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ROCOv2_2023_valid_000001
Chest X-ray showing enlarged cardiac silhouette with cardiothoracic ratio of 70%, and mild pulmonary congestion.
[ "C1306645", "C0817096", "C1996865" ]
ROCOv2_2023_valid_000002
Digital subtraction ureterogram with contrast injected as the sheath was retracted demonstrating a fistula between the distal ureter and an IMA branch (black arrow). Also seen, multiple filling defects within the left renal pelvis and left dilated proximal ureter, consistent with blood clots
[ "C1306645", "C0030797" ]
ROCOv2_2023_valid_000003
Fifty-eight-year-old woman with 2 cancers: one seen on DBT but not visible with US, and one seen on US but not on DBT. She presented for screening with DBT. (A) Right 2D MLO view was negative, but asymmetry was seen (B) medially on the craniocaudal (CC) view. DBT (C) MLO and (D) CC views show architectural distortion (arrows) in the upper inner quadrant. US was negative in the upper inner quadrant (no image), but showed a suspicious mass in the 9 o’clock position (arrows in (E). (F) The upper inner quadrant mass was biopsied with DBT-guidance (scout view) and was an invasive lobular carcinoma. The 9 o’clock mass was biopsied with US-guidance and was an invasive ductal carcinoma.
[ "C1306645", "C0006141" ]
ROCOv2_2023_valid_000004
CT scan image for lung cancer.
[ "C0040405" ]
ROCOv2_2023_valid_000005
A giant retroperitoneal tumor.
[ "C0040405" ]
ROCOv2_2023_valid_000006
Biphasic CECT of the abdomen showing dilated CBD in its entire course (arrow) with an abrupt cutoff in the distal end before joining the duodenum.
[ "C0040405" ]
ROCOv2_2023_valid_000007
18F-FDG PET-CT showing FDG avid soft tissue periampullary thickening measuring ~2.7 × 1.2 cm with a maximum standard unit value (SUVmax) of 6.9 extending into the D2–D3 junction with ill-defined fat planes with pancreas medially (arrow).
[ "nan" ]
ROCOv2_2023_valid_000008
Early axial T2-weighted MRI.
[ "C0024485" ]
ROCOv2_2023_valid_000009
Late sagittal T2-weighted MRI.
[ "C0024485" ]
ROCOv2_2023_valid_000010
Chest X-ray revealing bilateral pleural effusions right middle lobe consolidation.
[ "C1306645", "C0817096", "C1999039" ]
ROCOv2_2023_valid_000011
DSA showing tight left internal carotid artery stenosis.Foot note: DSA, Digital Subtraction Angiography.
[ "C0002978" ]
ROCOv2_2023_valid_000012
Abdominal X-ray. Improvement of the obstruction was confirmed.
[ "C1306645", "C0000726", "C1999039" ]
ROCOv2_2023_valid_000013
Neck and head computed tomography image showing left odontogenic infection.
[ "C0040405" ]
ROCOv2_2023_valid_000014
Initial chext X-ray at presentation to the ER which shows B/L diffuse patchy infiltrates
[ "C1306645", "C0817096", "C1996865" ]
ROCOv2_2023_valid_000015
Retrograde portography performed with 40 mL iodinated contrast medium over a 10 French guiding catheter.
[ "C0002978" ]
ROCOv2_2023_valid_000016
Coronal plane of brain magnetic resonance imaging (MRI) showing an increased bilateral signal intensity involving the cortex and subcortical white matter of the occipital lobe (Arrows) on the T2-weighted fluid-attenuated inversion recovery (FLAIR).
[ "C0024485" ]
ROCOv2_2023_valid_000017
Visualization of the different insertion angles (exemplary representation of a patient of conventional surgery group A). White arrow represents the optimal insertion vector (theoretical; through the middle cranial fossa). Green arrow represents the theoretical hybrid CBCT-laser-fluoroscopic-guided insertion vector. Red arrow represents the actual surgical insertion vector. (A) angle of deviation of the conventional surgery vector from the optimal insertion vector (angle alpha). (B) Angle of deviation of the hybrid CBCT-laser-fluoroscopic-guided insertion vector from the optimal insertion vector (angle beta). (C) Cutaneous distance between actual surgical vector and the theoretical hybrid CBCT-laser-fluoroscopic-guided vector
[ "C0040405" ]
ROCOv2_2023_valid_000018
Chest X-ray. Chest X-ray showed no abnormal findings such as obvious infiltration shadows or consolidative change. R: right side.
[ "C1306645", "C0817096", "C1996865" ]
ROCOv2_2023_valid_000019
Preoperative ankle MRI showed initial diagnosis of peroneal brevis split tear. The yellow circle indicated a split tear of peroneal brevis tendon.
[ "C0024485" ]
ROCOv2_2023_valid_000020
Chest X-ray obtained upon initial presentation. Notable for left lower lobar consolidation with associated pleural effusion, and atelectasis.
[ "C1306645", "C0817096", "C1999039" ]
ROCOv2_2023_valid_000021
Brain MRI coronal T2 showing hyperintensity in the left anterior temporal lobe
[ "C0024485" ]
ROCOv2_2023_valid_000022
The whole body F18-FDG PET/CT tomography scan (July 31, 2009) showing a pulmonary nodule on upper lobe of the left lung. The radioactive intake is moderate and a nodule on left Lung Gate. F18-FDG-PET/CT = Fluorine 18 fluorodeoxyglucose- Positron emission tomography/computed tomography.
[ "nan" ]
ROCOv2_2023_valid_000023
Computed tomography images after treatment. Thoracic SMARCA4‐deficient undifferentiated tumor showing osteolytic changes in the ribs (asterisk) is noted. However, pleural thickening (yellow arrow) disappears and pleural effusion (yellow arrowhead) decreases in the mediastinal window setting.
[ "C0040405" ]
ROCOv2_2023_valid_000024
The typical computer tomography of the chest finding of a patient with coronavirus disease 2019 infection showing bilateral ground-glass opacity.
[ "C0040405" ]
ROCOv2_2023_valid_000025
Transverse view of the lesion within the left adnexa, which contains a thin septation measuring 4.3 cm and adjacent free fluid extending to the posterior cul-de-sac.
[ "C0040405" ]
ROCOv2_2023_valid_000026
Computer tomography of chest axial view. Computer tomography of chest showing multiple bilateral pulmonary nodules noted (black arrows) largest 1.5 cm in right lower lobe. Multiple bilateral pulmonary nodules were also noted concerning metastases. There were filling defects noted in the right lower lobe compatible with pulmonary emboli.
[ "C0040405" ]
ROCOv2_2023_valid_000027
Computer tomography image of chest/abdomen/pelvis showing adrenal mass on coronal plane. Image showing heterogenous 7.7 cm lesion in length (black arrow) appearing to be arising from left adrenal glands in contact with the upper pole of left kidney with areas of hypodensity suggesting necrosis.
[ "C0040405" ]
ROCOv2_2023_valid_000028
The moderate subtype of perirolandic injury (red arrows) including partial SMA involvement at the ventral aspect of the PCL (yellow arrows)
[ "C0024485" ]
ROCOv2_2023_valid_000029
Preoperative panoramic radiograph observing the carious lesions.
[ "C1306645", "C0037303" ]
ROCOv2_2023_valid_000030
Measurement technique of the femoral head sphericity. A indicates the radius of the smallest circle that fits within the contour of the femoral head. B indicates the radius of the largest circle which encloses the femoral head. The ratio is calculated by A divided by B.
[ "C1306645", "C0023216" ]
ROCOv2_2023_valid_000031
Chest radiographs show no obvious substantial lesions in both lungs.
[ "C1306645", "C0817096", "C1996865" ]
ROCOv2_2023_valid_000032
A postoperative lateral radiograph of the torso (red arrows) demonstrates a properly aligned stent inside the abdominal aorta. Yellow arrows indicate strong pedicle crew fixation from L1-S1.
[ "C1306645", "C0037949", "C0205129" ]
ROCOv2_2023_valid_000033
X-ray of the abdomen without preparation: Large extra luminal gas collection (black arrow).
[ "C1306645", "C0000726", "C1999039" ]
ROCOv2_2023_valid_000034
Preoperative CT (axial plane) demonstrating appendix rupture with a gas containing collection (red arrows) adjacent to the caecum (green arrow). The collection contains multiple appendicoliths (white arrow).
[ "C0040405" ]
ROCOv2_2023_valid_000035
Computed tomography (9CT) abdomen Yellow arrow indication 5.3 cm mass
[ "C0040405" ]
ROCOv2_2023_valid_000036
Day 3 Chest X-ray, showed right-sided pneumothorax (yellow arrows) with left-sided ICT in situ (red arrow).
[ "C1306645", "C0817096", "C1996865" ]
ROCOv2_2023_valid_000037
CT Chest image after receiving chemotherapy showed cystic change in the parenchymal nodule (yellow arrow), with right-sided surgical emphysema (green arrow) and right-sided ICT in situ (red arrow). A lesion can also be seen in the left breast (orange arrow).
[ "C0040405" ]
ROCOv2_2023_valid_000038
Plain film showing metallic object in appendix
[ "C1306645", "C0030797", "C1999039" ]
ROCOv2_2023_valid_000039
Representative case with pulmonary cryptococcosis showed some nodules accompanied by halo signs, positive for CrAg in both the serum and lung aspirate.
[ "C0040405" ]
ROCOv2_2023_valid_000040
Computed tomography scan 3 months following SARS-CoV2 infection.Bilateral ground-glass opacities and mild peripheral reticular pattern.
[ "C0040405" ]
ROCOv2_2023_valid_000041
Ultrasound images in the transverse view at the midaxillary line. The target is the fascial plane (yellow) in between the latissimus dorsi muscle and serratus anterior muscle. Needle path (red) should be at a 30° to 60° angle from the skin. For orientation purposes the intercostal muscles, rib, and visceral parietal pleural interfaces have been noted in the figure.
[ "C0041618" ]
ROCOv2_2023_valid_000042
CT-scan abdomen showing the bezoar at the pylorus.
[ "C0040405" ]
ROCOv2_2023_valid_000043
Ultrasonography showing hypoechoic mass.
[ "C0041618" ]
ROCOv2_2023_valid_000044
Computer tomography assisted cisternography. Note the lack of contrast medium flow into the intraorbital optic nerve subarachnoid space and enlarged optic nerve sheath diameters.
[ "C0040405" ]
ROCOv2_2023_valid_000045
Contrast-enhanced CT showing an irregular hepatic artery (arrow), inhomogeneous contrast of the liver in cirrhosis and changes in angiosarcoma in the right lobe of the liver.
[ "C0040405" ]
ROCOv2_2023_valid_000046
CT image of the pronounced constriction of the portal vein and VMS in the region of the hepatic hilus and the mesenteric root.
[ "C0040405" ]
ROCOv2_2023_valid_000047
Lateral tibia-fibula radiographs of initial open tibia/fibula shaft fractures.
[ "C1306645", "C0023216", "C0205129" ]
ROCOv2_2023_valid_000048
Lateral tibia-fibula intra-operative radiographs of irrigation and debridement with concomitant flexible nailing of the tibial shaft.
[ "C1306645", "C0023216", "C0205129" ]
ROCOv2_2023_valid_000049
One-month post-operative anterior-posterior tibia-fibula radiographs of flexible nailing of the tibia.
[ "C1306645", "C0023216", "C1996865" ]
ROCOv2_2023_valid_000050
Three-month post-operative lateral tibia-fibula radiographs of flexible nailing of tibial shaft.
[ "C1306645", "C0023216", "C0205129" ]
ROCOv2_2023_valid_000051
A cortical fluid-attenuated inversion recovery (FLAIR) image A hyperintense lesion in the medial side of the right frontal lobe with restricted diffusion in the diffusion-weighted imaging (DWI), representing a small acute infarction (white arrow).
[ "C0024485" ]
ROCOv2_2023_valid_000052
A CT scan of the chest The scan shows a right upper lobe cavitary nodule (white arrow) with left lung ground-glass nodules and bilateral pleural effusion.
[ "C0040405" ]
ROCOv2_2023_valid_000053
Abdominal CT scan The scan shows a septated cystic lesion in segment 5/6 of the liver (white arrow).
[ "C0040405" ]
ROCOv2_2023_valid_000054
Abdominal CT scan The scan shows large multiloculated cystic lesions in segment 8/7 of the liver (dashed circle).
[ "C0040405" ]
ROCOv2_2023_valid_000055
Pelvic CT scan. The scan shows loculated prostatic abscesses (dashed circle). 
[ "C0040405" ]
ROCOv2_2023_valid_000056
A CT scan of the chest. The scan shows a small nodule-like consolidation in the lower lobe of the left lung (white arrow).
[ "C0040405" ]
ROCOv2_2023_valid_000057
Multiple ground-glass nodules appear on CT after 5 courses of nivolumab.
[ "C0040405" ]
ROCOv2_2023_valid_000058
AP view plain radiograph reveals a markedly distended inverted U-shaped bowel loop sigmoid colon (coffee bean sign).
[ "C1306645", "C0000726", "C1999039" ]
ROCOv2_2023_valid_000059
Fifty-six-year-old man with atypical load-independent chest pain not extending further. Diffuse idiopathic skeletal hyperostosis (DISH), also referred to as Forestier disease, was diagnosed and treated with analgesics and physical therapy, which contributed to chest pain relief
[ "C0040405" ]
ROCOv2_2023_valid_000060
Computed tomography image of a patient with esophageal cancer before receiving elective thoracic endovascular aortic repair (TEVAR). The arrowheads are esophageal cancer invading the aortic wall. The arrow demonstrates the obliteration of the triangular fat space between the esophagus and thoracic aorta. These findings are indicated for elective TEVAR.
[ "C0040405" ]
ROCOv2_2023_valid_000061
Illustrative stuttering symptom case.
[ "C0024485" ]
ROCOv2_2023_valid_000062
Coronal CT demonstrating left ventricular wall defect and intrapericardial thrombus; asterisk = left ventricular cavity, arrow = left ventricle free wall defect, arrowhead = thrombus.
[ "C0040405" ]
ROCOv2_2023_valid_000063
Immediate postoperative plain radiograph showing femoral head fixation
[ "C1306645", "C0023216", "C1999039" ]
ROCOv2_2023_valid_000064
Follow-up radiograph at 1 month postoperatively
[ "C1306645", "C0030797", "C1999039" ]
ROCOv2_2023_valid_000065
Follow-up radiograph at 12 months showing femoral head osteonecrosis
[ "C1306645", "C0030797", "C1999039" ]
ROCOv2_2023_valid_000066
The patient was found to have a single liver mass during a regular physical examination in 2016.
[ "C0024485" ]
ROCOv2_2023_valid_000067
Coronary angiogram image showing type III (yellow arrow) left anterior descending artery arising from the right ostium (red arrow) supplying up to the apex. The right coronary artery shows multiple lesions (green arrow).
[ "C0002978" ]
ROCOv2_2023_valid_000068
Magnetic resonance imaging of the cervical spine showing signal abnormalities of the cord involving the central aspect with inflammatory etiologies consistent with neuromyelitis optica (red arrows).
[ "C0024485" ]
ROCOv2_2023_valid_000069
Magnetic resonance imaging (MRI) revealed a 3 × 2.6-cm soft tissue mass in the anterior abdominal wall.
[ "C0024485" ]
ROCOv2_2023_valid_000070
A 69-year-old woman presented with abdominal pain and jaundice 12 mo after surgery for high-grade serous ovarian cancer. Endoscopic ultrasound from the duodenal bulb revealed numerous metastatic lymph nodes obstructing the bile duct by extrinsic compression. Endoscopic biliary drainage was performed, but the patient died 1 mo later.
[ "C0041618" ]
ROCOv2_2023_valid_000071
Computed tomography of the chest demonstrating a large right-sided pleural effusion with near-complete right lung collapse and a mediastinal shift of thoracic structures to the left.
[ "C0040405" ]
ROCOv2_2023_valid_000072
Chest radiograph 24 hours following initial t-PA and DNase administration through the IPC, demonstrating interval improvement in right-sided opacities.t-PA: tissue plasminogen activator; DNase: dornase alfa; IPC: indwelling pleural catheter.
[ "C1306645", "C0817096", "C1999039" ]
ROCOv2_2023_valid_000073
Radiography after cement filling following large cortical bone allograft insertion after curettage. The arrow indicates the large cortical bone allograft
[ "C1306645", "C0023216", "C1999039" ]
ROCOv2_2023_valid_000074
“Barcode sign” seen in M-mode.
[ "C0041618" ]
ROCOv2_2023_valid_000075
CT scan of abdomen and pelvis with contrast. Arrows show diffuse colonic wall thickening involving the mid-transverse colon to the rectum/anus compatible with significant inflammation in a 23-year-old man with UC. UC, ulcerative colitis; CT, computed tomography.
[ "C0040405" ]
ROCOv2_2023_valid_000076
Initial chest x-ray on presentation to the emergency department
[ "C1306645", "C0817096", "C1999039" ]
ROCOv2_2023_valid_000077
Axial MRI T2 showing heterogeneous necrotic mass arising from the left prostate (red arrow), invading the rectal wall
[ "C0024485" ]
ROCOv2_2023_valid_000078
Representative CT simulation image in the sagittal plane of the field borders for high tangents.
[ "C0040405" ]
ROCOv2_2023_valid_000079
Fluoroscopic image showing final strut graft and bone graft substitute construct spanning the metatarsal phalangeal joint.
[ "C1306645", "C0023216", "C1999039" ]
ROCOv2_2023_valid_000080
1-month post-operative anteroposterior image demonstrating maturation of arthrodesis.
[ "C1306645", "C0023216", "C1999039" ]
ROCOv2_2023_valid_000081
Septostomy With Peripheral Balloon Before Left Atrial Venoarterial Extracorporeal Membrane Oxygenation Venous Cannula Insertion
[ "C1306645", "C0817096", "C1999039" ]
ROCOv2_2023_valid_000082
Axial view of non-enhancing T1 hyperintensity within the right putamen
[ "C0024485" ]
ROCOv2_2023_valid_000083
Sagittal view of non-enhancing T1 hyperintensity within right putamen
[ "C0024485" ]
ROCOv2_2023_valid_000084
Ultrasonographic image of the lumbar spine of a dog in the longitudinal paramedian plane on the dorsal side: AP—articular process; FJ—facet joint.
[ "C0041618" ]
ROCOv2_2023_valid_000085
Cone-beam computed tomography image of a medial lingual foramen and the measured parameters
[ "C0040405" ]
ROCOv2_2023_valid_000086
Lung image without pneumonia.
[ "C1306645", "C0817096", "C1996865" ]
ROCOv2_2023_valid_000087
Computed tomography image showing osteonecrosis of the talus.
[ "C0040405" ]
ROCOv2_2023_valid_000088
KUB x-ray demonstrating the stone KUB: kidney, ureter, and bladder
[ "C1306645", "C0000726", "C1999039" ]
ROCOv2_2023_valid_000089
T2-weighted magnetic resonance image. The image demonstrates heterogeneously T2 hyperintense lesions in the right greater than left thalami with associated elevated T2 signal in the right internal capsule and adjacent white matter.
[ "C0024485" ]
ROCOv2_2023_valid_000090
Coronal plane MRI showing oedema in the distracted symphysis with a cavity in the right periarticular subchondral bone, indicating a spread of infection from the cartilaginous disc
[ "C0024485" ]
ROCOv2_2023_valid_000091
Shearwave. 2D shearwave assessment of a normal liver: both qualitative (blue coloured box) and quantitative information (ROI measurement: 5.1 kPa) are available.
[ "C0041618" ]
ROCOv2_2023_valid_000092
Cardiac CT scan demonstrating a left mediastinal shift in the patient.
[ "C0040405" ]
ROCOv2_2023_valid_000093
Chest/abdomen x-ray: AP view showing bilateral hazy opacities. No pleural effusion or pneumothorax was noted. AP: anteroposterior
[ "C1306645", "C1999039" ]
ROCOv2_2023_valid_000094
Post-extubation chest/abdomen x-ray: AP view showing significantly improved aeration of both lungs. AP: anteroposterior
[ "C1306645", "C1999039" ]
ROCOv2_2023_valid_000095
An infant with chondrodysplasia punctata. Multiple puncta are seen in the tarsal bones and the phalanges
[ "C1306645", "C0023216", "C0205129" ]
ROCOv2_2023_valid_000096
A 26-year-old male with pachydermoperiostosis. Radiograph shows irregular periosteal reaction of the short tubular bones and the long bones. Digital clubbing is also seen
[ "C1306645", "C1140618", "C1996865" ]
ROCOv2_2023_valid_000097
Abdominal computed tomography scan showing a large well-defined mass of the left adrenal gland with fat density suggesting myelolipoma (Blue arrow).
[ "C0040405" ]
ROCOv2_2023_valid_000098
Typical 21-MHz ultrasound biomicroscopy image depicting sections of the rat liver and right kidney.The regions of interest (ROIL and ROIK) surrounded by a yellow contour were used to calculate the corresponding the average gray-level intensities AIL and AIK for the liver and kidney parenchyma, respectively.
[ "C0041618" ]
ROCOv2_2023_valid_000099
Chest plain radiography (portable) showing bilateral diffuse pulmonary opacities and cardiomegaly suggestive of ARDS.ARDS: acute respiratory distress syndrome
[ "C1306645", "C0817096", "C1996865" ]
ROCOv2_2023_valid_000100
CT scan showing left lobe liver abscess with fishbone.
[ "C0040405" ]

Citation

If you use the ROCOv2 dataset in your research, please cite the following paper:

Pelka, O., Menze, B. H., & Rexhausen, S. E. (2023). Radiology Objects in COntext version 2 (ROCOv2): A multimodal dataset for medical image analysis. arXiv preprint arXiv:2405.10004.

@misc {ronan_l.m._2024,
    author       = { {Ronan L.M.} },
    title        = { ROCOv2-radiology (Revision 5d66908) },
    year         = 2024,
    url          = { https://huggingface.co/datasets/eltorio/ROCOv2-radiology },
    doi          = { 10.57967/hf/3489 },
    publisher    = { Hugging Face }
}

License

The ROCOv2 dataset is licensed under the CC BY-NC-SA 4.0 license.

Acknowledgments

We acknowledge the National Library of Medicine (NLM) for providing access to the PMC Open Access Subset. We also acknowledge the creators of the Medical Concept Annotation Toolkit (MedCAT) for providing a valuable tool for concept extraction and annotation.

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