Journal of the American College of Radiology最新文献

{"title":"The ACR Dose Index Registry Empowers Stakeholders in Radiation Dose Optimization","authors":"A. Kyle Jones PhD, Ryan Bosca-Harasim PhD","doi":"10.1016/j.jacr.2026.06.011","DOIUrl":"10.1016/j.jacr.2026.06.011","url":null,"abstract":"","PeriodicalId":49044,"journal":{"name":"Journal of the American College of Radiology","volume":"23 9","pages":"Pages 1864-1866"},"PeriodicalIF":5.3,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148304262","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®: Major Blunt Trauma: 2026 Update","authors":"Yash Sachin Saboo, Maria Daniela Martin Rother MD","doi":"10.1016/j.jacr.2026.04.013","DOIUrl":"10.1016/j.jacr.2026.04.013","url":null,"abstract":"","PeriodicalId":49044,"journal":{"name":"Journal of the American College of Radiology","volume":"23 9","pages":"Page 1885"},"PeriodicalIF":5.3,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147791376","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":"Table of Content","authors":"","doi":"10.1016/S1546-1440(26)00363-7","DOIUrl":"10.1016/S1546-1440(26)00363-7","url":null,"abstract":"","PeriodicalId":49044,"journal":{"name":"Journal of the American College of Radiology","volume":"23 9","pages":"Pages A1-A3"},"PeriodicalIF":5.3,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148859677","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":"History and the Current Generative Artificial Intelligence Policies and the Case for a Universal Disclosure Log","authors":"Mohammad Mahdi Bagheri Asl MD, Hasna Loulida MD, Ariana Chacon MD, Alejandro M. Spiotta MD","doi":"10.1016/j.jacr.2026.06.005","DOIUrl":"10.1016/j.jacr.2026.06.005","url":null,"abstract":"","PeriodicalId":49044,"journal":{"name":"Journal of the American College of Radiology","volume":"23 9","pages":"Pages 1847-1850"},"PeriodicalIF":5.3,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148201463","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®: Staging and Follow-Up of Pancreatic Neuroendocrine Tumors","authors":"Jayden Lee BS, BA, Sherry S. Wang MBBS","doi":"10.1016/j.jacr.2026.04.015","DOIUrl":"10.1016/j.jacr.2026.04.015","url":null,"abstract":"","PeriodicalId":49044,"journal":{"name":"Journal of the American College of Radiology","volume":"23 8","pages":"Page 1828"},"PeriodicalIF":5.3,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147791425","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":"Patient-Friendly Summary of the ACR Appropriateness Criteria®: Multiple Gestations","authors":"Jayden Lee BS, BA, Sharon L. D’Souza MD, MPH","doi":"10.1016/j.jacr.2026.04.016","DOIUrl":"10.1016/j.jacr.2026.04.016","url":null,"abstract":"","PeriodicalId":49044,"journal":{"name":"Journal of the American College of Radiology","volume":"23 8","pages":"Page 1829"},"PeriodicalIF":5.3,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147791365","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":"Threshold Benchmarking for Radiology Report Turnaround Times in Payment Programs: Current Thoughts and Literature Review","authors":"Nadja Kadom MD,&nbsp;Vikas Burugu,&nbsp;Mia S. White MLS,&nbsp;Phuong-Anh T. Duong,&nbsp;Melissa M. Chen,&nbsp;Samantha Shugarman MS,&nbsp;Judy Burleson MHSA","doi":"10.1016/j.jacr.2026.05.020","DOIUrl":"10.1016/j.jacr.2026.05.020","url":null,"abstract":"<div><h3>Purpose</h3><div>Report turnaround time (R-TAT) is widely used as a radiology quality metric and is increasingly considered for national benchmarking. Beginning in 2026, CMS will no longer accept continuous R-TAT reporting in the Merit-Based Incentive Payment System and instead recommends threshold-based benchmarks. This study evaluates how radiology practices have used R-TAT in quality improvement and examines the evidence supporting implementation of national threshold-based R-TAT measures.</div></div><div><h3>Methods</h3><div>A systematic literature review was performed in accordance with Preferred Reporting Items for Systematic Reviews and Meta-Analysis guidelines and included English-language studies published between 2000 and 2024 that reported radiology R-TAT defined as time from examination completion to report finalization. Two independent reviewers screened titles, abstracts, and full texts. Eligible studies were analyzed for practice setting and intervention type. Descriptive statistics were generated, and a narrative review discusses risks and feasibility of threshold-based benchmarking.</div></div><div><h3>Results</h3><div>Of 1,722 screened records, 13 studies met inclusion criteria. Most originated from US academic practices (92%) and evaluated technology adoption (46%), targeted improvement projects (31%), or operational changes (23%). All studies relied on local pre- and postintervention comparisons; none reported use of the ACR General Radiology Improvement Database TAT registry for benchmarking. Reported improvements in R-TAT were context specific and heterogeneous. The narrative review identified important concerns regarding clinical risk, unintended consequences, and measurement validity associated with unadjusted threshold-based R-TAT metrics.</div></div><div><h3>Conclusion</h3><div>R-TAT is a useful internal performance indicator for evaluating workflow and operational interventions. However, existing evidence does not support adoption of uniform national threshold-based R-TAT benchmarks without adjustment for case complexity, modality, practice setting, and workflow factors. Continuous R-TAT measures remain better suited for local quality improvement, and future policy implementation should incorporate balancing measures to ensure patient-centered, high-quality radiologic care.</div></div>","PeriodicalId":49044,"journal":{"name":"Journal of the American College of Radiology","volume":"23 8","pages":"Pages 1516-1524"},"PeriodicalIF":5.3,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148165785","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(26)00331-5","DOIUrl":"10.1016/S1546-1440(26)00331-5","url":null,"abstract":"","PeriodicalId":49044,"journal":{"name":"Journal of the American College of Radiology","volume":"23 8","pages":"Pages A1-A7"},"PeriodicalIF":5.3,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148661162","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":"The Clinical Translation Dilemma of Artificial Intelligence-Assisted Cancer Detection","authors":"Wei-jie Lu MM,&nbsp;Yong-wei Hu MM,&nbsp;Xiao-bo Jiang","doi":"10.1016/j.jacr.2026.02.028","DOIUrl":"10.1016/j.jacr.2026.02.028","url":null,"abstract":"","PeriodicalId":49044,"journal":{"name":"Journal of the American College of Radiology","volume":"23 8","pages":"Pages 1469-1470"},"PeriodicalIF":5.3,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147370932","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® Suspected and Known Renal or Splanchnic Artery Aneurysm","authors":"Expert Panel on Vascular Imaging,&nbsp;Sasan Partovi MD,&nbsp;Xin Li MD,&nbsp;Ayaz Aghayev MD,&nbsp;Sandeep S. Hedgire MD,&nbsp;Ahmed Sami Abuzaid MD,&nbsp;Sarah Ahmad MD,&nbsp;Aws Hamid MD,&nbsp;Stanislav Henkin MD, MPH,&nbsp;Edward Hulten MD, MPH,&nbsp;Prashant Nagpal MD,&nbsp;Anil K. Pillai MD,&nbsp;Margarita V. Revzin MD, MS,&nbsp;Beth Ripley MD, PhD,&nbsp;Sachin S. Saboo MD,&nbsp;Richard D. Shih MD,&nbsp;Jeffrey J. Siracuse MD, MBA,&nbsp;Lilja B. Solnes MD, MBA,&nbsp;Richard Thomas MD,&nbsp;Bill S. Majdalany MD","doi":"10.1016/j.jacr.2026.02.030","DOIUrl":"10.1016/j.jacr.2026.02.030","url":null,"abstract":"<div><div>Renal and splanchnic artery aneurysms are clinically significant vascular abnormalities with potential for life-threatening complications, including rupture. Accurate imaging is essential for initial detection, risk stratification, treatment planning purposes, and longitudinal surveillance. This document provides evidence-based recommendations for imaging evaluation of suspected and known renal and/or splanchnic artery aneurysms across four clinical scenarios: adults undergoing initial evaluation, adults under active surveillance, pregnant patients with suspected aneurysm, and pregnant patients undergoing surveillance. The roles of CTA, MRA, ultrasound (including duplex Doppler and contrast-enhanced techniques), and catheter angiography are reviewed with attention to diagnostic performance and safety considerations. CTA and MRA are generally preferred in nonpregnant adults, whereas ultrasound and noncontrast MRA are favored in pregnancy to minimize radiation and contrast exposure. These document aims to optimize imaging utilization, enhance diagnostic accuracy, and support safe, patient-centered management of renal and/or splanchnic artery aneurysms.</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 8","pages":"Pages 1687-1716"},"PeriodicalIF":5.3,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147488911","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}