Pub Date : 2025-02-11DOI: 10.1067/j.cpradiol.2025.02.001
Michael Mathelier BS , Abheek Raviprasad MD , Kevin Pierre MD , Persis Desai BS , Olivia Scheuermann BS , Christopher Sistrom MD, PhD, MPH , Roberta Slater MD , Otgonbayar Batmunh MS , Linda Lanier MD , Anthony Mancuso MD , Dhanashree Rajderkar MD , Priya Sharma MD
Purpose
To assess radiology residents' diagnostic accuracy in interpreting thoracic emergency cases using the Wisdom in Diagnostic Imaging Simulation (WIDI SIM) platform and identify potential areas for educational improvement.
Methods
In this retrospective study, 761 radiology residents were assessed on five thoracic emergency cases using WIDI SIM over four years. Cases included bronchial disruption, septic emboli, ventricular perforation, pulmonary embolism, and a negative pulmonary CTA. Residents provided free-text interpretations, which were scored by faculty using a standardized point system. Scores and errors were analyzed using descriptive statistics and the Kruskal-Wallis test.
Results
Residents' performance varied across the five cases, with the highest average score on the negative pulmonary CTA (9.59) and the lowest on bronchial disruption (6.59). Observational errors were more common than interpretive errors. The Kruskal-Wallis test revealed significant differences in median scores across the cases (p < 0.0001), with pairwise comparisons showing significant differences in all but two comparisons.
Conclusion
This study reveals significant variability in radiology residents' diagnostic accuracy in interpreting thoracic emergency cases, with a high prevalence of observational errors. Our observations emphasize the need for targeted educational strategies to address specific areas of weakness and improve diagnostic accuracy in this critical area of radiology practice.
{"title":"Assessment of radiology residents' diagnostic accuracy in thoracic emergencies using the WIDI SIM platform","authors":"Michael Mathelier BS , Abheek Raviprasad MD , Kevin Pierre MD , Persis Desai BS , Olivia Scheuermann BS , Christopher Sistrom MD, PhD, MPH , Roberta Slater MD , Otgonbayar Batmunh MS , Linda Lanier MD , Anthony Mancuso MD , Dhanashree Rajderkar MD , Priya Sharma MD","doi":"10.1067/j.cpradiol.2025.02.001","DOIUrl":"10.1067/j.cpradiol.2025.02.001","url":null,"abstract":"<div><h3>Purpose</h3><div>To assess radiology residents' diagnostic accuracy in interpreting thoracic emergency cases using the Wisdom in Diagnostic Imaging Simulation (WIDI SIM) platform and identify potential areas for educational improvement.</div></div><div><h3>Methods</h3><div>In this retrospective study, 761 radiology residents were assessed on five thoracic emergency cases using WIDI SIM over four years. Cases included bronchial disruption, septic emboli, ventricular perforation, pulmonary embolism, and a negative pulmonary CTA. Residents provided free-text interpretations, which were scored by faculty using a standardized point system. Scores and errors were analyzed using descriptive statistics and the Kruskal-Wallis test.</div></div><div><h3>Results</h3><div>Residents' performance varied across the five cases, with the highest average score on the negative pulmonary CTA (9.59) and the lowest on bronchial disruption (6.59). Observational errors were more common than interpretive errors. The Kruskal-Wallis test revealed significant differences in median scores across the cases (<em>p</em> < 0.0001), with pairwise comparisons showing significant differences in all but two comparisons.</div></div><div><h3>Conclusion</h3><div>This study reveals significant variability in radiology residents' diagnostic accuracy in interpreting thoracic emergency cases, with a high prevalence of observational errors. Our observations emphasize the need for targeted educational strategies to address specific areas of weakness and improve diagnostic accuracy in this critical area of radiology practice.</div></div>","PeriodicalId":51617,"journal":{"name":"Current Problems in Diagnostic Radiology","volume":"55 1","pages":"Pages 105-110"},"PeriodicalIF":1.5,"publicationDate":"2025-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143477002","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 : 2025-02-07DOI: 10.1067/j.cpradiol.2025.01.005
Cody R. Johnson MD, Syed Muhammad Awais Bukhari MD, Amit Gupta MD
Personnel wellness in professional environments is often perceived as a secondary concern wherein efficiency and productivity are prioritized. The Blue Zones philosophy challenges this traditional approach. We propose implementing consistent wellness practices that are based on the Blue Zones principles and believe that these will primarily benefit providers and organizations as a whole. By fostering an environment where all interactions and activities nurture the collective, we can reimagine wellness as an integral part of professional life.
{"title":"Personnel wellness: Creating the next blue zone in radiology","authors":"Cody R. Johnson MD, Syed Muhammad Awais Bukhari MD, Amit Gupta MD","doi":"10.1067/j.cpradiol.2025.01.005","DOIUrl":"10.1067/j.cpradiol.2025.01.005","url":null,"abstract":"<div><div>Personnel wellness in professional environments is often perceived as a secondary concern wherein efficiency and productivity are prioritized. The Blue Zones philosophy challenges this traditional approach. We propose implementing consistent wellness practices that are based on the Blue Zones principles and believe that these will primarily benefit providers and organizations as a whole. By fostering an environment where all interactions and activities nurture the collective, we can reimagine wellness as an integral part of professional life.</div></div>","PeriodicalId":51617,"journal":{"name":"Current Problems in Diagnostic Radiology","volume":"54 4","pages":"Pages 440-442"},"PeriodicalIF":1.5,"publicationDate":"2025-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143371412","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 : 2025-01-31DOI: 10.1067/j.cpradiol.2025.01.014
Isabella E. Amador MS , Abheek G. Raviprasad MD , Kevin Pierre MD , Nicholas Rodriguez-Zingg , Kerolus Anis , Roberta M. Slater MD , Christopher L. Sistrom MD, PhD , Ivan Davis MD , Anthony A. Mancuso MD , Dhanashree Rajderkar MD
Purpose
To evaluate radiology resident performance in diagnosing four non-traumatic musculoskeletal (MSK) pathologies that have historically yielded low scores on the Wisdom in Diagnostic Imaging Emergent/Critical Care Radiology Simulation (WIDI SIM).
Materials and Methods
This multi-institutional, retrospective study analyzed WIDI SIM data collected from 2015 to 2021. A total of 351 radiology residents (R1–R4) interpreted 65 de-identified imaging cases, four of which focused on septic arthritis/osteomyelitis of the shoulder, septic arthritis/osteomyelitis of the hip, acetabular neoplasm, and Legg-Calve-Perthes disease. Each case was scored using a standardized 10-point rubric (0–2 = critical error, 3–6 = problematic omissions, 7–10 = effective report). Scores were further categorized into observational (missed findings) and interpretive (incorrect conclusion despite correct identification) errors. The Kruskal-Wallis test with Dunn's multiple comparisons was used to assess performance differences across postgraduate years.
Results
Among these four MSK pathologies, only hip osteomyelitis demonstrated a statistically significant difference across training levels (p = 0.0063), although no specific pairwise comparisons were significant. Average scores remained relatively low across all cases, with observational errors surpassing interpretive errors in frequency.
Conclusion
Radiology residents struggled to accurately diagnose non-traumatic MSK pathologies in a simulated on-call setting, predominantly due to missed imaging findings. Implementation of enhanced training strategies, such as targeted case review, high-yield simulations, and systematic visual search protocols, may improve MSK diagnostic competency and reduce the risk of clinically significant oversights.
{"title":"Radiology resident competency in diagnosing non-traumatic musculoskeletal conditions: A simulation-based assessment using WIDI SIM","authors":"Isabella E. Amador MS , Abheek G. Raviprasad MD , Kevin Pierre MD , Nicholas Rodriguez-Zingg , Kerolus Anis , Roberta M. Slater MD , Christopher L. Sistrom MD, PhD , Ivan Davis MD , Anthony A. Mancuso MD , Dhanashree Rajderkar MD","doi":"10.1067/j.cpradiol.2025.01.014","DOIUrl":"10.1067/j.cpradiol.2025.01.014","url":null,"abstract":"<div><h3>Purpose</h3><div>To evaluate radiology resident performance in diagnosing four non-traumatic musculoskeletal (MSK) pathologies that have historically yielded low scores on the Wisdom in Diagnostic Imaging Emergent/Critical Care Radiology Simulation (WIDI SIM).</div></div><div><h3>Materials and Methods</h3><div>This multi-institutional, retrospective study analyzed WIDI SIM data collected from 2015 to 2021. A total of 351 radiology residents (R1–R4) interpreted 65 de-identified imaging cases, four of which focused on septic arthritis/osteomyelitis of the shoulder, septic arthritis/osteomyelitis of the hip, acetabular neoplasm, and Legg-Calve-Perthes disease. Each case was scored using a standardized 10-point rubric (0–2 = critical error, 3–6 = problematic omissions, 7–10 = effective report). Scores were further categorized into observational (missed findings) and interpretive (incorrect conclusion despite correct identification) errors. The Kruskal-Wallis test with Dunn's multiple comparisons was used to assess performance differences across postgraduate years.</div></div><div><h3>Results</h3><div>Among these four MSK pathologies, only hip osteomyelitis demonstrated a statistically significant difference across training levels (<em>p</em> = 0.0063), although no specific pairwise comparisons were significant. Average scores remained relatively low across all cases, with observational errors surpassing interpretive errors in frequency.</div></div><div><h3>Conclusion</h3><div>Radiology residents struggled to accurately diagnose non-traumatic MSK pathologies in a simulated on-call setting, predominantly due to missed imaging findings. Implementation of enhanced training strategies, such as targeted case review, high-yield simulations, and systematic visual search protocols, may improve MSK diagnostic competency and reduce the risk of clinically significant oversights.</div></div>","PeriodicalId":51617,"journal":{"name":"Current Problems in Diagnostic Radiology","volume":"55 1","pages":"Pages 111-117"},"PeriodicalIF":1.5,"publicationDate":"2025-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143191543","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 : 2025-01-30DOI: 10.1067/j.cpradiol.2025.01.002
Victor J. Seghers M.D.Ph.D. , Margaret A. Clement , Robert C. Orth M.D.Ph.D. , Marla B.K. Sammer M.D. , Andrew C. Sher M.D.
There are increasing requests and benefits of providing formal written reports for second opinions of outside imaging in part due to medical legal concerns supporting appropriate documentation and concerns that misunderstandings from verbal curbside consults on the part of the requesting physician may lead to suboptimal patient care and potential liability for the radiologist and hospital. Verbal communication of findings on outside imaging is thus often considered insufficient with recommendations from undocumented consultations less likely to be acted upon. The increased work associated with performance of second-opinion interpretations may be substantial, raising concern that if curbside consults are not properly compensated, some second opinion interpretations may be performed more expeditiously than primary interpretations due to their more direct impact upon the daily work load, income, and relative value units. Since 2016, our quaternary-care academic pediatric hospital system has provided and billed for formal second-opinion imaging interpretations upon request for MRI, CT, and Nuclear Medicine exams, and disallowed the process of informal curbside consultations on such studies. This study aims to offer insight into our second opinion interpretation workflows and our experience in obtaining reimbursement for pediatric second opinion interpretations. Our findings indicate a formal second-opinion interpretation program can be financially viable and may help offset the additional resources required, and can serve as a guide to inform other departments attempting to establish a similar process.
{"title":"Reimbursement for outside second opinion imaging interpretation: Experience at a quaternary care academic pediatric health system","authors":"Victor J. Seghers M.D.Ph.D. , Margaret A. Clement , Robert C. Orth M.D.Ph.D. , Marla B.K. Sammer M.D. , Andrew C. Sher M.D.","doi":"10.1067/j.cpradiol.2025.01.002","DOIUrl":"10.1067/j.cpradiol.2025.01.002","url":null,"abstract":"<div><div>There are increasing requests and benefits of providing formal written reports for second opinions of outside imaging in part due to medical legal concerns supporting appropriate documentation and concerns that misunderstandings from verbal curbside consults on the part of the requesting physician may lead to suboptimal patient care and potential liability for the radiologist and hospital. Verbal communication of findings on outside imaging is thus often considered insufficient with recommendations from undocumented consultations less likely to be acted upon. The increased work associated with performance of second-opinion interpretations may be substantial, raising concern that if curbside consults are not properly compensated, some second opinion interpretations may be performed more expeditiously than primary interpretations due to their more direct impact upon the daily work load, income, and relative value units. Since 2016, our quaternary-care academic pediatric hospital system has provided and billed for formal second-opinion imaging interpretations upon request for MRI, CT, and Nuclear Medicine exams, and disallowed the process of informal curbside consultations on such studies. This study aims to offer insight into our second opinion interpretation workflows and our experience in obtaining reimbursement for pediatric second opinion interpretations. Our findings indicate a formal second-opinion interpretation program can be financially viable and may help offset the additional resources required, and can serve as a guide to inform other departments attempting to establish a similar process.</div></div>","PeriodicalId":51617,"journal":{"name":"Current Problems in Diagnostic Radiology","volume":"54 5","pages":"Pages 590-595"},"PeriodicalIF":1.5,"publicationDate":"2025-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143367063","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 : 2025-01-28DOI: 10.1067/j.cpradiol.2025.01.011
Samantha Pfiffner B.S. , Michael Burcescu M.D. , Arif Musa M.D. , Hamed Kordbacheh M.D. , Alhassan Alhasson M.D. , Gulcin Altinok M.D. , Lisa Dillon Ph.D. , Ali Harb M.D.
The evolving landscape of graduate medical education (GME) necessitates innovative approaches to residency program evaluation and improvement. At Detroit Medical Center/Wayne State University, a novel resident-led Program Improvement Committee (PIC) was established in June 2022 within the Diagnostic Radiology Residency Program. The PIC serves as a flexible, resident-driven structure designed to enhance engagement, provide continuous feedback, and implement actionable solutions in collaboration with residency leadership. Unlike traditional Program Evaluation Committees (PECs) and Clinical Competency Committees (CCCs), the PIC promotes a more democratized approach, empowering residents to take ownership of their training. By convening monthly and fostering fluid subcommittees, the PIC has successfully driven initiatives including increased research engagement, mentorship programs, social media enhancement, and system-level improvements such as the establishment of a dedicated WiFi network for hospital employees. The PIC represents a paradigm shift in residency enhancement, offering a responsive, adaptable mechanism for fostering innovation, inclusivity, and collaboration. Further research is needed to evaluate its broader impact, but the PIC has the potential to revolutionize residency training and improve medical education.
{"title":"Take your PIC (Program Improvement Committee): The benefits of a resident-run initiative to improve graduate medical education","authors":"Samantha Pfiffner B.S. , Michael Burcescu M.D. , Arif Musa M.D. , Hamed Kordbacheh M.D. , Alhassan Alhasson M.D. , Gulcin Altinok M.D. , Lisa Dillon Ph.D. , Ali Harb M.D.","doi":"10.1067/j.cpradiol.2025.01.011","DOIUrl":"10.1067/j.cpradiol.2025.01.011","url":null,"abstract":"<div><div>The evolving landscape of graduate medical education (GME) necessitates innovative approaches to residency program evaluation and improvement. At Detroit Medical Center/Wayne State University, a novel resident-led Program Improvement Committee (PIC) was established in June 2022 within the Diagnostic Radiology Residency Program. The PIC serves as a flexible, resident-driven structure designed to enhance engagement, provide continuous feedback, and implement actionable solutions in collaboration with residency leadership. Unlike traditional Program Evaluation Committees (PECs) and Clinical Competency Committees (CCCs), the PIC promotes a more democratized approach, empowering residents to take ownership of their training. By convening monthly and fostering fluid subcommittees, the PIC has successfully driven initiatives including increased research engagement, mentorship programs, social media enhancement, and system-level improvements such as the establishment of a dedicated WiFi network for hospital employees. The PIC represents a paradigm shift in residency enhancement, offering a responsive, adaptable mechanism for fostering innovation, inclusivity, and collaboration. Further research is needed to evaluate its broader impact, but the PIC has the potential to revolutionize residency training and improve medical education.</div></div>","PeriodicalId":51617,"journal":{"name":"Current Problems in Diagnostic Radiology","volume":"54 5","pages":"Pages 546-549"},"PeriodicalIF":1.5,"publicationDate":"2025-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143061663","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}
Vascular anomalies arise during embryologic development due to errors in vasculogenesis. They are associated with sporadic or inherited mutations in receptors, growth factors or enzymes within various vasculogenic pathways such as mTOR, VEGF, and PI3K. Vascular anomalies have the capability to cause significant symptoms and disability, especially when located in the distal extremities. These symptoms often include local pain, swelling, and decreased range of motion and functionality of the affected area.
This article intends to provide a concise overview of vascular anomalies in the distal extremities and their treatment options. The categorization of the vascular anomalies, key clinical features, diagnostic approaches, and potential significance of when they occur in the extremities and how that makes them unique are discussed. An overview of the six major management options used to treat vascular anomalies in general is reviewed in the context of vascular anomalies in the extremities, including observation, pharmacotherapy, sclerotherapy, embolization, cryoablation, and surgery. Each section discusses the role of the treatment approach and associated benefits and risks.
{"title":"Management options for vascular anomalies in the distal extremities","authors":"Chase Mahler BS , Emily Gullette MD , Jake DiFatta BS , Rachel Oser MD FSIR , Junaid Raja MD MSPH FACP","doi":"10.1067/j.cpradiol.2025.01.013","DOIUrl":"10.1067/j.cpradiol.2025.01.013","url":null,"abstract":"<div><div>Vascular anomalies arise during embryologic development due to errors in vasculogenesis. They are associated with sporadic or inherited mutations in receptors, growth factors or enzymes within various vasculogenic pathways such as mTOR, VEGF, and PI3K. Vascular anomalies have the capability to cause significant symptoms and disability, especially when located in the distal extremities. These symptoms often include local pain, swelling, and decreased range of motion and functionality of the affected area.</div><div>This article intends to provide a concise overview of vascular anomalies in the distal extremities and their treatment options. The categorization of the vascular anomalies, key clinical features, diagnostic approaches, and potential significance of when they occur in the extremities and how that makes them unique are discussed. An overview of the six major management options used to treat vascular anomalies in general is reviewed in the context of vascular anomalies in the extremities, including observation, pharmacotherapy, sclerotherapy, embolization, cryoablation, and surgery. Each section discusses the role of the treatment approach and associated benefits and risks.</div></div>","PeriodicalId":51617,"journal":{"name":"Current Problems in Diagnostic Radiology","volume":"54 4","pages":"Pages 506-512"},"PeriodicalIF":1.5,"publicationDate":"2025-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143070134","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 : 2025-01-27DOI: 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":"2025-01-27","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 : 2025-01-23DOI: 10.1067/j.cpradiol.2025.01.009
W. Tania Rahman MD, Rebecca Oudsema MD, Kimbery Garver MD, N. Reed Dunnick MD, Annette Joe MD
At our institution, a backlog of unread screening mammograms accumulated with a peak turnaround time of 198 h (8.25 days). Three major root causes of workflow inefficiencies were identified: radiologist interruptions, paper-based workflow, and a cumbersome report dictation workflow. A batched, digitized workflow with reporting assistance called “Uninterrupted with Assistant” was implemented. Following the intervention, the mean report turnaround time (TAT) was significantly decreased by 38.8 % (51.0 ± 16.0 vs 83.3 ± 46.6 h, p = 0.014) and the institutional goal for TAT (72 h) was met more often (93.3 %, 14/15 weeks vs 35.3 %, 6/17 weeks). Radiologist distraction in the new assignment was significantly lower (2.0 ± 1.4 SD) compared to the traditional “Interrupted” setting (5.6 ± 2.8 SD, t = -4.956, p < 0.01). Radiologist fatigue in the new assignment (2.6 ± 1.6 SD) was also significantly lower compared to the “Interrupted” setting (4.8 ± 2.2 SD, t = -5.159, p < 0.01). The average daily volume of screening mammograms interpreted in the “Uninterrupted with Assistant” assignment (50.3 ± 13.9 SD) was greater than in the “Interrupted” setting (21.0 ± 11.3). These interventions offer strategies to improve productivity and address practical issues of burnout and workforce retention.
在我们的机构，未读筛查乳房x光片积压累积，最高周转时间为198小时（8.25天）。确定了工作流程效率低下的三个主要根源：放射科医生的中断、基于纸张的工作流程和繁琐的报告口授工作流程。实施了一个带有报告辅助的批量数字化工作流程，称为“不间断助手”。干预后，平均报告周转时间（TAT）显著减少38.8%(51.0±16.0 vs 83.3±46.6 h, p = 0.014), TAT （72 h）的机构目标更经常得到满足（93.3%，14/15周vs 35.3%， 6/17周）。与传统的“中断”设置（5.6±2.8 SD, t = -4.956, p < 0.01）相比，新分配的放射科医生分心显著降低（2.0±1.4 SD）。与“中断”组（4.8±2.2 SD, t = -5.159, p < 0.01）相比，新任务组放射科医生的疲劳程度（2.6±1.6 SD）也显著降低。“辅助不间断”组的平均每日乳房x光片解读量（50.3±13.9 SD）大于“中断”组（21.0±11.3）。这些干预措施提供了提高生产力和解决倦怠和劳动力保留的实际问题的策略。
{"title":"Improving radiologist productivity in screening mammogram interpretation","authors":"W. Tania Rahman MD, Rebecca Oudsema MD, Kimbery Garver MD, N. Reed Dunnick MD, Annette Joe MD","doi":"10.1067/j.cpradiol.2025.01.009","DOIUrl":"10.1067/j.cpradiol.2025.01.009","url":null,"abstract":"<div><div>At our institution, a backlog of unread screening mammograms accumulated with a peak turnaround time of 198 h (8.25 days). Three major root causes of workflow inefficiencies were identified: radiologist interruptions, paper-based workflow, and a cumbersome report dictation workflow. A batched, digitized workflow with reporting assistance called “Uninterrupted with Assistant” was implemented. Following the intervention, the mean report turnaround time (TAT) was significantly decreased by 38.8 % (51.0 ± 16.0 vs 83.3 ± 46.6 h, <em>p =</em> 0.014) and the institutional goal for TAT (72 h) was met more often (93.3 %, 14/15 weeks vs 35.3 %, 6/17 weeks). Radiologist distraction in the new assignment was significantly lower (2.0 ± 1.4 SD) compared to the traditional “Interrupted” setting (5.6 ± 2.8 SD, <em>t =</em> -4.956, <em>p <</em> 0.01). Radiologist fatigue in the new assignment (2.6 ± 1.6 SD) was also significantly lower compared to the “Interrupted” setting (4.8 ± 2.2 SD, <em>t =</em> -5.159, <em>p <</em> 0.01). The average daily volume of screening mammograms interpreted in the “Uninterrupted with Assistant” assignment (50.3 ± 13.9 SD) was greater than in the “Interrupted” setting (21.0 ± 11.3). These interventions offer strategies to improve productivity and address practical issues of burnout and workforce retention.</div></div>","PeriodicalId":51617,"journal":{"name":"Current Problems in Diagnostic Radiology","volume":"54 3","pages":"Pages 289-295"},"PeriodicalIF":1.5,"publicationDate":"2025-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143076712","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 : 2025-01-23DOI: 10.1067/j.cpradiol.2025.01.010
Cynthia De la Garza-Ramos , Steven Bussone , LaRissa L. Adams , Maeghan D. Barber , Gregory T. Frey , Andrew R. Lewis , Ricardo Paz-Fumagalli , Beau B. Toskich
Radiation segmentectomy (RS) for early-stage hepatocellular carcinoma (HCC) is routinely performed in two sessions. A process improvement analysis at a single destination medical center demonstrated a prolonged RS time to treatment in early-stage HCC. In response, a multidisciplinary quality improvement project to optimize RS treatment expediency was initiated. The selected strategy was the introduction of single-session RS without Technetium-99m-labeled macroaggregated albumin (MAA) for patients with solitary HCC ≤ 3 cm, based on multi-institutional evidence supporting the safety of eliminating MAA due to a low lung shunt fraction in this population. This patient-centered quality initiative aimed to reduce time from consult to treatment, with total fluoroscopy peak skin dose serving as a measurable safety metric. Participants (n=9) were prospectively screened from 09/2022-10/2023. To measure the effect of the intervention, a matched control cohort (n=24) of patients treated with RS in 2021 was gathered retrospectively. Median time from consult to treatment was 14 days (IQR: 12, 15) in the intervention cohort vs 47 days (IQR: 31, 64) in the control cohort (P<0.001). Estimated lung dose was similar between the intervention and control cohorts (median 2.7 and 2.2 Gy; P=0.32). Total fluoroscopy peak skin dose was 1.4 Gy (IQR: 0.9, 1.6) in the intervention and 2.1 Gy (IQR: 1.3, 3.1) in the control cohort (P=0.06). These results support that streamlining RS can safely expedite cancer care.
{"title":"Expediting care for hepatocellular carcinoma ≤ 3 cm by streamlining radiation segmentectomy: A quality improvement project","authors":"Cynthia De la Garza-Ramos , Steven Bussone , LaRissa L. Adams , Maeghan D. Barber , Gregory T. Frey , Andrew R. Lewis , Ricardo Paz-Fumagalli , Beau B. Toskich","doi":"10.1067/j.cpradiol.2025.01.010","DOIUrl":"10.1067/j.cpradiol.2025.01.010","url":null,"abstract":"<div><div>Radiation segmentectomy (RS) for early-stage hepatocellular carcinoma (HCC) is routinely performed in two sessions. A process improvement analysis at a single destination medical center demonstrated a prolonged RS time to treatment in early-stage HCC. In response, a multidisciplinary quality improvement project to optimize RS treatment expediency was initiated. The selected strategy was the introduction of single-session RS without Technetium-99m-labeled macroaggregated albumin (MAA) for patients with solitary HCC ≤ 3 cm, based on multi-institutional evidence supporting the safety of eliminating MAA due to a low lung shunt fraction in this population. This patient-centered quality initiative aimed to reduce time from consult to treatment, with total fluoroscopy peak skin dose serving as a measurable safety metric. Participants (n=9) were prospectively screened from 09/2022-10/2023. To measure the effect of the intervention, a matched control cohort (n=24) of patients treated with RS in 2021 was gathered retrospectively. Median time from consult to treatment was 14 days (IQR: 12, 15) in the intervention cohort vs 47 days (IQR: 31, 64) in the control cohort (<em>P</em><0.001). Estimated lung dose was similar between the intervention and control cohorts (median 2.7 and 2.2 Gy; <em>P</em>=0.32). Total fluoroscopy peak skin dose was 1.4 Gy (IQR: 0.9, 1.6) in the intervention and 2.1 Gy (IQR: 1.3, 3.1) in the control cohort (<em>P</em>=0.06). These results support that streamlining RS can safely expedite cancer care.</div></div>","PeriodicalId":51617,"journal":{"name":"Current Problems in Diagnostic Radiology","volume":"54 3","pages":"Pages 308-312"},"PeriodicalIF":1.5,"publicationDate":"2025-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143426827","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 : 2025-01-23DOI: 10.1067/j.cpradiol.2025.01.004
N Kadom MD, T Sivathapandi MD, DJ Murcia MD, C Moreno MD, P Balthazar MD
Background
We hypothesized that faculty from a radiology division with weekly case conferences would be interested in adopting a peer learning meeting to grow the practice of peer learning in our department.
Materials and Methods
The Abdominal Division volunteered to pilot peer learning once a month in lieu of the weekly case conferences. A peer learning champion from the division took leadership for this project. An abdominal division faculty survey was completed to gauge interest in peer learning.
Results
The survey had an 81 % response rate: Faculty felt comfortable collecting cases in a database (47 %) and preferred receiving case feedback by chat or email; faculty favored a variety of case types for inclusion in peer learning; faculty slightly preferred having a dedicated peer learning conference leader (35 %) and indicated the submission target for the division faculty should be 1 case per month per faculty (88 %). All faculty indicated the importance of a no-blame culture and most favored anonymous case presentations (70 %). Despite the positive attitudes towards peer learning among the division faculty, the technical piece of the implementation represented a major barrier due to lack of integration into the radiologist workflow and inability to commit time to a faculty member's role as peer learning conference leader.
Conclusions
Our faculty members’ concerns regarding peer learning integration into the daily and monthly divisional workflow needed to be addressed before attempting to implement peer learning. In the context of high clinical imaging volumes, additional efforts, such as accessing case submission tools and time needed to prepare conferences, outweighed the overall perceived value of peer learning in our setting.
{"title":"Converting case conferences to peer learning: Opportunities and barriers","authors":"N Kadom MD, T Sivathapandi MD, DJ Murcia MD, C Moreno MD, P Balthazar MD","doi":"10.1067/j.cpradiol.2025.01.004","DOIUrl":"10.1067/j.cpradiol.2025.01.004","url":null,"abstract":"<div><h3>Background</h3><div>We hypothesized that faculty from a radiology division with weekly case conferences would be interested in adopting a peer learning meeting to grow the practice of peer learning in our department.</div></div><div><h3>Materials and Methods</h3><div>The Abdominal Division volunteered to pilot peer learning once a month in lieu of the weekly case conferences. A peer learning champion from the division took leadership for this project. An abdominal division faculty survey was completed to gauge interest in peer learning.</div></div><div><h3>Results</h3><div>The survey had an 81 % response rate: Faculty felt comfortable collecting cases in a database (47 %) and preferred receiving case feedback by chat or email; faculty favored a variety of case types for inclusion in peer learning; faculty slightly preferred having a dedicated peer learning conference leader (35 %) and indicated the submission target for the division faculty should be 1 case per month per faculty (88 %). All faculty indicated the importance of a no-blame culture and most favored anonymous case presentations (70 %). Despite the positive attitudes towards peer learning among the division faculty, the technical piece of the implementation represented a major barrier due to lack of integration into the radiologist workflow and inability to commit time to a faculty member's role as peer learning conference leader.</div></div><div><h3>Conclusions</h3><div>Our faculty members’ concerns regarding peer learning integration into the daily and monthly divisional workflow needed to be addressed before attempting to implement peer learning. In the context of high clinical imaging volumes, additional efforts, such as accessing case submission tools and time needed to prepare conferences, outweighed the overall perceived value of peer learning in our setting.</div></div>","PeriodicalId":51617,"journal":{"name":"Current Problems in Diagnostic Radiology","volume":"54 3","pages":"Pages 313-317"},"PeriodicalIF":1.5,"publicationDate":"2025-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143076709","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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