European Radiology

29/09/2026

Prostate MRI AI can already rival expert readers, but is it truly ready for everyday clinical practice? 🤖🧲🎯

In this special report, the ESUR Prostate MRI Working Group evaluates the state of deep learning for prostate cancer evaluation and outlines critical priorities for clinical translation. The authors emphasize that because existing scientific evidence remains predominantly retrospective (Level 2b), safe clinical adoption strictly requires a "human-in-the-loop" framework, prospective multivendor validation, and continuous post-market surveillance to actively track algorithmic drift and automation bias.

"I highly recommend reading this comprehensive ESUR roadmap for an essential reality check underscoring that benchmark diagnostic accuracy means very little if an algorithm cannot demonstrate tangible downstream value in biopsy avoidance, treatment selection, and healthcare cost-effectiveness." - Amit Gupta

https://link.springer.com/article/10.1007/s00330-026-12836-6 (Renato Cuocolo et al.)

Abstract This report from the ESUR Prostate MRI Working Group assesses the current role of artificial intelligence (AI) in MRI-based detection of prostate cancer. While deep learning tools demonstrate high technical accuracy, the report emphasizes a significant gap between research achievements and....

29/09/2026

📢 Open for applications! The European Radiology Private Foundation announces the Albert L. Baert Editorial Fellowship for 2027! 🌟

What separates a manuscript that gets published from one that doesn’t, and who makes that call? Few researchers ever get the opportunity to learn about the editorial process from the inside – now it is your chance to peek behind the curtain.

This prestigious editorial fellowship hosted by the Chief Editor of the ESR Journals and Editor-in-Chief of European Radiology, Prof. Bernd Hamm, is designed to mentor promising candidates for future editorial leadership roles and offers a unique opportunity to gain insight into the editorial work of the journal.

Insights into Imaging European Radiology Experimental European Radiology Breast European Radiology Abdomen European Radiology Cardiovascular and Thoracic European Society of Radiology What separates…

29/09/2026

Can MRI tell us how aggressive a renal tumour is before the pathologist ever sees it? 🧲🫘🔍

A comprehensive diagnostic meta-analysis evaluated 20 studies encompassing 2,430 patients to assess the accuracy of quantitative MRI in predicting the WHO/ISUP grade of renal cell carcinomas. The authors found that while conventional apparent diffusion coefficient (ADC) metrics yielded a modest diagnostic accuracy (AUC 0.71), MRI-inclusive radiomics and deep learning models achieved a significantly higher pooled accuracy (AUC 0.90) for identifying high-grade disease.

However, as the accompanying commentary emphasizes, this apparent superiority of complex radiomics is fragile due to extreme methodological heterogeneity, highlighting that clinical reproducibility is now the ultimate gatekeeper for these advanced models rather than just raw accuracy.

"I highly recommend reading this meta-analysis and its insightful commentary to understand the true clinical readiness of quantitative imaging in urologic oncology." - Amit Gupta

https://link.springer.com/article/10.1007/s00330-026-12837-5 (Iman Kiani et al.)

28/09/2026

Conventional coronary computed tomography angiography (CCTA) lumen assessment is hampered by the similar attenuation of iodine and calcium. The authors assessed the lumen for Gd-enhanced CCTA on high-resolution color Gd K-edge imaging using a clinical spectral photon-counting computed tomography prototype in an anthropomorphic phantom

https://link.springer.com/article/10.1186/s41747-026-00720-3 (Magdalena M. Dobrolinska et al.)

28/09/2026

🎓 The ESR Journals Review Fellowships 2027 are now open for applications!

Behind every published paper are reviewers who helped shape it. Join us for an exclusive look into the world of the peer-review process at two of Europe’s leading radiology journals. Discover what makes a great reviewer, sharpen your critical appraisal skills, and gain practical insights to help you leave your own mark on the next paper you review.

This year, for the first time, European Radiology and Insights into Imaging are joining forces for a joint call, offering two parallel fellowships – the Yves Menu Review Fellowship in European Radiology and the Insights into Imaging Review Fellowship.

Insights into Imaging European Radiology Experimental European Radiology Breast European Radiology Abdomen European Radiology Cardiovascular and Thoracic European Society of Radiology Behind every…

25/09/2026

Early intervention in metabolic dysfunction-associated steatohepatitis (MASH) is critical to halt disease progression. However, noninvasive tools for monitoring early-stage MASH and therapeutic efficacy in preclinical models remain limited, impeding preclinical drug development. This study establishes an integrated approach using multiparametric MRI at 9.4 T to dynamically track disease development and drug response in a prefibrotic MASH mouse model

https://link.springer.com/article/10.1186/s41747-026-00719-w (Yuanyuan Li et al.)

23/09/2026

The anatomy of carotid arteries is evaluated with magnetic resonance angiography (MRA), while its stiffness-related parameters are evaluated using ultrasound. This study found dynamic free-running non-contrast-enhanced MRA allows the noninvasive quantification of carotid dynamic properties and anatomy, demonstrating its potential for the assessment of 3D vascular age, showing superior repeatability compared to the clinical standard ultrasound

https://link.springer.com/article/10.1186/s41747-026-00716-z (Isabel Montón Quesada et al.)

22/09/2026

Could early emphysema be hiding below the resolution of our clinical CT scans? 🫁🔍

This study compared clinical CT with high-resolution ex vivo micro-CT in 89 patients across the COPD spectrum, analysing 466 lung tissue cores and 19,354 micro-CT slices, with histologic validation in 29 patients. Although clinical CT low-attenuation area correlated strongly with micro-CT measurements, 16 of 53 patients (30.2%) with apparently normal low attenuation area (≤5%) still showed emphysematous airspace enlargement on micro-CT, particularly among ever-smokers, pre-COPD, and mild COPD patients.

An intriguing read for thoracic imagers, because it exposes what conventional CT may miss at the earliest stages of emphysema and provides a microstructural benchmark for developing more sensitive clinical imaging approaches.

https://link.springer.com/article/10.1007/s00330-026-12831-x (Jonas Van der Rauwelaert et al.)

"Micro-CT itself cannot become a routine in-vivo test, but its ability to uncover subtle structural disease offers an important window into the limitations of current CT thresholds, and may help guide better quantitative methods such as photon-counting CT for earlier COPD phenotyping 🧠🫁✨. " - Amit Gupta

21/09/2026

New Zealand White rabbits are widely used in interventional radiology research due to their suitability for human-sized treatment and imaging equipment, offering high translational potential. This study aimed to define selection criteria for rabbits by correlating body weight and age with abdominal organ and vessel dimensions measured on cross-sectional imaging

https://link.springer.com/article/10.1186/s41747-026-00708-z (Selma Saclier et al.)