Evaluation of Medical Prescribers’ Theoretical Knowledge on Medical Imaging in the Northern Region of Burkina Faso

Introduction: Medical imaging is a medical specialty that involves producing images of the human body and interpreting them for diagnostic, therapeutic purposes, and for monitoring the progress of pathologies. We aimed to assess the theoretical knowledge of doctors and interns in medical imaging in the northern region of Burkina Faso. Methodology: This was a descriptive cross-sectional survey based on a self-administered questionnaire. Prescribers knowledge was estimated based on scores derived from questionnaire responses. Results: We collected 106 questionnaires out of 163, i.e. a participation rate of 65.03%. The average knowledge score was 81.71% for the contribution of medical imaging to patient management. It was 60.02% for the indications/counter-indications of radiological examinations and 72.56% for the risks associated with exposure to radiation during these examinations. The score was 59.83% for the methods used to select the appropriate radiological examination. As regards the completeness of the clinical and biological information on the forms requesting imaging examinations, the score was 96.65%. Specialist doctors had the highest overall level of knowledge (74.68%). Conclusion: Improved technical facilities, good initial and in-service training, and interdisciplinary collaboration will help to ensure that imaging tests are properly prescribed, leading to better patient care.

Medical imaging for the diagnosis,recurrence and metastasis evaluation of clear cell sarcoma

Clear cell sarcoma(CCS)of soft tissue is extremely rare,accounting for approximately 1%of all soft tissue tumours.It is very difficult to diagnose CCS based on clinical manifestations.Magnetic resonance imaging(MRI)provides highresolution images of soft tissues and pathological features such as mucus,necrosis,bleeding,and fat through high and low signals on T1 weighted image(T1WI)and T2 weighted image(T2WI).On the other hand,the paramagnetism of melanin in CCS shortens the relaxation time of T1 and T2,and high signal intensity on T1WI and low signal intensity on T2WI can be found.This is different from most other soft tissue sarcomas.At present,the treatment method for CCS is surgical resection.MRI can effectively display the tumour edge,extent of surrounding oedema,and extent of fat involvement,which is highly important for guiding surgical resection and predicting postoperative recurrence.As an invasive sarcoma,CCS has a high risk of metastasis.Regardless of the pathological condition of the resected tumour,MRI or computed tomography(CT)should be performed every 1-2 years to assess recurrence at the primary site and to screen for metastasis in the lungs,liver,and bones.If necessary,PET-CT can be performed to evaluate the overall condition of the patient.

Relevance of Medical Imaging in the Pre-Therapeutic Evaluation of Acute Intestinal Obstruction at CIMED

Objective: We initiated this work with the aim of studying the contribution of imaging in the diagnosis of acute intestinal obstruction at CIMED. Patients and methods: This was a prospective, descriptive and analytical study involving 96 patients collected at the radiology and medical imaging department of CIMED, from January 2022 to January 2023. Result: The age of our patients varied between 11 and 86 years with an average age of 36 years. There was a male predominance of 64.6% compared to 35.4% for women, i.e. a sex ratio of 1.82. The notion of previous surgery was found in 61.5% of our patients. Pain was present in all patients. Radiography of the ASP was performed in 89.6% of patients. It showed hydro-aerial levels in 96.5% of patients. Abdominopelvic CT was performed in 12 patients and made it possible to make the diagnosis of occlusion in all patients. The results of the positive diagnosis were concordant with those intraoperatively in 92% of cases. 8% of our patients, compared to the treatment, spontaneously resumed their transit, 91% benefited from surgical treatment and 1% died before surgery. The outcome was favorable in 80 patients or 83.3%, poor with death in 16 patients or 16.7% of cases. Conclusion: Acute intestinal obstruction remains a serious pathology for which ASP radiography often remains the only radiological examination performed urgently. However, abdominopelvic CT seems widely indicated thanks to its contribution both for the positive diagnosis and for the serious and etiological diagnoses. However, this imaging technique is largely underused in our practice due to its high cost and lack of availability.

From text to image:challenges in integrating vision into ChatGPT for medical image interpretation

Large language models(LLMs),such as ChatGPT developed by OpenAI,represent a significant advancement in artificial intelligence(AI),designed to understand,generate,and interpret human language by analyzing extensive text data.Their potential integration into clinical settings offers a promising avenue that could transform clinical diagnosis and decision-making processes in the future(Thirunavukarasu et al.,2023).This article aims to provide an in-depth analysis of LLMs’current and potential impact on clinical practices.Their ability to generate differential diagnosis lists underscores their potential as invaluable tools in medical practice and education(Hirosawa et al.,2023;Koga et al.,2023).

Advancement in utilization of magnetic resonance imaging and biomarkers in the understanding of schizophrenia

Historically,psychiatric diagnoses have been made based on patient’s reported symptoms applying the criteria from diagnostic and statistical manual of mental disorders.The utilization of neuroimaging or biomarkers to make the diagnosis and manage psychiatric disorders remains a distant goal.There have been several studies that examine brain imaging in psychiatric disorders,but more work is needed to elucidate the complexities of the human brain.In this editorial,we examine two articles by Xu et al and Stoyanov et al,that show developments in the direction of using neuroimaging to examine the brains of people with schizo-phrenia and depression.Xu et al used magnetic resonance imaging to examine the brain structure of patients with schizophrenia,in addition to examining neurotransmitter levels as biomarkers.Stoyanov et al used functional magnetic resonance imaging to look at modulation of different neural circuits by diagnostic-specific scales in patients with schizophrenia and depression.These two studies provide crucial evidence in advancing our understanding of the brain in prevalent psychiatric disorders.

Getting physical with medical education:Exercise based virtual anatomy review classes for medical students

The benefits of regular physical activity are well known.Yet,few studies have examined the effectiveness of integrating physical activity(PA)into curricula within a post-secondary setting.To investigate the incorporation of PA into medical curriculum,we developed a series of optional exercise-based review sessions designed to reinforce musculoskeletal(MSK)anatomy course material.These synchronous sessions were co-taught by a group fitness instructor and an anatomy instructor.The fitness instructor would lead students through both strength and yoga style exercises,while the anatomy instructor asked questions about relevant anatomical structures related to course material previously covered.After the sessions,participants were asked to evaluate the classes on their self-reported exam preparedness in improving MSK anatomy knowledge,PA levels,and mental wellbeing.Thirty participants completed surveys;a majority agreed that the classes increased understanding of MSK concepts(90.0%)and activity levels(97.7%).Many(70.0%)felt that the classes helped reduce stress.The majority of respondents(90.0%)agreed that the classes contributed to increased feelings of social connectedness.Overall,medical students saw benefit in PA based interventions to supplement MSK course concepts.Along with increasing activity levels and promoting health behaviours,integrating PA into medical curriculum may improve comprehension of learning material,alleviate stress and foster social connectivity among medical students.

Temporal dynamics of neonatal hypoxic-ischemic encephalopathy injuries on magnetic resonance imaging

Moderate to severe perinatal hypoxic-ischemic encephalopathy occurs in~1 to 3/1000 live births in high-income countries and is associated with a significant risk of death or neurodevelopmental disability.Detailed assessment is important to help identify highrisk infants,to help families,and to support appropriate interventions.A wide range of monitoring tools is available to assess changes over time,including urine and blood biomarkers,neurological examination,and electroencephalography.At present,magnetic resonance imaging is unique as although it is expensive and not suited to monitoring the early evolution of hypoxic-ischemic encephalopathy by a week of life it can provide direct insight into the anatomical changes in the brain after hypoxic-ischemic encephalopathy and so offers strong prognostic information on the long-term outcome after hypoxic-ischemic encephalopathy.This review investigated the temporal dynamics of neonatal hypoxic-ischemic encephalopathy injuries,with a particular emphasis on exploring the correlation between the prognostic implications of magnetic resonance imaging scans in the first week of life and their relationship to long-term outcome prediction,particularly for infants treated with therapeutic hypothermia.A comprehensive literature search,from 2016 to 2024,identified 20 pertinent articles.This review highlights that while the optimal timing of magnetic resonance imaging scans is not clear,overall,it suggests that magnetic resonance imaging within the first week of life provides strong prognostic accuracy.Many challenges limit the timing consistency,particularly the need for intensive care and clinical monitoring.Conversely,although most reports examined the prognostic value of scans taken between 4 and 10 days after birth,there is evidence from small numbers of cases that,at times,brain injury may continue to evolve for weeks after birth.This suggests that in the future it will be important to explore a wider range of times after hypoxic-ischemic encephalopathy to fully understand the optimal timing for predicting long-term outcomes.

Magnetic resonance imaging evaluation and nuclear receptor binding SET domain protein 1 mutation in the Sotos syndrome with attention-deficit/hyperactivity disorder

Sotos syndrome is characterized by overgrowth features and is caused by alterations in the nuclear receptor binding SET domain protein 1 gene.Attentiondeficit/hyperactivity disorder(ADHD)is considered a neurodevelopment and psychiatric disorder in childhood.Genetic characteristics and clinical presentation could play an important role in the diagnosis of Sotos syndrome and ADHD.Magnetic resonance imaging(MRI)has been used to assess medical images in Sotos syndrome and ADHD.The images process is considered to display in MRI while wavelet fusion has been used to integrate distinct images for achieving more complete information in single image in this editorial.In the future,genetic mechanisms and artificial intelligence related to medical images could be used in the clinical diagnosis of Sotos syndrome and ADHD.

Recent progress in the applications of presynaptic dopaminergic positron emission tomography imaging in parkinsonism

Nowadays,presynaptic dopaminergic positron emission tomography,which assesses deficiencies in dopamine synthesis,storage,and transport,is widely utilized for early diagnosis and differential diagnosis of parkinsonism.This review provides a comprehensive summary of the latest developments in the application of presynaptic dopaminergic positron emission tomography imaging in disorders that manifest parkinsonism.We conducted a thorough literature search using reputable databases such as PubMed and Web of Science.Selection criteria involved identifying peer-reviewed articles published within the last 5 years,with emphasis on their relevance to clinical applications.The findings from these studies highlight that presynaptic dopaminergic positron emission tomography has demonstrated potential not only in diagnosing and differentiating various Parkinsonian conditions but also in assessing disease severity and predicting prognosis.Moreover,when employed in conjunction with other imaging modalities and advanced analytical methods,presynaptic dopaminergic positron emission tomography has been validated as a reliable in vivo biomarker.This validation extends to screening and exploring potential neuropathological mechanisms associated with dopaminergic depletion.In summary,the insights gained from interpreting these studies are crucial for enhancing the effectiveness of preclinical investigations and clinical trials,ultimately advancing toward the goals of neuroregeneration in parkinsonian disorders.

The Artificial Intelligence-Enabled Medical Imaging:Today and Its Future

Medical imaging is now being reshaped by artificial intelligence (AI) and progressing rapidly toward future.In this article,we review the recent progress of AI-enabled medical imaging.Firstly,we briefly review the background about AI in its way of evolution.Then,we discuss the recent successes of AI in different medical imaging tasks,especially in image segmentation,registration,detection and recognition.Also,we illustrate several representative applications of AI-enabled medical imaging to show its advantage in real scenario,which includes lung nodule in chest CT,neuroimaging,mammography,and etc.Finally,we report the way of human-machine interaction.We believe that,in the future,AI will not only change the traditional way of medical imaging,but also improve the clinical routines of medical care and enable many aspects of the medical society.

Importance of Features Selection,Attributes Selection,Challenges and Future Directions for Medical Imaging Data:A Review

In the area of pattern recognition and machine learning,features play a key role in prediction.The famous applications of features are medical imaging,image classification,and name a few more.With the exponential growth of information investments in medical data repositories and health service provision,medical institutions are collecting large volumes of data.These data repositories contain details information essential to support medical diagnostic decisions and also improve patient care quality.On the other hand,this growth also made it difficult to comprehend and utilize data for various purposes.The results of imaging data can become biased because of extraneous features present in larger datasets.Feature selection gives a chance to decrease the number of components in such large datasets.Through selection techniques,ousting the unimportant features and selecting a subset of components that produces prevalent characterization precision.The correct decision to find a good attribute produces a precise grouping model,which enhances learning pace and forecast control.This paper presents a review of feature selection techniques and attributes selection measures for medical imaging.This review is meant to describe feature selection techniques in a medical domainwith their pros and cons and to signify its application in imaging data and data mining algorithms.The review reveals the shortcomings of the existing feature and attributes selection techniques to multi-sourced data.Moreover,this review provides the importance of feature selection for correct classification of medical infections.In the end,critical analysis and future directions are provided.

Advances of Artificial Intelligence Application in Medical Imaging of Ovarian Cancers

Ovarian cancer is one of the three most common gynecological cancers in the world,and is regarded as a priority in terms of women’s cancer.In the past few years,many researchers have attempted to develop and apply artificial intelligence(AI)techniques to multiple clinical scenarios of ovarian cancer,especially in the field of medical imaging.AI-assisted imaging studies have involved computer tomography(CT),ultrasonography(US),and magnetic resonance imaging(MRI).In this review,we perform a literature search on the published studies that using AI techniques in the medical care of ovarian cancer,and bring up the advances in terms of four clinical aspects,including medical diagnosis,pathological classification,targeted biopsy guidance,and prognosis prediction.Meanwhile,current status and existing issues of the researches on AI application in ovarian cancer are discussed.

Collaborations of Industry,Academia,Research and Application Improve the Healthy Development of Medical Imaging Artificial Intelligence Industry in China

In recent years,artificial intelligence (AI) has developed rapidly in the field of medical imaging.However,the collaborations among hospitals,research institutes and enterprises are insufficient at the present,and there are various issues in technological transformation and value landing of products in this area.To solve the core problems in the developmental path of medical imaging AI,the Chinese Innovative Alliance of Industry,Education,Research and Application of Artificial Intelligence for Medical Imaging compiled the White Paper on Medical Image AI in China.This article introduces the current status of collaboration,the clinical demands for medical imaging AI technique,and the key points in AI technology transformation:robustness,usability and security.We are facing challenges of lacking industry standards,data desensitization standard,assessment system,as well as corresponding regulations and policies to realize the application values of AI products in medical imaging.Further development of AI in medical imaging requires breakthroughs of the core algorithm,deep involvement of doctors,input from capitals,patience from societies,and most importantly,the resolutions from government for multiple difficulties in links of landing the technology.

Deep Learning for Image Segmentation: A Focus on Medical Imaging

Image segmentation is crucial for various research areas. Manycomputer vision applications depend on segmenting images to understandthe scene, such as autonomous driving, surveillance systems, robotics, andmedical imaging. With the recent advances in deep learning (DL) and itsconfounding results in image segmentation, more attention has been drawnto its use in medical image segmentation. This article introduces a surveyof the state-of-the-art deep convolution neural network (CNN) models andmechanisms utilized in image segmentation. First, segmentation models arecategorized based on their model architecture and primary working principle.Then, CNN categories are described, and various models are discussed withineach category. Compared with other existing surveys, several applicationswith multiple architectural adaptations are discussed within each category.A comparative summary is included to give the reader insights into utilizedarchitectures in different applications and datasets. This study focuses onmedical image segmentation applications, where the most widely used architecturesare illustrated, and other promising models are suggested that haveproven their success in different domains. Finally, the present work discussescurrent limitations and solutions along with future trends in the field.

Adaptive diagonal loaded minimum variance beamforming applied to medical ultrasound imaging

In order to enhance the robustness and contrast in the minimum variance(MV) beamformer, adaptive diagonal loading method was proposed. The conventional diagonal loading technique has already been used in the MV beamformer, but has the drawback that its level is specified by predefined parameter and without consideration of input-data. To alleviate this problem, the level of diagonal loading was computed appropriately and automatically from the given data by shrinkage method in the proposed adaptive diagonal loaded beamformer. The performance of the proposed beamformer was tested on the simulated point target and cyst phantom was obtained using Field II. In the point target simulation, it is shown that the proposed method has higher lateral resolution than the conventional delay-and-sum beamformer and could be more robust in estimating the amplitude peak than the MV beamformer when acoustic velocity error exists. In the cyst phantom simulation, the proposed beamformer has shown that it achieves an improvement in contrast ratio and without distorting the edges of cyst.

Artificial intelligence in medical imaging of the liver

Artificial intelligence(AI), particularly deep learning algorithms, is gaining extensive attention for its excellent performance in image-recognition tasks. They can automatically make a quantitative assessment of complex medical image characteristics and achieve an increased accuracy for diagnosis with higher efficiency. AI is widely used and getting increasingly popular in the medical imaging of the liver, including radiology, ultrasound, and nuclear medicine. AI can assist physicians to make more accurate and reproductive imaging diagnosis and also reduce the physicians' workload. This article illustrates basic technical knowledge about AI, including traditional machine learning and deep learning algorithms, especially convolutional neural networks, and their clinical application in the medical imaging of liver diseases, such as detecting and evaluating focal liver lesions, facilitating treatment, and predicting liver treatment response. We conclude that machine-assisted medical services will be a promising solution for future liver medical care. Lastly, we discuss the challenges and future directions of clinical application of deep learning techniques.

Biomedical microwave-induced thermoacoustic imaging

Microwave induced thermoacoustic imaging(MTAI)has emerged as a potential biomedical imaging modality with over 20-year growth.MTAI typically employs pulsed microwave as the pumping source,and detects the microwave-induced ultrasound wave via acoustic transducers.Therefore,it features high acoustic resolution,rich elect romagnetic contrast,and large imaging depth.Benefiting from these unique advantages,MTAI has been extensively applied to various fields including pathology,biology,material and medicine.Till now,MTAI has been deployed for a wide range of biomedical applications,including cancer diagnosis,joint evaluation,brain in-vestigation and endoscopy.This paper provides a comprehensive review on(1)essential physics(endogenous/exogenous contrast mechanisms,penetration depth and resolution),(2)hardware configurations and software implementations(excit ation source,antenna,ultrasound detector and image recovery algorithm),(3)animal studies and clinical applications,and(4)future directions.

Holographic microwave imaging for medical applications

This paper presents a new 2D holographic microwave imaging array (HMIA) technique for medical imaging applications. The HMIA technique has been applied to early stage breast cancer detection and brain stroke detection. Computer models are developed to demonstrate the feasibility of detecting and localizing small brain strokes within a 2D numerical head model and breast tumours within a 3D numerical breast model using the HMIA technique. Experimental validation of the HMIA simulation model using a breast phantom has been undertaken and demonstrated a good agreement between experimental and simulated images. Simulation and experimental results showed that the proposed HMIA technique has the potential to become a powerful medical screening and diagnostic tool.

Enhancing medical-imaging artificial intelligence through holistic use of time-tested key imaging and clinical parameters:Future insights

Much of the published literature in Radiology-related Artificial Intelligence(AI)focuses on single tasks,such as identifying the presence or absence or severity of specific lesions.Progress comparable to that achieved for general-purpose computer vision has been hampered by the unavailability of large and diverse radiology datasets containing different types of lesions with possibly multiple kinds of abnormalities in the same image.Also,since a diagnosis is rarely achieved through an image alone,radiology AI must be able to employ diverse strategies that consider all available evidence,not just imaging information.Using key imaging and clinical signs will help improve their accuracy and utility tremendously.Employing strategies that consider all available evidence will be a formidable task;we believe that the combination of human and computer intelligence will be superior to either one alone.Further,unless an AI application is explainable,radiologists will not trust it to be either reliable or bias-free;we discuss some approaches aimed at providing better explanations,as well as regulatory concerns regarding explainability(“transparency”).Finally,we look at federated learning,which allows pooling data from multiple locales while maintaining data privacy to create more generalizable and reliable models,and quantum computing,still prototypical but potentially revolutionary in its computing impact.

A review of microwave-induced thermoacoustic imaging:Excitation source,data acquisition system and biomedical applications

Microwave-induced thermoacoustic imaging(TAI)is a noninvasive modality based on the differences in microwave absorption of various biological tissues.TAI has been extensively researched in recent years,and several studies have revealed that TAI possesses advantages such as high resolution,high contrast,high imaging depth and fast imaging speed.In this paper,we reviewed the development of the TAI technique,its excitation source,data acquisition system and biomedical applications.It is believed that TAI has great potential applications in biomedical research and clinical study.