Journal of the American College of Radiology最新文献

{"title":"Military Radiology and Its Unique Practice Challenges: Care Beyond the Battlefield","authors":"Anand Singh MD , John R. Dryden MD , Mohammad Naeem MD , Matthew Lutynski DO , Dan Davis MD","doi":"10.1016/j.jacr.2025.04.015","DOIUrl":"10.1016/j.jacr.2025.04.015","url":null,"abstract":"","PeriodicalId":49044,"journal":{"name":"Journal of the American College of Radiology","volume":"22 7","pages":"Pages 785-787"},"PeriodicalIF":4.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143993873","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":"Advancing Health Care Delivery in Community, Rural, and Safety-Net Settings","authors":"Randy C. Miles MD, MPH , Anand K. Narayan MD, PhD","doi":"10.1016/j.jacr.2025.05.003","DOIUrl":"10.1016/j.jacr.2025.05.003","url":null,"abstract":"","PeriodicalId":49044,"journal":{"name":"Journal of the American College of Radiology","volume":"22 7","pages":"Pages 715-717"},"PeriodicalIF":4.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144043696","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":"Table of Content","authors":"","doi":"10.1016/S1546-1440(25)00295-9","DOIUrl":"10.1016/S1546-1440(25)00295-9","url":null,"abstract":"","PeriodicalId":49044,"journal":{"name":"Journal of the American College of Radiology","volume":"22 7","pages":"Pages A1-A4"},"PeriodicalIF":4.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144519015","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":"Of Prompt Engineers and Babel Fish","authors":"Julianna Czum MD","doi":"10.1016/j.jacr.2025.02.002","DOIUrl":"10.1016/j.jacr.2025.02.002","url":null,"abstract":"","PeriodicalId":49044,"journal":{"name":"Journal of the American College of Radiology","volume":"22 7","pages":"Pages 848-849"},"PeriodicalIF":4.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144519013","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":"Current Challenges in Estimating the Pediatric Radiology Workforce and Access to Pediatric Radiology Care in the United States","authors":"Tatiana Morales-Tisnés MD , Casey E. Pelzl MPH , Sarah S. Milla MD , Hansel J. Otero MD","doi":"10.1016/j.jacr.2025.03.002","DOIUrl":"10.1016/j.jacr.2025.03.002","url":null,"abstract":"","PeriodicalId":49044,"journal":{"name":"Journal of the American College of Radiology","volume":"22 7","pages":"Pages 780-784"},"PeriodicalIF":4.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144001380","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":"Mammography Screening Utilization in Female Veterans Using Cross-Sectional Survey Results from the National Health Interview Survey","authors":"Arissa Milton BS ,&nbsp;Randy C. Miles MD, MPH ,&nbsp;Lori Mankowski Gettle MD, MBA ,&nbsp;Peter Van Geertruyden MD ,&nbsp;Anand K. Narayan MD, PhD","doi":"10.1016/j.jacr.2025.04.017","DOIUrl":"10.1016/j.jacr.2025.04.017","url":null,"abstract":"<div><h3>Purpose</h3><div>Although women are the fastest growing group of veterans across all military branches, there are limited data about mammography screening utilization in female veterans. Using a nationally representative cross-sectional survey, we evaluated the association between veteran status and mammography screening.</div></div><div><h3>Methods</h3><div>Female survey respondents aged 40 to 74 in the 2019 National Health Interview Survey without history of breast cancer were included. The proportion of patients who reported undergoing mammography screening in the last year was estimated, stratified by veteran status. Logistic regression analyses evaluated the association between screening and veteran status, adjusted for potential confounders. Analyses accounted for complex survey sampling design to obtain valid estimates for the civilian, noninstitutionalized US population.</div></div><div><h3>Results</h3><div>In all, 8,996 female survey respondents met inclusion criteria (veterans 1.9% [estimated 1,190,169 women], military health coverage 3.2% [estimated 2,156,863 women]). Of the veterans, 57.9% reported screening mammography within the last year, and 55.2% of nonveterans reported screening mammography within the last year. Veteran status was not associated with differences in mammography screening percentages (<em>P</em> = .959). Among survey participants with health insurance, military health insurance was not associated with differences in mammography screening percentages (<em>P</em> = .132).</div></div><div><h3>Conclusions</h3><div>Female veterans were comparably likely to undergo mammography screening in our unadjusted and adjusted analyses. With more than 1 million female veterans and growing eligible for mammography screening in the United States, radiology practices should design proactive outreach strategies to address the needs of veterans who may face increased breast cancer risk due to military environmental exposures.</div></div>","PeriodicalId":49044,"journal":{"name":"Journal of the American College of Radiology","volume":"22 7","pages":"Pages 752-757"},"PeriodicalIF":4.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144043380","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":"Assessing Radiology Utilization in an Academic Center Partnership With a Federally Qualified Health Center Using A Cross-Sectional Study","authors":"Ashley M. Stuckwisch BS ,&nbsp;Maria Daniela Martin Rother MD ,&nbsp;Thomas M. Grist MD ,&nbsp;Kenneth R. Loving MD ,&nbsp;Jason W. Stephenson MD ,&nbsp;Anand K. Narayan MD, PhD","doi":"10.1016/j.jacr.2025.04.019","DOIUrl":"10.1016/j.jacr.2025.04.019","url":null,"abstract":"<div><h3>Objective</h3><div>Federally qualified health centers (FQHCs) serve medically underserved populations. In 2013, UW Health, the health system of the University of Wisconsin, partnered with Access Community Health Centers (ACHC), the FQHC network in Madison, Wisconsin, to provide on-site outpatient imaging. This study characterized radiography utilization associated with the UW Health-ACHC partnership compared with other UW Health outpatient imaging sites.</div></div><div><h3>Methods</h3><div>We included health record data from January 2013 to December 2022 on all outpatient radiographs completed at UW Health sites. We compared characteristics between patients ever seen at ACHC clinics with patients seen only at non-ACHC UW Health clinics using χ² and <em>t</em> tests. Logistic regression was used to assess factors associated with imaging utilization at ACHC.</div></div><div><h3>Results</h3><div>Over the study period, 4% (23,794 of 650,685) of imaging encounters occurred at ACHC and 4% (10,986 of 246,104) of patients used ACHC facilities at least once. ACHC clinic patients were younger (41 versus 42) and more often female (55% versus 53%), Black or African American (22% versus 5%), Hispanic or Latino (34% versus 4%), with Medicaid (33% versus 9%), uninsured (18% versus 4%), and living in metropolitan areas (98% versus 88%) with higher Social Deprivation Index scores (53 versus 31) (<em>P</em> &lt; .001). In multivariable analyses, patients from racial or ethnic minority groups, without commercial insurance, residing in a metropolitan area, and with a non-English primary language were more likely to ever use ACHC radiography services (<em>P</em> &lt; .001).</div></div><div><h3>Discussion</h3><div>FQHCs represent trusted, community health centers serving medically underserved populations. Partnerships between academic institutions and FQHCs can increase geographic imaging access among these groups.</div></div>","PeriodicalId":49044,"journal":{"name":"Journal of the American College of Radiology","volume":"22 7","pages":"Pages 729-736"},"PeriodicalIF":4.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144030405","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":"A Hitchhiker's Guide to Good Prompting Practices for Large Language Models in Radiology","authors":"Satvik Tripathi ,&nbsp;Dana Alkhulaifat MD ,&nbsp;Shawn Lyo MD ,&nbsp;Rithvik Sukumaran ,&nbsp;Bolin Li MS ,&nbsp;Vedant Acharya MD ,&nbsp;Rafe McBeth PhD ,&nbsp;Tessa S. Cook MD, PhD","doi":"10.1016/j.jacr.2025.02.051","DOIUrl":"10.1016/j.jacr.2025.02.051","url":null,"abstract":"<div><div>Large language models (LLMs) are reshaping radiology through their advanced capabilities in tasks such as medical report generation and clinical decision support. However, their effectiveness is heavily influenced by prompt engineering—the design of input prompts that guide the model’s responses. This review aims to illustrate how different prompt engineering techniques, including zero-shot, one-shot, few-shot, chain of thought, and tree of thought, affect LLM performance in a radiology context. In addition, we explore the impact of prompt complexity and temperature settings on the relevance and accuracy of model outputs. This article highlights the importance of precise and iterative prompt design to enhance LLM reliability in radiology, emphasizing the need for methodological rigor and transparency to drive progress and ensure ethical use in health care.</div></div>","PeriodicalId":49044,"journal":{"name":"Journal of the American College of Radiology","volume":"22 7","pages":"Pages 841-847"},"PeriodicalIF":4.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144519012","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":"Multiple Lenses on Breast Imaging in Diverse Settings: Implications for Practice, Policy, and Research","authors":"Amy K. Patel MD ,&nbsp;Toma Omafoye MD ,&nbsp;Randy C. Miles MD, MPH","doi":"10.1016/j.jacr.2025.04.027","DOIUrl":"10.1016/j.jacr.2025.04.027","url":null,"abstract":"<div><div>Breast cancer is the leading cause of death from cancer worldwide and is the most common cancer. According to the World Health Organization, “health equity is defined as the absence of unfair and avoidable or remediable differences in health among population groups defined socially, economically, demographically, or geographically.” Achieving health equity can address disparities in all arenas of medicine, including access to breast imaging and improving breast cancer outcomes. Thus, it is important to recognize the unique challenges of diverse practice types, including in the safety-net, community, and global setting when it comes to breast health and imaging inequities, as well as to formulate strategies to bridge the gap, from a practice, policy, and research perspective.</div></div>","PeriodicalId":49044,"journal":{"name":"Journal of the American College of Radiology","volume":"22 7","pages":"Pages 744-751"},"PeriodicalIF":4.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144059146","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 Role of Federally Qualified Health Centers in Achieving Equitable Cancer Screening","authors":"Raymond Kao BS ,&nbsp;Amy K. Patel MD ,&nbsp;Gelareh Sadigh MD","doi":"10.1016/j.jacr.2025.03.005","DOIUrl":"10.1016/j.jacr.2025.03.005","url":null,"abstract":"","PeriodicalId":49044,"journal":{"name":"Journal of the American College of Radiology","volume":"22 7","pages":"Pages 718-721"},"PeriodicalIF":4.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143744549","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}