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Management of Incidentally Discovered Pineal Cyst on CT and MRI: Recommendations from the ACR Incidental Findings Committee 偶然发现的CT和MRI松果体囊肿的处理:ACR偶然发现委员会的建议。
IF 5.1 3区 医学 Q1 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2026-01-01 DOI: 10.1016/j.jacr.2025.09.006
Gul Moonis MD , Suyash Mohan MD, MBBS , Prachi Dubey MBBS , Daniel T. Ginat MD, MS , Peter Kralt MD , Pallavi S. Utukuri MD , Noushin Yahyavi-Firouz-Abadi MD, MBA , Jeffrey N. Bruce MD , Jenny K. Hoang MBBS, MBA , Pari V. Pandharipande MD , Stella K. Kang MD, MS
The ACR Incidental Findings Committee presents recommendations for managing incidental pineal cysts on CT of the head or MRI of the brain. The Pineal Cyst Subcommittee is composed of neuroradiologists and a neurosurgeon who developed the algorithms presented. These recommendations represent a combination of current published evidence as well as expert experience and opinion and were finalized by a formal consensus-building process. The recommendations address commonly encountered incidental findings in the pineal gland and are not intended to be a comprehensive review of all pineal incidental findings. The goal is to improve the quality of care by providing guidance on management of incidentally detected pineal cysts.
ACR偶发发现委员会提出了处理头部CT或脑部MRI偶发松果体囊肿的建议。松果体囊肿小组委员会由神经放射学家和一名神经外科医生组成,他们开发了所提出的算法。这些建议综合了目前已发表的证据以及专家经验和意见,并通过正式的建立共识进程最终确定。这些建议涉及在松果体中经常遇到的偶然发现,并不打算对所有松果体偶然发现进行全面的审查。目的是通过对偶然发现的松果体囊肿的管理提供指导来提高护理质量。
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引用次数: 0
From Automation to Innovation: How Artificial Intelligence Is Reshaping Global Industries 从自动化到创新:人工智能如何重塑全球产业
IF 5.1 3区 医学 Q1 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2026-01-01 DOI: 10.1016/j.jacr.2025.06.030
Jack Smith , Elliot K. Fishman MD , Linda C. Chu MD , Steven P. Rowe MD, PhD , Charles K. Crawford BS
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引用次数: 0
The Majority of Breast Imaging Services for US Medicare Beneficiaries Are Now Provided by Subspecialized Breast Radiologists 美国医疗保险受益人的大多数乳腺成像服务现在由专科乳腺放射科医生提供。
IF 5.1 3区 医学 Q1 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2026-01-01 DOI: 10.1016/j.jacr.2025.10.003
Tariq Rashid MD , Aditya Khurana MD , Alan Zhu BS , David Supeck DO, PhD , Laura Harper MD , Curtis Simmons MD, MBA , Richard E. Sharpe Jr. MD, MBA

Purpose

The aim of this study was to evaluate breast imaging (BI) productivity trends in the US Medicare population from 2013 to 2022, including subspecialized interpretation trends overall, and by imaging modality.

Methods

Outpatient imaging claims for the US Medicare population from 2013 to 2022 were extracted from CMS databases, categorized as BI or not and by imaging modality. Total work relative value units (wRVUs) and wRVUs for BI studies were summed, and year-specific BI case mixes were calculated per radiologist. Radiologists interpreting more than 50% of their case mix as BI each year were classified as subspecialized breast radiologists. Productivity and subspecialization trends overall and by imaging modality were evaluated.

Results

From 2013 to 2022, BI wRVUs increased by 7.8% annually, and radiologists performing BI services decreased by 2.2% annually. The percentage of all radiologists submitting BI claims decreased from 46.5% to 34.2%. The number of subspecialized breast radiologists submitting claims for BI services increased by 7.1% annually. The percentage of all radiologists who were breast subspecialized increased from 8.1% in 2013 to 13.4% in 2022. BI wRVUs by subspecialized breast radiologists increased by 15.1% annually. Beginning in 2017, more BI wRVUs were performed by subspecialized breast radiologists than by <50% BI mix radiologists. The fraction of 2022 BI services provided by subspecialized breast radiologists varied by imaging modality: 63.7% for mammography, 70.0% for ultrasound, 80.5% for MRI, and 83.0% for interventional procedures.

Conclusions

The majority of BI examinations for US Medicare beneficiaries are now interpreted by subspecialized breast radiologists, potentially advancing quality of care and informing education, workforce, and access considerations.
目的:本研究的目的是评估2013年至2022年美国医疗保险人群的乳腺成像(BI)生产力趋势,包括总体亚专业解释趋势和成像方式。方法:从CMS数据库中提取2013年至2022年美国医疗保险人口的门诊影像索赔,按成像方式分类为BI或非BI。对BI研究的总工作相对价值单位(wRVUs)和wRVUs进行汇总,并计算每位放射科医生特定年份的BI病例组合。每年将超过50%的病例解释为BI的放射科医生被归类为亚专科乳腺放射科医生。生产力和亚专业化趋势总体和通过成像模式进行评估。结果:从2013年到2022年,BI wrvu每年增长7.8%,从事BI服务的放射科医师每年减少2.2%。所有放射科医生提交BI索赔的比例从46.5%下降到34.2%。亚专科乳腺放射科医生提交BI服务索赔的人数每年增加7.1%。所有乳腺专科放射科医生的比例从2013年的8.1%上升到2022年的13.4%。亚专科乳腺放射科医师的BI wRVUs每年增加15.1%。从2017年开始,更多的BI wrvu是由亚专科乳腺放射科医生进行的,而不是由亚专科乳腺放射科医生进行的。结论:美国医疗保险受益人的大多数BI检查现在都由亚专科乳腺放射科医生进行解释,这可能会提高护理质量,并为教育、劳动力和获取考虑提供信息。
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引用次数: 0
Artificial Intelligence Implementation in Pediatric Radiology for Patient Safety: A Multisociety Statement From the ACR, ESPR, SPR, SLARP, AOSPR, SPIN 人工智能在儿童放射学中的应用:来自ACR, ESPR, SPR, SLARP, AOSPR, SPIN的多社会声明。
IF 5.1 3区 医学 Q1 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2026-01-01 DOI: 10.1016/j.jacr.2025.08.019
Susan C. Shelmerdine BSc, MBBS, MRCS, FRCR, PhD , Jaishree Naidoo MBChB, FCRad Diag, Dip Paed Rad , Brendan S. Kelly PhD, MB BCh, BAO, BSc, MSc, FFRRCSI , Lene Bjerke Laborie MD, PhD , Seema Toso MD, MSc, FMH , Tugba Akinci D’Antonoli MD , Owen J. Arthurs PhD, FRCR , Steven L. Blumer MD, MBA, CPE, FAAP , Pierluigi Ciet MD, PhD , Maria Beatrice Damasio , Andrea S. Doria MD, PhD, MSc, MBA , Saira Haque MBChB, MRCPCH, FRCR , Mai-Lan Ho MD , Thierry A.G.M. Huisman MD, PhD , Aparna Joshi MD , Jeevesh Kapur FRCR , Kshitij Mankad MRes, MRCP, PGDip in Health Care Mgmt, FRCR , Amaka C. Offiah BSc, MBBS, MRCP, FRCR, PhD , Hansel J. Otero MD , Erika Pace MD, MD(Res) , Marla Sammer MD, MHA
Artificial intelligence (AI) has potential to revolutionize radiology, yet current solutions and guidelines are predominantly focused on adult populations, often overlooking the specific requirements of children. This is important because children differ significantly from adults in terms of physiology, developmental stages, and clinical needs, necessitating tailored approaches for the safe and effective integration of AI tools. This multisociety position statement systematically addresses four critical pillars of AI adoption: (1) regulation and purchasing, (2) implementation and integration, (3) interpretation and postmarket surveillance, and (4) education. We propose pediatric-specific safety ratings, inclusion of datasets from diverse pediatric populations, quantifiable transparency metrics, and explainability of models to mitigate biases and ensure AI systems are appropriate for use in children. Risk assessment, dataset diversity, transparency, and cybersecurity are important steps in regulation and purchasing. For successful implementation, a phased strategy is recommended, involving early pilot testing, stakeholder engagement, and comprehensive postmarket surveillance with continuous monitoring of defined performance benchmarks. Clear protocols for managing discrepancies and adverse incident reporting are essential to maintain trust and safety. Moreover, we emphasize the need for foundational AI literacy courses for all health care professionals that include pediatric safety considerations, alongside specialized training for those directly involved in pediatric imaging. Public and patient engagement is crucial to foster understanding and acceptance of AI in pediatric radiology. Ultimately, we advocate for a child-centered framework for AI integration, ensuring that the distinct needs of children are prioritized and that their safety, accuracy, and overall well-being are safeguarded.
人工智能(AI)有可能彻底改变放射学,但目前的解决方案和指南主要侧重于成人人群,往往忽视了儿童的具体要求。这一点很重要,因为儿童在生理、发育阶段和临床需求方面与成人有很大不同,因此需要量身定制的方法来安全有效地整合人工智能工具。这个多社会立场声明系统地解决了人工智能采用的四个关键支柱:(1)监管和采购,(2)实施和整合,(3)解释和上市后监督,以及(4)教育。我们提出了针对儿科的安全评级、纳入来自不同儿科人群的数据集、可量化的透明度指标以及模型的可解释性,以减轻偏见并确保人工智能系统适用于儿童。风险评估、数据集多样性、透明度和网络安全是监管和采购的重要步骤。为了成功实施,建议采取分阶段战略,包括早期试点测试、利益相关者参与和全面的上市后监督,并持续监测已定义的绩效基准。管理差异和不良事件报告的明确协议对于维护信任和安全至关重要。此外,我们强调需要为所有医疗保健专业人员提供基础人工智能素养课程,其中包括儿科安全考虑因素,同时为直接参与儿科成像的人员提供专门培训。公众和患者的参与对于促进儿童放射学对人工智能的理解和接受至关重要。最终,我们主张建立一个以儿童为中心的人工智能整合框架,确保儿童的独特需求得到优先考虑,并保障他们的安全、准确性和整体福祉。
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引用次数: 0
Keeping Up With Communication: A Call to Involve Trainees 保持沟通:让学员参与进来。
IF 5.1 3区 医学 Q1 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2026-01-01 DOI: 10.1016/j.jacr.2025.08.025
Alankrit Shatadal BS, BA , Allison Grayev MD
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引用次数: 0
Radiologists as Equity Advocates: The Colombian Perspective 在社区、农村和安全网设置中推进医疗保健服务:放射科医生作为公平倡导者:哥伦比亚视角。
IF 5.1 3区 医学 Q1 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2026-01-01 DOI: 10.1016/j.jacr.2025.08.049
Valeria Del Castillo MD, Laura Manuela Olarte Bermúdez MD, Valeria Noguera MD, Gustavo Triana MD, Hernan Dario Paez Rueda MD
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引用次数: 0
Green Imaging: Scoping Review of Radiology’s Environmental Impact 绿色成像:放射学对环境影响的范围综述。
IF 5.1 3区 医学 Q1 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2026-01-01 DOI: 10.1016/j.jacr.2025.09.013
Sean A. Woolen MD, MSc , Marisa Martin MD , Colby A. Foster MD , Mark P. MacEachern MLIS , Katherine E. Maturen MD, MSc

Objective

To summarize evidence for the environmental impact of radiology services and identify research gaps.

Methods

A scoping review was conducted following Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews guidelines. Searches were performed in Ovid Medline, Web of Science, Embase, and Scopus from inception to June 6, 2025. Studies were included if they reported environmental outcomes from diagnostic imaging or image-guided procedures in humans. Two reviewers independently screened studies and extracted data. Conference abstracts, narrative reviews, editorials, non-English articles, and studies without primary data were excluded. Data were charted by environmental impact type and summarized using descriptive statistics and narrative synthesis.

Results

Initial searches yielded 2,730 citations, with 115 studies included. Publications spanned 1971 to 2025, primarily from Europe (44%) and the United States (25%). Most were observational; only 8% (9 of 115) employed life cycle analysis (LCA). Key domains included energy use (27%), nuclear medicine waste (25%), and contrast media waste (14%). Reported annual CO2 emissions for equipment varied by modality: MRI (53.1 ± 13.2 metric tons [MT] of carbon dioxide equivalents), CT (12.6 ± 2.9 MT), interventional radiology (9.6 ± 1.0 MT), fluoroscopy (4.8 MT), radiography (0.7 ± 0.4 MT), workstations (0.7 ± 0.2 MT), and ultrasound (0.3 MT). Per-scan LCA estimates ranged widely: MRI (6.2-76.2 kg), CT (1.1-13.4 kg), ultrasound (0.1-1.2 kg), and radiography (0.7-7.0 kg). Radionuclides and contrast agents were frequently detected in wastewater and ecosystems. Key research gaps include inconsistent methods, limited LCA use, underexplored modalities and informatics, insufficient waste mitigation studies, and lack of cross-specialty carbon assessments.

Conclusion

Among thousands of publications on imaging sustainability, few provide primary data. This review consolidates evidence on radiology’s environmental impact and outlines priorities for future research.
目的:总结放射服务对环境影响的证据,并找出研究空白。方法:根据PRISMA-ScR指南进行范围审查。在Ovid Medline, Web of Science, Embase和Scopus中进行了从成立到2025年6月6日的搜索。如果研究报告了诊断成像或图像引导程序对人类的环境影响,则将其纳入研究。两位审稿人独立筛选研究并提取数据。会议摘要、叙述性综述、社论、非英语文章和没有原始数据的研究被排除在外。数据按环境影响类型绘制图表,并使用描述性统计和叙事综合进行汇总。结果:最初的搜索产生了2730条引用,其中包括115项研究。论文发表时间从1971年到2025年,主要来自欧洲(44%)和美国(25%)。大多数是观察性的;只有8%(9/115)采用了生命周期分析(LCA)。关键领域包括能源使用(27%)、核医学废物(25%)和造影剂废物(14%)。报告的设备年二氧化碳排放量因方式而异:MRI(53.1±13.2 MT)、CT(12.6±2.9 MT)、IR(9.6±1.0 MT)、透视(4.8 MT)、x线摄影(0.7±0.4 MT)、工作站(0.7±0.2 MT)和超声(0.3 MT)。每次扫描的LCA估计范围很广:MRI (6.2-76.2 kg), CT (1.1-13.4 kg),超声(0.1-1.2 kg)和x线摄影(0.7-7.0 kg)。在废水和生态系统中经常检测到放射性核素和造影剂。主要的研究差距包括方法不一致、LCA使用有限、模式和信息学探索不足、废物缓解研究不足以及缺乏跨专业碳评估。结论:在数以千计的关于成像可持续性的出版物中,很少提供原始数据。这篇综述巩固了放射学对环境影响的证据,并概述了未来研究的重点。
{"title":"Green Imaging: Scoping Review of Radiology’s Environmental Impact","authors":"Sean A. Woolen MD, MSc ,&nbsp;Marisa Martin MD ,&nbsp;Colby A. Foster MD ,&nbsp;Mark P. MacEachern MLIS ,&nbsp;Katherine E. Maturen MD, MSc","doi":"10.1016/j.jacr.2025.09.013","DOIUrl":"10.1016/j.jacr.2025.09.013","url":null,"abstract":"<div><h3>Objective</h3><div>To summarize evidence for the environmental impact of radiology services and identify research gaps.</div></div><div><h3>Methods</h3><div>A scoping review was conducted following Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews guidelines. Searches were performed in Ovid Medline, Web of Science, Embase, and Scopus from inception to June 6, 2025. Studies were included if they reported environmental outcomes from diagnostic imaging or image-guided procedures in humans. Two reviewers independently screened studies and extracted data. Conference abstracts, narrative reviews, editorials, non-English articles, and studies without primary data were excluded. Data were charted by environmental impact type and summarized using descriptive statistics and narrative synthesis.</div></div><div><h3>Results</h3><div>Initial searches yielded 2,730 citations, with 115 studies included. Publications spanned 1971 to 2025, primarily from Europe (44%) and the United States (25%). Most were observational; only 8% (9 of 115) employed life cycle analysis (LCA). Key domains included energy use (27%), nuclear medicine waste (25%), and contrast media waste (14%). Reported annual CO<sub>2</sub> emissions for equipment varied by modality: MRI (53.1 ± 13.2 metric tons [MT] of carbon dioxide equivalents), CT (12.6 ± 2.9 MT), interventional radiology (9.6 ± 1.0 MT), fluoroscopy (4.8 MT), radiography (0.7 ± 0.4 MT), workstations (0.7 ± 0.2 MT), and ultrasound (0.3 MT). Per-scan LCA estimates ranged widely: MRI (6.2-76.2 kg), CT (1.1-13.4 kg), ultrasound (0.1-1.2 kg), and radiography (0.7-7.0 kg). Radionuclides and contrast agents were frequently detected in wastewater and ecosystems. Key research gaps include inconsistent methods, limited LCA use, underexplored modalities and informatics, insufficient waste mitigation studies, and lack of cross-specialty carbon assessments.</div></div><div><h3>Conclusion</h3><div>Among thousands of publications on imaging sustainability, few provide primary data. This review consolidates evidence on radiology’s environmental impact and outlines priorities for future research.</div></div>","PeriodicalId":49044,"journal":{"name":"Journal of the American College of Radiology","volume":"23 1","pages":"Pages 123-135"},"PeriodicalIF":5.1,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145103082","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Radiology Residency Recruitment: The Perils and Promises of Seeking a “Fit” 放射科住院医师招聘:寻求“合适”的风险和承诺。
IF 5.1 3区 医学 Q1 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2026-01-01 DOI: 10.1016/j.jacr.2025.06.027
Priscilla J. Slanetz MD, MPH , Anastacia Wahl MS , James C. Anderson MD , Anna Rozenshtein MD, MPH
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引用次数: 0
JACR Expert Panel: Artificial Intelligence in Radiology Residency Training JACR专家小组:放射学住院医师培训中的人工智能。
IF 5.1 3区 医学 Q1 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2026-01-01 DOI: 10.1016/j.jacr.2025.08.003
Douglas Spaeth-Cook DO , Morgan P. McBee MD, CIIP , Margaret C. Lin MD , Peter D. Chang MD , Elias G. Kikano MD
{"title":"JACR Expert Panel: Artificial Intelligence in Radiology Residency Training","authors":"Douglas Spaeth-Cook DO ,&nbsp;Morgan P. McBee MD, CIIP ,&nbsp;Margaret C. Lin MD ,&nbsp;Peter D. Chang MD ,&nbsp;Elias G. Kikano MD","doi":"10.1016/j.jacr.2025.08.003","DOIUrl":"10.1016/j.jacr.2025.08.003","url":null,"abstract":"","PeriodicalId":49044,"journal":{"name":"Journal of the American College of Radiology","volume":"23 1","pages":"Pages 111-113"},"PeriodicalIF":5.1,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144849973","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Nationwide Trends Show Substantial Shift Toward Breast Imaging Subspecialization 全国范围内的趋势显示了乳房成像亚专业化的重大转变。
IF 5.1 3区 医学 Q1 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2026-01-01 DOI: 10.1016/j.jacr.2025.11.016
Matthew D. Phelps MD, Diana L. Lam MD
{"title":"Nationwide Trends Show Substantial Shift Toward Breast Imaging Subspecialization","authors":"Matthew D. Phelps MD,&nbsp;Diana L. Lam MD","doi":"10.1016/j.jacr.2025.11.016","DOIUrl":"10.1016/j.jacr.2025.11.016","url":null,"abstract":"","PeriodicalId":49044,"journal":{"name":"Journal of the American College of Radiology","volume":"23 1","pages":"Pages 43-44"},"PeriodicalIF":5.1,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145530798","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
期刊
Journal of the American College of Radiology
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