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Paul Davis

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Response Evaluation Criteria in Bone Metastases (RECIBM) and metabolic criteria were used to detect a complete response missed at anatomic assessment. A 76-year-old male patient presented with 1 month of hemoptysis and was diagnosed with small cell lung cancer and bone metastases. Baseline (July 2022) F-18 FDG-PET/CT images (A, maximum intensity projection image; B–E, axial images) demonstrate FDG-avid lesions in the left lamina of the first lumbar vertebra (L1) (straight yellow arrows; maximum standardized uptake value, 2.74; peak standardized uptake value normalized to lean body mass, 1.59) and left ilium (curved yellow arrows; maximum standardized uptake value, 3.68; peak standardized uptake value normalized to lean body mass, 2.28). After seven chemotherapy cycles (December 2022), follow-up PET/CT images (F, maximum intensity projection image; G–J, axial images) show complete metabolic resolution of bony lesions (L1: maximum standardized uptake value, 1.32, and peak standardized uptake value normalized to lean body mass, 0.85; left ilium: maximum standardized uptake value, 1.48, and peak standardized uptake value normalized to lean body mass, 0.82), without apparent osteolytic or osteoblastic changes at CT. Assessment was stable disease (SD) according to the University of Texas MD Anderson Cancer Center (MDA) criteria but complete response (CR) or complete metabolic response (CMR) according to RECIBM, PET Response Criteria in Solid Tumors (PERCIST), and European Organization for Research and Treatment of Cancer (EORTC) criteria. The patient was alive as of September 30, 2025.
Clinical News
New criteria evaluates treatment response in bone metastases
RECIBM-defined response classifications showed high agreement with established criteria and reclassified 19% of patients.
Representative axial noncontrast CT images with and without the hyperdense capsule sign (HDCS). The HDCS is defined as a hyperdense capsule layer of linear shape surrounding a subdural hematoma (SDH). (A–D) Images of SDH with the HDCS (arrowheads). (E–H) Images of SDH without the HDCS.
CT
CT sign may flag who benefits from subdural hematoma procedure
Spine 400
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Classification system could improve MRI lumbar spinal stenosis grading
Acr Logo 2023 400
Economics
ACR/ASNC highlight changes in proposed 2027 HOPPS rule
Patient Woman Doctor2 400
Womens Imaging
Gay, trans women less likely to undergo cancer screening
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Low muscle density on coronary CT linked to heart risk
By Will Morton
Patients with skeletal muscle attenuation below the median had a higher risk of mortality and myocardial infarction.
June 30, 2026
An example of machine learning–based multiorgan body composition assessment (TotalSegmentator V2.0.4, 1.5-mm high-resolution model) in a 63-year-old man with obstructive coronary artery disease and a skeletal muscle attenuation below the median. (A) Transverse, (B) coronal, and (C) sagittal CT images and curved planar reformations of the (D) left, (E) circumflex, and (F) right coronary arteries.
Podcast: The pivotal MRI accident that launched MRI safety
By Liz Carey
What went wrong that prompted MRI safety protocols in the radiology community.
June 30, 2026
The Invisible Force Podcast Album Cover Auntminnie Jan 2026 Thumbnails
ASE: Simple 'nudge' on echo reports improves aortic stenosis follow-up
By Amerigo Allegretto
An automated reminder in echo reports can improve follow-up rates for patients with severe aortic stenosis.
June 29, 2026
Radiological Report 400
Years-smoked criteria may improve lung cancer screening eligibility
By Amerigo Allegretto
Smoke duration thresholds could help improve lung cancer screening with low-dose CT.
June 29, 2026
Cigarette Smoker Closeup 400
Nearly half of mCRPC patients never receive second-line treatment
By Will Morton
ARPIs were the most common first-line treatment (79.3%) and remained the most common second-line treatment (41.1%).
June 29, 2026
Prostate
Opportunistic screening can reveal osteoporotic vertebral fractures
By Erik L. Ridley
A new study demonstrates the potential of opportunistic screening in improving osteoporosis care.
June 23, 2026
Spine Osteoporosis Leesle
Blood-based testing could improve prostate cancer screening with MRI
By Amerigo Allegretto
Adding the Stockholm3 blood-based biomarker test could help improve prostate cancer screening with MRI.
June 22, 2026
Prostate Cancer 400
Advancing precision medicine through quantitative imaging
By Liz Carey
Coalition develops international QI technical standards across all imaging modalities, envisions credentialed centers.
June 22, 2026
Precision Medicine Concept As 2061010022 Marta P Milacroft
"Dirty" brain white matter shows no link to dementia in older adults
By Kate Madden Yee
The findings could reframe how clinicians and researchers interpret this imaging abnormality.
June 22, 2026
Examples of DAWM on FLAIR MRI slices. Transversal slices of 1.5T FLAIR MRI scans. For visualization only, brains were skull-stripped and DAWM is shown with dotted lines (occipital DAWM is red, parietal DAWM is orange). Top row images (25% of lobar WM) show larger, more confluent configurations of DAWM, extending beyond the slices shown here.
New PET tracer shows promise for guiding pancreatic cancer therapy
By Will Morton
The radiotracer is designed to identify pancreatic tumors eligible for paired therapy with cancer-killing actinium-225 (Ac-225) NMT25.
June 19, 2026
Transaxial Zr-89 NMK89 PET/CT images 1, 24, 72, and 168 hours after injection showing increasing uptake in pancreatic tail adenocarcinoma. Maximum standard uptake value (SUV) in the pancreatic mass is 14 at 168 hours post-injection (crosshairs). PET SUV scale used for windowing was 0 to 10.
SIIM: CVMs on par with LLMs for labeling incidental breast findings
By Amerigo Allegretto
CVMs can accurately label incidental breast abnormalities found on chest CT exams.
June 19, 2026
Img 6956
PET/CT could improve margin assessment for breast tumors
By Amerigo Allegretto
Specimen PET/CT imaging outperforms routine intraoperative margin assessment in breast tumors.
June 19, 2026
Pet Scan Patient 400 (1)
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