{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,10]],"date-time":"2026-09-10T01:27:29Z","timestamp":1789003649438,"version":"build-2803163510"},"reference-count":39,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2025,1,10]],"date-time":"2025-01-10T00:00:00Z","timestamp":1736467200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2025,1,10]],"date-time":"2025-01-10T00:00:00Z","timestamp":1736467200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"name":"Clinical Research Center for Medical Imaging in Jiangxi Province","award":["No.20223BCG74001"],"award-info":[{"award-number":["No.20223BCG74001"]}]},{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"publisher","award":["82160331"],"award-info":[{"award-number":["82160331"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"publisher"}]},{"name":"Jiangxi Province Key Laboratory for Precision Pathology and Intelligent Diagnosis","award":["2024SSY06281"],"award-info":[{"award-number":["2024SSY06281"]}]},{"name":"Jiangxi Province Double Thousand Talent Plan","award":["jxsq2023201039"],"award-info":[{"award-number":["jxsq2023201039"]}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Insights Imaging"],"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Objectives<\/jats:title>\n                <jats:p>To evaluate the value of contrast-enhanced CT in diagnosing ultrasonography-unspecified adnexal torsion (AT).<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methods<\/jats:title>\n                <jats:p>Surgically confirmed patients with painful pelvic masses (<jats:italic>n<\/jats:italic>\u2009=\u2009165) were retrospectively collected from two institutes. Two senior radiologists independently reviewed the CT images and determined the Hounsfield unit difference between non-contrast vs portal venous phases (\u0394HU<jats:sub>PV-NC<\/jats:sub>) in both derivation and validation samples. The cutoff value, sensitivity, specificity, predictivity, and reproducibility of the \u0394HU<jats:sub>PV-NC<\/jats:sub> and other visually assessed CT signs were analyzed and compared using the receiver-operating characteristic curve, multivariable regression, and inter-rater agreement assays, respectively.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>Women with twisted (<jats:italic>n<\/jats:italic>\u2009=\u200973 [47\u2009\u00b1\u200919 years]) or untwisted (<jats:italic>n<\/jats:italic>\u2009=\u200992 [40\u2009\u00b1\u200915 years]) adnexal lesions were reviewed. The \u0394HU<jats:sub>PV-NC<\/jats:sub>\u2009\u2264\u200917.5\u2009HU (AUC: 0.91 [95% CI: 0.86, 0.96]; sensitivity: 95% [95% CI: 87, 98]; and specificity: 88% [95% CI: 80, 94]) was the independent predictor of AT (OR: 137 [95% CI: 39, 481], <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001). After training in \u0394HU<jats:sub>PV-NC<\/jats:sub> measurement, the agreement between two junior residents and the consensus increased from fair (resident-1: 0.29 [95% CI: 0.17, 0.41]; resident-2: 0.24 [95% CI: 0.1, 0.39]) to substantial (resident-1: 0.75 [95% CI: 0.65, 0.85]; resident-2: 0.72 [95% CI: 0.62, 0.83]). The post-training diagnostic accuracy (both residents: 81% [95% CI: 74, 87]) was higher than the pre-training accuracy (resident-1: 67% [95% CI: 59, 74], <jats:italic>p<\/jats:italic>\u2009=\u20090.007; resident-2: 66% [95% CI: 58, 73], <jats:italic>p<\/jats:italic>\u2009=\u20090.002).<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusion<\/jats:title>\n                <jats:p>The sign of \u0394HU<jats:sub>PV-NC<\/jats:sub>\u2009\u2264\u200917.5\u2009HU in contrast-enhanced CT can be used to predict the ultrasonography-unspecified AT.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Critical relevance statement<\/jats:title>\n                <jats:p>The decreased attenuation difference between non-contrast vs portal venous phases, a quantitative measurement-based CT sign, highlights the value of using contrast-enhanced CT as a second-line imaging approach after an equivocal ultrasonographic examination to diagnose AT in emergency settings.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Key Points<\/jats:title>\n                <jats:p><jats:list list-type=\"bullet\">\n                  <jats:list-item>\n                    <jats:p>The value of contrast-enhanced CT in diagnosing ultrasonography-unspecified AT is underestimated.<\/jats:p>\n                  <\/jats:list-item>\n                  <jats:list-item>\n                    <jats:p>The \u0394HU<jats:sub>PV-NC<\/jats:sub>\u2009\u2264\u200917.5\u2009HU is the only predictor to diagnose the ultrasonography-unspecified AT.<\/jats:p>\n                  <\/jats:list-item>\n                  <jats:list-item>\n                    <jats:p>Contrast-enhanced CT can be used as a second-line imaging approach after an equivocal ultrasonographic examination.<\/jats:p>\n                  <\/jats:list-item>\n                <\/jats:list><\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Graphical Abstract<\/jats:title>\n                \n              <\/jats:sec>","DOI":"10.1186\/s13244-024-01885-4","type":"journal-article","created":{"date-parts":[[2025,1,10]],"date-time":"2025-01-10T14:17:30Z","timestamp":1736518650000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Decreased attenuation difference between non-contrast and portal-venous phases of CT predicts the ultrasonography-unspecified adnexal torsion"],"prefix":"10.1186","volume":"16","author":[{"given":"Weili","family":"Xie","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhongren","family":"Huang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hongmei","family":"Kuang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiaoxing","family":"Li","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rixin","family":"Zhang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wei","family":"Zeng","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cheng","family":"Jin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Junyuan","family":"Zhong","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jidong","family":"Peng","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Weiling","family":"Cheng","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0890-910X","authenticated-orcid":false,"given":"Fuqing","family":"Zhou","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2025,1,10]]},"reference":[{"key":"1885_CR1","doi-asserted-by":"publisher","first-page":"E769","DOI":"10.1503\/cmaj.180020","volume":"190","author":"J Papillon-Smith","year":"2018","unstructured":"Papillon-Smith J, Sobel M (2018) Adnexal torsion. CMAJ 190:E769","journal-title":"CMAJ"},{"key":"1885_CR2","doi-asserted-by":"publisher","first-page":"e074514","DOI":"10.1136\/bmj-2022-074514","volume":"381","author":"AA Ashmore","year":"2023","unstructured":"Ashmore AA, Blackstock S, Kenny C, Ismail A (2023) Recognition and initial management of ovarian torsion. BMJ 381:e074514","journal-title":"BMJ"},{"key":"1885_CR3","doi-asserted-by":"publisher","first-page":"375","DOI":"10.1097\/00003081-198528020-00015","volume":"28","author":"DH Nichols","year":"1985","unstructured":"Nichols DH, Julian PJ (1985) Torsion of the adnexa. Clin Obstet Gynecol 28:375\u2013380","journal-title":"Clin Obstet Gynecol"},{"key":"1885_CR4","doi-asserted-by":"publisher","first-page":"196","DOI":"10.1016\/j.jmig.2013.09.010","volume":"21","author":"KJ Sasaki","year":"2014","unstructured":"Sasaki KJ, Miller CE (2014) Adnexal torsion: review of the literature. J Minim Invasive Gynecol 21:196\u2013202","journal-title":"J Minim Invasive Gynecol"},{"key":"1885_CR5","doi-asserted-by":"publisher","first-page":"37","DOI":"10.1111\/1471-0528.16371","volume":"128","author":"B Wattar","year":"2021","unstructured":"Wattar B, Rimmer M, Rogozinska E, Macmillian M, Khan KS, Al Wattar BH (2021) Accuracy of imaging modalities for adnexal torsion: a systematic review and meta-analysis. BJOG 128:37\u201344","journal-title":"BJOG"},{"key":"1885_CR6","doi-asserted-by":"publisher","first-page":"310","DOI":"10.1002\/uog.24976","volume":"61","author":"I Garde","year":"2023","unstructured":"Garde I, Paredes C, Ventura L et al (2023) Diagnostic accuracy of ultrasound signs for detecting adnexal torsion: systematic review and meta-analysis. Ultrasound Obstet Gynecol 61:310\u2013324","journal-title":"Ultrasound Obstet Gynecol"},{"key":"1885_CR7","doi-asserted-by":"publisher","first-page":"461","DOI":"10.1148\/radiol.2015150261","volume":"279","author":"S Beranger-Gibert","year":"2016","unstructured":"Beranger-Gibert S, Sakly H, Ballester M et al (2016) Diagnostic value of MR imaging in the diagnosis of adnexal torsion. Radiology 279:461\u2013470","journal-title":"Radiology"},{"key":"1885_CR8","first-page":"267CT","volume":"91","author":"T Odle","year":"2020","unstructured":"Odle T (2020) Emergency computed tomography. Radiol Technol 91:267CT\u2013287CT","journal-title":"Radiol Technol"},{"key":"1885_CR9","doi-asserted-by":"publisher","first-page":"1394","DOI":"10.1007\/s00330-009-1294-9","volume":"19","author":"A van Randen","year":"2009","unstructured":"van Randen A, Lameris W, Nio CY et al (2009) Inter-observer agreement for abdominal CT in unselected patients with acute abdominal pain. Eur Radiol 19:1394\u20131407","journal-title":"Eur Radiol"},{"key":"1885_CR10","doi-asserted-by":"publisher","first-page":"812","DOI":"10.1148\/radiol.2015150473","volume":"278","author":"PV Pandharipande","year":"2016","unstructured":"Pandharipande PV, Reisner AT, Binder WD et al (2016) CT in the emergency department: a real-time study of changes in physician decision making. Radiology 278:812\u2013821","journal-title":"Radiology"},{"key":"1885_CR11","doi-asserted-by":"publisher","first-page":"32","DOI":"10.1148\/radiol.10090908","volume":"256","author":"KT Bae","year":"2010","unstructured":"Bae KT (2010) Intravenous contrast medium administration and scan timing at CT: considerations and approaches. Radiology 256:32\u201361","journal-title":"Radiology"},{"key":"1885_CR12","doi-asserted-by":"publisher","first-page":"8","DOI":"10.1102\/1470-7330.2010.0001","volume":"10","author":"G Petralia","year":"2010","unstructured":"Petralia G, Bonello L, Viotti S, Preda L, d\u2019Andrea G, Bellomi M (2010) CT perfusion in oncology: how to do it. Cancer Imaging 10:8\u201319","journal-title":"Cancer Imaging"},{"key":"1885_CR13","doi-asserted-by":"publisher","first-page":"93","DOI":"10.1148\/radiol.10091938","volume":"256","author":"J Menke","year":"2010","unstructured":"Menke J (2010) Diagnostic accuracy of multidetector CT in acute mesenteric ischemia: systematic review and meta-analysis. Radiology 256:93\u2013101","journal-title":"Radiology"},{"key":"1885_CR14","doi-asserted-by":"publisher","first-page":"e231710","DOI":"10.1148\/radiol.231710","volume":"310","author":"BQ Li","year":"2024","unstructured":"Li BQ, Qi WJ, Yuan M et al (2024) Increased attenuation of intestinal contents at CT indicates bowel necrosis in closed-loop small bowel obstruction. Radiology 310:e231710","journal-title":"Radiology"},{"key":"1885_CR15","doi-asserted-by":"publisher","first-page":"2405","DOI":"10.1007\/s00330-013-2853-7","volume":"23","author":"C Amanieu","year":"2013","unstructured":"Amanieu C, Sanchez I, Arion S et al (2013) Acute myocardial infarction: early CT aspects of myocardial microcirculation obstruction after percutaneous coronary intervention. Eur Radiol 23:2405\u20132412","journal-title":"Eur Radiol"},{"key":"1885_CR16","doi-asserted-by":"publisher","first-page":"1137","DOI":"10.1007\/s00261-020-02761-7","volume":"46","author":"JA Hwang","year":"2021","unstructured":"Hwang JA, Shin HC, Kim SS et al (2021) Preoperative CT image-based assessment for estimating risk of ovarian torsion in women with ovarian lesions and pelvic pain. Abdom Radiol (NY) 46:1137\u20131147","journal-title":"Abdom Radiol (NY)"},{"key":"1885_CR17","doi-asserted-by":"publisher","first-page":"75","DOI":"10.1016\/j.ejrad.2017.11.004","volume":"98","author":"C Mandoul","year":"2018","unstructured":"Mandoul C, Verheyden C, Curros-Doyon F, Rathat G, Taourel P, Millet I (2018) Diagnostic performance of CT signs for predicting adnexal torsion in women presenting with an adnexal mass and abdominal pain: a case-control study. Eur J Radiol 98:75\u201381","journal-title":"Eur J Radiol"},{"key":"1885_CR18","doi-asserted-by":"publisher","first-page":"29","DOI":"10.1148\/radiology.143.1.7063747","volume":"143","author":"JA Hanley","year":"1982","unstructured":"Hanley JA, McNeil BJ (1982) The meaning and use of the area under a receiver operating characteristic (ROC) curve. Radiology 143:29\u201336","journal-title":"Radiology"},{"key":"1885_CR19","doi-asserted-by":"publisher","first-page":"328","DOI":"10.1148\/radiology.178.2.1987587","volume":"178","author":"AJ Dwyer","year":"1991","unstructured":"Dwyer AJ (1991) Matchmaking and McNemar in the comparison of diagnostic modalities. Radiology 178:328\u2013330","journal-title":"Radiology"},{"key":"1885_CR20","doi-asserted-by":"publisher","first-page":"276","DOI":"10.11613\/BM.2012.031","volume":"22","author":"ML McHugh","year":"2012","unstructured":"McHugh ML (2012) Interrater reliability: the kappa statistic. Biochem Med 22:276\u2013282","journal-title":"Biochem Med"},{"key":"1885_CR21","doi-asserted-by":"publisher","first-page":"1289","DOI":"10.7863\/jum.2007.26.10.1289","volume":"26","author":"SY Chiou","year":"2007","unstructured":"Chiou SY, Lev-Toaff AS, Masuda E, Feld RI, Bergin D (2007) Adnexal torsion: new clinical and imaging observations by sonography, computed tomography, and magnetic resonance imaging. J Ultrasound Med 26:1289\u20131301","journal-title":"J Ultrasound Med"},{"key":"1885_CR22","doi-asserted-by":"publisher","first-page":"872","DOI":"10.1097\/RCT.0b013e31819e41f3","volume":"33","author":"JH Lee","year":"2009","unstructured":"Lee JH, Park SB, Shin SH et al (2009) Value of intra-adnexal and extra-adnexal computed tomographic imaging features diagnosing torsion of adnexal tumor. J Comput Assist Tomogr 33:872\u2013876","journal-title":"J Comput Assist Tomogr"},{"key":"1885_CR23","doi-asserted-by":"publisher","first-page":"899","DOI":"10.1016\/j.diii.2016.03.004","volume":"97","author":"SL Lee","year":"2016","unstructured":"Lee SL, Ku YM, Choi BG, Kim JH, Kim YS (2016) Multidetector-row computed tomography (MDCT) findings of adnexal torsion: an analysis of 116 patients. Diagn Interv Imaging 97:899\u2013905","journal-title":"Diagn Interv Imaging"},{"key":"1885_CR24","doi-asserted-by":"publisher","first-page":"e0200190","DOI":"10.1371\/journal.pone.0200190","volume":"13","author":"MS Lee","year":"2018","unstructured":"Lee MS, Moon MH, Woo H et al (2018) CT findings of adnexal torsion: a matched case-control study. PLoS One 13:e0200190","journal-title":"PLoS One"},{"key":"1885_CR25","doi-asserted-by":"publisher","first-page":"835","DOI":"10.3348\/kjr.2015.16.4.835","volume":"16","author":"SI Jung","year":"2015","unstructured":"Jung SI, Park HS, Yim Y et al (2015) Added value of using a CT coronal reformation to diagnose adnexal torsion. Korean J Radiol 16:835\u2013845","journal-title":"Korean J Radiol"},{"key":"1885_CR26","doi-asserted-by":"crossref","unstructured":"(2019) Adnexal torsion in adolescents: ACOG committee opinion no, 783. Obstet Gynecol 134:e56\u2013e63","DOI":"10.1097\/AOG.0000000000003373"},{"key":"1885_CR27","doi-asserted-by":"publisher","first-page":"E97","DOI":"10.1148\/rg.2021219007","volume":"41","author":"LM Strachowski","year":"2021","unstructured":"Strachowski LM, Choi HH, Shum DJ, Horrow MM (2021) Pearls and pitfalls in imaging of pelvic adnexal torsion: seven tips to tell it\u2019s twisted. Radiographics 41:E97","journal-title":"Radiographics"},{"key":"1885_CR28","doi-asserted-by":"crossref","first-page":"H1329","DOI":"10.1152\/ajpcell.1994.267.5.C1329","volume":"267","author":"SN Jerome","year":"1994","unstructured":"Jerome SN, Akimitsu T, Korthuis RJ (1994) Leukocyte adhesion, edema, and development of postischemic capillary no-reflow. Am J Physiol 267:H1329\u2013H1336","journal-title":"Am J Physiol"},{"key":"1885_CR29","doi-asserted-by":"publisher","first-page":"490","DOI":"10.1098\/rsfs.2011.0017","volume":"1","author":"DH Evans","year":"2011","unstructured":"Evans DH, Jensen JA, Nielsen MB (2011) Ultrasonic colour Doppler imaging. Interface Focus 1:490\u2013502","journal-title":"Interface Focus"},{"key":"1885_CR30","doi-asserted-by":"publisher","first-page":"620","DOI":"10.1080\/13645706.2021.1878376","volume":"31","author":"J Carugno","year":"2022","unstructured":"Carugno J, Naem A, Ibrahim C et al (2022) Is color Doppler ultrasonography reliable in diagnosing adnexal torsion? A large cohort analysis. Minim Invasive Ther Allied Technol 31:620\u2013627","journal-title":"Minim Invasive Ther Allied Technol"},{"key":"1885_CR31","first-page":"743","volume":"28","author":"BD Murphy","year":"2007","unstructured":"Murphy BD, Chen X, Lee TY (2007) Serial changes in CT cerebral blood volume and flow after 4\u2009h of middle cerebral occlusion in an animal model of embolic cerebral ischemia. AJNR Am J Neuroradiol 28:743\u2013749","journal-title":"AJNR Am J Neuroradiol"},{"key":"1885_CR32","doi-asserted-by":"publisher","first-page":"739","DOI":"10.1016\/j.crad.2016.03.006","volume":"71","author":"MC Williams","year":"2016","unstructured":"Williams MC, Newby DE (2016) CT myocardial perfusion imaging: current status and future directions. Clin Radiol 71:739\u2013749","journal-title":"Clin Radiol"},{"key":"1885_CR33","doi-asserted-by":"publisher","first-page":"505","DOI":"10.1007\/s40477-021-00601-y","volume":"24","author":"M Trinci","year":"2021","unstructured":"Trinci M, Danti G, Di Maurizio M et al (2021) Can contrast enhanced ultrasound (CEUS) be useful in the diagnosis of ovarian torsion in pediatric females? A preliminary monocentric experience. J Ultrasound 24:505\u2013514","journal-title":"J Ultrasound"},{"key":"1885_CR34","doi-asserted-by":"crossref","unstructured":"Gupta S, Manchanda S, Dadhwal V (2022) Ovarian torsion: incremental role of contrast-enhanced ultrasound. BMJ Case Rep 15:e251285","DOI":"10.1136\/bcr-2022-251285"},{"key":"1885_CR35","doi-asserted-by":"publisher","first-page":"e073301","DOI":"10.1136\/bmjopen-2023-073301","volume":"13","author":"R Pillot","year":"2023","unstructured":"Pillot R, Hossu G, Cherifi A et al (2023) Contribution of contrast-enhanced ultrasound in the diagnosis of adnexal torsion (AGATA): protocol for a prospective comparative study. BMJ Open 13:e073301","journal-title":"BMJ Open"},{"key":"1885_CR36","doi-asserted-by":"publisher","first-page":"749","DOI":"10.1007\/s10459-018-9826-1","volume":"23","author":"JR Schoenherr","year":"2018","unstructured":"Schoenherr JR, Waechter J, Millington SJ (2018) Subjective awareness of ultrasound expertise development: individual experience as a determinant of overconfidence. Adv Health Sci Educ Theory Pract 23:749\u2013765","journal-title":"Adv Health Sci Educ Theory Pract"},{"key":"1885_CR37","doi-asserted-by":"publisher","first-page":"3819","DOI":"10.1007\/s00330-022-09286-1","volume":"33","author":"Q Ji","year":"2023","unstructured":"Ji Q, Wang Y, Zhao Y et al (2023) Evaluation of myocardial viability in patients with myocardial ischemia reperfusion injury using the dual-energy CT myocardial blood pool imaging. Eur Radiol 33:3819\u20133831","journal-title":"Eur Radiol"},{"key":"1885_CR38","doi-asserted-by":"publisher","first-page":"609","DOI":"10.1148\/rg.2021200118","volume":"41","author":"MT Dawood","year":"2021","unstructured":"Dawood MT, Naik M, Bharwani N, Sudderuddin SA, Rockall AG, Stewart VR (2021) Adnexal torsion: review of radiologic appearances. Radiographics 41:609\u2013624","journal-title":"Radiographics"},{"key":"1885_CR39","first-page":"YE01","volume":"10","author":"MA Bujang","year":"2016","unstructured":"Bujang MA, Adnan TH (2016) Requirements for minimum sample size for sensitivity and specificity analysis. J Clin Diagn Res 10:YE01\u2013YE06","journal-title":"J Clin Diagn Res"}],"container-title":["Insights into Imaging"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s13244-024-01885-4.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s13244-024-01885-4\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s13244-024-01885-4.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,1,10]],"date-time":"2025-01-10T15:02:35Z","timestamp":1736521355000},"score":1,"resource":{"primary":{"URL":"https:\/\/insightsimaging.springeropen.com\/articles\/10.1186\/s13244-024-01885-4"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,1,10]]},"references-count":39,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2025,12]]}},"alternative-id":["1885"],"URL":"https:\/\/doi.org\/10.1186\/s13244-024-01885-4","relation":{},"ISSN":["1869-4101"],"issn-type":[{"value":"1869-4101","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,1,10]]},"assertion":[{"value":"29 May 2024","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"6 December 2024","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"10 January 2025","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The Ethics Committee of the First Affiliated Hospital of Jiangxi Medical College, Nanchang University (Nanchang, China) approved this study. The approval number is IIT2024082. Written informed consent was waived by the Institutional Review Board.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"No personal data or any identifiable statement beyond images are used in the manuscript.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors of this manuscript declare no relationships with any companies, whose products or services may be related to the subject matter of the article.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"12"}}