1. Imaging of spontaneous biliary perforation in neonates : focus on ultrasound findings with a review of the literatureMaja Šljivić, Kristina Arih, Mojca Glušič, Damjana Ključevšek, 2025, review article Abstract: Spontaneous biliary perforation in neonates is a rare but potentially life-threatening condition with nonspecific clinical presentation. Early diagnosis is challenging due to nonspecific clinical signs, yet it is critical for appropriate management. Our objective is to present two etiologically distinct cases of neonatal spontaneous biliary perforation and to review the literature, with a focus on imaging findings, particularly the role of ultrasound (US) in diagnosis. Abdominal US was the initial imaging modality. Indirect ultrasound signs, such as fluid collections near the gallbladder extending towards the duodenum, the porta hepatis, and further into the abdomen, gallbladder wall thickening, and bile duct abnormalities, helped raise suspicion of spontaneous biliary perforation. US findings can be nonspecific, and the direct sign – the so-called ‘hole sign’ – is rarely observed. The final diagnosis was confirmed using magnetic resonance cholangiopancreatography, hepatobiliary iminodiacetic acid scanning, and intraoperative cholangiography. A literature review was conducted focusing on the role of imaging in 23 neonatal cases of spontaneous biliary perforation reported since 1995. Ultrasound was the initial diagnostic tool in 19 cases. In eight cases (42%), US findings raised suspicion of spontaneous biliary perforation, including two cases with direct and six with indirect signs. Hepatobiliary iminodiacetic acid scanning and magnetic resonance cholangiopancreatography served as confirmatory methods. In 65.2% of cases, the diagnosis was ultimately confirmed surgically. Ultrasound plays an important role in the early diagnosis of spontaneous biliary perforation in neonates, mostly through recognition of indirect signs, highlighting the importance of familiarity with this entity Keywords: neonates, ultrasound, imaging, biliary perforation Published in DiRROS: 10.02.2026; Views: 51; Downloads: 19
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2. Serendipitous discovery of nitrogen bridgehead fused pyridines : photophysical properties and live-cell imaging potentialHana Kokot, Aljoša Bolje, Jakob Kljun, Andraž Bevk, Natalija Trunkelj, Lucija Peterlin-Mašič, Janez Mravljak, Stane Pajk, 2026, original scientific article Abstract: A novel synthetic route to fluorescent nitrogen bridgehead fused pyridines (NBFPs) was discovered serendipitously during attempts to synthesize a thiazole derivative via a Hantzsch-type thiazole reaction from 2-cyanoethanethioamide and chloroacetone. A mechanism was proposed to rationalize the formation of NBFPs, which guided the subsequent expansion of the reaction scope and optimization of reaction conditions. The scope of the reaction was extended to include arylacetonitriles and esters of 2-(heteroaryl)acetic acids bearing an ortho-positioned pyridine-type nitrogen as a starting material. The structures of selected compounds were confirmed by single-crystal X-ray diffraction. All synthesized NBFPs exhibited pH-sensitive fluorescence and Stokes shifts exceeding 100 nm in several cases. Two compounds, methylthiazole derivative 1 and quinoline derivative 8, displayed pH-dependent emission suitable for lysosomal labelling. However, live-cell microscopy revealed limited colocalization with lysosomal probe Lysotracker Red, suggesting that these probes may localize to other acidic environments as well. Both compounds showed pronounced spectral responsiveness and fluorescence lifetime variations, indicating potential for use as environment-sensitive intracellular sensors. The methyl thiazole derivative 1 exhibited particularly favourable properties, including high photostability, low background fluorescence, minimal cytotoxicity and polarity sensitivity. These findings position NBFPs as a promising class of fluorophores for live-cell imaging and intracellular sensing applications, and warrant further investigation into their structure–function relationships and environmental responsiveness. Keywords: nitrogen bridgehead fused pyridine, Fluorescence, pH sensitive probes, live-cell imaging, fluorescence lifetime imaging Published in DiRROS: 03.02.2026; Views: 105; Downloads: 58
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3. ESR essentials: juvenile idiopathic arthritis : what every radiologist needs to know: practice recommendations by the European Society of Paediatric RadiologySílvia Costa Dias, Celine Habre, Pier Luigi Di Paolo, Paola d’Angelo, Thomas A. Augdal, Oskar W. Angenete, Damjana Ključevšek, 2025, review article Abstract: Juvenile Idiopathic Arthritis (JIA) is a major contributor to chronic diseases, affecting around 1–2 in 1000 children under the age of 16. With modern treatments, the morbidity has been reduced; however, there is increasing evidence that many, if not most, children with JIA will have a chronic disease with ongoing activity into adulthood. Many studies discuss the possibility of an early window of opportunity in which patients have the best chance of responding to therapy, thereby underscoring the importance of timely and appropriate imaging. Children typically present at 4–5 years of age with one or more stiff and painful joints. If JIA is suspected, the child should undergo an ultrasound of the involved joint(s), performed by a radiologist with experience in paediatric imaging. If this is normal, with no abnormal laboratory tests and low clinical suspicion of JIA, no further imaging is required. If there is inconsistency between ultrasound and clinical findings, then they should proceed to MRI, including intravenous contrast, of the involved joint. Additional radiographs, or low-dose CT for the axial joints to examine for potential destructive change, deformation, or growth abnormalities, should be considered. In children presenting with monoarthritis, bacterial infection must be ruled out. Keywords: child, arthritis, juvenile, diagnostic imaging, ultrasonography, magnetic resonance imaging Published in DiRROS: 19.12.2025; Views: 403; Downloads: 105
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4. Accuracy of transthoracic echocardiography in diagnosis of cardiac myxoma : single center experiencePolona Kačar, Nejc Pavšič, Mojca Bervar, Zvezdana Dolenc-Stražar, Katja Prokšelj, 2025, original scientific article Abstract: Background: The differential diagnosis of cardiac myxomas (CM), the most common benign primary cardiac tumors, is broad and a thorough diagnostic workup is required to establish accurate diagnosis prior to surgical resection. Transthoracic echocardiography (TTE) is usually the first imaging modality used for diagnosis of suspected CM. In a single tertiary centre study, we sought to determine the accuracy, sensitivity, and specificity of TTE in the diagnosis of CM and to determine echocardiographic characteristics indicative of CM. Patients and methods: We retrospectively analyzed clinical, echocardiographic, and pathohistological findings of 73 patients consecutively admitted for suspected CM. Results: After diagnostic workup, 53 (73%) patients were treated surgically at our institution. Based on preoperative TTE, patients were divided into a CM group (n=45, 85%) and non-myxoma (NM) group. Of the 53 pathohistological specimens obtained during surgery, 39 (73%) were CM. The sensitivity and specificity of preoperative echocardiography were 97% and 50%, respectively. The overall accuracy was 85%. All NM tumors were found in an atypical location and 72% of CM were found in a typical position in the left atrium (p < 0.001). Tumors in NM group were significantly smaller than CM (24.3 ± 13.2 mm vs. 37.9 ± 18.3 mm, p = 0.017). Conclusions: Our study confirms very good accuracy of TTE in the diagnosis of CM. The most important echocardiographic characteristics to differentiate between CM and tumors of different etiology are tumor location and size. Smaller tumors presenting at an atypical location are less likely to be diagnosed as CM, and these require additional imaging modalities for accurate diagnosis. Keywords: cardiac mass, cardiac myxoma, cardiovascular imaging, echocardiography Published in DiRROS: 16.12.2025; Views: 274; Downloads: 90
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5. Gap junctional versus paracrine signaling in the human lens epithelium : analysis based on multicellular Ca²⁺ imaging and computational modelingMarko Šterk, Elena Thaler, Aleš Fajmut, Marko Hawlina, Marko Gosak, Sofija Andjelić, 2025, original scientific article Abstract: Purpose: Effective intercellular communication among lens epithelial cells (LECs) is essential for lens homeostasis, and its disruption has been implicated in cataract formation. This study investigates the mechanisms of calcium (Ca²⁺) wave propagation in the human lens epithelium, focusing on the respective roles of gap-junctional coupling and ATP-mediated paracrine signaling. Methods: We performed multicellular Ca²⁺ imaging on human postoperative anterior lens capsule preparations obtained from cataractous lenses during cataract surgery which retained intact monolayers containing viable LECs. Mechanically induced Ca²⁺ waves were recorded, and the contribution of specific signaling pathways was evaluated by pharmacological intervention using apyrase (an ATP-hydrolyzing enzyme) and carbenoxolone (CBX; a gap-junctional blocker). To interpret the experimental results, we developed a biophysically detailed computational model of the LEC monolayer, incorporating intracellular Ca²⁺ dynamics, gap-junctional IP₃/Ca²⁺ diffusion, and extracellular ATP signaling. Results: Apyrase moderately reduced the spatial extent, amplitude, and duration of Ca²⁺ waves without affecting propagation speed. In contrast, CBX significantly suppressed wave transmission, limiting activation to cells directly adjacent to the stimulation site. Simulations reproduced key experimental features and indicated that neither pure gap-junctional nor purely paracrine signaling mechanisms alone could explain the observed dynamics. Instead, a hybrid mechanism combining gap-junctional communication and partially regenerative ATP release was required. Conclusions: Our results highlight the cooperative roles of gap-junctional and ATP-based paracrine signaling in mediating mechanically induced Ca²⁺ wave propagation in the human lens epithelium. This dual-pathway mechanism may be critical for coordinated cellular responses that support physiological processes such as ion homeostasis and transparency maintenance in the human lens. Keywords: human lens epithelium, calcium signaling, intercellular communication, calcium imaging, computational model Published in DiRROS: 16.12.2025; Views: 213; Downloads: 110
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6. Correlative imaging of structural biochemistry in plant and food quality research within an interoperable data acquisition platformMarjana Regvar, Boštjan Jenčič, Martin Šala, Aleš Kladnik, Iztok Dogša, Maja Koblar, Mitja Kelemen, Primož Vavpetič, Katarina Vogel-Mikuš, Ivan Kreft, Primož Pelicon, Paula Pongrac, 2025, original scientific article Abstract: Correlative imaging is a powerful tool for revealing information on cell-type structures and their biochemistry, with the potential to inform healthier food choices and improved dietary recommendations. Determination of plant structures and their structural biochemistry advances our understanding of specific structures designed to store different biomolecules within cells and tissues. Compared to the classical biochemical separation techniques, the key advantage of sequential correlative imaging techniques is in relating spatial plant (micro)structures to their biochemistry in a nondestructive manner. Sequential imaging reported here comprises six methodologies on a single sample, a cross-section of a Tartary buckwheat (Fagopyrum tataricum) grain, namely, bright-field and autofluorescence microscopy, fluorescence microspectroscopy, MeV-secondary ion mass spectrometry, micro-particle-induced X-ray emission, scanning electron microscopy coupled with energy dispersive X-ray spectroscopy, and laser ablation-inductively coupled plasma-mass spectrometry. Results confirm that the stepwise addition of the desired information across several classes of biomolecules and several spatial scales informs the quality and safety of plant-based produce across scales. Therefore, a viable workflow is proposed, enabling sequential spatial analysis of grain and highlighting plant structures' in situ specificity. The advantages and disadvantages of the selected methodologies were critically evaluated. Keywords: autofluorescence, correlative molecular imaging, element distribution, grain tissues Published in DiRROS: 07.11.2025; Views: 288; Downloads: 155
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8. Fabrication of high-aspect ratio nanogratings for phase-based X-ray imagingMartyna Michalska, Alessandro Rossi, Gašper Kokot, Callum M. Macdonald, Silvia Cipiccia, Peter R.T. Munro, Alessandro Olivo, Ioannis Papakonstantinou, 2023, original scientific article Abstract: Diffractive optical elements such as periodic gratings are fundamental devices in X-ray imaging – a technique that medical, material science, and security scans rely upon. Fabrication of such structures with high aspect ratios at the nanoscale creates opportunities to further advance such applications, especially in terms of relaxing X-ray source coherence requirements. This is because typical grating-based X-ray phase imaging techniques (e.g., Talbot self-imaging) require a coherence length of at least one grating period and ideally longer. In this paper, the fabrication challenges in achieving high-aspect ratio nanogratings filled with gold are addressed by a combination of laser interference and nanoimprint lithography, physical vapor deposition, metal assisted chemical etching (MACE), and electroplating. This relatively simple and cost-efficient approach is unlocked by an innovative post-MACE drying step with hexamethyldisilazane, which effectively minimizes the stiction of the nanostructures. The theoretical limits of the approach are discussed and, experimentally, X-ray nanogratings with aspect ratios >40 are demonstrated. Finally, their excellent diffractive abilities are shown when exposed to a hard (12.2 keV) monochromatic X-ray beam at a synchrotron facility, and thus potential applicability in phase-based X-ray imaging. Keywords: nanogratings, X-ray imaging, mechanical stability Published in DiRROS: 08.09.2025; Views: 369; Downloads: 152
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9. Recent advances in perfusion assessment in clinical oncology using hyperspectral imagingRok Hren, Tamás Dóczi, Erika Orszagh, Dušan Babič, 2025, review article Abstract: Perfusion assessment is critical in clinical oncology, particularly in tumor characterization, intraoperative decision making, and postoperative outcome predictions. Hyperspectral imaging (HSI) has emerged as a promising, non-contact, non-invasive, and contrast-free modality capable of capturing spatial and spectral information related to tissue oxygenation and hemoglobin distribution. This study provides an up-to-date review of recent advances in the use of HSI for perfusion monitoring in clinical oncological applications, with a special focus on its adoption in laparoscopic surgeries, brain tumor delineation, and head and neck cancer interventions. The integration of HSI into surgical workflows and its potential to reduce complications are discussed. Overall, while HSI is emerging as an appealing, real-time, quantitative perfusion imaging modality, a lack of standardized protocols and interpretation guidelines pose the most significant challenges. Addressing these gaps through multicenter clinical trials is essential for advancing the routine use of HSI in oncological surgery. Keywords: oncology, hyperspectral imaging, clinical applications Published in DiRROS: 02.09.2025; Views: 427; Downloads: 224
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10. Skin cancer segmentation and classification by implementing a hybrid FrCN-(U-NeT) technique with machine learningPuneet Thapar, Manik Rakhra, Deepak Prashar, Leo Mršić, Arfat Ahmad Khan, Seifedine Kadry, 2025, original scientific article Abstract: Skin cancer is a severe and rapidly advancing condition that can be impacted by multiple factors, including alcohol and tobacco use, allergies, infections, physical activity, exposure to UV light, viral infections, and the effects of climate change. While the steep death tolls continue rising at an alarming rate, lack of symptoms recognition and its preventive measures further worsen the case. In this article, we employ the ISBI-2017 dataset to present an improved FrCN-based hybrid image segmentation method with U-Net to improve detection performance. This paper proposes a hybrid approach using the FrCN-(U-Net) image segmentation technique to enhance results compared to an advanced method for detecting skin cancer types, such as Benign or Melanoma. The classification phase is then handled using the R-CNN algorithm. Our model shows better performance in both training and testing accuracy than any other existing approaches. The results show that the combined method is effective in enhancing early disease diagnosis, which in turn improves treatment outcomes and prognosis. This paper presents an alternative technique for skin cancer detection, which can serve as a guide for clinical practices and public health strategies on how to lower skin-cancer-related deaths. Keywords: skin tumors, cutaneous melanoma, lesions, imaging techniques, cancel detection and diagnosis, melanoma, preprocessing, melignant tumors Published in DiRROS: 19.06.2025; Views: 592; Downloads: 316
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