Journal of the American College of Radiology最新文献

{"title":"Table of Content","authors":"","doi":"10.1016/S1546-1440(25)00197-8","DOIUrl":"10.1016/S1546-1440(25)00197-8","url":null,"abstract":"","PeriodicalId":49044,"journal":{"name":"Journal of the American College of Radiology","volume":"22 5","pages":"Pages A1-A4"},"PeriodicalIF":4.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143892347","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":"Recognition and Accountability Strategies to Preserve Radiology’s Academic Mission","authors":"Priscilla J. Slanetz MD, MPH , Catherine H. Phillips MD , Jessica B. Robbins MD , Christopher P. Hess MD, PhD","doi":"10.1016/j.jacr.2024.11.023","DOIUrl":"10.1016/j.jacr.2024.11.023","url":null,"abstract":"","PeriodicalId":49044,"journal":{"name":"Journal of the American College of Radiology","volume":"22 5","pages":"Pages 611-613"},"PeriodicalIF":4.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142755748","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":"Bidirectional Encoder Representations From Transformers, Bias, and Babel’s Tower in Radiology","authors":"Teodoro Martín-Noguerol MD, Pilar López-Úbeda PhD, Antonio Luna MD, PhD","doi":"10.1016/j.jacr.2024.12.012","DOIUrl":"10.1016/j.jacr.2024.12.012","url":null,"abstract":"","PeriodicalId":49044,"journal":{"name":"Journal of the American College of Radiology","volume":"22 5","pages":"Page 519"},"PeriodicalIF":4.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142900985","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":"Trends of Attrition and Migration in Academic Radiology in US Medical Schools","authors":"Ajay Malhotra MD, MMM ,&nbsp;Dheeman Futela MBBS ,&nbsp;Shadi Ebrahimian MD ,&nbsp;Keervani Kandala BSc ,&nbsp;Diya Sarah Gandhi ,&nbsp;Seyedmehdi Payabvash MD ,&nbsp;Suyash Mohan MD","doi":"10.1016/j.jacr.2025.01.013","DOIUrl":"10.1016/j.jacr.2025.01.013","url":null,"abstract":"<div><h3>Background</h3><div>Concerns have been expressed over attrition and migration contributing to workforce shortages in academic radiology.</div></div><div><h3>Purpose</h3><div>We aimed to assess trends in attrition (leaving academic radiology) and migration in academic radiology in US medical schools and assess any variations based on gender and over time.</div></div><div><h3>Materials and methods</h3><div>Using the Association of American Medical Colleges Faculty Roster, full-time faculty in clinical educator track appointed between January 1, 2000, and December 31, 2009 (primary cohort), were followed from January 1, 2010, to January 1, 2024. Retention, attrition, and migration rates for clinical faculty were compared by faculty rank and gender. Longitudinal trends in academic retention were plotted and analyzed using simple linear regression with years as the independent variable. More recent trends were assessed by comparing 7-year retention end points between the primary cohort and a secondary cohort appointed between January 1, 2010, and December 31, 2016, and 4-year trends for cohort appointed between January 1, 2017, and December 31, 2019.</div></div><div><h3>Results</h3><div>A total of 1,868 academic radiology faculty were included in the primary cohort (2010 cohort). After 14 years, 24.1% of instructors, 46.0% assistant professors, 59.6% associate professors, and 56.1% full professors retained their primary faculty appointment in the same medical school and department. The overall attrition rate for women (27.8%) was more than for men (23.5%, <em>P</em> = .04). Women had lower academic migration compared with men (21.8% versus 27.7% overall, <em>P</em> = .00737) at each rank. The yearly retention rates for assistant and associate professors did not fluctuate substantially during the study period for all three cohorts</div></div><div><h3>Conclusion</h3><div>Retention rates in US academic radiology departments have not significantly changed over time, especially the attrition rates, which remain low. Migration rates have been historically low for women at the senior professor rank but have improved over time.</div></div>","PeriodicalId":49044,"journal":{"name":"Journal of the American College of Radiology","volume":"22 5","pages":"Pages 600-605"},"PeriodicalIF":4.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143076741","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":"Using A Surgical Risk Predictor to Estimate Percutaneous Cryoablation Adverse Event Risk: A Single Center Comparative Analysis","authors":"Prisha Patel BS,&nbsp;Koustav Pal MBBS,&nbsp;Hadi Ahmed BBA,&nbsp;Bill Tang BS,&nbsp;Iwan Paolucci PhD,&nbsp;Mohammad Khavandi MD,&nbsp;Peiman Habibollahi MD,&nbsp;Ketan Shah MD,&nbsp;Steven Y. Huang MD,&nbsp;Bruno C. Odisio MD, PhD,&nbsp;Sanjay Gupta MD,&nbsp;Kamran Ahrar MD,&nbsp;Steven Yevich MD,&nbsp;Joshua D. Kuban MD,&nbsp;Alda Tam MD,&nbsp;Rahul A. Sheth MD","doi":"10.1016/j.jacr.2024.12.006","DOIUrl":"10.1016/j.jacr.2024.12.006","url":null,"abstract":"<div><h3>Objective</h3><div>To evaluate the relevance of established surgical risk calculators for predicting complications in patients undergoing percutaneous lung cryoablation (PLC).</div></div><div><h3>Methods</h3><div>The institution’s database was queried for PLC procedures from March 2015 to May 2024, excluding those patients with concomitant local therapies or five or more lesions treated in a single setting. Demographics, frailty metrics as defined by the surgical literature, and procedural variables were collected. To evaluate the suitability of surgical risk estimate calculators, the requisite demographic data were input into the American College of Surgery surgical risk calculator; estimates for length of stay (LOS), serious complications, 30-day readmission, and mortality were calculated to determine the comparative risk profile were the patients to have undergone surgical wedge resection instead of PLC. Additionally, to evaluate the suitability of imaging predictors of complications, the volume of emphysematous lung was calculated using a machine learning algorithm and incorporated into a generalized estimating equation logistic regression analysis of other demographic and technical variables.</div></div><div><h3>Results</h3><div>The study included 217 patients who underwent 314 procedures. Chest tubes were placed in 49% of procedures. The median LOS was 1 day (interquartile range: 1-1, range: 0-13). The median percentage of emphysema within the lungs was 5.9% (interquartile range: 2.4%-12.1%, range: 0.01%-50.3%). The median predicted surgical rates for serious complications (13.5%), 30-day readmission (12%), and 30-day mortality (5.9%) were all greater than actual rates after PLC (1.6%, 4.8%, and 0.3%, respectively). The estimated surgical LOS differed significantly from the actual PLC LOS (5 days versus 1 day, <em>P</em> &lt; .001). In univariable analysis, the number of probes the number of tumors ablated (odds ratio 1.90, 95% confidence interval 1.18-3.05, <em>P</em> = .008) and the number of probes used (odds ratio 1.44, 95% confidence interval 1.06-1.96, <em>P</em> = .021) were significantly associated with increased LOS, but demographic and emphysema details were not.</div></div><div><h3>Conclusion</h3><div>Complications after PLC are significantly less frequent than the estimated complication risks for wedge resection in the same patient population. Risk estimate calculators tailored to PLC would help screen for high complication risks related to this procedure.</div></div>","PeriodicalId":49044,"journal":{"name":"Journal of the American College of Radiology","volume":"22 5","pages":"Pages 550-560"},"PeriodicalIF":4.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142873608","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":"Workforce Shortage and Strategies for Mitigation: Results from the 2022 ACR/Radiology Business Management Association Workforce Survey","authors":"Elizabeth H. Dibble MD ,&nbsp;Eric Rubin MD ,&nbsp;Jay R. Parikh MD","doi":"10.1016/j.jacr.2025.01.012","DOIUrl":"10.1016/j.jacr.2025.01.012","url":null,"abstract":"","PeriodicalId":49044,"journal":{"name":"Journal of the American College of Radiology","volume":"22 5","pages":"Pages 573-576"},"PeriodicalIF":4.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143075697","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 Growing Tension Between Interventional Radiology and Diagnostic Radiology","authors":"Cory M. Pfeifer MD, MBA, MPH, MS","doi":"10.1016/j.jacr.2024.06.024","DOIUrl":"10.1016/j.jacr.2024.06.024","url":null,"abstract":"","PeriodicalId":49044,"journal":{"name":"Journal of the American College of Radiology","volume":"22 5","pages":"Page 520"},"PeriodicalIF":4.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143892348","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":"It’s Time to Retire “You Guys” From Professional Conversations","authors":"Patrik Rogalla MD, PhD, MBA","doi":"10.1016/j.jacr.2024.12.007","DOIUrl":"10.1016/j.jacr.2024.12.007","url":null,"abstract":"","PeriodicalId":49044,"journal":{"name":"Journal of the American College of Radiology","volume":"22 5","pages":"Pages 607-608"},"PeriodicalIF":4.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142878841","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":"Factors Influencing Radiologist Performance in the Merit-Based Incentive Payment System","authors":"YoonKyung Chung PhD ,&nbsp;Chi-Mei Liu PhD ,&nbsp;Lauren P. Nicola MD ,&nbsp;Elizabeth Y. Rula PhD","doi":"10.1016/j.jacr.2025.01.011","DOIUrl":"10.1016/j.jacr.2025.01.011","url":null,"abstract":"<div><h3>Purpose</h3><div>The Merit-Based Incentive Payment System (MIPS) is the largest pay-for-performance program that links reimbursement to performance of Medicare clinicians. This study evaluated radiologist performance in the 2019 MIPS program and predictors of scores and underperformance.</div></div><div><h3>Methods</h3><div>Data were primarily from the CMS 2019 Quality Payment Program Experience Report. Multivariable linear and logistic regressions were conducted to identify factors associated with MIPS overall scores and with not reaching exceptional performance bonus status, respectively. An exploratory analysis of top 10 reported quality measures was performed.</div></div><div><h3>Results</h3><div>Among 22,875 radiology participants, 74.8% participated in group reporting, 4.3% as an individual and 20.9% through MIPS Advanced Payment Model (APM). The mean final score was 88.8, with 88.3% reaching exceptional status. Participation in a MIPS APM was associated with a 7.2-point (95% confidence interval [CI], 6.97-7.40) higher score compared with group reporting, and individual reporting was associated with a 28.3-point (95% CI, −30.12 to −26.54) lower score. Radiologists in practices of more than 500 clinicians had a 10.3-point (95% CI, 9.06-11.03) higher final score compared with those in practices of 10 or fewer clinicians. Similarly, radiologists participating as individuals or via smaller practices were less likely to achieve exceptional performance. The top 10 quality measures for group and individual reporting radiologists were all radiology related, whereas MIPS APM radiologists did not report any radiology-related measures.</div></div><div><h3>Conclusions</h3><div>Most radiologists performed successfully in 2019 MIPS, but success varied across numerous factors. Reporting type and practice size were most predictive of program performance. The results reveal potential biases that should be addressed in the MIPS program.</div></div>","PeriodicalId":49044,"journal":{"name":"Journal of the American College of Radiology","volume":"22 5","pages":"Pages 561-572"},"PeriodicalIF":4.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143525436","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":"How to Create Creativity","authors":"Ed Catmull PhD ,&nbsp;Elliot K. Fishman MD ,&nbsp;Linda C. Chu MD ,&nbsp;Steven P. Rowe MD, PhD ,&nbsp;Charles K. Crawford BS ,&nbsp;Jen-Hsun Huang","doi":"10.1016/j.jacr.2024.11.025","DOIUrl":"10.1016/j.jacr.2024.11.025","url":null,"abstract":"","PeriodicalId":49044,"journal":{"name":"Journal of the American College of Radiology","volume":"22 5","pages":"Pages 609-610"},"PeriodicalIF":4.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142756038","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}