To determine the potential of large language models (LLMs) to be used as tools by radiology educators to create radiology board-style multiple choice questions (MCQs), answers, and rationales. Two LLMs (Llama 2 and GPT-4) were used to develop 104 MCQs based on the American Board of Radiology exam blueprint. Two board-certified radiologists assessed each MCQ using a 10-point Likert scale across five criteria-clarity, relevance, suitability for a board exam based on level of difficulty, quality of distractors, and adequacy of rationale. For comparison, MCQs from prior American College of Radiology (ACR) Diagnostic Radiology In-Training (DXIT) exams were also assessed using these criteria, with radiologists blinded to the question source. Mean scores (±standard deviation) for clarity, relevance, suitability, quality of distractors, and adequacy of rationale were 8.7 (±1.4), 9.2 (±1.3), 9.0 (±1.2), 8.4 (±1.9), and 7.2 (±2.2), respectively, for Llama 2; 9.9 (±0.4), 9.9 (±0.5), 9.9 (±0.4), 9.8 (±0.5), and 9.9 (±0.3), respectively, for GPT-4; and 9.9 (±0.3), 9.9 (±0.2), 9.9 (±0.2), 9.9 (±0.4), and 9.8 (±0.6), respectively, for ACR DXIT items (p < 0.001 for Llama 2 vs. ACR DXIT across all criteria; no statistically significant difference for GPT-4 vs. ACR DXIT). The accuracy of model-generated answers was 69% for Llama 2 and 100% for GPT-4. A state-of-the art LLM such as GPT-4 may be used to develop radiology board-style MCQs and rationales to enhance exam preparation materials and expand exam banks, and may allow radiology educators to further use MCQs as teaching and learning tools.

Background: Various types of tissue-derived cells are being experimented with for the treatment of tendinopathy, tendon repair, and use in tissue engineering. Purpose: The aim of this systematic review is to explore the current evidence with a view to evaluate the potential of this therapeutic intervention. Study Design: Systematic review. Methods: A review of the literature was conducted using PubMed. Search criteria included keywords “tendinopathy,” “tendinitis,” “tendinosis,” “epicondylitis,” “stem cell,” and “cell therapy.” Articles not written in English language were excluded. Results: A total number of 379 articles were identified and a critical appraisal of the relevant articles was undertaken, which encompassed human and animal research. The review included articles related to various tissue-derived cells such as tendon progenitors, adipose tissue, synovium, muscle, bone marrow, and skin. The utility of cell therapy in tissue engineering and rotator cuff repair was also assessed. Conclusion: With the limitation of the available evidence, the literature suggests that cell therapy is applicable and may be effective for the treatment of tendinopathy. However, further research into the precise biological mechanisms, long-term implications, and cost-effectiveness is needed.

The development of teleoperated devices is a growing area of study since it can improve cost effectiveness, safety, and healthcare accessibility. However, due to the large distances involved in using teleoperated devices, these systems suffer from communication degradation, such as latency or signal loss. Understanding degradation is important to develop and improve the effectiveness of future systems. The objective of this research is to identify how a teleoperated system’s behavior is affected by latency and to investigate possible methods to mitigate its effects. In this research, the end-effector position error of a 4-degree-of-freedom (4-DOF) teleultrasound robot was measured and correlated with measured time delay. The tests were conducted on a Wireless Local Area Network (WLAN) and a Virtual Local Area Network (VLAN) to monitor noticeable changes in position error with different network configurations. In this study, it was verified that the communication channel between master and slave stations was a significant source of delay. In addition, position error had a strong positive correlation with delay time. The WLAN configuration achieved an average of 300 ms of delay and a maximum displacement error of 7.8 mm. The VLAN configuration showed a noticeable improvement with a 40% decrease in average delay time and a 70% decrease in maximum displacement error. The contribution of this work includes quantifying the effects of delay on end-effector position error and the relative performance between different network configurations.

Chronic Achilles tendinosis is a common musculoskeletal disorder often refractory to conservative management. Our study aimed to assess the safety and efficacy of the use of autologous skin-derived collagen-producing cells in the treatment of refractory Achilles tendinosis. We conducted a randomized, double-blind study on forty Achilles tendons in thirty-two patients (eight with bilateral involvement) who had a clinical and radiographic diagnosis of Achilles tendinosis. The patients ranged from twenty-two to sixty-seven years old and had a mean age of 45.2 years. The patients with unilateral involvement were randomized into the treatment group (twelve patients) and control group (twelve patients). The eight patients with bilateral involvement were individually randomized into treatment and control groups, with eight Achilles tendons in each group. Achilles tendons in the treatment group were injected under ultrasound guidance with laboratory-expanded, skin-derived fibroblasts suspended in autologous plasma. The control group received ultrasound-guided injection of a local anesthetic and physiotherapy. The Victorian Institute of Sport Assessment (VISA) questionnaire and visual analog scale (VAS) scores were used as the main outcome measures for both groups. Significant differences in the mean VISA and VAS scores were detected between the treatment and the control groups for the patients with unilateral involvement at six months (p < 0.001 for both). With use of the Mann-Whitney U Test, significant differences in the VISA score were observed at the second visit and at the three-month and six-month visits (p = 0.02, p = 0.007, and p < 0.001 respectively). The VAS scores also showed significant differences at the second visit and at the six-month evaluation (p = 0.014 and p < 0.001, respectively). The eight patients with bilateral involvement were analyzed separately; with the number of patients studied, no significant differences in the VISA or VAS scores were observed between the treatment group and the control group. These preliminary short-term results demonstrate that the injection of skin-derived fibroblasts for the treatment of Achilles tendinosis is safe. However, larger studies with a longer duration of follow-up are required to determine the long-term effectiveness before wider clinical application is considered. Therapeutic Level II. See Instructions for Authors for a complete description of levels of evidence.

OBJECTIVE. The purpose of this study was to evaluate the role of sonography in assessing side strain in athletes.CONCLUSION. Sonography is a useful tool for imaging the lateral abdominal musculature in patients with side strain, which occurs as a result of tearing of the internal oblique muscle from the lower four ribs or costal cartilage. Sonographic findings can be used to confirm the diagnosis, localize the site, and assess the characteristics of a tear.