Journal of the American College of Radiology最新文献

{"title":"Team Building and Employee Satisfaction—How We Do It","authors":"Trina Spear , Linda C. Chu MD , Elliot K. Fishman MD , Steven P. Rowe MD, PhD","doi":"10.1016/j.jacr.2024.11.021","DOIUrl":"10.1016/j.jacr.2024.11.021","url":null,"abstract":"","PeriodicalId":49044,"journal":{"name":"Journal of the American College of Radiology","volume":"22 6","pages":"Pages 704-706"},"PeriodicalIF":4.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142755796","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":"Insurance-Based Differences in Treatment Patterns for Uterine Fibroids","authors":"Pratik A. Shukla MD ,&nbsp;Alexandra R. Drake MPH ,&nbsp;Antony Sare MD ,&nbsp;Elizabeth Y. Rula PhD ,&nbsp;Eric W. Christensen PhD","doi":"10.1016/j.jacr.2025.02.011","DOIUrl":"10.1016/j.jacr.2025.02.011","url":null,"abstract":"<div><h3>Purpose</h3><div>The aim of this study was to examine whether Medicaid versus commercial insurance and reimbursement are associated with uterine artery embolization (UAE) utilization rates for uterine fibroid treatment.</div></div><div><h3>Methods</h3><div>This retrospective (October 2015 to September 2023) study of women aged 30 to 59 years who underwent procedures for the treatment of uterine fibroids (hysterectomy, myomectomy, or UAE) was based on the Inovalon Insights dataset for those with Medicaid or commercial insurance. Differences in the receipt of UAE versus hysterectomy or myomectomy by insurance type and relative reimbursement were assessed using logistic regression controlling for patient characteristics and geographic differences in treatment patterns. For women with either hysterectomy or myomectomy, differences in the receipt of these procedures laparoscopically or not were assessed by insurance type and relative reimbursement controlling for patient characteristics and geographic differences in treatment patterns.</div></div><div><h3>Results</h3><div>Medicaid compared with commercial insurance was associated with 38% higher odds of UAE (odds ratio [OR], 1.38; 95% confidence interval [CI], 1.34-1.42). States with higher Medicaid reimbursement for hysterectomy were associated with lower odds for UAE (OR, 0.95; 95% CI, 0.92-0.98). For women with hysterectomy or myomectomy, those with Medicaid versus commercial insurance had 20% lower odds (OR, 0.80; 95% CI, 0.79-0.82) of undergoing the procedure laparoscopically.</div></div><div><h3>Conclusions</h3><div>Women insured by Medicaid versus commercial insurance were more likely to undergo the less invasive UAE procedure. Conversely, Medicaid patients who underwent hysterectomy or myomectomy were less likely to undergo the procedure laparoscopically. Both results are consistent with the notion that insurance status may influence both physician referral patterns and treatment options available to patients.</div></div>","PeriodicalId":49044,"journal":{"name":"Journal of the American College of Radiology","volume":"22 6","pages":"Pages 653-661"},"PeriodicalIF":4.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143473378","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":"Partnerships Between Radiology and Industry Are Essential to Address Climate Change","authors":"Reed A. Omary MD, MS ,&nbsp;Jeff DiLullo MBA ,&nbsp;Catherine Estrampes MBA ,&nbsp;Christopher P. Hess MD, PhD ,&nbsp;David Pacitti MBA ,&nbsp;Thomas M. Grist MD","doi":"10.1016/j.jacr.2025.02.049","DOIUrl":"10.1016/j.jacr.2025.02.049","url":null,"abstract":"","PeriodicalId":49044,"journal":{"name":"Journal of the American College of Radiology","volume":"22 6","pages":"Pages 630-632"},"PeriodicalIF":4.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143627116","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":"Promoting Gender-Inclusive Language in Radiology: Next Steps","authors":"Shane Davy MB, BAO, BCh, MSc, FRCR, FFRRCSI ,&nbsp;Waqas Ahmad MBBS, FCPS, EDiR, MSc, MsOI ,&nbsp;Nadja Kadom MD, FACR ,&nbsp;Julia E. Goldberg MD, MBA ,&nbsp;Nicolas Murray MD, FRCPC ,&nbsp;Shilpen Patel MD, FACRO, FASTRO ,&nbsp;Faisal Khosa MD, MBA, TI, FFRRCSI, FRCPC, FACR","doi":"10.1016/j.jacr.2025.02.052","DOIUrl":"10.1016/j.jacr.2025.02.052","url":null,"abstract":"","PeriodicalId":49044,"journal":{"name":"Journal of the American College of Radiology","volume":"22 6","pages":"Pages 697-700"},"PeriodicalIF":4.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143631108","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":"Excess Greenhouse Gas Emissions Associated With Inappropriate Medical Imaging in the US Medicare Part B Population From 2017 to 2021","authors":"Gregory Cavanagh MD ,&nbsp;Julia Hyde Schoen MD, MS ,&nbsp;Kate Hanneman MD, MPH ,&nbsp;Elizabeth Y. Rula PhD ,&nbsp;Michael K. Atalay MD, PhD","doi":"10.1016/j.jacr.2025.02.043","DOIUrl":"10.1016/j.jacr.2025.02.043","url":null,"abstract":"<div><h3>Introduction</h3><div>Medical imaging is a source of greenhouse gas emissions, and inappropriate use results in low-value, excess imaging. The environmental impact of low-value imaging has not been quantified.</div></div><div><h3>Objective</h3><div>This study seeks to estimate excess greenhouse gas (GHG) emissions associated with inappropriate imaging in metric kilotons (kT) of carbon dioxide equivalents (CO2e) from the Medicare Part B population from 2017 to 2021.</div></div><div><h3>Materials and methods</h3><div>Using the Harvey L. Neiman Health Policy Institute 2017 to 2021 data on trends in imaging utilization for Medicare Fee-for-Service Beneficiaries and the 2014 RAND Corporation report on Medicare Imaging Demonstration, low-end and high-end estimates of average yearly GHG emissions from inappropriate examinations in Medicare Part B population were modeled for the four most-common imaging modalities (MRI, CT, radiography, and ultrasound) from the estimated number of inappropriate examinations per year and GHG emissions per modality.</div></div><div><h3>Results</h3><div>Of all imaging, 4% to 26% is estimated as inappropriate. Total inappropriate Medicare imaging examinations were estimated to have produced an average of 3.55 to 129.2 kT CO2e per year during the entire 5-year period, with MRI and CT accounting for the greatest proportion (0.621-33.8 kT and 1.24-64.8 kT, respectively); 3.55 to 129.2 kT CO2e approximates to the GHG produced by the yearly electricity of a town of 2,000 to 72,000 people, respectively.</div></div><div><h3>Conclusion</h3><div>Our results demonstrate that substantial excess GHG emissions arise from inappropriate imaging, particularly MRI and CT. These data support the need to reduce low-value imaging and adherence to appropriate use criteria.</div></div>","PeriodicalId":49044,"journal":{"name":"Journal of the American College of Radiology","volume":"22 6","pages":"Pages 621-629"},"PeriodicalIF":4.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143733438","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®: Management of Uterine Fibroids: 2024 Update","authors":"Sania Choudhary ,&nbsp;Alexander Lam MD","doi":"10.1016/j.jacr.2025.02.006","DOIUrl":"10.1016/j.jacr.2025.02.006","url":null,"abstract":"","PeriodicalId":49044,"journal":{"name":"Journal of the American College of Radiology","volume":"22 6","pages":"Page 710"},"PeriodicalIF":4.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143384337","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":"Cover","authors":"","doi":"10.1016/S1546-1440(25)00239-X","DOIUrl":"10.1016/S1546-1440(25)00239-X","url":null,"abstract":"","PeriodicalId":49044,"journal":{"name":"Journal of the American College of Radiology","volume":"22 6","pages":"Page OFC"},"PeriodicalIF":4.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144189928","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 in Proportion of Part-Time Academic Radiology Faculty by Gender and Rank","authors":"Ajay Malhotra MD, MMM ,&nbsp;Dheeman Futela MBBS ,&nbsp;Diya Sarah Gandhi ,&nbsp;Xiao Wu MD ,&nbsp;Seyedmehdi Payabvash MD ,&nbsp;Max Wintermark MD, MS, MBA ,&nbsp;Richard Duszak MD","doi":"10.1016/j.jacr.2025.02.001","DOIUrl":"10.1016/j.jacr.2025.02.001","url":null,"abstract":"","PeriodicalId":49044,"journal":{"name":"Journal of the American College of Radiology","volume":"22 6","pages":"Pages 694-696"},"PeriodicalIF":4.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143384286","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":"Spaced Repetition in Radiology: Bridging the Gap Between Knowledge and Retention","authors":"Valeria Del Castillo MD,&nbsp;Valeria Noguera MD,&nbsp;Laura Manuela Olarte Bermúdez MD,&nbsp;Javier Andres Romero MD","doi":"10.1016/j.jacr.2025.02.040","DOIUrl":"10.1016/j.jacr.2025.02.040","url":null,"abstract":"","PeriodicalId":49044,"journal":{"name":"Journal of the American College of Radiology","volume":"22 6","pages":"Page 619"},"PeriodicalIF":4.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143538121","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":"Making the Most of the Golden Years—Transitions and Opportunities","authors":"Priscilla J. Slanetz MD, MPH ,&nbsp;Donna Magid MD, MEd ,&nbsp;Catherine J. Everett MD, MBA ,&nbsp;Lori A. Deitte MD","doi":"10.1016/j.jacr.2024.11.022","DOIUrl":"10.1016/j.jacr.2024.11.022","url":null,"abstract":"","PeriodicalId":49044,"journal":{"name":"Journal of the American College of Radiology","volume":"22 6","pages":"Pages 701-703"},"PeriodicalIF":4.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142755371","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}