Inconsistent Performance of Deep Learning Models on Mammogram Classification
Performance of recently developed deep learning models for image classification surpasses that of radiologists. However, there are questions about model performance consistency and generalization in unseen external data. The purpose of this study is to determine if the high performance of deep learning on mammograms can be transferred to external data with a different data distribution. (Source: Journal of the American College of Radiology : JACR)
Source: Journal of the American College of Radiology : JACR - February 14, 2020 Category: Radiology Authors: Xiaoqin Wang, Gongbo Liang, Yu Zhang, Hunter Blanton, Zachary Bessinger, Nathan Jacobs Tags: Original article Source Type: research

Patient Perspectives and Priorities Regarding Artificial Intelligence in Radiology: Opportunities for Patient-Centered Radiology
There is tremendous interest in the radiology community to apply artificial intelligence (AI) to improve radiology workflow and improve patient care [1].  The potential for AI in radiology is broad, ranging from patient scheduling, image acquisition and processing, triage of examinations for interpretation, lesion detection, lesion characterization, and automated reporting [2]. (Source: Journal of the American College of Radiology : JACR)
Source: Journal of the American College of Radiology : JACR - February 14, 2020 Category: Radiology Authors: Scott J. Adams, Rachel Tang, Paul Babyn Tags: Case studies in clinical practice management Source Type: research

Comparing Diagnostic Performance of Digital Breast Tomosynthesis and Full-Field Digital Mammography
Compare diagnostic performance of screening full-field digital mammography (FFDM), a hybrid FFDM and digital breast tomosynthesis (DBT) environment, and DBT only. (Source: Journal of the American College of Radiology : JACR)
Source: Journal of the American College of Radiology : JACR - February 14, 2020 Category: Radiology Authors: Laila R. Cochon, Catherine S. Giess, Ramin Khorasani Tags: Original article Source Type: research

Quality Improvement Project: Improving Interventional Radiology Response Times for Level I Trauma Embolization
Mortality associated with acute trauma remains high, and death rates up to 30% to 40% after pelvic injuries and 20% to 60% with abdominal vascular injuries have been reported even in large tertiary care trauma centers [1,2]. Timely control of bleeding is vital for improving the outcomes for patients with hemorrhagic shock [3]. The American College of Surgeons Committee on Trauma (ACS-COT) recommends that an interventional radiologist be available within 30 min to perform procedures in all designated level I and level II trauma centers [4,5] but does not require an in-house interventional radiology (IR) service. (Source: Jo...
Source: Journal of the American College of Radiology : JACR - February 14, 2020 Category: Radiology Authors: Charissa Kim, Andrew Niekamp, Akshita S. Pillai, Roger Leon, Jayesh Soni, Michelle McNutt, Xu Zhang, Bishoy Ghobryal, Sanjeeva Kalva, Anil K. Pillai Tags: Case studies in clinical practice management Source Type: research

2019 ACR Commission on Human Resources Workforce Survey
This report describes the results of the 2019 survey and trends since  2012. (Source: Journal of the American College of Radiology : JACR)
Source: Journal of the American College of Radiology : JACR - February 14, 2020 Category: Radiology Authors: Claire E. Bender, Swati Bansal, Darcy Wolfman, Jay R. Parikh Tags: Case studies in leadership Source Type: research

Re: Molecular Breast Imaging Under Threat by the Protecting Access to Medicare Act and ACR Appropriate Use Criteria
We read Dr Covington ’s concerns regarding the 2017 ACR Appropriateness Criteria® that categorizes molecular breast imaging as usually not appropriate for breast cancer screening [1]. As the lead authors of that guideline, we have re-reviewed and agree with the prose and the ratings based on the available evidence at the time. We have also read with interest the 2019 article “Comparative Benefit-to-Radiation Risk Ratio of Molecular Breast Imaging, Two-Dimensional Full-Field Digital Mammography With and Without Tomosynthesis, and Synthetic Mammography With Tomosynthesis” [2]. (Source: Journal of the Am...
Source: Journal of the American College of Radiology : JACR - February 11, 2020 Category: Radiology Authors: Martha B. Mainiero, Linda Moy, Ana P. Lourenco Tags: Letter to the editor Source Type: research

The Next Topic for Digital Tech Publishing —Your Health and Wellness
Transparent. Intuitive. Intimate. Constant. These are the characteristics that define great technology, and I have derived them from more than 20 years of insights as the executive vice president and general manager of the CNET Media Group at CBS Interactive, which includes CNET, the number 1 source for technology news and reviews for the consumer. We evaluate consumer technology breakthroughs to identify “what’s new, what matters and how technology can enrich your life” [1]. Our mission is to distill the intricacies of new technological advances and provide candid evaluations for consumers, to help them ...
Source: Journal of the American College of Radiology : JACR - February 6, 2020 Category: Radiology Authors: Mark Larkin, Elliot K. Fishman, Pamela T. Johnson Tags: Rethinking the patient experience Source Type: research

Follow-up Recommendation Rates Associated With Spectral Detector Dual-Energy CT of the Abdomen and Pelvis: A Retrospective Comparison to Single-Energy CT
Dual-energy CT image sets have many applications in abdominopelvic imaging but no demonstrated clinical effect. (Source: Journal of the American College of Radiology : JACR)
Source: Journal of the American College of Radiology : JACR - February 4, 2020 Category: Radiology Authors: Noah E. Atwi, Carl F. Sabottke, David M. Pitre, David L. Smith, Raman Danrad, Ekta Dharaiya, Avinash Kambadakone, Pari V. Pandharipande, Aran M. Toshav Tags: Original article Source Type: research

Mammography Screening Guideline Controversies: Opportunities to Improve Patient Engagement in Screening
Escalating health care costs have forced physicians to consider ways to  provide high-quality care at lower costs [1]. In diverse medical subspecialties, investigators have scrutinized the costs and value of commonly performed tests and procedures. In this context, researchers and health care administrators have directed critical attention toward breast cancer screeni ng. (Source: Journal of the American College of Radiology : JACR)
Source: Journal of the American College of Radiology : JACR - February 3, 2020 Category: Radiology Authors: Anand K. Narayan, Constance D. Lehman Tags: Opinion Source Type: research

Patient-Friendly Summary of the ACR Appropriateness Criteria: Ataxia
Ataxia is the loss of control of bodily movement due to impairment in the nervous system. The patient may have a wide-based, unsteady walk or poor coordination of the arms and legs. Ataxia may be caused by a problem in the cerebellum (the part of the brain that controls coordination), the spinal cord and nerves (which control body movement), or the inner ear vestibular system (which maintains balance). Ataxia can also be caused by a stroke. The appropriate imaging of ataxia depends on the suspected cause. (Source: Journal of the American College of Radiology : JACR)
Source: Journal of the American College of Radiology : JACR - January 30, 2020 Category: Radiology Authors: Susan Anemone, Nina S. Vincoff Tags: Appropriate use criteria Source Type: research

Facility Variability in Examination Indication Among Women With Prior Breast Cancer: Implications and the Need for Standardization
We sought to identify and characterize examinations in women with a personal history of breast cancer likely performed for asymptomatic surveillance. (Source: Journal of the American College of Radiology : JACR)
Source: Journal of the American College of Radiology : JACR - January 28, 2020 Category: Radiology Authors: Diana S.M. Buist, Laura Ichikawa, Karen J. Wernli, Christoph I. Lee, Louise M. Henderson, Karla Kerlikowske, Erin J.A. Bowles, Diana L. Miglioretti, Jennifer Specht, Garth Rauscher, Brian Sprague, Tracy Onega, Janie M. Lee Tags: Original article Source Type: research

Comparing Breast and Abdominal Subspecialists ’ Follow-Up Recommendations for Incidental Liver Lesions on Breast MRI
The aim of this study was to compare breast imaging subspecialists ’ follow-up recommendations for incidental liver lesions (ILLs) on breast MRI with abdominal subspecialty radiologists’ opinions informed by best-practice recommendations. (Source: Journal of the American College of Radiology : JACR)
Source: Journal of the American College of Radiology : JACR - January 28, 2020 Category: Radiology Authors: Pamela J. DiPiro, David P. Alper, Catherine S. Giess, Daniel I. Glazer, Leslie K. Lee, Ronilda Lacson, Ramin Khorasani Tags: Original article Source Type: research

Artificial Intelligence and CT Image Reconstruction: Potential of a New Era in Radiation Dose Reduction
CT, one of the most groundbreaking innovations of the 20th century, is an important diagnostic tool that dictates treatment strategies and enables vital decision making in day-to-day clinical practice. Despite its enormous benefits in a wide range of clinical conditions and its rising use in this era of precision medicine, concerns about theoretical risks from exposure to ionizing radiation remain. These concerns have  been the driving force for the development of several dose-reduction technologies and strategies, among which novel CT reconstruction methods have received significant attention from vendors and researc...
Source: Journal of the American College of Radiology : JACR - January 28, 2020 Category: Radiology Authors: Avinash Kambadakone Tags: Radiation sensibilities Source Type: research

Deep Learning for Natural Language Processing in Radiology —Fundamentals and a Systematic Review
Natural language processing (NLP) enables conversion of free text into structured data. Recent innovations in deep learning technology provide improved NLP performance. We aimed to survey deep learning NLP fundamentals and review radiology-related research. (Source: Journal of the American College of Radiology : JACR)
Source: Journal of the American College of Radiology : JACR - January 28, 2020 Category: Radiology Authors: Vera Sorin, Yiftach Barash, Eli Konen, Eyal Klang Tags: Original article Source Type: research

Educating the Next Generation of Leaders in Radiology
In addition to learning clinical radiology, the goal of radiology residency is to prepare the next generation to lead radiology into the next several decades. This requires learners to hone the right skills during training so that they will be able to lead teams and act in the right way at the right time for the right reasons. Over the past decade, some residency programs have  moved away from traditional didactic in-classroom teaching to a more blended learning environment comprised of in-person, online, and self-directed exercises. (Source: Journal of the American College of Radiology : JACR)
Source: Journal of the American College of Radiology : JACR - January 28, 2020 Category: Radiology Authors: Priscilla J. Slanetz, Reed A. Omary, Martha B. Mainier, Lori A. Deitte Tags: Civil discourse Source Type: research

Patient-Friendly Summary of the ACR Appropriateness Criteria Thyroid Disease
Imaging tests of the neck assist in the diagnosis and management of thyroid conditions including thyroid cancer. Ultrasound (US) is usually the first imaging test used. For nodules in the neck, US is usually appropriate to determine cancer risk. CT with or  without intravenous (IV) contrast may also be appropriate. For suspected enlarged thyroid (goiter), US or CT without IV contrast is usually appropriate. CT with IV contrast, MRI, or nuclear medicine scan may also be appropriate. If overactive thyroid (hyperthyroidism) or excessive thyr oid hormone (thyroto...
Source: Journal of the American College of Radiology : JACR - January 27, 2020 Category: Radiology Authors: Shannon Rose, MacArinze Ojiaku Tags: Appropriate use criteria Source Type: research

Forty-One Million RADPEER Reviews Later: What We Have Learned and Are Still Learning
In this report, the ACR RADPEER Committee authors summarize the survey results and discuss opportunities for future iterations of the RADPEER program. (Source: Journal of the American College of Radiology : JACR)
Source: Journal of the American College of Radiology : JACR - January 25, 2020 Category: Radiology Authors: Humaira Chaudhry, Andrew Del Gaizo, L. Alexandre Frigini, Shlomit Goldberg-Stein, Scott D. Long, Zeyad A. Metwalli, Jonathan A. Morgan, Xuan V. Nguyen, Mark S. Parker, Hani Abujudeh Tags: Original article Source Type: research

Health Care Transformation From the Outside In
This article offers established health care institutions’ ideas for leve raging industry disruption to strengthen their businesses and brands. (Source: Journal of the American College of Radiology : JACR)
Source: Journal of the American College of Radiology : JACR - January 25, 2020 Category: Radiology Authors: Jim Traficant, Elliot K. Fishman, Linda C. Chu, Steven P. Rowe Tags: Rethinking the patient experience Source Type: research

The Importance of Data Analytics and Business Intelligence for Radiologists
Radiology has been at the forefront of digitization in health care, and the continued growth of data presents unique challenges and opportunities for the specialty that require crucial investment in technologists to support individual radiologists and the profession in the future [1]. Understanding the current big data revolution, data analytics movement, and data resource management is essential for informed decision making in all of health care [2] and can transform the way radiologists address complex problems and manage practices [3]. (Source: Journal of the American College of Radiology : JACR)
Source: Journal of the American College of Radiology : JACR - January 17, 2020 Category: Radiology Authors: Andrew K. Moriarity, Rick Sigler, James Morrison Tags: Private practice Source Type: research

Impact of Radiologist-Driven Change-Order Requests on Outpatient CT and MRI Examinations
To assess impact of electronic medical record –embedded radiologist-driven change-order request on outpatient CT and MRI examinations. (Source: Journal of the American College of Radiology : JACR)
Source: Journal of the American College of Radiology : JACR - January 16, 2020 Category: Radiology Authors: Sarvenaz Pourjabbar, Joseph J. Cavallo, Jennifer Arango, Irena Tocino, Lawrence H. Staib, Amir Imanzadeh, Howard P. Forman, Jay K. Pahade Tags: Original article Source Type: research

Unscheduled Radiologic Examination Orders in the Electronic Health Record: A Novel Resource for Targeting Ambulatory Diagnostic Errors in Radiology
The aim of this study was to assess the prevalence of unscheduled radiologic examination orders in an electronic health record, and the proportion of unscheduled orders that are clinically necessary, by modality. (Source: Journal of the American College of Radiology : JACR)
Source: Journal of the American College of Radiology : JACR - January 16, 2020 Category: Radiology Authors: Ronilda Lacson, Michael J. Healey, Laila R. Cochon, Romeo Laroya, Keith D. Hentel, Adam B. Landman, Sunil Eappen, Giles W. Boland, Ramin Khorasani Tags: Original article Source Type: research

Patient-Friendly Summary of the ACR Appropriateness Criteria: Nonatherosclerotic Peripheral Artery Disease
The recommended imaging tests for nonatherosclerotic peripheral artery disease include ultrasound duplex Doppler (ultrasound), intravascular ultrasound (inside arteries), MR angiography (MRA; MRI of arteries with or without intravenous [IV] contrast dye), CT angiography (CTA; CT scan of arteries using IV contrast), arteriography (x-rays of arteries with IV contrast). (Source: Journal of the American College of Radiology : JACR)
Source: Journal of the American College of Radiology : JACR - January 13, 2020 Category: Radiology Authors: Susan Anemone, MacArinze Ojiaku Tags: Appropriate use criteria Source Type: research

Patient-Friendly Summary of the ACR Appropriateness Criteria: Cervical Neck Pain or Cervical Radiculopathy
Appropriate cervical spine (c-spine) imaging and use of intravenous contrast (venous dye) for neck pain varies depending on clinical scenario. (Source: Journal of the American College of Radiology : JACR)
Source: Journal of the American College of Radiology : JACR - January 13, 2020 Category: Radiology Authors: Susan Anemone, Bruno Policeni Tags: Appropriate use criteria Source Type: research

Screening Mammography Visits as Opportunities to Engage Smokers With Tobacco Cessation Services and Lung Cancer Screening
Tobacco use is the leading cause of preventable mortality in the United States. Screening mammography (SM) visits present opportunities for radiology practices to reduce tobacco-related morbidity and mortality. Our study evaluates implementation of a program that provides tobacco cessation service referrals and screens for lung cancer screening (LCS) eligibility among smokers presenting for SM at a community health center. (Source: Journal of the American College of Radiology : JACR)
Source: Journal of the American College of Radiology : JACR - January 10, 2020 Category: Radiology Authors: Gary X. Wang, Anand K. Narayan, Elyse R. Park, Constance D. Lehman, Jonina T. Gorenstein, Efren J. Flores Tags: Original article Source Type: research

Confidence Calibration: An Introduction With Application to Quality Improvement
A probabilistic forecast is one that assigns a probability (or likelihood) to the occurrence of an event. Radiologists commonly make probabilistic judgments in their reports, even if these predictions are not explicitly expressed as numbers. There are calls for radiologists to commit to their probabilistic predictions in a standardized fashion; however, without a mechanism for feedback, there is no opportunity for improvement. Analysis techniques familiar to radiologists (eg, calculation of sensitivity and specificity and construction of receiver operating characteristics curves) have a blind spot with regard to calibratio...
Source: Journal of the American College of Radiology : JACR - January 10, 2020 Category: Radiology Authors: Behrang Amini, Roland L. Bassett, Tamara Miner Haygood, Kevin W. McEnery, Michael L. Richardson Tags: Original article Source Type: research

Multisite Implementation of Radiology-TEACHES (Technology-Enhanced Appropriateness Criteria Home for Education Simulation)
After encouraging results from a single-institution pilot, a novel case-based education portal using integrated clinical decision support at the simulated point of order entry was implemented at multiple institutions to evaluate whether the program is scalable and results transferable. The program was designed to fill key health systems science gaps in traditional medical education curricula, ultimately aiding the transition from volume to value in health care. The module described uses commonly encountered medical vignettes to provide learners with a low-stakes educational environment to improve their awareness and apply ...
Source: Journal of the American College of Radiology : JACR - January 10, 2020 Category: Radiology Authors: Marc H. Willis, Alana D. Newell, Joseph Fotos, Pauline Germaine, John W. Gilpin, Kristopher Lewis, Marjorie W. Stein, Chris Straus, Karla A. Sepulveda Tags: Original article Source Type: research

Education Level Predicts Appropriate Follow-Up of Incidental Findings From Lung Cancer Screening
The aim of this study was to identify predictors of appropriate follow-up for clinically significant incidental findings (IFs) detected with low-dose CT during lung cancer screening. (Source: Journal of the American College of Radiology : JACR)
Source: Journal of the American College of Radiology : JACR - January 10, 2020 Category: Radiology Authors: Suraj Kapoor, Stephen A. Deppen, Alexis B. Paulson, Diane Haddad, James P. Cook, Kim L. Sandler Tags: Original article Source Type: research

The Future of Digital Communication: Improved Messaging Context, Artificial Intelligence, and Your Privacy
I was born in 1992, the same year the first text message, “Merry Christmas,” was transmitted from a cell phone. That first text message portended a fundamental change in the way we communicate, forcing us to ask how we translate communication to digital platforms. Now, more than 100 trillion messages (includes text messages, comments, and shares) are s ent each year, with more than 3.8 trillion of those having emojis, stickers, or GIFs attached (Fig. 1). Messages are the most common digital activity, dwarfing the number of Google searches each year. (Source: Journal of the American College of Radiology : JACR)
Source: Journal of the American College of Radiology : JACR - January 10, 2020 Category: Radiology Authors: Travis Montaque, Elliot K. Fishman, Steven P. Rowe Tags: Patient experience Source Type: research

Second-Opinion Reads in Interstitial Lung Disease Imaging: Added Value of Subspecialty Interpretation
The purpose of this study was to determine how often a second-opinion interpretation of interstitial lung disease (ILD) by an academic cardiothoracic radiologist is discordant with the initial interpretation by a nonacademic radiologists and how often the clinical diagnosis determined by multidisciplinary consensus agrees with the initial and second-opinion interpretations. (Source: Journal of the American College of Radiology : JACR)
Source: Journal of the American College of Radiology : JACR - January 10, 2020 Category: Radiology Authors: Peter D. Filev, Brent P. Little, Phuong-Anh T. Duong Tags: Original article Source Type: research

Mixed Practice in Radiology Education —Has the Time Come?
Traditional medical education consists of required block rotations in the core specialties, which at 22% of medical schools includes radiology [1]. During that time, students typically dedicate 1 month to mastering essential radiological principles and basics of interpretation. Although students and many radiologists prefer this model, more recent educational research has shown that mixed practice, the process of interleaving problems and skills across disciplinary boundaries, results in better overall performance and longer-term learning as it provides opportunities for students to better assimilate knowledge and better p...
Source: Journal of the American College of Radiology : JACR - January 6, 2020 Category: Radiology Authors: Priscilla J. Slanetz, David M. Naeger, Laura L. Avery, Lori A. Deitte Tags: Civil discourse Source Type: research

The Power of One Small Act
“I am number 6,” Marcy said. She stood up from her chair and walked over to the gifts for the holiday Yankee swap. She perused the different bags and wrapped packages and picked up the tall bag with holiday tissue paper emanating from the top. The other team members eagerly watched as Marcy took out the contents of the bag—a bottle of California red wine and one $10 scratch ticket. (Source: Journal of the American College of Radiology : JACR)
Source: Journal of the American College of Radiology : JACR - January 6, 2020 Category: Radiology Authors: Priscilla J. Slanetz Tags: Opinion Source Type: research

The Business Case for Diversity and Inclusion
Although there is an increasing understanding of the importance of diversity and inclusion in all aspects of radiology training and practice, many radiology practices have yet to invest into programs that raise awareness and assure that diversity and inclusion goals are met. In many instances, leadership fails to see the value of such investments. Here, we explore what can be learned from other industries in making the business case for diversity and inclusion. (Source: Journal of the American College of Radiology : JACR)
Source: Journal of the American College of Radiology : JACR - January 3, 2020 Category: Radiology Authors: Alexander Norbash, Nadja Kadom Tags: Original article Source Type: research

Utilizing Time-Driven Activity-Based Costing to Increase Efficiency in Ultrasound-Guided Breast Biopsy Practice
In this study, we used time-driven activity-based costing to increase efficiency in our ultrasound-guided breast biopsy practice by understanding costs associated with this procedure. (Source: Journal of the American College of Radiology : JACR)
Source: Journal of the American College of Radiology : JACR - January 1, 2020 Category: Radiology Authors: Sadia Choudhery, Jessica A. Stellmaker, Amber L. Hanson, Jaysen Ness, Linda Chida, Bryana Johnson, Amy Lynn Conners Tags: Original article Source Type: research

Financing Artificial Intelligence in Medical Imaging: Show Me the Money
The application of artificial intelligence (AI) in the realm of medical imaging has moved beyond the speculative stage and is becoming increasingly embraced by mainstream radiology. Questions now regard how —not if—it will impact clinical practice. Early adoption of AI will probably begin with tasks that are seen as routine or mundane and those that do not present a threat of legal risk or physician disruption. These tasks will likely involve the areas of billing, scheduling, and order appropriaten ess. (Source: Journal of the American College of Radiology : JACR)
Source: Journal of the American College of Radiology : JACR - January 1, 2020 Category: Radiology Authors: Ray Cody Mayo, Lauren Q. Chang Sen, Jessica W.T. Leung Tags: Data science Source Type: research

Radiologists in the Matrix: Serving Multiple Masters in Complex Organizations
The traditional model of a single, pyramid-shaped organizational structure does not suffice in describing the complex institutions in which many contemporary radiologists work. In the academic arena, some of the 179 US medical schools have more than one academic medical center (AMC) and many have complicated relationships between the academic hierarchy and the clinical or hospital side. These diverse organizational structures in turn have a spectrum of short- and long-term impacts upon the professional lives of their radiologists. (Source: Journal of the American College of Radiology : JACR)
Source: Journal of the American College of Radiology : JACR - January 1, 2020 Category: Radiology Authors: Frank J. Lexa, David P. Fessell, Richard B. Gunderman Tags: Leadership Source Type: research

Recent Trends in Medicare Reimbursements to Nonradiologist Physicians for In-Office MRI and CT
In this study, we re-examine the trends in these payments. (Source: Journal of the American College of Radiology : JACR)
Source: Journal of the American College of Radiology : JACR - January 1, 2020 Category: Radiology Authors: Sarah I. Kamel, Laurence Parker, Vijay Rao, David C. Levin Tags: Original article Source Type: research

Time-Driven Activity-Based Costing in Radiology: An Overview
Time-driven activity-based costing (TDABC) is a cost-accounting method to assess operational costs at a process-specific level. The purpose of this review is to provide a foundational methodologic overview of TDABC and offer insights from lessons we have learned by applying TDABC in radiology. Understanding these principles can help radiology practice leaders maintain local cost-stewardship while delivering the highest quality of clinical care. (Source: Journal of the American College of Radiology : JACR)
Source: Journal of the American College of Radiology : JACR - January 1, 2020 Category: Radiology Authors: Prasad R. Shankar, Shireen E. Hayatghaibi, Yoshimi Anzai Tags: Original article Source Type: research

Fighting Burnout With FIRE
Success isn ’t a result of spontaneous combustion. You must set yourself on fire.—Arnold Glascow (Source: Journal of the American College of Radiology : JACR)
Source: Journal of the American College of Radiology : JACR - January 1, 2020 Category: Radiology Authors: Andrew Moriarity, Vivek Kalia Tags: Training and education Source Type: research

An Intelligent Future for Medical Imaging: A Market Outlook on Artificial Intelligence for Medical Imaging
Radiologists today are under increasing work pressure. We surveyed radiologists in the United States across practice settings, and the overwhelming majority reported an increased workload. Artificial intelligence (AI), which includes machine learning, can help address these issues. It also has the potential to improve clinical outcomes and raise further the value of medical imaging in ways yet to be defined. In this article, we report on recent McKinsey& Company work to understand the growth of AI in medical imaging. (Source: Journal of the American College of Radiology : JACR)
Source: Journal of the American College of Radiology : JACR - January 1, 2020 Category: Radiology Authors: Alan Alexander, Adam Jiang, Cara Ferreira, Delphine Zurkiya Tags: Original article Source Type: research

Radiologist Side Hustles: A Primer
Although it takes time and effort to build (and maintain) an extra income stream, a side hustle can provide a myriad of benefits with access to small business tax deductions, increased rate of retirement savings, and decreased burnout through meaningful and fulfilling projects that can improve daytime job satisfaction and wellness. A successful side hustle allows for greater career flexibility with the potential for job crafting or part-time work [1]. It can also lead to career growth by building networks outside the medical field that may lend to future collaboration (for example, partnerships with technology firms to gui...
Source: Journal of the American College of Radiology : JACR - January 1, 2020 Category: Radiology Authors: Janis M. Yee, Blake C. Steel, Puneet Bhargava Tags: Training and education Source Type: research

Economic Impact of Imaging Overutilization in Cancer Care
Minimizing overutilization of imaging studies in the posttreatment surveillance of early-stage cancers treated with curative intent has been identified in the American Society of Clinical Oncology (ASCO) Top Five Choosing Wisely List as one  strategy to reduce health care costs without compromising quality of care [1]. A substantial portion of spending in oncology can be classified as “low-value” care (eg, overutilization of tests or interventions that have not been shown to improve any measure of clinical care). (Source: Journal of the American College of Radiology : JACR)
Source: Journal of the American College of Radiology : JACR - January 1, 2020 Category: Radiology Authors: Poorni Manohar, Scott Ramsey, Veena Shankaran Tags: Health services research and policy Source Type: research

The Influence of Medical Education Debt and Risk-Aversiveness on Radiology ’s Workforce
By now, most readers are aware of the staggering statistics regarding medical education debt in the United States. The Association of American Medical College reports that the average education debt for medical school graduates in 2018 was $196,520, with up to 16% of all graduates owing greater than $300,000 after completing school [1]. These numbers, in combination with increasing prevalence of income-based repayment programs that appear to be increasing the monthly payment for graduates at annual interest rates greater than 6%, underscore the contemporary saying that many medical school graduates “have a mortgage w...
Source: Journal of the American College of Radiology : JACR - January 1, 2020 Category: Radiology Authors: C. Matthew Hawkins Tags: Training and education Source Type: research

Marketing Radiology Services: Strategies, Tactics, and Experience
We describe this evolution in three phases. The first phase started in the late 1990s during a time of rapid imaging growth, especially in outpatient services. The second was fueled by consolidation and increasing competition among providers, a steady flood of new imaging methods, and downward pressures on reimbursement. (Source: Journal of the American College of Radiology : JACR)
Source: Journal of the American College of Radiology : JACR - January 1, 2020 Category: Radiology Authors: David A. Rosman, Philip E. Jones, James A. Brink, James H. Thrall Tags: Clinical practice management Source Type: research

The Business Case for Evidence-Based Design in Radiology Departments
Large sums of money are being spent on new construction and remodeling of radiology workspaces, with often disappointing results. Poorly designed radiology environments can contribute to medical error, safety risks to patients and staff, costly inefficiency, and avoidable stress to families and health care workers. Evidence-based design seeks to apply hypothesis-driven, literature-based methodology to the process of creating medical environments that make it easier, not harder, to provide safe and high-quality care to patients. (Source: Journal of the American College of Radiology : JACR)
Source: Journal of the American College of Radiology : JACR - January 1, 2020 Category: Radiology Authors: Raymond W. Sze, Natalie Miovski Hagerty, Cory Sassano, Parvez Kazmi Tags: Original article Source Type: research

The Surprise Insurance Gap: History, Context, and Proposed Solutions
Affordability of care is a major concern for many in the United States. Part of the affordability of care issue is unanticipated medical bills. A 2018 poll found that unexpected medical costs were the public ’s greatest affordability concern, ahead of prescription drug costs and even food or rent or mortgage. An important cause of unexpected medical bills is the surprise insurance network gap. The term “surprise billing” is commonly used to describe this problem of unanticipated out-of-network (OO N) care, though this is a misnomer because it is actually a “surprise insurance gap.” This gap ca...
Source: Journal of the American College of Radiology : JACR - January 1, 2020 Category: Radiology Authors: Richard E. Heller, Sherif Zaafran, Anthony Gabriel, Naveen Parti, Fredricka Richards Tags: Original article Source Type: research

Price Transparency in Radiology —A Model for the Future
Medicine is the only business transaction in which consumers make important purchase decisions without knowing how much they have to pay. Lack of price transparency in health care imposes financial burden and anxiety among patients as the cost of health care has been shifting from employers to patients through high-deductible health plans (HDHPs). Health economists and policymakers anticipated that HDHPs with price transparency would be a catalyst for patients to “shop” for low-price providers, thus reducing overall health care spending. (Source: Journal of the American College of Radiology : JACR)
Source: Journal of the American College of Radiology : JACR - January 1, 2020 Category: Radiology Authors: Yoshimi Anzai, Kathy Delis, Robert C. Pendleton Tags: Original article Source Type: research

Changes in Outpatient Imaging Utilization and Spending Under a New Population-Based Primary Care Payment Model
To evaluate whether the implementation of a new population-based primary care payment system, Population-Based Payments for Primary Care (3PC), initiated by Hawaii Medical Service Association (HMSA; the Blue Cross Blue Shield of Hawaii), was associated with changes in spending and utilization for outpatient imaging in its first year. (Source: Journal of the American College of Radiology : JACR)
Source: Journal of the American College of Radiology : JACR - January 1, 2020 Category: Radiology Authors: Claire T. Dinh, Kristin A. Linn, Ulysses Isidro, Ezekiel J. Emanuel, Kevin G. Volpp, Amelia M. Bond, Kristen Caldarella, Andrea B. Troxel, Jingsan Zhu, Lin Yang, Shireen E. Matloubieh, Elizabeth Drye, Susannah Bernheim, Emily Oshima Lee, Mark Mugiishi, Ki Tags: Original article Source Type: research

The Quality Measure Crunch: How CMS Topped Out Scoring and Removal Policies Disproportionately Disadvantage Radiologists
CMS implemented Merit-Based Incentive Payment System (MIPS) policies to cap points and remove “topped out” quality measures having extremely high national performance. We assess such policies’ impact on quality measure reporting, focusing on diagnostic radiology. (Source: Journal of the American College of Radiology : JACR)
Source: Journal of the American College of Radiology : JACR - January 1, 2020 Category: Radiology Authors: Lauren Parks Golding, Gregory N. Nicola, Richard Duszak, Andrew B. Rosenkrantz Tags: Original article Source Type: research

Special Considerations for Integrating Artificial Intelligence Solutions in Urban Safety-Net Hospitals
In 2000, the Institute of Medicine defined safety-net providers as those who “organize and deliver a significant level of both healthcare and other health-related services to the uninsured, Medicaid, and other vulnerable populations,” as well as those “who by mandate or mission offer access to care regardless of a patient’s ability to pay and whose patient population includes a substantial share of uninsured, Medicaid, and other vulnerable patients” [1]. Since that time, the number of patients seeking care at urban and rural safety-net hospitals has increased in many locations, with changes in...
Source: Journal of the American College of Radiology : JACR - January 1, 2020 Category: Radiology Authors: Travis Browning, Thomas O ’Neill, Yee Ng, Julia R. Fielding, Ronald M. Peshock Tags: Data science Source Type: research

Scenario Planning: Radiology Optimization for the New Era of Health Care Economics
Health care costs have risen at an unprecedented rate over the past 40 years, placing a significant burden on the US economy. These costs amounted to nearly 18% of US gross domestic product in 2016 [1]. Over the years, advances in medical imaging have represented one of the fastest growing components of health care expenditures [2]. This fact has placed radiology at the forefront of health care economic discussions. (Source: Journal of the American College of Radiology : JACR)
Source: Journal of the American College of Radiology : JACR - January 1, 2020 Category: Radiology Authors: Khushboo Jhala, Michael C. Tasi, Steven E. Seltzer Tags: Leadership Source Type: research