What are the latest content updates?
Last updated on August 20, 2025As part of our ongoing commitment to offer the best solution in Diagnostic Decision Support, we are pleased to announce continuous and extensive updates to STATdx. For a detailed breakdown of the categories updated, click on the release date below.
2025
- The gastrointestinal revision features updates throughout to ensure that the most accurate diagnostic information and terminologies are included.
- Also contains content updates for MR imaging of rectal cancer, iron quantification, and other MR protocols.
- MR protocol recommendations are updated throughout to ensure that all diagnoses are in line with current practice, which is of great value to GI radiologists.
- Nuclear medicine
- The gastrointestinal update contains significantly updated content regarding:
- Updated MR protocols, including for rectal MR, pelvic floor MR, and MR elastography
- Updated CT protocols based on the abnormality in question
- Updated differential diagnoses
- Additional new cases and images as well as replacement of a substantial number of images
- New staging details and diagrams throughout
- The gastrointestinal revision also features a significant number of completely new topics:
- Approach to Incidental Lymph Nodes on CT/MR: Summary of 2013 ACR Consensus Statement
- Approach to Management of Incidental Splenic Lesions: Summary of 2013 ACR Consensus
- Management of Incidental Gallbladder and Biliary Findings: Summary of Consensus Statements
- Management of Incidental Liver Lesions
- Management of Pancreatic Cysts (which includes the new guidelines)
- Summary of C-RADS for CT Colonography
- Updated content on the latest CT and MR protocols plus new guidance on pelvic floor MR, rectal MR, and MR elastography in general
- New content on LI-RADS classification and on C-RADS (for CT colonoscopy) for pancreatic cyst management
- Updates on incidental findings management based on ACR guidelines
- New and replacement images and the latest literature references throughout
- This update features a new team of highly specialized authors who have brought detailed, nuanced material to their sections, especially regarding cardiac section and neuro issues. The nuclear medicine section update also provides details on new imaging agents now approved by the FDA, new therapeutic agents, updates to available therapies and procedures with new interval data and guidelines, and new imaging protocols and data on imaging. 20 new topics spread throughout 14 sections, which include cardiac, CNS, gastrointestinal, musculoskeletal, thyroid and parathyroid, pediatrics, oncology, nuclear medicine therapy, safety, and more. In addition, contains updates across existing topics and an expanded reference base for pediatric imaging.
- Updates and completely new content include the following:
- New topics on radiopharmaceutical IV infiltration—which is currently a very hot topic right—as well thyroid incidentaloma, as well as adult fever of unknown origin, malignant peripheral nerve health tumor, paraneoplastic syndrome, and more
- Coverage of neuroblastoma treatment with I-131 metaiodobenzylguanidine (MIBG)
- Major updates for prostate cancer therapy with interval approval from the FDA of new drugs
- Updates on previously discussed therapies and procedures, including benign and malignant thyroid cancers, sentinel node mapping, and lymphedema
- Details on new nuclear imaging agents approved by the FDA, including F-18 PSMA PET (Pylarify®), F-18 fluoroestradiol PET (Cerianna®), and Cu-64 dotatate (Detectnet®)
- New topics and updates detailing recent therapeutic agents, including I-131 MIBG treatment for neuroblastomas, and major updates to the Prostate Cancer Therapy chapter based on FDA approval regarding treatment of progressive metastatic castrate-resistant prostate cancer
- Updates for previously available nuclear therapies and procedures with new interval data and guidelines, including updated interval data for outcomes, new procedure/practice guidelines and new data about predictive lab markers, a new topic on thyroid incidentaloma, and updated appropriate-use criteria for lymphoscintigraphy in sentinel node mapping and lymphedema
- Expanded details on pediatric nuclear imaging
- Coverage of new nuclear imaging protocols and data, including perfusion-only examinations for evaluation of pulmonary embolisms
- Updates to topic Undifferentiated Pleomorphic Sarcoma, Chest Wall including imaging features, pathologic features, references, and more
Spine delivers overviews, updates, and recommendations for evaluation of transitional spinal anatomy (spine enumeration) that have important and practical applications in routine imaging with downstream effects on spine intervention. Specific recommendations and updates include the following:
- Treatments for CSF-venous fistulas, including venous embolization and percutaneous fibrin glue placement, as well as updates with direct application for diagnosis of this pathology, such as photon-counting CT
- Updates to current biological and molecular characteristics of ependymal tumors
- Classification details of myelofibrosis and myelodysplastic syndromes; demyelinating disorders, including MOGAD and NMOSD; and expansion for classification of congenital spinal open and closed neural tube defects
- Full reordering of existing topics with new knowledge, much regarding inflammatory and autoimmune disorders, as well as systemic manifestations of diseases
- Updated CSF leak disorder and root sleeve leak details; additional information on CSF-venous fistulas and the best methods of their detection; updates on treatments for CSF-venous fistulas, including venous embolization and percutaneous fibrin glue placement
- New details on updated areas of demyelinating disease related to better knowledge of MS, neuromyelitis optica spectrum disorder, and anti-MOG disorders
- New and up-to-date genetic and disease information as well as updates on malignant nerve sheath tumor and paragangliomas
- Updates for spinal ependymomas, including myxopapillary and classical cellular spinal ependymoma
- Completely new/revamped topics on COVID-19, influenza, RSV, and EVALI
- New insights of interstitial lung disease and report recommendations
- Details on the new classification for hypersensitivity pneumonitis
- New insights of smoking related interstitial lung disease (CPFE, SRIF, AEF)
- Key features
- Updated content, new images, and current literature references throughout chest section
- Updated content in existing topics to reflect the most current disease diagnoses, including morphologic patterns for pulmonary fibrosis
- Details on new classification for hypersensitivity pneumonia
- A variety of new topics, including prevalent diagnoses, such as post-COVID-19 findings, RSV, and EVALI
- Updates to 69 DDx topics including new images, text, and references
- Updates to 4 DDx topics including new images, text, and references
The update Cardiovascular section provides detailed topics covering the following:
- The expanded use of artificial intelligence (AI) in cardiovascular imaging
- Changes to the WHO’s classification and definition of pulmonary hypertension
- The latest CAD-RADS 2.0 classification
- The most recent WHO 2021 Classification of Thoracic Tumours
- New imaging guidelines for the management of acute and chronic chest pain and new transcatheter procedures
- Advances in PET and MR for inflammatory cardiomyopathies
- Advances in myocardial blood flow imaging with CT and MR
- CT and MR plaque analysis, including the use of CT-FFR (noninvasive/no-incision method, which generates 3D models of coronary arteries to identify potential blockages)
- COVID-related vascular complications, including post-COVID-19 myocarditis and systemic and pulmonary arterial thrombosis
- Novel dose-reduction techniques
- Many new videos showing examples of normal cardiovascular health and flow as well as examples of disease
- A range of additional updated content to reflect changes in diagnoses and disease management. These updates include coverage of the following:
- The new classification of arrhythmogenic cardiomyopathy, with emphasis on biventricular and left ventricular morphologies rather than only right ventricular morphologies
- Changes in the use of coronary and cardiac computed tomographic angiography (CTA), which is becoming a first-line test in many instances
- Advances in amyloidosis imaging and treatment response
- Numerous new transcatheter procedures, such as transcatheter mitral valve replacement and left atrial appendage occlusion, all of which undergo CTA with specific measurements prior to procedure
- Numerous new implants that need to be recognized on imaging
- New guidelines for imaging in the management of acute and chronic chest pain
- New concepts and updates in myocardial tissue mapping
- Updates to imaging of chronic thromboembolic pulmonary hypertension (CTEPH)
- Updates to 34 DDx topics including new images, text, and references
- Updates to 50 DDx topics including new images, text, and references
- Updates to 10 DDx topics including new images, text, and references
View release notes for 2024
- Nearly 40 completely comprehensive anatomy topics updated to create a more clinically relevant section than the previous edition’s, including more relevant schematic diagrams
- More than 10 Technique topics revised to reflect the most current ultrasound methods for various body sections
- Nearly 50 reworked Ddagnosis topics that feature new content, images, and references
- ~ 20 differential diagnosis chapters that reflect the latest discoveries in MSK diagnosis, including new chapters on neuralgic amyotrophy, synovial biopsy, elastography, and more
- New topics include the use of ultrasound for synovial biopsies and elastography (which, in conjunction with the use of ultrasound, measures stiff areas in organs that may indicate disease)
- Updated sections provide the most up-to-date, relevant content for MSK ultrasonographers and other medical professionals
- Intuitively structured with 130 topics that employ a bulleted, image-heavy layout, DU3: MSK’s presentation of content helps readers quickly find and understand the information they need
- Reviewed and updated for new WHO terminology and practices
- New differentials added across topics
- Many more updates across topics to images, text, and references
- Rapidly Developing Proptosis updated to include IgG4-related disease as a separate entity from IOID
- Updated Macrophthalmos has added size criteria, minor edits, and new references
- Many additional updates across topics to images, text, and references
- Updates to the MSK section of RADTools, including updates to terminology, references, images, and minor edits
- Update to Rapidly Developing Proptosis in Child to include new text, an additional ddx, and inclusion of text for hematoma in SCA
- Update to Cheek Mass to include new text and images in relation to BMT parotid and mucoepidermoid
- Many more updates across topics to images, text, and references
- Added and updated AJCC citations and tables
- 19 HRCT topics have been updated in Chest
- The following Head and Neck differential diagnosis have been reviewed with updates to images and text:
- Accidental Foreign Bodies in Orbit, Angle of Mandible Mass, Calcified TMJ Lesions, Ground-Glass Lesions of Mandible and Maxilla (CT), Leukocoria, and 24 others
- New DDx topic on Achilles Tendon Ossification/Calcification
- Updated the following topics with new diagnostic information and images:
- Soft Tissue Mass in Finger, Ulnar Deviation of MCP Joints, Subchondral Edema-Like Signal, Cystic Mass, Nodular Calcification, Medial Elbow Pain, Soft Tissue Mass in Foot, and 36 other topics
- Updated Uterine Morphology tables
- The following Head and Neck differential diagnosis have been reviewed with updates to images and text:
- Abnormal Femoral Head, Acute Abdomen in Infants and Children, Bubbly Lungs, Colitis, Congenital Midline Nasal Lesion, Diffusely Abnormal Small Bowel, Elbow Fractures, Lucent Lung Mass, Lung Cavity, Neonatal Irregular Lung Opacities, Pneumatosis, Reticulonodular Infiltrate, and Small Bowel Obstructions Beyond Neonates
- This update details the latest information across several ACR RADS criteria, which is the standardized framework for characterizing and reporting imaging findings. It also contains new material across several topics from the LI-RADS, GB-RADS, and transplant criteria, which now include Doppler ultrasound with its noninvasive methodology rated highly for appropriate use
- Since 2018, ongoing COVID-19 diagnoses have shown a higher incidence of venous thrombosis, which has led to increased use of Doppler extremity evaluations, particularly in hospitalized patients. Contains Doppler ultrasound updates in several topics
- ACR Appropriateness Criteria, which include new “usually appropriate” ratings for diagnostic ultrasound (including Doppler ultrasound), are noted throughout the collection’s techniques and diagnoses topics. New Intersocietal Accreditation Commission (IAC) recommendations are also incorporated in several diagnosis topics
- Provides a wide range of anatomic detail, technical factors, and diagnostic criteria to guide accurate application of ultrasound throughout the body
- Details new and evolving techniques such as the increasing use of microbubble imaging to enhance image resolution, distinguish vessels more clearly, and minimize noise and background signals
- Contains updated ACR Appropriateness Criteria regarding the new “highly appropriate” ratings
- Includes 7-10 new Topics as reference updates to 275+ existing chapters
- Pediatric Neuroradiology details the following topics (among others):
- Advances in vessel wall imaging that have helped provide more specific diagnoses of different types of focal cerebral arteriopathy in children, particularly the FCA-i inflammatory subtype, which is strongly associated with pediatric stroke
- Newly identified pediatric infectious diseases, including the recently identified parechovirus, a potentially severe infectious brain disease in neonates and young infants
- A new and better understanding of congenital brain malformations
- New introductory topic on approach to pediatric demyelinating disorders as well as new or revised chapters on MOGAD and NMOSD correlating to newly developed consensus standards.
- Updated tumor criteria in the 5th edition 2021 WHO Classification of Tumors: Central Nervous System Tumors, including advancements in molecular genomics and newly determined categories that identify tumor types/subtypes and facilitate differentiating subtypes
- Pediatric Neuroradiology is an invaluable tool for busy radiology practitioners who need quickly accessible, detailed information about neoplastic and nonneoplastic pediatric diseases to make specific diagnoses and recommendations for further imaging or referral
- Pediatric Neuroradiology is ideal for practicing radiologists who work across multiple subspecialties, including pediatric neuroradiologists and physicians in training who require a comprehensive resource for pediatric neuroimaging. It is also a valuable tool for general neuroradiologists, neurologists, neurosurgeons, and others who encounter pediatric neuroradiology imaging in their practice.
- Pediatric Neuroradiology delivers a comprehensive collaboration of imaging and clinical and pathologic information well beyond that obtained via internet browsing
- 20 differential diagnosis topics updated
- 20 differential diagnosis topics updated
- 3 topics updated in the Vascular section
- New topics on external nose anatomy, minor fissures and sutures around the temporal bone, and temporal bone anatomy on PCD CT
- New details added on relatively unknown anatomical foramina, such as the vomerovaginal canal and canaliculus innominatus
- New content added on PCD CT, a game-changing new imaging modality for temporal bone images. This innovative technology provides visualizations of minute organ structure details, improved tissue characterization, and more accurate material density measurements, with lower radiation doses
- New content based on the International Frontal Sinus Anatomy Classification
- Minute details on the course of nerves in the head and neck, such as the trigeminal nerve and branches
- Enlarged, more visually appealing images and image captions in chapters such as facial muscles and the superficial musculoaponeurotic system, and frontal recess and related air cells
- Extensive, vibrant 4-color graphics demonstrate the fine points of the imaged anatomy in each topic
- Depictions of common anatomic variations and pathological processes help make the reader aware of the appearance and relevance of altered morphology
- Cases using PCD CT imaging showcase this emerging, innovative technology that provides visualizations of minute details of organ structure, improved tissue characterization, and more accurate material density measurement, all with lower radiation doses
- 22 head and neck ExpertDDx documents have been updated
- Updated ExpertDDx documents
- 21 new cases
View release notes for 2023
- Wording and images have been improved. These updates fold in the latest peer-reviewed science and expertise along with an enhanced bank of imaging examples of pathology
- Many updates to each of the three anatomical sections, including the following: o Text and imaging updates that tie common and very important but potentially uncommon current clinical issues to anatomy descriptions and examples as related to best practices for radiology reporting
- New and updated images and imaging techniques throughout
- Updated illustrations of the chest wall musculature with CT and MR examples
- Abdominal imaging best practices updates and an increasing emphasis on the application of body MR in the abdomen and pelvis
- Increased emphasis on the role of different modalities used for GU/GYN imaging, specifically retrograde urethrogram and MR for specific disease diagnosis
- Updated text throughout including:
- Anatomic basis for some thoracic developmental abnormalities
- Anatomic variants of systemic and pulmonary vasculature
- Additional details on the PI-RADS system and clinical implications of MR for prostate cancer
- Contains nearly 2,700 images, including all relevant imaging modalities, 3D reconstructions, and detailed, high-resolution medical drawings that together illustrate the fine points of imaging anatomy
- Depicts common anatomic variants and covers common pathological processes
- Features representative pathologic examples to highlight the effect of disease on human anatomy
- Content reviewed and had new references and images added.
- Key topics in the Parotid, Thyroid, and Sinonasal sections were reviewed
- 61 Differential diagnosis topic updates to reflect the latest literature.
- Updated the MIPS content to include changes relevant at the point of care in 2023, including a new overview document that reflects 2023 changes, particularly MIPS measures that have been removed or added this year.
- Changes to synopsis documents of specific MIPS measures include changes, such as the numerator and denominator. All MIPS documents include links to the full text of the measures, updated by CMS in 2023.
- Complete update of the differential diagnosis section in Brain and Spine
- Updated, reordered differential diagnoses with emphasis on grading of common vs. uncommon vs. rare but important
- Updated nomenclature, particularly for tumors, with changes in WHO 2021 grading and WHO-specific nomenclature included
- New entities, including newly recognized demyelinating disease
- Updated genetic information now available in Online Mendelian Inheritance in Man (OMIM) added throughout
- Topics deliver identification of the most common and important clinical and imaging challenges for brain and spine diagnoses, as well as specific details on the most common, less common, and rare but important causes. Characteristic brain and spine imaging studies are included along with key clinical and imaging features to help radiologists distinguish among possible etiologies
- More than 7,000 images and illustrations are included
- 25 topics updated in the differential diagnosis section
- 3 updated anatomy topics: Femoral Nerve, Common Paroneal/Tibial Nerves, and Intrinsic Muscles of the Foot
- Updated 17 topics in the temporal bone section of Head and Neck
- Content updated for the following topics: Abdominal Calcifications, Abdominal Wall Defect, Bleeding With Intrauterine Pregnancy, Bleeding Without Visible IUP, Cesarean Section Ectopic Pregnancy, Dilated Bowel, Facial Mass, Fluid-Filled Calvarium, Intracranial Cysts: Lateral, Intracranial Cysts: Midline, Neck Mass, Severe Limb Shortening, Solid Abdominal Mass, and Spinal Mass
- Content updated for the following topics: Aortic Intramural Abnormality, Cardiac Calcifications, Cardiac Mass, Dilated Aorta, Enlarged Cardiac Silhouette, Left Ventricular Enlargement, Narrowed Aorta, Pericardial Calcification, and Pericardial Mass
- Content updated for the following topics: Superior Vena Cava Syndrome, Pulmonary Venoocclusive Disease, Pulmonary Sequestration, Pulmonary Artery Pseudoaneurysm, Lower Extremity Vasculature Anatomy, Left SVC, and Carotid Pseudoaneurysm, Extracranial
- Content updated for the following topics: Enlarged Muscle, Bone-Within-Bone Appearance, Anterior Knee Pain, Abnormal Radiocarpal Angle, Abnormal Epiphyseal Marrow Signal
- New topic: TI-RADS
- Content updated in Gallbladder Polyps
View release notes for 2022
- More than 175 imaging findings are covered with the most useful differential diagnoses for each region of the abdomen and pelvis
- New topics on hematuria, flank pain, acute scrotal pain, seminal vesicle
- Split of the existing prostate topic coverage into 2 new topics: Lesions in the Peripheral Zone and Lesions in the Transition Zone to add greater focus on new prostate imaging methods
- Added coverage of transplant imaging (liver, pancreas, kidney, and intestinal)
- MR findings-based differential diagnoses
- Added differentials to a handful of topics, including new differentials for contrast-enhanced ultrasound findings specifically related to liver and kidney lesions
- 10 updated diagnosis topics
- New topic: ACR CAD-RADS Guidelines
- New topic: TI-RADS Lexicon and Usage
- Features 3,100+ images and illustrations to highlight the text, which is presented in a concise, bulleted format for readers needing an updated go-to guide in this fast-changing field
- Topic layout has now been updated to locate procedural steps and corresponding images closer together
- Addresses interventional radiology procedures that have been updated, newly defined procedures requiring coverage, and new standard/classification details released from the Society of Interventional Radiology. Specific updates include the following:
- Completely rewritten bleeding guidelines in all relevant topics
- >Ablation coverage is separated out, and dedicated topics have been created for liver/kidney/lung; coverage will include more advanced cases
- Rewritten intratumor injection details for the Oncological Procedures section
- Updated sheathed balloon stent delivery with hourglass configuration procedures
- Features entirely new procedures topics that address the following topics:
- Splenic embolization
- Endovascular treatments for pulmonary embolisms
- Updated methods of hemodialysis for fistula creation
- Portal vein thrombus and prostate artery embolization
- Deep vein thrombosis clot retriever
- Percutaneous/endovascular arteriovenous fistula (AVF) creation
- Portal vein thrombus (flow retriever, transhepatic/transsplenic portal vein stenting)
- Carotid stenting (TCAR technique)
- Cervix Uteri Carcinoma, Corpus Uteri Carcinoma, Aggressive Angiomyxoma, and Management of Incidental Adnexal Lesions have been revised and reclassified
- Craniosynostoses topic reviewed and updated
- Major Salivary Gland Carcinoma topic reviewed and updated
- New topic written for RADTools, “Management of Incidental Renal Mass”
- Because many (if not most) MSK diseases rarely have a single imaging presentation, MSK Non-Trauma includes variations in appearance of diseases and does not waste space showing similar-appearing cases. A substantial number of digital-only cases and images helps illustrate the variability of disease processes.
- Contains updates across many chapters that reflect recent changes in the WHO’s classification of tumors and tumor-like conditions to maintain the correct use of terminology and diagnostic criteria
- Covers multiple pathology enhancements in bone and soft tissue tumor pathology
- Covers imaging of orthopedic implants and related hardware
- New topics on MSK genetics, neurinomas, and rapidly progressive osteoarthritis, as well as updates across all content based on new genetic analyses that have reclassified certain “tumor-like lesions” as actual tumors and certain lesions (e.g., primary aneurysmal bone cysts, among others) that have been reclassified as neoplasms
- Updated to include the following imaging techniques, which have evolved since last update:
- Increased use of US in MSK non-traumatic disease imaging
- Contrast-enhanced US use in tumor biopsies
- Enhanced MR of MSK tumors with more use of diffusion-weighted MR
- More common use of PET/CT and PET/MR for rapidly progressive osteoarthritis
- Features updates to MSK infection details, including image-guided aspirations and biopsies for infections
- Reflects evolving medical and surgical treatments for many MSK conditions in updated and new topics
- December 2021 the World Health Organization issued its long-awaited 5e Classification of Central Nervous System Tumors. Our world-renowned Brain Team brings you the first series of 2022 STATdx updates with new tumor entities and classification/grading criteria complete with brand-new illustrations and updated references. More updates will be coming throughout 2022.
- 309 brain cases expert reviewed and updated
- Eleven new and updated Incidental Findings and RADs topics
- New topic on Management of Incidental Thyroid Nodules Detected on Imaging
- Eight updated diagnosis topics
- 417 Head and Neck cases expert reviewed and updated
- Seven new topics written for GI Incidental Findings and RADS
- New topic: Management of Incidental Adrenal Masses
- Cervix Uteri Carcinoma updated
- Cases expert reviewed and updated: 305 in MSK, 89 in Airway
- New Nuclear Medicine cases (examples of "normals"): 14
- Chest cases expert reviewed and updated: 936 completed cases
- Evolving imaging technology, in conjunction with increased awareness of radiation, contrast, and anesthesia safety issue in children, continues to alter pediatric imaging approaches, which are reflected in the updated topics.
- Clinical consortiums often incorporate new terminology into “best practices” recommendations for radiologic reporting (for example, the SPR/SAR/AGA 2018 consensus guidelines on inflammatory bowel disease reporting for MR enterography). These changes are discussed throughout Pediatric dx topics.
- Topic updates on a wide range of diagnoses, including specifics from revised disease classifications that have changed common medical nomenclature. Significant updates to existing text and images are in place.
- Over 1,000 patient cases in the neuro Brain section have been expert reviewed and edited for accuracy, nomenclature, quality, and relevance to today’s radiologists
- 9 new topics authored in the head and neck section:
- Achondroplasia, Cerebral Radionecrosis, Cleidocranial Dysplasia, Cornelia de Lange Syndrome, Cutaneous Melanoma, Intracranial Idiopathic Inflammatory Pseudotumor, Perilymph Fistula, Pseudosemicircular Canal Dehiscence, and Townes-Brocks Syndrome
View release notes for 2021
- Head and Neck’s updated contents address significant changes in imaging, including new metastatic disease imaging recommendations and treatments
- Contains 6200+ new and updated images
- Includes changes based on updates in the AJCC Cancer Staging Manual, 8th Edition. A range of new documents address changes to staging of HPV-related/p16(+) oropharyngeal squamous cell carcinoma, as well as changes to distinctions in staging groups and staging criteria, including depth of invasion for oral cavity cancer.
- New and existing documents feature dynamic contrast-enhanced perfusion MR time-signal intensity curve (TIC) images showing specific tumor signature patterns, which help differentiate tumors.
- Includes changes to reflect new consensus guidelines that specify updated staging and grading in several staging groups. New staging criteria are also included.
- Features updates from the 2018 ISSVA Classification aimed at helping radiologists and neuroradiologists avoid outdated and inappropriate terminology and nomenclature. Information from the 2018 ISSVA Classification regarding the genetics of vascular diseases and malformations is also covered.
- Contains updates to reflect the latest knowledge on the genetics of several congenital conditions and syndromes.
- Updated Lugano and WHO classifications for staging lymphomas
- Includes an expansion of the prostate section to cover PI-RADS v2.1 terminology
- Contains 2700+ new and updated images
- Delivers up-to-date content regarding GU oncology staging and interventional technique chapters
- Features typical and variant findings (including inflammatory, infectious, and neoplastic diseases) that are lavishly illustrated with thousands of images
- Covers developments in diagnostic criteria and standardization of terminology to ensure genitourinary radiologists have the most current information at hand
- Provides up-to-date, in-depth coverage on rapid advances in MRI prostate imaging, MRI imaging findings, diagnostic criteria, and PI-RADS v2.1 terminology
- Contains new chapters on rarer renal diseases, such as IgG4 and Erdheim-Chester disease, as well as penile trauma, injury, and carcinoma
- Features a completely new section with ten documents on kidney transplant
- Includes new expansive prostate cancer images to reflect current practice
- Delivers the latest details on CEUS and dual-energy CT—two modalities with important implications in GU imaging
- Contains a full text and image overhaul of benign prostatic hyperplasia content as well as updates to the existing renal trauma grading system coverage
- Gynecology updates cover all pertinent pathologic entities, including congenital anomalies, infectious/inflammatory diseases, and benign and malignant neoplasms
- Features 23 new videos and 3,100+ images that illustrate the correlation between ultrasound (including 3D), sonohysterography, hysterosalpingography, MR, PET/CT, and gross pathology images
- Gynecology includes updates on the three most common gynecologic imaging areas: uterine fibroids, endometriosis, and ovarian cysts/tumors; additional updates on rare diagnoses are included, as well as a full rewrite of the pelvic floor group of documents
- Updates to tumor staging Quick Reference tables accommodate easy access to new TNM classifications, Federation of Gynecology and Obstetrics (FIGO) staging, and American Joint Committee on Cancer (AJCC) prognostic groups
- Contains dedicated documents on imaging techniques to help optimize imaging protocols and enhance diagnostic specificity
- 40 updated differential documents
- Many new images; Updated differentials and ordering of common, less common and rare; and updated references
- Inclusion of new entities such as CAPNON
- OMIM numbers added where appropriate
- New document “Management of Incidental Pituitary Lesions”
- Fifteen updated anatomy documents
- Five updated differential documents
- Important updates to existing content, an abundance of new images and videos, and detailed discussion of current consensus guidelines and standards combine for a title designed to help the interpreting physician make the correct diagnosis quickly and provide their patients with the most current information available.
- Features embryology and anatomy overview chapters, along with pertinent differential diagnoses for comprehensive coverage
- Contains 4,300 digital images, as well as approximately 280 new ultrasound cine loops (videos)
- Details on the recent expansion of knowledge regarding the genetic basis of fetal diseases, as well as new diagnoses and management protocols
- Comprehensive content updates with new images emphasizing the expanded role of 3D ultrasound and fetal MR
- Major advancements in the understanding of the genetic basis of disease has significantly impacted the diagnosis and management of maternal/fetal issues
- The collaborative approach to diagnosis, management and treatment between radiologists, perinatologists, pediatricians, and surgeons is reflected throughout this collection.
- Includes 15–20 new documents that will detail updated diagnoses, new terminology, new methodology (including contrast-enhanced US), new criteria and guidelines, and more
- Features new polycystic ovary syndrome (PCOS) criteria, updated pancreatic cyst guidelines, new ovarian cysts recommendations, shear wave elastography for liver fibrosis, and more
- Ultrasound detail is increasingly evaluated in clinical practice with cines through the area of interest. The collection now contains approximately 725 new cines.
- New criteria, updated guidelines for US Liver Imaging Reporting and Data System (LI-RADS), a radiology-driven set of standardized terminology and classification system for imaging findings in liver lesions to standardize liver imaging in patients at risk for hepatocellular cancer. New criteria and guidelines for CEUS LI-RADS and O-RADS, the new European guidelines for gallbladder polyps, new POCS (polycystic ovary syndrome) criteria, ACR pancreatic cyst guidelines, new ACR appropriateness criteria guidelines, new SRU ovarian cyst management recommendations
- A new generation of ultrasound scanners from all vendors (e.g., GE, Siemens, Phillips, Canon) have rolled out in the past 1–3 years, which means improved imaging detail is now possible—and images from these US scanners are included throughout the collection
- New terminology includes mucinous cystic neoplasm liver, sinusoidal obstruction syndrome, and others
- Covers all aspects of GI imaging, including pathophysiology, imaging findings, and disease management options such as the radiologist’s role in evaluating patients for bariatric surgery, antireflux procedures, esophageal and bowel resections, and much more.
- Significantly updated content across 11 sections, new chapters and updates to most existing chapters, updated MRI protocols
- New MRI examples, including for portal vein occlusion, steatosis and steatohepatitis, hemangioma in primary splenic tumors, and pancreatic splenosis
- Updated differential diagnoses throughout
- New cases and images added, and replacement of a substantial number of images
- New staging details and diagrams throughout
- Gastrointestinal contains multiple new chapters that address the following topics:
- Treatment response criteria for systemic conditions (RECIST, irRECIST, etc.)
- Dual energy CT for pancreas
- Vascular abnormalities (bleeding angiodysplasia, etc.)
- Renal carcinoma, MRI protocols, and treatment response grades
- HCC tumor ablation using chemoembolization, microwave, RFA and other techniques
- MR elastography of the liver
- Pretransplant liver evaluation of donor and recipient
- 40 updated differential documents
- Many new images; Updated differentials and ordering of common, less common and rare; and updated references
- Inclusion into appropriate differentials of spontaneous intracranial hypotension with spinal CSF leaks
- Inclusion of new entities such as CAPNON
- OMIM numbers added where appropriate
- Management of Incidental Pituitary Lesions has been added to the collection
- Ensured most recent MIPS overview document is first in list for users
- Renamed MIPS Measure synopsis documents for greater clarity
- Added MIPS Considerations sections to additional carotid stenosis and thyroid nodule documents
- Coronavirus document updated to include emerging variants
- Features ~2,200 digital images and 200+ trauma-related diagnoses
- New content on hardware and surgical procedures used for musculoskeletal trauma, concepts regarding midfoot injuries are included, as are details on the enhanced understanding of ankle impingement syndromes
- Updated contents on femoroacetabular impingement (AIF) in general are included as well as updated details on athletic pubalgia, the strain or tear of soft tissue in the groin usually caused by playing sports that involve twisting the body, sudden direction changes, or repetitive movements
- Under the Quality Payment Program (QPP), clinicians can participate in either the Merit-Based Incentive Payment System (MIPS) or in Advanced Alternative Payment Models (APMs) to avoid downward payment adjustments and potentially receive upward adjustments. Centers for Medicare and Medicaid Services (CMS) anticipates a majority of clinicians will participate in the MIPS track. MIPS allows Medicare clinicians to be paid for providing high-quality, efficient care through success in four performance categories – Quality, Promoting Interoperability, Improvement Activities, and Cost. Each category is weighted and added into a final MIPS performance score.
- RADTools section now includes 2 overview documents of 2019/2020 and 2021 MIPS Measures for Diagnostic and Interventional Radiology, each organized as either actionable at the point of care for radiologists or measures of operational efficacy and safety,
- RADTools section now includes 8 synopsis documents of MIPS Measures actionable at the point of care for radiologists (with an archived 2020 synopsis document), including links to original MIPS Measures published by CMS
- Product release includes updates to 5 documents in various areas, covering carotid stenosis, pulmonary nodule, renal cyst, thyroid adenoma, and biopsy procedures, in which MIPS Considerations section has been added, including links to original MIPS Measures published by CMS
- 18 updated and new ExpertDDx documents
View release notes for 2020
- Covers 31 new diagnoses
- Covers recent neuroimaging advances, such as 7T MRI scanners, which are growing in use for clinical neuroimaging
- Dual-energy/dual-source CT imaging, which is playing an increasingly important role in acute brain neuroimaging for acute ischemic strokes and non-traumatic intracranial hemorrhages
- Richly illustrated documents
- Features updated CSF leak disorder and root sleeve leak details, as well as new details on CSF venous fistulas and fast ventral CSF leaks from dural tears.
- Includes updated genetic and disease information on schwannomatosis (now different from NF1 and NF2) and new contents related to WHO Classification updates on melanotic schwannoma.
- Contains expanded coverage of demyelinating spine immune disorders, including MS, ADEM, MOG disorders and their differentiation from acute flaccid myelitis.
- Features updates on the imaging of metastatic disease, as this area has changed significantly since the last edition, including PET MR as a diagnostic modality, new categories of oncologic surgery (spine separation surgery) driven by the use of proton beam radiotherapy, and new FDA-approved hardware (carbon-fiber pedicle screws and carbon-fiber rods now being used for spine surgery).
- Contains new information on areas of demyelinating diseases related to better understanding of MS, neuromyelitis optica spectrum disorder, and anti-MOG disorders.
- Contents updated with new guidelines, new imaging protocols/equipment, and new radiotracers. Example topics include but are not limited to papillary and follicular thyroid cancer, prostate cancer, carcinoid tumors, and pancreatic neuroendocrine tumors.
- New topics on approach to nuclear medicine therapy (perhaps the most significant), GFR analysis, pulmonary carcinoid tumor, meningioma, pediatric CNS, and neuroendocrine tumors.
- Major advancements in nuclear medicine therapies (“theranostics”) that include Lu 177 dotatate therapy for SRS positive tumors, and Lu-177 PSMA therapy for prostate cancer.
- Over 1,500 images, including many updated and new images
- New documents for PI-RADS and Prostate Carcinoma
- As leading experts in cardiothoracic imaging, the authors identify the top important and practical diagnostic considerations based on observable findings, including those based on general imaging features, modality-specific findings, and clinically based indications.
- Each imaging finding or clinical indication constitutes a document. Based upon their collective wisdom and experiences, the authors rank the potential etiologies of each differential diagnosis document from most common or likely to rare (but still significant).
- Each document includes imaging examples that illustrate both typical and variant manifestations of the possible diagnoses, accompanied by captions that highlight the pertinent imaging findings.
- The differential diagnosis chapters are organized into logical anatomic groupings in the table of contents, including the lungs and airspaces, pulmonary interstitium, airways, mediastinum and hila, pulmonary vasculature, thoracic aorta, pleura, chest wall and diaphragm, heart, and pericardium. In addition, there is a separate section devoted to patient symptoms or presentation. Within these sections, ~120 documents cover the gamut of chest disorders, based upon observed findings rather than a specific disease process.
- Includes over 1800 images acquired with all relevant imaging modalities combined with many full color graphics that demonstrate the fine points of cardiothoracic imaging anatomy. Primary modalities include chest radiography, the latest generation of multi-planar advanced cross-sectional CT and MR imaging, and molecular imaging with FDG PET/CT.
- Includes a new document detailing COVID-19 brain manifestations, written by Drs. Osborn and Jhaveri.
- 100 updated anatomy documents with thorough information on the stunning advances in imaging technology that have been developed over the last decade, including 7T MRI, fMRI, SPECT, DAT, and 3D quantitative volumetric scans.
- Includes richly illustrated and superbly organized normal imaging anatomy reference that provides radiologists with quick answers to the occasional anatomy questions that arise while reading imaging studies in their daily practice.
- 9 new documents have been included, sourced from oral and maxillofacial experts.
- Each individual topic provides a ‘How to’ discussion for a clinically useful imaging guided interventional procedure for treating a pain condition, including the latest knowledge for each condition/li>
- Includes all of the most up-to-date acute and chronic pain procedures an interventional radiologist needs to know/li>
- Incorporates many new drawings to illustrate the concept of a CNS continuum within and between procedures, i.e., sets of sequential illustrations that show where nerves are located by successively peeling back anatomic layers.
- Includes topics on multimodal opioid sparing techniques as alternatives to the use of opioids for pain management, fascial pain blocks, shared decision making in interventional radiology pain management, and sympathetic nerve blocks for intraoperative and postoperative analgesia for interventional procedures of the extremities.
- Significant updates include prostate imaging - Benign prostatic hyperplasia chapter significantly expanded in regard to PI-RADS scoring of the transition zone, with a table added for reader understanding and many more MRI example images added. Including pitfalls/pseudolesions in evaluating for prostate cancer.
- Prostatitis and Prostatic cyst updated with more MRI images and more text focus on MRI imaging as we now encounter these things very often in practice. New information added to prostatitis about granulomatous prostatitis mimicking prostate cancer.
- For hydrocele, a significant expansion of the topic to include a better understanding of the pediatric hydrocele. Also videos added to better illustrate the abnormalities, videos often are acquired clinically so this will be helpful for radiologists to compare.
- For both seminal vesicle topics there are many more MRI image examples which are more likely to be encountered in clinical practice
- Autosomal Dominant Polycystic Kidney topic - major changes is clarification of diagnostic parameters and updates (in text and images) about complications we look for when imaging these patients.
- Hypoechoic Adrenal Mass and Cirrhosis, Hepatic topics updated
- Coronavirus topic updated to include the latest information COVID-19, including new radiologic images from COVID-19 patients.
- Normal Pressure Hydrocephalus topic updated
- Existing cases in nuclear medicine STATdx have been revised and additional case-specific illustrative and correlative images have been added. Cases have been added under the general nuclear medicine topics of parathyroid, thyroid, hepatobiliary, gastric emptying, renal, and central nervous system imaging.
View release notes for 2019
- New Dx topics written for Zika Virus Infection, Metronidazole Toxicity, Gadolinium Deposition, Critical Illness-Associated Microbleeds, and Calcifying Pseudoneoplasm of Neuraxis
- 243 and new and revised topics released in 2019, comprising 99% total revision for the section
- Over half of the 4,000+ images have been updated throughout, including imaging findings complemented by histopathologic and clinical correlates of the spectrum of breast cancer, as well as a wide range of benign conditions
- New topics such as gender reassignment, expanded information on disease-causing mutations and updated risk assessment, and in-depth coverage of malignancy in pregnancy and male breast disease provide a helpful resource for such less common but important topics
- Novel technologies that are becoming clinically available, including abbreviated MRI, contrast-enhanced mammography, automated breast ultrasound, and magnetic seed localization
- Updated information on evolving medical, surgical, and radiation treatment of the breast cancer patient, along with discussion of ongoing trials and future directions in caring for the breast cancer patient
- Expanded and updated information on dense breast reporting, insurance reimbursement, screening recommendations, imaging modalities and imaging paradigms in patients with dense breasts
- Multi-perspective analysis of updated breast cancer screening guidelines, including but not limited to United States Preventive Services Taskforce, American Cancer Society, and American College of Radiology guidelines
- Examination of imaging protocols, treatment plans, image-guided and surgical procedures with an eye towards what’s In or Out for frontline breast imaging
- 155 and new and revised topics released in 2019, comprising 91% total revision for the section
- Detailed cross-sectional MR and CT normal anatomy and generously illustrated imaging diagnoses, with a correlative echocardiography section and images
- All cardiac CT/MR procedures and techniques thoroughly covered and correlated with echocardiographic imaging to help cardiologists deepen their understanding of the new modalities
- Salient controversies in cardiac CT/MR, i.e., the potentials for both overuse and for false positives
- Diagnosis and evaluation of ischemic and nonischemic cardiomyopathies, imaging of coronary heart disease and its complications, imaging and evaluation of pericardial disorders and cardiac oncology, diagnosis of patients with acute chest pain, and use of imaging in congenital heart disease
- New cases written for Crohn Disease, Hepatic Cavernous Hemangioma, Pancreatic Serous Cystadenoma, Peripheral (Intrahepatic) Cholangiocarcinoma, Primary Sclerosing Cholangitis
- 29 new Nuclear Medicine cases comprising a 25% update of that case collection
- Updated information and new references for Failed First-Trimester Pregnancy
- 8 new cases with videos
- 56 new and revised topics released in 2019, comprising 100% total revision for the section
- Updated TNM and grading tables from AJCC Cancer Staging Manual 8e
- Updated WHO classifications
- Updated graphics and radiology images
- 437 and new and revised topics released in 2019, comprising 66% total revision for the section
- Pediatric Neuroradiology
- Primitive Neuroectodermal Tumors (PNETs) have been reclassified as embryonal tumors with multilayered rosettes
- New chapters cover several important pediatric spine neoplasms, such as CNS intradural tumor dissemination and myxopapillary ependymoma
- Expanded coverage of better-understood genetic white matter diseases such as vanishing white matter disease
- Previous PNET-medulloblastoma focused on histological features, but newly discovered genetic mutations correlating with distinct imaging appearances and prognosis are now routinely used clinically
- In the spine, newly characterized infectious entities such as acute flaccid myelitis have been characterized following several recent epidemics necessitating knowledge of the distinct imaging appearance of this entity
- Relatively recent descriptions of important Chiari I malformation variants (such as Complex Chiari Malformation), are clinically important to recognize on imaging because of its more aggressive clinical course and a diagnosis that cannot be realized other than by imaging
- Extensively revised WHO criteria of central nervous system neoplasms, with newly described entities based on genetics in addition to histological features
- Advance in diagnoses of Abusive Head Trauma, including a better understanding of vascular injuries contributing to morbidity and mortality
- Pediatric Radiology
- Extensive update of images throughout
- Addition of new and relevant references throughout
- Updated nomenclature and classifications of diseases (e.g., WHO 2016 brain tumors, ISSVA 2014 vascular anomalies, etc.)
- Modified workup strategies due to:
- more study and experience (2014 UTD classification of prenatal/neonatal hydronephrosis, etc.)
- advances in technology (new modalities/sequences/contrast agents)
- shifting safety concerns (e.g., supplanting of CT by ultrasound and MRI due to radiation concerns)
- 295 and new and revised topics released in 2019, comprising 47% total revision for the section
- Vascular
- New sonographic techniques and technical details regarding ultrasound modalities. Includes a broad mixture of basic ultrasound modalities, detailed sonographic depiction of anatomy, and diagnostic challenges.
- US anatomy has been comprehensively covered in new anatomy topics that discuss pertinent vascular structures of head and neck, chest and abdomen, and extremities. These topics are extensively illustrated with sonographic imaging and detailed artistic renderings.
- Diagnosis topics provide detailed sonographic descriptions for a comprehensive set of vascular entities – diseases and anomalies – encountered in current clinical practice, including lesions of head and neck, chest and abdomen including transplants, and extremities. Each topic includes a description of the ultrasound appearances with tips, tricks and pitfalls. Also included is a gallery of typical and atypical ultrasound appearances covering a wide spectrum of disease, correlated CT and MR imaging where appropriate, and detailed artistic renderings.
- Ultrasound: Fundamentals of CEUS
- Wide range of topics covering most commonly used clinical applications of CEUS
- Includes topics covering each of the currently available contrast agents, CEUS techniques, and topics on CEUS lexicon
- New topics covering Vascular CEUS, CEUS-Guided Interventions, CEUS in Treatment Response Evaluation, CEUS of Thorax, Intracavitary CEUS, Endoscopic CEUS, Abdominal Trauma, and Pediatric Applications
- Approximately 1000 new images across all topics
- Ultrasound: Head and Neck
- Image updates throughout
- Updated references
- New cutting-edge ultrasound techniques, including elastography and microvascular sonography
- Detailed sonographic parameters allowing differentiation between tumor types of the parotid and thyroid glands
- Clinical images illustrating correlation of CT and MRI with ultrasound richly enhance many diagnoses, helping readers expand their understanding of disease processes