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Tomography, Volume 12, Issue 4

2026 April - 15 articles

Cover Story: Acute traumatic aortic injury is a rare but life-threatening consequence of blunt trauma in which rapid imaging assessment is critical. This review presents a practical radiologist-focused approach centered on CT angiography as the first-line modality for diagnosis, grading, treatment planning, and follow-up. It highlights the direct and indirect signs of injury, key mimics and artifacts that may lead to false-positive interpretation, and imaging features that guide endovascular or conservative management. By integrating protocol optimization, diagnostic pitfalls, and post-treatment surveillance, the review emphasizes the central role of imaging in timely multidisciplinary care. View this paper
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Articles (15)

  • Article
  • Open Access
1,013 Views
11 Pages

Utility of Native T1 Mapping for the Evaluation of Myocardial Iron Overload in Patients with Thalassemia Major

  • Antonio Matteo Amadu,
  • Alessio Contena,
  • Alberto Dessì,
  • Leandra Piscopo,
  • Emma Solinas,
  • Davide Turilli,
  • Salvatore Claudio Fanni,
  • Mariano Scaglione and
  • Salvatore Masala

Purpose: This study aimed to assess the utility of native T1 mapping for the evaluation of myocardial iron overload in patients with Thalassemia Major. T1 was compared to T2*, which represents the gold standard for iron quantification in the heart an...

  • Article
  • Open Access
1,296 Views
15 Pages

Pericoronary Fat Attenuation Index and MRI-Derived Coronary Flow Reserve: A Comparative Study in Suspected Versus Known Coronary Artery Disease

  • Ryoya Takizawa,
  • Shingo Kato,
  • Sho Kodama,
  • Kazuki Fukui,
  • Ryusuke Sekii,
  • Naofumi Yasuda,
  • Shungo Sawamura,
  • Tae Iwasawa and
  • Daisuke Utsunomiya

Background: The fat attenuation index (FAI) derived from coronary computed tomography angiography (CTA) is an emerging imaging biomarker of perivascular inflammation. Coronary flow reserve (CFR), assessed by phase-contrast (PC) cine cardiac magnetic...

(This article belongs to the Section Cardiovascular Imaging)
  • Review
  • Open Access
3,772 Views
23 Pages

Acute Traumatic Aortic Injury: What the Radiologist Needs to Know

  • Kristina Ramirez-Garcia,
  • Catalina Jaramillo,
  • Emma Ferguson,
  • Jason Au,
  • Erika Odisio,
  • Gustavo S. Oderich,
  • Daniel Ocazionez,
  • Cihan Duran and
  • Thanila Macedo

Acute traumatic aortic injury (ATAI) is a rare but life-threatening consequence of blunt trauma that requires prompt diagnosis and accurate imaging assessment. This review presents an imaging-based approach to ATAI, with emphasis on computed tomograp...

(This article belongs to the Special Issue Celebrate the 10th Anniversary of Tomography)
  • Article
  • Open Access
1,267 Views
15 Pages

Background/Objectives: We aim to evaluate whether digital imaging and communications in medicine (DICOM)-level deep learning-based iodine-boosting applied to dual-source dual-energy computed tomography (DECT) source DICOM improves image quality in lo...

(This article belongs to the Section Abdominal Imaging)
  • Article
  • Open Access
1,195 Views
14 Pages

Baseline Body Composition Characteristics and Overall Survival in Young Women with Breast Cancer: Matched Case–Control Study Nested Within a Cohort

  • Aynur Aktas,
  • Diptasree Mukherjee,
  • Danielle Boselli,
  • Brandon N. VanderVeen,
  • Lejla Hadzikadic-Gusic,
  • Rebecca S. Greiner,
  • Michelle L. Wallander,
  • Declan Walsh and
  • Kunal C. Kadakia

Background/Objectives: Young women with breast cancer (aged ≤ 40 years) have distinct prognostic characteristics, yet little is known about how modifiable body composition factors influence outcomes in this age group. This study examined whether C...

(This article belongs to the Section Cancer Imaging)
  • Article
  • Open Access
1,306 Views
16 Pages

MRI-Based Evaluation of Lumbar Epidural Space Depth and Its Correlation with Anthropometric Factors in Saudi Adults

  • Ilhaam Alsaati,
  • Khaleel Alyahya,
  • Mohammed Alharbi,
  • Zuhal Y. Hamd and
  • Shaden Alhegail

Background: Epidural procedures benefit from a pre-procedural informed estimation of epidural depth, as anticipating the approximate distance can support safer needle placement and reduce technical difficulties during analgesia or anesthesia procedur...

  • Article
  • Open Access
1,236 Views
17 Pages

Background and Objectives: The association between spinal and pelvic alignment significantly impacts sagittal balance in adults. This study, that is retrospective, aims to investigate sagittal alignment anatomy of the pelvis and spine in juvenile idi...

(This article belongs to the Special Issue Orthopaedic Radiology: Establishing Radiologic Measurements as Diagnostic Tools and Criteria for Treatment)
  • Article
  • Open Access
1,026 Views
12 Pages

Background: This study aims to evaluate the prevalence, spectrum, and coexistence of anatomical variations in the major branches of the abdominal aorta using Multidetector Computed Tomography (MDCT) angiography, with a specific emphasis on analyzing...

(This article belongs to the Section Cardiovascular Imaging)
  • Article
  • Open Access
1,258 Views
16 Pages

Objectives: The objective of this study is to investigate the clinical potential of generating artificial bone scintigraphy (aBS), defined here as a deep learning-generated bone scintigraphy image that simulates delayed-phase bone scintigraphy (dBS)...

(This article belongs to the Section Artificial Intelligence in Medical Imaging)
  • Article
  • Open Access
1 Citations
1,188 Views
41 Pages

Standardized Images and Evaluation Metrics for Tomography

  • Anna Frixou,
  • Theodoros Leontiou,
  • Efstathios Stiliaris and
  • Costas N. Papanicolas

Background/Objectives: Modern tomographic reconstruction methods—including physics-informed and AI-based approaches—can produce very high fidelity images. In this regime, widely used global image quality metrics often approach saturation,...

  • Article
  • Open Access
870 Views
11 Pages

Optimizing Microbubble Reduction to Facilitate IVUS Guidance During Endovascular Radiofrequency Wire Procedures

  • Curtis Plante,
  • Andrew E. Warfield,
  • Carlos Escobedo,
  • Amer M. Johri,
  • David S. Majdalany and
  • Bill S. Majdalany

Background/Objectives: Radiofrequency (RF) wire energy can be used for tissue ablation across many conditions. Adjusting RF generator parameters allows RF energy to puncture tissue with minimal adjacent damage. When RF energy is applied to tissue, ho...

  • Article
  • Open Access
1,214 Views
32 Pages

Objective: This study aimed to investigate the associations between intratumoral and peritumoral apparent diffusion coefficient (ADC) measurements and multiparametric biological markers in invasive breast cancer using a novel peritumoral analysis app...

(This article belongs to the Section Cancer Imaging)
  • Article
  • Open Access
1,138 Views
15 Pages

MRI Quantification of Liver Fibrosis Using Diamagnetic Susceptibility: An Ex Vivo Validation Study

  • Chao Li,
  • Jinwei Zhang,
  • Alexey V. Dimov,
  • Anne K. Koehne de González,
  • Martin R. Prince,
  • Jiahao Li,
  • Dominick Romano,
  • Pascal Spincemaille,
  • Thanh D. Nguyen and
  • Yi Wang
  • + 1 author

Background/Objectives: Liver fibrosis, if left untreated, can lead to cirrhosis and cancer. The current standard liver biopsy for fibrosis staging is invasive and prone to risks of complication. The objective of this study was to develop a new noninv...

(This article belongs to the Section Abdominal Imaging)
  • Article
  • Open Access
1,346 Views
15 Pages

Clinical Performance Tradeoffs of ChatGPT-5.2 Thinking (OpenAI) Compared with Radiologist Interpretation in Biopsy-Referred Mammography: Cancer Detection, False Positives, and Laterality

  • Mohammad Alarifi,
  • Areej Aloufi,
  • Abdulrahman Jabour,
  • Ahmad Abanomy,
  • Haitham Alahmad,
  • Khaled Alenazi,
  • Alhanouf Alshedi and
  • Mansour Almanaa

Background/Objectives: Breast cancer screening such as mammography supports earlier detection, but variability in interpretation can still lead to missed cancers and avoidable follow-up testing. We evaluated ChatGPT-5.2 Thinking (OpenAI) as a stand-a...

(This article belongs to the Section Artificial Intelligence in Medical Imaging)
  • Article
  • Open Access
2 Citations
1,183 Views
28 Pages

Background: The Magnetic Resonance Imaging (MRI)-based tumor segmentation remains a challenging problem in medical imaging due to tumor heterogeneity, unpredictable morphological features, and the high complexity of calculations needed to implement i...

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Tomography - ISSN 2379-139X