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Corrigendum to “Original Article: The history of Women in Radiology (WIR) programs at two academic institutions: How we did it and how we merged best practices” [Current Problems in Diagnostic Radiology 54 (2025) 35-39] “原文:两个学术机构的女性放射学(WIR)项目的历史:我们如何做到这一点以及我们如何合并最佳实践”的更正[诊断放射学中的当前问题54(2025)35-39]。
IF 1.5 Q3 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2024-12-28 DOI: 10.1067/j.cpradiol.2024.12.013
Stacy E. Smith , Dania Daye , Carmen Alvarez , Kirti A. Magudia , Catherine H. Phillips , Sandra Rincon , Miriam A. Bredella , Teresa Victoria
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引用次数: 0
Spectrum of errors in nodule detection and characterization using machine learning: A pictorial essay 使用机器学习的结节检测和表征中的误差谱:一篇图片文章。
IF 1.5 Q3 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2024-12-10 DOI: 10.1067/j.cpradiol.2024.10.039
Jabi E. Shriki MD (Associate Professor Staff Physician) , Ted Selker PhD (Research Professor) , Kristina Crothers MD (Professor Chief) , Mark Deffebach MD (Professor Chief) , Safia Cheeney MD (Assistant Professor Chief) , Jeffrey Edelman MD (Associate Professor Staff Physician) , Anupama Brixey MD (Assistant Professor Staff Physician) , Mark Tubay MD (Assistant Professor Staff Physician) , Laura Spece MD , Sirish Kishore MD (Associate Professor Staff Physician)
In academic and research settings, computer-aided nodule detection software has been shown to increase accuracy, efficiency, and throughput. However, radiologists need to be familiar with the spectrum of errors that can occur when these algorithms are employed in routine clinical settings. We review the spectrum of errors that may result from computer-aided nodule detection. In our clinical practice, we have seen errors in nodule detection, nodule localization, and nodule characterization. Each of these categories are demonstrated with illustrative cases. Through these illustrative cases, readers can be more familiar with nuances and pitfalls generated by computer-aided detection software. Although computer-aided nodule detection software is rapidly advancing, radiologists still need to thoroughly review images with mindfulness of some of the errors that can be generated by AI platforms for nodule detection.
在学术和研究环境中,计算机辅助结节检测软件已被证明可以提高准确性、效率和吞吐量。然而,放射科医生需要熟悉在常规临床环境中使用这些算法时可能发生的各种错误。我们回顾了计算机辅助结节检测可能导致的错误谱。在我们的临床实践中,我们看到在结节检测、结节定位和结节特征方面的错误。每个类别都用说明性案例进行了演示。通过这些说明性的案例,读者可以更熟悉计算机辅助检测软件产生的细微差别和陷阱。尽管计算机辅助结节检测软件正在迅速发展,但放射科医生仍然需要彻底检查图像,并注意人工智能结节检测平台可能产生的一些错误。
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引用次数: 0
A stroke imaging protocol in patients with a history of contrast-induced anaphylaxis 有造影剂过敏史患者的脑卒中成像方案。
IF 1.5 Q3 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2024-12-10 DOI: 10.1067/j.cpradiol.2024.12.001
Gabriel M Virador MD , Rahul B Singh MBBS , Vivek Gupta MD , Dinesh Rao MD , Josephine F Huang MD , Leslie V Simon DO , Sukhwinder J S Sandhu MD
The need for emergent, contrast-enhanced neuroimaging in stroke patients with a history of severe reaction to iodinated contrast represents a unique dilemma in emergency departments. There is currently a lack of evidence-based management protocols for these cases. We describe a protocol established at our institution, based off American College of Radiology (ACR) guidelines and institutional experience, to guide decision-making in these scenarios.
对碘造影剂有严重反应史的脑卒中患者需要紧急造影剂增强神经成像,这是急诊科面临的一个独特困境。目前缺乏针对这些病例的循证管理方案。我们描述了一个在我们机构建立的协议,基于美国放射学会(ACR)指南和机构经验,来指导这些情况下的决策。
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引用次数: 0
Arachnoid granulations: Dynamic nature and review 蛛网膜颗粒:动态性质与综述。
IF 1.5 Q3 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2024-12-10 DOI: 10.1067/j.cpradiol.2024.12.006
Andrew Wai Kei Ko, Ahmed Abdelmonem, M. Reza Taheri
Arachnoid granulations have been known for centuries yet remain incompletely understood. While traditionally associated with cerebrospinal fluid transport, the precise mechanism remains uncertain. This manuscript reviews the literature on the anatomy, histology, and imaging findings of arachnoid granulations and their mimickers and anomalous variations. We highlight variations in incidence, size, and characteristics of arachnoid granulations on imaging, and hypothesize that these variations may be explained by arachnoid granulations being dynamic secondary to varying functionality. We review the pathophysiologic role of arachnoid granulations in pathologies related to hydrocephalus, neurodegenerative disorders, and intracranial hypertension and hypotension. A further understanding of arachnoid granulations, their mechanism in cerebrospinal fluid transport, and change over time may provide a basis for future imaging markers and therapies.
蛛网膜肉芽已经存在了几个世纪,但人们对它的了解仍不全面。虽然传统上与脑脊液运输有关,但其确切机制仍不确定。本手稿回顾了有关蛛网膜肉芽的解剖学、组织学和成像结果及其模仿者和异常变异的文献。我们强调了蛛网膜肉芽的发生率、大小和成像特征的变化,并假设这些变化可能是由于蛛网膜肉芽继发于不同功能的动态变化所致。我们回顾了蛛网膜肉芽在脑积水、神经退行性疾病、颅内高压和低血压相关病理中的病理生理作用。进一步了解蛛网膜颗粒、其在脑脊液运输中的机制以及随时间的变化,可为未来的成像标记和疗法提供依据。
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引用次数: 0
Release of complex imaging reports to patients, do radiologists trust AI to help? 向患者发布复杂的成像报告,放射科医生相信人工智能能提供帮助吗?
IF 1.5 Q3 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2024-12-10 DOI: 10.1067/j.cpradiol.2024.12.008
Kanhai S. Amin BS , Melissa A. Davis MD, MBA , Amir Naderi BS , Howard P. Forman MD, MBA

Background

As a result of the 21st Century Cures Act, radiology reports are immediately released to patients. However, these reports are often too complex for the lay patient, potentially leading to stress and anxiety. While solutions such as patient portals or providing radiologist contact information have been proposed in the past, new generative artificial intelligence technologies like ChatGPT and Google Gemini may provide the most accessible and scalable method of simplifying radiology reports for patients. Here, we gather the opinions of radiologists regarding this possibility.

Methods

An eight-question survey was sent out to all diagnostic/interventional radiology attendings and clinical fellows at our large academic medical center.

Results

From our survey (N = 52), 52.8 % of respondents agreed/strongly agreed that patients should have immediate access to their radiology reports. Only 9.61 % agreed that radiology reports are understandable by the lay patient. Regarding potential avenues to improve patient comprehension of their radiology reports, using artificial intelligence to simplify reports with a manual check by radiologists garnered the most support/strong support (46.2 %). Support of artificial intelligence generated simplifications dropped to (23.1 %) without a manual check.

Conclusion

Patients are increasingly gaining access to their radiology reports, but reports may be too complex for the lay patient. Eventually, artificial intelligence systems may help simplify radiology reports for patients, but there is currently limited support from radiologists.
背景:根据《21 世纪治愈法案》的规定,放射科报告应立即向患者公布。然而,这些报告对于普通患者来说往往过于复杂,有可能导致压力和焦虑。虽然过去曾提出过患者门户网站或提供放射科医生联系信息等解决方案,但像 ChatGPT 和谷歌双子座这样的新型生成式人工智能技术可能会为患者简化放射科报告提供最便捷、最可扩展的方法。在此,我们收集了放射科医生对这种可能性的看法:方法:我们向大型学术医疗中心的所有诊断/介入放射科主治医师和临床研究员发送了一份包含八个问题的调查问卷:在我们的调查中(N = 52),52.8% 的受访者同意/非常同意患者应能立即获得他们的放射报告。只有 9.61% 的受访者认为非专业患者可以理解放射学报告。关于提高患者对放射学报告理解能力的潜在途径,使用人工智能简化报告并由放射科医生进行人工检查获得了最多的支持/强烈支持(46.2%)。在没有人工检查的情况下,对人工智能生成的简化报告的支持率降至(23.1%):结论:患者越来越多地获得放射学报告,但对于普通患者来说,报告可能过于复杂。最终,人工智能系统可能会帮助患者简化放射学报告,但目前放射科医生的支持率有限。
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引用次数: 0
The parenthood journey in radiology: Challenges and opportunities
IF 1.5 Q3 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2024-11-29 DOI: 10.1067/j.cpradiol.2024.10.019
Geunwon Kim MD, PhD , Samantha G. Harrington MD , Tina D. Tailor MD , Bruce G. Stewart MD , David A. Rosman MD, MBA , David Z. Chow MD , Tamara Carroll MD , Peter A. Wood MD , HaiThuy N. Nguyen MD , Dania Daye MD, PhD , Shinn-Huey S Chou MD, MPH
The journey to parenthood is often delayed or prolonged for physicians, which disproportionately negatively impact women physicians. Women radiologists may delay childbearing for many reasons, which may lead to higher rates of regret and greater risks of infertility and pregnancy and postpartum complications. A better understanding of the resources and realities to achieve parenthood allows for more timely family planning while pursuing career advancements in radiology, particularly for medical students and our radiology trainees and early-career colleagues. Moreover, parents today are experiencing higher levels of stress and higher rates of isolation in the post-pandemic world, amounting to a public health crisis. Unreliable childcare is the top reason for women colleagues to exit the workforce. This article highlights many shared struggles of family planning and parenting, helps inform, prepare, and support our colleagues and trainees to make these significant personal choices, and aims to build communities and nurture connections among radiologist-parents and “villages.”
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引用次数: 0
The history of Women in Radiology (WIR) programs at two academic institutions: How we did it and how we merged best practices 两所学术机构的放射科女性(WIR)计划的历史:我们是如何做到的?
IF 1.5 Q3 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2024-11-26 DOI: 10.1067/j.cpradiol.2024.10.024
Stacy E. Smith , Dania Daye , Carmen Alvarez , Kirti A. Magudia , Catherine H. Phillips , Sandra Rincon , Miriam A. Bredella , Teresa Victoria

Rationale

The percentage of women in radiology has remained at 25 % for decades. Our institutions identified the need to recruit, support and retain women in our departments in order to change this status quo.

Methods

Our institutions created two different frameworks for Women in Radiology (WIR) programs in order to meet the needs of each distinct department. The organizational structure (trainee led vs faculty led and hybrid), the need for departmental chair support, and types of events and speakers are outlined with unique programs provided by each institution. Collaboration with established programs for women within the institutions and within the region was utilized to support the developing programs.

Results

Each of the (WIR) programs has been successful in creating community, impact and sustainable programming, including a peer and faculty mentoring programs for all genders, improvements in gender equity in the workplace, the implementation of trainee parental support programs, and an overall increase in the percentage of women trainees and faculty. Over the last 3 years, the integration of the two programs into a single Women in Radiology program, also encompassing the new enterprise radiology group, has led the way during the initiation of a large institutional merger from two institutions to one large institution.

Outcomes

We have provided two frameworks for developing a successful women in radiology program as well as a roadmap for combining best practices in a time of change and institutional merger at a major academic institution.
理由几十年来,放射科的女性比例一直保持在 25%。为了改变这一现状,我们的机构认为有必要招募、支持和留住本部门的女性。方法我们的机构为放射科女性(WIR)计划创建了两个不同的框架,以满足每个不同部门的需求。组织结构(受训者主导与教员主导及混合型)、对系主任支持的需求以及活动和演讲者的类型都由各机构提供的独特计划进行了概述。结果每个(WIR)计划都成功地创建了社区、产生了影响并实现了可持续发展,包括针对所有性别的同行和教员指导计划、工作场所性别平等的改善、受训人员父母支持计划的实施以及女性受训人员和教员比例的整体提高。在过去的 3 年中,我们将两个项目整合成了一个 "放射科女性 "项目,其中还包括新成立的企业放射学组,在从两个机构合并成一个大型机构的过程中起到了带头作用。我们为发展一个成功的放射科女性项目提供了两个框架,也为一个大型学术机构在变革和机构合并时结合最佳实践提供了一个路线图。
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引用次数: 0
Women in academic radiology: Barriers and benefits of representation, mentorship, coaching, and advocacy 放射学术界的女性:代表、导师、辅导和宣传的障碍和益处
IF 1.5 Q3 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2024-11-26 DOI: 10.1067/j.cpradiol.2024.10.016
Inas Mohamed MD, MS, RaeLynne MacBeth MacBeth, MD, Katherine Stephens DO, Nikhil Ramaiya MD, Donna Plecha MD, FSBI, FACR
Gender diversity contributes to creativity and collective intelligence in the workplace. Women bring a unique perspective to the practice of medicine; however, there is a persistent underrepresentation of women in the field of radiology. Female radiologists face distinct challenges associated with underrepresentation and significant gender disparities. There are several obstacles contributing to women's underrepresentation in radiology, including suboptimal exposure to radiology during training, misconceptions about the field of radiology, the impact of social media, and a lack of women in leadership positions. Additional factors leading to widening the gender gap were also discussed, such as a lack of role models and mentors, unconscious biases, and other societal barriers, including but not limited to childbearing, lactation, and family-building. This review article emphasizes the value of representation, mentorship, coaching, and advocacy to address the current status of women in radiology. It also explores the challenges and strategies to promote a gender-diverse radiology practice essential to the future of radiology and medicine.
性别多样性有助于提高工作场所的创造力和集体智慧。女性为医学实践带来了独特的视角;然而,女性在放射学领域的代表性一直不足。女性放射科医生面临着与代表性不足和显著的性别差异相关的独特挑战。导致女性在放射学领域代表性不足的障碍有几个,包括在培训期间接触放射学的机会不足、对放射学领域的误解、社交媒体的影响以及缺乏女性担任领导职务。文章还讨论了导致性别差距扩大的其他因素,如缺乏榜样和导师、无意识的偏见以及其他社会障碍,包括但不限于生育、哺乳和家庭建设。这篇评论文章强调了代表、导师、辅导和宣传对于解决放射科女性现状的价值。文章还探讨了促进对放射学和医学的未来至关重要的性别多元化放射学实践所面临的挑战和策略。
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引用次数: 0
Lessons learned the hard way: Sharing experiences from female radiologists regarding gender inequality 惨痛教训:放射科女医生分享性别不平等方面的经验
IF 1.5 Q3 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2024-11-26 DOI: 10.1067/j.cpradiol.2024.11.003
Ch Jessica M.D., Woodruff Mary M.D., Germaine Pauline D.O., Roth Robyn G․ M.D.
Radiology remains a male-dominated specialty, with women facing unique challenges across both academic and private practice settings. Prior research has documented many of these obstacles, which we explored further through the perspectives of 25 female radiology attendings. They shared experiences on key issues such as gender bias, discrimination, sexual harassment, mentorship, pregnancy, and work-life balance. Recurring themes emerged around the need for a supportive workplace culture, strong advocacy, and camaraderie. While significant progress has been made, there remains considerable work ahead to overcome these challenges and foster a more inclusive environment for women in the field of Radiology.
We hope that sharing these open and candid conversations will raise awareness about the pervasive gender inequality in radiology, and will help foster a more inclusive and supportive environment, and contribute to meaningful changes in the workplace, paving the way for future generations of female radiologists.
放射学仍然是男性主导的专业,女性在学术和私人执业环境中都面临着独特的挑战。先前的研究已经记录了其中的许多障碍,我们通过 25 位放射科女主治医师的观点对其进行了进一步探讨。她们就性别偏见、歧视、性骚扰、师徒关系、怀孕和工作与生活的平衡等关键问题分享了经验。反复出现的主题是需要一种支持性的工作场所文化、强有力的宣传和友情。虽然已经取得了重大进展,但要克服这些挑战并为放射学领域的女性营造一个更具包容性的环境,仍有大量工作要做。我们希望通过分享这些开放和坦诚的对话,能提高人们对放射学领域普遍存在的性别不平等现象的认识,并有助于营造一个更具包容性和支持性的环境,促进工作场所发生有意义的变化,为未来的女性放射科医生铺平道路。
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引用次数: 0
Insights from North American radiology grand rounds: Determining patterns of gender bias in professional introductions 北美放射学大查房的启示:确定专业介绍中的性别偏见模式
IF 1.5 Q3 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2024-11-26 DOI: 10.1067/j.cpradiol.2024.10.031
Sonali Sharma , Ryan S. Huang , Aleena Malik , Hephzibah Bomide , Charlotte Portia Sum-Wai Lee , Faisal Khosa MD, MBA, TI, FFRRCSI, FRCPC, DABR, FACR , Charlotte J. Yong-Hing MD FRCPC

Objective

The objective of this study was to examine the impact of moderator and speaker gender, as well as geographic location, on the use of professional titles during introductions in radiology grand rounds. Specifically, the study aimed to investigate potential gender disparities in how moderators introduce speakers, focusing on the use of formal titles such as "Doctor" compared to informal name-based introductions.

Methods

The study utilized English-language radiology grand rounds video recordings from seven institutions in Canada and the United States of America (USA) that were chosen due to their publicly available videos. The gender of the moderator and speaker and the type of title introduction the speaker received from the moderator (introducing them as “Doctor” or their name followed by their degree credentials or their first name only). Chi-square and Fisher's Exact tests were used to analyze the correlation between demographic variables (moderator and speaker gender, and country) and the chosen style of introduction (title usage).

Results

The study analyzed 250 speaker introductions in radiology grand rounds presentations at institutions in Canada and the USA. The professional title "Doctor" was used to introduce speakers 160 out of 250 instances (64.0 %) and significant gender disparities were found in how male moderators introduced speakers. Male moderators used the professional title "Doctor" to introduce male speakers 71.9 % of the time but did so for female speakers only 29.6 % of the time (χ²(1, N = 168) = 27.0, p < 0.001). Additionally, male moderators were more likely to introduce female speakers by "Name only" (44.4 %) compared to male speakers (18.4 %), (χ²(1, N = 168) = 12.59, p < 0.001).

Conclusion

Although the title “Doctor” was used to introduce speakers the majority of the time, it was observed that male moderators are more likely to introduce male speakers with the title “Doctor” than female speakers, highlighting a potential gender bias in the recognition of professional status. However, female moderators were shown to introduce both male and female speakers as “Doctor” the majority of the time. Promoting equitable recognition across genders requires addressing these dynamics in professional environments.
目的本研究旨在探讨主持人和发言人的性别以及地理位置对放射学大查房中介绍时使用专业职称的影响。具体来说,研究旨在调查主持人在介绍发言者时可能存在的性别差异,重点是正式称谓(如 "医生")的使用与非正式的基于姓名的介绍之间的比较。研究利用了加拿大和美国(USA)七家机构的英文放射学大查房视频录像,这些视频录像都是公开的。研究对象包括主持人和发言者的性别,以及主持人对发言者的职称介绍类型(介绍其为 "医生 "或其姓名后的学位证书或仅介绍其名字)。研究使用了卡方检验(Chi-square)和费雪精确检验(Fisher's Exact)来分析人口统计学变量(主持人和发言人的性别、国家)与所选介绍风格(头衔用法)之间的相关性。在 250 次介绍中,有 160 次(64.0%)使用了 "医生 "这一职业称谓,在男性主持人介绍发言者的方式上发现了明显的性别差异。男性主持人在介绍男性发言人时使用 "医生 "这一职业称谓的比例为 71.9%,而对女性发言人使用 "医生 "这一职业称谓的比例仅为 29.6%(χ²(1, N = 168) = 27.0, p < 0.001)。此外,与男性发言人(18.4%)相比,男性主持人更倾向于用 "姓名"(44.4%)来介绍女性发言人(χ²(1, N = 168) = 12.59, p <0.001)。结论虽然大多数情况下都使用 "医生 "这一头衔来介绍发言人,但据观察,与女性发言人相比,男性主持人更倾向于用 "医生 "这一头衔来介绍男性发言人,这凸显了在承认专业地位方面可能存在的性别偏见。不过,大多数情况下,女性主持人在介绍男性和女性发言人时都使用 "博士 "这一称谓。要促进两性之间的公平认可,就必须解决专业环境中的这些动态问题。
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引用次数: 0
期刊
Current Problems in Diagnostic Radiology
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