Nationwide, Longitudinal Trends in CT Colonography Utilization: Cross-Sectional Survey Results From the 2010 and 2015 National Health Interview Survey
Colon cancer screening reduces deaths from colorectal cancer. Screening rates have plateaued; however, studies have found that giving patients a choice between different screening tests improves adherence. CT colonography is a minimally invasive screening test with high sensitivity for colonic polyps (>1 cm). With increasing insurance coverage of CT colonography nationwide, there are limited estimates of CT colonography utilization over time. Our purpose was to estimate CT colonography utilization over time using nationally representative cross-sectional survey data. (Source: Journal of the American College of Radiology : JACR)
Source: Journal of the American College of Radiology : JACR - March 15, 2019 Category: Radiology Authors: Anand K. Narayan, Diego B. Lopez, Avinash R. Kambadakone, Debra A. Gervais Tags: Original article Source Type: research

A Qualitative Study to Understand Patient Perspective on the Use of Artificial Intelligence in Radiology
Artificial intelligence (AI) refers to the development of computer algorithms to accomplish tasks traditionally associated with human intelligence, such as the ability to learn and solve problems [1]. Currently, several narrow task-specific AI applications have been shown to match and occasionally surpass human intelligence [2]. However, it is expected that general AI will surpass human performance in specific applications in the coming years [2]. (Source: Journal of the American College of Radiology : JACR)
Source: Journal of the American College of Radiology : JACR - March 13, 2019 Category: Radiology Authors: Marieke Haan, Yfke P. Ongena, Saar Hommes, Thomas C. Kwee, Derya Yakar Tags: Case Study in Data Science Source Type: research

Reducing the Impact of Same-Day Missed Appointments
Radiologist reimbursement cuts over the last few years have driven outpatient imaging centers to find innovative ways to cut costs and improve efficiency while maintaining high image quality. A California-based outpatient imaging center has been tackling the problem of same-day missed appointments since 2014. The lack of meaningful change with each experiment in the last 4 years has led the organization to change direction and look for ways to actively maintain a desired utilization level. An interim solution to cut examination times in modalities with high cancellation rates allows schedulers to schedule more examinations...
Source: Journal of the American College of Radiology : JACR - March 4, 2019 Category: Radiology Authors: Jill Speece Tags: Original article Source Type: research

My First Quality Improvement Project
Every day we complain. There has to be a better way! Why are we doing this? Who designed this thing, anyway? We are excellent at observing the problems around us and reporting them, both to “leaders” who we expect will solve them on our behalf and to bystanders who will commiserate our anger. Not often do we act. Not often do we take ownership and fix the things that trouble us. (Source: Journal of the American College of Radiology : JACR)
Source: Journal of the American College of Radiology : JACR - March 4, 2019 Category: Radiology Authors: Sarah E.H. Moorman, Prasad R. Shankar, Matthew S. Davenport Tags: Quality in practice Source Type: research

Revolutionizing Radiology Education to Add Value —What’s Next?
Growing evidence suggests that competence develops best when radiologic concepts are seamlessly integrated longitudinally into the curriculum. Interdisciplinary experiences allow for deliberate thought and reasoning, which helps learners master skills and continue to grow as physicians. Despite this, most medical schools have incorporated relatively little radiology into the preclinical years and continue to offer block clinical rotations, with radiology required only for a minority. (Source: Journal of the American College of Radiology : JACR)
Source: Journal of the American College of Radiology : JACR - March 4, 2019 Category: Radiology Authors: Priscilla J. Slanetz, David M. Naeger, Sravanthi Reddy, Caroline Carrico, Christopher Straus, Lori A. Deitte Tags: Civil discourse Source Type: research

A Devilish Dilemma: To Recognize Top Performers . . . Or Not
Many faculty members in your department are truly outstanding, including highly dedicated teachers, clinicians, and researchers. You want to support and publically recognize the high performers but are concerned this may demotivate other faculty members who are also working hard but will not be recognized. How do you handle this? (Source: Journal of the American College of Radiology : JACR)
Source: Journal of the American College of Radiology : JACR - March 4, 2019 Category: Radiology Authors: Frank J. Lexa, David Fessell Tags: Devilish dilemma Source Type: research

Quality of Documentation of Contrast Agent Allergies in Electronic Health Records
To describe and appraise contrast agent allergy documentation in the electronic health record (EHR). (Source: Journal of the American College of Radiology : JACR)
Source: Journal of the American College of Radiology : JACR - March 4, 2019 Category: Radiology Authors: Francis Deng, Matthew D. Li, Adrian Wong, Leigh T. Kowalski, Kenneth H. Lai, Subba R. Digumarthy, Li Zhou Tags: Original article Source Type: research

Patient-Friendly Summary of the ACR Appropriateness Criteria: Post-treatment Follow-up of Prostate Cancer
Men who have been treated for prostate cancer need regular prostate-specific antigen (PSA) blood tests to check if the cancer has come back. High PSA is a strong sign the cancer may be back but does not indicate if it is local or has spread outside of the prostate area. The recommended imaging test depends on the initial cancer treatment: (Source: Journal of the American College of Radiology : JACR)
Source: Journal of the American College of Radiology : JACR - March 1, 2019 Category: Radiology Authors: Frank J. Rybicki, Jennifer W. Uyeda Tags: Appropriate use criteria Source Type: research

Patient-Friendly Summary of the ACR Appropriateness Criteria: Chronic Ankle Pain
When ankle pain continues for 6 weeks or more, it is considered chronic. The most appropriate first imaging test is an x-ray. X-rays provide general information about bone and tissue abnormalities. It is almost always the only imaging test of the ankle needed. (Source: Journal of the American College of Radiology : JACR)
Source: Journal of the American College of Radiology : JACR - March 1, 2019 Category: Radiology Authors: Frank J. Rybicki, MacArinze Ojiaku Tags: Appropriate use criteria Source Type: research

Development of an Academic-Private Collaborative Medical Physics Imaging Residency  Training Model
The practice environment of imaging medical physicists varies considerably from that of their therapeutic counterparts [1,2]. As of 2016, the ratio of qualified medical physicists (QMPs) in the diagnostic and nuclear medicine subfields employed in cancer center, hospital, medical school, and university settings to that of medical physics service groups was approximately 2.8:1, compared with 12:1 of their therapeutic counterparts (estimated from an American Association of Physicists in Medicine [AAPM] survey [3]). (Source: Journal of the American College of Radiology : JACR)
Source: Journal of the American College of Radiology : JACR - March 1, 2019 Category: Radiology Authors: Jonathon A. Nye, Michael Cuddy, Thomas Ruckdeschel, Ngoneh Jallow, Shalmali Dharmadhikari, Xiangyang Tang, Mark E. Mullins Tags: Training and education Source Type: research

Certification in Medical Physics Imaging, The Workforce and Training Models
The pathway to becoming a qualified medical physicist (QMP) in the imaging physics disciplines includes several certification organizations. Imaging QMPs play an essential role in the safe practice of the diagnostic disciplines, and their qualifications are necessary for compliance with federal bodies and professional accreditation organizations. The future demand for imaging QMPs is largely unknown, but professional organizations that represent these groups agree that efforts should be made to increase the number of matriculating trainees. (Source: Journal of the American College of Radiology : JACR)
Source: Journal of the American College of Radiology : JACR - March 1, 2019 Category: Radiology Authors: Jonathon A. Nye, Michael Cuddy, Thomas Ruckdeschel, Ngoneh Jallow, Shalmali Dharmadhikari, Xiangyang Tang, Mark E. Mullins Tags: Original article Source Type: research

The ABR Diagnostic Radiology Core Examination: Change in Policy Regarding Timing for Eligibility to Take the Examination
The ABR strongly supports all aspects of diversity, equity, and inclusion. This includes opportunities for leaves of absence from residency training for a variety of reasons, including parental leave for all genders. (Source: Journal of the American College of Radiology : JACR)
Source: Journal of the American College of Radiology : JACR - March 1, 2019 Category: Radiology Authors: Brent J. Wagner, Valerie P. Jackson Tags: Department Source Type: research

The Resident Preliminary Report: Benefits of a Second Read
We read the excellent essay by Davenport et  al, “The Resident Preliminary Report,” with great interest [1]. The authors address the recent trend at academic medical centers for providing overnight radiology coverage using attending radiologists. We have also recently discussed this issue [2]. (Source: Journal of the American College of Radiology : JACR)
Source: Journal of the American College of Radiology : JACR - March 1, 2019 Category: Radiology Authors: Michael A. Bruno, James R. Duncan, Andrew J. Bierhals, Rafel Tappouni, Elizabeth A. Krupinski Tags: Department Source Type: research

Society of Chairs of Academic Radiology Departments Statement of Support for Paid Parental Leave
The Society of Chairs of Academic Radiology Departments (SCARD), as stated in our bylaws, advances the art and science of radiology by the development of policies and initiatives essential for the success of the clinical, research, and educational missions of radiology and imaging sciences [1]. Faculty well-being and diversity with inclusion  are necessary for this success. Supported parental leave is not only about health and wellness but it is also about equity and creation of an inclusive environment. (Source: Journal of the American College of Radiology : JACR)
Source: Journal of the American College of Radiology : JACR - March 1, 2019 Category: Radiology Authors: Cheri L. Canon, Dieter R. Enzmann, Thomas M. Grist, Carolyn C. Meltzer, Alexander Norbash, Reed A. Omary, James V. Rawson, Michael P. Recht Tags: Department Source Type: research

Authors ’ Reply
We would like to thank the authors for their interest in our editorial. They have raised a number of questions and assertions we would like to address. (Source: Journal of the American College of Radiology : JACR)
Source: Journal of the American College of Radiology : JACR - March 1, 2019 Category: Radiology Authors: Matthew S. Davenport, Kara Gaetke-Udager, Steven L. Kronick Tags: Department Source Type: research

Erratum
In the article titled “Ovarian-Adnexal Reporting Lexicon for Ultrasound: A White Paper of the ACR Ovarian-Adnexal Reporting and Data System Committee” by Rochelle F. Andreotti, MD, Dirk Timmerman, MD, PhD, Beryl R. Benacerraf, MD et al that published in the October 2018 issue of JACR (2018; 15:1415-1429) an error wa s made in the format of table I in Category 4b, Internal Content, Cystic Component, that caused confusion regarding the terms that belong to the category of “endometriosis descriptors”. (Source: Journal of the American College of Radiology : JACR)
Source: Journal of the American College of Radiology : JACR - March 1, 2019 Category: Radiology Tags: Erratum Source Type: research

#DitchtheDisk
CMS administrator Seema Verma joked recently about receiving a CD with her husband ’s health records and wondering if it might also contain a Duran Duran album [1]. The continued use of CDs to transfer images between care providers certainly seems like an anachronism in 2019. As is often the case, health care is lagging well behind other aspects of our lives in this respect. How many of us still have a CD drive on our laptops? National chain Best Buy announced in 2018 that it would no longer sell CDs as a storage medium [2]. (Source: Journal of the American College of Radiology : JACR)
Source: Journal of the American College of Radiology : JACR - March 1, 2019 Category: Radiology Authors: Geraldine B. McGinty Tags: Department Source Type: research

Disclosure
Today everything ’s a conflict of interest.—Sid Vicious (Source: Journal of the American College of Radiology : JACR)
Source: Journal of the American College of Radiology : JACR - March 1, 2019 Category: Radiology Tags: Department Source Type: research

Price Transparency Is No Free Lunch
Wisdom consists of the anticipation of consequences. —Norman Cousins (Source: Journal of the American College of Radiology : JACR)
Source: Journal of the American College of Radiology : JACR - March 1, 2019 Category: Radiology Authors: Kurt Schoppe Tags: Leadership Source Type: research

Natural Language Processing of Radiology Reports in Patients With Hepatocellular Carcinoma to Predict Radiology Resource  Utilization
Radiology is a finite health care resource in high demand at most health centers. However, anticipating fluctuations in demand is a challenge because of the inherent uncertainty in disease prognosis. The aim of this study was to explore the potential of natural language processing (NLP) to predict downstream radiology resource utilization in patients undergoing surveillance for hepatocellular carcinoma (HCC). (Source: Journal of the American College of Radiology : JACR)
Source: Journal of the American College of Radiology : JACR - March 1, 2019 Category: Radiology Authors: A.D. Brown, J.R. Kachura Tags: Original article Source Type: research

Patient Perceptions of CT Imaging in a Diverse Patient Sample
To describe patient perceptions related to CT and evaluate variation related to patient sociodemographic characteristics. (Source: Journal of the American College of Radiology : JACR)
Source: Journal of the American College of Radiology : JACR - March 1, 2019 Category: Radiology Authors: Kimberly E. Lind, Alexandria M. Jensen, Ana Perez-Portillo, Kavita Garg Tags: Original article Source Type: research

Strategic Talent Management: Implementation and Impact of a Leadership Development Program in Radiology
The rapidity of change and increasing complexity of the academic medical center environment require a talented and engaged workforce with competencies in adaptability, capacity for working in empowered and diverse interprofessional teams, and self-efficacy. Radiology —a crosscutting field that interfaces with most other biomedical disciplines and that is often at the forefront of technological disruption—is a potentially ideal venue to focus professional and leadership development to create positive organizational value. (Source: Journal of the American College of Radiology : JACR)
Source: Journal of the American College of Radiology : JACR - March 1, 2019 Category: Radiology Authors: Debra A. Smith, Willie L. Arnold, Elizabeth A. Krupinski, Charles Powell, Carolyn C. Meltzer Tags: Original article Source Type: research

The Resilient Radiologist: You Will Still Feel the Burn
If you get tired, learn to rest. Not to quit. —BanksyScenario: It is only 10:30 am, and you have already been interrupted numerous times for determining protocol, reviewing images, and telephone calls. The work list is growing along with yearly workload and pressure from management. You are increasingly unhappy, unmotivated, and uninspired. H ow did you go from loving radiology to despair? (Source: Journal of the American College of Radiology : JACR)
Source: Journal of the American College of Radiology : JACR - March 1, 2019 Category: Radiology Authors: Sherry S. Wang, Jonathan Revels, Puneet Bhargava Tags: Opinion Source Type: research

Specialized Second Opinion Review of Breast MRI Impacts Management and Increases Cancer Detection
The aim of our study is to determine MRI review discrepancy frequency and the subsequent impact on patient management for patients pursuing breast imaging second opinions. (Source: Journal of the American College of Radiology : JACR)
Source: Journal of the American College of Radiology : JACR - March 1, 2019 Category: Radiology Authors: R. Jared Weinfurtner, Blaise Mooney, Jessica Forbus Tags: Original article Source Type: research

Breast Screening Utilization and Cost Sharing Among Employed Insured Women After the Affordable Care Act
To assess changes in screening mammography cost sharing and utilization before and after the Affordable Care Act (ACA) and the revised US Preventive Services Task Force (USPSTF) guidelines. To compare mammography cost sharing between women aged 40 to 49 and those 50 to  74. (Source: Journal of the American College of Radiology : JACR)
Source: Journal of the American College of Radiology : JACR - March 1, 2019 Category: Radiology Authors: Ruth C. Carlos, A. Mark Fendrick, Giselle Kolenic, Neil Kamdar, Emily Kobernik, Sarah Bell, Vanessa K. Dalton Tags: Original article Source Type: research

Effect of Dynamic Workstation Use on Radiologist Detection of Pulmonary Nodules on CT
The aim of this study was to determine the effects of using a treadmill workstation during CT interpretation on radiologists ’ sensitivity for lung nodule detection, accuracy and adherence to accepted management recommendations, and examination interpretation time. (Source: Journal of the American College of Radiology : JACR)
Source: Journal of the American College of Radiology : JACR - February 27, 2019 Category: Radiology Authors: Cody R. Johnson, David A. Besachio, David Delonga, Christopher Kuzniewski, Christopher S. Mudge Tags: Original article Source Type: research

Patient-Friendly Summary of the ACR Appropriateness Criteria: Breast Imaging of Pregnant and Lactating Women
Pregnant women under the age of 30 at high risk for breast cancer, pregnant women age 30 to 39 at medium or high risk for breast cancer, and pregnant women 40 and older should receive screening mammography with lead shielding to minimize radiation exposure to the fetus. Alternatively, screening may be performed using digital breast tomosynthesis (DBT), a 3-D mammographic technology. Ultrasonography may be used as an additional screening tool  for patients with dense breasts. Ultrasonography is particularly valuable when patients display a noticeable lump. (Source: Journal of the American College of Radiology : JACR)
Source: Journal of the American College of Radiology : JACR - February 27, 2019 Category: Radiology Authors: Celena Romero, Nina S. Vincoff Tags: Appropriate Use Criteria Source Type: research

Frequency of Breast Cancer Thoughts and  Lifetime Risk Estimates: A Multi-Institutional Survey of Women Undergoing Screening Mammography
The aim of this study was to quantify women ’s personal estimates of breast cancer risk and frequency of breast cancer thoughts. (Source: Journal of the American College of Radiology : JACR)
Source: Journal of the American College of Radiology : JACR - February 27, 2019 Category: Radiology Authors: Lars J. Grimm, Rebecca A. Shelby, Emily E. Knippa, Eun L. Langman, Lauren S. Miller, Beth A. Whiteside, Mary Scott Soo Tags: Original article Source Type: research

Patient-Friendly Summary of the ACR Appropriateness Criteria: Chronic Wrist Pain
Arthritis is usually diagnosed by a doctor or with laboratory tests. Imaging tests are used to figure out the amount of breakdown of cartilage in the joint. (Source: Journal of the American College of Radiology : JACR)
Source: Journal of the American College of Radiology : JACR - February 27, 2019 Category: Radiology Authors: Frank J. Rybicki, Bruno Policeni Tags: Appropriate Use Criteria Source Type: research

Lung Cancer Screening in the National Cancer Institute Community Oncology Research Program: Availability and Service Organization
Annual low-dose CT (LDCT) for lung screening in high-risk individuals decreases both lung cancer –specific mortality and all-cause mortality. Community oncology practice networks constituting the National Cancer Institute Community Oncology Research Program (NCORP) conduct clinical trials across the cancer spectrum. The authors report access to and characteristics of LDCT screening for lung c ancer in these community oncology practices. (Source: Journal of the American College of Radiology : JACR)
Source: Journal of the American College of Radiology : JACR - February 25, 2019 Category: Radiology Authors: Ruth C. Carlos, JoRean D. Sicks, Caroline Chiles, Lucy Gansauer, Charles S. Kamen, Anne E. Kazak, Heather B. Neuman, Joseph M. Unger, Kathryn E. Weaver Tags: Original article Source Type: research

Assessing the Effectiveness of a Health Care Economics Curriculum for Radiology Residents
The economic operating environment of radiology practice is becoming increasingly complex, largely because of the current shift toward value-based medicine. This transition to a value-based, risk-sharing model of patient care [1,2] calls for a partial transference of financial risk from insurers to providers [3]. Because of this increased risk exposure, there is a growing need for radiology trainees to receive supplemental business training as an embedded component of their curriculum to prepare them for the transition from clinical training into practice. (Source: Journal of the American College of Radiology : JACR)
Source: Journal of the American College of Radiology : JACR - February 25, 2019 Category: Radiology Authors: Austin Dixon, Karen Johnson, Leah Strickland, Bhavik Patel, Nicholas Said Tags: Case Studies in Training and Education Source Type: research

Serving the Needs of Transgender and Gender-Diverse Persons in Radiology
Transgender and gender-diverse (TGD) persons experience an inner sense of gender that does not align with the sex assigned to them at birth [1]. Although TGD persons are included within the broader social classification of lesbian, gay, bisexual, transgender, and queer (LGBTQ) people, gender identity and sexual orientation are separate constructs (ie, TGD people may have any sexual orientation) (Table  1). A rising prevalence of TGD persons in the United States (an estimated 1.4 million or 1 in 250 adults) coupled with increasing desire and insurance coverage for TGD health services has fueled a need for knowledg...
Source: Journal of the American College of Radiology : JACR - February 25, 2019 Category: Radiology Authors: Justin T. Stowell, Frances W. Grimstad, Daniel L. Kirkpatrick, Liz R. Brown, Efren J. Flores Tags: Diversity matters Source Type: research

Poor Uptake of Lung Cancer Screening: Opportunities for Improvement
Lung cancer screening with low-dose chest CT has been demonstrated to reduce lung cancer mortality among a subset of high-risk current and former smokers. Despite randomized trial evidence and widespread guideline recommendations, uptake of lung cancer screening among currently eligible individuals remains poor. Recent studies estimate that less than 5% of all eligible individuals have undergone screening. Moreover, inappropriate screening of ineligible individuals seems to be common, and among those who have been screened, follow-up may also be poor. (Source: Journal of the American College of Radiology : JACR)
Source: Journal of the American College of Radiology : JACR - February 15, 2019 Category: Radiology Authors: Matthew Triplette, J. Hank Thayer, Sudhakar N. Pipavath, Kristina Crothers Tags: Original article Source Type: research

Communicating Mammography Results: By What Method and How Quickly Do Women Want Their Screening Mammogram Results?
The purpose of the survey study was to understand the majority preference with regards to the wait time for screening mammogram results, whether prompt communication of mammogram results was of importance to patients, whether the time frame to schedule an additional imaging follow-up appointment after an abnormal screening mammogram was important to patients, and how patients preferred to be given their screening mammogram results. There were 2,245 patients who participated in the survey. A majority of patients preferred to receive screening mammogram results on Friday (n  = 1,868, 85.4%), even if their mammogram was ...
Source: Journal of the American College of Radiology : JACR - February 14, 2019 Category: Radiology Authors: Biren A. Shah, Julia Staschen, Nghiem Pham, Alicia Johns Tags: Original article Source Type: research

Surveillance Imaging After MRI-Guided Benign Breast Biopsies
MRI is the most sensitive imaging modality for detecting breast cancer. With increased lesion detection via MRI came the invention of MRI-guided percutaneous core needle biopsies (MR-PCNB). The majority of these biopsies are benign (ranging between 70% and 86%), and therefore determination of radiologic-pathologic concordance is important in guiding patient management [1,2]. If radiologic-pathologic correlation is discordant, further tissue sampling is necessary to counteract sampling error because the rate of malignancy in discordant cases has been reported to be as high as 36% [3,4]. (Source: Journal of the American Coll...
Source: Journal of the American College of Radiology : JACR - February 7, 2019 Category: Radiology Authors: Bhavika K. Patel, Tom Chen, Mary Newell, Heidi E. Kosiorek, Vilert Loving, Carl D ’orsi Tags: Case studies in clinical practice management Source Type: research

Design, Implementation, and Evaluation of a Diversity Program for Radiology
Diagnostic radiology training programs are less diverse than graduating US medical school classes and the patient populations they serve. Inclusion of physicians who are underrepresented minorities in medicine (URMM) can strengthen the profession and help to meet the needs of an increasingly diverse population. Our Department of Radiology developed and implemented a plan to increase the number of URMMs in our residency applicant pool and residency training program. (Source: Journal of the American College of Radiology : JACR)
Source: Journal of the American College of Radiology : JACR - February 7, 2019 Category: Radiology Authors: Stephanie E. Spottswood, Lucy B. Spalluto, Eleby R. Washington, Edwin F. Donnelly, Andrea A. Birch, Marques L. Bradshaw, Reed A. Omary Tags: Original article Source Type: research

2018 ACR Commission on Human Resources Workforce Survey
The ACR Commission on Human Resources conducts an annual workforce survey to determine the makeup of the radiology workforce and to identify potential plans for hiring new staff in an attempt to better understand our profession. (Source: Journal of the American College of Radiology : JACR)
Source: Journal of the American College of Radiology : JACR - February 7, 2019 Category: Radiology Authors: Claire E. Bender, Swati Bansal, Darcy Wolfman, Jay R. Parikh Tags: Original article Source Type: research

Dose Reduction for Upper Extremity CT
Decreasing radiation dose to patients is an important and apropos topic in  this era of rapidly growing medical imaging volumes [1]. Dose optimization projects often target certain percentage dose decreases or threshold estimated doses and make changes, which are tested for diagnostic image quality utilizing phantom or clinical scans [2,3]. (Source: Journal of the American College of Radiology : JACR)
Source: Journal of the American College of Radiology : JACR - February 6, 2019 Category: Radiology Authors: Hythem Omar, Ethan Boothe, Elaina Zabak, Lulu Tenorio, Parham Pezeshk, Jeffrey Guild, Avneesh Chhabra Tags: Case studies in clinical practice management Source Type: research

Overcoming Barriers to Effective Peer Review
Radiology represents a unique specialty in which practitioners randomly review the work of partners via peer review. This philosophy differs from the traditional concept of “morbidity and mortality” conferences that are, by definition, driven by patient harm or death. Much of the impetus for peer review in radiology comes from The Institute of Medicine publications “To Err Is Human: Building a Safer Health System” and “Crossing the Quality Chasm: A New Health System for the 21st Century” [1,2]. The charge of the Institute of Medicine is supported by the ABR, which has expanded its board ...
Source: Journal of the American College of Radiology : JACR - February 6, 2019 Category: Radiology Authors: Cory M. Pfeifer Tags: Opinion Source Type: research

Patterns of Incident Reporting Across Clinical Sites in a Regionally Expanding Academic Radiation Oncology Department
We evaluated patterns of event reporting across five clinical locations within an academic radiation oncology department, with the goal of better understanding variability across sites. (Source: Journal of the American College of Radiology : JACR)
Source: Journal of the American College of Radiology : JACR - February 6, 2019 Category: Radiology Authors: Byung-Han Rhieu, Stephanie A. Terezakis, Stephen Greco, Curtiland Deville, Annette N. Souranis, Amanda Choflet, Theodore L. DeWeese, Akila N. Viswanathan, Wolfram Laub, Todd R. McNutt, Jean L. Wright Tags: Original article Source Type: research

The Impact of MRI on Radiation Oncology Graduate Medical Education
With the development and dissemination of devices combining MRI with a linear accelerator (MR-linacs), and with the increasing use of MRI in simulation and brachytherapy, MRI use in radiation oncology is rapidly expanding. MRI use is also transforming, moving from data acquired in radiology and registered to CT simulation scans at the time of contouring to data that radiation oncologists acquire in their own departments and then must rapidly interpret for adaptive therapy. This transformation creates a need to not only understand MRI-based anatomy but also ensure patient and staff safety during acquisition of MR images and...
Source: Journal of the American College of Radiology : JACR - February 5, 2019 Category: Radiology Authors: Lisa Singer, Stephen A. Rosenberg Tags: Opinion Source Type: research

All I Have Is People
Research on the Korean War has blossomed in the last decade. To me, one of the concentrations of these enquiries is both fascinating and distressing. This focus is on how close to a nuclear conflagration this battle almost became. China did not have a bomb yet. Russia had only a few. MacArthur had several well-developed plans for how nuclear weapons could be used to end the Korean conflict. So, the United States moved several nuclear-capable B-52s to Guam and Okinawa to prepare for an Armageddon [1,2]. (Source: Journal of the American College of Radiology : JACR)
Source: Journal of the American College of Radiology : JACR - February 5, 2019 Category: Radiology Authors: Mark E. Schweitzer Tags: Sparks of creativity Source Type: research

A Call to Action: Radiology Must Seize Control of Its Own Narrative
Many medical students today learn about radiology from nonradiologists, often from other students or physicians in other specialties. This by-proxy education is informal and occurs on the fringes of other rotations. It is an education based mostly on opinion and half-hearted attempts at comedy, the punch lines all too familiar to radiology educators. Nonetheless, for many students, including women who are vital to improving cognitive diversity in radiology, it can provide enough disinformation to ultimately exclude radiology as a career choice. (Source: Journal of the American College of Radiology : JACR)
Source: Journal of the American College of Radiology : JACR - February 5, 2019 Category: Radiology Authors: Monica M. Sheth, Jessica B. Robbins, Arezu H. Monawer, Allison M. Crone, Darel E. Heitkamp Tags: Opinion Source Type: research

Impact of Primary Care Physician Interaction on Longitudinal Adherence to Screening Mammography Across Different Racial/Ethnic Groups
Regular contact with a primary care physician (PCP) is associated with increased participation in screening mammography. Older studies suggested that PCP interaction may have a smaller effect on screening mammography uptake among racial and ethnic minorities compared with whites, but there is limited contemporary evidence about the effect of PCP interaction on screening mammography uptake across different racial and ethnic groups. The purpose of this study was to evaluate the association between PCP contact and longitudinal adherence with screening mammography guidelines over a 10-year period across different racial/ethnic...
Source: Journal of the American College of Radiology : JACR - February 5, 2019 Category: Radiology Authors: Efr én J. Flores, Diego López, Randy C. Miles, McKinley Glover, Constance D. Lehman, H. Benjamin Harvey, Anand K. Narayan Tags: Original article Source Type: research

Temporary Health Impact of Prostate MRI and Transrectal Prostate Biopsy in Active Surveillance Prostate Cancer Patients
To assess the temporary health impact of prostate multiparametric MRI (mpMRI) and transrectal prostate biopsy in an active surveillance prostate cancer population. (Source: Journal of the American College of Radiology : JACR)
Source: Journal of the American College of Radiology : JACR - February 4, 2019 Category: Radiology Authors: Prasad R. Shankar, Katherine E. Maturen, Arvin K. George, Tudor Borza, Chandy Ellimoottil, Jeffrey S. Montgomery, John T. Wei, Brian T. Denton, Matthew S. Davenport Tags: Original article Source Type: research

Comparison of In-Person and Digital Radiology Resident Consultation Services
With initiatives such as Imaging 3.0, exposure to value-based imaging during residency becomes increasingly important [1]. Our resident-run radiology consultation service aims to reduce inappropriate inpatient imaging and engage radiology residents in quality improvement. (Source: Journal of the American College of Radiology : JACR)
Source: Journal of the American College of Radiology : JACR - February 4, 2019 Category: Radiology Authors: Jennifer Gillman, Stephanie E. Wu, Jennifer Rowland, Mary Scanlon, Po-Hao Chen Tags: Case studies in training and education Source Type: research

Impact of a Speed Mentoring Program in an Academic Radiology Society
Mentorship is critical to the success of academic radiologists. Mentors provide advice and guidance with the intention of fostering the growth of their mentees ’ careers. In a qualitative study of junior faculty members in academic medicine, nearly all of the faculty cited a lack of mentorship as one of the two most significant impediments to their career advancement [1]. Similarly, the vast majority of surveyed program directors of diagnostic radiology residencies believe that mentorship is important to residents when choosing to pursue an academic career [2]. (Source: Journal of the American College of Radiology : JACR)
Source: Journal of the American College of Radiology : JACR - February 4, 2019 Category: Radiology Authors: Jessica B. Robbins, Katherine A. Klein, Priscilla J. Slanetz Tags: Case studies in training and education Source Type: research

An Intelligent Clinical Decision Support System for Preoperative Prediction of Lymph Node Metastasis in Gastric Cancer
The aim of this study was to develop and validate a computational clinical decision support system (DSS) on the basis of  CT radiomics features for the prediction of lymph node (LN) metastasis in gastric cancer (GC) using machine learning–based analysis. (Source: Journal of the American College of Radiology : JACR)
Source: Journal of the American College of Radiology : JACR - February 4, 2019 Category: Radiology Authors: Qiu-Xia Feng, Chang Liu, Liang Qi, Shu-Wen Sun, Yang Song, Guang Yang, Yu-Dong Zhang, Xi-Sheng Liu Tags: Original article Source Type: research

Measuring Diagnostic Radiologists: What Measurements Should We Use?
For years, radiologists (and their administrators) have been attempting to measure diagnostic radiologist performance [1]. The premise is that patients must be protected from practitioners who deviate from standards of care, and identifying suboptimal individual outliers will in some way provide information that can be used to remediate performance. Such logic has engendered regulatory requirements, such as those of the Joint Commission, that expect provider-level quality assurance data to be reported and acted upon for all physicians [2]. (Source: Journal of the American College of Radiology : JACR)
Source: Journal of the American College of Radiology : JACR - February 1, 2019 Category: Radiology Authors: Matthew S. Davenport, David B. Larson Tags: Quality in practice Source Type: research

Patient-Friendly Summary of the ACR Appropriateness Criteria: Seizures —Child
Every year, approximately 120,000 children have a first seizure. To determine what type of imaging test should be performed after a seizure, physicians look at additional symptoms and use the results of an electroencephalogram, a test that measures brain electrical activity. (Source: Journal of the American College of Radiology : JACR)
Source: Journal of the American College of Radiology : JACR - February 1, 2019 Category: Radiology Authors: Stacey Tinianov, Dianna M.E. Bardo Tags: Appropriate use criteria Source Type: research