Image-guided core needle biopsy of musculoskeletal lesions can be challenging due to a variety of technical, patient-related, and lesion-related factors. Poor preprocedural planning can result in low diagnostic yield, misdiagnosis, delay in care, and the need for additional procedures. Furthermore, suboptimal procedural technique may place the patient at an increased risk of iatrogenic complications. Optimizing pre-procedural planning by considering potential complications is important in ensuring a safe and successful procedure. We provide a review of strategies for troubleshooting challenging image-guided musculoskeletal tumor biopsies.
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http://dx.doi.org/10.1053/j.ro.2022.01.002 | DOI Listing |
Radiology
January 2025
From the University of Maryland Medical Intelligent Imaging (UM2ii) Center, Department of Diagnostic Radiology and Nuclear Medicine, University of Maryland School of Medicine, 22 S Greene St, Baltimore, MD 21201 (C.H.S., A.K., V.P., F.X.D.); Departments of Radiology, Medicine, and Biomedical Data Science, Stanford University, Palo Alto, Calif (C.P.L.); Department of Computer Science and Electrical Engineering, College of Engineering and Information Technology, University of Maryland, Baltimore County, Baltimore, Md (A.J.); Department of Computer Science, University of Maryland, College Park, College Park, Md (H.H.); and University of Maryland Institute for Health Computing, University of Maryland, North Bethesda, Md (H.H., F.X.D.).
Integrating large language models (LLMs) into health care holds substantial potential to enhance clinical workflows and care delivery. However, LLMs also pose serious risks if integration is not thoughtfully executed, with complex challenges spanning accuracy, accessibility, privacy, and regulation. Proprietary commercial LLMs (eg, GPT-4 [OpenAI], Claude 3 Sonnet and Claude 3 Opus [Anthropic], Gemini [Google]) have received much attention from researchers in the medical domain, including radiology.
View Article and Find Full Text PDFBMC Bioinformatics
January 2025
Institute for Human Genetics, University Medical Center Johannes Gutenberg University, 55131, Mainz, Germany.
Background: Tissue clearing combined with light-sheet microscopy is gaining popularity among neuroscientists interested in unbiased assessment of their samples in 3D volume. However, the analysis of such data remains a challenge. ClearMap and CellFinder are tools for analyzing neuronal activity maps in an intact volume of cleared mouse brains.
View Article and Find Full Text PDFATS Sch
December 2024
Department of Critical Care Medicine, Hospital for Sick Children, Toronto, Ontario, Canada; and.
Background: Physicians practicing in pediatric critical care medicine (PCCM) should maintain procedural skills competency. Faculty practicing in academic centers face challenges that may affect their procedural skills maintenance. The overall clinical opportunities are decreasing in PCCM.
View Article and Find Full Text PDFJBJS Essent Surg Tech
January 2025
Department of Orthopaedic Surgery, Montefiore Medical Center, Bronx, New York.
Background: The pelvis is one of the most common areas for metastatic bone disease. We recently described the use of a minimally invasive percutaneous screw fixation of metastatic non-periacetabular pelvic lesions, with excellent results.
Description: The procedure can be completed in a standard operating theater without the need for special instruments.
AJR Am J Roentgenol
January 2025
Department of Diagnostic and Interventional Radiology, The Hospital for Sick Children, Department of Medical Imaging, University of Toronto, 555 University Avenue, Toronto, ON, M5G 1X8, Canada.
The use of whole-body MRI (WBMRI) in children, from infancy to adolescence, has expanded rapidly over the past decade, with increasing uptake and a broadening range of clinical indications. Current indications include screening for presymptomatic lesions in cancer predisposition syndromes; tumor staging in known malignancies; investigating fevers of unknown origin; as well as diagnosing and monitoring rheumatologic diseases, vascular anomalies and neuromuscular disorders. This AJR Expert Panel Narrative Review aims to offer a comprehensive discussion of WBMRI in pediatric patients, exploring protocols and other technical considerations, clinical indications, implementation challenges and troubleshooting, as well as controversies in widespread adoption, while considering emerging trends and directions.
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