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Abdominal ultrasound of a 32-year-old male patient showing an ileocolic intussusception. Longitudinal section with pseudokidney sign, showing the invagination of several loops of small intestine. The outer wall corresponds to the colon. The central hyperechoic areas correspond to the invaginated mesenteric fat. B) Ileocolic intussusception on computed tomography (CT). CT of the same patient in axial slices and in coronal reconstruction. Extensive intussusception of loops of ileum in the ascending colon extending to the middle segment of the transverse colon (asterisks) identified. In relation to the adjacent mesentery, some enlarged lymph nodes can be seen, which are acting as the lead point of the intussusception (white arrows).</p>" ] ] ] "autores" => array:1 [ 0 => array:2 [ "autoresLista" => "C. Gatica T, D. Hasson A, I. Díaz A, D. Barahona Z, G. Chong M" "autores" => array:5 [ 0 => array:2 [ "nombre" => "C." "apellidos" => "Gatica T" ] 1 => array:2 [ "nombre" => "D." "apellidos" => "Hasson A" ] 2 => array:2 [ "nombre" => "I." "apellidos" => "Díaz A" ] 3 => array:2 [ "nombre" => "D." "apellidos" => "Barahona Z" ] 4 => array:2 [ "nombre" => "G." "apellidos" => "Chong M" ] ] ] ] ] "idiomaDefecto" => "en" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173510722000301?idApp=UINPBA00004N" "url" => "/21735107/0000006500000004/v1_202307280734/S2173510722000301/v1_202307280734/en/main.assets" ] "en" => array:11 [ "idiomaDefecto" => true "cabecera" => "<span class="elsevierStyleTextfn">Editorial</span>" "titulo" => "Radiology as the base player" "tieneTextoCompleto" => true "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "289" "paginaFinal" => "290" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "N. Lastra Pino, P. Puyalto de Pablo" "autores" => array:2 [ 0 => array:3 [ "nombre" => "N." "apellidos" => "Lastra Pino" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] ] ] 1 => array:4 [ "nombre" => "P." "apellidos" => "Puyalto de Pablo" "email" => array:1 [ 0 => "paloma.puyalto@gmail.com" ] "referencia" => array:3 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">a</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">b</span>" "identificador" => "aff0010" ] 2 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] ] "afiliaciones" => array:2 [ 0 => array:3 [ "entidad" => "Departamento de Medicina, Facultad de Medicina y Ciencias de la Salud, Universitat Internacional de Catalunya. Sant Cugat del Vallès, Barcelona, Spain" "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Departamento de Radiología, Hospital Universitari Germans Trias i Pujol, Badalona, Barcelona, Spain" "etiqueta" => "b" "identificador" => "aff0010" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "La radiología como el base del equipo" ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">If you have ever seen a basketball match, you may know there are five positions in the pitch, one for each player. Each of those is essential to make a good game. However, there is one that leads and decides every shot. Medical specialties take similar roles: some play close to the basket, others further away, some have more than one duty, etc. Even so, there is one that is the team captain, the point guard, who everyone follows and listens to in a discreet way, so no one might notice its function unless being part of the team. Imaging techniques are also commonly an unknown topic for patients and pre-medicine students. However, it depends on the lifestyle they lead to. The knowledge will not be the same for a sporty person who must have experienced bone fractures and sprains, than for a subject who has experienced a cancer diagnosis and treatment from a near relative or even their own. It will also seem more familiar for a doctor’s descendant rather than one who has never spoken about science during a family meeting. For that reason, this editorial is written based mostly on the opinion of a 20-year-old basketball player who, despite perfectly knowing every player’s function, had never heard a word about medicine until she injured her ACL (anterior cruciate ligament). Since then, “I have been able to deepen my knowledge on the radiology matter and the role of it throughout the assistance process”.</p><p id="par0010" class="elsevierStylePara elsevierViewall">Before starting the Medicine degree, I poorly knew what an X-ray and an MRI were about. Although I was aware that muscles and ligaments could not be studied with X-rays, I had never thought about the physical reason for it. Furthermore, I was unaware of the advantages, disadvantages, and harmful effects of each. In fact, I believed MRI to be more painful than X-ray. I thought the radiology technician left the room when the machine shot, to confirm I was not moving from the screen in the other room; whereas I spent the 20<span class="elsevierStyleHsp" style=""></span>min of every MRI scared by thinking that the procedure was damaging my cells. In addition, I had heard about PET as a relative had passed through it twice. However, I only knew that it was used for cancer and metastasis diagnosis, but nothing about the metabolic activity base, the scope of its applications or its risks. So as a pre-medicine student I realized imaging techniques were only a few, and simply used as methods for diagnosis, besides the fact that they were independent and non-combinable.</p><p id="par0015" class="elsevierStylePara elsevierViewall">After six months in medicine school and having deeply studied each imaging technique, I am amazed by the multiple uses that this specialty can achieve. I have realized radiology has incredibly useful tools that can lead to a diagnosis and even a treatment in a less invasive and traumatic way for the patient. First, X-rays or CT allow professionals tackle most of all pathologies in a simple and rapid way, and not only bone fractures, as plenty of undergraduates used to think.<a class="elsevierStyleCrossRef" href="#bib0005"><span class="elsevierStyleSup">1</span></a> Despite their limitations, thanks to fluoroscopy, echography, contrast use and combinations with other techniques, specialists can deal with most diseases in a short range of time. An excellent example is angiography, which not only offers the opportunity to evaluate the state of the vessels but also offers the possibility to treat the underlying problem non-invasively. Additionally, this also applies to conditions of the urinary system and neurovascular disorders, among others. And so, I was incredibly astonished by interventional radiology since it provides a glimpse into a near future in which invasive surgical procedures will be pared down to the bare minimum.<a class="elsevierStyleCrossRef" href="#bib0010"><span class="elsevierStyleSup">2</span></a> Moreover, I have been amused to learn nuclear medicine techniques. How they take advantage of human and tumoral metabolism amazes me. Beforehand, I mistakenly believed the images to be tumor pictures, but from now on I am aware of all the physical, chemical, and biological basis knowledge that lies behind them. So now that I am conscious of the importance of radiology and the subtle complexity of its approaches, my perspective has significantly changed. Consequently, my judgment and concern about this field has been born. Therefore, I am afraid if the MRI was more available and if a universal contrast, to which nobody was allergic to, be discovered, the radiology world would be almost perfect. We could arrive at an ideal sanitary system, in which the patient’s exposure to x-rays and all the risks they imply would be decreased and most diseases could be diagnosed and treated avoiding high invasive procedures. I'll end by mentioning the amazing potential of artificial intelligence to find hidden and complicated diseases. While it won't replace professionals, it will help radiologists by automating some of their tasks, which will lessen the burden. To sum up, radiology is an essential field of medicine, which is present in a part of every specialty. It facilitates, accelerates, and improves the quality of the attention in every sanitary system. If it accomplishes its maximum point of evolution, the future medicine will be much more efficient and will avoid many of the most invasive techniques,<a class="elsevierStyleCrossRef" href="#bib0015"><span class="elsevierStyleSup">3</span></a> which, by their complexity, slow down the medical process and expose patients to a high range of risks. So, as you might have guessed, radiology is that base player I mentioned earlier. In fact, the other specialists rely on the radiologist's expertise in most of the clinical situations when determining how to proceed with the treatment. It is the point guard, the playmaker in a basketball court; manages the game and decides the team conducts by observing and thinking what the best for the team is. So, if we want to win every match, let’s invest to have the best base. Then, we will win the league.</p></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:3 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Attracting the next generation of radiologists: a statement by the European Society of Radiology (ESR)" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "European Society of Radiology (ESR)" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1186/s13244-022-01221-8" "Revista" => array:5 [ "tituloSerie" => "Insights Imaging" "fecha" => "2022" "volumen" => "13" "paginaInicial" => "84" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/35507198" "web" => "Medline" ] ] ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0010" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:1 [ "referenciaCompleta" => "Undergraduate Education Subcommittee of European Society of Radiology (ESR) Education Committee. Becoming a radiologist. A guide for those interested in a career in radiology, medical imaging and interventional radiology. European Society of Radiology [Internet]. [Accessed 28 February 2023]. Available from: <a target="_blank" href="https://www.myesr.org/media/6685">https://www.myesr.org/media/6685</a>." ] ] ] 2 => array:3 [ "identificador" => "bib0015" "etiqueta" => "3" "referencia" => array:1 [ 0 => array:1 [ "referenciaCompleta" => "Sociedad Española de Radiología Médica (SERAM). Ser radiólogo. [Internet]. [Accessed 28 February 2023]. Available from: <a target="_blank" href="https://seram.es/images/site/documentosSeram/ser_radiologo.pdf">https://seram.es/images/site/documentosSeram/ser_radiologo.pdf</a>." ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/21735107/0000006500000004/v1_202307280734/S2173510723000794/v1_202307280734/en/main.assets" "Apartado" => array:4 [ "identificador" => "20744" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Editorial" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/21735107/0000006500000004/v1_202307280734/S2173510723000794/v1_202307280734/en/main.pdf?idApp=UINPBA00004N&text.app=https://www.elsevier.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173510723000794?idApp=UINPBA00004N" ]
Journal Information
Vol. 65. Issue 4.
Pages 289-290 (July - August 2023)
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Vol. 65. Issue 4.
Pages 289-290 (July - August 2023)
Editorial
Radiology as the base player
La radiología como el base del equipo
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