Pub Date : 2025-07-01Epub Date: 2024-12-10DOI: 10.1067/j.cpradiol.2024.12.005
Monica Pernia Marin , Vikas Burugu , Sofia M. Tarchi , Reza Solemani MD , Mary Salvatore MD, MBA
Pursuing medical careers like radiology is challenging even for those with high levels of commitment, discipline, and resilience. Many rely on the guidance and support from mentors whose experiences serve as the roadmap for new generations. Unfortunately, finding a mentor can be difficult in certain parts of the world or when physicians decide to live and practice medicine outside their country of origin. Within the United States, medical education in the United States is very competitive given the high demand of highly qualified aspirants and the lack of enough training positions to accept them all. Having good mentorship not only can help students enhance the skills required to succeed within their fields of interest during the residency and fellowship application processes, but it can also provide counseling as they navigate training and, ultimately, transition to the workplace. “Mentors without Borders” is a program founded by a radiologist to provide free mentorship to those interested in pursuing medical education and training to pursue radiology and other medical careers in and out of the United States. Its primary focus is on strengthening skills needed for academic writing and publication of scientific articles in radiology. This initiative has already benefited several students and physicians from all over the world and is aiming to become a fully structured program with a larger outreach.
{"title":"Mentors without Borders: Bridging global gaps in medical and radiological education","authors":"Monica Pernia Marin , Vikas Burugu , Sofia M. Tarchi , Reza Solemani MD , Mary Salvatore MD, MBA","doi":"10.1067/j.cpradiol.2024.12.005","DOIUrl":"10.1067/j.cpradiol.2024.12.005","url":null,"abstract":"<div><div>Pursuing medical careers like radiology is challenging even for those with high levels of commitment, discipline, and resilience. Many rely on the guidance and support from mentors whose experiences serve as the roadmap for new generations. Unfortunately, finding a mentor can be difficult in certain parts of the world or when physicians decide to live and practice medicine outside their country of origin. Within the United States, medical education in the United States is very competitive given the high demand of highly qualified aspirants and the lack of enough training positions to accept them all. Having good mentorship not only can help students enhance the skills required to succeed within their fields of interest during the residency and fellowship application processes, but it can also provide counseling as they navigate training and, ultimately, transition to the workplace. “Mentors without Borders” is a program founded by a radiologist to provide free mentorship to those interested in pursuing medical education and training to pursue radiology and other medical careers in and out of the United States. Its primary focus is on strengthening skills needed for academic writing and publication of scientific articles in radiology. This initiative has already benefited several students and physicians from all over the world and is aiming to become a fully structured program with a larger outreach.</div></div>","PeriodicalId":51617,"journal":{"name":"Current Problems in Diagnostic Radiology","volume":"54 4","pages":"Pages 429-432"},"PeriodicalIF":1.5,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142901309","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Bilateral internal carotid dissection: advocating for the use of the “googly eyes sign’’","authors":"Nikolaos-Achilleas Arkoudis MD, PhD , Georgios Velonakis MD, PhD","doi":"10.1067/j.cpradiol.2025.04.001","DOIUrl":"10.1067/j.cpradiol.2025.04.001","url":null,"abstract":"","PeriodicalId":51617,"journal":{"name":"Current Problems in Diagnostic Radiology","volume":"54 4","pages":"Pages 526-527"},"PeriodicalIF":1.5,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144038648","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-07-01Epub Date: 2024-11-23DOI: 10.1067/j.cpradiol.2024.11.001
Mohammad Reza Rouhezamin MD (Radiology Research fellow) , Arash Azhideh MD, MPH (Radiology Research fellow) , Sara Haseli MD (Radiology Research fellow) , Atefe Pooyan MD, MPH. (Radiology Research fellow) , Nastaran Hosseini M.D (Radiology Research fellow) , Majid Chalian MD (Associate Professor of Radiology)
The periarticular adipose tissues play a crucial role in knee biomechanics, yet they are often overlooked in daily radiology practice. As the primary mechanical shock absorbers of the knee, intra-articular fat pads reduce the friction between intra-articular structures during joint movement. They also contribute to inflammatory regulation, endocrine secretion, and pain detection. Periarticular fat pads are susceptible to a spectrum of traumatic, degenerative, inflammatory, and neoplastic changes. MRI enables radiologists to assess the anatomy of periarticular fat pads and their related pathologies to make accurate diagnoses and to guide appropriate management. The MRI presentation of these pathologies can be categorized into three groups: (a) signal change and thickening of synovial lining, (b) edema-like change in fat pads, and (c) mass-like lesions. While degeneration and impingement appear as high signal edema-like intensity on fluid-sensitive sequences, inflammatory or infectious synovitis, hemosiderin deposition, and lipoma arborescens can change the signal intensity of the synovial lining. A mass-like lesion arising from these structures could be a true neoplastic lesion, or a variety of non-neoplastic pathologies. A comprehensive understanding of adipose tissues and their pathologies is fundamental for accurate diagnosis and interpretation. In this review, we aim to provide an in-depth assessment of the anatomy and common pathologies of these adipose tissues.
{"title":"Adipose tissue around the knee; A pictorial review of normal anatomy and common pathologies","authors":"Mohammad Reza Rouhezamin MD (Radiology Research fellow) , Arash Azhideh MD, MPH (Radiology Research fellow) , Sara Haseli MD (Radiology Research fellow) , Atefe Pooyan MD, MPH. (Radiology Research fellow) , Nastaran Hosseini M.D (Radiology Research fellow) , Majid Chalian MD (Associate Professor of Radiology)","doi":"10.1067/j.cpradiol.2024.11.001","DOIUrl":"10.1067/j.cpradiol.2024.11.001","url":null,"abstract":"<div><div>The periarticular adipose tissues play a crucial role in knee biomechanics, yet they are often overlooked in daily radiology practice. As the primary mechanical shock absorbers of the knee, intra-articular fat pads reduce the friction between intra-articular structures during joint movement. They also contribute to inflammatory regulation, endocrine secretion, and pain detection. Periarticular fat pads are susceptible to a spectrum of traumatic, degenerative, inflammatory, and neoplastic changes. MRI enables radiologists to assess the anatomy of periarticular fat pads and their related pathologies to make accurate diagnoses and to guide appropriate management. The MRI presentation of these pathologies can be categorized into three groups: (a) signal change and thickening of synovial lining, (b) edema-like change in fat pads, and (c) mass-like lesions. While degeneration and impingement appear as high signal edema-like intensity on fluid-sensitive sequences, inflammatory or infectious synovitis, hemosiderin deposition, and lipoma arborescens can change the signal intensity of the synovial lining. A mass-like lesion arising from these structures could be a true neoplastic lesion, or a variety of non-neoplastic pathologies. A comprehensive understanding of adipose tissues and their pathologies is fundamental for accurate diagnosis and interpretation. In this review, we aim to provide an in-depth assessment of the anatomy and common pathologies of these adipose tissues.</div></div>","PeriodicalId":51617,"journal":{"name":"Current Problems in Diagnostic Radiology","volume":"54 4","pages":"Pages 513-525"},"PeriodicalIF":1.5,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142775860","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-07-01Epub Date: 2024-01-18DOI: 10.1067/j.cpradiol.2024.01.008
Dr. Mankirat Singh Dhillon MBBS , Dr. Jyoti Kumar MD, DNB, MNAMS , Dr. Apoorva Sehgal MD , Dr. Alpana Manchanda MD , Ruchi Goel Dr MS, FAICO, FRCOphth , R.K. Saran Dr MD
Paediatric orbital lesions encompass a wide spectrum of benign and malignant entities that can arise from different components of the orbit. Clinical symptoms and signs are often nonspecific, and imaging plays a crucial role in the diagnosis and management. Ultrasonography has a limited role and radiation is a major concern with CT especially in the paediatric population. MRI is the modality of choice that avoids the radiation hazard and provides superior soft tissue contrast. The lesions can be localized using the ‘compartment’ approach which helps to narrow the list of differentials. MRI also provides critical information for management such as presence of perineural spread and intracranial extension. This article depicts the spectrum of Magnetic Resonance imaging findings encountered in paediatric ocular and orbital lesions.
{"title":"Magnetic resonance imaging in paediatric ocular and orbital lesions: A pictorial review","authors":"Dr. Mankirat Singh Dhillon MBBS , Dr. Jyoti Kumar MD, DNB, MNAMS , Dr. Apoorva Sehgal MD , Dr. Alpana Manchanda MD , Ruchi Goel Dr MS, FAICO, FRCOphth , R.K. Saran Dr MD","doi":"10.1067/j.cpradiol.2024.01.008","DOIUrl":"10.1067/j.cpradiol.2024.01.008","url":null,"abstract":"<div><div><span><span>Paediatric<span> orbital lesions encompass a wide spectrum of benign and malignant entities that can arise from different components of the orbit. Clinical symptoms and signs are often nonspecific, and imaging plays a crucial role in the diagnosis and management. </span></span>Ultrasonography has a limited role and radiation is a major concern with </span>CT especially in the paediatric population. MRI is the modality of choice that avoids the radiation hazard and provides superior soft tissue contrast. The lesions can be localized using the ‘compartment’ approach which helps to narrow the list of differentials. MRI also provides critical information for management such as presence of perineural spread and intracranial extension. This article depicts the spectrum of Magnetic Resonance imaging findings encountered in paediatric ocular and orbital lesions.</div></div>","PeriodicalId":51617,"journal":{"name":"Current Problems in Diagnostic Radiology","volume":"54 4","pages":"Pages 490-505"},"PeriodicalIF":1.5,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139539950","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-07-01Epub Date: 2024-08-14DOI: 10.1067/j.cpradiol.2024.08.011
Brett C. Bade , Alex Makhnevich , Katherine L. Dauber-Decker , Jeffrey Solomon , Elizabeth Cohn , Jesse Chusid , Suhail Raoof , Gerard Silvestri , Stuart L. Cohen
Novel strategies are needed to improve low rates of lung cancer screening (LCS) in the US. Seeking to determine hospitalists’ perspectives on leveraging hospitalizations to identify patients eligible for LCS, we performed qualitative interviews with eight hospitalists from two hospitals within a large integrated healthcare system. The interviews used semi-structured questions to assess (1) knowledge and practice of general screening and LCS guidelines from the United States Preventive Services Task Force (USPSTF), (2) identification of smoking history, and (3) hospitalists’ views on how data obtained during hospitalization may be utilized to improve general screening and LCS post hospitalization. We ultimately reached the conclusion that hospitalists would support a dedicated program to identify hospitalized patients eligible for LCS and facilitate testing after discharge. Efforts to identify patients and arrange subsequent screening should be performed by team members outside the inpatient team.
{"title":"Qualitative interviews for hospitalists addressing lung cancer screening","authors":"Brett C. Bade , Alex Makhnevich , Katherine L. Dauber-Decker , Jeffrey Solomon , Elizabeth Cohn , Jesse Chusid , Suhail Raoof , Gerard Silvestri , Stuart L. Cohen","doi":"10.1067/j.cpradiol.2024.08.011","DOIUrl":"10.1067/j.cpradiol.2024.08.011","url":null,"abstract":"<div><div>Novel strategies are needed to improve low rates of lung cancer screening (LCS) in the US. Seeking to determine hospitalists’ perspectives on leveraging hospitalizations to identify patients eligible for LCS, we performed qualitative interviews with eight hospitalists from two hospitals within a large integrated healthcare system. The interviews used semi-structured questions to assess (1) knowledge and practice of general screening and LCS guidelines from the United States Preventive Services Task Force (USPSTF), (2) identification of smoking history, and (3) hospitalists’ views on how data obtained during hospitalization may be utilized to improve general screening and LCS post hospitalization. We ultimately reached the conclusion that hospitalists would support a dedicated program to identify hospitalized patients eligible for LCS and facilitate testing after discharge. Efforts to identify patients and arrange subsequent screening should be performed by team members outside the inpatient team.</div></div>","PeriodicalId":51617,"journal":{"name":"Current Problems in Diagnostic Radiology","volume":"54 4","pages":"Pages 465-469"},"PeriodicalIF":1.5,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142010159","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-07-01Epub Date: 2025-01-27DOI: 10.1067/j.cpradiol.2025.01.007
Aiman Shahid BSc , Rooshi Parikh BSc , Muhammad Ebrahim Shahid , Aleena Malik BSc , Sonali Sharma BSc , Faisal Khosa MD MBA
Objectives
To assess medical student authorship in radiology research, focusing on the prevalence and impact of student articles, demographic trends, and potential barriers and opportunities for involvement.
Methods
We retrospectively assessed original research and review papers from 2018 to 2022 in the top five radiology journals based on their 2022 Impact Factor. Three reviewers manually validated and classified articles by medical student (MS) and non-MS authorship. Data collected included publication and authorship metrics. Thematic analysis of articles was performed from keywords and SCOPUS topic clusters. Significant associations were identified using chi-squared and two-tailed z-tests.
Results
Of the 2533 publications from all five journals, only 0.47 % were MS-authored, of which 83.3 % had a Field Weighted Citation Impact (FWCI) > 1. Of the 19 MS authors, 68.42 % had prior publications, with the same proportion holding prior first authorship. Female students averaged a higher FWCI (2.47 ± 2.31) but comprised only 26.32 % of all students. Only 16.67 % of MS articles had a female senior author (SA). This was consistent in non-MS articles, with females representing 19.9 % to 25.2 % of SAs across all journals. Of the 2521 non-MS articles, 92 % were classified into themes, revealing that 47.89 % of publications primarily focused on machine learning, while another 42.26 % incorporated some machine learning concepts.
Conclusion
Compared to non-medical student publications in radiology, those by medical students were disproportionately limited but impactful. Both demographic and academic factors hinder student engagement in publishing. Hence promoting, supporting, and sponsoring student involvement in research is pivotal for the discipline.
{"title":"A retrospective analysis of medical student authorship in highest impact radiology journal publications","authors":"Aiman Shahid BSc , Rooshi Parikh BSc , Muhammad Ebrahim Shahid , Aleena Malik BSc , Sonali Sharma BSc , Faisal Khosa MD MBA","doi":"10.1067/j.cpradiol.2025.01.007","DOIUrl":"10.1067/j.cpradiol.2025.01.007","url":null,"abstract":"<div><h3>Objectives</h3><div>To assess medical student authorship in radiology research, focusing on the prevalence and impact of student articles, demographic trends, and potential barriers and opportunities for involvement.</div></div><div><h3>Methods</h3><div>We retrospectively assessed original research and review papers from 2018 to 2022 in the top five radiology journals based on their 2022 Impact Factor. Three reviewers manually validated and classified articles by medical student (MS) and non-MS authorship. Data collected included publication and authorship metrics. Thematic analysis of articles was performed from keywords and SCOPUS topic clusters. Significant associations were identified using chi-squared and two-tailed z-tests.</div></div><div><h3>Results</h3><div>Of the 2533 publications from all five journals, only 0.47 % were MS-authored, of which 83.3 % had a Field Weighted Citation Impact (FWCI) > 1. Of the 19 MS authors, 68.42 % had prior publications, with the same proportion holding prior first authorship. Female students averaged a higher FWCI (2.47 ± 2.31) but comprised only 26.32 % of all students. Only 16.67 % of MS articles had a female senior author (SA). This was consistent in non-MS articles, with females representing 19.9 % to 25.2 % of SAs across all journals. Of the 2521 non-MS articles, 92 % were classified into themes, revealing that 47.89 % of publications primarily focused on machine learning, while another 42.26 % incorporated some machine learning concepts.</div></div><div><h3>Conclusion</h3><div>Compared to non-medical student publications in radiology, those by medical students were disproportionately limited but impactful. Both demographic and academic factors hinder student engagement in publishing. Hence promoting, supporting, and sponsoring student involvement in research is pivotal for the discipline.</div></div>","PeriodicalId":51617,"journal":{"name":"Current Problems in Diagnostic Radiology","volume":"54 4","pages":"Pages 433-439"},"PeriodicalIF":1.5,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143061466","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-07-01Epub Date: 2023-10-21DOI: 10.1067/j.cpradiol.2023.10.009
Osvaldo Velez-Martinez M.D , Grant L. Hom BA , Samantha Jayasinghe M.D , Vijaya Kosaraju M.D , Navid Faraji M.D , Jennifer Nicholas M.D , Richard Barger M.D
Problem description
Musculoskeletal (MSK) anatomy and pathology from a radiology perspective can be difficult to conceptualize and understand due to the challenge of visualizing 3D structures in stacks of 2D imaging. Consequently, trainees may benefit from inexpensive methods that can help trainees better visualize MSK anatomy and pathology. The purpose of this study is to provide proof of concept for inexpensive methodology to help learners such as radiology residents quickly and inexpensively understand musculoskeletal anatomy and pathology. This can help trainees become better at applying musculoskeletal knowledge to clinical practice.
Institutional methodology
Soft-modeling compounds such as Play-Doh® was utilized in a variety of colors with pottery tools to recreate 3D models of challenging MSK anatomy and pathology for trainees. Qualitative feedback from the residents was collected.
Results
Eighteen different pathological conditions across six major bone structures were modeled with a soft modeling compound. Residents qualitatively identified the experience as educational in terms of helping them better understand MSK pathology and positive in terms of making learning fun, less stressful, and memorable due to uniqueness of the learning modality. Residents report challenges modeling complex anatomical features and pathology via this methodology.
Conclusion
Radiology residents and other learners can enhance their knowledge of musculoskeletal anatomy and pathology via utilization of inexpensive soft modeling compounds. This may offer a cheaper and more time sensitive alternative to current 3-dimensional hardware and software technologies being developed for educational purposes. Additional work needs to be done to examine the utility of this methodology across larger and diverse groups of learners.
{"title":"Play in the reading room: Utilizing soft modeling compound to teach musculoskeletal anatomy and pathology","authors":"Osvaldo Velez-Martinez M.D , Grant L. Hom BA , Samantha Jayasinghe M.D , Vijaya Kosaraju M.D , Navid Faraji M.D , Jennifer Nicholas M.D , Richard Barger M.D","doi":"10.1067/j.cpradiol.2023.10.009","DOIUrl":"10.1067/j.cpradiol.2023.10.009","url":null,"abstract":"<div><h3>Problem description</h3><div>Musculoskeletal (MSK) anatomy and pathology from a radiology perspective can be difficult to conceptualize and understand due to the challenge of visualizing 3D structures in stacks of 2D imaging. Consequently, trainees may benefit from inexpensive methods that can help trainees better visualize MSK anatomy and pathology. The purpose of this study is to provide proof of concept for inexpensive methodology to help learners such as radiology residents quickly and inexpensively understand musculoskeletal anatomy and pathology. This can help trainees become better at applying musculoskeletal knowledge to clinical practice.</div></div><div><h3>Institutional methodology</h3><div>Soft-modeling compounds such as Play-Doh® was utilized in a variety of colors with pottery tools to recreate 3D models of challenging MSK anatomy and pathology for trainees. Qualitative feedback from the residents was collected.</div></div><div><h3>Results</h3><div>Eighteen different pathological conditions across six major bone structures were modeled with a soft modeling compound. Residents qualitatively identified the experience as educational in terms of helping them better understand MSK pathology and positive in terms of making learning fun, less stressful, and memorable due to uniqueness of the learning modality. Residents report challenges modeling complex anatomical features and pathology via this methodology.</div></div><div><h3>Conclusion</h3><div>Radiology residents and other learners can enhance their knowledge of musculoskeletal anatomy and pathology via utilization of inexpensive soft modeling compounds. This may offer a cheaper and more time sensitive alternative to current 3-dimensional hardware and software technologies being developed for educational purposes. Additional work needs to be done to examine the utility of this methodology across larger and diverse groups of learners.</div></div>","PeriodicalId":51617,"journal":{"name":"Current Problems in Diagnostic Radiology","volume":"54 4","pages":"Pages 470-474"},"PeriodicalIF":1.5,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"61567060","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
<div><h3>Purpose</h3><div>The overall aim of the study is to analyze and provide a comprehensive understanding of the demographics, educational backgrounds, and scholarly activities of musculoskeletal imaging fellowship program directors across the United States.</div></div><div><h3>Methods</h3><div>A list of all members of the Society of Skeletal Radiology was obtained and musculoskeletal imaging fellowship program directors across the US were included. Publicly available online sources were used to gather demographic and educational information about each musculoskeletal imaging fellowship program director, which included the online curriculum vitae from the program websites, Health Grades, Doximity, and Elsevier's Scopus database. Demographic and educational data including age, gender, educational background (medical school, residency, fellowship), additional degrees, academic rank, prior leadership positions, and metrics of scholarly activity were recorded. Fellowships in diagnostic musculoskeletal radiology along with additional degrees were recorded. A two-tailed unpaired t-test was used to calculate the difference between means of scholarly activity between male and female PDs.</div></div><div><h3>Results</h3><div>In this study encompassing 92 programs across the United States, the majority (88) were dedicated to pure Musculoskeletal (MSK) Imaging Fellowship, while one each offered combined training in MSK and Body Imaging, MSK, and Emergency Imaging, MSK Sports, and Interventional Spine, and Pediatric MSK Imaging. Program directors were identified for 90 out of 92 programs, revealing a regional distribution of 29 in the South (31.5 %), 24 in the North East (26.1 %), 20 in the Midwest (21.74 %) and 19 in the West (20.65 %). Gender analysis unveiled a predominantly male representation, with 71 male directors compared to 17 female directors, while age ranged from 30 to 70 years, with a mean age of 47.17 ± 7.4 years. Medical school backgrounds predominantly featured MD degrees (80), followed by IMG (7) and DO (4) degrees, with the most common IMG source being India. Faculty positions were mainly distributed among Assistant Professors (35), Associate Professors (32), and Professors (11). Research output metrics showcased a mean of 41.943 publications and an h-index of 10.625. Extra degrees were obtained by 31 directors, with common additions being other fellowships, MBAs, MS degrees, and PhDs. Notably, some directors held previous or current leadership positions, while a few had completed residencies outside of Radiology or pursued fellowships beyond MSK Imaging.</div></div><div><h3>Conclusion</h3><div>Musculoskeletal imaging fellowship program directors across the United States are predominantly male, with approximately 8 % having graduated from international medical schools. The most common training pathway for these directors is completing a diagnostic radiology residency followed by a musculoskeletal radiology fellowship. This study highli
{"title":"Musculoskeletal imaging fellowship program directors: A study of educational paths, and scholarly engagement in the United States","authors":"Mili Rohilla , Shruti Kumar , Parv Mehta , Samruddhi Jain , Abhigyan Bindal , George Vilanilam , Tarun Pandey","doi":"10.1067/j.cpradiol.2024.10.007","DOIUrl":"10.1067/j.cpradiol.2024.10.007","url":null,"abstract":"<div><h3>Purpose</h3><div>The overall aim of the study is to analyze and provide a comprehensive understanding of the demographics, educational backgrounds, and scholarly activities of musculoskeletal imaging fellowship program directors across the United States.</div></div><div><h3>Methods</h3><div>A list of all members of the Society of Skeletal Radiology was obtained and musculoskeletal imaging fellowship program directors across the US were included. Publicly available online sources were used to gather demographic and educational information about each musculoskeletal imaging fellowship program director, which included the online curriculum vitae from the program websites, Health Grades, Doximity, and Elsevier's Scopus database. Demographic and educational data including age, gender, educational background (medical school, residency, fellowship), additional degrees, academic rank, prior leadership positions, and metrics of scholarly activity were recorded. Fellowships in diagnostic musculoskeletal radiology along with additional degrees were recorded. A two-tailed unpaired t-test was used to calculate the difference between means of scholarly activity between male and female PDs.</div></div><div><h3>Results</h3><div>In this study encompassing 92 programs across the United States, the majority (88) were dedicated to pure Musculoskeletal (MSK) Imaging Fellowship, while one each offered combined training in MSK and Body Imaging, MSK, and Emergency Imaging, MSK Sports, and Interventional Spine, and Pediatric MSK Imaging. Program directors were identified for 90 out of 92 programs, revealing a regional distribution of 29 in the South (31.5 %), 24 in the North East (26.1 %), 20 in the Midwest (21.74 %) and 19 in the West (20.65 %). Gender analysis unveiled a predominantly male representation, with 71 male directors compared to 17 female directors, while age ranged from 30 to 70 years, with a mean age of 47.17 ± 7.4 years. Medical school backgrounds predominantly featured MD degrees (80), followed by IMG (7) and DO (4) degrees, with the most common IMG source being India. Faculty positions were mainly distributed among Assistant Professors (35), Associate Professors (32), and Professors (11). Research output metrics showcased a mean of 41.943 publications and an h-index of 10.625. Extra degrees were obtained by 31 directors, with common additions being other fellowships, MBAs, MS degrees, and PhDs. Notably, some directors held previous or current leadership positions, while a few had completed residencies outside of Radiology or pursued fellowships beyond MSK Imaging.</div></div><div><h3>Conclusion</h3><div>Musculoskeletal imaging fellowship program directors across the United States are predominantly male, with approximately 8 % having graduated from international medical schools. The most common training pathway for these directors is completing a diagnostic radiology residency followed by a musculoskeletal radiology fellowship. This study highli","PeriodicalId":51617,"journal":{"name":"Current Problems in Diagnostic Radiology","volume":"54 4","pages":"Pages 475-480"},"PeriodicalIF":1.5,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142483994","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-07-01Epub Date: 2024-12-10DOI: 10.1067/j.cpradiol.2024.12.010
Dheeman Futela , Sree Harsha Tirumani , Ezgi Guler , Brandon Declouette , Christopher Hoimes , Nikhil H. Ramaiya
Purpose
This study aimed to evaluate the utility of tumor mutational burden (TMB) as a marker for radiologic response to immune checkpoint inhibitor (ICI) therapy at a single tertiary cancer center.
Materials and methods
In this retrospective study, out of 1044 patients treated with ICIs between January 2010 and November 2018, 75 patients (38 males and 37 females) with a mean age of 62 (range 22-87) years, who had information about TMB and adequate imaging, were included. Imaging response was determined according to iRECIST criteria. Predictors of objective response were analysed using non-parametric tests, and progression-free survival and overall survival were analysed using log-rank test.
Results
Median TMB was 7.2 mutations/mb [interquartile range: 4-13.5]. The objective radiologic response rate according to iRECIST was 26.7 % (20 patients) and the median time to best response was 61 days [IQR: 47-88 days]. Median TMB in responders (12.5 [IQR: 5-18] muts/mb) was significantly higher than in non-responders (6 [IQR: 3-12] muts/mb) (p = 0.0293). Median TMB was higher in responders in the subgroup of patients treated with Nivolumab (20 vs 4 muts/mb, P = .0043), but not significantly in those treated with Pembrolizumab (9 vs 6 muts/mb, P = .211). There was no difference in PFS (p = 0.37, Log-Rank) or OS (p = 0.053, Log-Rank) between TMB low and high groups.
Conclusion
Higher TMB was associated with objective response to ICI, however, TMB was an imperfect biomarker for PFS and OS in our study.
{"title":"Tumor mutational burden as a marker for radiologic response to immune checkpoint inhibitors","authors":"Dheeman Futela , Sree Harsha Tirumani , Ezgi Guler , Brandon Declouette , Christopher Hoimes , Nikhil H. Ramaiya","doi":"10.1067/j.cpradiol.2024.12.010","DOIUrl":"10.1067/j.cpradiol.2024.12.010","url":null,"abstract":"<div><h3>Purpose</h3><div>This study aimed to evaluate the utility of tumor mutational burden (TMB) as a marker for radiologic response to immune checkpoint inhibitor (ICI) therapy at a single tertiary cancer center.</div></div><div><h3>Materials and methods</h3><div>In this retrospective study, out of 1044 patients treated with ICIs between January 2010 and November 2018, 75 patients (38 males and 37 females) with a mean age of 62 (range 22-87) years, who had information about TMB and adequate imaging, were included. Imaging response was determined according to iRECIST criteria. Predictors of objective response were analysed using non-parametric tests, and progression-free survival and overall survival were analysed using log-rank test.</div></div><div><h3>Results</h3><div>Median TMB was 7.2 mutations/mb [interquartile range: 4-13.5]. The objective radiologic response rate according to iRECIST was 26.7 % (20 patients) and the median time to best response was 61 days [IQR: 47-88 days]. Median TMB in responders (12.5 [IQR: 5-18] muts/mb) was significantly higher than in non-responders (6 [IQR: 3-12] muts/mb) (p = 0.0293). Median TMB was higher in responders in the subgroup of patients treated with Nivolumab (20 vs 4 muts/mb, P = .0043), but not significantly in those treated with Pembrolizumab (9 vs 6 muts/mb, P = .211). There was no difference in PFS (p = 0.37, Log-Rank) or OS (p = 0.053, Log-Rank) between TMB low and high groups.</div></div><div><h3>Conclusion</h3><div>Higher TMB was associated with objective response to ICI, however, TMB was an imperfect biomarker for PFS and OS in our study.</div></div>","PeriodicalId":51617,"journal":{"name":"Current Problems in Diagnostic Radiology","volume":"54 4","pages":"Pages 460-464"},"PeriodicalIF":1.5,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142831438","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-07-01Epub Date: 2025-01-23DOI: 10.1067/j.cpradiol.2025.01.006
Sydney Whalen , Surbhi Trivedi , Josi Herren , Katherine Fuguitt , James T. Bui
Incidental findings are unexpected, actionable discoveries made on diagnostic imaging that have significant patient care and medicolegal implications if not well managed. Despite their importance, few systems exist to manage incidental findings. The Radiology Actionable Findings Tracking (RAFT) Program was developed to improve communication of incidental findings to radiologists, providers, and their patients. The RAFT template is incorporated into the electronic medical record and discloses important information such as: Finding, Acuity, Communication Status, and General Recommendation for follow-up. This data is automatically compiled into a spreadsheet monitored by a clinical coordinator who is responsible for notifying the primary care physician or referring provider. The alert is resolved once appropriate communication is made and the recommended follow-up measures are documented. Between January 2021 and June 2023, the program has tracked the communication of 2,243 incidental findings, for an average of 75 incidental findings each month. Of those total findings, 270 findings (12 %) triggered additional protocols for provider and patient notification with subsequent follow-up. The program is effective in improving communication of incidental findings and can serve as a valuable tool for radiologists, providers, and the patients they serve.
{"title":"Improving communication of unexpected findings: The radiology actional findings tracking (RAFT) program","authors":"Sydney Whalen , Surbhi Trivedi , Josi Herren , Katherine Fuguitt , James T. Bui","doi":"10.1067/j.cpradiol.2025.01.006","DOIUrl":"10.1067/j.cpradiol.2025.01.006","url":null,"abstract":"<div><div>Incidental findings are unexpected, actionable discoveries made on diagnostic imaging that have significant patient care and medicolegal implications if not well managed. Despite their importance, few systems exist to manage incidental findings. The Radiology Actionable Findings Tracking (RAFT) Program was developed to improve communication of incidental findings to radiologists, providers, and their patients. The RAFT template is incorporated into the electronic medical record and discloses important information such as: Finding, Acuity, Communication Status, and General Recommendation for follow-up. This data is automatically compiled into a spreadsheet monitored by a clinical coordinator who is responsible for notifying the primary care physician or referring provider. The alert is resolved once appropriate communication is made and the recommended follow-up measures are documented. Between January 2021 and June 2023, the program has tracked the communication of 2,243 incidental findings, for an average of 75 incidental findings each month. Of those total findings, 270 findings (12 %) triggered additional protocols for provider and patient notification with subsequent follow-up. The program is effective in improving communication of incidental findings and can serve as a valuable tool for radiologists, providers, and the patients they serve.</div></div>","PeriodicalId":51617,"journal":{"name":"Current Problems in Diagnostic Radiology","volume":"54 4","pages":"Pages 418-421"},"PeriodicalIF":1.5,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143506616","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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