Publications by authors named "Nieves Gomez-Leon"

Article Synopsis
  • Large-vessel vasculitis (LVV) includes diseases like giant cell arteritis and Takayasu's arteritis, characterized by inflammation of the aorta and major branches, creating diagnostic challenges.
  • F-FDG-PET-CT is an advanced imaging technique that helps diagnose and monitor LVV by visualizing vessel involvement, assessing disease activity, and guiding treatment.
  • Future research aims to improve PET-CT techniques and explore new imaging options, which will enhance the diagnostic accuracy and treatment strategies for LVV, ultimately improving patient outcomes.
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Nuclear medicine has become an indispensable discipline in the diagnosis and management of musculoskeletal infections. Radionuclide tests serve as a valuable diagnostic tool for patients suspected of having osteomyelitis, spondylodiscitis, or prosthetic joint infections. The choice of the most suitable imaging modality depends on various factors, including the affected area, potential extra osseous involvement, or the impact of previous bone/joint conditions.

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Article Synopsis
  • Multiple myeloma (MM) is a common blood cancer, and early diagnosis is key for better survival rates in high-risk patients, with imaging being essential for treatment decisions.
  • Low-dose whole-body CT is the preferred method for initial diagnosis, while MRI is more effective for finding small lesions, although FDG-PET/CT is recommended for monitoring treatment progress.
  • The review also discusses new techniques like diffusion-weighted MRI, the need for standardized reporting, and explores future developments in imaging such as PET-MRI and the role of artificial intelligence in MM management.
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Chondrogenic tumors are typically well recognized on radiographs, but differentiation between benign and malignant cartilaginous lesions can be difficult both for the radiologist and for the pathologist. Diagnosis is based on a combination of clinical, radiological and histological findings. While treatment of benign lesions does not require surgery, the only curative treatment for chondrosarcoma is resection.

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Background: The differentiation between myxomas and myxoid liposarcomas (MLPS) often is a serious challenge for the radiologists. Magnetic resonance imaging (MRI) is the most useful imaging technique in characterization of the soft tissue tumors (STT).

Purpose: To evaluate in a sample of myxomas and MLPS of the extremities, what morphological findings in conventional MRI allow us to differentiate these two types of myxoid tumors, in addition to analyzing the validity of the apparent diffusion coefficient (ADC) values of diffusion-weighted MRI (DW-MRI).

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Purpose: To compare the agreement between whole-body (WB) magnetic resonance (MR) imaging, 18F-FDG PET/CT, and skeletal survey (SS) in patients with multiple myeloma (MM) for diagnosis, initial staging, response evaluation, and early detection of complications.

Methods: This is a retrospective cohort study including MM patients who were diagnosed, treated, and followed in 2 institutions. These patients were studied with SS, WB-MR, and/or 18F-FDG PET/CT.

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Malignant melanoma solitary metastases to bone or skeletal muscle occur in 0.8% of patients. The aim of this study was to evaluate features of skeleton and muscle metastases with multimodality imaging and review the oncological outcome.

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Background And Objectives: To prospectively compare the accuracy in initial staging and end-of-treatment restaging of diffuse large B-cell lymphoma (DLBCL) between 64-slice multidetector computed tomography (64MDCT) and 18FDG positron emission tomography/computed tomography (18FGD PET/CT) with intravenous contrast injection.

Material And Methods: Randomised and blind controlled clinical multicentric trial that included biopsy-proven DLBCL patients. Seventy-two patients from five different hospitals in the region of Madrid, Spain, were enrolled in the study between January 2012 and June 2015.

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The structural similarity index (SSIM) family is a set of metrics that has demonstrated good agreement with human observers in tasks using reference images. These metrics analyze the viewing distance, edge information between the reference and the test images, changed and preserved edges, textures, and structural similarity of the images. Eight metrics based on that family are proposed.

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Article Synopsis
  • The study aimed to evaluate the correctness of staging for Hodgkin lymphoma, diffuse large B cell lymphoma (DLBCL), and follicular lymphoma using two imaging methods: contrast-enhanced FDG PET/ceCT and 64-slice multi-detector-row CT (ceCT64).
  • A total of 181 patients participated, with their scans read independently by specialists to compare the accuracy of the two techniques for initial staging and post-treatment response evaluation.
  • Results showed that while both methods had good initial staging agreement, FDG PET/ceCT was significantly better for evaluating treatment response at the end of therapy.
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Spondyloarthritis (SpA) is a family of inflammatory diseases sharing clinical, genetic, and radiological features. While crucial for tailoring early interventions, validated prognostic biomarkers are scarce in SpA. We analyze the correlation between serum levels of vasoactive intestinal peptide (VIP) and disease activity/severity in patients with early chronic inflammatory back pain.

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  • The study aimed to evaluate the accuracy and cost-effectiveness of PET/CT in staging non-small cell lung cancer (NSCLC) by comparing it with histology results in 103 patients.
  • PET/CT showed superior accuracy with a positive predictive value of 80% and a negative predictive value of 95%, compared to PET and CT alone, which had lower values across the board.
  • The cost-effectiveness analysis indicated that using PET/CT resulted in an incremental cost of €17,412 per quality-adjusted life year (QALY), confirming it as an effective method for NSCLC staging.
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Abdominal complications affect more than 80% of patients who undergo hematopoietic stem cell transplantation (HSCT) for treatment of benign or malignant hematologic disease and some solid tumors. HSCT can be performed using cells from bone marrow, peripheral blood, or umbilical cord blood. These stem cells may be from the patient him- or herself (autologous transplant), from relatives or nonrelatives with very similar human leukocyte antigen (allogeneic transplant), or from an identical twin (syngeneic transplant).

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Background And Objective: To prospectively analyze the diagnostic accuracy of PET/CT in non-Hodgkin's lymphoma (NHL) and to evaluate the most appropriate study protocol of this technique.

Patients And Method: Seventy-six biopsy proven NHL patients were enrolled in this prospective study for 3 years. Patients initially underwent a low-dose CT without intravenous contrast, then a PET emission scan and finally a full-dose CT with intravenous contrast.

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Accurate diagnosis and staging are essential for an optimal management of cancer patients. Positron emision tomography with 2-deoxy-2-fluorine-18-fluoro-D-glucose ((18)FDG-PET) and, more recently, (18)FDG-PET/computed tomography ((18)FDG-PET/CT) have emerged as powerful imaging tools in oncology, because of the valuable functional information they provide. The combined acquisition of PET and CT has synergistic advantages over its isolated constituents and minimizes their limitations.

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Blast injuries after terrorist attacks are seen with increasing frequency worldwide. Thousands of victims were attended in the hospitals of Madrid, Spain, on March 11, 2004 after the bombing attacks against the commuter trains. Thirty-six patients were attended in our institution.

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An accurate initial staging of patients with non-Hodgkin lymphoma (NHL) and Hodgkin lymphoma (HL) is critical for the selection of an appropriate treatment. Computed tomography (CT) remains the standard imaging technique, although it is based on anatomic criteria. Positron emission tomography (PET) with 2-deoxy-2-[fluorine-18]fluoro-d-glucose (FDG) provides useful functional information but requires anatomical correlation to localise lesions accurately.

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Unlabelled: PET/CT combines functional and morphologic data and increases diagnostic accuracy in a variety of malignancies. This study prospectively compares the agreement between contrast-enhanced full-dose PET/CT and unenhanced low-dose PET/CT in lesion detection and initial staging of Hodgkin's disease and non-Hodgkin's lymphoma.

Methods: Forty-seven biopsy-proven lymphoma patients underwent a 18F-FDG PET/CT study that included unenhanced low-dose CT and enhanced full-dose CT for initial staging.

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The incidence of Hodgkin's disease (HD) and Non-Hodgkin's lymphoma (NHL) is around 8% of all malignancies. Fortunately, HD and NHL are among the few malignancies that are potentially curable with current existing treatment modalities, even in advanced or recurrent disease. Accurate staging, early therapy monitoring, and posttreatment evaluation of lymphomas are important for optimum management of these patients.

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Congenital anomalies of the chest are an important cause of morbidity in infants, children, and even adults. The evaluation of affected patients frequently requires multiple imaging modalities to diagnose the anomaly and plan surgical correction. The authors analyze and illustrate practical aspects of certain common and uncommon congenital anomalies affecting the tracheobronchial tree, lung, and mediastinum, with emphasis on radiologic manifestations.

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