Current Problems in Diagnostic Radiology最新文献

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Reviewer awards and Acknowledgments 2025 审稿人奖励和致谢2025

IF 1.5 Q3 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING

Current Problems in Diagnostic Radiology

Pub Date : 2026-01-20 DOI: 10.1067/j.cpradiol.2026.01.001

引用次数: 0

The potential of the programmable gaming mouse in diagnostic radiology residency 可编程游戏鼠标在诊断放射住院医师中的潜力。

IF 1.5 Q3 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING

Current Problems in Diagnostic Radiology

Pub Date : 2026-01-14 DOI: 10.1067/j.cpradiol.2026.01.007

Arif Musa M.D. , Mohammed Twam M.D. , Sujit Prasad B.A. , Samuel Johnson M.D. , Gulcin Altinok M.D. , Ali Harb M.D.

引用次数: 0

A framework for evaluating residency recruitment disparities: a single-institution study on the impact of virtual interviews on gender diversity in diagnostic radiology 评估住院医师招聘差异的框架：一项关于虚拟访谈对诊断放射学性别多样性影响的单机构研究。

IF 1.5 Q3 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING

Current Problems in Diagnostic Radiology

Pub Date : 2026-01-13 DOI: 10.1067/j.cpradiol.2026.01.009

Alyssa DiCosmo MD , Jonathan H. Borden MD , Joan Skelly MS , Ryan Walsh MD

Background

Diversity within medical training enhances academic development and patient care. The residency recruitment and selection process plays a critical role in shaping workforce diversity, yet no comprehensive framework exists to systematically evaluate these processes.

Objective

This study applies a novel conceptual framework to assess the gender distribution of applicants to our institution’s Diagnostic Radiology residency program before and after the transition from in-person to virtual interviews.

Methods

We analyzed ERAS data from 2017 to 2023, examining gender distribution at each stage of the recruitment and selection process: application, interview selection, ranking, and matching. Statistical analyses included chi-square tests and cumulative logistic regression to compare outcomes between in-person (2017–2020) and virtual (2021–2023) interview cycles.

Results

The proportion of female applicants, interviewees, and ranked candidates remained stable between in-person and virtual interviews. However, significantly fewer women matched into the program during virtual interviews (5.6% vs. 37.5%, p = 0.02). There were no significant changes in gender distribution across rank list quartiles.

Conclusion

Our novel framework provides a systematic approach to evaluating residency recruitment and selection processes, allowing for a more nuanced interpretation of where disparities emerge. Applying this framework revealed that while selection practices remained consistent, the transition to virtual interviews may have hindered successful recruitment of female applicants. Future studies can leverage this framework to examine additional diversity metrics and guide institutional efforts toward more equitable residency selection.

背景：医学培训的多样性促进了学术发展和患者护理。住院医师招聘和选择过程在塑造劳动力多样性方面起着至关重要的作用，但目前还没有一个全面的框架来系统地评估这些过程。目的：本研究应用一个新颖的概念框架来评估我院诊断放射学住院医师项目从面对面面试过渡到虚拟面试前后申请人的性别分布。方法：我们分析了2017年至2023年的ERAS数据，研究了招聘和选拔过程中每个阶段的性别分布：申请、面试选择、排名和匹配。统计分析包括卡方检验和累积逻辑回归，以比较面对面（2017-2020）和虚拟（2021-2023）访谈周期的结果。结果：在面对面面试和虚拟面试中，女性申请者、受访者和排名候选人的比例保持稳定。然而，在虚拟面试中，参加该计划的女性人数明显减少（5.6%对37.5%,p = 0.02）。在排名四分位数中，性别分布没有显著变化。结论：我们的新框架提供了评估住院医师招聘和选择过程的系统方法，允许对差异出现的地方进行更细致的解释。应用这一框架发现，虽然选择实践保持一致，但向虚拟面试的过渡可能会阻碍女性申请者的成功招聘。未来的研究可以利用这一框架来检验更多的多样性指标，并指导机构努力实现更公平的住院医师选择。

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引用次数: 0

Manuscript title: Impact of vessel suppression AI on reading efficiency and nodule detection in CT chest 论文题目：血管抑制AI对胸部CT阅读效率及结节检测的影响。

IF 1.5 Q3 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING

Current Problems in Diagnostic Radiology

Pub Date : 2025-11-26 DOI: 10.1067/j.cpradiol.2025.11.003

Kevin T. Chorath MD , Evan Jacobs , Ken Tharp MD , Charles Watt MS , Brian W. Bresnahan PhD , Jonathan R. Medverd MD , Nathan M. Cross MD , Hamid Chalian MD

Background

Vessel suppression (VS) software enhances pulmonary nodule conspicuity by attenuating vascular and fissural structures, but real-world impact on clinical workflows remains uncertain.

Methods

We retrospectively analyzed 8,835 chest CT examinations (January 2023–February 2024) interpreted at a single academic institution, comparing pre- and post-VS implementation. Reads by residents and faculty were assessed separately. Outcomes included interpretation time and pulmonary nodule detection, extracted using natural language processing with manual validation.

Results

Among residents, mean read time decreased from 19.1 to 12.2 minutes (p<0.001), with improved detection of punctate nodules (13.0% vs 24.2%, p<0.001). Faculty showed reduced mean read time (6.6 vs 5.2 minutes, p<0.001) and modest improvement in punctate nodule detection (26.0% vs 29.5%, p=0.042).

Conclusion

VS improved reading efficiency for both trainees and faculty and substantially increased small-nodule detection among residents and attending radiologists. While the clinical significance of detecting sub-2 mm nodules remains uncertain, efficiency gains support the value of VS in high-volume and training environments. Further study is warranted to define downstream clinical impact and guide management of incidentally detected small nodules

背景：血管抑制（VS）软件通过减弱血管和裂隙结构来增强肺结节的显著性，但对临床工作流程的实际影响仍不确定。方法：回顾性分析同一学术机构8835例胸部CT检查（2023年1月- 2024年2月），比较vs实施前后的差异。住院医生和教师的阅读分别进行了评估。结果包括解释时间和肺结节检测，使用人工验证的自然语言处理提取。结果：住院医师的平均阅读时间从19.1分钟减少到12.2分钟(结论：VS提高了实习生和教师的阅读效率，并大大增加了住院医师和主治放射科医生的小结节检测。虽然检测sub- 2mm结节的临床意义仍不确定，但效率的提高支持了VS在高容量和训练环境中的价值。有必要进一步研究以确定偶然发现的小结节的下游临床影响和指导管理。

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引用次数: 0

A blueprint for implementing the ABR alternate pathway: A program perspective 实现ABR替代途径的蓝图：程序视角。

IF 1.5 Q3 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING

Current Problems in Diagnostic Radiology

Pub Date : 2025-11-01 DOI: 10.1067/j.cpradiol.2025.09.009

Mazzin Elsamaloty MD , Navid Faraji MD , Inas Mohamed MD, MS

The alternate pathway allows radiology programs to tap into a large pool of talented international medical graduates for recruitment into fellowship positions and potentially faculty positions thereafter. This can be a valuable tool for recruitment in the face of increasing imaging volumes and radiologists’ shortage. This paper provides key points of consideration for programs hoping to implement the alternate pathway given that there is a relative paucity of readily available guidance on implementing the pathway. Attention is given to legal barriers such as state medical licensure and visas, financial barriers such as fellowship position funding, and recruitment aspects for maximizing the available talent pool. Additionally, some advice is given for the often-overlooked aspect of finding ways to best support the international fellows once they arrive in the United States to create a smoother transition and welcoming environment.

另一种途径使放射学项目能够利用大量有才华的国际医学毕业生来招聘研究员职位，并可能在此后担任教职。面对不断增加的影像量和放射科医生的短缺，这可能是一个有价值的招聘工具。本文为希望实施替代途径的计划提供了考虑要点，因为在实施该途径方面相对缺乏现成的指导。关注法律障碍，如国家医疗执照和签证，财政障碍，如奖学金职位资助，以及最大限度地利用现有人才库的招聘方面。此外，本文还提出了一些经常被忽视的建议，即如何在国际研究员到达美国后为他们提供最好的支持，以创造一个更顺畅的过渡和欢迎的环境。

引用次数: 0

Creating a great application: CV, LORs and personal statement 创建一个伟大的应用程序：简历，LORs和个人陈述。

IF 1.5 Q3 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING

Current Problems in Diagnostic Radiology

Pub Date : 2025-11-01 DOI: 10.1067/j.cpradiol.2025.10.002

Dheeman Futela , Shruti Kumari , Ajay Malhotra , Mahan Mathur

Diagnostic Radiology (DR) has become an increasingly competitive specialty in the United States, with international medical graduates (IMGs) playing a vital role in its evolving landscape. Despite facing unique challenges, including visa-related hurdles, limited U.S. clinical exposure, and fewer mentorship opportunities, many IMGs have successfully matched into DR programs in recent years. Analysis of NRMP Charting Outcomes™ data from 2016 to 2024 highlights key trends: the overall strength of successful applications has risen in terms of USMLE Step 2 scores and research productivity. However, the incremental benefit of higher scores is modest for IMGs, and research items are increasingly necessary to stand out, with matched non-U.S. IMGs consistently reporting two to three times more research items than US MDs. Further, high scores and number of research items do not guarantee success. These findings underscore the holistic nature of the match process, where strong academic performance must be balanced with meaningful clinical experiences, high-quality letters of recommendation (LORs), and a compelling, authentic personal narrative. A strong LOR is typically recent, specialty-specific, waived, and written by U.S. mentors who have had substantial, direct, and sustained interactions with the applicant. With deliberate preparation, strategic mentorship, and a well-rounded approach, non-U.S. IMGs can successfully navigate the challenges of the match process and bring diverse perspectives and valuable contributions to the field of radiology.

诊断放射学（DR）在美国已成为一个竞争日益激烈的专业，国际医学毕业生（img）在其不断发展的格局中发挥着至关重要的作用。尽管面临着独特的挑战，包括签证相关的障碍，有限的美国临床经验，以及较少的指导机会，但近年来，许多img成功地与DR项目相匹配。对2016年至2024年NRMP制图结果™数据的分析突出了关键趋势：就USMLE第2步分数和研究生产力而言，成功申请的整体实力有所上升。然而，对于img来说，更高的分数带来的增量效益并不大，研究项目越来越有必要脱颖而出，与非美国大学相匹配。img报告的研究项目一直比美国md多两到三倍。此外，高分和研究项目的数量并不能保证成功。这些发现强调了匹配过程的整体性，在这个过程中，优秀的学术表现必须与有意义的临床经历、高质量的推荐信（LORs）和令人信服的、真实的个人叙述相平衡。一份强有力的推荐书通常是最近的，专门的，放弃的，由与申请人有过大量，直接和持续互动的美国导师撰写的。经过深思熟虑的准备，战略指导和全面的方法，非美国。img可以成功地应对匹配过程中的挑战，并为放射学领域带来不同的观点和宝贵的贡献。

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引用次数: 0

From oesophagus to esophagus: Radiology careers in the UK and US from the eyes of an Indian medic 从食道到食道：一位印度医生眼中的英国和美国的放射学职业。

IF 1.5 Q3 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING

Current Problems in Diagnostic Radiology

Pub Date : 2025-11-01 DOI: 10.1067/j.cpradiol.2025.10.003

Minal C Jagtiani MBBS, MRCS, FRCR, MD

Perfection is elusive in every setting. We are here to enjoy the journey. Each person has their own priorities based on circumstances that are not always under their control. The aim of this article is to provide a personal perspective on the systems of radiology within the UK and the US, from the eyes of someone who completed medical training in India. This manuscript describes my journey from Mumbai in India, through my surgical and radiology training in the UK, and transition to the radiology system in North America. It presents a first-hand comparative perspective of practicing radiology in the UK and the US, highlighting professional, financial, cultural and personal dimensions of the move.

在任何情况下，完美都是难以捉摸的。我们来这里是为了享受旅程。每个人都有自己的优先级，这是基于他们无法控制的环境。本文的目的是从在印度完成医学培训的人的角度，对英国和美国的放射学系统提供个人观点。这份手稿描述了我从印度孟买开始的旅程，通过我在英国的外科和放射学培训，并过渡到北美的放射学系统。它提出了英国和美国实践放射学的第一手比较观点，突出了专业，财务，文化和个人层面的举动。

引用次数: 0

Applying for an American radiology residency as an international medical graduate: The NRMP match 作为国际医学毕业生申请美国放射科住院医师：NRMP匹配。

IF 1.5 Q3 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING

Current Problems in Diagnostic Radiology

Pub Date : 2025-11-01 DOI: 10.1067/j.cpradiol.2025.09.008

Pouria Rouzrokh MD, MPH, MHPE, Bardia Khosravi MD, MPH, MHPE, Sedighe Hosseini Shabanan MD, MPH, Mahan Mathur MD

Applying for a U.S. Radiology residency through the National Resident Matching Program (NRMP) presents unique challenges for International Medical Graduates (IMGs). This process, while potentially stressful, can lead to a rewarding career. This article aims to demystify the NRMP Match for IMGs by outlining its distinct phases, from the United States Medical Licensing Examination (USMLE) completion and the Educational Commission for Foreign Medical Graduates (ECFMG) certification to application preparation, interviews, ranking, and Match Week, including the Supplemental Offer and Acceptance Program (SOAP). It highlights common hurdles IMGs face, such as navigating visa requirements, securing U.S. clinical experience, obtaining strong letters of recommendation, and articulating unique strengths from international training. Actionable strategies are provided, emphasizing proactive planning, strategic program research and signaling, effective communication, and network building. The importance of understanding tools like program and geographic preference signaling is also discussed. While acknowledging the evolving nature of Match dynamics and the subjective aspects of some advice, this guide underscores that informed preparation and strategic engagement can significantly enhance an IMG's prospects. IMGs bring valuable diversity and skills to the U.S. healthcare system, and with a well-planned approach, they can successfully navigate the competitive radiology Match process.

通过国家住院医师匹配计划（NRMP）申请美国放射学住院医师对国际医学毕业生（IMGs）提出了独特的挑战。这个过程，虽然有潜在的压力，但可以带来有益的职业生涯。本文旨在通过概述其不同阶段，从美国医学执照考试（USMLE）完成和外国医学毕业生教育委员会（ECFMG）认证，到申请准备、面试、排名和比赛周，包括补充Offer和录取计划（SOAP），为img揭开NRMP匹配的神秘。它强调了img面临的共同障碍，例如签证要求，获得美国临床经验，获得强有力的推荐信，以及阐明国际培训的独特优势。提供可操作的战略，强调前瞻性规划、战略方案研究和信号、有效沟通和网络建设。本文还讨论了理解程序和地理偏好信号等工具的重要性。虽然承认匹配动态的不断变化性质和一些建议的主观方面，但本指南强调，知情的准备和战略参与可以显著提高IMG的前景。img为美国医疗保健系统带来了宝贵的多样性和技能，并且通过精心策划的方法，他们可以成功地在竞争激烈的放射学匹配过程中导航。

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引用次数: 0

Opportunities outside the USA for American Board of Radiology certified international medical graduates 美国放射学委员会认证的国际医学毕业生在美国以外的机会。

IF 1.5 Q3 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING

Current Problems in Diagnostic Radiology

Pub Date : 2025-11-01 DOI: 10.1067/j.cpradiol.2025.09.002

Anjali Agrawal MD, FASER, FICR, FESER (Senior Consultant) , Rathachai Kaewlai MD (Associate Professor) , Arjun Kalyanpur MD (Chief Radiologist and CEO) , Lamk M. Lamki MD,FRCPC,FACR,FACNM,FRCPI (Professor Emeritus) , Neela Lamki MD, FRCPC, FACR, FRCPI, FRCP (Glasg) (Professor Emeritus)

American Board of Radiology (ABR) certification by virtue of a high standard of clinical radiology training confers global credibility. While many international medical graduates (IMGs) traditionally remained in the U.S. after training, an increasing number are now returning to their home countries, driven by personal priorities, technological advances, and evolving global opportunities. This perspective highlights the diverse trajectories of ABR-certified IMGs who have built fulfilling careers outside the West—through teleradiology, academic leadership, curriculum development, entrepreneurial ventures, and health system reform. Their stories underscore how the U.S. training can be adapted to meet local needs, while maintaining professional standards and fostering global collaboration. ABR certified radiologists can have successful careers by bringing international expertise home, contributing meaningfully to local systems, and engaging with global radiology communities.

美国放射学委员会（ABR）认证凭借高标准的临床放射学培训授予全球信誉。虽然许多国际医学毕业生（img）传统上在接受培训后留在美国，但现在越来越多的人在个人优先事项、技术进步和不断发展的全球机会的推动下返回祖国。这一观点强调了通过远程放射学、学术领导、课程开发、创业投资和卫生系统改革，获得abr认证的医学专家在西方以外建立了充实的职业生涯的不同轨迹。他们的故事强调了美国的培训如何能够适应当地需求，同时保持专业标准并促进全球合作。通过ABR认证的放射科医生可以将国际专业知识带回家，为当地系统做出有意义的贡献，并与全球放射界接触，从而获得成功的职业生涯。

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引用次数: 0

Interventional radiology for international medical graduates: Pathways, perspectives, and possibilities 国际医学毕业生的介入放射学：途径、观点和可能性。

IF 1.5 Q3 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING

Current Problems in Diagnostic Radiology

Pub Date : 2025-11-01 DOI: 10.1067/j.cpradiol.2025.09.013

Riddhi Borse MBBS, Zubin Irani MBBS

Interventional radiology (IR) represents one of medicine's most transformative specialties, yet International Medical Graduates (IMGs) face unique challenges when pursuing this competitive specialty in the United States (US).

This review examines the current landscape of the four IR training pathways available in the US, analyzing the advantages and disadvantages of each route, including analysis of the recent NRMP match data, and provides strategic guidance for successful career development.

We demonstrate that while the path to IR for IMGs demands targeted preparation, strategic planning, and often multiple application cycles, success remains achievable for those committed to transforming patient care through minimally invasive innovation.

介入放射学（IR）代表了医学最具变革性的专业之一，然而国际医学毕业生（IMGs）在美国追求这一竞争激烈的专业时面临着独特的挑战。本综述考察了美国现有的四种IR培训途径的现状，分析了每种途径的优缺点，包括对最近NRMP比赛数据的分析，并为成功的职业发展提供了战略指导。我们证明，虽然img的IR之路需要有针对性的准备、战略规划和多次应用周期，但对于那些致力于通过微创创新改变患者护理的人来说，成功仍然是可以实现的。

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