Journal of Medical Imaging and Radiation Oncology最新文献

{"title":"Beyond Accuracy: Translating Ethical Safeguard and AI Education Into Responsible AI Integration in Radiology.","authors":"Arwa Yashal, Mariam Akram, Ilma Saleem, Shafia Muhammmad Shafiq","doi":"10.1111/1754-9485.70205","DOIUrl":"https://doi.org/10.1111/1754-9485.70205","url":null,"abstract":"","PeriodicalId":16218,"journal":{"name":"Journal of Medical Imaging and Radiation Oncology","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149127787","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Impact of Breast Density and Other Factors on Mammography Guided Vacuum Assisted Breast Biopsy Microcalcification Retrieval Rates.","authors":"Neha Paranjape, Fiona Yee Sang Wong, Richard Andrew Burns, Tarun Jain","doi":"10.1111/1754-9485.70201","DOIUrl":"https://doi.org/10.1111/1754-9485.70201","url":null,"abstract":"<p><strong>Introduction: </strong>Mammography guided vacuum-assisted biopsy (MG-VAB) is the preferred method for histological diagnosis of screening mammography detected microcalcifications, yet the influence of breast density as well as other patient and procedure-specific factors on retrieval remains underexplored. The purpose of this study is to assess the impact of patient and procedure-specific factors on MG-VAB microcalcification retrieval rates.</p><p><strong>Methods: </strong>A retrospective cohort study of 803 consecutive MG-VAB procedures for breast calcifications performed between August 2017 and May 2023 in the BreastScreen ACT population was conducted. Patient data collected included age, breast density, compressed breast thickness, lesion quadrant, calcification size, nipple-to-lesion distance, biopsy approach, specimen radiography visibility as well as presence on pathology. Bayesian logistic regression with weakly informative priors was applied to estimate microcalcification retrieval rates (MRR) and 90% credible intervals.</p><p><strong>Results: </strong>The overall median MRR was 98.27% (790/803). Retrieval remained high across age groups (96.4%-99.6%), breast density (95.1%-98.7%), lesion quadrants (96.8%-99.1%), biopsy approach (97.9%-98.6%). Continuous factors such as compressed breast thickness, calcification size and nipple-to-lesion distance demonstrated stable retrieval across ranges.</p><p><strong>Conclusion: </strong>MG-VAB achieves consistently high microcalcification retrieval rates across a range of patient and procedural factors, including breast density. These findings reinforce its role as the first line diagnostic method for screening detected microcalcifications.</p>","PeriodicalId":16218,"journal":{"name":"Journal of Medical Imaging and Radiation Oncology","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149127829","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Awareness and Perception of Artificial Intelligence in Diagnostic Imaging: A Cross-Speciality Survey of Indian Medical Practitioners.","authors":"Mwanajuma Yahya Kassim, Dolly A Sharma, Shreeni Shah, Mamta Panda, Santosh Ojha","doi":"10.1111/1754-9485.70189","DOIUrl":"https://doi.org/10.1111/1754-9485.70189","url":null,"abstract":"<p><strong>Introduction: </strong>Artificial Intelligence (AI) is one of the rapidly evolving areas of diagnostic imaging; however, the extent to which medical professionals are willing to apply these tools to routine care in India has not been thoroughly researched. This is a cross-sectional descriptive study that evaluated awareness, perceptions and perceived impact of AI among radiologists, orthopaedic surgeons and physicians practising in Gujarat.</p><p><strong>Methods: </strong>A questionnaire, designed according to Scheetz et al., was completed by 102 practitioners in a structured manner. Frequency distributions, percentage analysis and descriptive statistics were performed.</p><p><strong>Results: </strong>It was also found that 88.2% were aware of AI, with only 47.1% identifying their knowledge as average, and 13.7% as above average. Although AI is not used regularly, 52.9% reported never using AI. Most respondents had a favourable view of AI: 66.7% indicated willingness to implement AI-supported clinical workflow, and 60.8% believed AI would positively affect their area. The issues raised were data security (67.6%), less dependence on specialists (62.7%) and confidence in the black-box systems. Most of the respondents (64.7%) felt that AI would have a significant effect on clinical practice in the next 1-10 years.</p><p><strong>Conclusion: </strong>Radiologists expressed relatively more acceptance, and physicians expressed more concern with workforce implications. The results show that there is a significant interest, but unequal readiness, in the specialties. Enhancing AI-specific training and developing governance models can help make the safe and ethical adoption of AI-enabled diagnostic imaging.</p>","PeriodicalId":16218,"journal":{"name":"Journal of Medical Imaging and Radiation Oncology","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149110872","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Stereotactic Ablative Body Radiotherapy Versus Microwave Ablation for the Treatment of Early-Stage Hepatocellular Carcinoma.","authors":"Darragh Egan, Fadak Mohammadi, Lauren Brotherton, William Ormiston, Jonathan Tibballs, Shaun Samuelson, Luis Calzadilla Bertot, Hien Le, Colin Tang, Michael Wallace, Alan Wigg","doi":"10.1111/1754-9485.70191","DOIUrl":"https://doi.org/10.1111/1754-9485.70191","url":null,"abstract":"<p><strong>Background: </strong>Stereotactic ablative body radiotherapy (SABR) shows promise as curative therapy for early-stage hepatocellular carcinoma (HCC). We retrospectively assessed the efficacy of SABR and microwave ablation (MWA) in a multi-centre Australian cohort, comparing local recurrence (LR), mortality, and toxicity.</p><p><strong>Methods: </strong>This was a retrospective cohort study of 215 early stage HCC tumours treated with SABR across 4 referral centres. Cohort comparison was made to single centre data of MWA in 121 tumours.</p><p><strong>Results: </strong>The main aetiologies of liver disease were hepatitis C and alcohol. The SABR cohort had higher prior HCC treatment (70% vs. 48%; p < 0.001), and more tumours > 2 cm (58% vs. 40%; p = 0.002). LR in the SABR cohort were 4.9% and 6.2% at 1 and 2 years respectively. LR rates in the MWA cohort were 12.4% and 17.3% at 1 and 2 years respectively (p = 0.006). After adjustment for age, sex, MELD, previous HCC treatment, tumour size, and AFP, the SABR cohort had reduced risk of LR compared to MWA (aHR 0.24; 95% CI 0.1-0.58, p = 0.001). Survival was higher in the MWA cohort to the SABR cohort (p < 0.001) despite higher rates of LR. Treatment related complications were common, but mild. Serious adverse events (AE) were rare in both groups.</p><p><strong>Conclusion: </strong>SABR demonstrated reduced LR compared to MWA in HCC tumours > 2 cm. The worse survival rates in the SABR cohort may reflect patient factors independent of HCC. Our study findings provide further justification for randomised-controlled trials investigating SABR as primary treatment for early-stage HCC.</p>","PeriodicalId":16218,"journal":{"name":"Journal of Medical Imaging and Radiation Oncology","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149110859","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Superior Hypogastric Nerve Block in Uterine Artery Embolisation Protocols for Symptomatic Fibroids: An Australian Single-Centre Experience.","authors":"Nessa Kellegher, Jonathan Kelly, Gillian Kehoe, Kevin Ho, Gurjeet Dulku","doi":"10.1111/1754-9485.70192","DOIUrl":"https://doi.org/10.1111/1754-9485.70192","url":null,"abstract":"<p><strong>Introduction: </strong>Assessment of the safety of Superior Hypogastric Nerve Block (SHNB) in uterine artery embolisation (UAE) for symptomatic fibroids.</p><p><strong>Method: </strong>Retrospective single tertiary centre analysis of patients who underwent UAE with SHNB (n = 40). Outcomes include assessment of pain scores, overnight stays and complications. A follow-up phone survey was conducted to assess the women's willingness to undergo the procedure again (n = 18).</p><p><strong>Results: </strong>Our cohort achieved a mean post-procedural pain score of 2.83 using SHNB and our analgesic regimen, with no complications attributed to the block. Most procedures were ambulatory, yielding a 67.5% same-day discharge rate. Although the low response rate to the follow-up survey limits generalisability of findings, 88.9% (16/18) of respondents were willing to undergo the procedure again, suggesting patient satisfaction.</p><p><strong>Conclusion: </strong>This study provides reassuring evidence that superior hypogastric nerve block (SHNB) during uterine artery embolisation (UAE) yields favourable analgesic outcomes and short hospital stays. Notably, no SHNB-related complications were observed.</p>","PeriodicalId":16218,"journal":{"name":"Journal of Medical Imaging and Radiation Oncology","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149017020","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Response to Comment on Baseline Haemoglobin Predicts Oncologic Outcomes in Intrahepatic Cholangiocarcinoma Treated With Yttrium-90 Radioembolisation: A Retrospective Cohort Study of 136 Patients.","authors":"Saad Abu Zahra, Siddarth Subramanian, Robert J Lewandowski, Andrew C Gordon","doi":"10.1111/1754-9485.70190","DOIUrl":"https://doi.org/10.1111/1754-9485.70190","url":null,"abstract":"","PeriodicalId":16218,"journal":{"name":"Journal of Medical Imaging and Radiation Oncology","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149016940","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Discipline-Funded RANZCR Radiation Oncology Large Research Grant(s): A Model for Other Medical Specialities?","authors":"Daniel E. Roos","doi":"10.1111/1754-9485.70147","DOIUrl":"10.1111/1754-9485.70147","url":null,"abstract":"&lt;p&gt;Although radiation therapy (RT) is indicated in around half of cancer patients [&lt;span&gt;1&lt;/span&gt;] and contributes to approximately 40% of cancer cures [&lt;span&gt;2&lt;/span&gt;], radiation oncology (RO) has long attracted only a tiny fraction of oncology research funding, both nationally and internationally. Allison et al. confirmed that this is still the case in Australia, where, over the 5-year period to 2024, RO projects received less than 5% of the total Commonwealth, State and philanthropic oncology funding and less than 5% of the total number of grants awarded [&lt;span&gt;3&lt;/span&gt;]. The Royal Australian and New Zealand College of Radiologists (RANZCR, the College) has been providing AUD$125 k in RO seed research funding annually, principally targeted at early career researchers, and capped at $25 k per grant (increased to $35 k from 2026). These grants have proven to be very helpful for small projects but also for larger studies to attract more substantial funding [&lt;span&gt;4&lt;/span&gt;]. However, such amounts are modest by today's standards, and many worthy projects fail to secure subsequent financial support due to competition from other treatment modalities (the vast majority of cancer research funding globally is directed towards systemic therapy) [&lt;span&gt;5&lt;/span&gt;].&lt;/p&gt;&lt;p&gt;To address this RO funding deficit, a novel alternative model was conceived in late 2024, namely the creation of a pooled College research sub-account using modest contributions from the trust funds of multiple public and private affiliated RO organisations, with a view to providing one (or potentially a few) RO-specific ‘Large Research Grant(s)’ available only to contributors. This would circumvent the problem of competition from other disciplines and add substantially to the seeding grant opportunities already available from the College. Applications would be assessed by the RO Research Committee (RORC) as for existing grants. If successful in the first year, the intention was to continue the concept indefinitely [&lt;span&gt;6&lt;/span&gt;].&lt;/p&gt;&lt;p&gt;Following in principle support for the proposal from the RORC in October 2024, and subsequently from the College President, CEO and (acting) Chief Financial Officer, opinions were sought from several experienced Australian RO researchers. It was felt likely that the concept would be embraced, given the reality of entrenched RO underfunding and the fact that many centres have substantial reserves in their private practice funds, often underutilised due to restrictions on access.&lt;/p&gt;&lt;p&gt;It was decided prospectively that a pledged total of at least AUD$100 k would justify trialling the concept (being four times the amount then available from the College per RO research grant). As an encouraging exemplar, 25–30 Australian and New Zealand RO organisations currently partner with the Trans Tasman Radiation Oncology Group (TROG) via a ‘Facility Alliance Membership’ yearly contribution, entitling them to quality assurance services and enabling participation in TROG ","PeriodicalId":16218,"journal":{"name":"Journal of Medical Imaging and Radiation Oncology","volume":"70 6","pages":"573-576"},"PeriodicalIF":1.5,"publicationDate":"2026-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/1754-9485.70147","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148421646","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Retrospective Review Is the Best View: A Primer for Residents and Radiologists on Missed Findings in Chest Radiography","authors":"Mira Yuniarti,&nbsp;Rusli Muljadi,&nbsp;Angelica Gracia Budhipramono,&nbsp;Gilbert Sterling Octavius","doi":"10.1111/1754-9485.70145","DOIUrl":"10.1111/1754-9485.70145","url":null,"abstract":"<div>\u0000 \u0000 <p>Chest radiography (CXR) remains the most frequently performed imaging modality worldwide and serves as the first-line investigation for cardiopulmonary conditions. Despite its widespread use, interpretation is limited by the two-dimensional representation of three-dimensional anatomy, resulting in structural overlap and reduced lesion conspicuity. This review provides a structured, pattern-based approach to commonly overlooked regions on CXR, emphasizing key anatomical blind spots including the lung apices, pleura, trachea, lung bases, hila, mediastinum, retrocardiac region, thoracic skeleton, soft tissues, upper abdomen, and medical devices. Both perceptual and cognitive errors are highlighted, particularly satisfaction of search and under-recognition of subtle abnormalities.</p>\u0000 </div>","PeriodicalId":16218,"journal":{"name":"Journal of Medical Imaging and Radiation Oncology","volume":"70 6","pages":"541-547"},"PeriodicalIF":1.5,"publicationDate":"2026-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/1754-9485.70145","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148382159","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Correlation of BMI With Potential Barriers to Mammographic Screening: Body Image, Pain, and Perceived Risk of Breast Cancer–A Cross-Sectional Study","authors":"Elizabeth Dzidzornu,&nbsp;Nina S. McCarthy,&nbsp;Kate McBride,&nbsp;Elizabeth Stewart,&nbsp;Julie Wilkes,&nbsp;Ann White,&nbsp;Martha Hickey,&nbsp;Emmeline Lee,&nbsp;Jennifer Stone","doi":"10.1111/1754-9485.70085","DOIUrl":"10.1111/1754-9485.70085","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Higher BMI is associated with reduced breast screening participation but it is unclear if BMI is a proxy for other potential barriers to screening. This study describes the correlations between BMI and body image, perceptions of risk, and pain in a large sample of breast screening participants to help identify targets for improving screening participation within people with obesity.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A survey collected information on body image, perceived risk of breast cancer, and pain experienced during mammography from 10,751 participants attending BreastScreen Western Australia between June and December, 2023. Latent variable analysis was used to generate single unobserved index variables for perceived risk, body surveillance, and body shame. Spearman's rho correlations were estimated between BMI, four body shame variables, six body surveillance variables, overall perceived risk index, and a pain score.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>BMI was significantly positively correlated with responses indicating increased body shame and increased body surveillance, except for one question where participants with increased BMI indicated that they think it is more important that their clothes are comfortable than look good. BMI was also positively correlated with overall perceived risk index (<i>r</i>_<i>s</i> = 0.08, <i>p</i> &lt; 0.0001), and negatively correlated with the pain score (<i>r</i>_<i>s</i> = −0.04, <i>p</i> &lt; 0.0001).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The findings demonstrate that BMI is more highly correlated with body shame than body surveillance, perceived risk, or breast pain. Targeting body shame barriers to screening may improve participation within people with obesity, thereby improving breast cancer outcomes in this high-risk group.</p>\u0000 </section>\u0000 </div>","PeriodicalId":16218,"journal":{"name":"Journal of Medical Imaging and Radiation Oncology","volume":"70 6","pages":"495-504"},"PeriodicalIF":1.5,"publicationDate":"2026-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/1754-9485.70085","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147486269","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"General Abstracts","authors":"","doi":"10.1111/1754-9485.70158","DOIUrl":"https://doi.org/10.1111/1754-9485.70158","url":null,"abstract":"","PeriodicalId":16218,"journal":{"name":"Journal of Medical Imaging and Radiation Oncology","volume":"70 S1","pages":"S4-S7"},"PeriodicalIF":1.5,"publicationDate":"2026-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148974907","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}