Artificial Intelligence and the Trainee Experience in Radiology
The hype around artificial intelligence (AI) in radiology continues unabated, despite the fact that the exact role AI will play in future radiology practice remains undefined. Nevertheless, education of the radiologists of the future is ongoing and needs to account for the uncertainty of this new technology. Radiology residency training has evolved even before the recent advent of imaging AI. Yet radiology residents and fellows will likely one day experience the benefits of an AI-enabled clinical training. (Source: Journal of the American College of Radiology : JACR)
Source: Journal of the American College of Radiology : JACR - September 30, 2020 Category: Radiology Authors: Scott A. Simpson, Tessa S. Cook Tags: Original Article Source Type: research

Artificial Intelligence: A Private Practice Perspective
Artificial intelligence (AI) is an exciting technology that can transform the practice of radiology. However, radiology AI is still immature with limited adopters, dominated by academic institutions, and few use cases in general practice. With scale and a focus on innovation, our practice has had the opportunity to be an early adopter of AI technology. We have gained experience identifying use cases that provide value for our patients and practice, selecting AI products and vendors; piloting vendors ’ AI algorithms; creating our own AI algorithms; implementing, optimizing, and maintaining these algorithms; garnering ...
Source: Journal of the American College of Radiology : JACR - September 30, 2020 Category: Radiology Authors: Nina Kottler Tags: Original Article Source Type: research

Mapping the Ultrasound Landscape to Define Point-of-Care Ultrasound and Diagnostic Ultrasound: A White Paper From the Society of Radiologists in Ultrasound and ACR Commission on Ultrasound
Current descriptions of ultrasound evaluations, including use of the term “point-of-care ultrasound” (POCUS), are imprecise because they are predicated on distinctions based on the device used to obtain images, the location where the images were obtained, the provider who obtained the images, or the focus of the examination. This is confusing because it does not accou nt for more meaningful distinctions based on the setting, comprehensiveness, and completeness of the evaluation. In this white paper, the Society of Radiologists in Ultrasound and the ACR Commission on Ultrasound articulate a map of the ultrasound...
Source: Journal of the American College of Radiology : JACR - September 29, 2020 Category: Radiology Authors: Maitray D. Patel, Mindy M. Horrow, Aya Kamaya, Mary C. Frates, Nirvikar Dahiya, Lauren Golding, Wui K. Chong, Marielia Gerena, Sujata Ghate, Phyllis Glanc, Alyssa R. Goldbach, Sonia Gupta, Paul A. Hill, Stephen I. Johnson, Madison R. Kocher, Eric Rubin, R Tags: Original Article Source Type: research

Systematic Review of Transgender-Related Research in Radiology Over a Decade: There Is Work to Be Done
The ACR has established that diversity and inclusion are central to its mission of excellence in the radiologic professions; therefore, radiologists have a responsibility to serve the imaging needs of the transgender community. To understand radiologists ’ current knowledge of transgender topics, the authors performed a systematic review of publications from radiology journals. (Source: Journal of the American College of Radiology : JACR)
Source: Journal of the American College of Radiology : JACR - September 29, 2020 Category: Radiology Authors: Jasper Kennedy, Jordan D. Perchik, Kristin K. Porter Tags: Original Article Source Type: research

Implementation of an Electronic Dashboard for Reporting and Tracking of Health Care Professional Requirements
Since the adoption of the Patient Protection and Affordable Care Act of 2010, there has been a trend in medicine to focus on quality metrics aimed at increasing “value-added care” [1]. This trend is happening in parallel with continued advances in technology, as well as increasing utilization of radiologic services. As a result of these realities, there has been increasing demand on both radiologists and associated support staff members to track profess ional requirements. In our multispecialty physician group, these requirements had historically been tracked with a paper-based or person-based method. (Source: ...
Source: Journal of the American College of Radiology : JACR - September 28, 2020 Category: Radiology Authors: Christina Cinelli, David Somsen, Ashley Quinn, Rebecca Murray, Nancy Horn Tags: Case Studies in Clinical Practice Management Source Type: research

Murmurs of Mirth: Ruling in Levity and Lightness
I have seen what a laugh can do. It can transform almost unbearable tears into something bearable, even hopeful. —Bob Hope [1] (Source: Journal of the American College of Radiology : JACR)
Source: Journal of the American College of Radiology : JACR - September 21, 2020 Category: Radiology Authors: David Fessell Tags: Opinion Source Type: research

Patient-Friendly Summary of the ACR Appropriateness Criteria: Chronic Dyspnea-Noncardiovascular Origin
Dyspnea is the experience of breathing discomfort or shortness of breath and has many possible causes. When it is not caused by a heart problem, dyspnea is called “noncardiovascular.” When dyspnea lasts for more than 1 month, it is considered chronic. (Source: Journal of the American College of Radiology : JACR)
Source: Journal of the American College of Radiology : JACR - September 15, 2020 Category: Radiology Authors: Emmanuel Budis, Nina S. Vincoff Tags: Appropriate Use Criteria Source Type: research

Analysis of the 30-Pack-Year Smoking Threshold in African Americans From an Underserved Lung Cancer Screening Program
African Americans were underrepresented in lung cancer screening (LCS) trials, despite having higher lung cancer incidence and worse outcomes compared with Caucasians. There is concern that the 30-pack-year threshold excludes some African Americans who may benefit from LCS. (Source: Journal of the American College of Radiology : JACR)
Source: Journal of the American College of Radiology : JACR - September 15, 2020 Category: Radiology Authors: Anupam Basu, Luke Kopulos, Nicole Geissen, Shashvat Sukhal, Sean B. Smith Tags: Health Services Research and Policy Source Type: research

Authors ’ Reply
We thank Dr Farmakis and Dr Barth for their letter to the editor, in which they raise concerns regarding the exclusion of pediatric radiology data and information within the 2019 ACR Commission on Human Resources Workforce Survey [1]. They recognize that the annual publications of the survey from 2012 [2] through 2018 [3] did include information regarding pediatric radiology. This information was not included in the 2019 article. This perceived exclusion was due to a change in JACR format and a request from JACR that the survey results be reported in a different manner. (Source: Journal of the American College of Radiology : JACR)
Source: Journal of the American College of Radiology : JACR - September 14, 2020 Category: Radiology Authors: Claire E. Bender, Swati Bansal, Darcy Wolfman, Jay R. Parikh, Eric M. Rubin Tags: Letters to the Editor Source Type: research

The Economic Footprint of Interventional Radiology in the United States: Implications for Systems Development
Despite the growing presence of interventional radiology (IR) in inpatient care, its global impact on the health care system remains uncharacterized. The aim of this study was to quantitate the use of IR services rendered to hospitalized patients in the United States and the impact on cost. (Source: Journal of the American College of Radiology : JACR)
Source: Journal of the American College of Radiology : JACR - September 9, 2020 Category: Radiology Authors: Soleil S. Shah, Lakshika Tennakoon, Edward O ’Beirne, Kristan L. Staudenmayer, Nishita Kothary Tags: Original Article Source Type: research

Lumbar MRI Reporting Efficiency for Trainees Over the Academic Year: An Opportunity for Improving Clinical Workflows in Academic Medical Centers
The objective of this study was to quantify the effect of trainee education on reporting efficiency over the academic year (July to June) for a single diagnostic imaging examination type. (Source: Journal of the American College of Radiology : JACR)
Source: Journal of the American College of Radiology : JACR - September 8, 2020 Category: Radiology Authors: M. Travis Caton, Walter F. Wiggins, Stuart R. Pomerantz, Katherine P. Andriole Tags: Original Article Source Type: research

Appropriateness of Emergency CT Utilization During the Initial Peak of the COVID-19 Pandemic
The appearance of the novel coronavirus known as severe acute respiratory syndrome coronavirus 2 at the end of 2019, and the subsequent coronavirus disease 2019 (COVID-19) pandemic, which gripped most of the world by March 2020, required massive adaptations in the health care delivery system in the United States. During the initial peak of the COVID-19 crisis in the United States, from late March through the end of May 2020, there was nationwide concern about maintaining adequate hospital resource capacity, including conserving supplies of needed personal protective equipment and maintaining access to needed services, incl...
Source: Journal of the American College of Radiology : JACR - September 8, 2020 Category: Radiology Authors: Michael A. Bruno, Kathryn L. McGillen, Rekha A. Cherian, Chase N. Jeppesen, Matthew D. Capodarco, Neil Nagavalli, Mary L. Dinh, Janelle M. Welkie, Jonelle Petscavage-Thomas Tags: Case Studies in Health Services Research and Policy Source Type: research

Training Nonradiologist Clinicians in Diagnostic Breast Ultrasound in Rural Rwanda: Impact on Knowledge and Skills
To assess the effectiveness of diagnostic breast ultrasound training provided for general practitioners and nurses in Rwanda via intensive in-person and subsequent online supervision and mentorship. (Source: Journal of the American College of Radiology : JACR)
Source: Journal of the American College of Radiology : JACR - September 8, 2020 Category: Radiology Authors: Sughra Raza, Elisabeth Frost, Dylan Kwait, Michyla Bowerson, Vestine Rugema, Vedaste Hategekimana, Aline Umwizerwa, Kassim Shabani, Lawrence Shulman, Yeonsoo Sara Lee, Chuan-Chin Huang, Tharcisse Mpunga, Cyprien Shyirambere, Jean-Marie Vianney Dusengimana Tags: Original Article Source Type: research

COVID-19: Recovery Models for Radiology Departments
The coronavirus disease 2019 (COVID-19) pandemic has greatly affected demand for imaging services, with marked reductions in demand for elective imaging and image-guided interventional procedures. To guide radiology planning and recovery from this unprecedented impact, three recovery models were developed to predict imaging volume over the course of the COVID-19 pandemic: (1) a long-term volume model with three scenarios based on prior disease outbreaks and other historical analogues, to aid in long-term planning when the pandemic was just beginning; (2) a short-term volume model based on the supply-demand approach, levera...
Source: Journal of the American College of Radiology : JACR - September 7, 2020 Category: Radiology Authors: Steven Guitron, Oleg S. Pianykh, Marc D. Succi, Min Lang, James Brink Tags: Original Article Source Type: research

Re: “2019 ACR Commission on Human Resources Workforce Survey”
Each year the ACR Commission on Human Resources publishes a workforce survey. The goal of this survey is to identify the current composition of the radiology workforce and to establish hiring trends of practices for radiologists in each subspecialty. Since the inception of this annual survey in 2012, excepting 2017, which focused on management trends and strategic needs, pediatrics has been included as a subspecialty of radiology. That was not the case in the recently published 2019 survey [1]. The problem with excluding pediatric radiology from the workforce data is multifold. (Source: Journal of the American College of Radiology : JACR)
Source: Journal of the American College of Radiology : JACR - September 7, 2020 Category: Radiology Authors: Shannon G. Farmakis, Richard Barth Tags: Letter to the Editor Source Type: research

“COVID-19: Recovery Models for Radiology Departments”
The COVID-19 pandemic has greatly affected demand for imaging services with marked reductions in demand for elective imaging and image-guided interventional procedures. To guide radiology planning and recovery from this unprecedented impact, three recovery models were developed to predict imaging volume over the course of the COVID-19 pandemic: (1) A long-term volume model with three scenarios based on prior disease outbreaks and other historical analogues, to aid in long-term planning when the pandemic was just beginning; (2) a short-term volume model based on the supply-demand approach, leveraging increasingly available ...
Source: Journal of the American College of Radiology : JACR - September 7, 2020 Category: Radiology Authors: Steven Guitron, Oleg S. Pianykh, Marc D. Succi, Min Lang, James Brink Tags: Clinical Practice Management Source Type: research

Breast cancer patients ’ response to COVID-19 related imaging and treatment delays: An online forum analysis
(Source: Journal of the American College of Radiology : JACR)
Source: Journal of the American College of Radiology : JACR - September 7, 2020 Category: Radiology Authors: Zi Zhang, Oreoluwa Ojutiku, Victoria L. Mango Source Type: research

Guideline-Discordant Lung Cancer Screening: Emerging Demand and Provided Indications
It is unclear if patients and providers have started to knowingly request lung cancer screening (LCS) outside US guidelines and insurance coverage for risk factors besides a history of heavy smoking. The authors analyzed their institution ’s best practices advisory (BPA) clinical decision support system to determine whether providers knowingly order guideline-discordant LCS and the indications given. (Source: Journal of the American College of Radiology : JACR)
Source: Journal of the American College of Radiology : JACR - September 6, 2020 Category: Radiology Authors: Gary X. Wang, Jordan M. Neil, Florian J. Fintelmann, Brent P. Little, Anand K. Narayan, Efren J. Flores Tags: Original Article Source Type: research

Authors ’ Reply
We thank Dr Pfeifer for his praise of our publication comparing US Medical Licensing Examination (USMLE) Step 1 and Step 2 performance with ABR Core Examination performance [1,2]. Several comments merit correction or response. (Source: Journal of the American College of Radiology : JACR)
Source: Journal of the American College of Radiology : JACR - September 3, 2020 Category: Radiology Authors: Maitray D. Patel, Darel E. Heitkamp, Sheryl G. Jordan Tags: Letters to the Editor Source Type: research

Transcatheter and Endoscopic Treatment of Gastric and Duodenal Bleeding: Population-Based Analysis of National Inpatient Trends and Outcomes in the United States
Upper gastrointestinal (GI) bleeding is a common cause of hospital admission in the United States and is frequently treated by endoscopy. Recent studies have shown an increasing role for treatment using transcatheter embolization. (Source: Journal of the American College of Radiology : JACR)
Source: Journal of the American College of Radiology : JACR - September 2, 2020 Category: Radiology Authors: Nima Hafezi-Nejad, Christopher R. Bailey, Anirudh Arun, Clifford R. Weiss Source Type: research

Sharing and Selling Images: Ethical and Regulatory Considerations for Radiologists
This article discusses four scenarios that reflect data sharing or selling arrangements in radiology, especially as they might occur in “big data” systems or applications. The objective of this article is to acquaint radiologists with a variety of regulatory standards and ethical perspectives that pertain to certain data use agreements, such that the attitudes and practices of data holders and their sharers or purchasers can wit hstand ethical or regulatory scrutiny and not invite undesirable outcomes. (Source: Journal of the American College of Radiology : JACR)
Source: Journal of the American College of Radiology : JACR - September 1, 2020 Category: Radiology Authors: John Banja, Rebecca Rousselle, Richard Duszak, Nabile Safdar, Adam M. Alessio Tags: Original Article Source Type: research

Patient Friendly Summary of the ACR Appropriateness Criteria: Acute Mental Status Change, Delirium, and New Onset Psychosis
Changes in mental status can be caused by a variety of factors, including intoxication, infection, stroke, bleeding, tumor, fluid, trauma or brain injury, and inflammation. This can show up as changes in behavior, alertness, agitation, confusion, and seizures. When there is high suspicion of bleeding, stroke, infection, or tumor or if the individual has extremely high blood pressure, CT or MRI without intravenous (IV) contrast may be the initial examination. If the examination without contrast does not show the cause, follow-up CT or MRI performed with IV contrast may help if a tumor or an infection is suspected. (Source: ...
Source: Journal of the American College of Radiology : JACR - September 1, 2020 Category: Radiology Authors: Susan Anemone, Tasneem Lalani Tags: Appropriate Use Criteria Source Type: research

Patient-Friendly Summary of the ACR Appropriateness Criteria: Radiologic Management of Venous Thromboembolism-Inferior Vena Cava Filters
Deep vein thrombosis is caused by blood clots in the veins in the legs. These can travel to the lungs, causing pulmonary embolism (PE). These conditions are referred to as venous thromboembolism (VTE). (Source: Journal of the American College of Radiology : JACR)
Source: Journal of the American College of Radiology : JACR - September 1, 2020 Category: Radiology Authors: Susan Anemone, Tasneem K. Lalani Tags: Appropriate Use Criteria Source Type: research

Health Services Research for Interventional Radiology Procedures in Large Databases —Implications for the Practicing Radiologist
In 2015, a Society of Interventional Radiology Foundation task force critically evaluated the state of research in interventional radiology (IR) [1] and found the state of IR scientific publications as predominantly focused on small-scale research projects related to a culture of innovation and “tinkering.” The evidence base was comprised mostly of single-center retrospective reviews. This assessment mirrored an analysis of the surgical literature that found that most highly cited surgical publications of the 1980s were simple descriptive analyses of a single institution’s experience [2]. (Source: Journal...
Source: Journal of the American College of Radiology : JACR - August 31, 2020 Category: Radiology Authors: Ammar Sarwar, Sharon Kwan Tags: Opinion Source Type: research

Dear Medical Students: It ’s Time to Join the #Twitterverse
Social media (SoMe) has gained tremendous traction among medical professionals in recent years. In particular, Twitter (Twitter, San Francisco, California) has been embraced by physicians and trainees for its high level of engagement and ease of use, conferring numerous career benefits that typically require years of participation and relationship building in traditional academic endeavors. The platform also promotes diversity of thought and flattening of the academic hierarchy, features important for encouraging medical students and residents to join the online conversation with health care leaders [1]. (Source: Journal o...
Source: Journal of the American College of Radiology : JACR - August 31, 2020 Category: Radiology Authors: Neal Shah, Jeffers K. Nguyen, Darel E. Heitkamp, Amy K. Patel, Yasha Gupta Tags: Opinion Source Type: research

Coronavirus Disease 2019 (COVID-19): The Long Tail Looking Back
Reports that say that something hasn ’t happened are always interesting to me, because as we know, there are known knowns; there are things we know we know. We also know there are known unknowns; that is to say we know there are some things we do not know.—Donald J. Rumsfeld (Source: Journal of the American College of Radiology : JACR)
Source: Journal of the American College of Radiology : JACR - August 31, 2020 Category: Radiology Authors: Ruth C. Carlos Tags: Editorial Source Type: research

Value Assessment of Evolving Pediatric Appendicitis Imaging Strategies Between 2004 and 2018
To assess diagnostic imaging utilization and the proportion of negative appendectomies for pediatric appendicitis at US children ’s hospitals between 2004 and 2018. (Source: Journal of the American College of Radiology : JACR)
Source: Journal of the American College of Radiology : JACR - August 28, 2020 Category: Radiology Authors: Shireen E. Hayatghaibi, Andrew T. Trout, Jonathan R. Dillman Tags: Health Services Research and Policy Source Type: research

Batch Reading and Interrupted Interpretation of Digital Screening Mammograms Without and With Tomosynthesis
To compare batch reading and interrupted interpretation for modern screening mammography. (Source: Journal of the American College of Radiology : JACR)
Source: Journal of the American College of Radiology : JACR - August 27, 2020 Category: Radiology Authors: Ethan O. Cohen, Michele Lesslie, Olena Weaver, Kanchan Phalak, Hilda Tso, Rachel Perry, Jessica W.T. Leung Tags: Original Article Source Type: research

Risk for Malignant Upgrade After Breast Core Needle Biopsy Diagnosis of Lobular Neoplasia: A Systematic Review and Meta-Analysis
Lobular neoplasia (LN) detected on breast core needle biopsy is frequently managed with surgical excision because of concern for undersampled malignancy. The authors performed a systematic review and meta-analysis to estimate the risk for upgrade to malignancy in the setting of imaging-concordant, classic LN diagnosed on core biopsy. (Source: Journal of the American College of Radiology : JACR)
Source: Journal of the American College of Radiology : JACR - August 27, 2020 Category: Radiology Authors: Mariam N. Shehata, Habib Rahbar, Meghan R. Flanagan, Mark R. Kilgore, Christoph I. Lee, Marc D. Ryser, Kathryn P. Lowry Tags: Original Article Source Type: research

Patient Safety: Considerations for Artificial Intelligence Implementation in Radiology
Artificial intelligence (AI) will increasingly become an integral part of our personal and professional lives. For perspective, AI is estimated to contribute $13 trillion to the world economy over the next decade on a commercial basis [1]. The total market for AI-powered solutions across the health care spectrum (eg, treatment, health care data processing, pharma) may grow to $35 billion by 2025 [2]. In a recent survey of radiologists by the European Society of Radiology, 100% of respondents believe that radiologists need to be involved in AI development and validation [3]. (Source: Journal of the American College of Radiology : JACR)
Source: Journal of the American College of Radiology : JACR - August 26, 2020 Category: Radiology Authors: Howard B. Fleishon, Christoph Wald Tags: ACR Chair ’s Memo Source Type: research

Potential Significant Changes in Nuclear Regulatory Commission Policies Regarding Training and Experience Requirements for the Use of Radiopharmaceuticals
The Code of Federal Regulations is a single-source repository of all rules and regulations promulgated by federal departments and agencies. In Title 10, Chapter 1, Part 35, Subpart D, §§35.100 to 35.290 detail regulations for the use of unsealed by-product material not requiring a written directive (ie, diagnostic radiopharmaceuticals), and in Subpart E, §§35.300 to 35.396 detail regulations for the use of unsealed by-product material requiring a written directive (ie, therap eutic radionuclides). (Source: Journal of the American College of Radiology : JACR)
Source: Journal of the American College of Radiology : JACR - August 26, 2020 Category: Radiology Authors: Paul E. Wallner, Ralph P. Lieto, Gary L. Dillehay, Munhir V. Ghesani, Seth A. Rosenthal, Kenneth E. Rosenzweig, Michael L. Steinberg, Don C. Yoo, William Small Tags: Original Article Source Type: research

Factors Affecting Adherence to Recommendations for Additional Imaging of Incidental Findings in Radiology Reports
To determine the rate at which recommendations for additional imaging (RAIs) of incidental findings on CT are adhered to at a tertiary-care medical center and what factors influence adherence. (Source: Journal of the American College of Radiology : JACR)
Source: Journal of the American College of Radiology : JACR - August 25, 2020 Category: Radiology Authors: Shan S. Hansra, Thomas W. Loehfelm, Machelle Wilson, Michael T. Corwin Tags: Original Article Source Type: research

Scabs Versus Scars: Understanding the Impact of Coronavirus Disease 2019 (COVID-19) on Short- and Long-Term Behaviors
As a society, we made drastic changes to our daily routines to combat the coronavirus disease 2019 (COVID-19) pandemic. Although some of these changes may be temporary, like scabs that will gradually fade away, other changes may become permanent, like scars that forever change how we behave. Although we will not know for some time which behaviors will be scabs as opposed to scars, it is important to recognize which behaviors were already evolving that COVID-19 simply expedited rather than created. (Source: Journal of the American College of Radiology : JACR)
Source: Journal of the American College of Radiology : JACR - August 25, 2020 Category: Radiology Authors: Whitney Fishman Zember, Elliot K. Fishman, Linda C. Chu Tags: Opinion Source Type: research

Optimizing Journal Clubs in the Post –Coronavirus Disease 2019 (COVID-19) Era
Critical appraisal of the radiologic literature is an essential skill not only to promote lifelong learning but also to ensure optimal patient care. A medical tradition since 1875, initially designed by William Osler to encourage collective reading of expensive print journals and textbooks [1], such activities are designed to help learners stay up to date with current evidence by providing protected time to review the evidence behind medical decisions and discuss ways to appropriately incorporate these advances into practice. (Source: Journal of the American College of Radiology : JACR)
Source: Journal of the American College of Radiology : JACR - August 23, 2020 Category: Radiology Authors: Priscilla J. Slanetz, Harprit Bedi, Tom Kesler, Alison Chetlen Tags: Civil Discourse Source Type: research

Key Elements to Build and Sustain a Successful Residency Alumni Society
Although education is one mission of institutions that sponsor graduate medical education, funding to support these activities has relatively diminished, while simultaneously, increasing clinical volumes have made it more challenging for faculty to teach trainees the necessary skills for independent practice. There are a few programs currently with strong alumni networks; however, all departments with training programs could benefit substantially by fostering strong relationships with their graduates. (Source: Journal of the American College of Radiology : JACR)
Source: Journal of the American College of Radiology : JACR - August 22, 2020 Category: Radiology Authors: Priscilla J. Slanetz, Stephanie Kurita, Alexandra Wright, Mark E. Mullins Tags: Civil Discourse Source Type: research

Collateral damage: the impact of the COVID-19 pandemic on acute abdominal emergency presentations
In March 2020 the World Health Organization declared a pandemic caused by a novel coronavirus. Public information created awareness as well as concern in the general population. There has been a reported decrease in the number of patients attending Emergency departments (ED) during the pandemic in previously published study. This is the first study to determine differences in the types of presenting illnesses, severity and rate of resultant surgical intervention during the pandemic. (Source: Journal of the American College of Radiology : JACR)
Source: Journal of the American College of Radiology : JACR - August 20, 2020 Category: Radiology Authors: Ciara M. O ’Brien, Katherine Jung, Wilfred Dang, Hyun-Jung Jang, Ania Z. Kielar Tags: Clinical Practice Management Source Type: research

Associations Over Time Between Paid Medical Malpractice Claims and Imaging Utilization in the United States
The aim of this study was to explore state-level relationships between the incidence and payout amounts for medical malpractice claims and Medicare imaging utilization and spending across the United States. (Source: Journal of the American College of Radiology : JACR)
Source: Journal of the American College of Radiology : JACR - August 19, 2020 Category: Radiology Authors: Alexander Villalobos, Michal Horn ý, Danny R. Hughes, Richard Duszak Tags: Original Article Source Type: research

Implementation and Impact of a Comprehensive Radiology Report Categorization System on Communication of Important Results
Effective communication of important imaging results is critical to patient care but difficult to accomplish efficiently. To improve communication at their institution, the authors introduced a radiology report categorization system (RADCAT) that organizes diagnostic imaging reports and uses automated communication systems. The study objectives were to (1) describe RADCAT ’s design, (2) evaluate its implementation for appropriate imaging, and (3) evaluate the communication of important, nonurgent results with recommended follow-up. (Source: Journal of the American College of Radiology : JACR)
Source: Journal of the American College of Radiology : JACR - August 19, 2020 Category: Radiology Authors: Eric L. Tung, Elizabeth H. Dibble, Gaurav Jindal, Jonathan S. Movson, David W. Swenson Tags: Original Article Source Type: research

Longitudinal Analysis of Neurodiagnostic Testing Utilization in Emergency Department Patients Presenting With Seizures or Epilepsy
The aim of this study was to assess neurodiagnostic testing utilization in US emergency department (ED) patients presenting with seizures or epilepsy between 2006 and  2014. (Source: Journal of the American College of Radiology : JACR)
Source: Journal of the American College of Radiology : JACR - August 19, 2020 Category: Radiology Authors: Kristie Yang, Richard Duszak, Jason W. Allen, Ranliang Hu, Gelareh Sadigh Tags: Original Article Source Type: research

Twitter and Gadolinium Retention: Patient-Reported Perceptions of Gadolinium-Based Contrast Agents
Despite the overall excellent safety profile of gadolinium-based contrast agents (GBCAs) and long history of clinical use [1,2], recent concerns have arisen due to recognition that gadolinium from GBCAs can be retained in humans in an unknown state for months to years after exposure. The clinical effects are unknown, and to date there is no scientific evidence linking gadolinium retention to adverse clinical outcomes. Nevertheless, a small number of patients have reported symptoms to health care regulatory bodies that they attribute to GBCA exposure and gadolinium retention. (Source: Journal of the American College of Radiology : JACR)
Source: Journal of the American College of Radiology : JACR - August 18, 2020 Category: Radiology Authors: Lysa Huneault, Matthew S. Davenport, Raman Verma, Daniel Walker, Nicola Schieda Tags: Case Studies in Health Services Research and Policy Source Type: research

Automated Structured Reporting for Thyroid Ultrasound: Effect on Reporting Errors and Efficiency
To compare the effectiveness of different reporting templates using the ACR Thyroid Imaging Reporting and Data System (TI-RADS) for thyroid ultrasound. (Source: Journal of the American College of Radiology : JACR)
Source: Journal of the American College of Radiology : JACR - August 17, 2020 Category: Radiology Authors: Benjamin Wildman-Tobriner, Lawrence Ngo, Tracy A. Jaffe, Wendy L. Ehieli, Lisa M. Ho, Reginald Lerebours, Sheng Luo, Brian C. Allen Tags: Original Article Source Type: research

Bridging the Gap Between Radiology and Primary Care: Expansion and Sustainability of a Medical Imaging Call Center Model
The Medical Imaging Call Centre (MICC) was an initiative carried out by a hospital-based academic imaging department with the aim to provide navigational services and radiologist consultations to community-based primary care physicians (PCPs). The strategies used to expand and sustain the initiative over a 3.5-year period after an initial pilot are described. (Source: Journal of the American College of Radiology : JACR)
Source: Journal of the American College of Radiology : JACR - August 17, 2020 Category: Radiology Authors: Ravi J. Menezes, John Kavanagh, Emita Latif, Jennifer Catton, Corwin Burton, Catherine Wang, Jisla Mathews Tags: Original Article Source Type: research

Virtual Interviews: An International Medical Student Perspective
As the coronavirus pandemic continues, all residency programs will most likely shift to virtual interviews for the 2020 to 2021 residency application season. Deitte et  al talked about the steps that can be taken to optimize the virtual interview experience and included perspectives from a program director, radiology resident, and US medical student [1]. I would like to include my perspective as an international medical student. I outline some unique challenges t hat will be faced by international students in this application cycle and how the problems can be overcome. (Source: Journal of the American College of Radiology : JACR)
Source: Journal of the American College of Radiology : JACR - August 10, 2020 Category: Radiology Authors: Tushar Garg Tags: Letter to the Editor Source Type: research

Analysis of the Effects of a Patient-Centered Rideshare Program on Missed Appointments and Timeliness for MRI Appointments at an Academic Medical Center
The aim of this study was to assess the differences in timeliness to MRI appointments and missed MRI appointment rates before and after the implementation of a rideshare program. (Source: Journal of the American College of Radiology : JACR)
Source: Journal of the American College of Radiology : JACR - August 10, 2020 Category: Radiology Authors: Debra S. Whorms, Anand K. Narayan, Ali Pourvaziri, Randy Miles, McKinley Glover, Jeremy Herrington, Sanjay Saini, James A. Brink, Efren J. Flores Tags: Original Article Source Type: research

Critical Results in Radiology: Defined by Clinical Judgment or by a List?
Effective communication across medical specialties is critical to the successful coordination of high-quality health care services [1]. Ineffective communication has been the most often cited root cause for sentinel events in the hospital setting in repeated Joint Commission analyses [2,3] and contributes, at least in part, to roughly 30% of medical malpractice claims filed in the United States [4]. Communication is of particular importance in diagnostic radiology, since the interpreting radiologist is almost always in a different specialty than the physician who acts on the information [5], and is especially critical when...
Source: Journal of the American College of Radiology : JACR - August 9, 2020 Category: Radiology Authors: Karin Kuhn, David B. Larson, 2020 Radiology Improvement Summit Critical Results Workgroup Tags: Opinion Source Type: research

Working From Home —Or Not
Many of your radiologists have been reading cases from home over the last few months. Now, the vast majority of them would like to make this a permanent change. However, there is a definite need for on-site radiologists in several areas including interventional radiology procedures, fluoroscopy, and so on. How would you handle this? (Source: Journal of the American College of Radiology : JACR)
Source: Journal of the American College of Radiology : JACR - August 9, 2020 Category: Radiology Authors: David Fessell, Frank J. Lexa Tags: Devilish Dilemma Source Type: research

Physician Agreement With Recommendations Contained in a National Guideline for the Management of Incidental Pulmonary Nodules: A Case Study
Since the 1980s, there has been a growing emphasis on the use of evidence-based practice guidelines in medicine [1]. However, national guidelines are based on evidence of variable quality, including non-evidence-based common medical practice. Although attempts are made to ensure impartial recommendations during guideline development, if there is lack of sufficient clinical evidence, some recommendations could be the result of inadvertent bias [2]. At times, guidelines from different organizations on the same clinical entity can also contradict each other [3]. (Source: Journal of the American College of Radiology : JACR)
Source: Journal of the American College of Radiology : JACR - August 9, 2020 Category: Radiology Authors: Neena Kapoor, Ronilda Lacson, Mark Hammer, Laila Cochon, Pamela DiPiro, Giles W. Boland, Ramin Khorasani Tags: Case Studies in Health Services Research and Policy Source Type: research

Private Practice Radiologists ’ Perceptions of Peer Learning
Radiologists traditionally perform peer review (PR) for professional performance evaluation through retrospective score-based evaluation of randomly selected reports by radiologists within the same practice, a practice exemplified by the ACR RADPEER ® program, which was established in 2002 [1]. Recently, some have argued that this does not meet the goals of the Institute of Medicine’s 2015 report Improving Diagnosis in Health Care, which emphasizes a just-culture environment of teamwork and continuous learning as the best means for quality a ssurance in medicine [2]. (Source: Journal of the American College of Radiology : JACR)
Source: Journal of the American College of Radiology : JACR - August 6, 2020 Category: Radiology Authors: Andrew K. Moriarty, Karen Cedeno-Kelly, Tanya Hioe Tags: Case Studies in Clinical Practice Management Source Type: research

Ultrasound Practice Redesign to Improve Image Quality: Implementation of a Quality Control Sonographer
The aim of this study was to systematically improve ultrasound image quality via the implementation of a quality control (QC) sonographer. (Source: Journal of the American College of Radiology : JACR)
Source: Journal of the American College of Radiology : JACR - August 6, 2020 Category: Radiology Authors: Melanie P. Caserta, Stephanie L. Bonnett, Melody C. La Valley, Salvatore De Meo, Andrew W. Bowman Tags: Original Article Source Type: research

Transitioning From Peer Review to Peer Learning: Report of the 2020 Peer Learning Summit
Since its introduction nearly 20 years ago, score-based peer review has not been shown to have meaningful impact on improving radiologist performance or to be a valid measurement instrument of radiologist performance. A new paradigm has emerged, peer learning, which is a group activity in which expert professionals review one another ’s work, actively give and receive feedback in a constructive manner, teach and learn from one another, and mutually commit to improving performance as individuals, as a group, and as a system. (Source: Journal of the American College of Radiology : JACR)
Source: Journal of the American College of Radiology : JACR - August 6, 2020 Category: Radiology Authors: David B. Larson, Jennifer C. Broder, Mythreyi Bhargavan-Chatfield, Lane F. Donnelly, Nadja Kadom, Ramin Khorasani, Richard E. Sharpe, Jay K. Pahade, Andrew K. Moriarity, Nelly Tan, Bettina Siewert, Jonathan B. Kruskal Tags: Original Article Source Type: research