Journal of the American College of Radiology最新文献

{"title":"Responsible Artificial Intelligence Off-Boarding in Radiology: Staff Perspectives on Decommissioning and a Proposed Withdrawal Framework","authors":"Jack Packer MSc,&nbsp;Geraldine Dean MD, MSc, FRCR,&nbsp;Mathew Storey FRCR,&nbsp;Christina Malamateniou FCR, PhD,&nbsp;Susan Cheng Shelmerdine MBBS, FRCR, PhD","doi":"10.1016/j.jacr.2026.06.004","DOIUrl":"10.1016/j.jacr.2026.06.004","url":null,"abstract":"<div><h3>Purpose</h3><div>Artificial intelligence (AI) governance commonly emphasizes procurement, validation, deployment, and performance monitoring but lack guidance on how embedded AI tools should be withdrawn when funding, contracts, or strategy change abruptly. We examined staff experience after withdrawal of a chest radiograph AI triage tool and developed a practical framework for responsible AI off-boarding.</div></div><div><h3>Methods</h3><div>An anonymous staff survey was circulated 2 months after decommissioning of a chest radiograph AI triage tool at a multisite National Health Service trust. The survey repeated selected items from three earlier implementation-phase surveys, with added decommissioning-specific questions on workflow, perceived patient benefit, emotional burden, and future AI engagement. Quantitative responses were summarized descriptively. Free text responses were analyzed deductively and interpreted using the Job Demands-Resources model.</div></div><div><h3>Results</h3><div>The response rate was 21.4% (40 of 187), comparable to earlier survey rounds. Perceived patient benefit from AI remained stable, with 70% (28 of 40) agreement postdecommissioning versus 71.1% (32 of 45) pre-implementation, 65.5% (19 of 29) early implementation, and 67.9% (36 of 53) late implementation. Perceived logistical burden postdecommissioning (35%, 14 of 40) was higher than at late implementation (26.4%, 14 of 53) but lower than at early implementation (51.7%, 15 of 29). Response rate from reporting staff was low (5 of 40), with two voicing disappointment in AI tool withdrawal, and one stating they had grown reliant on the tool. Across 22 free text entries, frequent themes included loss of clinical value or pathway efficiency, operational relief after withdrawal, and patient-facing emotional labor during AI-enabled escalation.</div></div><div><h3>Conclusions</h3><div>Decommissioning produces both operational relief and perceived clinical loss, with effects differing by staff role. We propose a three-phase AI Off-Boarding Protocol: prewithdrawal assessment, graduated transition and postwithdrawal support. Decommissioning management should be treated as a central part of responsible governance across the AI life cycle.</div></div>","PeriodicalId":49044,"journal":{"name":"Journal of the American College of Radiology","volume":"23 10","pages":"Pages 1978-1988"},"PeriodicalIF":5.3,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148201437","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Research in the Era of Vibe Coding: How Artificial Intelligence Redefines Expertise","authors":"Juan M. Lavista Ferres PhD,&nbsp;Elliot K. Fishman MD,&nbsp;Linda C. Chu MD,&nbsp;Steven P. Rowe MD, PhD,&nbsp;Connor W. Smith ScB","doi":"10.1016/j.jacr.2026.06.008","DOIUrl":"10.1016/j.jacr.2026.06.008","url":null,"abstract":"","PeriodicalId":49044,"journal":{"name":"Journal of the American College of Radiology","volume":"23 10","pages":"Pages 1992-1994"},"PeriodicalIF":5.3,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148285013","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":"From Model Accuracy to Patient Benefit: Rethinking Evaluation of Radiology Artificial Intelligence","authors":"Vera Sorin MD,&nbsp;Eyal Klang MD,&nbsp;Panagiotis Korfiatis PhD,&nbsp;Alex Bratt MD,&nbsp;Jeremy D. Collins MD","doi":"10.1016/j.jacr.2026.08.005","DOIUrl":"10.1016/j.jacr.2026.08.005","url":null,"abstract":"","PeriodicalId":49044,"journal":{"name":"Journal of the American College of Radiology","volume":"23 10","pages":"Pages 1989-1991"},"PeriodicalIF":5.3,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148708819","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":"Hantavirus Infection Beyond the Lung: A Multi-Organ Radiological Perspective on Diagnosis, Imaging Modalities, and Precautionary Measures for Radiology Departments","authors":"Mehrdad Farrokhi MD,&nbsp;Alison Wilcox MD,&nbsp;Ali Gholamrezanezhad MD","doi":"10.1016/j.jacr.2026.06.016","DOIUrl":"10.1016/j.jacr.2026.06.016","url":null,"abstract":"<div><div>Hantavirus infection is an emerging zoonotic disease with worldwide relevance, associated with significant morbidity and mortality through hantavirus pulmonary syndrome and hemorrhagic fever with renal syndrome. After recent reports, including a cluster of severe cases reported to the World Health Organization in 2026, increasing attention has been directed toward its clinical, pathological, and radiological spectrum. Radiology departments, as one of the most important health care providers involved in imaging for disease confirmation, detection of complications, and assessment of involvement of different body organs, should be familiar with the manifestations of suspected patients, the most appropriate imaging requests, and the precautionary measures required within the department to prevent disease transmission to both health care personnel and other patients undergoing imaging procedures. Therefore, in this review, we aimed to present recent clinical and radiological findings, as well as precautionary interventions that should be implemented in radiology departments.</div></div>","PeriodicalId":49044,"journal":{"name":"Journal of the American College of Radiology","volume":"23 10","pages":"Pages 1924-1930"},"PeriodicalIF":5.3,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148383348","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":"Specialization, Structural Range, and Redeployability in Radiology Careers","authors":"Bernard Lewandowski MD, MBA","doi":"10.1016/j.jacr.2026.08.004","DOIUrl":"10.1016/j.jacr.2026.08.004","url":null,"abstract":"","PeriodicalId":49044,"journal":{"name":"Journal of the American College of Radiology","volume":"23 10","pages":"Pages 2004-2006"},"PeriodicalIF":5.3,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148708787","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":"Musculoskeletal Imaging Case Log Requirements in Radiology Residency: A Call for Reexamination","authors":"Jhanna A. Moore MD,&nbsp;Robert D. Irish MD","doi":"10.1016/j.jacr.2026.08.008","DOIUrl":"10.1016/j.jacr.2026.08.008","url":null,"abstract":"","PeriodicalId":49044,"journal":{"name":"Journal of the American College of Radiology","volume":"23 10","pages":"Pages 1999-2000"},"PeriodicalIF":5.3,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148802718","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":"Cybersecurity in Radiology: PACS Vulnerability and the Asymmetric Warfare Threat","authors":"Jonathon Schutt DO,&nbsp;Michelle Li BS,&nbsp;Christopher Yeisley MD,&nbsp;John Pavlus MD","doi":"10.1016/j.jacr.2026.06.023","DOIUrl":"10.1016/j.jacr.2026.06.023","url":null,"abstract":"","PeriodicalId":49044,"journal":{"name":"Journal of the American College of Radiology","volume":"23 10","pages":"Pages 1890-1891"},"PeriodicalIF":5.3,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148633008","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"ACR Appropriateness Criteria® Indolent Lung Cancer","authors":"Expert Panel on Thoracic Imaging,&nbsp;Subba R. Digumarthy MD,&nbsp;Brandon Messick DO,&nbsp;Christopher M. Walker MD,&nbsp;Brent P. Little MD,&nbsp;Arya Amini MD,&nbsp;Kiran Batra MD,&nbsp;Abbie Begnaud MD,&nbsp;Anupama G. Brixey MD,&nbsp;Melissa B. Carroll MD,&nbsp;Lydia Chelala MD,&nbsp;Jared D. Christensen MD, MBA,&nbsp;Christian W. Cox MD,&nbsp;Roger Y. Kim MD, MSCE,&nbsp;Kenneth Lin MD, MPH,&nbsp;Natalie S. Lui MD,&nbsp;Alykhan S. Nagji MD,&nbsp;Sonam Puri MD,&nbsp;Justin T. Stowell MD,&nbsp;Gary A. Ulaner MD, PhD,&nbsp;Travis S. Henry MD","doi":"10.1016/j.jacr.2026.07.003","DOIUrl":"10.1016/j.jacr.2026.07.003","url":null,"abstract":"<div><div>Persistent or slow-growing subsolid nodules and atypical lung cysts often represent indolent forms of lung cancer. These nodules require careful assessment by a multidisciplinary tumor board to determine risk, natural history, treatment options, and patient preferences. When the preferred management is imaging surveillance rather than active intervention, the main objective is to detect significant changes that could alter patient management. The choice of imaging modality should be based on its accuracy and whether the findings will influence the decision to pursue treatment. If the team determines that treatment is necessary, a diagnostic imaging workup and a biopsy are typically indicated and should not be considered part of surveillance. Therefore, this document aims to outline evidence-based guidelines specifically for imaging surveillance of indolent pulmonary nodules in patients for whom the clinical team has chosen to delay intervention.</div><div>The American College of Radiology Appropriateness Criteria are evidence-based guidelines for specific clinical conditions that are reviewed annually by a multidisciplinary expert panel. The guideline development and revision process support the systematic analysis of the medical literature from peer reviewed journals. Established methodology principles such as Grading of Recommendations Assessment, Development, and Evaluation or GRADE are adapted to evaluate the evidence. The RAND/UCLA Appropriateness Method User Manual provides the methodology to determine the appropriateness of imaging and treatment procedures for specific clinical scenarios. In those instances where peer reviewed literature is lacking or equivocal, experts may be the primary evidentiary source available to formulate a recommendation.</div></div>","PeriodicalId":49044,"journal":{"name":"Journal of the American College of Radiology","volume":"23 10","pages":"Pages 2007-2023"},"PeriodicalIF":5.3,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148702794","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®: Postpartum Hemorrhage","authors":"Mackenna Percey BS,&nbsp;Kristen Coffey MD","doi":"10.1016/j.jacr.2026.07.005","DOIUrl":"10.1016/j.jacr.2026.07.005","url":null,"abstract":"","PeriodicalId":49044,"journal":{"name":"Journal of the American College of Radiology","volume":"23 10","pages":"Page 2039"},"PeriodicalIF":5.3,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148551560","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Implementing a Department-Wide Peer Learning Program Across a Large Academic Radiology Practice","authors":"Firouzeh K. Arjmandi MD,&nbsp;Lakshmi Ananthakrishnan MD,&nbsp;Alireza Eajazi MD,&nbsp;Kiran Batra MD,&nbsp;Travis Browning MD,&nbsp;Oganes Ashikyan MD,&nbsp;Katherine Hyde BS,&nbsp;Jessica H. Porembka MD","doi":"10.1016/j.jacr.2026.07.013","DOIUrl":"10.1016/j.jacr.2026.07.013","url":null,"abstract":"","PeriodicalId":49044,"journal":{"name":"Journal of the American College of Radiology","volume":"23 10","pages":"Pages 1960-1964"},"PeriodicalIF":5.3,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148610823","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}