Axillary lymph node involvement remains a critical factor in determining breast cancer management strategies, influencing both surgical decisions and systemic treatments.

Can AI scale from the clinic to mass screening without causing more harm than good?

Diagnosing inflammatory myopathies can often feel like solving a complex puzzle with missing pieces, until you look at the "whole" picture.

Scanning a preterm neonate is always a high-stakes balance between getting the diagnostic image and keeping the baby safe; but what if the technology finally caught up to the challenge?

This article explores whether routinely acquired contrast-enhanced mammography images contain enough information for deep learning prediction of hormone receptor status. (Alessandro Carriero et al.) #EuropeanRadiologyExperimental buff.ly/0B0KEIp

Is cardiac radiomics ready to predict patient outcomes, or is the methodology lagging behind the hype?

Is AI in radiology a financial game-changer or just an expensive add-on waiting for proof?

Cerebral blood flow in a tri-ethnic population: insights from pCASL perfusion MRI 🧠

The authors compared ultrahigh-resolution photon-counting detector CT and spectral post-processed images for coronary stent visualisation in a dynamic, anthropomorphic, and circulatory phantom. (Muhammad Taha Hagar et al.) #EuropeanRadiologyExperimental buff.ly/jnAHojW

Multi-radiotracer PET/CT for carotid plaque vulnerability 🚨

Machine learning for CT-based stroke timing 🧠 This study compares different machine learning models for classifying ischemic #stroke onset within or beyond the 4.5-hour therapeutic window using CT data.

Quantitative CT in alpha-1-antitrypsin deficiency (AATD) 🫁 This study demonstrates that AI-assisted #quantitative CT enables comprehensive assessment of #airway abnormalities beyond #emphysema in #AATD.

🎄 Merry Christmas! 🎄 We hope you all enjoyed #Radvent 2025! Thank you for all your interactions through the month, and everyone at #EuropeanRadiology wishes you an amazing Christmas!

In our final #Radvent post of the year, we would like to focus on the value of collaboration, transparency and large dataset in research, especially in building reproducible AI models.

☃️ Radvent Day 23! ☃️ Ionising radiation is not risk-free ☢️ and this is a good time to remind ourselves to take steps to reduce unncessary radiation exposure to patients.

🎅 Radvent Day 22! 🎅 Today’s ESR Essentials feature unwraps a skill every radiologist will need more and more in the new year: high-quality segmentation.

🎅 Radvent Day 21! 🎅 As the new year approaches, it’s a great time to reflect on how we can sharpen our aim 🎯 in obtaining vascular access (pun not intended!).

🦌 Day 20 of our #Radvent journey🎄 Today we highlight “ESR Essentials: Imaging of Facial Pain”—a valuable set of practice recommendations from the @European Society of Head and Neck Radiology. 🔔

von Hippel–Lindau (VHL) disease is a rare hereditary cancer syndrome caused by germline pathogenic variants in the VHL gene.

❄️ Radvent Day 19! ❄️ Today’s ESR Essentials review unwraps a topic at the core of oncologic imaging: how to stage and assess lymphoma accurately.

Magnetic resonance imaging in the diagnosis of trigeminal neuralgia 👀

Can we better predict the risk of lateral lymph node metastasis (LLNM) in papillary thyroid carcinoma (PTC)?

🩺 Incidental Findings on Screening Prostate MRI: How Common Are They?

Can we do better in assessing the hemodynamic significance of stenotic lesions in the vertebrobasilar circulation?

Superparamagnetic iron oxide (SPIO)-enhanced MRI can visualise draining lymph nodes and potentially metastases.

🦌 Day 17 of our #Radvent series ✨ As we continue highlighting impactful imaging resources this month, today’s focus is on “ESR Essentials: A Step-by-Step Guide of Segmentation for Radiologists”—a timely and highly practical contribution from the @European Society of Medical Imaging Informatics.

Following the editorial in the previous post, this commentary by Dr. Wilhelm Kuker explores the potential of dual energy CT (DECT) in evaluating the composition of carotid artery plaque to guide management of patients with carotid artery stenosis.

This editorial highlights the growing value of perfusion imaging in the imaging workup of patients with suspected ischemic symptoms.

🎁 Radvent Day 16! 🎁 As we roll through the festive season, today’s special feature unwraps a forward-looking vision for how AI could transform breast cancer prevention.

Can #AI help reduce contrast dose in MR imaging of the cerebellopontine angle cistern?

⛄ Radvent Day 15! ⛄ Hypersensitivity reaction to contrast media: Part 2. Adding to Part 1 from yesterday, these guidelines deliver a highly usable roadmap for safe, confident contrast administration in daily practice 🩻✨

Can a “pea pod” and a thin bright stripe on MRI really stop us from overstaging early rectal cancer? 🫘✨

🎅 Radvent Day 14! 🎅 Today’s feature unwraps an update every radiologist should know: the brand-new ESUR guidelines on contrast media hypersensitivity.

🦌 Day 13 of our #Radvent journey! 🔔 Continuing our festive countdown of daily imaging pearls, today we turn to a topic that demonstrates the true impact of early detection. 🎄

🎄 Radvent Day 12! 🎄 As we countdown to the holidays, today’s ESR Essentials review unwraps something every radiologist using AI should truly understand: performance metrics.

Ever thought your CT injector could save you time, contrast, money and technologist sanity? ⏱️💸🩻

Can MRI really keep up with the complexity of deep endometriosis… or does laparoscopy still hold all the secrets? 🧩🖥️

🦌 Day 11 of our #Radvent journey! As we count down to the holidays with daily imaging inspiration, today we spotlight an #ESRBridges article that truly reflects the power of modern neuroimaging.

Radiology may love AI… but do radiologists, patients, and clinicians actually accept it? 🤖💭

🎄 Radvent Day 10! 🎄 Today’s ESR Essentials review highlights the fundamentals every radiologist should know about paediatric chest imaging.

MS diagnosis just got a major upgrade, and MRI is now doing more heavy lifting than ever 💪🧠

Photon-Counting CT: Game-Changer for Patients with High Calcium Burden 🫀 New data from European Radiology confirm that ultra-high-resolution photon-counting detector CCTA maintains very high diagnostic accuracy - even in patients with extensive coronary calcifications (Agatston score > 3000)

🦌 December 9th - Day 9 of Our Radvent Journey! 🦌 As we step into today’s #Radvent spotlight, we feature “ESR Bridges: Imaging and management of carotid atherosclerosis through a standardized classification system — a multidisciplinary view.” 🔔

A new commentary on the diagnostic value of ASL for perfusion imaging 🧠✨ This new commentary by Wilhelm Kuker highlights how #ASL perfusion mapping enriches the imaging workup of patients with suspected #ischemic symptoms.

🎄 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.

New insights into chronic Interstitial Lung Disease (cILD) in Systemic Lupus Erythematosus 🫁✨

🛷 Day 7 of Radvent 🛷 "Scientific evidence regarding the incidence of breast cancer and the risk of developing breast cancer in the transgender and gender-diverse population is still limited and inadequate, derived mainly from retrospective cohort studies.

Radvent Day 6!

🦌 The 5th December, and the 5th day of our Radvent calendar! 🦌 This #ESRBridges article reminds us of one of head and neck oncology’s most challenging mysteries: the “invisible” primary tumour.

Bridging Advances in Early-Stage Prostate Cancer Care 🔍 A new #ESRBRidges article reviews the latest developments in imaging and treatment of early-stage #prostate #cancer.