Table of Contents
Review Article
- Newly Recognized Genetic Tumor Syndromes of the CNS in the 5th WHO Classification: Imaging Overview with Genetic Updates
In this review of the new 5th edition of the WHO classification, the authors focus on imaging and genetic characteristics of 8 new syndromes: Elongator protein complex-medulloblastoma syndrome, BRCA1-associated protein 1 tumor-predisposition syndrome, DICER1 syndrome, familial paraganglioma syndrome, melanoma-astrocytoma syndrome, Carney complex, Fanconi anemia, and familial retinoblastoma.
General Contents
- Diffusion-Weighted Imaging Reveals Impaired Glymphatic Clearance in Idiopathic Intracranial Hypertension
The diffusivity along the cerebral perivascular spaces (DTI-ALPS technique) and lateral association and projection fibers in patients with IIH were compared with normal controls. Using the degree of diffusivity as a surrogate for glymphatic function, IIH patients were shown to have a significantly lower glymphatic clearance compared with controls (P=.005), with a significant association between declining glymphatic clearance and increasing Frisen papilledema grade (P=.046).
- Discrimination of Hemorrhage and Contrast Media in a Head Phantom on Photon-Counting Detector CT Data
Photon-counting detector CT acquires spectral information that allows for material differentiation. CT scan can be separated into the attenuation resulting from remaining iodine and soft tissue, generating contrast media maps and virtual noncontrast series. In this study, the authors demonstrated that PCD-CT can reliably differentiate between blood and iodine and accurately determine several iodine concentrations in an anthropomorphic head phantom.
- Quantification of T2-FLAIR Mismatch in Nonenhancing Diffuse Gliomas Using Digital Subtraction
The T2-FLAIR mismatch sign on MR imaging, usually determined by visual assessment, is a highly specific imaging biomarker of IDH-mutant astrocytomas. The authors of this study quantified the degree of T2-FLAIR mismatch in nonenhancing diffuse gliomas. Thresholds of ≥42% T2-FLAIR mismatch volume classified IDH-mutant astrocytoma with a specificity/sensitivity of 100%/19.6% (TCIA) and 100%/31.6% (institutional). They also found that grades 3–4 compared with grade 2 IDH-mutant astrocytomas (P<.05) had a higher percentage T2-FLAIR mismatch volume.
- Clinical and Imaging Findings in Children with Myelin Oligodendrocyte Glycoprotein Antibody Associated Disease (MOGAD): From Presentation to Relapse
This study characterizes the CNS imaging manifestations of pediatric MOGAD. The authors also identify the clinical and imaging variables associated with relapse. There is an age-dependent imaging phenotype at presentation and first relapse, and older age at presentation is associated with shorter time to relapse.
- AI-Assisted Summarization of Radiologic Reports: Evaluating GPT3davinci, BARTcnn, LongT5booksum, LEDbooksum, LEDlegal, and LEDclinical
This study quantitatively evaluated the performance of natural language processing models using real, longitudinal brain aneurysm imaging reports to objectively understand the strength and weakness of these new technologies.
