Dear AuntMinnieEurope Member,
An incorrect or missing anatomical side marker on a knee x-ray can have severe consequences, and it might result in a lawsuit or even the death of a patient, as happened in Sweden.
News from Essen, Germany, about the successful use of artificial intelligence (AI) in this area is most welcome. The model is based on an off-the-shelf deep learning network, and it can help to prevent manual placement mistakes or missing side markers. Find out more in our AI Community.
Meanwhile, Danish researchers have found that a commercially available AI algorithm performed as well as radiologists in diagnosing the severity of knee osteoarthritis on x-rays. Their results support the use of the tool as a decision aid in daily clinical reporting.
In suspected cases of nonalcoholic fatty liver disease, what's the best technique for patients who have a problem holding their breath? MRI experts addressed this question in a new study and unveiled their findings on 21 March. Also, they've spoken about the work they'll be presenting at the annual congress of the International Society for Magnetic Resonance in Medicine, which takes place in London in May and will be covered by our editorial team.
A top priority for every MRI practitioner is the need to minimize the number of scan failures. A U.K. team has looked closely at this issue, particularly how scanner design, examination type, and patient age and gender can play a role in failed scans and what can be done to minimize claustrophobia-related issues with patients.
Over the past year or so, MRI has proved to be of great value in assessing the impact of long COVID-19 on the brain. Neuroscientists at the University of Oxford, U.K., have published new research in this area, and their analysis deserves a close look in our MRI Community.
Looking ahead, you can now register for our free webinar on thoracic AI, which takes place at 19:00 CET on Wednesday, 6 April. Expert speakers will include Prof. Mathias Prokop, PhD; Prof. Marie-Pierre Revel, PhD; and Imon Banerjee, PhD. It will last 60 minutes and include a live Q&A session. I urge you not to miss this event.

![Examples of ultrasound findings and techniques. (A) Images in a 39-year-old male patient with a mass in the left thigh. The mass is heterogeneous on the B-mode US image (compared with the patient in D) and showed increased microvascularity (superb microvascular imaging [SMI]) and shear-wave elastography (SWE) values. Undifferentiated pleomorphic sarcoma was diagnosed at biopsy (with pleomorphic rhabdomyosarcoma in surgical specimen). (B) Images in an 18-year-old male patient with a mass in the left leg. The mass is hypoechoic on the B-mode image, with no other findings suggestive of malignancy. The lesion is in contact with the cortex of the tibia, which is slightly irregular. CT revealed a doubtful anteromedial tibial erosion. The microvascular study demonstrated high vascularization, suggestive of malignancy. Periosteal Ewing sarcoma was diagnosed with both histologic and immunohistochemical confirmation. (C) Images in a 69-year-old female patient with a lump growing on the outside of the left leg. Multiple SWE examinations were performed (please note the high values obtained in the measurements, whereas the color map highlights the stiffness relative to adjacent tissues). SMI showed areas of increased vascularization to target for sampling. Undifferentiated spindle cell sarcoma was diagnosed at biopsy, with residual leiomyosarcoma in the surgical specimen after neoadjuvant therapy. (D) Images in a 56-year-old female patient with a mass in the right thigh. The mass is heterogeneous at both B-mode ultrasound (similar to patient A) and MRI (coronal T2-weighted spectral attenuated inversion recovery [SPAIR]; T1-weighted pre-contrast and postcontrast imaging), which even shows uptake after the administration of paramagnetic contrast material, which is traditionally suggestive of malignancy. Low values at SMI and elastography are suggestive of benignity. Spindle cell lipoma was diagnosed at biopsy, with atypical spindle cell lipomatous tumor in the surgical specimen.](https://img.auntminnieeurope.com/mindful/smg/workspaces/default/uploads/2026/08/images-radiol250278fig2.APCFLSvX6p.jpg?auto=format%2Ccompress&fit=crop&h=100&q=70&w=100)







![Examples of ultrasound findings and techniques. (A) Images in a 39-year-old male patient with a mass in the left thigh. The mass is heterogeneous on the B-mode US image (compared with the patient in D) and showed increased microvascularity (superb microvascular imaging [SMI]) and shear-wave elastography (SWE) values. Undifferentiated pleomorphic sarcoma was diagnosed at biopsy (with pleomorphic rhabdomyosarcoma in surgical specimen). (B) Images in an 18-year-old male patient with a mass in the left leg. The mass is hypoechoic on the B-mode image, with no other findings suggestive of malignancy. The lesion is in contact with the cortex of the tibia, which is slightly irregular. CT revealed a doubtful anteromedial tibial erosion. The microvascular study demonstrated high vascularization, suggestive of malignancy. Periosteal Ewing sarcoma was diagnosed with both histologic and immunohistochemical confirmation. (C) Images in a 69-year-old female patient with a lump growing on the outside of the left leg. Multiple SWE examinations were performed (please note the high values obtained in the measurements, whereas the color map highlights the stiffness relative to adjacent tissues). SMI showed areas of increased vascularization to target for sampling. Undifferentiated spindle cell sarcoma was diagnosed at biopsy, with residual leiomyosarcoma in the surgical specimen after neoadjuvant therapy. (D) Images in a 56-year-old female patient with a mass in the right thigh. The mass is heterogeneous at both B-mode ultrasound (similar to patient A) and MRI (coronal T2-weighted spectral attenuated inversion recovery [SPAIR]; T1-weighted pre-contrast and postcontrast imaging), which even shows uptake after the administration of paramagnetic contrast material, which is traditionally suggestive of malignancy. Low values at SMI and elastography are suggestive of benignity. Spindle cell lipoma was diagnosed at biopsy, with atypical spindle cell lipomatous tumor in the surgical specimen.](https://img.auntminnieeurope.com/mindful/smg/workspaces/default/uploads/2026/08/images-radiol250278fig2.APCFLSvX6p.jpg?auto=format%2Ccompress&fit=crop&h=112&q=70&w=112)









