Journal of the American College of Radiology最新文献

{"title":"Patient-Friendly Summary of the ACR Appropriateness Criteria®: Sudden Onset of Cold, Painful Leg","authors":"Avani Shinde MD , Sonya Bhole MD","doi":"10.1016/j.jacr.2024.04.018","DOIUrl":"10.1016/j.jacr.2024.04.018","url":null,"abstract":"","PeriodicalId":49044,"journal":{"name":"Journal of the American College of Radiology","volume":"21 12","pages":"Page e103"},"PeriodicalIF":4.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140917647","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Transcending Language Barriers: Can ChatGPT Be the Key to Enhancing Multilingual Accessibility in Health Care?","authors":"Vaibhav Gulati MD ,&nbsp;Shambo Guha Roy MD ,&nbsp;Ahmed Moawad MD ,&nbsp;Daniela Garcia MD ,&nbsp;Aparna Babu MD ,&nbsp;Jeffrey D. Poot DO ,&nbsp;Oleg M. Teytelboym MD","doi":"10.1016/j.jacr.2024.05.009","DOIUrl":"10.1016/j.jacr.2024.05.009","url":null,"abstract":"<div><h3>Objective</h3><div>To explore the capabilities of Chat Generative Pre-trained Transformer (ChatGPT) for the purpose of simplifying and translating<span> radiology<span> reports into Spanish, Hindi, and Russian languages, with comparisons to its performance in simplifying to the English language.</span></span></div></div><div><h3>Methods</h3><div>Fifty deidentified abdomen-pelvis CT reports were fed to ChatGPT (4.0), instructing it to simplify and translate the report. The processed reports were rated on factual correctness (category 1), potential harmful errors (category 2), completeness (category 3), and explanation of medical terms (category 4). The translated versions were also rated on the quality of translation (category 5). The scores in each category were compared between the translated versions and each translated version was compared with the English version in the first four categories. The original reports and the simplified English reports were rated on the Flesch Reading Ease Score and the Flesch Kincaid Grade Level.</div></div><div><h3>Results</h3><div>The Spanish translation outperformed the Hindi and Russian version significantly in categories 1 and 3 (<em>P</em> &lt; .05). All translated versions performed significantly worse compared with the English version in category 4 (<em>P</em> &lt; .001). Notably, the Hindi translated version performed significantly worse in all four categories (<em>P</em> &lt; .05). The Russian translated version was also significantly worse in category 3 (<em>P</em> &lt; .05). In the first three categories, the Spanish translation, and in the first two categories, the Russian translation demonstrated no statistically significant difference from the English version. No statistically significant difference was observed in the Flesch Reading Ease Score and Flesch Kincaid Grade Level of the simplified English reports. Typographical errors in the original reports negatively affected the translation.</div></div><div><h3>Conclusion</h3><div>ChatGPT demonstrates potential ability in translating reports and communicating pertinent clinical information with limited errors. More training and tailoring are required for languages that are not as commonly used in medical literature. Large language models<span> can be used for translating and simplifying radiology reports, potentially improving access to health care and helping reduce health care costs.</span></div></div>","PeriodicalId":49044,"journal":{"name":"Journal of the American College of Radiology","volume":"21 12","pages":"Pages 1888-1895"},"PeriodicalIF":4.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141332688","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Patient, Referring Physician, and Radiologist Opinions Over Time on Providing Patients Access to Radiology Reports: A Systematic Review","authors":"Mohammad Alarifi PhD, MS ,&nbsp;M. Courtney Hughes PhD, MS ,&nbsp;Abdulrahman M. Jabour PhD, MS ,&nbsp;Yazeed Alashban PhD, MS ,&nbsp;Erin Vernon PhD, MA","doi":"10.1016/j.jacr.2024.08.006","DOIUrl":"10.1016/j.jacr.2024.08.006","url":null,"abstract":"<div><h3>Objective</h3><div>Patients increasingly have access to their radiology reports. This systematic review examined the opinions of patients, referring physicians, and radiologists over time on providing patients full access to their radiology reports.</div></div><div><h3>Methods</h3><div>A systematic review examining quantitative, qualitative, and mixed methods research using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines (PROSPERO CRD42023466502). Our search was conducted through September 30, 2023, and spanned five databases (CINAHL Plus, Web of Science, ProQuest, PubMed, and Scopus). The studies included were peer-reviewed journal articles about the opinions of patients, referring physicians, or radiologists regarding giving patients unrestricted access to their radiology reports.</div></div><div><h3>Results</h3><div>After screening 4,520 articles, the full texts of 439 studies were assessed for eligibility. Thirty-three studies met the inclusion criteria. The studies showed that, over time, patients have consistently expressed a strong desire to access radiology reports, and referring physicians and radiologists have varied opinions about patient access to radiology reports. The main advantages of patient access found in the studies were enhanced understanding and empowerment and increased patient-physician engagement and communication. The main disadvantages were difficulties in patients understanding reports and patient anxiety from accessing reports. Referring physicians’ opinions and radiologists’ opinions were found in less than 20% (six studies) and 10% (three studies), respectively.</div></div><div><h3>Discussion</h3><div>The studies show patients have desired access to radiology reports over time. Future research should elicit the opinions of referring physicians and radiologists to enable a more informed design of patient access to radiology reports.</div></div>","PeriodicalId":49044,"journal":{"name":"Journal of the American College of Radiology","volume":"21 12","pages":"Pages 1862-1874"},"PeriodicalIF":4.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142001513","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Maintain Readability Standards for Radiology Reports Translated by Artificial Intelligence","authors":"Ronald Lockington MD,&nbsp;Alexander Beckstead MD,&nbsp;David Garcia MD","doi":"10.1016/j.jacr.2024.07.027","DOIUrl":"10.1016/j.jacr.2024.07.027","url":null,"abstract":"","PeriodicalId":49044,"journal":{"name":"Journal of the American College of Radiology","volume":"21 12","pages":"Pages 1838-1839"},"PeriodicalIF":4.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142745756","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Patient-Friendly Summary of the ACR Appropriateness Criteria®: Cerebrovascular Disease–Child","authors":"Anna Cernich ,&nbsp;Sherry S. Wang MBBS","doi":"10.1016/j.jacr.2024.06.003","DOIUrl":"10.1016/j.jacr.2024.06.003","url":null,"abstract":"","PeriodicalId":49044,"journal":{"name":"Journal of the American College of Radiology","volume":"21 12","pages":"Page e105"},"PeriodicalIF":4.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141332685","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Advanced Practice Provider Procedures Commonly Performed in Interventional Radiology: Medicare Volume Trends From 2010 to 2021","authors":"Will S. Lindquester MD ,&nbsp;C. Matthew Hawkins MD, MBA ,&nbsp;Eric L. Peterson PA-C ,&nbsp;Rajoo Dhangana MD","doi":"10.1016/j.jacr.2024.06.015","DOIUrl":"10.1016/j.jacr.2024.06.015","url":null,"abstract":"","PeriodicalId":49044,"journal":{"name":"Journal of the American College of Radiology","volume":"21 12","pages":"Pages 1880-1883"},"PeriodicalIF":4.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141536089","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Impact of Large Language Model-Generated Radiology Report Summaries on Patient Comprehension: A Randomized Controlled Trial","authors":"Kayla Berigan MD, CIIP ,&nbsp;Ryan Short MD ,&nbsp;David Reisman MD ,&nbsp;Laura McCray MD, MSCE ,&nbsp;Joan Skelly MS ,&nbsp;Kimberly Jones BS ,&nbsp;Nicholas T. Befera MD ,&nbsp;Naiim Ali MD","doi":"10.1016/j.jacr.2024.06.018","DOIUrl":"10.1016/j.jacr.2024.06.018","url":null,"abstract":"","PeriodicalId":49044,"journal":{"name":"Journal of the American College of Radiology","volume":"21 12","pages":"Pages 1898-1903"},"PeriodicalIF":4.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141536090","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Imaging Pregnant or Potentially Pregnant Patients With Ionizing Radiation: Navigating a Changing Medicolegal Landscape","authors":"Katherine Frederick-Dyer MD ,&nbsp;Sarah Averill MD ,&nbsp;Kirti Magudia MD, PhD ,&nbsp;Sasha Kurumety MD ,&nbsp;Elizabeth H. Dibble MD","doi":"10.1016/j.jacr.2024.06.023","DOIUrl":"10.1016/j.jacr.2024.06.023","url":null,"abstract":"","PeriodicalId":49044,"journal":{"name":"Journal of the American College of Radiology","volume":"21 12","pages":"Pages 1884-1887"},"PeriodicalIF":4.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141636030","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Patient-Friendly Summary of the ACR Appropriateness Criteria®: Workup of Noncerebral Systemic Arterial Embolic Source","authors":"Anika G. Patel ,&nbsp;Sonya Bhole MD","doi":"10.1016/j.jacr.2024.04.021","DOIUrl":"10.1016/j.jacr.2024.04.021","url":null,"abstract":"","PeriodicalId":49044,"journal":{"name":"Journal of the American College of Radiology","volume":"21 12","pages":"Page e99"},"PeriodicalIF":4.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140917634","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Diagnostic Accuracy of Cone-Beam CT for Acute Intracranial Hemorrhage: A Systematic Review and Meta-Analysis","authors":"Nicholas G. Ferrone ,&nbsp;Maria X. Sanmartin PhD ,&nbsp;Joseph O’Hara ,&nbsp;Jean Jimenez ,&nbsp;Sophia R. Ferrone ,&nbsp;Zachary Lodato DO ,&nbsp;Gregory Lacher MD ,&nbsp;Sanjana Bandi MD ,&nbsp;Alicia Convey ,&nbsp;Mehrad Bastani PhD ,&nbsp;Un Jung Lee PhD ,&nbsp;Jaclyn Morales Vialet ,&nbsp;Timothy White MD ,&nbsp;Jason J. Wang PhD ,&nbsp;Jeffrey M. Katz MD ,&nbsp;Pina C. Sanelli MD, MPH","doi":"10.1016/j.jacr.2024.07.026","DOIUrl":"10.1016/j.jacr.2024.07.026","url":null,"abstract":"<div><h3>Objective</h3><div>Our purpose was to synthesize evidence in the literature to determine the diagnostic accuracy of cone-beam CT (CBCT) for the detection of intracranial hemorrhage (ICH) and hemorrhage types, including intraparenchymal hemorrhage (IPH), subarachnoid hemorrhage (SAH), and intraventricular hemorrhage (IVH).</div></div><div><h3>Methods</h3><div>We performed a meta-analysis following the Preferred Reporting Items for Systematic Review and Meta-Analyses guidelines. Our protocol was registered with International Prospective Register of Systematic Reviews (PROSPERO-CRD42021261915). Systematic searches were last performed on April 30, 2024, in EMBASE, PubMed, Web-of-Science, Scopus, and Cumulative Index to Nursing and Allied Health Literature databases. Inclusion criteria were (1) studies reporting diagnostic metrics of CBCT for ICH and (2) studies using a reference standard to determine ICH. Exclusion criteria were (1) case reports, abstracts, reviews and (2) studies without patient-level data. Pooled estimates and 95% confidence intervals (CIs) were calculated for diagnostic odds ratios (DORs), sensitivity, and specificity using random-effects and common-effects models. Mixed methods appraisal tool was used to evaluate risk of bias.</div></div><div><h3>Results</h3><div>Seven studies were included in the meta-analysis yielding 466 patients. Mean or median age ranged from 54 to 75 years. Female patients represented 51.4% (222 of 432) in reported studies. Multidetector CT was the reference standard in all studies. DOR, pooled sensitivity, and pooled specificity for ICH were 5.28 (95% CI: 4.11-6.46), 0.88 (95% CI: 0.79-0.97), and 0.99 (95% CI: 0.98-1.0). Pooled sensitivity for IPH, SAH, and IVH was 0.98 (95% CI: 0.95-1.0), 0.82 (95% CI: 0.57-1.0), and 0.78 (95% CI: 0.55-1.0). Pooled specificity for IPH, SAH, and IVH was 0.99 (95% CI: 0.98-1.0), 0.99 (95% CI: 0.97-1.0), and 1.0 (95% CI: 0.98-1.0).</div></div><div><h3>Discussion</h3><div>CBCT had moderate DOR and high pooled specificity for ICH and hemorrhage types. However, pooled sensitivity varied by hemorrhage type, with the highest sensitivity for IPH, followed by SAH and IVH.</div></div>","PeriodicalId":49044,"journal":{"name":"Journal of the American College of Radiology","volume":"21 12","pages":"Pages 1841-1850"},"PeriodicalIF":4.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141989666","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}