Pub Date : 2025-04-26DOI: 10.1067/j.cpradiol.2025.04.002
Aparna Singh , Ozgu Alcali , Andetta R. Hunsaker, Mark M. Hammer
Objective
To evaluate the effect of marijuana use compared to cigarette smoking on imaging findings in the lungs.
Methods
By searching the electronic medical record, we identified patients who were marijuana users who never smoked; current smokers; and non-marijuana never smokers, who underwent chest CT in our healthcare system in 2019. We generated a random sample of 100 marijuana users as well as 100 each age- and sex-matched controls from the current smoker and never-smoker groups. Patients with extensive airspace disease on CT were excluded. Quantitative CT analysis was performed to measure total lung volume (TLV). A thoracic radiologist reviewed chest CTs in a blinded fashion for the presence of emphysema, centrilobular ground glass opacities, mosaic attenuation, bronchial wall thickening, and coronary calcification.
Results
Our study included 285 participants, comprising 89 non-smokers, 97 smokers, and 99 marijuana users. Despite propensity score matching, the marijuana user group was slightly younger than the smokers and non-smokers (mean age 59 versus 62 and 64 years, respectively, p = 0.04), with similar sex distribution across all groups. TLV was higher in smokers than marijuana users and non-smokers (p<.01 for both). By visual analysis, 62 % of smokers had emphysema versus 4 % of marijuana users (p<.001). Additionally, centrilobular ground glass opacities were more prevalent in smokers (15 %) than in marijuana users (2 %) (p = 0.0008). No significant difference was noted in the occurrence of mosaic attenuation between smokers and marijuana users. In terms of coronary artery calcification, more smokers had moderate to severe coronary artery calcifications compared to marijuana users (43 % versus 25 %, p = 0.01).
Conclusion
While emphysema and hyperinflation were common in smokers, they were rare in marijuana users.
{"title":"Quantitative and qualitative imaging in marijuana users and smokers","authors":"Aparna Singh , Ozgu Alcali , Andetta R. Hunsaker, Mark M. Hammer","doi":"10.1067/j.cpradiol.2025.04.002","DOIUrl":"10.1067/j.cpradiol.2025.04.002","url":null,"abstract":"<div><h3>Objective</h3><div>To evaluate the effect of marijuana use compared to cigarette smoking on imaging findings in the lungs.</div></div><div><h3>Methods</h3><div>By searching the electronic medical record, we identified patients who were marijuana users who never smoked; current smokers; and non-marijuana never smokers, who underwent chest CT in our healthcare system in 2019. We generated a random sample of 100 marijuana users as well as 100 each age- and sex-matched controls from the current smoker and never-smoker groups. Patients with extensive airspace disease on CT were excluded. Quantitative CT analysis was performed to measure total lung volume (TLV). A thoracic radiologist reviewed chest CTs in a blinded fashion for the presence of emphysema, centrilobular ground glass opacities, mosaic attenuation, bronchial wall thickening, and coronary calcification.</div></div><div><h3>Results</h3><div>Our study included 285 participants, comprising 89 non-smokers, 97 smokers, and 99 marijuana users. Despite propensity score matching, the marijuana user group was slightly younger than the smokers and non-smokers (mean age 59 versus 62 and 64 years, respectively, <em>p</em> = 0.04), with similar sex distribution across all groups. TLV was higher in smokers than marijuana users and non-smokers (<em>p</em><.01 for both). By visual analysis, 62 % of smokers had emphysema versus 4 % of marijuana users (<em>p</em><.001). Additionally, centrilobular ground glass opacities were more prevalent in smokers (15 %) than in marijuana users (2 %) (<em>p</em> = 0.0008). No significant difference was noted in the occurrence of mosaic attenuation between smokers and marijuana users. In terms of coronary artery calcification, more smokers had moderate to severe coronary artery calcifications compared to marijuana users (43 % versus 25 %, <em>p</em> = 0.01).</div></div><div><h3>Conclusion</h3><div>While emphysema and hyperinflation were common in smokers, they were rare in marijuana users.</div></div>","PeriodicalId":51617,"journal":{"name":"Current Problems in Diagnostic Radiology","volume":"55 1","pages":"Pages 85-89"},"PeriodicalIF":1.5,"publicationDate":"2025-04-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144059973","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 : 2025-04-19DOI: 10.1067/j.cpradiol.2025.04.009
Muhammad Y. Hameed , Surbhi Raichandani , Andrew Baker , Evan D. Hicks , Paula K. Roberson , Roopa Ram
Objective
This study aims to comprehensively evaluate key benefits offered by various diagnostic radiology residency programs in the United States, focusing on stipends, research support, educational resources, time-off policies, mini-fellowships, and additional perks. The goal is to offer insights into the diverse landscape of resident compensation, as well as the variety and type of benefits.
Methods
Data collection utilized an anonymous survey of diagnostic radiology residency programs, addressing stipends, research support, educational resources, time-off policies, mini-fellowships, and additional benefits. A structured questionnaire facilitated responses from program representatives which were collected during March-April 2023. The survey employed quantitative and qualitative questions to gather comprehensive information. Descriptive statistics and correlations were subsequently performed to analyze the responses.
Results
Analysis of stipends revealed significant geographic and program-related variations, impacting resident compensation. Analysis of post pandemic era stipends showed that R1 stipends ranged from less than $45,000 to over $65,000, with statistically significant differences across geographic regions (p = 0.01). R1 stipends varied significantly across different Cost-of-Living Index (COLI) groups (p < 0.01). While most programs provide support for educational and research activities, such as conference leave and funding for specialized courses, there was considerable variability in the type and extent of benefits offered, reflecting a lack of standardization among residency programs.
Discussion
The study outcomes prompt actionable considerations for optimizing benefits provided by radiology residency programs. Geographic and program-specific stipend variations underscore the importance of establishing stipend compensation at par with cost-of-living expenses. Comprehensive knowledge of the trends and variation in residency benefits could guide program enhancements, with the overarching goal of supplementing current stipends to enhance resident satisfaction and well-being.
{"title":"Nationwide survey of benefits provided to radiology residents in the United States","authors":"Muhammad Y. Hameed , Surbhi Raichandani , Andrew Baker , Evan D. Hicks , Paula K. Roberson , Roopa Ram","doi":"10.1067/j.cpradiol.2025.04.009","DOIUrl":"10.1067/j.cpradiol.2025.04.009","url":null,"abstract":"<div><h3>Objective</h3><div>This study aims to comprehensively evaluate key benefits offered by various diagnostic radiology<span> residency programs in the United States, focusing on stipends, research support, educational resources, time-off policies, mini-fellowships, and additional perks. The goal is to offer insights into the diverse landscape of resident compensation, as well as the variety and type of benefits.</span></div></div><div><h3>Methods</h3><div>Data collection utilized an anonymous survey of diagnostic radiology<span> residency programs, addressing stipends, research support, educational resources, time-off policies, mini-fellowships, and additional benefits. A structured questionnaire facilitated responses from program representatives which were collected during March-April 2023. The survey employed quantitative and qualitative questions to gather comprehensive information. Descriptive statistics and correlations were subsequently performed to analyze the responses.</span></div></div><div><h3>Results</h3><div>Analysis of stipends revealed significant geographic and program-related variations, impacting resident compensation. Analysis of post pandemic era stipends showed that R1 stipends ranged from less than $45,000 to over $65,000, with statistically significant differences across geographic regions (p = 0.01). R1 stipends varied significantly across different Cost-of-Living Index (COLI) groups (p < 0.01). While most programs provide support for educational and research activities, such as conference leave and funding for specialized courses, there was considerable variability in the type and extent of benefits offered, reflecting a lack of standardization among residency programs.</div></div><div><h3>Discussion</h3><div>The study outcomes prompt actionable considerations for optimizing benefits provided by radiology residency programs. Geographic and program-specific stipend variations underscore the importance of establishing stipend compensation at par with cost-of-living expenses. Comprehensive knowledge of the trends and variation in residency benefits could guide program enhancements, with the overarching goal of supplementing current stipends to enhance resident satisfaction and well-being.</div></div>","PeriodicalId":51617,"journal":{"name":"Current Problems in Diagnostic Radiology","volume":"55 2","pages":"Pages 220-225"},"PeriodicalIF":1.5,"publicationDate":"2025-04-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144050143","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}
Turnaround time (TAT) has evolved into a complex metric in the current era of diagnostic radiology. Initially monitoring a radiologist’s ability to efficiently generate a report, there is now a hierarchy of stakeholders who are affected by its modern-day interpretation and use. This article explores “more than the metric” and reviews the multi-faceted use and implementation of TAT through the lens of a large academic hospital network. The authors highlight “The Good” of turnaround time as a useful quality metric that guides patient outcomes, organizational performance, and revenue generation, and they discuss how it has been implemented at their institution to positively influence workflow and guide departmental staffing. The “bad” implications of TAT are discussed, which can strain radiology departmental workflows and propagate issues such as delays in finalizing reports for inpatient and outpatient worklists in the setting of rapidly growing imaging volumes. Broader systemic issues of TAT are discussed within “The Ugly” section of this review, which highlights TAT’s negative impact on resident education, physician burnout, and its creation of “New School” and “Old School” radiologist practices. The article provides further discussion of existing strategies and future directions that can mitigate the negative impacts of TAT, including various staffing models, approaches to optimize workflow systems, and methods for re-prioritizing STAT cases using artificial intelligence. The authors conclude with a call for balanced, continued implementation of TAT as a metric but not at the expense of sacrificing the quality of work performed by radiologists and trainees.
{"title":"Impact of turnaround time in radiology: The good, the bad, and the ugly","authors":"Brandon Ritchie DO, Lesley Summerville MD, Max Sheng MD, Monica Choi BS, Sree Tirumani MD, Nikhil Ramaiya MD","doi":"10.1067/j.cpradiol.2025.04.018","DOIUrl":"10.1067/j.cpradiol.2025.04.018","url":null,"abstract":"<div><div>Turnaround time (TAT) has evolved into a complex metric in the current era of diagnostic radiology. Initially monitoring a radiologist’s ability to efficiently generate a report, there is now a hierarchy of stakeholders who are affected by its modern-day interpretation and use. This article explores “more than the metric” and reviews the multi-faceted use and implementation of TAT through the lens of a large academic hospital network. The authors highlight “The Good” of turnaround time as a useful quality metric that guides patient outcomes, organizational performance, and revenue generation, and they discuss how it has been implemented at their institution to positively influence workflow and guide departmental staffing. The “bad” implications of TAT are discussed, which can strain radiology departmental workflows and propagate issues such as delays in finalizing reports for inpatient and outpatient worklists in the setting of rapidly growing imaging volumes. Broader systemic issues of TAT are discussed within “The Ugly” section of this review, which highlights TAT’s negative impact on resident education, physician burnout, and its creation of “New School” and “Old School” radiologist practices. The article provides further discussion of existing strategies and future directions that can mitigate the negative impacts of TAT, including various staffing models, approaches to optimize workflow systems, and methods for re-prioritizing STAT cases using artificial intelligence. The authors conclude with a call for balanced, continued implementation of TAT as a metric but not at the expense of sacrificing the quality of work performed by radiologists and trainees.</div></div>","PeriodicalId":51617,"journal":{"name":"Current Problems in Diagnostic Radiology","volume":"55 2","pages":"Pages 268-272"},"PeriodicalIF":1.5,"publicationDate":"2025-04-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144003651","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 : 2025-04-18DOI: 10.1067/j.cpradiol.2025.04.011
Pranav Ajmera , Ryan Dillard , Timothy Kline , Andrew Missert , Panagiotis Korfiatis , Ashish Khandelwal
Purpose
This review aims to provide a comprehensive overview of the transformative impact of FDA-approved artificial intelligence (AI) products in abdominal imaging. It explores the evolution of AI in radiology, its rigorous FDA clearance process, and its role in revolutionizing diagnostic and non-diagnostic tasks across various abdominal organs.
Methods
Through a review of literature, this study categorizes AI products based on their applications in liver, prostate, bladder, kidney, and overall abdominal imaging. It analyzes the diagnostic and non-diagnostic functionalities of these AI solutions, elucidating their capabilities in enhancing disease detection, image quality, workflow efficiency, and longitudinal comparison standardization.
Results
The review identifies numerous FDA-approved AI products tailored for abdominal imaging, showcasing their diverse applications, from lesion detection and characterization to volume estimation and quantification of organ health parameters. These AI solutions have demonstrated their efficacy in improving diagnostic accuracy, streamlining radiological workflows, and ultimately optimizing patient care across various abdominal pathologies.
Conclusion
In conclusion, the integration of AI into abdominal imaging represents a paradigm shift in modern radiology. By empowering radiologists with advanced tools for timely diagnosis, precise treatment planning, and improved patient outcomes, FDA-approved AI products herald a new era of innovation in abdominal imaging. Collaboration between developers, regulatory bodies, and the medical community will be paramount in harnessing the full potential of AI to reshape the future of abdominal radiology.
{"title":"FDA-approved artificial intelligence products in abdominal imaging: A comprehensive review","authors":"Pranav Ajmera , Ryan Dillard , Timothy Kline , Andrew Missert , Panagiotis Korfiatis , Ashish Khandelwal","doi":"10.1067/j.cpradiol.2025.04.011","DOIUrl":"10.1067/j.cpradiol.2025.04.011","url":null,"abstract":"<div><h3>Purpose</h3><div>This review aims to provide a comprehensive overview of the transformative impact of FDA-approved artificial intelligence (AI) products in abdominal imaging<span>. It explores the evolution of AI in radiology, its rigorous FDA clearance process, and its role in revolutionizing diagnostic and non-diagnostic tasks across various abdominal organs.</span></div></div><div><h3>Methods</h3><div>Through a review of literature, this study categorizes AI products based on their applications in liver, prostate, bladder, kidney, and overall abdominal imaging. It analyzes the diagnostic and non-diagnostic functionalities of these AI solutions, elucidating their capabilities in enhancing disease detection, image quality, workflow efficiency, and longitudinal comparison standardization.</div></div><div><h3>Results</h3><div>The review identifies numerous FDA-approved AI products tailored for abdominal imaging, showcasing their diverse applications, from lesion detection and characterization to volume estimation and quantification of organ health parameters. These AI solutions have demonstrated their efficacy in improving diagnostic accuracy, streamlining radiological workflows, and ultimately optimizing patient care across various abdominal pathologies.</div></div><div><h3>Conclusion</h3><div>In conclusion, the integration of AI into abdominal imaging represents a paradigm shift in modern radiology. By empowering radiologists with advanced tools for timely diagnosis, precise treatment planning, and improved patient outcomes, FDA-approved AI products herald a new era of innovation in abdominal imaging. Collaboration between developers, regulatory bodies, and the medical community will be paramount in harnessing the full potential of AI to reshape the future of abdominal radiology.</div></div>","PeriodicalId":51617,"journal":{"name":"Current Problems in Diagnostic Radiology","volume":"55 2","pages":"Pages 258-267"},"PeriodicalIF":1.5,"publicationDate":"2025-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144060409","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 : 2025-04-18DOI: 10.1067/j.cpradiol.2025.04.017
Jack Porrino MD, Syed Ahmad Bokhari MD, Mahan Mathur MD
Radiology residency is a time where trainees are expected to become familiar with an extensive amount of new information as they master their specialty. Lectures are one critical component of the residency training and are an ACGME residency mandate. Implementing a successful lecture series is challenging. We review the current requirements, reflect upon our experience, and discuss the challenges and solutions of radiology resident lectures.
{"title":"The current state of radiology residency lectures: Requirements, institutional approach, challenges, and solutions","authors":"Jack Porrino MD, Syed Ahmad Bokhari MD, Mahan Mathur MD","doi":"10.1067/j.cpradiol.2025.04.017","DOIUrl":"10.1067/j.cpradiol.2025.04.017","url":null,"abstract":"<div><div>Radiology residency is a time where trainees are expected to become familiar with an extensive amount of new information as they master their specialty. Lectures are one critical component of the residency training and are an ACGME residency mandate. Implementing a successful lecture series is challenging. We review the current requirements, reflect upon our experience, and discuss the challenges and solutions of radiology resident lectures.</div></div>","PeriodicalId":51617,"journal":{"name":"Current Problems in Diagnostic Radiology","volume":"54 4","pages":"Pages 405-407"},"PeriodicalIF":1.5,"publicationDate":"2025-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144048670","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 : 2025-04-18DOI: 10.1067/j.cpradiol.2025.04.003
Sawyer D. Miller BS , Thomas M Pender MD , Jake Lallo JD , Jonathan Lazarow JD , Frances Lazarow MD
Objective
Diagnostic radiology is regarded as a “high-risk” specialty in the medical malpractice literature. This study examines the causes and patterns and types of medical malpractice litigation and outcomes in radiology in the United States, with a particular focus on diagnostic radiology errors involving the abdomen and pelvis.
Methods
Malpractice suits in which the defendant was a radiologist in the United States from 2008 to 2018 were identified using LexisAdvance, a national legal database. 2775 cases were initially identified, and 1165 cases fit the inclusion criteria.
Results
Diagnostic error was the most prevalent error type, (n = 925, 82.9 %), followed by procedural errors (n = 106, 9.5 %), communication errors (66 cases, 5.9 %), and mixed/other errors (n = 19, 1.7 %). Breast was the most common imaging modality implicated in medical error (n = 211, 26.4 % of total cases), followed by CT (n = 186, 23.3 %), and XR (n = 146, 18.3 %). Out-of-court settlement was the most common outcome (n = 402, 44.5 %), followed by a verdict ruled in favor of the defendant (n = 246, 27.2 %) and case dismissal (n = 131, 14.5 %). The average award in a settlement was $1,500,690 USD (range: $25,000- $10,200,000 USD). The average award in a jury verdict for the plaintiff was $2,857,203 USD (range: $60,000- $31,490,000 USD), and the average award in arbitration for the plaintiff was $1,354,497 USD (range: $200,000- $2,800,000 USD). The gastrointestinal (GI) system and the genitourinary (GU) system accounted for 51.9 % and 25.9 % of errors in the abdomen and pelvis, respectively.
Discussion
Diagnostic error was the most prevalent source of error leading to malpractice litigation. Breast imaging was the most frequently implicated imaging modality in litigations, followed closely by CT and XR. A majority of cases were resolved through out-of-court settlement or with judgments in favor of the defendant radiologists. However, in cases with trial judgments in favor of the plaintiff, average financial awards were higher than out-of-court settlements. Abdomen and pelvic involvement accounted for frequent sources of error.
{"title":"Malpractice litigation in diagnostic radiology with special focus on cases in the abdomen and pelvis: A comprehensive analysis from a national legal database","authors":"Sawyer D. Miller BS , Thomas M Pender MD , Jake Lallo JD , Jonathan Lazarow JD , Frances Lazarow MD","doi":"10.1067/j.cpradiol.2025.04.003","DOIUrl":"10.1067/j.cpradiol.2025.04.003","url":null,"abstract":"<div><h3>Objective</h3><div>Diagnostic radiology is regarded as a “high-risk” specialty in the medical malpractice literature. This study examines the causes and patterns and types of medical malpractice litigation and outcomes in radiology in the United States, with a particular focus on diagnostic radiology errors involving the abdomen and pelvis.</div></div><div><h3>Methods</h3><div>Malpractice suits in which the defendant was a radiologist in the United States from 2008 to 2018 were identified using LexisAdvance, a national legal database. 2775 cases were initially identified, and 1165 cases fit the inclusion criteria.</div></div><div><h3>Results</h3><div>Diagnostic error was the most prevalent error type, (<em>n</em> = 925, 82.9 %), followed by procedural errors (<em>n</em> = 106, 9.5 %), communication errors (66 cases, 5.9 %), and mixed/other errors (<em>n</em> = 19, 1.7 %). Breast was the most common imaging modality implicated in medical error (<em>n</em> = 211, 26.4 % of total cases), followed by CT (<em>n</em> = 186, 23.3 %), and XR (<em>n</em> = 146, 18.3 %). Out-of-court settlement was the most common outcome (<em>n</em> = 402, 44.5 %), followed by a verdict ruled in favor of the defendant (<em>n</em> = 246, 27.2 %) and case dismissal (<em>n</em> = 131, 14.5 %). The average award in a settlement was $1,500,690 USD (range: $25,000- $10,200,000 USD). The average award in a jury verdict for the plaintiff was $2,857,203 USD (range: $60,000- $31,490,000 USD), and the average award in arbitration for the plaintiff was $1,354,497 USD (range: $200,000- $2,800,000 USD). The gastrointestinal (GI) system and the genitourinary (GU) system accounted for 51.9 % and 25.9 % of errors in the abdomen and pelvis, respectively.</div></div><div><h3>Discussion</h3><div>Diagnostic error was the most prevalent source of error leading to malpractice litigation. Breast imaging was the most frequently implicated imaging modality in litigations, followed closely by CT and XR. A majority of cases were resolved through out-of-court settlement or with judgments in favor of the defendant radiologists. However, in cases with trial judgments in favor of the plaintiff, average financial awards were higher than out-of-court settlements. Abdomen and pelvic involvement accounted for frequent sources of error.</div></div>","PeriodicalId":51617,"journal":{"name":"Current Problems in Diagnostic Radiology","volume":"55 1","pages":"Pages 90-94"},"PeriodicalIF":1.5,"publicationDate":"2025-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144045712","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 : 2025-04-18DOI: 10.1067/j.cpradiol.2025.04.010
Dr Veenu Singla, Dr Pallavi T, Dr Dollphy Garg
Contrast-enhanced mammography (CEM) is an innovative breast imaging technique that combines the strengths of both mammography and MRI. It provides both morphological and functional information, making it a valuable, cost-effective alternative to MRI, especially in resource-limited settings.
In this article, we explore the evolving role of CEM, beginning with a brief discussion of its indications, contraindications, and technical nuances. We have described a structured reporting format based on the ACR BI-RADS® CEM lexicon through a series of illustrative examples, to enhance the reader's familiarity with key descriptors and their clinical implications. Furthermore, we delve into the diagnostic challenges associated with CEM, offering practical guidance to the radiologist for accurate image interpretation. Finally, we propose refinements to the existing ACR BI-RADS® CEM lexicon to enhance its utility in clinical practice.
{"title":"Contrast enhanced mammography - revisiting structured reporting with special focus on suggested modifications","authors":"Dr Veenu Singla, Dr Pallavi T, Dr Dollphy Garg","doi":"10.1067/j.cpradiol.2025.04.010","DOIUrl":"10.1067/j.cpradiol.2025.04.010","url":null,"abstract":"<div><div>Contrast-enhanced mammography (CEM) is an innovative breast imaging technique that combines the strengths of both mammography and MRI. It provides both morphological and functional information, making it a valuable, cost-effective alternative to MRI, especially in resource-limited settings.</div><div>In this article, we explore the evolving role of CEM, beginning with a brief discussion of its indications, contraindications, and technical nuances. We have described a structured reporting format based on the ACR BI-RADS® CEM lexicon through a series of illustrative examples, to enhance the reader's familiarity with key descriptors and their clinical implications. Furthermore, we delve into the diagnostic challenges associated with CEM, offering practical guidance to the radiologist for accurate image interpretation. Finally, we propose refinements to the existing ACR BI-RADS® CEM lexicon to enhance its utility in clinical practice.</div></div>","PeriodicalId":51617,"journal":{"name":"Current Problems in Diagnostic Radiology","volume":"54 5","pages":"Pages 627-651"},"PeriodicalIF":1.5,"publicationDate":"2025-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143994972","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 : 2025-04-18DOI: 10.1067/j.cpradiol.2025.04.014
Meredith H. Fishleder , Maria Zulfiqar , Sadeer J. Alzubaidi , Cathy L. Hannafin , Martha-Gracia Knuttinen , Lisa M. Ponce , Nelly Tan
Objective
Physician shortages are predicted to affect all fields of health care by 2036. One potential approach to address this shortage is through outreach. We describe how a radiology department developed and hosted a volunteer-driven, immersive educational event for children.
Methods
Staff volunteers were recruited though a department-wide email. Two radiologists organized the program and arranged to obtain imaging equipment for demonstrations. Other volunteers were tasked with overseeing audiovisual equipment use, facilitating workshops, ordering food, and reserving rooms. One staff member was paid to support event logistics. Before and after the event, student participants were asked to complete optional, anonymous surveys that assessed their knowledge, attitudes, and behavior toward radiology.
Results
The half-day radiology educational event consisted of 2 hours of didactic lectures, followed by hands-on experiences in quality improvement, point-of-care ultrasonography, interventional radiology, and interventional oncology. Thirty-two students attended the event (median age, 14 [range, 8-17] years); 21 (66%) were children of allied health employees, and 11 (35%) were children of physicians. The pre-event survey response rate was 94%; the postevent response rate was 63%. The postevent survey showed significant increases in the proportion of students who said they “[understood] what a radiologist does” (from 23% to 55%; P=.01) and “[could] name at least 3 different modalities” (from 33% to 70%; P=.02). Students and their parents gave enthusiastic feedback after the event.
Conclusion
A radiology department–sponsored educational program for young learners was well received and provided multiple volunteer and socialization opportunities for employees.
Summary sentence
Department-sponsored volunteer events, such as an educational event, can meaningfully contribute to student growth and employee engagement and well-being.
{"title":"Radiology for kids: Benefits of early education and workplace volunteerism","authors":"Meredith H. Fishleder , Maria Zulfiqar , Sadeer J. Alzubaidi , Cathy L. Hannafin , Martha-Gracia Knuttinen , Lisa M. Ponce , Nelly Tan","doi":"10.1067/j.cpradiol.2025.04.014","DOIUrl":"10.1067/j.cpradiol.2025.04.014","url":null,"abstract":"<div><h3>Objective</h3><div>Physician shortages are predicted to affect all fields of health care by 2036. One potential approach to address this shortage is through outreach. We describe how a radiology department developed and hosted a volunteer-driven, immersive educational event for children.</div></div><div><h3>Methods</h3><div>Staff volunteers were recruited though a department-wide email. Two radiologists organized the program and arranged to obtain imaging equipment for demonstrations. Other volunteers were tasked with overseeing audiovisual equipment use, facilitating workshops, ordering food, and reserving rooms. One staff member was paid to support event logistics. Before and after the event, student participants were asked to complete optional, anonymous surveys that assessed their knowledge, attitudes, and behavior toward radiology.</div></div><div><h3>Results</h3><div>The half-day radiology educational event consisted of 2 hours of didactic lectures, followed by hands-on experiences in quality improvement, point-of-care ultrasonography, interventional radiology, and interventional oncology. Thirty-two students attended the event (median age, 14 [range, 8-17] years); 21 (66%) were children of allied health employees, and 11 (35%) were children of physicians. The pre-event survey response rate was 94%; the postevent response rate was 63%. The postevent survey showed significant increases in the proportion of students who said they “[understood] what a radiologist does” (from 23% to 55%; <em>P</em>=.01) and “[could] name at least 3 different modalities” (from 33% to 70%; <em>P</em>=.02). Students and their parents gave enthusiastic feedback after the event.</div></div><div><h3>Conclusion</h3><div>A radiology department–sponsored educational program for young learners was well received and provided multiple volunteer and socialization opportunities for employees.</div></div><div><h3>Summary sentence</h3><div>Department-sponsored volunteer events, such as an educational event, can meaningfully contribute to student growth and employee engagement and well-being.</div></div>","PeriodicalId":51617,"journal":{"name":"Current Problems in Diagnostic Radiology","volume":"54 5","pages":"Pages 603-607"},"PeriodicalIF":1.5,"publicationDate":"2025-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144028853","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 : 2025-04-18DOI: 10.1067/j.cpradiol.2025.04.004
Scotty McKay M.D., Arif Musa M.D., Hassan Shaban M.Sc, B.iAS, Ali Harb M.D., Mohammed Twam M.D., Alhassan Alhasson M.D., Hassan Alfanharwi M.D., Jacob Turner M.D., Jared Huggins D.O., Gulcin Altinok M.D.
Introduction
Diagnostic radiology residents often face challenges transitioning from medical school and internship to radiology residency. To address this, senior residents in our program developed a Welcoming Committee (WC) to initiate early communication with matched applicants and support incoming radiology residents as they transition.
Methods
A resident-led WC was developed by senior residents to support newly matched applicants. Matched applicants were added to a messaging platform for senior residents to communicate important program updates and answer questions. During the first week of residency, WC members organized workshops to discuss topics that may benefit incoming residents. An anonymous electronic survey was sent to first-year residents, who received WC interventions, and senior residents, who transitioned to radiology residency before the establishment of the WC. Responses were scored using a Likert scale to quantify the level of agreement or disagreement. Standard statistical methods and Mann–Whitney analysis were used to compare the responses between groups.
Results
First-year residents felt they understood expectations for their rotations, felt more comfortable asking questions, felt their questions were more adequately answered, and were more enthusiastic about starting rotations than senior residents, differences that were statistically significant.
Conclusions
The establishment of a resident-led WC to communicate with and advise matched applicants prior to first-year rotations appeared to improve perceptions of firstyear radiology residents regarding preparation, communication, enthusiasm, rotation experiences, and comfort in asking questions. These findings underscore the potential of resident-led interventions to improve the quality of the orientation and onboarding process for first-year radiology residents.
{"title":"A welcoming change: Quality improvement project to improve new radiology residents’ early experiences","authors":"Scotty McKay M.D., Arif Musa M.D., Hassan Shaban M.Sc, B.iAS, Ali Harb M.D., Mohammed Twam M.D., Alhassan Alhasson M.D., Hassan Alfanharwi M.D., Jacob Turner M.D., Jared Huggins D.O., Gulcin Altinok M.D.","doi":"10.1067/j.cpradiol.2025.04.004","DOIUrl":"10.1067/j.cpradiol.2025.04.004","url":null,"abstract":"<div><h3>Introduction</h3><div>Diagnostic radiology residents often face challenges transitioning from medical school and internship to radiology residency. To address this, senior residents in our program developed a Welcoming Committee (WC) to initiate early communication with matched applicants and support incoming radiology residents as they transition.</div></div><div><h3>Methods</h3><div>A resident-led WC was developed by senior residents to support newly matched applicants. Matched applicants were added to a messaging platform for senior residents to communicate important program updates and answer questions. During the first week of residency, WC members organized workshops to discuss topics that may benefit incoming residents. An anonymous electronic survey was sent to first-year residents, who received WC interventions, and senior residents, who transitioned to radiology residency before the establishment of the WC. Responses were scored using a Likert scale to quantify the level of agreement or disagreement. Standard statistical methods and Mann–Whitney analysis were used to compare the responses between groups.</div></div><div><h3>Results</h3><div>First-year residents felt they understood expectations for their rotations, felt more comfortable asking questions, felt their questions were more adequately answered, and were more enthusiastic about starting rotations than senior residents, differences that were statistically significant.</div></div><div><h3>Conclusions</h3><div>The establishment of a resident-led WC to communicate with and advise matched applicants prior to first-year rotations appeared to improve perceptions of firstyear radiology residents regarding preparation, communication, enthusiasm, rotation experiences, and comfort in asking questions. These findings underscore the potential of resident-led interventions to improve the quality of the orientation and onboarding process for first-year radiology residents.</div></div>","PeriodicalId":51617,"journal":{"name":"Current Problems in Diagnostic Radiology","volume":"55 1","pages":"Pages 5-9"},"PeriodicalIF":1.5,"publicationDate":"2025-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144047009","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 : 2025-04-17DOI: 10.1067/j.cpradiol.2025.04.008
Joanna Serafin PhD , Kara M. Barnett MD, FASA, SAMBA-F , Todd J. Liu MD , Nina M. Maresca DNP, FNP-BC , Patrick J. McCormick MD, MEng , Alan L. Kotin MD
The growth of interventional radiology (IR) procedures with anesthesia team care in increasingly medically complex populations points to the need for effective and efficient pre-procedure screening. We present an ongoing quality improvement project involving a brief online questionnaire disseminated to patients three to ten days before the day of their scheduled IR procedures. The questionnaire was developed by anesthesiologists and a nurse practitioner to increase pre-procedure awareness of relevant medical concerns, guide scheduling of procedures at outpatient versus inpatient locations, and improve patient pre-procedure management. The response rate after one year was 57% and indicated that at least 1 in 10 patient histories required review and discussion by the care team. The most common concerns were shortness of breath (8%), difficult airway (3%) and syncope (3%). Most procedures proceeded as scheduled, however, 18 procedures (0.4% of patients who responded), had to be rescheduled from an outpatient to the inpatient site due to medical concerns. The electronic pre-procedure screening has been feasible to implement at a busy clinical practice and has improved team communication, patient preparedness, and scheduling at appropriate locations. The team has since expanded the questionnaire to other non-operating room anesthesia procedures and added questions about opioids and glucagon-like peptide-1 receptor agonists use. Future work needs to evaluate whether the online pre-screening was associated with decreases in cancelation rates and cost savings.
{"title":"Use of pre-procedure electronic questionnaire to enhance scheduling and safety in interventional radiology procedures with anesthesia care","authors":"Joanna Serafin PhD , Kara M. Barnett MD, FASA, SAMBA-F , Todd J. Liu MD , Nina M. Maresca DNP, FNP-BC , Patrick J. McCormick MD, MEng , Alan L. Kotin MD","doi":"10.1067/j.cpradiol.2025.04.008","DOIUrl":"10.1067/j.cpradiol.2025.04.008","url":null,"abstract":"<div><div>The growth of interventional radiology (IR) procedures with anesthesia team care in increasingly medically complex populations points to the need for effective and efficient pre-procedure screening. We present an ongoing quality improvement project involving a brief online questionnaire disseminated to patients three to ten days before the day of their scheduled IR procedures. The questionnaire was developed by anesthesiologists and a nurse practitioner to increase pre-procedure awareness of relevant medical concerns, guide scheduling of procedures at outpatient versus inpatient locations, and improve patient pre-procedure management. The response rate after one year was 57% and indicated that at least 1 in 10 patient histories required review and discussion by the care team. The most common concerns were shortness of breath (8%), difficult airway (3%) and syncope (3%). Most procedures proceeded as scheduled, however, 18 procedures (0.4% of patients who responded), had to be rescheduled from an outpatient to the inpatient site due to medical concerns. The electronic pre-procedure screening has been feasible to implement at a busy clinical practice and has improved team communication, patient preparedness, and scheduling at appropriate locations. The team has since expanded the questionnaire to other non-operating room anesthesia procedures and added questions about opioids and glucagon-like peptide-1 receptor agonists use. Future work needs to evaluate whether the online pre-screening was associated with decreases in cancelation rates and cost savings.</div></div>","PeriodicalId":51617,"journal":{"name":"Current Problems in Diagnostic Radiology","volume":"55 1","pages":"Pages 10-13"},"PeriodicalIF":1.5,"publicationDate":"2025-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144050372","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}