Issue Of Radiology Research Articles

Does Mal-alignment of the CLS Spotorno Femoral Stem Correlate with Functional Outcome of Patients Undergoing Total Hip Arthroplasty? An Evaluation at Mid-term Follow Up.

The straight and thin design of the CLS Spotorno stem makes it prone for coronal plane mal-alignment, with potential for cortical impingement; reactive osteogenesis and thigh pain have been documented in this situation with some stems. The literature is scarce about the effect of distal mal-alignment with this particular stem, and its relationship with thigh pain, functional outcomes and stem survival. We assessed functional outcomes with incidence of varus/valgus CLS stem alignment, and correlated stem subsidence of these thin stems with hip scores. Hip arthroplasty cases with CLS Spotorno stems, operated between 2015 and 2022, with a minimum follow up of 18months were evaluated. Radiology included 100% pelvis x-rays with bilateral hips (anteroposterior with 15° internal rotation plus lateral views); parameters documented were coronal mal-alignment, stem subsidence, any pedestal formation and heterotrophic ossification (HO); special note was made of any thigh pain, and functional outcomeswere recorded using mHHS and SF-36 scores. We evaluated 65 patients with 79 operated hips at an average follow up of 5.26years. 31.6% (25/79) stems were neutrally aligned, 64.6% (51/79) were in varus alignment and 3.8% (3/79) were in valgus alignment. The mean subsidence was 3.15mm + 2.26 and 3 cases had Pedestal formation at the stem tip. There was no correlation between varus/valgus stem positions with the mHHS (p = 0.271) and SF-36 score (p = 0.553), which also did not correlate with the stem subsidence. HO formation was seen in 16 hips (20.3%), but no cases in our series needed revision during follow up. Significant distal malalignment with some subsidence were noted in the hips studied; despite these radiological issues, there were excellent mid-term outcomes and good stems survival, implying that distal malposition may have no bearing on functional outcomes.

Development of Lead-Free Materials for Radiation Shielding in Medical Settings: A Review.

Radiation protection is an essential issue in diagnostic radiology to ensure the safety of patients, healthcare professionals, and the general public. Lead has traditionally been used as a shielding material due to its high atomic number, high density, and effectiveness in attenuating radiation. However, some concerns related to the long-term health effects of toxicity, environmental disease as well as heavy weight of lead have led to the search for alternative lead-free shielding materials. Leadfree multilayered polymer composites and non-lead nano-composite shields have been suggested as effective shielding materials to replace conventional lead-based and single metal shields. Using several elements with high density and atomic number, such as bismuth, barium, gadolinium, and tungsten, offer significant enhancements in the shielding ability of composites. This review focuses on the development and use of lead-free materials for radiation shielding in medical settings. It discusses the drawbacks of traditional lead shielding, such as toxicity, weight, and recycling challenges, and highlights the benefits of lead-free alternatives.

International cooperation in radiology training: A multipronged approach

IntroductionMedical imaging has undergone significant technical advancements in recent years, posing a considerable challenge for radiologists to stay up-to-date with emerging modalities and their applications in daily practice. This challenge is even more daunting in developing countries with limited resources compared to the US and other developed nations with greater economic assets. The collaboration between the United States and other advanced nations with radiological institutions in Latin America has been a significant achievement in the pursuit of new opportunities for continuous medical education. The aim of this study was to evaluate the effectiveness of international collaborations among Spanish-speaking Latin American institutions and radiologists through a survey. Materials and MethodsA group of radiologists and institutions from various countries, including the USA, Spain, and Argentina, who have been working together for several years to improve Radiology education across Latin America, were selected. An online survey was conducted. The survey included questions about interest in the activities, participation, and impact of radiologic education during these educational efforts. ResultsThe survey received responses from 166 participants, all of whom reported knowledge of at least one type of educational activity. The most well-known activity was ALAT Webinars. The primary motivators for participation were the quality of the content and the opportunity to learn new information. Additionally, improving local education in radiology and receiving expert advice on radiology issues were identified as priorities for participation in international collaborations. The Cronbach alpha coefficient was calculated for individual and global Likert questions, resulting in a global score of 0.96. ConclusionThe study confirms the significance of a multifaceted approach to address gaps in radiology education. While traditional models have relied on hosting international visitors or sending US teachers abroad, the results suggest that using a variety of methods will have a greater impact than relying on a single technique for those who benefit most from collaborative efforts.

Physician scatter dose in interventional CT fluoroscopy

AbstractPurposeTo quantify operator dose in interventional CT fluoroscopy (CTF) procedures and compare to catheterization laboratory and interventional radiology procedures.MethodsFifteen studies quantifying operator scatter dose for c‐arm fluoroscopy and CTF were reviewed from a literature survey. The dose provided in each study was normalized to skin entrance air kerma and air kerma rate including backscatter. The average air kerma rate and exposure duration were calculated and compared between c‐arm fluoroscopy and CTF. To enable operator scatter dose calculations in CTF procedures, a model was created which scaled the dose from a reference condition.ResultsOur literature survey indicated that for CTF relative to c‐arm fluoroscopy: (1) the mean air kerma rate is 3.5 times higher, while (2) the mean exposure duration is 31.6 times lower. On average, a physician would have to perform 9.1 times (i.e., 31.6/3.5) more CTF procedures relative to c‐arm fluoroscopy procedure to receive equal operator scatter doses. Our own experimental measurements provided scaling factors allowing physician scatter dose to be obtained at any rotation time, tube current, beam collimation, or beam energy.ConclusionOur results shed light onto a currently mis‐understood issue in radiology. Namely, that physicians receive more dose from CT relative to c‐arm fluoroscopy motivating them to retreat from the room during interventional exposures. Our literature review and experimental measurements indicate the opposite it true; interventional CT produces on average nine times less physician dose relative to c‐arm procedures. Our method allows for prospective/retrospective determination of an individual's dose.

‘You make the call’: Improving radiology staff scheduling with AI-generated self-rostering in a medical imaging department

IntroductionNew Zealand's shortage of medical imaging technicians has intensified due to factors like illness, the pandemic, and an ageing workforce. Addressing staff retention issues requires attention to intrinsic factors like workplace satisfaction and work-life balance. Self-rostering has proven effective in healthcare by enhancing work-life balance, job satisfaction, and retention, but it has not been implemented widely in radiology. This study aimed to explore the perceptions, benefits, and challenges of implementing AI-generated self-rostering in a radiology department through simulated trials. MethodsThis study simulated an AI-generated roster in a regional New Zealand radiology department, engaging 23 staff members. A mixed-methods approach included surveys and discussion groups. Community-based participatory action methodology guided discussion groups and informed modifications. ResultsThe AI-generated self-rostering method demonstrated success by meeting a high percentage of shift preferences while fulfilling service demands. Participants perceived potential benefits in work-life balance and autonomy, though uncertainties persisted regarding implementation and fairness. Despite staff reservations, we found that an AI-generated self-rostering system may be fairer than manual self-rostering, while saving radiology staff time and cost. ConclusionAI-generated self-rostering offers an innovative solution to an old problem. This self-rostering system provides a fair way for staff to have a say in the shifts they do, which increases feelings of work-life balance and autonomy. In this simulation, AI-generated self-rostering was well received, and most staff were receptive to moving to pilot the programme. Implications for practiceSelf-rostering could be a potential solution to staff retention issues in radiology; we recommend a pilot study is implemented. When switching to self-rostering, departments should consider implementing one-on-one support systems to assist staff with entering preferences. Education is essential to encourage staff understanding and cooperation.

Study of the radionuclide deposition in the radioactive ion line of the Selective Production of Exotic Species (SPES) facility

SPES (Selective Production of Exotic Species) is a second generation facility for the production of radioactive ion beams that is going to be commissioned at the Laboratori Nazionali di Legnaro of INFN at Legnaro, Padua, Italy. Radioactive neutron-rich isotopes are expected to be produced by nuclear fission induced by a 40 MeV, 200 μA primary proton beam impinging on a 238UCx target. The expected reaction rate is about 1013 fission/s. Radioactive ion beams are produced using the isotope separation on-line technique. The production of such an amount of radioactive species raises radiological issues throughout the life cycle of the facility. A study of the radioactive contamination of the components of the radioactive ion beam line is performed with the FLUKA Monte Carlo simulation code, under realistic hypotheses for the produced isobaric beams. The present results complete previous studies focused on the radiological impact of the production target irradiation, the residual activation of the primary proton beam line and the radioactive contamination of the ion source complex. The overall ambient dose equivalent rate due to the different radiation sources is calculated at several positions inside the production bunker and at different times after a typical one-year operating period of the facility with the 238UCx target at full power. The obtained results and the developed methodology provide the guidelines and the needed tools to plan ordinary and extraordinary interventions as well as final decommissioning of the SPES facility.

Perceptions of work-life balance and gender issues in private radiology in Australia.

Women comprise almost 30% of practising clinical radiologists in Australia. Despite three-quarters of clinical radiologists working in private practice, there is limited research regarding the experience of female radiologists in private practice and issues surrounding work-life balance. The primary aim of this study was to identify gender issues within private radiology and investigate work-life balance, focusing on issues relevant for female practitioners. Clinical radiologists working in private practice at five major Australian private radiology service providers were sent an email on behalf of the researchers, containing study information and a link to an online questionnaire. Descriptive statistics, chi-square analysis and Fisher's exact test were used. Binary logistic regression was used to determine odds ratios and 95% confidence intervals. Responses to short-answer questions were analysed manually and grouped into themes. There were consistent gender differences in perceptions of gender and its implication upon working and career progression in radiology private practice. There was near unanimous agreement that private radiologists should be able to work flexible/reduced working hours for a proportionate decrease in pay. Two themes with distinct gender differences related to pay equity and transparency. Key themes relating to work-life balance for private radiologists included workload, setting boundaries and flexibility of work hours in private radiology. This preliminary survey highlights areas related to work-life balance and gender issues relevant for female practitioners in private practice radiology in Australia that can be targeted for further investigation and improvement, namely pay equity and transparency, and part-time leadership opportunities.

Why Medical Students Pursue Radiology: A Current Longitudinal Survey on Motivations and Controversial Issues in Radiology

Radiology is an increasingly competitive specialty. Various current factors influence medical students' decision to pursue a radiology career, including artificial intelligence (AI), remote reading, and COVID-19. This study seeks to determine the decision-making factors of all alumni from our medical school who matched into a radiology residency, and to gather opinions on emerging radiology topics. A survey querying decision-making factors and opinions on current radiology topics was distributed to all alumni from our medical school (first graduating class in 2011) who previously matched into a diagnostic or interventional radiology residency program (n=57). Wilcoxon Rank-Sum and Fisher's Exact tests were used to determine statistical significance. Forty-three of fifty-seven responses were received (75% response rate). The most influential factor that sparked respondents' interest in radiology was a radiology elective (25/43, 58%). Students who will finish radiology training in 2023 or later were more likely to be influenced by a mentor (15/23, 65%) than those who finished radiology training before 2023 (5/20, 25%) (p=0.04). Respondents reported a 1.6/5 concern about AI negatively impacting their future career in radiology. There was 1.7/5 concern about performing radiology procedures on patients during the COVID-19 pandemic. Respondents predicted that remote reading would have a 3.2/5 positive impact on helping them achieve their preferred lifestyle. Job satisfaction among attending radiologists is rated at 4.3/5. Radiology electives had the greatest influence in piquing students' interest in radiology, while mentorship is assuming increasing influence. AI is perceived as a relatively minimal threat to negatively impact radiologists' jobs. Respondents had little concern about performing radiology procedures during the COVID-19 pandemic. Remote reading is viewed as having a moderately positive impact on lifestyle. Responding radiologists enjoy notably high job satisfaction.

68Ga-FAPI-46 PET/CT Tracer Uptake in CT-Diagnosed Intra-Abdominal Fat Necrosis: Letter to Maliha et al.

I read with great interest the Images in Cancer article by Dr Maliha et al. in the June 2023 issue of Radiology: Imaging Cancer, which provides valuable insights regarding FAPI uptake in fat necrosis [1]. While I acknowledge the insights provided by the authors, there are a few points that merit further evaluation and discussion.

Capacity of shear wave telephotography in the diagnosis of diffuse liver disease

Liver fi brosis is a process that is developed by a result of chronic liver disease progression,andifthisprocessisnotstopped,cirrhosisorhepatocellularcarcinomaprogression, and if this process is not stopped, cirrhosis or hepatocellular carcinoma (HCC)develops.Fibrousandcirrhoticchangesinthelivercausedamagetothestructure(HCC) develops. Fibrous and cirrhotic changes in the liver cause damage to the structure oftheliver,disruptionoffunction,andcomplicationsthatendangerhumanlifeandof the liver, disruption of function, and complications that endanger human life and leadtoafairlyhighpercentageoflethality.Thisiswhythediagnosisofdiffuseliverlead to a fairly high percentage of lethality.This is why the diagnosis of diffuse liver diseaseatanearlystageisafundamentalissueinmodernradiology.Modernimagingdisease at an early stage is a fundamental issue in modern radiology. Modern imaging techniqueswhicharenewlyintroducedinpractice,ultrasoundtelephotographyisusedtechniques which are newly introduced in practice, ultrasound telephotography is used todiagnoseliverfibrosis.Basedonthismethoditispossibletodetectthealteredto diagnose liver fi brosis. Based on this method it is possible to detect the altered elasticityoflivertissueinanon-invasivewayandtodeterminethedegreeoffibrosis.elasticity of liver tissue in a non-invasive way and to determine the degree of fi brosis. Earlydiagnosisofthediseaseanditstimelytreatmentleadtoabetterprognosis.TheEarly diagnosis of the disease and its timely treatment lead to a better prognosis. The aimoftheliteraturereviewistopresentthecapabilitiesofshearwavetelephotog-aim of the literature review is to present the capabilities of shear wave telephotog-raphyindiagnosingandevaluatingliverfibrosis.Wehaveresearchedandreviewedraphy in diagnosing and evaluating liver fi brosis. We have researched and reviewed therelevantscientificliterature,andbrieflysummarizedexistingknowledgeonthethe relevant scientifi c literature, and briefl y summarized existing knowledge on the resultsoftwo-dimensionalshearwaveelastographicstudyinhepatology.Theresultsresults of two-dimensional shear wave elastographic study in hepatology. The results ofthestudyrevealedtheundoubtedadvantagesandhighreliabilityofshearwaveof the study revealed the undoubted advantages and high reliability of shear wave telephotography,aswellasshoweditslimitations.Ourliteraturereviewconfirmsantelephotography, as well as showed its limitations. Our literature review confi rms an importantroleofshearwavetelephotographyinthediagnosisofdiffuseliverdiseasesimportant role of shear wave telephotography in the diagnosis of diffuse liver diseases andoutlinesaspectsoffutureresearchtofurtherimprovethisdiagnosticmethod.and outlines aspects of future research to further improve this diagnostic method.

Histopathologic Validation of Stress T1 Mapping in Myocardial Ischemia: Another Step toward Clinical Translation?

Histopathologic Validation of Stress T1 Mapping in Myocardial Ischemia: Another Step toward Clinical Translation?

The "cardiac neglect": a gentle reminder to radiologists interpreting contrast-enhanced abdominal MDCT.

Myocardial infarction (MI) may be visible on contrast-enhanced multidetector computed tomography (MDCT) scans of the abdomen. In the previous literature, potentially missed MI in abdominal MDCTs was not perceived as an issue in radiology. This retrospective single-center study assessed the frequency of detectable myocardial hypoperfusion in contrast-enhanced abdominal MDCTs. We identified 107 patients between 2006 and 2022 who had abdominal MDCTs on the same day or the day before a catheter-proven or clinically evident diagnosis of MI. After reviewing the digital patient records and applying the exclusion criteria, we included 38 patients, with 19 showing areas of myocardial hypoperfusion. All MDCT studies were non ECG-gated. The delay between the MDCT examination and MI diagnosis was shorter in studies with myocardial hypoperfusion ( hours and hours) but not statistically significant . Only 2 of 19 (11%) of these pathologies had been noted in the written radiology reports. The most common cardinal symptom was epigastric pain (50%), followed by polytrauma (21%). STEMI was significantly more common in cases of myocardial hypoperfusion . Overall, 16 of 38 (42%) patients died because of acute MI. Based on extrapolations using local MDCT rates, we estimate several thousand radiologically missed MI cases worldwide per year.

Ferumoxytol: Another Exciting Addition to the Growing Field of Bone Marrow Imaging.

Ferumoxytol: Another Exciting Addition to the Growing Field of Bone Marrow Imaging.

Vaccination and Reduced Severity of COVID-19 Pneumonia Viewed at Chest Radiography

HomeRadiologyVol. 304, No. 3 PreviousNext CommunicationsFree AccessLetters to the EditorVaccination and Reduced Severity of COVID-19 Pneumonia Viewed at Chest RadiographyAndrea Borghesi , Roberto MaroldiAndrea Borghesi , Roberto MaroldiAuthor AffiliationsDepartment of Medical and Surgical Specialties, Radiological Sciences and Public Health, University of Brescia, ASST Spedali Civili of Brescia, Piazzale Spedali Civili 1, 25123 Brescia, Italyemail: [email protected]Andrea Borghesi Roberto MaroldiPublished Online:Jun 7 2022https://doi.org/10.1148/radiol.220309MoreSectionsPDF ToolsImage ViewerAdd to favoritesCiteTrack CitationsPermissionsReprints ShareShare onFacebookTwitterLinked In Editor:We read with great interest the article by Dr Lee and colleagues published in the June 2022 issue of Radiology (1). In their large cohort of 716 hospitalized patients with COVID-19, patients vaccinated for COVID-19 exhibited fewer findings of COVID-19 pneumonia at chest CT than did patients who were not vaccinated. Additionally, the need for ventilatory support and the frequency of intensive care unit admission were significantly lower in the vaccinated group than in the unvaccinated group (1).In a similar vein, we reviewed our own data on the impact of vaccination on COVID-19 pneumonia severity in our hospital, which is in the eastern part of Lombardy, Italy. Our hospital was one of the hot spots of the COVID-19 pandemic in Italy. We selected chest radiographs acquired in our emergency department between November 2021 and February 2022 in patients with COVID-19 and respiratory symptoms, and in whom COVID-19 vaccination status was available. We considered both hospitalized and discharged patients. Patients who had not completed their vaccination course or previously had COVID-19 were excluded. We ranked the disease severity using a dedicated chest radiography scoring system (Brixia score) for patients with COVID-19 (2–5). To analyze differences between the vaccinated and unvaccinated groups, baseline characteristics (patient age and sex) and Brixia scores were compared by using the Mann-Whitney U test and χ2 test. Notification of this retrospective analysis was presented to our local ethics committee.Of 205 patients in whom chest radiography was performed in our emergency department, there were 109 patients who were vaccinated and 96 patients who were unvaccinated. Age and sex were similar in the two groups (P = .50). The Brixia score was higher in the unvaccinated group (median, 5; IQR, 3–7) than in the vaccinated group (median, 1; IQR, 0–6) (P < .001). The percentage of chest radiographs without lung abnormalities was higher in the vaccinated group (36%) than in the unvaccinated group (13%) (P < .001).The data presented by Dr Lee and colleagues and our own preliminary data are concurrent: Both studies highlight the crucial role of COVID-19 vaccination to overcome this disease by providing evidence on images of vaccine efficacy and by providing hope for a gradual return to normalcy.Disclosures of conflicts of interest: A.B. No relevant relationships. R.M. No relevant relationships.

The gender imbalance in Interventional Radiology in Australia and New Zealand.

There are few female Interventional Radiologists worldwide and this is a significant issue for many countries. There is little known about the current status and attitudes to women in Interventional Radiology in Australia and New Zealand. The purpose of this study was to explore the gender balance, workforce challenges and perceptions towards women in Interventional Radiology in Australia and New Zealand. An anonymised voluntary survey exploring the current demographics of Interventional Radiologists and opinions on multiple gender issues in Interventional Radiology was conducted. The survey was sent to all members of the Interventional Radiology Society of Australasia. Statistical analysis was performed using independent samples t-tests, the non-parametric Mann-Whitney U testing and proportions of binary variables using logistic regression. Seventy seven responses were received, 83% males and 17% females. The majority of participants worked full time (83%) and identified as an Interventional Radiologist with/without some sessions of diagnostic radiology per week (83%). There was general consensus in many issues; however, males tended to disagree more than females that female IRs are treated differently than male IRs (p < 0.037), and that male IRs are paid more than female IRs (P = 0.020). Females agreed it was harder for female IRs to gain academic or clinical promotion; however, males disagreed (P < 0.001). There is a clear gender imbalance in Interventional Radiology in Australia and New Zealand. Multiple issues should be investigated and addressed by the major stakeholders such as the Royal Australian and New Zealand College of Radiologists and the Interventional Radiology society of Australasia.

Naturally-Occurring Radioactive Materials at water treatment plant on the Poços de Caldas Plateau Region, Brazil

ABSTRACT Oil and gas, mining, among others, are examples of facilities where naturally occurring radioactive materials can be found. This study aims to evaluate the presence of natural radioactive series, especially those of 238U and 232Th, in the water treatment plants of Poços de Caldas City, Minas Gerais. The presence of these series was investigated in samples of raw water, treated water, sludge from decanters, and scale from Parshall gutters. The sludge, input, and scale samples were submitted to the gamma spectrometry technique to determine the 226Ra, 228Ra, and 210Pb radionuclides. For U and Th, ultraviolet visible spectrophotometry was performed, and for the alpha and beta total values, radiochemical separation and subsequent alpha and beta total counts were performed. The results indicate that water samples are within the Ministry of Health Ordinance n° 5 (2017). Due to the different concentrations of radionuclide activity in the sludge, it was not possible to affirm the same order of magnitude with the sediment from the catchments. However, the values are in accordance with those established by the European Union Council for Naturally-Occurring Radioactive Materials. In the scale, the contents of 1192, 1704, and 301 Bq kg−1 were identified for 226Ra, 228Ra, and 210Pb, respectively. In the inputs of aluminum sulfate and calcium hydroxide, no relevant activities were identified. The results obtained in the study can serve as an indicative regarding the need for a more detailed evaluation of the radiological issue in question concerning public water supplies.

Gestão do cuidado em enfermagem na proteção radiológica em radiologia intervencionista

To reflect on the elements of nursing care management in radiological protection in interventional radiology. A reflection paper based on national and international articles and laws addressing the nursing care management issue and radiological protection in interventional radiology. From the conceptions of nursing care management and professional practice, the following elements were perceived in this management: expertise and applicability of the radiological protection principles, biological effects of ionizing radiation, occupational dose monitoring, personal and collective protective equipment, patient safety, training in radiological protection, quality assurance program. The management of nursing care in radiological protection in interventional radiology is implemented in an elementary way regarding care aimed at dose reduction, either for workers or patients. There is a need to recognize, understand and characterize the management of nursing care in this scenario.

Entry Tear Dominance at CT Angiography Predicts Long-term Clinical Outcomes in Aortic Dissection: Another Piece of the Puzzle.

Entry Tear Dominance at CT Angiography Predicts Long-term Clinical Outcomes in Aortic Dissection: Another Piece of the Puzzle.

Gait characteristics under single-/dual-task walking conditions in elderly patients with cerebral small vessel disease: Analysis of gait variability, gait asymmetry and bilateral coordination of gait

BackgroundDual-task walking (DTW) is common in daily life and represents an ideal paradigm for elucidating gait irregularity. Under single-task walking (STW) and DTW conditions, the symmetric and bilaterally coordinated human gait pattern found in healthy individuals is absent in individuals with neurological ailments such as Parkinson’s disease, Alzheimer’s disease and post-stroke issues. Cerebral small vessel disease (CSVD) is a neuropathological and radiological issue that has been reported to be associated with cognitive and motor disorders. However, few gait analyses have focused on elderly individuals with CSVD under DTW conditions. Research questionAre parameters of gait analysis helpful in elucidating gait abnormalities in elderly patients with CSVD under DTW conditions? MethodsA total of 46 elderly patients with CSVD (CSVD group) and 22 healthy, age-matched individuals (HE group) were recruited. Gait data were collected from both groups under STW and DTW conditions. Direct parameters and metrics reflecting gait variability, gait asymmetry, and bilateral coordination of gait in the two groups were compared. ResultsUnder STW conditions, elderly individuals with CSVD showed markedly shorter stride length, were slower, and had higher gait asymmetry (GA) and phase coordination index (PCI) than healthy controls after adjusting for age, sex and level of education. Under DTW conditions, there were statistically significant differences between the two groups in stride time, stride length, cadence, stride time variability, GA and PCI after adjusting for age, sex, and level of education. SignificanceReanalysis-generated parameters, such as gait variability, GA, and PCI, are biomarkers for gait dysfunction in elderly patients with CSVD. In this study, elderly individuals with CVSD showed abnormal gait features under both STW and DTW conditions.

Radiology Alchemy: GAN We Do It?

Radiology Alchemy: GAN We Do It?