🎄 It’s December 8th — Welcome to Day 8 of Our Radvent Calendar! 🎄 Take a look at this must-read — “ESR Essentials: Gynaecological causes of acute pelvic pain in women — a primer for emergent evaluation” — practice recommendations by the @European Society of Emergency Radiology. This article outlines which imaging modality to use in different gynaecological emergencies, their limitations, and how imaging findings correlate with underlying pathology — perfect for refreshing key concepts in acute pelvic pain. 💡 Why it matters: Acute pelvic pain is a common emergency presentation in women of all ages and can have a wide spectrum of causes — from benign to life-threatening. The guidance from #ESRessentials helps standardize approach and optimize use of radiology in emergency settings, supporting better, faster, safer care. - Sonja Jankovic link.springer.com/article/10… (Elizabeth A. Dick et al.)

ESR Essentials: Vertebral Augmentation for Osteoporotic Fractures — Practice Recommendations by CIRSE This new article in the #ESREssentials series presents an expert consensus paper by the Cardiovascular and Interventional Radiological Society of Europe (CIRSE), endorsed by the European Society of Radiology (ESR). It outlines evidence-based recommendations for vertebral augmentation - specifically vertebroplasty (VP) and balloon kyphoplasty (BKP). (Ornella Moschovaki-Zeiger et al.) It emphasises that early intervention (typically within 3-6 weeks) improves pain relief, functional recovery, and may reduce morbidity and mortality. The paper also provides practical guidance on how to determine the optimal technique based on patient profile and fracture morphology. #EuropeanRadiology 🔗 link.springer.com/article/10… "This consensus paper offers a concise and much-needed framework for managing osteoporotic vertebral compression fractures. Its clear guidance on timing and technique selection brings consistency to an area often marked by variation in practice - a strong contribution that supports more confident, evidence-based decision-making across the spine care community." - @sonja.janx

Happy to share the @ESHNRSociety practice recommendations for thyroid imaging, published in the @myESR Essentials series in @EurRadiology 🤩 Congrats to the first author @vassallo_edith and coauthors @AnnePeporte @MinervaBecker_ @AndyMcQueenRad 👏 doi.org/10.1007/s00330-025-1… #ThyroidImaging #HeadAndNeckRadiology #HNrad #Neurorad #ESR #ESREssentials #EuropeanRadiology #Radiology

A brilliant roadmap for radiologists tackling facial and orofacial pain 🔍 — concise, practical, and rooted in multidisciplinary consensus. A must-read from @ESHNRSociety & @EurRadiology! #ESREssentials #HeadAndNeckImaging #EuropeanRadiology #SonjasRecom

ESR Essentials: Imaging of Facial Pain - Practice Recommendations by @ESHNRSociety This new article in the #ESREssentials series provides a clear, practice-oriented roadmap for radiologists evaluating facial and orofacial pain. An expert consensus and practice recommendation paper by the European Society of Head and Neck Radiology (ESHNR), aligning imaging pathways with the International Classification of Orofacial Pain (ICOP) framework. (Darka Hadnadjev Šimonji et al.) #EuropeanRadiology link.springer.com/article/10… "Facial pain is multifactorial, and a diagnostically complex complaint in head and neck. Imaging plays a pivotal but selective role. This consensus provides clarity on when and how to image, preventing both under- and over-imaging while improving diagnostic accuracy and patient care. It bridges everyday clinical uncertainty with structured, evidence-informed pathways that improve collaboration between dental, ENT, and radiology teams. A must-read for all radiologists interpreting head and neck imaging!" - Amit Gupta

The latest in our #ESREssentials series - Diffusion-weighted MRI - Practice recommendations by the European Society for Magnetic Resonance in Medicine and Biology (Marco Palombo et al.) #EuropeanRadiology link.springer.com/article/10…

New #ESREssentials: juvenile idiopathic arthritis; what every radiologist needs to know - practice recommendations by the European Society of Paediatric Radiology (Sílvia Costa Dias et al.) #EuropeanRadiology link.springer.com/article/10…

This review, part of the #ESREssentials series, provides guidance on selecting and interpreting AI performance metric in radiology, ensuring clinically meaningful evaluation and safe deployment of AI tools (Michail E. Klontzas et al.) #EuropeanRadiology link.springer.com/article/10…

Acute head and neck infections are common in the population and can have serious complications. This #ESREssentials paper gives new practice recommendations by the European Society of Head and Neck Radiology (Jussi Hirvonen et al.) #EuropeanRadiology link.springer.com/article/10…

The European Society of Gastrointestinal and Abdominal Radiology presents an #ESREssentials review on #Crohn's disease diagnosis and treatment response assessment (Maira Hameed et al.) #EuropeanRadiology link.springer.com/article/10…

As #AI continues to advance, volumetry will become more integrated into clinical practice, making it essential for radiologists to stay informed about its applications in diagnosis and treatment planning. This #ESREssentials paper aims to improve segmentation accuracy and consistency, allowing for better decision-making in both research and clinical environments (Kalina Chupetlovska et al.) #EuropeanRadiology link.springer.com/article/10…

This #ESREssentials paper contains new practice recommendations by the European Society of Emergency Radiology regarding gynaecological causes of acute pelvic pain in women (Elizabeth A. Dick et al.) #EuropeanRadiology link.springer.com/article/10…

Metastatic liver involvement is a frequent complication in advanced cancers, and the presence of liver metastases is a major prognostic factor. This #ESREssentials article explores the diverse radiological changes in liver metastates during systematic therapy. (Marco Dioguardi Burgio et al.) #EuropeanRadiology link.springer.com/article/10…

#EuraSpotlight on Paediatric Pulmonary Imaging 🌟 How should we image paediatric lung disease? The latest #ESREssentials article provides best practices for neonatal & paediatric pulmonary imaging. 🔗 Read the full article here: link.springer.com/article/10… (Jovan Lovrenski et al., @ESPRSociety) ⬇️ Key insights: 1️⃣ Systematic Chest X-ray (CXR) assessment is crucial! 📌 Evaluate lung volume, pulmonary vasculature, airways, mediastinal contours 📌 Identify pneumothorax, effusion, pneumonia complications 📌 Check positioning of lines & tubes 2️⃣ Imaging should be age-specific & minimise radiation! ✅ CXR ultrasound as first-line for most conditions ✅ CT only for complex cases ✅ MRI for specific indications (e.g. congenital lung lesions, mediastinal pathology) 3️⃣ Neonatal lung disease? Think beyond imaging! 📌 Collect gestational age, delivery method, ventilation type, fetal US findings 📌 Accurate history improves diagnosis of RDS, bronchopulmonary dysplasia, meconium aspiration syndrome 📢 What’s your preferred imaging approach in pediatric lung disease? Let’s discuss! 👇 #EuraSpotlight #PaediatricRadiology #ChestImaging #MedicalImaging #PaediatricCare #Radiology #LungHealth

A recent addition to our #ESREssentials series found that percutaneous bone consolidation, including vertebroplasty, kyphoplasty, and advanced spinal implant techniques, effectively treats bone pain from benign and malignant conditions. These techniques reduce pain and improve function, especially in vertebral fragility and metastatic fractures. (Thomas Le Corroller & Francesco Arrigoni) #EuropeanRadiology link.springer.com/article/10…

#EuraSpotlight on Tinnitus Imaging 🎧 Does deciding when tinnitus patients get imaging give you a headache? The latest #ESREssentials article breaks it down! 🔗 Full article here: link.springer.com/article/10… ⬇️ Key insights: 1️⃣ Non-pulsatile tinnitus? Not all cases need imaging! 📌 Only scan if: ✅ Unilateral/asymmetric tinnitus ✅ Focal neurological deficits ✅ Asymmetric hearing loss 2️⃣ Pulsatile tinnitus? Always image! 📌 Often has an identifiable, treatable cause. 📌 CT vs. MRI? ✅ Retrotympanic mass or conductive hearing loss? Start with CT. ✅ Unclear cause? MRI with vascular sequences. 3️⃣ Still no diagnosis? Keep searching! 📌 If the first scan is negative, consider further imaging to rule out serious vascular pathology. 📌 Dural arteriovenous fistula must be excluded in objective pulsatile tinnitus! 📢 Tinnitus imaging: Are we doing too much or too little? Let’s discuss! 👇 #EuraSpotlight #Tinnitus #Neuroradiology #HeadandNeckImaging #MedicalImaging #Radiology

#EuraSpotlight on Lymphoma Imaging 🎯 How do we image lymphoma? The latest #ESREssentials article provides key recommendations on when to use PET/CT vs. CT, biopsy considerations, and how to apply the Deauville score. 🔗 Full article here: link.springer.com/article/10… (Doris Leithner et al.) ⬇️ Key insights: 1️⃣ FDG-PET/CT for most lymphomas ✅ Hodgkin lymphoma ✅ Aggressive NHLs (e.g., diffuse large B-cell lymphoma) ✅ Many indolent NHLs (e.g., follicular lymphoma) 2️⃣ CT for select cases 📌 SLL/CLL and some non-FDG-avid NHLs should undergo CT instead of PET/CT, unless there’s suspicion of transformation to high-grade lymphoma. 3️⃣ Bone marrow biopsy? It depends! 📌 Hodgkin lymphoma: PET/CT can rule out bone marrow involvement. 📌 Other lymphomas: Biopsy may still be required for confirmation. 4️⃣ Assessing treatment response? 📌 Use the Deauville 5-point scale (5-PS) for FDG-avid lymphomas: ✅ Uptake ≤ liver uptake = complete response 📌 For non-FDG-avid lymphomas, CT is used to monitor lesion size changes. 💭 How do you approach lymphoma imaging? Let’s discuss in the comments! 👇 #EuraSpotlight #Lymphoma #PETCT #OncologicImaging #Radiology #CancerCare

#EuraSpotlight on Smarter Gadolinium Use 💡 Gadolinium in MRI: How can we use it smarter, safer, & more sustainably? 🧵⬇️ A new ESR Essentials article explores best practices in GBCA use—from dose optimization to next-generation agents. 🔗 Read here: link.springer.com/article/10… (Carlo C. Quattrocchi et al., @ESMRMB) ⬇️ Key insights from the paper: 1️⃣ Beyond Patient Safety 📌 Gadolinium choice should consider cost-effectiveness, MRI access, & environmental impact. 2️⃣ Justify Every Use 📌 GBCAs should only be administered when they genuinely influence clinical decisions. 3️⃣ AI & Dose Optimization 📌 AI can reduce GBCA use, but cannot fully replace contrast enhancement yet. 4️⃣ Next-Gen Contrast Agents 📌 Gadopiclenol & gadoquatrane deliver equivalent diagnostic accuracy at lower doses. 💭 What’s the future of contrast-enhanced MRI? Let’s discuss! 👇 #EuraSpotlight #MRI #Gadolinium #Radiology #SustainableHealthcare #Sustainability #ESREssentials #AI

A recent article in our #ESREssentials series explores how chest imaging in children requires age-specific techniques to minimize radiation exposure and motion artifacts. Key conditions like respiratory distress syndrome, bronchopulmonary dysplasia, and congenital lung malformations rely on imaging for diagnosis and management. (Jovan Lovrenski et al.) #EuropeanRadiology 🔗 link.springer.com/article/10…

#EuraSpotlight on MRI in Epilepsy 🚨 Why does MRI matter in epilepsy? Causes of seizures may seem invisible, but radiology helps uncover their cause and guide treatment. A new #ESREssentials article highlights the key role of MRI in epilepsy care. 🗝️ Key takeaways on when and how to use MRI in epilepsy: 1️⃣ New epilepsy diagnosis? MRI is a must. 📌 If CT is negative, MRI is essential to rule out epileptogenic lesions. 📌 Identifying structural causes early improves treatment planning. 2️⃣ Not all MRIs are created equal. 📌 High-resolution, dedicated MRI protocols are needed for focal epilepsy to detect subtle, but treatable lesions. 📌 The right imaging changes outcomes. 3️⃣ For epilepsy surgery, imaging must align with EEG. 📌 MRI findings alone aren’t enough—lesions must correlate with video-EEG, PET, or SPECT to confirm the seizure focus. 📌 A multidisciplinary approach improves diagnosis & surgical success rates. 4️⃣ Why this matters: MRI isn’t just diagnostic—it guides life-changing treatment decisions. ✔️ Early imaging = better treatment choices ✔️ Precise imaging = higher surgical success 🔗 Full article: link.springer.com/article/10… (Núria Bargalló et al., @ESNRad) 🧠 How can we improve MRI-based epilepsy diagnosis? Let’s discuss! 👇 #EuraSpotlight #Neuroimaging #Epilepsy #MRI #MedicalImaging #Radiology