Diagnostic Imaging, April 2025, Vol. 45, No. 5: Examining Every Corner of MRI: To Avoid Missing Lesions

[Special Feature] This article describes efforts to ensure patient safety in diagnostic imaging, and provides specific methods for dealing with "incidental findings" in each field, based on actual cases. This feature, essential for beginners, will help you develop the ability to take appropriate and recommended action even after detecting a lesion!

Introduction ● Yasushi Kaji Excerpt from the introduction: In MRI, the field of view (FOV) setting limits the image area. Findings at the edge of the image or in the first or last slice may warrant evaluation over the primary disease.

However, even if such findings are detected, the limited information available during interpretation may not be sufficient to recommend an appropriate response. Considering the environment of each facility, it is often necessary to leave the decision to the radiologist's experience and policy. Recognizing the many ambiguities, it is important to clearly convey a message in diagnostic imaging reports that is close to the best possible, even if it is not perfect. In this article, we asked the authors to provide information and ideas that can be used as references in this regard.

1. Diagnostic Excellence in Diagnostic Imaging ● Tatsuya Fukami, Yoshinori Miyahara et al. 2. Incidental Findings in the Neck Region - Cervical Spine MRI, Neck MRI ● Aiko Kawahara, Kei Katsube et al. 3 Incidental Findings in the Thoracic Region - Thoracic Spine MRI, Cardiac MRI, Mediastinal MRI, Breast MRI, Shoulder MRI ● Yoshiko Hayashida, Takatoshi Aoki 4 Incidental Findings on Lumbar and Sacral Spine MRI ● Misato Kasai, Tsutomu Inaoka, et al. 5 Incidental Findings on Hip Joint MRI ● Hajime Fujimoto 6 Incidental Findings on Pelvic MRI: Urology and Male Genitalia ● Yoshimitsu Ogiya, Ryota Hagiwara, et al. 7 Incidental Findings on Pelvic MRI: Female Genitalia ● Yoshimitsu Ogiya, Ryota Hagiwara, et al.

[Series] Strabismus I'll tell you a "non-existent story" that only I find interesting ● Katsuhiro Nasu

Unveiling the Origins of Images Is the stronger the gadolinium contrast agent, the better? ● Mori Kon

Here's what I want to know! Imaging Diagnosis November 2024 Issue Special Feature: "Brain Imaging Diagnosis in 'Follow-up Observation': Are There Really No Significant Changes?" ● Jun Oyama, Takaki Hamada, et al.

Case of the Month Case of April ● Taiki Kato, Kengo Ikeshima, et al. THE KEY TO Case of February ● Sho Ishikawa, Shigeaki Umeoka

Continued General Radiology Diagnostic Exercises Everyone Lives Within Their Preconceptions ● Yoshitomo Nakai

Picked-up Knowledge from Foreign Journals Clinical Application of Deep Learning-Based Reconstruction (DLR) in Brain MRI ● Shingo Kakeda

Refresher Course Imaging Diagnosis of Child Abuse ● Rieko Furukawa