Insights Into Imaging

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Insights Into Imaging

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Insights into Imaging is a gold open access journal owned by the European Society of Radiology. Social Media Editor: Roberto Cannella

Insights into Imaging

Insights into Imaging is a gold open access journal owned by the European Society of Radiology and edited by Editor-in-Chief, Paola Clauser. It publishes educational and critical reviews, as well as radiological guidelines and statements from leading European societies. All published articles are freely accessible worldwide which allows for the widest possible dissemination.

28/10/2026

The “swallow tail sign”: an MRI biomarker for Parkinson’s disease? 🧠

🔎 Loss of the normal dorsolateral nigral hyperintensity on susceptibility-sensitive magnetic resonance imaging may support the diagnosis of Parkinson’s disease.

🎯 Standardised interpretation and integration with other imaging biomarkers are key to its role in differentiating parkinsonian syndromes.

https://link.springer.com/article/10.1186/s13244-026-02401-6 (Zhixuan Li et al.)

27/10/2026

Beyond cartilage: standardising MRI assessment of bone after knee repair. 🦴

🩻 The new MOBCART add-on to MOCART 2.0 showed good interreader reliability (ICC = 0.72), increasing to 0.90 among experts.

🎯 A reproducible approach to assessing osseous integration, normalisation, and cysts after osteochondral reconstruction.

https://link.springer.com/article/10.1186/s13244-026-02404-3 (Felix R. M. Koenig et al.)

26/10/2026

“Helium-free” magnetic resonance imaging: what really matters? 🧲

💡 Sealed micro-helium magnets eliminate routine refilling and simplify installation, reducing infrastructure needs and lifetime operating costs.

🎯 The key technological advance is sealed cooling, not the difference between small helium volumes. Assessing total cost of ownership remains essential.

https://link.springer.com/article/10.1186/s13244-026-02410-5 (Michael Friebe et al.)

26/10/2026

Gadoxetic acid-enhanced magnetic resonance imaging: beyond vascular hallmarks in hepatocellular carcinoma.

🩻 Hepatobiliary phase hypointensity may improve the detection of small and early-stage hepatocellular carcinoma, reflecting early hepatocellular dysfunction.
🎯 Diagnostic value depends on clinical intent: sensitivity-oriented early detection versus specificity-driven decision-making.

https://link.springer.com/article/10.1186/s13244-026-02402-5 (Shuwei Zhou et al.)

23/10/2026

The space of Retzius: a hidden pathway for pelvic disease spread.

🩻 Most pathologies reflect secondary extension from adjacent compartments, making anatomical knowledge essential for accurate interpretation.

🎯 Recognising disease pathways on computed tomography and magnetic resonance imaging can improve diagnosis and guide clinical and surgical management.

https://link.springer.com/article/10.1186/s13244-026-02403-4 (Sevtap Arslan et al.)

23/10/2026

How harmonised is radiology training across Europe?

🎓 Residency programmes remain heterogeneous despite European initiatives, including the European Training Curriculum, European Diploma in Radiology, and European Training Assessment Programme.

🎯 Greater harmonisation is needed to ensure comparable competencies and facilitate cross-border mobility.

https://link.springer.com/article/10.1186/s13244-026-02396-0 (Emanuele Neri et al.)

22/10/2026

⭐ The Most Cited Breast Paper in Insights into Imaging! 💜

Breast MRI during pregnancy and lactation: clinical challenges and technical advances (Noam Nissan et al.)

https://link.springer.com/article/10.1186/s13244-022-01214-7

Congratulations to all the authors!

22/10/2026

Can large language models accurately stage oral cavity cancer from descriptive magnetic resonance imaging reports?

🧠 53.8–80.8% accuracy for overall stage assignment across five commercial models.
🔎 Large language models did not consistently outperform multidisciplinary team members, highlighting limitations in automated cancer staging.
🎯 Structured reports remain essential for reliable staging and clinical decision-making.

https://link.springer.com/article/10.1186/s13244-026-02409-y (Qi Yong Hemis Ai et al.)

21/10/2026

How can MRI improve the preoperative diagnosis of endometrial stromal tumours?

🔎 Key MRI features help distinguish ESTs from benign uterine lesions
🩻 Worm-like morphology, T2-hypointense bands, and feather-like enhancement are important diagnostic clues
🎯 Recognising these patterns may improve diagnostic confidence and guide appropriate surgical management

https://link.springer.com/article/10.1186/s13244-026-02400-7 (Le Wang et al.)

20/10/2026

How can radiologists distinguish tumour progression from treatment-related changes?

🔎 Pseudoprogression, radiation necrosis, and immune-related changes can mimic tumour progression on post-therapy MRI.
🎯 A treatment-based approach integrating imaging patterns, treatment timing, and interval changes supports accurate response assessment in neuro-oncology.

(Mina F. G. Isaac)

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