Journal of the American College of Radiology最新文献

英文中文

Bridging Radiologic Disparities Through Federally Qualified Health Center-Academic Partnerships: A Call for Rural Inclusion and Outcome-Oriented Approaches 通过fqhc -学术伙伴关系弥合放射学差异：呼吁农村包容和以结果为导向的方法。

IF 5.1 3区医学 Q1 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING

Journal of the American College of Radiology

Pub Date : 2026-01-01 DOI: 10.1016/j.jacr.2025.07.032

Javed Iqbal RN, MHA, Ayesha Parvaiz Malik MBBS, Ghulam Hussain PhD, Somayeh Hormaty PhD, Sumaira Khowaja-Punjwani BSN

引用次数: 0

Incidence of Adverse Events Related to Ballistic Fragments in Patients Undergoing MRI at a Large Urban Health System: Implications for MR Safety Screening 在大型城市卫生系统中接受MRI的患者中与弹道碎片相关的不良事件的发生率：对MR安全筛查的影响。

IF 5.1 3区医学 Q1 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING

Journal of the American College of Radiology

Pub Date : 2026-01-01 DOI: 10.1016/j.jacr.2025.08.006

Paul M. Armenta MD , Adam Siegel MD , Russel R. Fullerton MD , Renee Segarra , Judah Burns MD , Michael L. Lipton MD, PhD

Background

Patients with retained ballistic fragments commonly require MRI. Very few studies have reported MRI-related adverse events in patients with retained bullet or shrapnel fragments. Current ACR recommendations suggest caution when scanning patients with retained fragments but offer limited concrete guidance to assist MRI personnel with safety determinations.

Purpose

To assess the incidence of retained bullet or shrapnel fragments in patients undergoing MRI and of associated adverse events, in the context of an existing screening policy.

Material and methods

The Montage search feature of the PS360 reporting system for radiological examinations was used to identify, for the years 2010-2023, all patients who underwent radiographic examinations demonstrating retained bullet or shrapnel fragments, who underwent a subsequent MRI examination. Medical record review was used to assess the occurrence of adverse events related to the MRI examination.

Results

In all, 220 patients with evidence of a retained bullet or shrapnel fragment who underwent subsequent MRI were identified from 6,143 positive radiographs. Four of 220 patients (1.8%) reported transient localized burning or discomfort during the MRI examination. In each of the four patients, the retained bullet or shrapnel fragments were in the superficial soft tissues. No medical treatment was required, and no serious adverse events or persistent symptoms were reported.

Conclusion

There is a low incidence of adverse events in patients with known bullet or shrapnel fragments undergoing MRI in the context of the local screening policy. An effective screening paradigm likely plays a role in minimizing adverse events.

背景：遗留弹道碎片的患者通常需要MRI检查。很少有研究报道遗留子弹和/或弹片碎片患者的mri相关不良事件。目前美国放射学会（ACR）建议在扫描有残留碎片的患者时要谨慎，但提供有限的具体指导，以协助MRI人员进行安全确定。目的：在现有筛查政策的背景下，评估MRI中残留子弹/弹片碎片的发生率和相关不良事件。材料和方法：利用PS360放射学检查报告系统的蒙太奇搜索功能，对2010-2023年间所有接受放射学检查显示残留子弹或弹片碎片并随后接受MRI检查的患者进行识别。病历回顾用于评估与MRI检查相关的不良事件的发生。结果：从6143张阳性x线片中鉴定出220例有残留子弹或弹片碎片证据的患者。220例患者中有4例（1.8%）在MRI检查时报告了短暂的局部灼烧或不适。在4名患者中，保留的子弹/弹片碎片均位于浅表软组织中。不需要治疗，也没有严重不良事件或持续症状的报告。结论：在局部筛查政策的背景下，已知子弹或弹片碎片接受MRI检查的患者不良事件发生率较低。有效的筛选范例可能在减少不良事件方面发挥作用。

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引用次数: 0

JACR Annual Awards 2025 2025年JACR年度大奖

IF 5.1 3区医学 Q1 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING

Journal of the American College of Radiology

Pub Date : 2026-01-01 DOI: 10.1016/j.jacr.2025.11.001

引用次数: 0

Sarcopenia Still Underdiagnosed: Leveraging Abdominal CT and Artificial Intelligence for Early Detection 肌少症仍未被诊断：利用腹部CT和人工智能进行早期检测。

IF 5.1 3区医学 Q1 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING

Journal of the American College of Radiology

Pub Date : 2026-01-01 DOI: 10.1016/j.jacr.2025.08.013

Taimour Mushtaq MBBS, Mubariz Ali MBBS, Brijesh Sathian PhD, Javed Iqbal RN, MHA, Ayesha Parvaiz Malik MBBS

引用次数: 0

ACR Appropriateness Criteria® Thoracic Venous Occlusions-Suspected Superior Vena Cava Syndrome ACR适当标准®胸静脉阻塞-怀疑上腔静脉综合征

IF 5.1 3区医学 Q1 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING

Journal of the American College of Radiology

Pub Date : 2026-01-01 DOI: 10.1016/j.jacr.2025.10.029

Expert Panel on Vascular Imaging, Anant D. Bhave MD , Nathan Franssen MD , Minhaj S. Khaja MD, MBA , Nima Kokabi MD , William F. Browne MD , Murthy R. Chamarthy MD , Benjamin N. Contrella MD , Baljendra S. Kapoor MD, MBA , Nicole A. Keefe MD , Mahammed Z. Khan Suheb MD , Karen M. Kim MD , Julie Lahiri MD , Andrea Obi MD , Sherry Scovell MD , Daniel P. Sheeran MD , Seda Tierney MD , Nkiruka Udejiofor MD , Madison Wulfeck MD, MBA , Bill S. Majdalany MD

Superior vena cava (SVC) syndrome occurs in approximately 15,000 people in the United States each year. It most commonly occurs secondary to thoracic malignancies, mostly primary lung cancer and lymphoma. The cause is occlusion of the SVC or brachiocephalic veins. The following recommendations for initial imaging evaluation of acute or chronic SVC syndrome are presented. Contrast-enhanced chest CT scans, particularly CT angiography/venography, with or without simultaneous inclusion of the neck are recommended studies. MRI with contrast and MR venography/MRA chest with or without contrast are also recommended studies. The recommended CT and MR studies work well to diagnose and evaluate the cause and extent of superior vena cava or brachiocephalic vein occlusion.

The American College of Radiology Appropriateness Criteria are evidence-based guidelines for specific clinical conditions that are reviewed annually by a multidisciplinary expert panel. The guideline development and revision process support the systematic analysis of the medical literature from peer reviewed journals. Established methodology principles such as Grading of Recommendations Assessment, Development, and Evaluation or GRADE are adapted to evaluate the evidence. The RAND/UCLA Appropriateness Method User Manual provides the methodology to determine the appropriateness of imaging and treatment procedures for specific clinical scenarios. In those instances where peer reviewed literature is lacking or equivocal, experts may be the primary evidentiary source available to formulate a recommendation.

在美国，每年大约有15000人患有上腔静脉（SVC）综合征。它最常继发于胸部恶性肿瘤，主要是原发性肺癌和淋巴瘤。原因是SVC或头臂静脉闭塞。以下是对急性或慢性SVC综合征的初步影像学评估的建议。建议进行胸部CT增强扫描，特别是CT血管造影/静脉造影，同时或不同时包括颈部。也建议进行MRI对比和MR静脉造影/MRA胸部对比或不对比。推荐的CT和MR检查可以很好地诊断和评估上腔静脉或头臂静脉阻塞的原因和程度。美国放射学会适当性标准是针对特定临床条件的循证指南，每年由多学科专家小组审查。指南的制定和修订过程支持对同行评议期刊的医学文献进行系统分析。已建立的方法原则，如建议分级评估，发展和评估或GRADE适用于评估证据。兰德/加州大学洛杉矶分校适当方法用户手册提供了确定特定临床情况下成像和治疗程序的适当性的方法。在同行评议文献缺乏或模棱两可的情况下，专家可能是制定建议的主要证据来源。

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引用次数: 0

ACR Appropriateness Criteria® Ingested or Aspirated Foreign Body-Child ACR适宜性标准®摄入或吸入异物-儿童

IF 5.1 3区医学 Q1 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING

Journal of the American College of Radiology

Pub Date : 2026-01-01 DOI: 10.1016/j.jacr.2025.10.028

Expert Panel on Pediatric Imaging, Mariana L. Meyers MD , Michael M. Moore MD , Joe B. Baker MD , Michael N. Clemenshaw MD, MS , Matthew L. Cooper MD , Matthew R. Hammer MD , Susan D. John MD , Afif Kulaylat MD , Joyce Li MD, MPH , Sagar J. Pathak MD , Jonathan D. Samet MD , Marla B.K. Sammer MD, MHA , Gary R. Schooler MD , Amit S. Sura MD, MBA , Catharine M. Walsh MD, MEd, PhD , Ramesh S. Iyer MD, MBA

Ingestion or aspiration of foreign bodies (FBs) is a common reason for pediatric emergency department visits. In this document, three variants were developed. In Variant 1 (suspect ingested or aspirated FB, initial imaging), neck, chest, abdomen, and pelvis radiographs are usually appropriate to identify the presence and location of a swallowed or inhaled FB. Low-dose noncontrast chest CT may also be appropriate when there is high suspicion for radiolucent FB. In Variant 2 (suspect ingested FB, initial radiographs negative, next imaging study), chest CT without contrast is usually appropriate, although fluoroscopic esophagram or CT abdomen and pelvis may be appropriate. If known ingested water beads, abdomen ultrasound may be helpful. In Variant 3 (suspect aspirated FB, initial radiographs negative, next imaging study), CT chest without contrast is usually appropriate while decubitus chest radiographs and fluoroscopy studies are usually not appropriate.

摄入或吸入异物（FBs）是儿科急诊科就诊的常见原因。在本文档中，开发了三种变体。在变型1（疑似摄入或吸入FB，初始成像）中，通常需要颈部、胸部、腹部和骨盆x线片来确定吞咽或吸入FB的存在和位置。当高度怀疑有透光性FB时，也可进行低剂量的胸部CT检查。在变型2（怀疑摄入FB，初始x线片阴性，下一步影像学检查）中，胸部CT不加对比通常是合适的，尽管食管透视或腹部和骨盆CT可能是合适的。如果已知摄入水珠，腹部超声检查可能会有帮助。在变型3（疑似吸入性FB，初始x线片阴性，下一步影像学检查）中，不加对比的胸部CT检查通常是合适的，而卧位胸片和x线检查通常不合适。美国放射学会适当性标准是针对特定临床条件的循证指南，每年由多学科专家小组审查。指南的制定和修订过程支持对同行评议期刊的医学文献进行系统分析。已建立的方法原则，如建议分级评估，发展和评估或GRADE适用于评估证据。兰德/加州大学洛杉矶分校适当方法用户手册提供了确定特定临床情况下成像和治疗程序的适当性的方法。在同行评议文献缺乏或模棱两可的情况下，专家可能是制定建议的主要证据来源。

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引用次数: 0

Is the Sixth Edition of BI-RADS Lexicon Going to Be Stigmatization Free? 第六版的BI-RADS词典会被污名化吗？

IF 5.1 3区医学 Q1 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING

Journal of the American College of Radiology

Pub Date : 2026-01-01 DOI: 10.1016/j.jacr.2025.07.013

Halit Nahit Şendur MD, Aylin Billur Şendur MD

引用次数: 0

Patient-Friendly Summary of the ACR Appropriateness Criteria®: Staging and Follow-Up of Anal Cancer ACR适宜性标准的患者友好总结：肛门癌的分期和随访。

IF 5.1 3区医学 Q1 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING

Journal of the American College of Radiology

Pub Date : 2026-01-01 DOI: 10.1016/j.jacr.2025.09.010

Yuri G. Takagawa , Sherry S. Wang MBBS

引用次数: 0

Patient-Friendly Summary of the ACR Appropriateness Criteria®: Staging and Disease Monitoring of Colon Cancer and Appendiceal Cancer ACR适宜性标准总结：结肠癌和阑尾癌的分期和疾病监测。

IF 5.1 3区医学 Q1 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING

Journal of the American College of Radiology

Pub Date : 2026-01-01 DOI: 10.1016/j.jacr.2025.09.008

Sania Choudhary , David H. Kim MD

引用次数: 0

Patient-Friendly Summary of the ACR Appropriateness Criteria®: Chronic Hip Pain 对患者友好的ACR适宜性标准总结：慢性髋关节疼痛。

IF 5.1 3区医学 Q1 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING

Journal of the American College of Radiology

Pub Date : 2026-01-01 DOI: 10.1016/j.jacr.2025.09.009

Abby Newman , Karen Chi-Lynn Chen MD

引用次数: 0

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