguagem: Inglês
10.1148/radiol.212831
ISSN1527-1315
AutoresFrancis Deng, Eric Kim, Anna Trofimova, Susanna I. Lee,
Tópico(s)Traumatic Brain Injury and Neurovascular Disturbances
ResumoHomeRadiologyVol. 302, No. 3 PreviousNext Reviews and CommentaryFree AccessEditorial2021 Top Images in Radiology: Radiology In Training Editors’ ChoicesFrancis Deng , Eric Kim, Anna V. Trofimova, Susanna I. LeeFrancis Deng , Eric Kim, Anna V. Trofimova, Susanna I. LeeAuthor AffiliationsFrom the Department of Radiology, Massachusetts General Hospital, Harvard Medical School, 55 Fruit St, GRB 273, Boston MA 02114 (F.D., S.I.L.); Department of Radiology, New York University School of Medicine, New York, NY (E.K.); and Department of Radiology and Imaging Sciences, Emory University School of Medicine, Emory University Hospital, Atlanta, Ga (A.V.T.).Address correspondence to F.D. (e-mail: [email protected]).Francis Deng Eric KimAnna V. TrofimovaSusanna I. LeePublished Online:Nov 30 2021https://doi.org/10.1148/radiol.212831MoreSectionsPDF ToolsImage ViewerAdd to favoritesCiteTrack CitationsPermissionsReprints ShareShare onFacebookTwitterLinked In AbstractOnline supplemental material is available for this article.Since 2018, Images in Radiology has published compelling images that demonstrate important medical diagnoses and state-of-the-art technology. Aside from exhibiting the unique contributions of radiology to the field of medicine at large, a key goal of this feature is education. As a natural consequence, trainees form a significant part of the readership and authorship of this article type. We are pleased to share that Radiology In Training editorial board members have also become involved in the editorial process starting this year. Under the leadership of Dr David Bluemke, the Editor of Radiology, and Dr Mark Schiebler, a Deputy Editor of the journal, the Radiology In Training editors will share the responsibility for reviewing and editing the Images in Radiology submissions toward publication.Continuing a tradition begun last year (1), the entire Radiology In Training editorial board voted to select the top Images in Radiology of 2021, celebrating the success of these exemplary articles and their authors. Twenty-eight Images in Radiology published between July 1, 2020, and June 30, 2021, were eligible. The editorial board members individually ranked their top five choices based on a holistic consideration of three criteria: (a) novel technology or unusual pathology, (b) educational or thought-provoking, and (c) visually compelling. The board selected one winner and two runners-up.The winner selected as the top 2021 Image in Radiology is the article entitled “Micro-CT of Early Human Development” by Yousif Dawood and Bernadette S. de Bakker (Fig 1) (2). In this case, a tubal ectopic pregnancy was excised, fixed in formalin, and stained in Lugol solution. An ex vivo micro-CT of the specimen was performed at 3-µm isotropic voxel size, yielding ultra-high-spatial-resolution images of a 3-mm-long human embryo at approximately 28 developmental days with an unprecedented level of visualization of the developing organs. The cinematic presentation of the three-dimensional reconstruction image proved particularly memorable (Movie [online]). Micro-CT is a promising imaging tool that enables micron-level resolution and, for this reason, is being increasingly used to study postmortem human anatomy for clinical and research purposes (3). This article received the highest ranking for showcasing cutting-edge imaging technology that could capture the fascinating beauty of early human development and emphasized the potential role of imaging in many areas of clinical and bench research.Figure 1: (A) Contrast-enhanced micro-CT at 3-µm isotropic resolution shows an intact ectopic pregnancy in the fallopian tube with a 3-mm-long human embryo of 6-weeks gestation. Left: volume rendering of the micro-CT images shows the embryo and its yolk sac completely surrounded by trophoblast and fallopian tube. Right: the embryo (with developing organs) and yolk sac can be clearly seen (top) and it shows full resemblance with the stage 12 specimen presented in an atlas (bottom). (B) Sagittal 3-µm micro-CT image of a human embryo at 6-weeks gestation with isotropic resolution. The embryo is surrounded by trophoblast and covered by amnion. On the dorsal side, the somites and otic vessel are easily distinguished, whereas ventrally, the (blood-filled) heart tube is prominent. Source.—Reference 4.Figure 1:Download as PowerPointOpen in Image Viewer Get the Flash Player to see this video.Movie: Movie (43 seconds) shows two rotating 3D reconstructions of the presented images (left and top right).Download Original Video (42.8 MB)The first runner-up is an article entitled “Imaging of COVID-19 Vaccination at FDG PET/CT” by Michal Eifer and Yael Eshet (Fig 2) (5). This selection reflects the continued importance of COVID-19 in radiology, as last year’s Images in Radiology winner was also related to COVID-19 (6). One year later, the pandemic remains a global public health problem, but vaccinations have enabled a gradual return to normalcy. As vaccination has become more widespread, recognizing the adverse effects has become important. This article was one of the earliest reports of imaging manifestations related to the COVID-19 vaccine. The authors presented a case of a 72-year-old woman with a history of breast cancer who underwent breast conservation therapy. The patient underwent fluorodeoxyglucose, or FDG, PET/CT imaging 10 days after receiving a COVID-19 vaccination in the contralateral deltoid muscle. Tracer uptake was visualized in the corresponding deltoid muscle and two axillary lymph nodes, which was attributed to the vaccination rather than new contralateral axillary metastasis. Since then, vaccine-induced lymphadenopathy has become a well-known phenomenon that is important to identify due to the potential diagnostic dilemma it can create in oncologic imaging. This article has now been downloaded more than 24 000 times and, having been noticed and disseminated by the lay press, received more attention in online news and social media than 95% of all research publications scored by Altmetric. The Radiology In Training editorial board was similarly enthusiastic, finding that its educational value and clinical significance justified a high ranking.Figure 2: Fluorodeoxyglucose PET/CT images in a 72-year-old woman 10 days after she was vaccinated for COVID-19. (A) Maximum intensity projection image, (B) coronal multiplanar reformatted image, (C) CT scan, and (D) fusion image show focally increased uptake in the right deltoid muscle (arrowhead, B and D) and moderately increased uptake in two right axillary lymph nodes (arrows, A and C) that correspond with her recent COVID-19 vaccination.Figure 2:Download as PowerPointOpen in Image Viewer The second runner-up is “Radiologist Mouse Movements at a PACS Workstation” by Jan Vosshenrich and Hanns-Christian Breit (Fig 3) (7). Although not based on a patient, these images speak to the human-computer interaction that is now core to the practice of radiology. The authors tracked the mouse activity of a radiology resident over an 8-hour shift using the program IOGraph. The result is equal parts contemporary art and a data graphic. The resident moved the mouse a staggering distance of 1.4 miles (2.2 km). Our trainee editorial board found the visual both thought-provoking and relatable. The extensive and sometimes repetitive patterns, the authors suggested, point to a need for technologic solutions (eg, intelligent hanging protocols and worklists) and attention to ergonomic design to optimize a radiologist’s workflow.Figure 3: Mouse movements (lines) and mouse stops (circles) on (A) a radiology information system screen and (B) two picture archiving and communicating system screens tracked over course of an 8-hour shift. Line color indicates movement orientation: vertical (pink), horizontal (green), and oblique (orange and purple).Figure 3:Download as PowerPointOpen in Image Viewer The Radiology In Training editorial board would like to extend our sincere congratulations to the authors of these selected articles. Radiology revolves around images and these in particular capture the innovations in the science and practice of our field. We look forward to another year of quality manuscript submissions for Images in Radiology.Disclosures of conflicts of interest: F.D. Member of the Radiology In Training editorial board. E.K. Member of the Radiology In Training editorial board. A.V.T. Recipient of RSNA Research Fellow Grant and RSNA Research Resident Grant; 2020 Olmsted Editorial Fellow; member of the Radiology In Training editorial board. S.I.L. Royalties from Springer, Wolters Kluwer; receives honoraria from the RSNA for journal editing; member of the Radiology editorial board and Radiology In Training editorial board.References1. Trofimova AV, Kim E, Lee SI. 2020 Top Images in Radiology: Radiology In Training Editors’ Choices. Radiology 2021;298(2):284–286. Link, Google Scholar2. Dawood Y, de Bakker BS. Micro-CT of Early Human Development. Radiology 2020;297(1):32. Link, Google Scholar3. Dawood Y, Strijkers GJ, Limpens J, Oostra RJ, de Bakker BS. Novel imaging techniques to study postmortem human fetal anatomy: a systematic review on microfocus-CT and ultra-high-field MRI. Eur Radiol 2020;30(4):2280–2292. Crossref, Medline, Google Scholar4. de Bakker BS, de Jong KH, Hagoort J, et al. An interactive three-dimensional digital atlas and quantitative database of human development. Science 2016;354(6315):aag0053. Crossref, Medline, Google Scholar5. Eifer M, Eshet Y. Imaging of COVID-19 Vaccination at FDG PET/CT. Radiology 2021;299(2):E248. Link, Google Scholar6. Poyiadji N, Shahin G, Noujaim D, Stone M, Patel S, Griffith B. COVID-19-associated Acute Hemorrhagic Necrotizing Encephalopathy: Imaging Features. Radiology 2020;296(2):E119–E120. Link, Google Scholar7. Vosshenrich J, Breit HC. Radiologist Mouse Movements at a PACS Workstation. Radiology 2021;299(1):52. Link, Google ScholarArticle HistoryReceived: Nov 7 2021Revision requested: Nov 10 2021Accepted: Nov 10 2021Published online: Nov 30 2021Published in print: Mar 2022 FiguresReferencesRelatedDetailsCited By2022 Top Images in Radiology: Radiology In Training Editors' ChoicesSimon Lennartz, Peter Li, Nikita Consul, Susanna I. Lee, 29 November 2022 | Radiology, Vol. 306, No. 2Recommended Articles Micro-CT of Early Human DevelopmentRadiology2020Volume: 297Issue: 1pp. 32Imaging of COVID-19 Vaccination at FDG PET/CTRadiology2021Volume: 299Issue: 2pp. E248Ectopic Pregnancy: A Trainee’s Guide to Making the Right Call: Women’s ImagingRadioGraphics2016Volume: 36Issue: 7pp. 2236-2237US Findings of First-Trimester Pregnancy RadioGraphics Fundamentals | Online PresentationRadioGraphics2018Volume: 38Issue: 7pp. 2193-2194Evaluating Fallopian Tube Patency: What the Radiologist Needs to KnowRadioGraphics2021Volume: 41Issue: 6pp. 1876-18961See More RSNA Education Exhibits Hysterosalpingography (HSG) in the Diagnosis and Management of Fallopian Tube Disease: SIN, Sacrifice and Salvation - Not Simply a Test of Tubal Patency!Digital Posters2019A Traineeâs Guide to Ovarian Emergencies in the EDDigital Posters2018Methotrexate Chemo Agent in Gynecological and Obstetric Practice: What the Radiologist Needs to KnowDigital Posters2019 RSNA Case Collection Isolated Fallopian Tube Torsion RSNA Case Collection2021Ovarian ectopic pregnancyRSNA Case Collection2020Primary Fallopian Tube CarcinomaRSNA Case Collection2022 Vol. 302, No. 3 Metrics Altmetric Score PDF download
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