Journal of the American College of Radiology最新文献

{"title":"Radiology Integration Into the Preclinical Curriculum: Ways to Maximize Early Impact","authors":"Matthew Lee MD , Tabassum Kennedy MD , Venkata Meduri MD , Allison Grayev MD","doi":"10.1016/j.jacr.2024.10.001","DOIUrl":"10.1016/j.jacr.2024.10.001","url":null,"abstract":"","PeriodicalId":49044,"journal":{"name":"Journal of the American College of Radiology","volume":"22 1","pages":"Pages 10-14"},"PeriodicalIF":4.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142482492","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":"Registered Radiologist Assistants Are Not Able to Bill Independently","authors":"Liana M. Watson DM, RT(R)(M)(S)(BS)(ARRT), RDMS, RVT, FASRT PMP, CAE, Melissa B. Pergola EdD, RT(R)(M)(ARRT), FASRT CAE, Eric M. Rubin MD","doi":"10.1016/j.jacr.2024.11.028","DOIUrl":"10.1016/j.jacr.2024.11.028","url":null,"abstract":"","PeriodicalId":49044,"journal":{"name":"Journal of the American College of Radiology","volume":"22 1","pages":"Page 3"},"PeriodicalIF":4.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143017752","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(24)00995-5","DOIUrl":"10.1016/S1546-1440(24)00995-5","url":null,"abstract":"","PeriodicalId":49044,"journal":{"name":"Journal of the American College of Radiology","volume":"22 1","pages":"Pages A1-A5"},"PeriodicalIF":4.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143153999","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":"Evolving Trainee Participation in Radiologists’ Workload Using A National Medicare-Focused Analysis From 2008 to 2020","authors":"Judah Burns MD ,&nbsp;YoonKyung Chung PhD ,&nbsp;Elizabeth Y. Rula PhD ,&nbsp;Richard Duszak Jr. MD ,&nbsp;Andrew B. Rosenkrantz MD","doi":"10.1016/j.jacr.2024.08.029","DOIUrl":"10.1016/j.jacr.2024.08.029","url":null,"abstract":"<div><h3>Purpose</h3><div>Increasing volumes and productivity expectations, along with practice type consolidation, may be impacting trainees’ roles in the work effort of radiologists involved in education. We assessed temporal shifts in trainee participation in radiologists’ workload nationally.</div></div><div><h3>Methods</h3><div>All US radiologists interpreting noninvasive diagnostic imaging for Medicare fee-for-service beneficiaries were identified from annual 5% Research Identifiable Files from 2008 to 2020 (n = 35,595). Teaching radiologists were defined as those billing services using Medicare’s GC modifier, indicating trainee supervision. Billed work relative value units were used to determine the percentage of teaching radiologists’ total workload with trainee participation. Mean trainee participation in workload was calculated for teaching radiologists overall and stratified by radiologist and practice characteristics determined using National Downloadable Files.</div></div><div><h3>Results</h3><div>The percentage of radiologists involved in teaching increased from 13.6% (2008) to 20.4% (2020). Among teaching radiologists, mean total workload increased 7% from 2008 to 2019 and decreased in 2020 to 2% below 2008’s level; mean teaching workload decreased 19% from 2008 to 2019 and decreased in 2020 to 31% below 2008’s level. Mean trainee participation in teaching radiologists’ total workload decreased from 35.3% (2008) to 26.3% (2019) and 24.5% (2020). Teaching radiologists showed decreased mean trainee participation when stratified by gender, experience, subspecialty, geography, practice type, and practice size.</div></div><div><h3>Conclusions</h3><div>The percentage of US radiologists involved in resident teaching has increased, likely reflecting academic practice expansion and academic-community practice consolidation. However, a declining percentage of teaching radiologists’ total workload involves trainees; this dispersion effect could have implications for education quality.</div></div>","PeriodicalId":49044,"journal":{"name":"Journal of the American College of Radiology","volume":"22 1","pages":"Pages 98-107"},"PeriodicalIF":4.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142514254","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®: Sudden Onset of Cold, Painful Leg","authors":"Avani Shinde MD ,&nbsp;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}