Decreasing Duplicative Imaging: Inpatient and Emergency Medicine Abdominal Ultrasound Within 72 Hours of Abdominal CT
The aim of this project was to reduce abdominal ultrasound examinations in patients who had undergone abdominal CT within 72 hours previously. (Source: Journal of the American College of Radiology : JACR)
Source: Journal of the American College of Radiology : JACR - April 2, 2020 Category: Radiology Authors: Neb Adenaw, Jessica Wen, Amit Pahwa, Sheila Sheth, Pamela T. Johnson Tags: Original article Source Type: research

Geographic Dispersion and Rural Versus Urban Utilization of CT Colonography in the United States
To assess the geographic dispersion of CT colonography (CTC) as well as differences in CTC utilization in rural versus urban areas in individuals with commercial insurance. (Source: Journal of the American College of Radiology : JACR)
Source: Journal of the American College of Radiology : JACR - April 1, 2020 Category: Radiology Authors: Courtney C. Moreno, Richard Duszak, Judy Yee, Michal Horny Tags: Original article Source Type: research

Patient-Friendly Summary of the ACR Appropriateness Criteria: Abdominal Aortic Aneurysm Follow-up (Without Repair)
The aorta is a main blood vessel in the chest and abdomen. An abdominal aortic aneurysm (AAA) is an abnormal enlargement of the aorta in the abdomen; it is often asymptomatic, meaning that it causes no symptoms. Monitoring the size and growth of the aneurysm is important because it is often fatal if the aneurysm ruptures. This is more likely in individuals with AAA that grows more than 2 mm per year. Treatment should be considered when an individual without symptoms has an AAA larger than 5.4 cm in men and 4.9 cm in women. (Source: Journal of the American College of Radiology : JACR)
Source: Journal of the American College of Radiology : JACR - April 1, 2020 Category: Radiology Authors: Celena Romero, Frank J. Rybicki Tags: Appropriate use criteria Source Type: research

Uptake of Risk Appropriate Behaviors After Breast Cancer Risk Stratification in the Mammography Screening Population
Women at elevated risk for breast cancer should be informed about supplemental screening with breast MRI, risk-reducing medication, and genetic risk assessment [1]. Risk stratification uses statistical models (eg, modified Gail [2], Tyrer-Cuzick (TC) [3], and BRCAPRO [4]) to estimate a woman ’s risk of developing breast cancer or of carrying an undiagnosed deleterious germline genetic mutation. Women at ≥20% lifetime risk of breast cancer are eligible for supplemental screening breast MRI [1]. Women at ≥1.7% 5-year risk of breast cancer are also eligible for risk-reducing medicati ons [1]. (Source: Journal of t...
Source: Journal of the American College of Radiology : JACR - March 27, 2020 Category: Radiology Authors: Claire C. Conley, Bethany L. Niell, Bianca M. Augusto, McKenzie McIntyre, Richard Roetzheim, Kimberly Funaro, Susan T. Vadaparampil Tags: Case studies in health services research and policy Source Type: research

COVID-19 Computed Tomography Findings: A Systematic Review and Meta-Analysis
Due to the proportion of COVID-19 detected by chest CT imaging is very high, especially thin chest CT plays a huge role in assisting diagnosis and follow-up treatment in clinical application. (Source: Journal of the American College of Radiology : JACR)
Source: Journal of the American College of Radiology : JACR - March 27, 2020 Category: Radiology Authors: Cuiping Bao, Xuehuan Liu, Han Zhang, Yiming Li, Jun Liu Tags: Clinical Practice Management Source Type: research

Found in Translation: Unpacking the Artificial Intelligence Revolution That Has Already Arrived
There has been much hype about the artificial intelligence (AI) revolution and its growing influence on the human experience. On the award-winning iHeart Radio podcast “Sleepwalkers,” Oz Woloshyn and Karah Preiss focus on human stories that recontextualize the impact of AI. To come to such an understanding, they talk to top technology executives, political scientists, and oncologists, and others to unpack the advantages, challenges, and surprises associated wi th today’s AI revolution. In the following, we join them in discussing how the AI revolution has already arrived and it is up to us to decide how t...
Source: Journal of the American College of Radiology : JACR - March 26, 2020 Category: Radiology Authors: Oz Woloshyn, Karah Preiss, Steven P. Rowe, Elliot K. Fishman, Linda C. Chu Tags: Rethinking the patient experience Source Type: research

Negotiating “No Call” for Older Radiologists
You have a very successful radiology group. In recent years, many of your senior radiologists have expressed the desire to keep working beyond the traditional retirement age but do not want to take call. This would be new for you. How would you handle this? (Source: Journal of the American College of Radiology : JACR)
Source: Journal of the American College of Radiology : JACR - March 26, 2020 Category: Radiology Authors: David Fessell, Frank J. Lexa Tags: Devilish dilemma Source Type: research

Coronavirus Disease 2019 (COVID-19) and Beyond: Micropractices for Burnout Prevention and Emotional Wellness
With coronavirus disease 2019 (COVID-19), the demands and stresses on radiologists and physicians have increased dramatically. Even before this pandemic, the high prevalence of burnout, complex causes, and critical consequences had been widely reported [1,2]. Many institutional and individual interventions have been advocated to address burnout and promote wellness including decreased workload, improved work schedules and electronic health record, mindfulness (including MBSR) and personal coaching [1-3]. (Source: Journal of the American College of Radiology : JACR)
Source: Journal of the American College of Radiology : JACR - March 24, 2020 Category: Radiology Authors: David Fessell, Cary Cherniss Tags: Opinion Source Type: research

Novel Screening and Triage Strategy in Iran During Deadly Coronavirus Disease 2019 (COVID-19) Epidemic: Value of Humanitarian Teleconsultation Service
The current outbreak of coronavirus disease 2019 (COVID-19) in at least 156 countries has been classified by the World Health Organization as a global pandemic [1]. The long incubation period and low disease severity in the early stage contributed to rapid increase in case numbers. The infection ranges from mild to severe respiratory illness, potentially progressing to acute respiratory distress syndrome in 17% to 29% of patients [2]. Disease severity resulted in global public health efforts to contain person-to-person viral spread by early detection. (Source: Journal of the American College of Radiology : JACR)
Source: Journal of the American College of Radiology : JACR - March 24, 2020 Category: Radiology Authors: Amir H. Davarpanah, Arash Mahdavi, Ali Sabri, Taraneh Faghihi Langroudi, Shahram Kahkouee, Sara Haseli, Mohammad Ali Kazemi, Payam Mehrian, Ali Mahdavi, Farahnaz Falahati, Abuzar Moradi Tuchayi, Mehrdad Bakhshayeshkaram, Morteza Sanei Taheri Tags: Case studies in clinical practice management Source Type: research

How Radiologists Are Paid: An Economic History, Part II: Advanced Imaging and Radiologists ’ Incomes
The advent of the CT scanner in the early 1970s removed much, if not all, of the morbidity and discomfort previously associated with diagnostic imaging studies. Throughout the 1970s and 1980s, advances in CT technology allowed radiologists to scan “better and faster.” The professional fee for reading a CT study was higher than for reading a radiograph, an uncontroversial policy. But estimating the technical fee for using CT (and later MR) raised problems that would persist for at least 30 years. (Source: Journal of the American College of Radiology : JACR)
Source: Journal of the American College of Radiology : JACR - March 24, 2020 Category: Radiology Authors: Frank Levy, Max P. Rosen Tags: Original article Source Type: research

Trends in the Use of Percutaneous Versus Open Surgical Breast Biopsy: An  Update
Despite the emergence of core-needle (percutaneous) biopsy as the standard of breast care, open surgical breast biopsies continue to be performed with variable frequency. The aim of this study was to compare trends in the use of percutaneous and open surgical breast biopsies and the relative roles of radiologists and surgeons in performing them. (Source: Journal of the American College of Radiology : JACR)
Source: Journal of the American College of Radiology : JACR - March 24, 2020 Category: Radiology Authors: Ida Teberian, Theresa Kaufman, Jason Shames, Vijay M. Rao, Lydia Liao, David C. Levin Tags: Original article Source Type: research

How Radiologists Are Paid: An Economic History, Part IV: End of the Bubble
During the first decade of the 21st century, the imaging bubble began to burst. The combination of digitized images, the DICOM standard, and affordable PACS sharply increased radiologists ’ productivity but also allowed an imaging study to be read from anywhere, creating the field of teleradiology and increased competition for radiologists. Increasing numbers of insurers contracted with radiology benefits managers to help control radiology utilization, and the Deficit Reduction Act of 2005 mandated spending cuts across the government. (Source: Journal of the American College of Radiology : JACR)
Source: Journal of the American College of Radiology : JACR - March 24, 2020 Category: Radiology Authors: Frank Levy, Max P. Rosen Tags: Original article Source Type: research

Gadolinium Deposition Disease and T1 Hyperintensity of the Gray Matter Nuclei: An Inconsequential Link
Harvey et  al [1] outlined the implications for health systems, referring physicians, and radiologists of a condition termed gadolinium deposition disease (GDD). We would like to draw attention to some differences between GDD and hyperintensity in the brain gray matter (GM) nuclei observed in unenhanced T1-w eighted MR images in patients exposed to gadolinium-based contrast agents (GBCAs). (Source: Journal of the American College of Radiology : JACR)
Source: Journal of the American College of Radiology : JACR - March 24, 2020 Category: Radiology Authors: Mario Mascalchi, Lapo Sali Tags: Letter to the editor Source Type: research

The Relationship Between US Medical Licensing Examination Step Scores and ABR Core Examination Outcome and Performance: A Multi-institutional Study
We analyzed multi-institutional data to understand the relationship of US Medical Licensing Examination (USMLE) Step scores to ABR Core examination performance to identify Step score tiers that stratify radiology residents into different Core performance groups. (Source: Journal of the American College of Radiology : JACR)
Source: Journal of the American College of Radiology : JACR - March 24, 2020 Category: Radiology Authors: Maitray D. Patel, Courtney M. Tomblinson, Thad Benefield, Kamran Ali, Carolynn M. DeBenedectis, Eric England, Glenn C. Gaviola, Christopher P. Ho, Ann K. Jay, James M. Milburn, Seng Ong, Jessica B. Robbins, David S. Sarkany, Darel E. Heitkamp, Sheryl G. J Tags: Original article Source Type: research

The Battle Against Coronavirus Disease 2019 (COVID-19): Emergency Management and Infection Control in a Radiology Department
With severe infectious diseases such as COVID-19, the highest level of infection control measures must be implemented, collaboration with the radiology departments of other hospitals be needed, and social media be employed. (Source: Journal of the American College of Radiology : JACR)
Source: Journal of the American College of Radiology : JACR - March 24, 2020 Category: Radiology Authors: Zixing Huang, Shuang Zhao, Zhenlin Li, Weixia Chen, Lihong Zhao, Lipeng Deng, Bin Song Tags: Clinical Practice Management Source Type: research

COVID-19 & Beyond: Micro-practices for Burnout Prevention and Emotional Wellness
(Source: Journal of the American College of Radiology : JACR)
Source: Journal of the American College of Radiology : JACR - March 24, 2020 Category: Radiology Authors: David Fessell, Cary Cherniss Tags: Opinion Source Type: research

Novel Screening and Triage Strategy in Iran During Deadly COVID-19 Epidemic; Value of Humanitarian Teleconsultation Service
(Source: Journal of the American College of Radiology : JACR)
Source: Journal of the American College of Radiology : JACR - March 24, 2020 Category: Radiology Authors: Amir H. Davarpanah, Arash Mahdavi, Ali Sabri, Taraneh Faghihi Langroudi, Shahram Kahkouee, Sara Haseli, Mohammad Ali Kazemi, Payam Mehrian, Ali Mahdavi, Farahnaz Falahati, Abuzar Moradi Tuchayi, Mehrdad Bakhshayeshkaram, Morteza Sanei Taheri Source Type: research

How Radiologists Are Paid: An Economic History, Part I: The Fight for  Independent Billing
In this four-part work, the authors review the economic history of how radiologists are paid, from the fight for independent billing in the 1960s to the impact of advanced imaging technologies on radiologists ’ incomes in the 1980s to the “bubble years” of the 1990s and to the end of the bubble in the first decade of the 21 century. The authors begin in this first part with the connections among a radiologist from Arkansas, a congressman, and the passage of Medicare, the program that gave radiologi sts the right to bill independently and gave the federal government a big role in health care spending. (Sou...
Source: Journal of the American College of Radiology : JACR - March 19, 2020 Category: Radiology Authors: Frank Levy, Max P. Rosen Tags: Original article Source Type: research

How Radiologists Are Paid: An Economic History, Part III: The Bubble Years
With the collapse of the Clinton health care reforms, advanced imaging entered an economic bubble. Between 1995 and 2006, the number of CT and MRI studies almost tripled, from 21 million to 62 million and from 9.1 to 26.6 million, respectively. The increase reflected increases in both the number of scanners and the number of scans generated per CT or MRI scanner. Without restrictions, the profits generated by CT and MR ownership inevitably spread from hospitals first to imaging centers and later to individual physicians ’ offices and led to potential for conflict of interest and self-referral. (Source: Journal of the...
Source: Journal of the American College of Radiology : JACR - March 19, 2020 Category: Radiology Authors: Frank Levy, Max P. Rosen Tags: Original article Source Type: research

Organizational Factors and Quality Improvement Strategies Associated With Lower Radiation Dose From CT Examinations
The aim of this study was to identify organizational factors and quality improvement strategies associated with lower radiation doses from abdominal CT. (Source: Journal of the American College of Radiology : JACR)
Source: Journal of the American College of Radiology : JACR - March 17, 2020 Category: Radiology Authors: Leif I. Solberg, Yifei Wang, Robin Whitebird, Naomi Lopez-Solano, Rebecca Smith-Bindman Tags: Original article Source Type: research

Re: “Readability of Spanish-Language Patient Education Materials From RadiologyInfo.org”
In the article “Readability of Spanish-Language Patient Education Materials From RadiologyInfo.org” [1], the authors state that “Spanish-language patient educational materials provided at the RadiologyInfo.org website are written at levels too high for the average patient” and advise that “future efforts should be made to improve the readability of these patient education materials for English and Spanish speakers.” (Source: Journal of the American College of Radiology : JACR)
Source: Journal of the American College of Radiology : JACR - March 11, 2020 Category: Radiology Authors: Arun Krishnaraj, Cynthia K. Rigsby Tags: Letter to the Editor Source Type: research

Increasing Volume of Bone Marrow Biopsies by Radiology Providers: Evaluation of Trends by Physician Specialty and Practice Setting
The aim of this study was to evaluate trends in bone marrow biopsies performed in the United States by physician specialty and practice setting. (Source: Journal of the American College of Radiology : JACR)
Source: Journal of the American College of Radiology : JACR - March 3, 2020 Category: Radiology Authors: Osman Ahmed, Vibhor Wadhwa, Mikin V. Patel, Ketan Patel, Alexander Lionberg, Wesley Klejch, Adolfo Lizardo, Michael Ginsburg Tags: Original article Source Type: research

Improving Triage of After-Hours Radiology Examinations Through Worklist Unification
Workflow optimization is important for the success of any organization, including a radiology department [1,2]. Computerized worklists were first envisioned in the early days of PACS [3,4] to optimize the segments of the departmental workflow involving image interpretation. Radiologist workflow during daytime hours is often segmented by criteria such as subspecialty, modality, or hospital site and is distributed across multiple radiologists via corresponding worklists. After hours, fewer radiologists usually cover the same number of modalities, clinical specialties, body parts, and hospitals. (Source: Journal of the Americ...
Source: Journal of the American College of Radiology : JACR - March 3, 2020 Category: Radiology Authors: Chintan Shah, Tessa S. Cook, Po-Hao Chen, Steven Hyland, Ryan Heavener, Charles E. Kahn, Mary H. Scanlon Tags: Case studies in clinical practice management Source Type: research

Dive Into Deep Learning
My daughter: What ’s the difference between a monk and a friar?Me: Let’s ask Alexa. Alexa, what’s the difference between a monk and a friar?Alexa: A monk is a person who practices religious asceticism by monastic living, either alone or with any number of other monks. A deep fryer is a kitchen appliance used fo r deep frying. (Source: Journal of the American College of Radiology : JACR)
Source: Journal of the American College of Radiology : JACR - March 3, 2020 Category: Radiology Authors: Julianna M. Czum Tags: Opinion Source Type: research

How to Hire the Best People and Inspire Performance: Lessons for Radiology
I have a long history of starting, backing, and nurturing growing companies. In 1983, I cofounded Sterling Partners, a value-added, growth private equity firm that raised eight funds with more than $5.7 billion of capital. Over the years, I have started several other companies as well, with my successes stemming from hiring the best people and inspiring the best performance. (Source: Journal of the American College of Radiology : JACR)
Source: Journal of the American College of Radiology : JACR - March 3, 2020 Category: Radiology Authors: Eric Becker, Elliot K. Fishman, Steven P. Rowe, Linda C. Chu Tags: Rethinking the patient experience Source Type: research

Recommendations for Standardized Documentation of Contrast Medium-Induced Hypersensitivity
Although it seems easy and unspectacular, currently the documentation of contrast medium (CM) –related hypersensitivity reactions is incomplete or missing. Although high standards are established for both imaging and its documentation, there is no such progress detectable for the documentation of hypersensitivity reactions induced by CM. As reported previously [1], in most electronic or c onventional patient records the documentation of CM hypersensitivity lacks standardization and is sparse, incorrect, incomplete, or missing. (Source: Journal of the American College of Radiology : JACR)
Source: Journal of the American College of Radiology : JACR - March 3, 2020 Category: Radiology Authors: Ingrid B. B öhm, Aart J. van der Molen Tags: Opinion Source Type: research

Unionizing Radiology: A Potential Response to Increasing Corporatization
Recent work has highlighted the trend of consolidation within radiology and health care at large [1]. Traditionally, the practice of radiology has been highly fragmented, organized into local and regional practices, owned by radiologists. In the past few years,  there has been an increase in local practice acquisitions by corporate-, venture capital–, or private equity–backed national entities (NEs), described collectively herein as “corporatization” [1]. Corporate acquisitions in radiology have trended upward since 2000, when there were 0 transac tions to a recent peak in 2015 when there were ...
Source: Journal of the American College of Radiology : JACR - March 1, 2020 Category: Radiology Authors: Arvind Vijayasarathi Tags: Focus on corporate transformation of medicine Source Type: research

Scale Can Improve the Clinical Value of Radiology Practices
Radiology is participating in the recent consolidation trend. Larger practices can invest in the infrastructure and teams to help improve the clinical value of the services they deliver. An example of national practice is provided that leverages its scale to promote clinical best practices aimed at reducing variability in the recommendations radiologists make for common imaging findings. This is accomplished by promoting the culture of learning and collaboration. In some initiatives, developing a machine learning tool to facilitate the application of clinical algorithms at the point of dictation facilitates the adoption of...
Source: Journal of the American College of Radiology : JACR - March 1, 2020 Category: Radiology Authors: Jay Bronner, Nina Kottler, Dean Chauvin, Richard E. Heller, Syed Zaidi, Aaron Huang, Joyce Liang, Upma Rawal Tags: Original article Source Type: research

Potential Implications of Current Corporate Strategy for the US Radiology Industry
The term “corporate strategy” encompasses how a corporation and its business units create value within the scope of the marketplace. In a modern corporation, this includes a range of tactics for working with other business entities, from contracts to joint ventures, all the way to mergers and acquisition s (M&A). “Mergers” refers to combining of relative equals into a new business structure, and “acquisitions” refers to one entity in a dominant position purchasing another entity in a subordinate fashion. (Source: Journal of the American College of Radiology : JACR)
Source: Journal of the American College of Radiology : JACR - March 1, 2020 Category: Radiology Authors: Seth M. Hardy, Frank J. Lexa, Michael A. Bruno Tags: Focus on corporate transformation of medicine Source Type: research

Early-Career Radiologists ’ Perceptions of National Corporations in Radiology
Radiology, like many medical specialties, has experienced an increase in nationalized corporatization. The most vulnerable cohorts affected by this trend are early-career radiologists (ECRs), including trainees and recent graduates, particularly those entering or who have recently entered private practice. The aims of this study were to examine the awareness and perspectives of ECRs regarding this trend and to share salient examples of the impact of corporatization. (Source: Journal of the American College of Radiology : JACR)
Source: Journal of the American College of Radiology : JACR - March 1, 2020 Category: Radiology Authors: Daniel A. Ortiz, Lawrence R. Muroff, Arvind Vijayasarathi Tags: Original article Source Type: research

Separating Fact From Fiction: Understanding Evolving Radiology Practice Models
Consolidation of radiology practices is of great interest. To encourage thoughtful discourse about the different practice models, we must ensure that radiologists (1) base their beliefs and actions on accurate information, (2) are willing to listen to alternative opinions, and (3) critique the strengths and weaknesses of traditional radiology practice models as well as newer models. (Source: Journal of the American College of Radiology : JACR)
Source: Journal of the American College of Radiology : JACR - March 1, 2020 Category: Radiology Authors: Richard E. Heller, C. Matthew Hawkins Tags: Focus on corporate transformation of medicine Source Type: research

Corporatization: Radiology ’s Burning Platform
Few topics in our field incite the degree of emotional catharsis as “corporatization.” Regardless of an individual’s opinions, biases, and viewpoints, this topic provokes edgy exchanges, strong stances, and accelerated angst. It seems almost certain that the recent influx of publicly traded money and private equity invested in national radiology companies will more readily influence how our profession organizes and functions than many of the other topics that we spend extensive time discussing, such as artificial intelligence and national health policy development. (Source: Journal of the American College...
Source: Journal of the American College of Radiology : JACR - March 1, 2020 Category: Radiology Authors: C. Matthew Hawkins Tags: Introduction Source Type: research

The Power of the Meitheal
As I started my term as board chair, I challenged our ACR to come together and move the needle on the penetrance of lifesaving screening for lung cancer with low-dose CT. In Ireland, this kind of community effort is a called a Meitheal (pronounced “meh-hill”) [1], and as we tend to celebrate all things Irish in March, I would like to celebrate this collaborative effort striving to make a difference in the fight to reduce deaths related to lung cancer. You are saving lives. You are, indeed, making a difference. (Source: Journal of the American College of Radiology : JACR)
Source: Journal of the American College of Radiology : JACR - March 1, 2020 Category: Radiology Authors: Geraldine B. McGinty Tags: Department Source Type: research

Progress
is impossible without change, and those who cannot change their minds cannot change anything. —George Bernard Shaw (Source: Journal of the American College of Radiology : JACR)
Source: Journal of the American College of Radiology : JACR - March 1, 2020 Category: Radiology Authors: Ruth C. Carlos Tags: Department Source Type: research

The State of Breast Cancer Screening Guidelines: A Question and Answer Summary
It has come to our attention that many of you are being urged, pressured, or coerced into adopting the US Preventive Services Task Force (USPSTF) guidelines on breast cancer screening that suggest delaying screening until the age of 50 and then screening every 2 years. Others are being asked to support the American Cancer Society (ACS) guidelines that suggest starting at the age of 45 annually to age 55 and then every 2 years after that. Unfortunately, your colleagues who are pressuring you may not fully understand the data and may be simply promoting the guidelines of their societies. (Source: Journal of the American Coll...
Source: Journal of the American College of Radiology : JACR - February 26, 2020 Category: Radiology Authors: Daniel B. Kopans, Kelly W. Biggs, Robert S. Pyatt, Dana Smetherman, Eric B. Friedberg Tags: Opinion Source Type: research

Leveraging the Mammography Setting to Raise Awareness and Facilitate Referral to Lung Cancer Screening: A Qualitative Analysis
Despite compelling support for the benefits of low-dose CT (LDCT) screening for lung cancer among high-risk individuals, awareness of LDCT screening and uptake remain low. The aim of this project was to explore the perspectives of ACR mammography screening program directors (MPDs) regarding efforts to raise LDCT screening awareness and appropriate referrals by identifying high-risk individuals participating in routine mammography. (Source: Journal of the American College of Radiology : JACR)
Source: Journal of the American College of Radiology : JACR - February 26, 2020 Category: Radiology Authors: Jan M. Eberth, Jennifer L. Ersek, Leah M. Terry, Sarah E. Bills, Nirupama Chintanippu, Ruth Carlos, Danny R. Hughes, James L. Studts Tags: Original article Source Type: research

Trends of Supplemental Screening in Women With Dense Breasts
The objective of this study was to survey current trends in supplemental screening across various practice types and to understand factors that affect these practice patterns. (Source: Journal of the American College of Radiology : JACR)
Source: Journal of the American College of Radiology : JACR - February 24, 2020 Category: Radiology Authors: Sadia Choudhery, Bhavika K. Patel, Matthew Johnson, Jennifer Geske, Robert T. Fazzio, Christine Lee, Sandhya Pruthi Tags: Original article Source Type: research

When Patients Ask to Record Radiologic Procedures
A radiology resident was performing a sonographically guided breast biopsy. Midway through the procedure, she realized that the patient had extended her arm, and that in her hand she held her cell phone. She explained that she was live-streaming the procedure to several of her relatives. The resident paused for a moment. Should she ask the patient to stop streaming the procedure? Or should she proceed, as if nothing unusual was happening? (Source: Journal of the American College of Radiology : JACR)
Source: Journal of the American College of Radiology : JACR - February 24, 2020 Category: Radiology Authors: Radya Osman, Richard B. Gunderman Tags: Opinion Source Type: research

Prostate Cancer Imaging Research: The Emerging Importance of Patient-Centered Outcomes
The simplest things are overlooked. And yet, it is the simplest things that are the most essential. —Thomas Lloyd Qualls [1], Painted Oxen (Source: Journal of the American College of Radiology : JACR)
Source: Journal of the American College of Radiology : JACR - February 24, 2020 Category: Radiology Authors: Julianna M. Czum Tags: Opinion Source Type: research

Patient Radiation Exposure: Imaging During Radiation Oncology Procedures: Executive Summary of NCRP Report No. 184
The National Council on Radiation Protection and Measurements (NCRP) recently assessed patient radiation exposure in the United States, which was summarized in its 2019 NCRP Report No. 184. This work involved an estimation of the number of medical procedures using ionizing radiation, as well as the associated effective doses from these procedures. The NCRP Report No. 184 committee elected to not incorporate radiation dose from radiotherapy into its calculated population dose exposures, as the assessment of effective dose for the population undergoing radiotherapy is more complex than that for other medical radiation exposu...
Source: Journal of the American College of Radiology : JACR - February 24, 2020 Category: Radiology Authors: Michael T. Milano, Mahadevappa Mahesh, Fred A. Mettler, Jennifer Elee, Richard J. Vetter Tags: Original article Source Type: research

Prospects of a Fellowship Match for Abdominal Imaging: A National Survey by the Society of Abdominal Radiology
After the Society of Chairs of Academic Radiology Departments timeline and guidelines were released for the 2021-2022 fellowship application cycle, the Society of Abdominal Radiology conducted a survey of residents, fellows and abdominal imaging fellowship program directors (PDs) to assess stakeholders ’ perceptions of changes in the fellowship application process. (Source: Journal of the American College of Radiology : JACR)
Source: Journal of the American College of Radiology : JACR - February 24, 2020 Category: Radiology Authors: Kirti Magudia, Mark Sugi, Patricia Balthazar, Karen Donelan, Camden Bay, Rajan Gupta, Katherine Maturen Tags: Original article Source Type: research

Workplace Harassment Is a Product of Institutional Culture
I read with interest the article byPerumalswami and Jagsi [1] regarding sexual harassment in radiology. There are a couple of elements that bear mentioning in follow-up. (Source: Journal of the American College of Radiology : JACR)
Source: Journal of the American College of Radiology : JACR - February 22, 2020 Category: Radiology Authors: Cory M. Pfeifer Tags: Letter to the editor Source Type: research

Coronavirus (COVID-19) Outbreak: What the Department of Radiology Should Know
In December 2019, a novel coronavirus pneumonia emerged in Wuhan, China. Since then, this highly contagious COVID-19 has been spreading worldwide, with a rapid rise in the number of deaths. Novel COVID-19 –infected pneumonia (NCIP) is characterized by fever, fatigue, dry cough, and dyspnea. A variety of chest imaging features have been reported, similar to those found in other types of COVID-19 syndromes. The purpose of the present review is to briefly discuss the known epidemiology and the imaging findings of COVID-19 syndromes, with a focus on the reported imaging findings of NCIP. (Source: Journal of the American ...
Source: Journal of the American College of Radiology : JACR - February 18, 2020 Category: Radiology Authors: Soheil Kooraki, Melina Hosseiny, Lee Myers, Ali Gholamrezanezhad Tags: Original article Source Type: research

Patient-Friendly Summary of the ACR Appropriateness Criteria: Hematuria –Child
Hematuria is blood in urine. The  urine may be red or pink, which is called macroscopic hematuria, or the urine may be normal in color but show blood cells when examined under a microscope, which is called microscopic hematuria. When a child with hematuria is examined, the doctor will usually test the urine for both blood and protein. Protein in the urine is called proteinuria. (Source: Journal of the American College of Radiology : JACR)
Source: Journal of the American College of Radiology : JACR - February 18, 2020 Category: Radiology Authors: Celena Romero, Ryan K. Lee Tags: Appropriate use criteria Source Type: research

Coronavirus Outbreak: What The Department of Radiology Should Know
Implementation of a robust Radiology plan can provide protection against further transmission of the virus to patients and staff. (Source: Journal of the American College of Radiology : JACR)
Source: Journal of the American College of Radiology : JACR - February 18, 2020 Category: Radiology Authors: Soheil Kooraki, Melina Hosseiny, Lee Myers, Ali Gholamrezanezhad Source Type: research

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