The 10 most-cited articles in Japanese Journal of Radiological Technology, 2024

PURPOSE: We evaluated the measurement accuracy of the CubeScan BioCon-900 (here after BioCon-900), a portable ultrasound imaging diagnostic device capable of measuring bladder volume, to determine if it can accurately assess bladder volume before intensity-modulated radiation therapy (IMRT) for prostate cancer. METHODS: Bladder volume was measured from kV-Cone Beam computed tomography (CBCT) images obtained immediately before the administration of IMRT for prostate cancer using Halcyon. The bladder volume measured from kV-CBCT images (23 patients, total number of scans: 139) immediately before the IMRT procedure was used as the reference value. The difference between the bladder volume measured by the BioCon-900 was then calculated. RESULTS: The bladder volume measured from kV-CBCT images was 117.5±49.4 cc. In contrast, the bladder volume obtained with BioCon-900 was 104.1±48.6 ml, resulting in an absolute mean difference of 18.4% and a correlation coefficient of 0.881. The measurements by BioCon-900 tended to be, on average, 11% smaller than the bladder volume measured by kV-CBCT…

PURPOSE: During computed tomography pulmonary angiography (CTPA), a decrease in the CT value of the pulmonary artery may be observed due to poor contrast enhancement, even though the imaging is performed at the optimum timing while continuously injecting a contrast medium. This study focused on the increase in blood flow in the superior and inferior vena cava during inspiration that affects the decrease in the CT value of the pulmonary artery and investigated a radiography method in which a delay time was set after inspiration in clinical cases. METHODS: A total of 50 patients who underwent CTPA for suspected pulmonary thromboembolism were included. Using the bolus tracking method, we monitored the pulmonary arteries before and after inspiration, and investigated the CT value changes. RESULTS: A decrease in the CT value of the pulmonary artery after inspiration was observed in approximately 30% of cases. By setting the delay time, the contrast enhancement effect before and after inspiration became equivalent. CONCLUSION: As a result of this study, avoiding a decrease in the CT value…

PURPOSE: Root Cause Analysis (RCA) of reported incident reports can lead to measures to prevent the recurrence of accidents. The purpose of this study is to clarify the relationship between the occurrence of cases, causal factors, contributing factors, and the experience years of the reporters classified into three groups: less than 2 years, 3 to less than 5 years, and more than 5 years, for incident reports subject to RCA. METHODS: From April 2018 to March 2023, a chi-square test was conducted between each item extracted from 239 cases subject to RCA and the experience years of the reporters, with a significance level of less than 5% considered significant. RESULTS: Regarding the occurrence cases, radiological technologists with longer experience had more misidentified a patient and fewer errors in imaging conditions and range, while radiological technologists with 3 to less than 5 years of experience had more errors in imaging conditions (p<0.001). In terms of occurrence factors, radiological technologists with 3 to less than 5 years of experience had more cases of insufficient…

PURPOSE: In radiation therapy for prostate cancer, bladder ultrasound diagnostic devices are utilized. However, the performance of all devices has not been fully evaluated. This study aims to assess the effectiveness of three devices-Lilium IP200 (IP200; Lilium Otsuka, Kanagawa), CubeScan BioCon-900S (900S; JCT, Hiroshima), and BVI 6100 (BVI 6100; Verathon, Bothell, WA, USA)-as tools for measuring bladder volume. METHODS: The accuracy of each measurement device was verified by comparing the measurements taken with each device during treatment planning computed tomography (CT) with the reference values obtained from the bladder region of interest (ROI) created from the images taken immediately after the CT. RESULTS: The differences from the reference values were 15.0±47.4 ml for the IP200, -14.7±42.8 ml for the 900S, and -4.2±32.2 ml for the BVI 6100. The Spearman's rank correlation coefficients were 0.78 for the IP200, 0.87 for the 900S, and 0.91 for the BVI 6100, with no significant differences observed between the measurement devices (p<0.05), indicating a strong correlation with…