Increasing Use, Geographic Variation, and Disparities in Emergency Department CT for Suspected Urolithiasis
Publication date: Available online 17 June 2019Source: Journal of the American College of RadiologyAuthor(s): Patricia Balthazar, Gelareh Sadigh, Danny Hughes, Andrew B. Rosenkrantz, Tarek Hanna, Richard DuszakAbstractPurposeThe aim of this study was to examine changing characteristics of utilization and potential disparities in US emergency department (ED) patients undergoing CT of the abdomen and pelvis (CTAP) for suspected urolithiasis.MethodsA retrospective study was conducted among all patients from 2006 to 2015 with a primary diagnosis of suspected urolithiasis within the Nationwide Emergency Department Sample, the l...
Source: Journal of the American College of Radiology - June 19, 2019 Category: Radiology Source Type: research

Improving Patient Comprehension of Screening Mammography Recall Lay Letters
Publication date: Available online 11 June 2019Source: Journal of the American College of RadiologyAuthor(s): Derek L. Nguyen, Emily B. Ambinder, Mary Kate Jones, Ginger Hill, Susan C. HarveyAbstractPurposeIn accordance with the Mammography Quality Standards Act, recall lay letters should be written using language that is “easily understood by a lay person.” The authors hypothesized that the readability of their institution’s current recall lay letter may contribute to the misinterpretation of intended time for patient return. Thus, the aim of this study was to evaluate the comprehension of the current re...
Source: Journal of the American College of Radiology - June 12, 2019 Category: Radiology Source Type: research

Deep-Learning Language-Modeling Approach for Automated, Personalized, and Iterative Radiology-Pathology Correlation
ConclusionsModern deep-learning language-modeling approaches are promising for radiology-pathology correlation. Because of their rapid adaptation to underlying training labels, these models advance previous artificial intelligence work in that they can be continuously improved and tuned to improve performance and adjust to user and site-level preference. (Source: Journal of the American College of Radiology)
Source: Journal of the American College of Radiology - June 6, 2019 Category: Radiology Source Type: research

ACR Ultrasound Liver Reporting and Data System: Multicenter Assessment of Clinical Performance at 1 Year
ConclusionsApproximately 90% of US LI-RADS screening examinations were negative, 5% subthreshold, and 5% positive. Visualization scores were diagnostically acceptable in the vast majority (>95%) of examinations. US LI-RADS emphasized sensitivity and negative predictive value, key characteristics of a screening test. (Source: Journal of the American College of Radiology)
Source: Journal of the American College of Radiology - June 6, 2019 Category: Radiology Source Type: research

A Secondary Analysis to Identify Patient-Centered Outcomes in the ACR’s Appropriateness Criteria
ConclusionsWe identified few PCOs incorporated in the AC. Our findings reflect the historical emphasis of diagnostic research on accuracy, clinical utility, and selected outcomes (eg, adverse events). As radiology moves to a more patient-centered approach, it will be important to measure PCOs reported directly from patients. (Source: Journal of the American College of Radiology)
Source: Journal of the American College of Radiology - June 6, 2019 Category: Radiology Source Type: research

Building Resilience One Moment at a Time
Publication date: Available online 4 June 2019Source: Journal of the American College of RadiologyAuthor(s): Priscilla J. Slanetz, Sonia Gupta, Kitt Shaffer, Elizabeth Oates (Source: Journal of the American College of Radiology)
Source: Journal of the American College of Radiology - June 6, 2019 Category: Radiology Source Type: research

Academic Performance–Based Compensation Models
Publication date: Available online 4 June 2019Source: Journal of the American College of RadiologyAuthor(s): William A. Mehan, Pamela W. Schaefer, Joshua A. HirschAbstractAcademic radiologists spend considerable amounts of time and effort providing nonclinical value-added services in the realms of teaching, research, and administration that are not reimbursable through traditional relative value units (RVUs) under the resource-based relative value scale. Numerous systems of academic RVUs have been proposed by medicine, surgery, and radiology programs to measure and reward these nonclinical contributions. In this article th...
Source: Journal of the American College of Radiology - June 6, 2019 Category: Radiology Source Type: research

Identifying Barriers to Building a Diverse Physician Workforce: A National Survey of the ACR Membership
Publication date: Available online 4 June 2019Source: Journal of the American College of RadiologyAuthor(s): Pari V. Pandharipande, Nathaniel D. Mercaldo, Anna P. Lietz, Claudia L. Seguin, Chrishanae D. Neal, Curtiland Deville, Jay R. Parikh, Gelareh Sadigh, Karla A. Sepulveda, Katherine E. Maturen, Jan Cox, Swati Bansal, Katarzyna J. Macura, Karen DonelanAbstractPurposeThe aim of this study was to identify potential barriers to building a diverse workforce in radiology and radiation oncology by conducting a national survey of physicians in these fields and studying their reported career experiences.MethodsAn electronic su...
Source: Journal of the American College of Radiology - June 6, 2019 Category: Radiology Source Type: research

Patient-Friendly Summary of the ACR Appropriateness Criteria: Pretreatment Staging of Muscle-Invasive Bladder Cancer
Publication date: June 2019Source: Journal of the American College of Radiology, Volume 16, Issue 6Author(s): Frank Rybicki, Phyllis Glanc (Source: Journal of the American College of Radiology)
Source: Journal of the American College of Radiology - June 4, 2019 Category: Radiology Source Type: research

End of Life
Publication date: June 2019Source: Journal of the American College of Radiology, Volume 16, Issue 6Author(s): Ruth C. Carlos (Source: Journal of the American College of Radiology)
Source: Journal of the American College of Radiology - June 4, 2019 Category: Radiology Source Type: research

Female Editors-in-Chief of Radiology Journals Do Exist
Publication date: June 2019Source: Journal of the American College of Radiology, Volume 16, Issue 6Author(s): Elizabeth Kagan Arleo (Source: Journal of the American College of Radiology)
Source: Journal of the American College of Radiology - June 4, 2019 Category: Radiology Source Type: research

Limiting Nonradiology Staff MRI Access to Reduce Zone Breach Incidents
Publication date: June 2019Source: Journal of the American College of Radiology, Volume 16, Issue 6Author(s): Laura Parra, Howard Osborn, Cathy Gustafson, Anshuman Panda, Jonathan A. Flug (Source: Journal of the American College of Radiology)
Source: Journal of the American College of Radiology - June 4, 2019 Category: Radiology Source Type: research

Erratum
Publication date: June 2019Source: Journal of the American College of Radiology, Volume 16, Issue 6Author(s): (Source: Journal of the American College of Radiology)
Source: Journal of the American College of Radiology - June 4, 2019 Category: Radiology Source Type: research

Patient-Friendly Summary of the ACR Appropriateness Criteria: Orbits, Vision, and Visual Loss
Publication date: June 2019Source: Journal of the American College of Radiology, Volume 16, Issue 6Author(s): Frank Rybicki, Bruno Policeni (Source: Journal of the American College of Radiology)
Source: Journal of the American College of Radiology - June 4, 2019 Category: Radiology Source Type: research

Re: “Revolutionizing Radiology Education to Add Value—What’s Next?”
Publication date: Available online 1 June 2019Source: Journal of the American College of RadiologyAuthor(s): Tushar Garg, Apurva Shrigiriwar (Source: Journal of the American College of Radiology)
Source: Journal of the American College of Radiology - June 3, 2019 Category: Radiology Source Type: research

Improving Workflow Efficiency for Mammography Using Machine Learning
ConclusionMachine learning was leveraged to successfully reduce the number of normal mammograms that radiologists need to read without degrading diagnostic accuracy. (Source: Journal of the American College of Radiology)
Source: Journal of the American College of Radiology - May 31, 2019 Category: Radiology Source Type: research

Impact of a Same-Day Breast Biopsy Program on Disparities in Time to Biopsy
Publication date: Available online 29 May 2019Source: Journal of the American College of RadiologyAuthor(s): Brian N. Dontchos, Anand Narayan, Matthew Seidler, Sarah F. Mercaldo, Randy C. Miles, Emily Ebert, Constance D. LehmanAbstractBackgroundDisparities in breast cancer diagnosis are established. In usual practice biopsies are performed days or weeks after recommendation. Our aim was to measure the impact of a same-day biopsy program on disparities in time from biopsy recommendation to performance.MethodsAfter institutional review board approval, we identified all diagnostic examinations leading to biopsy pre- (Septembe...
Source: Journal of the American College of Radiology - May 31, 2019 Category: Radiology Source Type: research

Financial Conflicts of Interest Among Authors of Clinical Practice Guidelines for Routine Screening Mammography
ConclusionsThese findings suggest that FCOIs likely have little to no influence on the adoption of consensus recommendations regarding routine screening mammography for all cohorts of women. (Source: Journal of the American College of Radiology)
Source: Journal of the American College of Radiology - May 31, 2019 Category: Radiology Source Type: research

Patient-Friendly Summary of the ACR Appropriateness Criteria®: Radiologic Management of Central Venous Access
Publication date: Available online 28 May 2019Source: Journal of the American College of RadiologyAuthor(s): Roberta Savo, Karin E. Dill (Source: Journal of the American College of Radiology)
Source: Journal of the American College of Radiology - May 29, 2019 Category: Radiology Source Type: research

A Road Map for Translational Research on Artificial Intelligence in Medical Imaging: From the 2018 National Institutes of Health/RSNA/ACR/The Academy Workshop
Publication date: Available online 28 May 2019Source: Journal of the American College of RadiologyAuthor(s): Bibb Allen, Steven E. Seltzer, Curtis P. Langlotz, Keith P. Dreyer, Ronald M. Summers, Nicholas Petrick, Danica Marinac-Dabic, Marisa Cruz, Tarik K. Alkasab, Robert J. Hanisch, Wendy J. Nilsen, Judy Burleson, Kevin Lyman, Krishna KandarpaAbstractAdvances in machine learning in medical imaging are occurring at a rapid pace in research laboratories both at academic institutions and in industry. Important artificial intelligence (AI) tools for diagnostic imaging include algorithms for disease detection and classificati...
Source: Journal of the American College of Radiology - May 29, 2019 Category: Radiology Source Type: research

Enhancing Clinical Decision Support and Appropriate Use Criteria With Recommendations on Urgency of Care: Implications for Imaging Within Emergency Settings
Publication date: Available online 27 May 2019Source: Journal of the American College of RadiologyAuthor(s): McKinley Glover, Anand M. Prabhakar, Brian J. Yun, Benjamin White, Ali S. Raja (Source: Journal of the American College of Radiology)
Source: Journal of the American College of Radiology - May 28, 2019 Category: Radiology Source Type: research

Gender Diversity Within the American Board of Radiology: History, Current Status, and Future Implications
Publication date: Available online 24 May 2019Source: Journal of the American College of RadiologyAuthor(s): Paul E. Wallner, G. Donald Frey, Anne C. Roberts, Cheri L. Canon, Valerie P. Jackson, Brent J. Wagner (Source: Journal of the American College of Radiology)
Source: Journal of the American College of Radiology - May 25, 2019 Category: Radiology Source Type: research

Natural Language Processing for Identification of Incidental Pulmonary Nodules in Radiology Reports
ConclusionNLP reliably automates identification of ILNs in unstructured reports, pertinent to quality improvement efforts for ILN management. (Source: Journal of the American College of Radiology)
Source: Journal of the American College of Radiology - May 25, 2019 Category: Radiology Source Type: research

From the Reading Room to the Courtroom—The Use of Molecular Radionuclide Imaging in Criminal Trials
Publication date: Available online 24 May 2019Source: Journal of the American College of RadiologyAuthor(s): Rudolf A. Werner, Brent Savoie, Mehrbod S. Javadi, Martin G. Pomper, Takahiro Higuchi, Constantin Lapa, Steven P. RoweAbstractRecent years have witnessed an expanded use of single-photon emission computed tomography and PET for a wide range of clinical applications, including imaging of brain abnormalities. As a result, molecular brain imaging is now being more extensively utilized in criminal cases, in particular in the sentencing phase of a trial. This perspective aims to provide a brief overview for the practicin...
Source: Journal of the American College of Radiology - May 25, 2019 Category: Radiology Source Type: research

Patient-Friendly Summary of the ACR Appropriateness Criteria: Suspected Lower Extremity Deep Vein Thrombosis
Publication date: Available online 16 May 2019Source: Journal of the American College of RadiologyAuthor(s): Lauren Yates, Frank J. Rybicki (Source: Journal of the American College of Radiology)
Source: Journal of the American College of Radiology - May 23, 2019 Category: Radiology Source Type: research

Re: “Addressing Gender Disparity in Radiology Through Increased Mentorship and Earlier Authorship”
Publication date: Available online 16 May 2019Source: Journal of the American College of RadiologyAuthor(s): Ana Arriola (Source: Journal of the American College of Radiology)
Source: Journal of the American College of Radiology - May 23, 2019 Category: Radiology Source Type: research

An Institutional CT Radiation Dose Reduction Quality Improvement Project
Publication date: Available online 21 May 2019Source: Journal of the American College of RadiologyAuthor(s): Philip Smith, Craige Blackmore, Paul Sicuro (Source: Journal of the American College of Radiology)
Source: Journal of the American College of Radiology - May 22, 2019 Category: Radiology Source Type: research

Trends in Hospital Performance on the Medicare National Outpatient Imaging Metrics: A 5-Year Longitudinal Cohort Analysis
Publication date: Available online 21 May 2019Source: Journal of the American College of RadiologyAuthor(s): Anand K. Narayan, Andrew B. Rosenkrantz, Gary Wang, Dania Daye, Daniel J. DurandAbstractPurposeMedicare established its Hospital Outpatient Quality Reporting Program(HOQRP) to promote and incentivize quality care and appropriate utilization in the hospital outpatient setting. The program includes “imaging efficiency” metrics evaluating appropriate utilization of imaging examinations. Our purpose was to evaluate the longitudinal performance of the nation’s hospitals on the HOQPR’s imaging effi...
Source: Journal of the American College of Radiology - May 22, 2019 Category: Radiology Source Type: research

The Value of Reputation: Understanding the Current Marketing Ecosystem for Content Producers
Publication date: Available online 21 May 2019Source: Journal of the American College of RadiologyAuthor(s): Keith A. Grossman, Elliot K. Fishman, Karen M. Horton, Steven P. Rowe (Source: Journal of the American College of Radiology)
Source: Journal of the American College of Radiology - May 22, 2019 Category: Radiology Source Type: research

Quantifying Value-Based Imaging
Publication date: Available online 21 May 2019Source: Journal of the American College of RadiologyAuthor(s): Shireen E. Hayatghaibi, Matthew S. Davenport, Andrew T. Trout, Jonathan R. Dillman (Source: Journal of the American College of Radiology)
Source: Journal of the American College of Radiology - May 22, 2019 Category: Radiology Source Type: research

Diagnostic Imaging Use for the Initial Evaluation of Low Back Pain by Primary Care Providers in the United States: 2011-2016
Publication date: Available online 21 May 2019Source: Journal of the American College of RadiologyAuthor(s): Jina Pakpoor, Micheal Raad, Andrew Harris, Varun Puvanesarajah, Joseph K. Canner, Rohini Nadgir, Amit JainAbstractObjectiveHigh-value care guidelines from multiple medical societies recommend against imaging for the initial evaluation of low back pain in the absence of red flag symptoms. We aimed to determine the current temporal and geographic landscape of imaging ordering patterns for this indication among US primary care providers.MethodsUsing a national commercial insurance claims database, we identified patient...
Source: Journal of the American College of Radiology - May 22, 2019 Category: Radiology Source Type: research

Patient-Friendly Summary of the ACR Appropriateness Criteria Tinnitus
Publication date: Available online 20 May 2019Source: Journal of the American College of RadiologyAuthor(s): Casey Quinlan, Jennifer Uyeda (Source: Journal of the American College of Radiology)
Source: Journal of the American College of Radiology - May 22, 2019 Category: Radiology Source Type: research

Democratizing AI
Publication date: Available online 16 May 2019Source: Journal of the American College of RadiologyAuthor(s): Bibb Allen, Sheela Agarwal, Jayashree Kalpathy-Cramer, Keith Dreyer (Source: Journal of the American College of Radiology)
Source: Journal of the American College of Radiology - May 17, 2019 Category: Radiology Source Type: research

Application of Lung-Screening Reporting and Data System Versus Pan-Canadian Early Detection of Lung Cancer Nodule Risk Calculation in the Alberta Lung Cancer Screening Study
ConclusionPerformances of both the NRC and Lung-RADS in this cohort were very good with a trend to higher sensitivity for the NRC. Early recall rates were less than 10% with each approach, significantly lower than rates using the National Lung Screening Trial cutoffs. Further reductions in early recall rates without compromising sensitivity could be achieved by increasing the NRC threshold to 20% for ground glass nodules or by applying the nodule risk calculator with a 5% threshold to 6- to 10-mm solid nodules under Lung-RADS. (Source: Journal of the American College of Radiology)
Source: Journal of the American College of Radiology - May 16, 2019 Category: Radiology Source Type: research

Interprofessional Education in Radiation Oncology
ConclusionsThis systematic review demonstrates that despite the general association of IPE with improved outcomes, radiation oncology IPE initiatives are lacking. There is a significant opportunity to further develop radiation oncology IPE. (Source: Journal of the American College of Radiology)
Source: Journal of the American College of Radiology - May 16, 2019 Category: Radiology Source Type: research

Recent Trends Suggest Possible Inappropriate Utilization of Myocardial Perfusion Imaging
ConclusionsElective STD MPI use is declining, but cardiologists are performing an increasing share in outpatient settings. The drop in private office STD MPI among cardiologists was far greater than the corresponding increase in its use in HOPDs, suggesting that many studies previously performed in private offices were unindicated. Self-referred PET MPI utilization has rapidly grown in cardiology private offices. (Source: Journal of the American College of Radiology)
Source: Journal of the American College of Radiology - May 16, 2019 Category: Radiology Source Type: research

Patient-Friendly Summary of the ACR Appropriateness Criteria® Sinusitis–Child
Publication date: Available online 16 May 2019Source: Journal of the American College of RadiologyAuthor(s): Celena Romero, Dianna Bardo (Source: Journal of the American College of Radiology)
Source: Journal of the American College of Radiology - May 16, 2019 Category: Radiology Source Type: research

An Initiative to Reduce Unnecessary Gadolinium-Based Contrast in Multiple Sclerosis Patients
DiscussionA multidisciplinary effort to implement a quality improvement project to limit contrast in MS patients receiving follow-up MRIs allowed for improved safety and cost by targeting patients that would benefit from the use of intravenous contrast in real-time. (Source: Journal of the American College of Radiology)
Source: Journal of the American College of Radiology - May 16, 2019 Category: Radiology Source Type: research

Comparison of Contrast-Enhanced Mammography With Conventional Digital Mammography in Breast Cancer Screening: A Pilot Study
Publication date: Available online 16 May 2019Source: Journal of the American College of RadiologyAuthor(s): Geunwon Kim, Jordana Phillips, Elodia Cole, Alexander Brook, Tejas Mehta, Priscilla Slanetz, Michael D.C. Fishman, Evguenia Karimova, Rashmi Mehta, Parisa Lotfi, Nancy Resteghini, Sean Raj, Vandana DialaniAbstractPurposeTo perform a pilot evaluation of contrast-enhanced mammography (CEM) for screening to determine whether it can improve accuracy and reader confidence in diagnosis.Methods and MaterialsThis institutional review board–approved reader study was comprised of 64 de-identified CEM cases acquired from...
Source: Journal of the American College of Radiology - May 16, 2019 Category: Radiology Source Type: research

Patient-Friendly Overview of the ACR Appropriateness Criteria Suspected Lower Extremity Deep Vein Thrombosis
Publication date: Available online 16 May 2019Source: Journal of the American College of RadiologyAuthor(s): Lauren Yates, Frank Rybicki (Source: Journal of the American College of Radiology)
Source: Journal of the American College of Radiology - May 16, 2019 Category: Radiology Source Type: research

How to Prevent a Leaky Pipeline in Academic Radiology: Insights From a Faculty Survey
Publication date: Available online 16 May 2019Source: Journal of the American College of RadiologyAuthor(s): Heike Daldrup-Link, Kensley Villavasso, Qian Zhao, Ying Lu, Anna Ranieri, Caroline Simard, Sanjiv Sam Gambhir (Source: Journal of the American College of Radiology)
Source: Journal of the American College of Radiology - May 16, 2019 Category: Radiology Source Type: research

Emergency Radiology: Current Challenges and Preparing for Continued Growth
This article reviews the current challenges confronting the subspecialty of emergency radiology and offers insights into preparing for continued growth. (Source: Journal of the American College of Radiology)
Source: Journal of the American College of Radiology - May 16, 2019 Category: Radiology Source Type: research

Re: “Underrepresentation of Women on Radiology Editorial Boards”
Publication date: Available online 16 May 2019Source: Journal of the American College of RadiologyAuthor(s): Ana Arriola (Source: Journal of the American College of Radiology)
Source: Journal of the American College of Radiology - May 16, 2019 Category: Radiology Source Type: research

Pressure from Above and Below
Publication date: Available online 16 May 2019Source: Journal of the American College of RadiologyAuthor(s): David Fessell, Frank J. Lexa (Source: Journal of the American College of Radiology)
Source: Journal of the American College of Radiology - May 16, 2019 Category: Radiology Source Type: research

Training and Education Requirements for Authorized Users of Therapeutic Radiopharmaceuticals: Changes Under Consideration for 10CFR35.390 and Their Potential Impact
This article describes current regulations and concerns related to the proposed changes and details the ACR organizational response. (Source: Journal of the American College of Radiology)
Source: Journal of the American College of Radiology - May 16, 2019 Category: Radiology Source Type: research

No Mission, No Engagement
Publication date: Available online 16 May 2019Source: Journal of the American College of RadiologyAuthor(s): Elliot K. Fishman, Linda C. Chu, Steven P. Rowe (Source: Journal of the American College of Radiology)
Source: Journal of the American College of Radiology - May 16, 2019 Category: Radiology Source Type: research

Assessing Eligibility for Lung Cancer Screening Among Women Undergoing Screening Mammography: Cross-Sectional Survey Results From the National Health Interview Survey
Publication date: Available online 16 May 2019Source: Journal of the American College of RadiologyAuthor(s): Diego López, Efrén J. Flores, Randy C. Miles, Gary Wang, McKinley Glover, Jo-Anne Shepard, Constance D. Lehman, Anand K. NarayanAbstractPurposeMillions of women undergo mammography screening each year, presenting an opportunity for radiologists to identify women eligible for lung cancer screening with low-dose chest CT (LCS) and smoking cessation counseling. The purpose of our study was to estimate the proportion of women eligible for LCS and tobacco cessation counseling among women reporting mammograp...
Source: Journal of the American College of Radiology - May 16, 2019 Category: Radiology Source Type: research

Patient-Friendly Summary of the ACR Appropriateness Criteria: Hearing Loss and/or Vertigo
Publication date: Available online 16 May 2019Source: Journal of the American College of RadiologyAuthor(s): Frank Rybicki, Bruno Policeni (Source: Journal of the American College of Radiology)
Source: Journal of the American College of Radiology - May 16, 2019 Category: Radiology Source Type: research

The Radiology Twitterverse: A Starter’s Guide to Utilization and Success
Publication date: Available online 16 May 2019Source: Journal of the American College of RadiologyAuthor(s): Randy C. Miles, Amy K. PatelAbstractThe rise of social media use in medicine has changed how health care organizations and providers communicate with patients and interact with other members of the medical community. Active social media engagement has been associated with improvements in patient outreach, peer-to-peer interactions, and medical education. In radiology, however, social media is predominantly used among trainees, with significantly lower rates seen in attending physicians who have been in practice for ...
Source: Journal of the American College of Radiology - May 16, 2019 Category: Radiology Source Type: research

Imaging Intussusception in Children’s Hospitals in the United States: Trends, Outcomes, and Costs
Publication date: Available online 16 May 2019Source: Journal of the American College of RadiologyAuthor(s): Hansel J. Otero, Ammie M. White, Asef B. Khwaja, Heather Griffis, Hannah Katcoff, Brian W. BresnahanAbstractObjectiveTo describe imaging utilization, outcomes, and cost in the management of intussusception between 2010 and 2017 in pediatric hospitals in the United States.MethodsAll children (under 18 years of age) with a primary diagnosis of intussusception in a large administrative database were identified. Demographics, imaging, and costs were described.ResultsThere were 17,032 children (63.3% boys, 36.7% girls, m...
Source: Journal of the American College of Radiology - May 16, 2019 Category: Radiology Source Type: research