Journal of the American College of Radiology最新文献

{"title":"ACR Appropriateness Criteria® Joint Pain: Idiopathic Arthritis-Child","authors":"Expert Panel on Pediatric Imaging,&nbsp;Nancy A. Chauvin MD, MBA,&nbsp;Anh-Vu H. Ngo MD,&nbsp;Sherwin S. Chan MD, PhD,&nbsp;Brandon P. Brown MD, MA,&nbsp;Scott R. Dorfman MD,&nbsp;Marla Guzman MD,&nbsp;George Koberlein MD,&nbsp;Morgan P. McBee MD,&nbsp;HaiThuy N. Nguyen MD,&nbsp;Karen Brandt Onel MD,&nbsp;Emily S. Orscheln MD,&nbsp;Elizabeth J. Snyder MD,&nbsp;Andrew T. Trout MD,&nbsp;Muhammad Waseem MD, MS,&nbsp;Kirsten L. Weltmer MD,&nbsp;George S. Wu MD,&nbsp;Ramesh S. Iyer MD, MBA","doi":"10.1016/j.jacr.2026.02.011","DOIUrl":"10.1016/j.jacr.2026.02.011","url":null,"abstract":"<div><div>This document details imaging approaches for children with suspected juvenile idiopathic arthritis in the axial and appendicular skeleton. It provides recommendations for the initial radiologic evaluation as well as for follow-up imaging.</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 7","pages":"Pages 1405-1422"},"PeriodicalIF":5.3,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147438188","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® Diagnosis and Monitoring of Sarcopenia","authors":"Expert Panel on Musculoskeletal Imaging,&nbsp;Robert D. Boutin MD,&nbsp;Leon Lenchik MD,&nbsp;Jonathan C. Baker MD,&nbsp;Hailey Allen MD,&nbsp;James Banks MD,&nbsp;Sarah I. Kamel MD,&nbsp;Kelby B. Napier MD, PhD,&nbsp;Nicholas G. Rhodes MD,&nbsp;Jinel A. Scott MD, MBA,&nbsp;Connie C. So MD,&nbsp;Daniel E. Wessell MD, PhD","doi":"10.1016/j.jacr.2026.02.007","DOIUrl":"10.1016/j.jacr.2026.02.007","url":null,"abstract":"<div><div>This article reviews evidence for using various imaging studies related to the diagnosis and monitoring of sarcopenia and other clinical conditions associated with muscle depletion. In this setting, DXA is usually appropriate for the assessment of body composition. Thigh ultrasound, performed in conjunction with clinical history and physical examination, may be useful. There is insufficient evidence to support a stand-alone indication for the use of CT of the abdomen (with or without contrast) or chest (with, without and with, without contrast), but a secondary quantitative analysis of muscle may be appropriate using examinations obtained for another clinical indication.</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 7","pages":"Pages 1348-1367"},"PeriodicalIF":5.3,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147438213","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":"Beyond Technical Capability: Interventional Radiology’s Role Within Trauma Systems","authors":"Jonathon Schutt DO,&nbsp;Christopher Yeisley MD,&nbsp;John Pavlus MD","doi":"10.1016/j.jacr.2026.04.020","DOIUrl":"10.1016/j.jacr.2026.04.020","url":null,"abstract":"","PeriodicalId":49044,"journal":{"name":"Journal of the American College of Radiology","volume":"23 7","pages":"Pages 1220-1221"},"PeriodicalIF":5.3,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147791422","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®: Radiologic Management of Pulmonary Nodules and Masses","authors":"Yash Sachin Saboo,&nbsp;Alexander Lam MD","doi":"10.1016/j.jacr.2026.02.034","DOIUrl":"10.1016/j.jacr.2026.02.034","url":null,"abstract":"","PeriodicalId":49044,"journal":{"name":"Journal of the American College of Radiology","volume":"23 7","pages":"Page 1463"},"PeriodicalIF":5.3,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147370960","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":"Strategic Refusal: Finding Focus by Saying “No” in a Demanding Profession","authors":"Elliot K. Fishman MD,&nbsp;Connor W. Smith BS","doi":"10.1016/j.jacr.2026.02.025","DOIUrl":"10.1016/j.jacr.2026.02.025","url":null,"abstract":"","PeriodicalId":49044,"journal":{"name":"Journal of the American College of Radiology","volume":"23 7","pages":"Page 1219"},"PeriodicalIF":5.3,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147357979","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":"Saving Academic Radiology: Summary of the 2025 ACR Intersociety Meeting","authors":"Jay R. Parikh MD,&nbsp;Erin S. Schwartz MD,&nbsp;Laeton J. Pang MD, MPH,&nbsp;Bruce B. Forster MD,&nbsp;Michael J. Tuite MD,&nbsp;Taj M. Kattapuram MD,&nbsp;Vilert A. Loving MD, MMM,&nbsp;Brandon K.K. Fields MD,&nbsp;Ioannis Vlahos MBBS, MRCP,&nbsp;Desiree E. Morgan MD,&nbsp;Ernest F. Wiggins III MD,&nbsp;Katherine Klein MD,&nbsp;Stephen Chan MD, MBA, MPH,&nbsp;Helena Gabriel MD,&nbsp;Marta Heilbrun MD,&nbsp;Frank J. Lexa MD, MBA","doi":"10.1016/j.jacr.2026.02.039","DOIUrl":"10.1016/j.jacr.2026.02.039","url":null,"abstract":"<div><div>The ACR 2025 Intersociety Summer Conference was designed around the theme “The Degradation of the Academic Mission and the Impact on US Radiology.” The proceedings have been summarized and analyzed herein, describing the forces that have been undermining the academic mission, examining the short- and long-term impacts of the degradation of academic work on US radiology, and discussing strategies and tactics to maintain the quality of the academic mission and workforce in the face of these challenges.</div></div>","PeriodicalId":49044,"journal":{"name":"Journal of the American College of Radiology","volume":"23 7","pages":"Pages 1314-1324"},"PeriodicalIF":5.3,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147438270","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":"National Turnaround Time Trends for Medicare Fee-for-Service Beneficiaries, 2014-2023","authors":"Eric W. Christensen PhD,&nbsp;Alexandra R. Drake PhD,&nbsp;Elizabeth Y. Rula PhD,&nbsp;Cindy X. Yuan MD, PhD,&nbsp;Christoph Wald MD, PhD,&nbsp;Michele H. Johnson MD,&nbsp;Gregory N. Nicola MD","doi":"10.1016/j.jacr.2026.02.038","DOIUrl":"10.1016/j.jacr.2026.02.038","url":null,"abstract":"<div><h3>Purpose</h3><div>To assess turnaround time trends for office and hospital outpatient imaging studies as an indication of the radiologist workforce’s capacity to absorb the growing demand for diagnostic imaging.</div></div><div><h3>Methods</h3><div>This multiyear (2014-2023) retrospective study using claims from a 5% sample of Medicare fee-for-service beneficiaries evaluated days between office and hospital outpatient imaging (CT, MR, ultrasound, radiology or fluoroscopy) acquisition and its subsequent interpretation. Technical claims (imaging acquisition) were matched with professional claims for interpretation by beneficiary and procedure code to assess the calendar days between the scan and its interpretation. Annual turnaround times were assessed overall and by modality, patient, and radiologist characteristics and day of the week.</div></div><div><h3>Results</h3><div>There were 2,578,953 imaging studies that met the selection criteria. There were 0.109 mean days to interpretation (95% confidence interval [CI]: 0.108-0.111) for the study period. In 2014, there were 0.091 (95% CI: 0.086-0.095) mean days to interpretation compared with 0.193 (95% CI: 0.0.189-0.198) in 2023—a 113% increase—with most of this increase occurring in 2022 and 2023. By modality, the 2014-2023 increases in turnaround times were 318%, 256%, 140%, and 63% for CT, MR, ultrasound, and radiology or fluoroscopy, respectively. These trends differed somewhat by community income, Area Deprivation Index, and urbanicity, with more disadvantaged communities generally having longer turnaround times.</div></div><div><h3>Conclusions</h3><div>Imaging interpretation turnaround times for Medicare fee-for-service beneficiaries steeply increased between 2021 and 2023, and particularly for CT and MR. The trend exacerbated already longer turnaround times in lower-income communities. These sudden increases suggest that the radiology workforce has reached maximum capacity.</div></div>","PeriodicalId":49044,"journal":{"name":"Journal of the American College of Radiology","volume":"23 7","pages":"Pages 1244-1252"},"PeriodicalIF":5.3,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147583198","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":"Composition, Pediatric Representation, and Transparency Disclosure Among FDA-Cleared Radiology Artificial Intelligence Products","authors":"Vidith Phillips MD, MS","doi":"10.1016/j.jacr.2026.04.001","DOIUrl":"10.1016/j.jacr.2026.04.001","url":null,"abstract":"","PeriodicalId":49044,"journal":{"name":"Journal of the American College of Radiology","volume":"23 7","pages":"Pages 1289-1292"},"PeriodicalIF":5.3,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147663331","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":"Balancing Productivity and Teaching: A Resident’s Perspective","authors":"Isabella Andrea Bolaños Bermúdez MD,&nbsp;Nicolás Guerrero Acosta MD,&nbsp;David Fernando Torres Cortés MD","doi":"10.1016/j.jacr.2026.03.004","DOIUrl":"10.1016/j.jacr.2026.03.004","url":null,"abstract":"","PeriodicalId":49044,"journal":{"name":"Journal of the American College of Radiology","volume":"23 7","pages":"Pages 1223-1224"},"PeriodicalIF":5.3,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147535029","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":"ACR Appropriateness Criteria® Staging and Follow-Up of Melanoma","authors":"Expert Panel on Systemic Oncology,&nbsp;Christopher Mejias MD,&nbsp;Rustain L. Morgan MD,&nbsp;Sandeep S. Arora MBBS,&nbsp;Brett W. Carter MD,&nbsp;Anupama Chundury MD,&nbsp;Amanda S. Corey MD,&nbsp;Lauren Kim MD,&nbsp;Cara E. Morin MD, PhD,&nbsp;Umang Swami MD,&nbsp;Alicia Terando MD,&nbsp;Ashley E. Vorenkamp MD,&nbsp;Darcy J. Wolfman MD,&nbsp;Terence Z. Wong MD, PhD","doi":"10.1016/j.jacr.2026.02.013","DOIUrl":"10.1016/j.jacr.2026.02.013","url":null,"abstract":"<div><div>This document provides a comprehensive overview of the evidence supporting different imaging modalities and techniques used for the staging and surveillance of patients with cutaneous, mucocutaneous, and ocular melanoma. Guidelines are provided based on nodal status, presence of metastases at baseline, suspected metastases, and local stage.</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 7","pages":"Pages 1423-1444"},"PeriodicalIF":5.3,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147446109","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}