Pub Date : 2025-09-19DOI: 10.1067/j.cpradiol.2025.09.003
Samuel Pereiro Pérez, Ana Robles Gómez, Sabela García Benito, María Pérez Costas, Álvaro José de la Iglesia Salas, Rubén Méndez Rodríguez, María Milagros Otero García
Emergent ocular and orbital conditions encompass a wide spectrum of potentially vision-threatening pathologies. A structured approach based on orbital anatomy and pathophysiologic mechanisms enhances diagnostic accuracy and supports appropriate clinical decision-making. This pictorial review highlights key CT and MRI findings in infectious, inflammatory, traumatic, and vascular orbital emergencies, emphasizing relevant anatomical landmarks, critical imaging signs, and common diagnostic pitfalls. By recognizing characteristic imaging patterns radiologists can play a pivotal role in the diagnosis and management of acute orbital pathology.
{"title":"Radiological approach to emergent ocular and orbital pathology: a visual review","authors":"Samuel Pereiro Pérez, Ana Robles Gómez, Sabela García Benito, María Pérez Costas, Álvaro José de la Iglesia Salas, Rubén Méndez Rodríguez, María Milagros Otero García","doi":"10.1067/j.cpradiol.2025.09.003","DOIUrl":"10.1067/j.cpradiol.2025.09.003","url":null,"abstract":"<div><div>Emergent ocular and orbital conditions encompass a wide spectrum of potentially vision-threatening pathologies. A structured approach based on orbital anatomy and pathophysiologic mechanisms enhances diagnostic accuracy and supports appropriate clinical decision-making. This pictorial review highlights key CT and MRI findings in infectious, inflammatory, traumatic, and vascular orbital emergencies, emphasizing relevant anatomical landmarks, critical imaging signs, and common diagnostic pitfalls. By recognizing characteristic imaging patterns radiologists can play a pivotal role in the diagnosis and management of acute orbital pathology.</div></div>","PeriodicalId":51617,"journal":{"name":"Current Problems in Diagnostic Radiology","volume":"55 1","pages":"Pages 118-129"},"PeriodicalIF":1.5,"publicationDate":"2025-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145152411","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 : 2025-09-19DOI: 10.1067/j.cpradiol.2025.09.004
S. Sooraj Dr , Ritu Misra Dr , Neha Bagri Dr , Aanchal Bhayana Dr , Bindu Bajaj Dr
Purpose
To correlate placental ultrasound shear wave elastography (SWE) values with perinatal outcomes in Gestational Diabetes Mellitus (GDM).
Methods
The study included 160 pregnant women, comprising 80 GDM and 80 healthy controls. Ultrasound SWE was performed on the placenta, and mean SWE and velocity values were derived from six measurements. Both the cases and controls were followed to record Apgar scores and NICU admission. Statistical analysis was done, and the SWE values were compared to correlate these values with perinatal outcomes.
Results
A positive correlation was observed between SWE values and maternal fasting blood glucose (FBS) levels (rho = 0.32, p = 0.001), indicating that higher glucose levels are associated with increased placental stiffness. In the control group, the mean SWE was 2.48 kPa, while in the GDM group, it increased to 7.74 kPa, reflecting the impact of a diabetic environment on placental stiffness. The mean velocity was also higher in the GDM group (1.47 m/s) as compared to the control group (mean = 0.87 m/s). A moderate negative correlation between APGAR (1-min) and mean SWE was found at <32 weeks of gestation (rho = -0.48, p = 0.017). No significant correlation was found with NICU admissions.
Conclusion
Placental stiffness differs significantly between GDM and controls, with higher values in GDM. Ultrasound SWE can substantially contribute to the management of GDM and improve the outcomes. A negative correlation between SWE and 1-minute APGAR score at <32 weeks of gestation is associated with a lower score, indicating the effect of increased placental stiffness on perinatal outcomes.
目的：探讨妊娠期糖尿病（GDM）患者胎盘超声剪切波弹性成像（SWE）值与围产儿预后的相关性。方法：研究对象为160例孕妇，其中GDM患者80例，健康对照80例。超声对胎盘进行SWE，平均SWE和速度值由六次测量得出。对病例和对照组进行随访，记录Apgar评分和新生儿重症监护病房入住情况。进行统计分析，并比较SWE值与围产期结局的相关性。结果：SWE值与母体空腹血糖（FBS）水平呈正相关（rho = 0.32, p = 0.001），表明较高的血糖水平与胎盘硬度增加有关。在对照组中，平均SWE为2.48 kPa，而在GDM组中，SWE增加到7.74 kPa，反映了糖尿病环境对胎盘僵硬的影响。GDM组的平均速度（1.47 m/s）也高于对照组（平均0.87 m/s）。APGAR（1分钟）与平均SWE呈中度负相关。结论：GDM组胎盘硬度与对照组差异显著，GDM组更高。超声SWE对GDM的治疗和预后有很大的帮助。SWE与1分钟APGAR评分呈负相关
{"title":"Correlation of placental ultrasound elastography with perinatal outcomes in gestational diabetes mellitus","authors":"S. Sooraj Dr , Ritu Misra Dr , Neha Bagri Dr , Aanchal Bhayana Dr , Bindu Bajaj Dr","doi":"10.1067/j.cpradiol.2025.09.004","DOIUrl":"10.1067/j.cpradiol.2025.09.004","url":null,"abstract":"<div><h3>Purpose</h3><div>To correlate placental ultrasound shear wave elastography (SWE) values with perinatal outcomes in Gestational Diabetes Mellitus (GDM).</div></div><div><h3>Methods</h3><div>The study included 160 pregnant women, comprising 80 GDM and 80 healthy controls. Ultrasound SWE was performed on the placenta, and mean SWE and velocity values were derived from six measurements. Both the cases and controls were followed to record Apgar scores and NICU admission. Statistical analysis was done, and the SWE values were compared to correlate these values with perinatal outcomes.</div></div><div><h3>Results</h3><div>A positive correlation was observed between SWE values and maternal fasting blood glucose (FBS) levels (rho = 0.32, p = 0.001), indicating that higher glucose levels are associated with increased placental stiffness. In the control group, the mean SWE was 2.48 kPa, while in the GDM group, it increased to 7.74 kPa, reflecting the impact of a diabetic environment on placental stiffness. The mean velocity was also higher in the GDM group (1.47 m/s) as compared to the control group (mean = 0.87 m/s). A moderate negative correlation between APGAR (1-min) and mean SWE was found at <32 weeks of gestation (rho = -0.48, p = 0.017). No significant correlation was found with NICU admissions.</div></div><div><h3>Conclusion</h3><div>Placental stiffness differs significantly between GDM and controls, with higher values in GDM. Ultrasound SWE can substantially contribute to the management of GDM and improve the outcomes. A negative correlation between SWE and 1-minute APGAR score at <32 weeks of gestation is associated with a lower score, indicating the effect of increased placental stiffness on perinatal outcomes.</div></div>","PeriodicalId":51617,"journal":{"name":"Current Problems in Diagnostic Radiology","volume":"55 1","pages":"Pages 130-136"},"PeriodicalIF":1.5,"publicationDate":"2025-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145182405","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}
Radiological diagnosis of adrenal lesions can be challenging due to the overlap between benign and malignant imaging features. The primary challenge in managing adrenal lesions is to accurately identify and characterize them to minimize unnecessary diagnostic examinations and interventions. However, there are substantial risks of underdiagnosis and misdiagnosis. This review article provides a comprehensive overview of typical, atypical, and overlapping imaging features of both common and rare adrenal lesions and explores emerging applications of artificial intelligence powered analysis of CT and MRI, which could play a pivotal role in distinguishing benign from malignant and functioning from non-functioning adrenal lesions with significant diagnostic accuracy, thereby enhancing diagnostic confidence and potentially reducing unnecessary interventions.
{"title":"Beyond the norm: Exploring the diverse facets of adrenal lesions","authors":"Sadaf Afif BS , Zoya Mahmood BS , Atif Zaheer MD , Javad R. Azadi MD","doi":"10.1067/j.cpradiol.2025.08.015","DOIUrl":"10.1067/j.cpradiol.2025.08.015","url":null,"abstract":"<div><div>Radiological diagnosis of adrenal lesions can be challenging due to the overlap between benign and malignant imaging features. The primary challenge in managing adrenal lesions is to accurately identify and characterize them to minimize unnecessary diagnostic examinations and interventions. However, there are substantial risks of underdiagnosis and misdiagnosis. This review article provides a comprehensive overview of typical, atypical, and overlapping imaging features of both common and rare adrenal lesions and explores emerging applications of artificial intelligence powered analysis of CT and MRI, which could play a pivotal role in distinguishing benign from malignant and functioning from non-functioning adrenal lesions with significant diagnostic accuracy, thereby enhancing diagnostic confidence and potentially reducing unnecessary interventions.</div></div>","PeriodicalId":51617,"journal":{"name":"Current Problems in Diagnostic Radiology","volume":"55 1","pages":"Pages 137-147"},"PeriodicalIF":1.5,"publicationDate":"2025-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144983534","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 : 2025-08-21DOI: 10.1067/j.cpradiol.2025.08.013
Samantha Snyder DO, Paras Patel DO, Elizabeth Ives MD, Robyn Roth MD, Catherine E. Loveland-Jones MDMS, Pauline Germaine DO
Inflammatory breast cancer (IBC) is an uncommon, locally aggressive breast cancer with rapid onset of symptoms and an unfavorable prognosis. Diagnosis remains challenging and is frequently delayed; imaging plays an important role in disease detection and characterization. Contrast Enhanced Mammography (CEM) combines conventional mammography with a dual energy technique utilizing iodinated contrast, producing a set of recombined images that demonstrate contrast enhancement similar to magnetic resonance imaging (MRI) at a fraction of the cost and time. Current applications of CEM include the evaluation of abnormal findings on screening mammography, monitoring response to neoadjuvant chemotherapy, and assessment for tumor recurrence. CEM is mostly utilized in patients who are unable to undergo MRI. To our knowledge, CEM applications in IBC are scarce in the published literature. The following cases provide additional information on CEM use in the setting of IBC, from staging to guiding subsequent procedures to treatment response evaluation, emphasizing imaging findings and lessons learned. These cases also highlight the feasibility of CEM use in the setting of IBC, with potential incorporation into the future protocols for those patients unable to undergo MRI.
{"title":"Inflammatory breast cancer: Can contrast enhanced mammography help? Case series and literature review","authors":"Samantha Snyder DO, Paras Patel DO, Elizabeth Ives MD, Robyn Roth MD, Catherine E. Loveland-Jones MDMS, Pauline Germaine DO","doi":"10.1067/j.cpradiol.2025.08.013","DOIUrl":"10.1067/j.cpradiol.2025.08.013","url":null,"abstract":"<div><div>Inflammatory breast cancer (IBC) is an uncommon, locally aggressive breast cancer with rapid onset of symptoms and an unfavorable prognosis. Diagnosis remains challenging and is frequently delayed; imaging plays an important role in disease detection and characterization. Contrast Enhanced Mammography (CEM) combines conventional mammography with a dual energy technique utilizing iodinated contrast, producing a set of recombined images that demonstrate contrast enhancement similar to magnetic resonance imaging (MRI) at a fraction of the cost and time. Current applications of CEM include the evaluation of abnormal findings on screening mammography, monitoring response to neoadjuvant chemotherapy, and assessment for tumor recurrence. CEM is mostly utilized in patients who are unable to undergo MRI. To our knowledge, CEM applications in IBC are scarce in the published literature. The following cases provide additional information on CEM use in the setting of IBC, from staging to guiding subsequent procedures to treatment response evaluation, emphasizing imaging findings and lessons learned. These cases also highlight the feasibility of CEM use in the setting of IBC, with potential incorporation into the future protocols for those patients unable to undergo MRI.</div></div>","PeriodicalId":51617,"journal":{"name":"Current Problems in Diagnostic Radiology","volume":"55 2","pages":"Pages 333-338"},"PeriodicalIF":1.5,"publicationDate":"2025-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144983657","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}
Gamification is the application of gaming elements in a nongame context. The use of gamification in education increases motivation, participation and both short- and long-term knowledge retention. Millennial and Generation Z learners are the largest percentage of radiology residents and medical students, respectively, and gamification is an educational tool they are likely familiar with and may enjoy. To date, performance of a gamified learning platform for radiology residents has not been compared to validated resources such as RadExam.
Materials and Methods
This is an IRB-approved prospective study evaluating the performance of R1-R4 radiology residents participating in a month-long voluntary novel app-based game at a tertiary care academic program. Questions were created by radiology attendings from several radiology subspecialties and reviewed by a radiologist experienced in radiology education. Informed consent was acquired from all participants, and questions were delivered by Kaizen’s secure online app. Performance was recorded for each group. Scores overall and within each discipline were compared institutional RadExam performance using a one-way Anova test. Likert survey was administered at the conclusion of the study to assess participant engagement, motivation, clinical knowledge, board preparation, satisfaction and likelihood to play again.
Results
There were 25 radiology residents (65.7 %, 25/38) who completed at least one question. First year residents made up the largest percentage of class participation with 89 % (8/9) answering at least one question. Third-year residents answered the highest percentage of questions correctly, while the first-year class answered the lowest percentage correctly. One-way Anova analysis showed no significant difference between mean Kaizen and RadExam scores (p = 0.3641). There was also no significant difference between the RadExam and Kaizen scores separated by question category. Most enjoyed the game and 75 % of survey participants would participate in a Kaizen game again. Team collaboration and question feedback significantly increased motivation for most. Most participants felt the game enhanced their radiology knowledge and was beneficial for daily work and board preparation.
Conclusion
The Kaizen game was well-received among radiology residents with positive feedback on content, perceived educational benefits and motivation. Team competition appeared to play a role in maintaining engagement and motivation. Resident performance on the RadExam and Kaizen game by both overall and topic-based assessments showed similar results. More research is needed to assess the reliability and validity of gamified learning for radiology residents.
{"title":"Experience of diagnostic radiology residents with Kaizen, a novel online app-based gamified education tool, and performance compared to RadExam","authors":"Alisa Mobley , Tamara Zaza , Jeremey Walker MD , Madhuri Molleti , Karthik Sadanand , Rohan Badve , Jordan Tzabari , Gracie Trulove , Mei Li Ph.D , Yufeng Li Ph.D , Rachel Bass MD , Angela Choe MD , Padma Manapragada MD , Desmin Milner MD , Aparna Singhal MD , Elainea Smith MD , Janelle West MD , Ceren Yalniz MD , Stefanie Zalasin MD , Kathryn Zamora MD , Stefanie Woodard DO","doi":"10.1067/j.cpradiol.2025.08.005","DOIUrl":"10.1067/j.cpradiol.2025.08.005","url":null,"abstract":"<div><h3>Rationale and Objectives</h3><div>Gamification is the application of gaming elements in a nongame context. The use of gamification in education increases motivation, participation and both short- and long-term knowledge retention. Millennial and Generation Z learners are the largest percentage of radiology residents and medical students, respectively, and gamification is an educational tool they are likely familiar with and may enjoy. To date, performance of a gamified learning platform for radiology residents has not been compared to validated resources such as RadExam.</div></div><div><h3>Materials and Methods</h3><div>This is an IRB-approved prospective study evaluating the performance of R1-R4 radiology residents participating in a month-long voluntary novel app-based game at a tertiary care academic program. Questions were created by radiology attendings from several radiology subspecialties and reviewed by a radiologist experienced in radiology education. Informed consent was acquired from all participants, and questions were delivered by Kaizen’s secure online app. Performance was recorded for each group. Scores overall and within each discipline were compared institutional RadExam performance using a one-way Anova test. Likert survey was administered at the conclusion of the study to assess participant engagement, motivation, clinical knowledge, board preparation, satisfaction and likelihood to play again.</div></div><div><h3>Results</h3><div>There were 25 radiology residents (65.7 %, 25/38) who completed at least one question. First year residents made up the largest percentage of class participation with 89 % (8/9) answering at least one question. Third-year residents answered the highest percentage of questions correctly, while the first-year class answered the lowest percentage correctly. One-way Anova analysis showed no significant difference between mean Kaizen and RadExam scores (<em>p</em> = 0.3641). There was also no significant difference between the RadExam and Kaizen scores separated by question category. Most enjoyed the game and 75 % of survey participants would participate in a Kaizen game again. Team collaboration and question feedback significantly increased motivation for most. Most participants felt the game enhanced their radiology knowledge and was beneficial for daily work and board preparation.</div></div><div><h3>Conclusion</h3><div>The Kaizen game was well-received among radiology residents with positive feedback on content, perceived educational benefits and motivation. Team competition appeared to play a role in maintaining engagement and motivation. Resident performance on the RadExam and Kaizen game by both overall and topic-based assessments showed similar results. More research is needed to assess the reliability and validity of gamified learning for radiology residents.</div></div>","PeriodicalId":51617,"journal":{"name":"Current Problems in Diagnostic Radiology","volume":"55 1","pages":"Pages 54-61"},"PeriodicalIF":1.5,"publicationDate":"2025-08-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144983645","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 : 2025-08-15DOI: 10.1067/j.cpradiol.2025.08.009
Aaron Chafitz MD , Rohan Makhiani MD , Erin Niederkohr BS , Ian Tarnovsky BS , Noah Takacs BS , Xualing Pan PhD , Mina S. Makary MD
Rationale and Objectives
This study aimed to evaluate the socioeconomic and demographic factors that predict overall survival (OS) and progression-free survival (PFS) of patients undergoing transarterial chemoembolization (TACE) for primary and metastatic hepatic disease.
Materials and Methods
Retrospective review from 2016 to 2022 identified 322 patients with hepatocellular carcinoma (HCC) (n = 234) and metastatic liver lesions (n = 98), treated with TACE. Patients were stratified by demographic factors, including mean income, insurance status, race, and social vulnerability index (SVI), a Center for Disease control (CDC) composite measure from geographic census data. Primary outcomes measures included OS and PFS. Correlation, multivariate regression, and Kaplan Meier analyses were performed.
Results
Of the studied population, 67 % were male, 85 % were White, and 62 % had Medicare coverage, with a mean age of 64 years. Mean OS was 25.6 months, and PFS was 19.9 months. The liver-specific disease progression rate and overall mortality rate were 71.7 % and 56.9 %, respectively. Lower SVI group, indicating less social vulnerability, was positively correlated with OS (p = 0.033), and a similar trend was observed for PFS (p = 0.0676) in the overall population. Co-variate analysis demonstrated statistically significant relationship between SVI and OS (HR=3.880, p = 0.01), controlling for underlying disease (HCC vs. metastatic disease) and baseline health characteristics.
Conclusions
Findings highlight underexplored relationships between social factors and treatment outcomes, revealing SVI as a predictive factor of OS following TACE. Further work is warranted to better understand disparities associated with procedural interventions to target mitigation strategies.
{"title":"Socioeconomic and demographic predictors of transarterial chemoembolization outcomes for hepatic malignancies","authors":"Aaron Chafitz MD , Rohan Makhiani MD , Erin Niederkohr BS , Ian Tarnovsky BS , Noah Takacs BS , Xualing Pan PhD , Mina S. Makary MD","doi":"10.1067/j.cpradiol.2025.08.009","DOIUrl":"10.1067/j.cpradiol.2025.08.009","url":null,"abstract":"<div><h3>Rationale and Objectives</h3><div>This study aimed to evaluate the socioeconomic and demographic factors that predict overall survival (OS) and progression-free survival (PFS) of patients undergoing transarterial chemoembolization (TACE) for primary and metastatic hepatic disease.</div></div><div><h3>Materials and Methods</h3><div>Retrospective review from 2016 to 2022 identified 322 patients with hepatocellular carcinoma (HCC) (<em>n</em> = 234) and metastatic liver lesions (<em>n</em> = 98), treated with TACE. Patients were stratified by demographic factors, including mean income, insurance status, race, and social vulnerability index (SVI), a Center for Disease control (CDC) composite measure from geographic census data. Primary outcomes measures included OS and PFS. Correlation, multivariate regression<u>,</u> and Kaplan Meier analyses were performed.</div></div><div><h3>Results</h3><div>Of the studied population, 67 % were male, 85 % were White, and 62 % had Medicare coverage, with a mean age of 64 years. Mean OS was 25.6 months<u>,</u> and PFS was 19.9 months. The liver-specific disease progression rate and overall mortality rate were 71.7 % and 56.9 %, respectively. Lower SVI group, indicating less social vulnerability, was positively correlated with OS (<em>p</em> = 0.033)<u>,</u> and a similar trend was observed for PFS (<em>p</em> = 0.0676) in the overall population. Co-variate analysis demonstrated statistically significant relationship between SVI and OS (HR=3.880, <em>p</em> = 0.01), controlling for underlying disease (HCC vs. metastatic disease) and baseline health characteristics.</div></div><div><h3>Conclusions</h3><div>Findings highlight underexplored relationships between social factors and treatment outcomes, revealing SVI as a predictive factor of OS following TACE. Further work is warranted to better understand disparities associated with procedural interventions to target mitigation strategies.</div></div>","PeriodicalId":51617,"journal":{"name":"Current Problems in Diagnostic Radiology","volume":"55 2","pages":"Pages 242-246"},"PeriodicalIF":1.5,"publicationDate":"2025-08-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144983741","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}
Imaging and pathological evaluation are indispensable for the evaluation of breast pathologies. It is imperative to achieve clinical, radiological, and pathological concordance before initiation of any treatment regimen. Although image-guided biopsies are usually obtained from the most suspicious area of the lesion, we often encounter discordant lesions. This rad-path discordance needs to be addressed in multidisciplinary team meetings to review the clinical, imaging, and pathology findings together to ascertain the next step of evaluation. In this article, we aim to highlight a variety of such results which needed reassessment and provided us with a learning opportunity to deepen our understanding of various breast diseases.
{"title":"RAD-PATH correlation in breast - Lessons learned through unusual cases and MDT discussions","authors":"Ekta Dhamija , Supraja Laguduva Mohan , Smriti Hari , Sandeep Mathur","doi":"10.1067/j.cpradiol.2025.08.012","DOIUrl":"10.1067/j.cpradiol.2025.08.012","url":null,"abstract":"<div><div>Imaging and pathological evaluation are indispensable for the evaluation of breast pathologies. It is imperative to achieve clinical, radiological, and pathological concordance before initiation of any treatment regimen. Although image-guided biopsies are usually obtained from the most suspicious area of the lesion, we often encounter discordant lesions. This rad-path discordance needs to be addressed in multidisciplinary team meetings to review the clinical, imaging, and pathology findings together to ascertain the next step of evaluation. In this article, we aim to highlight a variety of such results which needed reassessment and provided us with a learning opportunity to deepen our understanding of various breast diseases.</div></div>","PeriodicalId":51617,"journal":{"name":"Current Problems in Diagnostic Radiology","volume":"55 2","pages":"Pages 321-332"},"PeriodicalIF":1.5,"publicationDate":"2025-08-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144983794","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 : 2025-08-13DOI: 10.1067/j.cpradiol.2025.08.007
Issra Osman , Shweta Ravi M.D. , Zachary Baker M.D. , Inas Mohamed M.D., M.S. , Pauravi Vasavada M.D.
Medical students often lack meaningful exposure and educational opportunities in radiology, especially those facilitated by practicing radiologists. This limits the cultivation of early radiology interest into a future career, since preclinical radiology education often focuses on anatomic correlation. To increase medical students’knowledge, participation, and interest in the field, we created a preclinical elective that emphasizes the clinical application and practice of diagnostic radiology.
The preclinical elective in diagnostic radiology has been held at University Hospitals Cleveland Medical Center since Fall 2021. Medical students attended ten-day sessions that included visiting reading rooms, attending resident- or faculty-led lectures, and simulating image-guided procedures. Upon completion of the elective, informal student feedback was collected and used to adjust curriculum content for future cohorts. A post-course electronic survey was also distributed to the 2024 cohort to provide objective feedback about the provided curriculum.
Our institution's experience indicates that preclinical electives serve as effective educational instruments for enhancing early clinical radiology exposure for medical students. Our educational model highlights the clinical aspects of diagnostic radiology practice while also creating mentorship opportunities, bolstering student understanding of the role of a radiologist, and increasing student motivation to pursue a career in radiology. In this manuscript, we describe our step-by-step approach to building the structured learning curriculum of the radiology preclinical elective and its evolution throughout its four years of implementation.
{"title":"Cultivating the next generation of radiologists: A single institution's experience with radiology preclinical electives for medical students","authors":"Issra Osman , Shweta Ravi M.D. , Zachary Baker M.D. , Inas Mohamed M.D., M.S. , Pauravi Vasavada M.D.","doi":"10.1067/j.cpradiol.2025.08.007","DOIUrl":"10.1067/j.cpradiol.2025.08.007","url":null,"abstract":"<div><div>Medical students often lack meaningful exposure and educational opportunities in radiology, especially those facilitated by practicing radiologists. This limits the cultivation of early radiology interest into a future career, since preclinical radiology education often focuses on anatomic correlation. To increase medical students’knowledge, participation, and interest in the field, we created a preclinical elective that emphasizes the clinical application and practice of diagnostic radiology.</div><div>The preclinical elective in diagnostic radiology has been held at University Hospitals Cleveland Medical Center since Fall 2021. Medical students attended ten-day sessions that included visiting reading rooms, attending resident- or faculty-led lectures, and simulating image-guided procedures. Upon completion of the elective, informal student feedback was collected and used to adjust curriculum content for future cohorts. A post-course electronic survey was also distributed to the 2024 cohort to provide objective feedback about the provided curriculum.</div><div>Our institution's experience indicates that preclinical electives serve as effective educational instruments for enhancing early clinical radiology exposure for medical students. Our educational model highlights the clinical aspects of diagnostic radiology practice while also creating mentorship opportunities, bolstering student understanding of the role of a radiologist, and increasing student motivation to pursue a career in radiology. In this manuscript, we describe our step-by-step approach to building the structured learning curriculum of the radiology preclinical elective and its evolution throughout its four years of implementation.</div></div>","PeriodicalId":51617,"journal":{"name":"Current Problems in Diagnostic Radiology","volume":"55 1","pages":"Pages 14-17"},"PeriodicalIF":1.5,"publicationDate":"2025-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144884600","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 : 2025-08-12DOI: 10.1067/j.cpradiol.2025.08.008
Stanek Agatha, Durfee Sara M, Matalon Shanna A
Rationale and Objectives
After >14 years, the American Board of Radiology (ABR) certifying diagnostic radiology examination is reverting to an oral format. Radiology faculty are responsible for helping trainees prepare for the examination, although many have not taken an oral examination or know how best to prepare. This study assessed faculty’s perceived knowledge and confidence in facilitating oral exam teaching sessions before and after a faculty development workshop.
Materials and Methods
All radiology clinical faculty from a single large academic center were invited to participate in a faculty development workshop and complete pre-and post-workshop surveys. Descriptive statistics and Fisher’s exact test were performed.
Results
36/120 faculty (30% response) completed the pre-workshop survey, 43/120 (36%) participated in the workshop and 17/43 (40% response) completed the post-workshop survey. 22/36 (61%) had previously taken an oral board examination. Most faculty were slightly or not at all familiar with the changes to the certifying examination (31, 86%) which improved after the workshop (p<0.001). All respondents (100%) were moderately or completely satisfied with the workshop overall. Faculty that had previously taken oral boards started with greater confidence in various skills related to oral boards teaching (p=0.008-0.04), but there were significant confidence improvements for all faculty in nearly all skills after the workshop (p=0.002 to 0.01).
Conclusion
An oral boards faculty development workshop was well received and demonstrated improved faculty’s perceived knowledge and confidence pertaining to preparing trainees for the ABR oral certifying examination, particularly those who had not previously taken oral boards.
{"title":"Radiology oral boards faculty development workshop: A single institution experience","authors":"Stanek Agatha, Durfee Sara M, Matalon Shanna A","doi":"10.1067/j.cpradiol.2025.08.008","DOIUrl":"10.1067/j.cpradiol.2025.08.008","url":null,"abstract":"<div><h3>Rationale and Objectives</h3><div>After >14 years, the American Board of Radiology (ABR) certifying diagnostic radiology examination is reverting to an oral format. Radiology faculty are responsible for helping trainees prepare for the examination, although many have not taken an oral examination or know how best to prepare. This study assessed faculty’s perceived knowledge and confidence in facilitating oral exam teaching sessions before and after a faculty development workshop.</div></div><div><h3>Materials and Methods</h3><div>All radiology clinical faculty from a single large academic center were invited to participate in a faculty development workshop and complete pre-and post-workshop surveys. Descriptive statistics and Fisher’s exact test were performed.</div></div><div><h3>Results</h3><div>36/120 faculty (30% response) completed the pre-workshop survey, 43/120 (36%) participated in the workshop and 17/43 (40% response) completed the post-workshop survey. 22/36 (61%) had previously taken an oral board examination. Most faculty were slightly or not at all familiar with the changes to the certifying examination (31, 86%) which improved after the workshop (p<0.001). All respondents (100%) were moderately or completely satisfied with the workshop overall. Faculty that had previously taken oral boards started with greater confidence in various skills related to oral boards teaching (p=0.008-0.04), but there were significant confidence improvements for all faculty in nearly all skills after the workshop (p=0.002 to 0.01).</div></div><div><h3>Conclusion</h3><div>An oral boards faculty development workshop was well received and demonstrated improved faculty’s perceived knowledge and confidence pertaining to preparing trainees for the ABR oral certifying examination, particularly those who had not previously taken oral boards.</div></div>","PeriodicalId":51617,"journal":{"name":"Current Problems in Diagnostic Radiology","volume":"55 1","pages":"Pages 62-66"},"PeriodicalIF":1.5,"publicationDate":"2025-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144877517","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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