Brian BradfieldPractice ManagementIs your equipment helping or hurting patient communication?With existing scheduling backlogs, radiology technologists are feeling the pressure to move fast. A critical element of care can suffer on account of this pressure: patient communication.April 5, 2024Practice ManagementHow much do canceled appointments actually cost radiology?Canceled appointments are an inevitable part of a radiology department's — and a hospital's — operations. Brian Bradfield of Cassling offers some potential solutions in a new column.January 18, 2024Page 1 of 1Top StoriesUltrasoundAdvanced ultrasound techniques improve soft tissue tumor evaluationBoth SWE and SMI can help distinguish benign from malignant soft tissue tumors.CTCT reveals progressive growth pattern in incidental lung nodulesHomeRadiology Partners to acquire Everlight Radiology in $1 billion dealMedicolegalFormer Philips engineer convicted of x-ray trade secret theftSponsor ContentNominations Are Open — 2026 Minnies
![Examples of ultrasound findings and techniques. (A) Images in a 39-year-old male patient with a mass in the left thigh. The mass is heterogeneous on the B-mode US image (compared with the patient in D) and showed increased microvascularity (superb microvascular imaging [SMI]) and shear-wave elastography (SWE) values. Undifferentiated pleomorphic sarcoma was diagnosed at biopsy (with pleomorphic rhabdomyosarcoma in surgical specimen). (B) Images in an 18-year-old male patient with a mass in the left leg. The mass is hypoechoic on the B-mode image, with no other findings suggestive of malignancy. The lesion is in contact with the cortex of the tibia, which is slightly irregular. CT revealed a doubtful anteromedial tibial erosion. The microvascular study demonstrated high vascularization, suggestive of malignancy. Periosteal Ewing sarcoma was diagnosed with both histologic and immunohistochemical confirmation. (C) Images in a 69-year-old female patient with a lump growing on the outside of the left leg. Multiple SWE examinations were performed (please note the high values obtained in the measurements, whereas the color map highlights the stiffness relative to adjacent tissues). SMI showed areas of increased vascularization to target for sampling. Undifferentiated spindle cell sarcoma was diagnosed at biopsy, with residual leiomyosarcoma in the surgical specimen after neoadjuvant therapy. (D) Images in a 56-year-old female patient with a mass in the right thigh. The mass is heterogeneous at both B-mode ultrasound (similar to patient A) and MRI (coronal T2-weighted spectral attenuated inversion recovery [SPAIR]; T1-weighted pre-contrast and postcontrast imaging), which even shows uptake after the administration of paramagnetic contrast material, which is traditionally suggestive of malignancy. Low values at SMI and elastography are suggestive of benignity. Spindle cell lipoma was diagnosed at biopsy, with atypical spindle cell lipomatous tumor in the surgical specimen.](https://img.auntminnie.com/mindful/smg/workspaces/default/uploads/2026/08/images-radiol250278fig2.APCFLSvX6p.jpg?auto=format%2Ccompress&fit=crop&h=400&q=70&w=600)
