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  1. Article ; Online: Patient-Centered Radiology Communications: Engaging Patients as Partners.

    Dutruel, Silvina P / Hentel, Keith D / Hecht, Elizabeth M / Kadom, Nadja

    Journal of the American College of Radiology : JACR

    2023  Volume 21, Issue 1, Page(s) 7–18

    Abstract: Patient-centered care is a model in which, by bringing the patient's perspective to the design and delivery of health care, we can better meet patients' needs, enhancing the quality of care. Patient-centered care requires finding ways to communicate ... ...

    Abstract Patient-centered care is a model in which, by bringing the patient's perspective to the design and delivery of health care, we can better meet patients' needs, enhancing the quality of care. Patient-centered care requires finding ways to communicate effectively with a diverse patient population that has various levels of health literacy, cultural backgrounds, and unique needs and preferences. Moreover, multimedia resources have the potential to inform and educate patients promoting greater independence. In this review, we discuss the fundamentals of communication with the different modes used in radiology and the key elements of effective communication. Then, we highlight five opportunities along the continuum of care in the radiology practice in which we can improve communications to empower our patients and families and strengthen this partnership. Lastly, we discuss the importance on communication training of the workforce, optimizing and seamlessly integrating technology solutions into our workflows, and the need for patient feedback in the design and delivery of care.
    MeSH term(s) Humans ; Communication ; Patients ; Delivery of Health Care ; Radiology ; Patient-Centered Care
    Language English
    Publishing date 2023-10-18
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 2274861-1
    ISSN 1558-349X ; 1546-1440
    ISSN (online) 1558-349X
    ISSN 1546-1440
    DOI 10.1016/j.jacr.2023.10.009
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  2. Article ; Online: PI-RADS: what is new and how to use it.

    Dutruel, Silvina P / Jeph, Sunil / Margolis, Daniel J A / Wehrli, Natasha

    Abdominal radiology (New York)

    2020  Volume 45, Issue 12, Page(s) 3951–3960

    Abstract: The prostate imaging reporting and data system (PI-RADS) has revolutionized the use of magnetic resonance imaging (MRI) for the management of prostate cancer (PCa). The most recent version 2.1, PI-RADS v2.1, provides specific refinements in the ... ...

    Abstract The prostate imaging reporting and data system (PI-RADS) has revolutionized the use of magnetic resonance imaging (MRI) for the management of prostate cancer (PCa). The most recent version 2.1, PI-RADS v2.1, provides specific refinements in the performance, relaxing some recommendations which were not found to be helpful, while reinforcing and clarifying others. The interpretation of T2-weighted imaging (T2WI) in the transition zone (TZ), and the overall assessment of TZ nodules, now allows for a clearer distinction between those which are clearly benign and those which might warrant tissue sampling. Additional changes also resolve discrepancies in T2WI and diffusion-weighted imaging (DWI) of the peripheral zone (PZ). PI-RADS v2.1 is a simpler, more straightforward, and more reproducible method to better communicate between physicians regarding findings on prostate MRI.
    MeSH term(s) Humans ; Magnetic Resonance Imaging ; Male ; Prostatic Neoplasms/diagnostic imaging ; Retrospective Studies ; Sensitivity and Specificity
    Language English
    Publishing date 2020-03-17
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 2839786-1
    ISSN 2366-0058 ; 2366-004X
    ISSN (online) 2366-0058
    ISSN 2366-004X
    DOI 10.1007/s00261-020-02482-x
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  3. Article ; Online: Evaluation of the LI-RADS treatment response algorithm in hepatocellular carcinoma after trans-arterial chemoembolization.

    Kierans, Andrea S / Najjar, Marc / Dutruel, Silvina P / Gavlin, Alexander / Chen, Christine / Lee, Michael J / Askin, Gulce / Halazun, Karim J

    Clinical imaging

    2021  Volume 80, Page(s) 117–122

    Abstract: Purpose: To evaluate the diagnostic performance of LI-RADS treatment response algorithm (LR-TRA) and modified RECIST (mRECIST) for the detection of viable hepatocellular carcinoma (HCC) on MRI after trans-arterial chemoembolization (TACE).: Materials ... ...

    Abstract Purpose: To evaluate the diagnostic performance of LI-RADS treatment response algorithm (LR-TRA) and modified RECIST (mRECIST) for the detection of viable hepatocellular carcinoma (HCC) on MRI after trans-arterial chemoembolization (TACE).
    Materials and methods: This retrospective study includes cirrhotic patients that underwent trans-arterial chemoembolization prior to liver transplantation from 2013 to 2017 with a pre- and post-treatment MRI available. Three blinded readers assigned a LR-TRA and mRECIST category to each lesion. Lesions on MRI and explant pathology were matched and characterized as complete (100% necrosis) or incomplete necrosis (≤99% necrosis). Diagnostic performance of LR-TRA and mRECIST were calculated with a generalized estimating equation.
    Results: A total of 52 patients with 71 lesions were included, 47 with incomplete and 24 with complete necrosis. In consensus, 45 lesions were categorized as LR-TR Nonviable, of which 62.2% (28/45) had incomplete and 37.8% (17/45) had complete necrosis. Six lesions were categorized as LR-TR Equivocal, of which 33.3% (2/6) had incomplete and 66.7% (4/6) had complete necrosis. Twenty lesions were categorized as LR-TR Viable of which 85.0% (17/20) had incomplete and 15.0% (3/20) had complete necrosis. The sensitivity of LR-TR Viable for detecting incompletely necrotic tumor when LR-TR Equivocal was considered as viable, in consensus was 40.4%; specificity 70.8%; accuracy 50.7%. The sensitivity of mRECIST for detecting incompletely necrotic tumor was 37.0%; specificity 79.2%; accuracy 51.4%. There was no significant difference in diagnostic performance between mRECIST and LR-TRA (p = 0.14-0.33). Agreement for LR-TRA category was moderate (k = 0.53 [95% CI: 0.45, 0.67]).
    Conclusion: LI-RADS treatment response algorithm demonstrates high specificity and low to moderate sensitivity for the detection of viable HCC after TACE in a North American cirrhotic cohort, without significant difference in diagnostic performance between LR-TRA and mRECIST.
    MeSH term(s) Algorithms ; Carcinoma, Hepatocellular/diagnostic imaging ; Carcinoma, Hepatocellular/therapy ; Contrast Media ; Humans ; Liver Neoplasms/diagnostic imaging ; Liver Neoplasms/therapy ; Magnetic Resonance Imaging ; Retrospective Studies ; Sensitivity and Specificity
    Chemical Substances Contrast Media
    Language English
    Publishing date 2021-06-24
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1028123-x
    ISSN 1873-4499 ; 0899-7071
    ISSN (online) 1873-4499
    ISSN 0899-7071
    DOI 10.1016/j.clinimag.2021.06.009
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  4. Article ; Online: Molecular imaging and therapy of somatostatin receptor positive tumors.

    Ivanidze, Jana / Roytman, Michelle / Sasson, Arielle / Skafida, Myrto / Fahey, Thomas J / Osborne, Joseph R / Dutruel, Silvina P

    Clinical imaging

    2019  Volume 56, Page(s) 146–154

    Abstract: Somatostatin receptors (SSTR) are upregulated in the cells of origin that define numerous neuroendocrine neoplasms. PET imaging ... ...

    Abstract Somatostatin receptors (SSTR) are upregulated in the cells of origin that define numerous neuroendocrine neoplasms. PET imaging with
    MeSH term(s) Aged ; Aged, 80 and over ; Female ; Humans ; Male ; Middle Aged ; Molecular Imaging/methods ; Neuroendocrine Tumors/diagnostic imaging ; Neuroendocrine Tumors/metabolism ; Neuroendocrine Tumors/radiotherapy ; Organometallic Compounds ; Positron-Emission Tomography/methods ; Receptors, Somatostatin/metabolism
    Chemical Substances Organometallic Compounds ; Receptors, Somatostatin ; dotatate gallium ga-68 (9L17Y0H71P)
    Language English
    Publishing date 2019-04-15
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 1028123-x
    ISSN 1873-4499 ; 0899-7071
    ISSN (online) 1873-4499
    ISSN 0899-7071
    DOI 10.1016/j.clinimag.2019.04.006
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  5. Article ; Online: Quantitative evaluation of gadoxetate hepatocyte phase homogeneity: potential imaging markers for detection of early cirrhosis.

    Boddu, Srikanth / Brylka, Douglas / Dutruel, Silvina P / Spincemaille, Pascal / Prince, Martin R

    Clinical imaging

    2016  Volume 40, Issue 5, Page(s) 979–986

    Abstract: Objective: Does quantitative analysis of the gadoxetate hepatocyte phase homogeneity, measuring percent standard deviation of hepatocyte phase (SDHP) and liver-to-kidney enhancement ratio (LiKER) detect early hepatic fibrosis?: Materials and methods: ...

    Abstract Objective: Does quantitative analysis of the gadoxetate hepatocyte phase homogeneity, measuring percent standard deviation of hepatocyte phase (SDHP) and liver-to-kidney enhancement ratio (LiKER) detect early hepatic fibrosis?
    Materials and methods: Retrospective review of gadoxetate liver MRI plus biopsy-proven fibrosis within 6 months included 31 reversible hepatic fibrosis, 33 irreversible hepatic fibrosis, and 15 donors. Parenchymal and vascular SDHP and LiKER were measured on the 20-min hepatocyte phase using region of interest.
    Results: Parenchymal SDHP, vascular SDHP and LiKER measurements differentiate early hepatic fibrosis from controls (P<.01).
    Conclusion: Quantitative analysis of gadoxetate hepatocyte phase homogeneity using SDHP and LiKER is a promising imaging biomarker for diagnosis of early liver fibrosis.
    MeSH term(s) Adult ; Biomarkers ; Biopsy ; Case-Control Studies ; Contrast Media/pharmacokinetics ; Female ; Gadolinium DTPA/pharmacokinetics ; Humans ; Liver/metabolism ; Liver Cirrhosis/diagnosis ; Liver Cirrhosis/diagnostic imaging ; Liver Cirrhosis/pathology ; Magnetic Resonance Imaging/methods ; Male ; Middle Aged ; Predictive Value of Tests ; ROC Curve ; Retrospective Studies ; Young Adult
    Chemical Substances Biomarkers ; Contrast Media ; gadolinium ethoxybenzyl DTPA ; Gadolinium DTPA (K2I13DR72L)
    Language English
    Publishing date 2016-09
    Publishing country United States
    Document type Evaluation Studies ; Journal Article
    ZDB-ID 1028123-x
    ISSN 1873-4499 ; 0899-7071
    ISSN (online) 1873-4499
    ISSN 0899-7071
    DOI 10.1016/j.clinimag.2016.05.004
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  6. Article ; Online: Imaging of Bone Perfusion and Metabolism in Subjects Undergoing Total Ankle Arthroplasty Using

    Dyke, Jonathan P / Garfinkel, Jonathan H / Volpert, Lauren / Sanders, Austin / Newcomer, Meghan / Dutruel, Silvina P / Sofka, Carolyn M / Ellis, Scott J / Demetracopoulos, Constantine A

    Foot & ankle international

    2019  Volume 40, Issue 12, Page(s) 1351–1357

    Abstract: Background: Total ankle arthroplasty (TAA) continues to exhibit a relatively high incidence of complications and need for revision surgery compared to knee and hip arthroplasty. One common mode of failure in TAA is talar component subsidence. This may ... ...

    Abstract Background: Total ankle arthroplasty (TAA) continues to exhibit a relatively high incidence of complications and need for revision surgery compared to knee and hip arthroplasty. One common mode of failure in TAA is talar component subsidence. This may be caused by disruption in the talar blood supply related to the operative technique. The purpose of this study was to quantify changes in talar bone perfusion and turnover before and after TAA with the INBONE II system using
    Methods: Nine subjects (5 M/4 F) aged 68.9 ± 8.2 years were enrolled for
    Results: The SUV underneath the talar component compared to that measured at baseline before surgery was 1.93 ± 0.29 preoperatively vs 2.47 ± 0.37 postoperatively (
    Conclusion: Our study was the first to link
    Level of evidence: Level II, prospective cohort study with development of diagnostic criteria.
    MeSH term(s) Aged ; Aged, 80 and over ; Arthroplasty, Replacement, Ankle ; Female ; Fluorine Radioisotopes/chemistry ; Humans ; Male ; Middle Aged ; Osteoblasts/cytology ; Positron Emission Tomography Computed Tomography ; Prospective Studies ; Talus/diagnostic imaging ; Talus/surgery ; Tomography, X-Ray Computed
    Chemical Substances Fluorine Radioisotopes
    Language English
    Publishing date 2019-10-09
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1183283-6
    ISSN 1944-7876 ; 1071-1007
    ISSN (online) 1944-7876
    ISSN 1071-1007
    DOI 10.1177/1071100719882717
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  7. Article ; Online: Electrocardiographic Pad for Efficient Cardiac MR Gating.

    Thimmappa, Nanda Deepa / Cooper, Mitchell A / Nguyen, Thanh D / Dutruel, Silvina P / Kawaji, Keigo / Weinsaft, Jonathan W

    Radiology

    2016  Volume 278, Issue 2, Page(s) 578–584

    Abstract: Purpose: To assess feasibility and reliability of electrocardiographic (ECG)-gated cardiac magnetic resonance (MR) imaging with a simplified reusable electrode design that does not touch the skin.: Materials and methods: In this institutional review ... ...

    Abstract Purpose: To assess feasibility and reliability of electrocardiographic (ECG)-gated cardiac magnetic resonance (MR) imaging with a simplified reusable electrode design that does not touch the skin.
    Materials and methods: In this institutional review board-approved, HIPAA-compliant study, a silicon positioner held four ECG leads and detected ECG signals without requiring shaving, adhesive, or removal of the gown. The patient lies down on the device and the patient's weight ensures good lead contact against patient's gown; electrode gel that soaks through the gown provides electrical contact with the skin. It was tested at 1.5 T on 12 volunteers and 52 patients by using double inversion recovery, steady-state, fast gradient-echo time course perfusion, and delayed inversion recovery sequences. Paired Student t test was used to assess the significance of differences in durations to apply and remove ECG pad and standard leads. Image quality was assessed and rated on a four-point scale by two readers. The ECG signal quality obtained from pad and leads was rated on a five-point scale. Ventricular septal sharpness and signal-to-noise ratio were measured on images generated by ECG gating from pads and standard leads.
    Results: Application and removal duration was 444 seconds with standard leads compared with 296 seconds with the ECG pad, and mean difference in setup time was 148 seconds (P = .005). Ventricular septal sharpness (1/slope) was 165 for ECG pad and 152 for standard leads (P = .3). Septal signal-to-noise ratio on images generated by cardiac gating with ECG pad was 38 ± 12 (standard deviation) compared with 39 ± 14 for standard leads (P = .7). The qualitative image quality score for ECG pad (3.9 ± 0.19) was comparable to ECG leads (3.8 ± 0.45; P = .47). The mean ECG signal qualitative scores were also comparable (pad vs leads, 4.9 ± 0.43 vs 4.9 ± 0.14, respectively; P = .9). Volunteers preferred the ECG pad and reported that it was comfortable and convenient. ECG pad was successful in 50 of 52 (96%) patients. Two patients, including one with large pleural effusions and another with ventricular tachycardia, were not successfully gated.
    Conclusion: This simplified approach to ECG gating is faster to set up and more convenient and comfortable for patients.
    MeSH term(s) Adult ; Aged ; Aged, 80 and over ; Artifacts ; Carbon ; Cardiac-Gated Imaging Techniques/instrumentation ; Electrocardiography ; Electrodes ; Female ; Healthy Volunteers ; Humans ; Image Processing, Computer-Assisted ; Infection Control/methods ; Magnetic Resonance Imaging/instrumentation ; Male ; Middle Aged ; Silicon
    Chemical Substances Carbon (7440-44-0) ; Silicon (Z4152N8IUI)
    Language English
    Publishing date 2016-02
    Publishing country United States
    Document type Journal Article
    ZDB-ID 80324-8
    ISSN 1527-1315 ; 0033-8419
    ISSN (online) 1527-1315
    ISSN 0033-8419
    DOI 10.1148/radiol.2015142318
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  8. Article ; Online: Automating Perforator Flap MRA and CTA Reporting.

    Lange, Christopher J / Thimmappa, Nanda Deepa / Boddu, Srikanth R / Dutruel, Silvina P / Pei, Mengchao / Farooq, Zerwa / Heshmatzadeh Behzadi, Ashkan / Wang, Yi / Zabih, Ramin / Prince, Martin R

    Journal of digital imaging

    2017  Volume 30, Issue 3, Page(s) 350–357

    Abstract: Surgical breast reconstruction after mastectomy requires precise perforator coordinates/dimensions, perforator course, and fat volume in a radiology report. Automatic perforator reporting software was implemented as an OsiriX Digital Imaging and ... ...

    Abstract Surgical breast reconstruction after mastectomy requires precise perforator coordinates/dimensions, perforator course, and fat volume in a radiology report. Automatic perforator reporting software was implemented as an OsiriX Digital Imaging and Communications in Medicine (DICOM) viewer plugin. For perforator analysis, the user identifies a reference point (e.g., umbilicus) and marks each perforating artery/vein bundle with multiple region of interest (ROI) points along its course beginning at the muscle-fat interface. Computations using these points and analysis of image data produce content for the report. Post-processing times were compared against conventional/manual methods using de-identified images of 26 patients with surgically confirmed accuracy of perforator locations and caliber. The time from loading source images to completion of report was measured. Significance of differences in mean processing times for this automated approach versus the conventional/manual approach was assessed using a paired t test. The mean conventional reporting time for our radiologists was 76 ± 27 min (median 65 min) compared with 25 ± 6 min (median 25 min) using our OsiriX plugin (p < 0.01). The conventional approach had three reports with transcription errors compared to none with the OsiriX plugin. Otherwise, the reports were similar. In conclusion, automated reporting of perforator magnetic resonance angiography (MRA) studies is faster compared with the standard, manual approach, and transcription errors which are eliminated.
    Language English
    Publishing date 2017-06
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1033897-4
    ISSN 1618-727X ; 0897-1889
    ISSN (online) 1618-727X
    ISSN 0897-1889
    DOI 10.1007/s10278-017-9943-z
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  9. Article ; Online: Improved hepatic arterial phase MRI with 3-second temporal resolution.

    Agrawal, Mukta D / Spincemaille, Pascal / Mennitt, Kevin W / Xu, Bo / Wang, Yi / Dutruel, Silvina P / Prince, Martin R

    Journal of magnetic resonance imaging : JMRI

    2013  Volume 37, Issue 5, Page(s) 1129–1136

    Abstract: Purpose: To assess 3-s temporal resolution for arterial phase bolus timing on dynamic liver MRI.: Materials and methods: One hundred consecutive patients undergoing fluoro-triggered dynamic gadoxetate enhanced liver MRI with standard Cartesian k- ... ...

    Abstract Purpose: To assess 3-s temporal resolution for arterial phase bolus timing on dynamic liver MRI.
    Materials and methods: One hundred consecutive patients undergoing fluoro-triggered dynamic gadoxetate enhanced liver MRI with standard Cartesian k-space LAVA (Liver Acquisition with Volume Acceleration) were compared with 61 consecutive patients imaged using spiral k-space LAVA reconstructed at 3-s temporal resolution with sliding window reconstruction. For qualitative analysis, bolus timing, hepatic artery branch order visualized, and overall image quality were evaluated. For quantitative analysis, contrast to noise ratio between aorta and liver parenchyma, aorta and portal vein, and signal intensity ratio between aorta and liver parenchyma were calculated.
    Results: MR fluoroscopy triggered single phase standard LAVA produced optimal arterial phase timing in 35% patients, compared with 88% with Spiral LAVA (P < 0.0001). Spiral LAVA had superior bolus timing scoring 2.0, compared with 1.0 with standard LAVA (P < 0.0001). Overall image quality and hepatic artery branch order visualization scoring were superior on spiral LAVA, compared with standard LAVA (P < 0.001). The aorta to liver parenchyma signal intensity ratio was also superior on spiral LAVA, compared with standard LAVA (2.8 vs. 2.2; P < 0.001).
    Conclusion: Dynamic liver MRI bolus timing improves using 3-s temporal resolution.
    MeSH term(s) Adult ; Aged ; Aged, 80 and over ; Algorithms ; Contrast Media ; Female ; Gadolinium DTPA ; Hepatic Artery/pathology ; Humans ; Image Enhancement/methods ; Image Interpretation, Computer-Assisted/methods ; Imaging, Three-Dimensional/methods ; Liver Cirrhosis/pathology ; Magnetic Resonance Angiography/methods ; Male ; Middle Aged ; Reproducibility of Results ; Sensitivity and Specificity
    Chemical Substances Contrast Media ; gadolinium ethoxybenzyl DTPA ; Gadolinium DTPA (K2I13DR72L)
    Language English
    Publishing date 2013-05
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1146614-5
    ISSN 1522-2586 ; 1053-1807
    ISSN (online) 1522-2586
    ISSN 1053-1807
    DOI 10.1002/jmri.23920
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  10. Article ; Online: Pancreatic Cysts in Autosomal Dominant Polycystic Kidney Disease: Prevalence and Association with PKD2 Gene Mutations.

    Kim, Jin Ah / Blumenfeld, Jon D / Chhabra, Shalini / Dutruel, Silvina P / Thimmappa, Nanda Deepa / Bobb, Warren O / Donahue, Stephanie / Rennert, Hanna E / Tan, Adrian Y / Giambrone, Ashley E / Prince, Martin R

    Radiology

    2016  Volume 280, Issue 3, Page(s) 762–770

    Abstract: Purpose To define the magnetic resonance (MR) imaging prevalence of pancreatic cysts in a cohort of patients with autosomal dominant polycystic kidney disease (ADPKD) compared with a control group without ADPKD that was matched for age, sex, and renal ... ...

    Abstract Purpose To define the magnetic resonance (MR) imaging prevalence of pancreatic cysts in a cohort of patients with autosomal dominant polycystic kidney disease (ADPKD) compared with a control group without ADPKD that was matched for age, sex, and renal function. Materials and Methods In this HIPAA-compliant, institutional review board-approved study, all patients with ADPKD provided informed consent; for control subjects, informed consent was waived. Patients with ADPKD (n = 110) with mutations identified in PKD1 or PKD2 and control subjects without ADPKD or known pancreatic disease (n = 110) who were matched for age, sex, estimated glomerular filtration rate, and date of MR imaging examination were evaluated for pancreatic cysts by using axial and coronal single-shot fast spin-echo T2-weighted images obtained at 1.5 T. Total kidney volume and liver volume were measured. Univariate and multivariable logistic regression analyses were conducted to evaluate potential associations between collected variables and presence of pancreatic cysts among patients with ADPKD. The number, size, location, and imaging characteristics of the cysts were recorded. Results Patients with ADPKD were significantly more likely than control subjects to have at least one pancreatic cyst (40 of 110 patients [36%] vs 25 of 110 control subjects [23%]; P = .027). In a univariate analysis, pancreatic cysts were more prevalent in patients with ADPKD with mutations in PKD2 than in PKD1 (21 of 34 patients [62%] vs 19 of 76 patients [25%]; P = .0002). In a multivariable logistic regression model, PKD2 mutation locus was significantly associated with the presence of pancreatic cysts (P = .0004) and with liver volume (P = .038). Patients with ADPKD and a pancreatic cyst were 5.9 times more likely to have a PKD2 mutation than a PKD1 mutation after adjusting for age, race, sex, estimated glomerular filtration rate, liver volume, and total kidney volume. Conclusion Pancreatic cysts were more prevalent in patients with ADPKD with PKD2 mutation than in control subjects or patients with PKD1 mutation. (©) RSNA, 2016 Online supplemental material is available for this article.
    MeSH term(s) Case-Control Studies ; Female ; Genotype ; Glomerular Filtration Rate ; Humans ; Longitudinal Studies ; Magnetic Resonance Imaging/methods ; Male ; Middle Aged ; Mutation ; Pancreatic Cyst/diagnostic imaging ; Pancreatic Cyst/genetics ; Polycystic Kidney, Autosomal Dominant/diagnostic imaging ; Polycystic Kidney, Autosomal Dominant/genetics ; Prevalence ; Retrospective Studies ; TRPP Cation Channels/genetics
    Chemical Substances TRPP Cation Channels ; polycystic kidney disease 2 protein
    Language English
    Publishing date 2016-09
    Publishing country United States
    Document type Journal Article
    ZDB-ID 80324-8
    ISSN 1527-1315 ; 0033-8419
    ISSN (online) 1527-1315
    ISSN 0033-8419
    DOI 10.1148/radiol.2016151650
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