2. ■ CONTINUED
THIS MONTH IN RADIOLOGY
Upper Extremity CT Accurate for Assessing Penetrating Trauma
CT angiography can help direct treatment in patients with penetrating trauma to the up-
per extremities. In a study of 59 patients, Anderson and colleagues found that, in con-
junction with clinical assessment, upper extremity multidetector CT angiography helped
detect acute vascular injuries and allowed 88% of patients to undergo conservative treat-
ment with no complications at follow-up. The researchers concluded that with appropriate
patient selection, optimized CT protocols, and experienced clinicians, upper extremity
CT angiograms are technically accurate for assessing penetrating trauma. ❚ Page 1064
Intravoxel Incoherent Motion DW Imaging Demonstrates Restricted Diffusion and
Perfusion-related Parameters in Liver Cirrhosis
An MR imaging sequence based on the intravoxel incoherent motion (IVIM) theory
may have applications in liver cirrhosis. Using IVIM diffusion-weighted (DW) imag-
ing that combined parallel and respiratory-triggered acquisition in a study of 37 pa-
tients, Luciani and colleagues observed restricted global diffusion with decreased
apparent diffusion coefficient in liver cirrhosis. The researchers proposed that re-
stricted diffusion could be explained in part by perfusion-related diffusion param-
eters within the liver parenchyma. IVIM DW imaging enables the extraction of diffu-
sion parameters reflecting microcirculation, or perfusion, which could potentially be
used as surrogate markers for liver cirrhosis, the researchers concluded. ❚ Page 891
An editorial by LeBihan accompanies this article (p 748).
Flat-Panel Volume CT Demonstrates Effects of Anorexia Nervosa on Bone Structure
Flat-panel volume CT reveals that bone structure in adolescent girls with anorexia
nervosa (AN) is abnormal despite normal bone mineral density. In a study of 10 ad-
olescent girls with mild AN and 10 normal-weight control subjects, Bredella and col-
leagues found that flat-panel volume CT effectively depicted trabecular microarchi-
tecture and demonstrated bone structure deficiencies in girls with AN, even when
bone mineral density at dual-energy x-ray absorptiometry was normal. Flat-panel vol-
ume CT depicts abnormalities even in mild or early disease, the researchers ob-
served, and may have major implications in treatment and follow-up. ❚ Page 938
MR Techniques Identify Viable Myocardium after Chronic Myocardial Infarction
In patients with chronic myocardial infarction, reduced perfusion in the infarct zone as detected
at MR is related to the extent of viable myocardium. In a study of 29 patients who underwent
first-pass contrast-enhanced MR and delayed-enhancement MR at least 6 months after onset of
infarction, Su and colleagues found that remaining viable myocardium demonstrated increased
perfusion during stress tests and presented similarly to remote myocardium. The researchers
concluded that the combination of MR techniques can estimate the extent of scar tissue, regional
perfusion, and myocardial perfusion reserve in chronically infarcted myocardium. ❚ Page 820
3D Isotropic MRCP Highly Sensitive for Biliary Disease
MR cholangiopancreatography (MRCP) using a respiratory-triggered isotropic 3D fast-recov-
ery fast spin-echo sequence with parallel imaging is excellent for diagnosing biliary disease. In
a study of 95 patients suspected of having biliary disease, Nandalur and colleagues found that
MRCP was highly sensitive and specific for strictures, dilatation, and intraductal filling defects,
but yielded sensitivity of 33%--42% for stones 3 mm or smaller. The researchers proposed
that the high spatial resolution and relatively short acquisition times of the MRCP technique
make it feasible for diagnosing strictures, dilatation, and stones larger than 3 mm. ❚ Page 883
Ethnic Differences Influence Screening Mammography Behavior
Differences in ethnic background influence women’s preferences for screening mammog-
raphy recall, desire for early detection, and adherence to annual screening mammog-
raphy once given a false-positive result. In a study of 911 women in an underserved,
predominantly minority population, Jafri and colleagues found that black and Hispan-
ic women were significantly less likely than were white women to continue with future
screening after a false-positive result and were also more reluctant to return for both
noninvasive and invasive studies with a higher possibility of cancer detection. Targeted
education is needed to address cultural barriers to screening mammography and improve
breast cancer prognoses among minority women, the researchers concluded. ❚ Page 785
Radiology: Volume 249: Number 3—December 2008
4A
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