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Sequential Contrast Media Injections for Multisite and Same-Day Contrast-Enhanced Mammography-Guided Biopsy. 多部位和当天对比增强乳腺 X 射线引导活检的顺序对比介质注射。
IF 4.7 2区 医学 Q1 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2024-08-01 Epub Date: 2024-05-29 DOI: 10.2214/AJR.24.31343
Michael F Morris, Leslie A Welk, Molly Harrison, Danielle Summers, Vilert A Loving
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引用次数: 0
Radiology's Role in the Climate Crisis: Why It Matters-AJR Podcast Series on Sustainability, Episode 1. 放射学在气候危机中的作用:放射学在气候危机中的作用:为何重要--JJR 可持续性播客系列,第 1 集。
IF 4.7 2区 医学 Q1 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2024-08-01 Epub Date: 2024-07-03 DOI: 10.2214/AJR.24.31682
Sean Woolen, Kate Hanneman
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引用次数: 0
Editorial Comment: Do Small Radiologist-Owned Practices Have a Future? 社论评论:放射科医生开办的小型诊所有前途吗?
IF 4.7 2区 医学 Q1 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2024-08-01 Epub Date: 2024-06-26 DOI: 10.2214/AJR.24.31620
Colin M Segovis
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引用次数: 0
Editorial Comment: An Updated Review of Myositis Worth Bookmarking. 社论评论:值得收藏的肌炎最新评论。
IF 4.7 2区 医学 Q1 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2024-08-01 Epub Date: 2024-06-20 DOI: 10.2214/AJR.24.31597
Lauren M Ladd
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引用次数: 0
Editorial Comment: Ground-Glass Opacity Component in Early-Stage Lung Cancer-Even a Little Is Quite Good! 社论评论:早期肺癌中的地玻璃混浊成分--即使只有一点也很好
IF 4.7 2区 医学 Q1 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2024-08-01 Epub Date: 2024-07-03 DOI: 10.2214/AJR.24.31586
Padma P Manapragada
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引用次数: 0
Imaging for Early Detection of Pancreatic Ductal Adenocarcinoma: Updates and Challenges in the Implementation of Screening and Surveillance Programs. 用于早期检测胰腺导管腺癌的成像技术:实施筛查和监测计划的最新进展和挑战。
IF 4.7 2区 医学 Q1 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2024-08-01 Epub Date: 2024-05-29 DOI: 10.2214/AJR.24.31151
Chenchan Huang, Elizabeth M Hecht, Erik V Soloff, Hina Arif Tiwari, Priya R Bhosale, Anil Dasayam, Samuel J Galgano, Avinash Kambadakone, Naveen M Kulkarni, Ott Le, Joy Liau, Lyndon Luk, Michael H Rosenthal, Guillermo P Sangster, Ajit H Goenka

Pancreatic ductal adenocarcinoma (PDA) is one of the most aggressive cancers. It has a poor 5-year survival rate of 12%, partly because most cases are diagnosed at advanced stages, precluding curative surgical resection. Early-stage PDA has significantly better prognoses due to increased potential for curative interventions, making early detection of PDA critically important to improved patient outcomes. We examine current and evolving early detection concepts, screening strategies, diagnostic yields among high-risk individuals, controversies, and limitations of standard-of-care imaging.

胰腺导管腺癌(PDA)是侵袭性最强的癌症之一。它的 5 年生存率仅为 12%,部分原因是大多数病例确诊时已是晚期,无法进行根治性手术切除。早期 PDA 的预后要好得多,因为治愈性干预的可能性增加,因此早期检测 PDA 对改善患者预后至关重要。我们研究了当前和不断发展的早期检测概念、筛查策略、高危人群的诊断率、争议以及标准护理成像的局限性。
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引用次数: 0
Beyond the AJR: Early Applications of Generative Artificial Intelligence for Radiology Report Interpretation. 超越 AJR:生成式人工智能在放射学报告解读中的早期应用》(Beyond the AJR: Early Applications of Generative Artificial Intelligence for Radiology Report Interpretation)。
IF 4.7 2区 医学 Q1 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2024-08-01 Epub Date: 2023-12-20 DOI: 10.2214/AJR.23.30696
Florence X Doo, Vishwa S Parekh
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引用次数: 0
Editorial Comment: Valuable Lessons Learned From Current Screening Programs for Pancreatic Ductal Adenocarcinoma. 社论评论:从当前的胰腺导管腺癌筛查计划中汲取宝贵经验。
IF 4.7 2区 医学 Q1 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2024-08-01 Epub Date: 2024-06-26 DOI: 10.2214/AJR.24.31567
Gia A DeAngelis
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引用次数: 0
Changes in the Radiology Practice Landscape and Indicators of Practice Consolidation From 2014 to 2023. 2014 年至 2023 年放射学实践格局的变化和实践整合指标。
IF 4.7 2区 医学 Q1 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2024-08-01 Epub Date: 2024-06-05 DOI: 10.2214/AJR.24.31357
Eric W Christensen, YoonKyung Chung, Elizabeth Y Rula, Jay R Parikh

BACKGROUND. A range of economic and health policy incentives are leading to ongoing consolidation among payers, hospitals, and physician practices. OBJECTIVE. The purpose of the present study was to evaluate consolidation among radiologists' affiliated practices through 2023, analyze the impact of consolidation on such practices' specialty mix and size, and assess radiologists' new affiliations after prior practices cease. METHODS. CMS data from 2014 to 2023 were used to identify all radiologists nationally along with their affiliated practices. Based on the specialty mix of all affiliated physicians, practices were categorized as radiology only or multispecialty; multispecialty practices were further categorized as radiology majority, other specialty majority, or no majority specialty. Practices that ceased (i.e., became absent within CMS data) were identified. Temporal shifts were assessed to infer consolidation patterns. RESULTS. From 2014 to 2023, the number of radiologists enrolled in Medicare increased 17.3% (from 30,723 to 36,024), whereas the number of affiliated practices decreased 14.7% (from 5059 to 4313). The number of radiology-only, radiology-majority, other-specialty-majority, and no-majority-specialty practices changed by -31.8% (from 3104 to 2118), 10.9% (from 402 to 446), -5.7% (from 615 to 580), and 24.6% (from 938 to 1169), respectively. The number of practices with one to two, three to nine, 10-24, 25-49, 50-99, and 100 or more radiologists changed by -18.7% (from 2233 to 1815), -34.4% (from 1406 to 923), -25.2% (from 910 to 681), 33.2% (from 352 to 469), 121.6% (from 125 to 277), and 348.5% (from 33 to 148). A total of 3494 practices ceased, including 2281 radiology-only practices. Among 3854 radiologists whose only affiliation was a ceased radiology-only practice, their subsequent-year affiliation was a radiology-only practice in 54.3% and a multispecialty practice type in the remaining instances. CONCLUSION. An overall decrease in the number of radiology practices and concurrent growth in the number of radiologists was mirrored by shifts from small toward large practices and from radiology-only toward multispecialty practices, consistent with ongoing practice consolidation. Although determining the causes of consolidation was beyond this scope of this study, the shifts may relate to economic incentives and legislative changes favoring large multispecialty practices. CLINICAL IMPACT. The continued consolidation of radiologists into large multispecialty practices may facilitate subspecialization and greater negotiating power in payer contracting. However, radiologists may prefer smaller and/or radiology-only practices for reasons of autonomy and influence on practice structure.

背景:一系列经济和卫生政策激励措施正导致支付方、医院和医生之间不断进行整合。目的:评估到 2023 年放射科医师附属诊所的合并情况,分析合并对放射科医师的影响:评估放射科医生在 2023 年之前的附属诊所合并情况,分析合并对这些诊所的专科组合和规模的影响,并评估放射科医生在之前的诊所停止后的新附属诊所。方法:使用 CMS 2014 年至 2023 年的数据来识别全国所有放射科医生及其附属诊所。根据所有附属诊所医生的专科组合,将诊所分为纯放射科和多专科;多专科诊所又分为放射科占多数、其他专科占多数或无多数专科。对停止执业(即在 CMS 数据中消失)的医疗机构进行了识别。对时间变化进行评估,以推断合并模式。结果:从 2014 年到 2023 年,加入医疗保险的放射科医生人数从 30723 人增加到 36024 人,增幅为 17.3%,而他们的附属诊所数量从 5059 家减少到 4313 家,降幅为 14.7%。仅放射科、放射科占多数、其他专科占多数和不占多数的执业机构数量分别变化了-31.8%(3104到2118)、10.8%(402到446)、-5.7%(615到580)和24.6%(938到1169)。拥有1-2名、3-9名、10-24名、25-49名、50-99名和≥100名放射医师的诊所数量分别变化了-18.7%(2233至1815)、-34.4%(1406至923)、-25.2%(910至681)、33.2%(352至469)、121.6%(125至277)和348.5%(33至148)。共有 3494 家诊所停业,其中包括 2281 家纯放射科诊所。在3854名放射科医生中,有54.3%的放射科医生的唯一隶属关系是已停止的纯放射科执业,其余的则是多专科执业。结论:放射科诊所数量的总体减少和放射科医生数量的同步增长,反映了从小型诊所向大型诊所的转变,以及从放射科诊所向多专科诊所的转变,这与正在进行的诊所整合是一致的。虽然确定合并的原因超出了本研究的范围,但这种转变可能与有利于大型多专科诊所的经济激励措施和立法变化有关。临床影响:放射科医生继续合并到大型多专科诊所可能会促进亚专科化,并在与支付方签订合同时拥有更大的谈判能力。然而,放射科医生可能更倾向于规模较小和/或只开展放射科业务,以获得自主权和对业务结构的影响力。
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引用次数: 0
Editorial Comment: The Prognostic Importance of a Ground-Glass Component in Lung Cancer. 社论评论:肺癌磨玻璃成分的预后重要性。
IF 4.7 2区 医学 Q1 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2024-08-01 Epub Date: 2024-06-05 DOI: 10.2214/AJR.24.31518
Mark M Hammer
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引用次数: 0
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American Journal of Roentgenology
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