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Trends in Industry-Sponsored Research Payments to Radiologist Principal Investigators 放射学主要研究人员的行业赞助研究报酬趋势。
IF 5.1 3区 医学 Q1 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2026-03-01 Epub Date: 2025-11-03 DOI: 10.1016/j.jacr.2025.10.006
Ethan N. Lee BA , Zeyad Hammadeh DDS, MS , Michael A. Kraut MD, PhD , Misop Han MD, MS

Purpose

Industry-sponsored research payments (hereafter research payments) play an important role in the advancement of the medical sciences. Recent analysis of the Open Payments program (OPP) demonstrated that research payments are increasingly dispersed through noncovered entities (NCEs) across specialties. It is unknown how research payments are distributed to radiologists. The aims of this study were to assess trends in research payments to radiologists between 2015 and 2024 and to characterize payments distributed through NCEs.

Methods

A retrospective analysis of research payments in the OPP was performed, and payments accepted by radiologist principal investigators at NCEs were analyzed. Linear regression and descriptive statistics were used to examine annual payment trends.

Results

Between 2015 and 2024, 57,772 research payments totaling $824.2 million were accepted by 2,963 radiologists. Annual payments increased 50%, driven by a 44% increase in payments to NCEs (P < .01). At NCEs, median payments per principal investigator increased from $13,718 (interquartile range: $3,623-$53,795) to $24,350 (interquartile range: $5,500-$80,720) (P < .001). In 2024, male radiologists received 88% ($58.8 million) of NCE payments, a 54% increase (P < .01). Five manufacturers accounted for 40.4% of total research payments to radiologists.

Conclusions

Research payments to radiologists have increased significantly because of increases in payments to NCEs, concentrated among a select group of radiologists. When transparent and appropriately managed, NCEs represent valuable partnerships improving patient care, yet further research remains imperative to understand changes in research funding pathways.
目的:行业赞助的研究费用(以下简称研究费用)在医学科学的进步中发挥着重要作用。最近对开放支付计划(OPP)的分析表明,研究费用越来越分散到跨专业的非覆盖实体(nce)。目前尚不清楚研究费用是如何分配给放射科医生的。本研究的目的是评估2015年至2024年间放射科医生的研究支付趋势,并描述通过nce分配的支付特征。方法:对OPP的研究费用进行回顾性分析,并对NCEs放射科主任研究员接受的费用进行分析。使用线性回归和描述性统计来检查年度付款趋势。结果:2015年至2024年间,2,963名放射科医生接受了57,772笔研究费用,总计8.242亿美元。由于向nce支付的费用增加了44%,年度支付增加了50% (P < 0.01)。在NCEs,每位首席研究员的薪酬中位数从13,718美元(四分位数范围:3,623美元至53,795美元)增加到24,350美元(四分位数范围:5,500美元至80,720美元)(P < 0.001)。2024年,男性放射科医生获得了88%(5880万美元)的NCE支付,增长了54% (P < 0.01)。五家制造商占了付给放射科医生的研究费用总额的40.4%。结论:由于nce的支付增加,放射科医生的研究费用显著增加,集中在一个选定的放射科医生群体中。在透明和管理得当的情况下,nce代表了改善患者护理的宝贵伙伴关系,但进一步的研究仍然是必要的,以了解研究资助途径的变化。
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引用次数: 0
Industry Funding for Research in Radiology and Need for Greater Transparency 放射学的研究经费和需要更大的透明度。
IF 5.1 3区 医学 Q1 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2026-03-01 Epub Date: 2026-01-20 DOI: 10.1016/j.jacr.2026.01.007
Ajay Malhotra MD, MMM
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引用次数: 0
The Era of Artificial Intelligence: Can Radiologists Move From Invisible to Indispensable? 人工智能时代:放射科医生能否从默默无闻变为不可或缺?
IF 5.1 3区 医学 Q1 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2026-03-01 Epub Date: 2025-09-10 DOI: 10.1016/j.jacr.2025.09.002
Nadja Kadom MD
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引用次数: 0
Neighborhood Socioeconomic Status and Distance From Home Address to Imaging Center Influence the Acuity of Brain MRI Findings 社区社会经济地位和家庭住址到成像中心的距离影响脑MRI结果的敏锐度。
IF 5.1 3区 医学 Q1 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2026-03-01 Epub Date: 2025-10-10 DOI: 10.1016/j.jacr.2025.10.004
Ishita Raghuvanshi BS , Benjamin B. Risk PhD , Gelareh Sadigh MD , Jason W. Allen MD, PhD , Candace C. Fleischer PhD

Purpose

Lower socioeconomic status (SES) and longer distance to providers have been linked to disparities in health care access, often delaying diagnostic evaluation of acute conditions. Determining the effects of nonmedical factors on the acuity of MRI findings is critical for addressing health care inequities and improving access to medical imaging. The goal of this study was to characterize the effects of neighborhood SES and distance from home address to imaging center on acuity of brain MRI findings.

Methods

The investigators evaluated brain MRI scans acquired from March 2019 to March 2020. Neighborhood SES was quantified using the area deprivation index (ADI), and acuity was categorized by board-certified neuroradiologists (1, 2, or 3, with 3 indicating the highest acuity). Distance between home address and imaging center was calculated in miles and log2 transformed. The χ2 test and analysis of variance were used to assess groupwise differences in acuity. A multinomial baseline-category logit model was used to assess the relationship between z-scored ADI and log distance on acuity, controlling for age, sex, race, marital status, insurance type, and encounter type.

Results

The final cohort consisted of brain MRI scans from 4,813 individuals (mean age, 58.5 ± 17.3 years; 2,733 women). Acuity varied significantly across sex, race, marital status, insurance type, encounter type, and imaging center. Regression analysis revealed a 1-SD increase in z-scored ADI (ie, lower neighborhood SES) resulted in significantly higher acuity of inpatient brain MRI scans (acuity 2 > 1 odds ratio [OR], 1.34 [P = .0016]; acuity 3 > 1 OR, 1.32 [P = .0012]) and emergency department scans (acuity 2 > 1 OR, 1.27; P = .045). A twofold increase in distance resulted in significantly higher acuity of brain MRI findings for all scans (acuity 2 > 1 OR, 1.07 [P = .026]; acuity 3 > 1 OR, 1.15 [P < .001]).

Conclusions

Lower neighborhood SES for inpatient and emergency department scans and greater distance between home address and imaging center for all scans result in significantly higher odds of more acute brain MRI findings.
背景:较低的社会经济地位(SES)和较远的距离提供者已联系到差距的医疗保健服务,往往延误诊断评估急性条件。确定非医学因素对MRI检查结果敏锐度的影响对于解决医疗保健不平等和改善医学成像的可及性至关重要。目的:本研究的目的是表征社区社会经济地位和家庭住址到成像中心的距离对脑MRI图像敏锐度的影响。方法:本回顾性研究评估了2019年3月至2020年3月获得的脑MRI扫描。使用区域剥夺指数(ADI)量化邻里SES,并由委员会认证的神经放射科医生对视力进行分类(1,2,3;3=最高视力)。以英里为单位计算家庭住址与成像中心之间的距离,并对log2进行变换。卡方检验和方差分析检验评估了各组的敏锐度差异。在控制年龄、性别、种族、婚姻状况、保险类型和遭遇类型的情况下,多项基线-类别logit模型评估了z得分ADI与锐锐度对数距离之间的关系。结果:最终队列包括4813名个体(58.5±17.3岁,女性2733名)的脑MRI扫描。不同性别、种族、婚姻状况、保险类型、接触类型和影像中心对视力的影响显著不同。回归分析显示,z评分ADI增加一个标准差(即较低的社区SES)导致住院患者脑MRI扫描的敏锐度显著提高(敏锐度2 bb1优势比(OR)=1.34, p=0.0016;3> OR=1.32, p=0.0012)和急诊部扫描(2> OR=1.27, p=0.045)。两倍的距离增加导致所有扫描的脑部MRI结果的锐度显著增加(锐度2>1,OR=1.07, p=0.026;锐度3>1,OR=1.15, p)。结论:住院部和急诊科扫描的社区SES较低,所有扫描的家庭住址和成像中心之间的距离较远,导致更急性的脑部MRI结果的几率显著增加。
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引用次数: 0
Patient-Friendly Summary of the ACR Appropriateness Criteria®: Renal Transplant Dysfunction: 2025 Update ACR适宜性标准总结:肾移植功能障碍:2025年更新
IF 5.1 3区 医学 Q1 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2026-02-01 Epub Date: 2025-11-13 DOI: 10.1016/j.jacr.2025.11.007
Yash Sachin Saboo , David H. Kim MD
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引用次数: 0
Early Imaging, Enduring Impact: Making the Case for Investment in Medical Student Radiology Education Within the Preclinical Years 早期成像,持久的影响:在临床前几年对医学生放射学教育进行投资的案例。
IF 5.1 3区 医学 Q1 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2026-02-01 Epub Date: 2025-12-11 DOI: 10.1016/j.jacr.2025.12.004
Daniel M. DePietro MD , Sophia R. O’Brien MD, MSEd , Arun C. Nachiappan MD , Scott A. Simpson DO, MSEd
Although radiology has become an increasingly fundamental part of modern health care, undergraduate medical education regarding radiology has not kept pace, and graduating medical students often lack radiology competency. Early integration of radiology within undergraduate medical education can help address this knowledge gap; however, despite the educational value of preclinical radiology education, there are significant economic implications to increased radiologist involvement in medical student education. Radiologist time carries opportunity costs in terms of productivity and, without proper support, an added educational role can lead to radiologist burnout. Such barriers can be addressed through institutional investment in preclinical radiology education roles, faculty development, workload redistribution, and other approaches. Time-saving and cost-efficient educational strategies must also be used, such as use of asynchronous content, trainee staffing of teaching sessions, and web-based PACS tools. When implemented thoughtfully, preclinical radiology education can deliver high returns on investment in terms of creating radiology-competent future physicians, improving imaging utilization and health care efficiency, and potentially inspiring students to pursue careers in radiology. This article explores the educational and economic rationale for preclinical radiology education and offers cost-effective and impactful implementation strategies.
尽管放射学已成为现代医疗保健中越来越重要的组成部分,但本科医学教育的放射学教育却没有跟上步伐,医学院毕业生往往缺乏放射学能力。早期将放射学纳入本科医学教育有助于解决这一知识缺口;然而,尽管临床前放射学教育的教育价值,有显著的经济影响,以增加放射科医生参与医学生教育。放射科医生的时间在生产力方面有机会成本,如果没有适当的支持,额外的教育角色可能导致放射科医生倦怠。这些障碍可以通过对临床前放射学教育角色、教师发展、工作量再分配和其他方法的机构投资来解决。还必须使用节省时间和成本效益的教育策略,例如使用异步内容、教学会议的培训人员配置和基于web的PACS工具。如果实施得当,临床前放射学教育可以在培养具有放射学能力的未来医生、提高成像利用率和医疗效率方面带来高回报,并有可能激励学生从事放射学方面的职业。本文探讨临床前放射学教育的教育和经济原理,并提供具有成本效益和有效的实施策略。
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引用次数: 0
Table of Content 目录表
IF 5.1 3区 医学 Q1 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2026-02-01 Epub Date: 2026-02-02 DOI: 10.1016/S1546-1440(25)00706-9
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引用次数: 0
Alternative Approaches to Resident Education 居民教育的替代方法。
IF 5.1 3区 医学 Q1 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2026-02-01 Epub Date: 2025-09-03 DOI: 10.1016/j.jacr.2025.08.054
Billy Chien MD , Jackson Pearce MD , Muhammad Qureshi MBBS , Puneet Bhargava MD , Mahan Mathur MD
Radiology education pedagogy has traditionally focused on a combination of in-house workstation teaching and either didactic or case-based conferences. These approaches, however, may no longer be sustainable in the current radiology climate. The rising growth in imaging volumes combined with the demand for shorter report turnaround times, ongoing noninterpretative tasks, and the nationwide radiology workforce shortage have contributed to faculty burnout, which can have a significant impact on resident education. Fortunately, educators can leverage ongoing technological advances to provide a learning experience for residents that may overcome some of the current challenges. The authors discuss some of these pedagogic advances and offer strategies for their implementation during the clinical workday. A nuanced discussion of the advantages and challenges is provided, with a focus on the economic considerations associated with adopting each of these approaches.
放射学教育传统上侧重于内部工作站教学和教学或基于案例的会议的结合。然而,在当前的放射学环境下,这些方法可能不再是可持续的。影像量的不断增长,加上对更短报告周转时间的需求,持续的非解释性任务,以及全国范围内的放射学劳动力短缺,导致了教师的职业倦怠,这可能对住院医师教育产生重大影响。幸运的是,教育工作者可以利用持续的技术进步为居民提供学习经验,这可能会克服当前的一些挑战。作者讨论了一些这些教学进展,并提供策略,在临床工作中实施。本文对这些方法的优势和挑战进行了细致入微的讨论,重点是采用每种方法所涉及的经济考虑。
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引用次数: 0
Patient-Friendly Summary of the ACR Appropriateness Criteria®: Colorectal Cancer Screening: 2025 Update 患者友好的ACR适宜性标准总结®:结直肠癌筛查:2025更新
IF 5.1 3区 医学 Q1 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2026-02-01 Epub Date: 2025-11-17 DOI: 10.1016/j.jacr.2025.11.019
Jeshwanth Mohan , Sherry S. Wang MBBS
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引用次数: 0
The Cult of “Myself”: How Hypercorrection Seizes Professional English, and Why It Matters in Radiology 对“我自己”的崇拜:如何过度矫正专业英语,以及为什么它在放射学中很重要。
IF 5.1 3区 医学 Q1 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2026-02-01 Epub Date: 2025-11-13 DOI: 10.1016/j.jacr.2025.11.009
Patrik Rogalla MD, PhD, MBA
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引用次数: 0
期刊
Journal of the American College of Radiology
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