Journal of the American College of Radiology最新文献_第3页

Seeing Beyond the Image: Should Ethics Be Included in Radiology Curricula? 透视影像之外：放射学课程应该包括伦理学吗？

IF 5.3 3区医学

Journal of the American College of Radiology Pub Date : 2026-10-01 Epub Date: 2026-07-17 DOI: 10.1016/j.jacr.2026.02.041

Angela I. Choe MD, Aline Camargo MD, David M. Yousem MD, MBA, John D. Banja PhD

引用次数: 0

ACR Appropriateness Criteria® Diffuse Lung Disease: 2026 Update ACR适当性标准®弥漫性肺病：2026更新。

IF 5.3 3区医学

Journal of the American College of Radiology Pub Date : 2026-10-01 Epub Date: 2026-08-10 DOI: 10.1016/j.jacr.2026.07.004

Expert Panel on Thoracic Imaging, Lydia Chelala MD, Christopher M. Walker MD, Brent P. Little MD, Kiran Batra MD, Anupama G. Brixey MD, Melissa B. Carroll MD, Jared D. Christensen MD, MBA, Christian W. Cox MD, Subba R. Digumarthy MD, Corey D. Kershaw MD, David A. Lynch MB, ChB, Valerie G. Press MD, MPH, Justin T. Stowell MD, Travis S. Henry MD

{"title":"ACR Appropriateness Criteria® Diffuse Lung Disease: 2026 Update","authors":"Expert Panel on Thoracic Imaging, Lydia Chelala MD, Christopher M. Walker MD, Brent P. Little MD, Kiran Batra MD, Anupama G. Brixey MD, Melissa B. Carroll MD, Jared D. Christensen MD, MBA, Christian W. Cox MD, Subba R. Digumarthy MD, Corey D. Kershaw MD, David A. Lynch MB, ChB, Valerie G. Press MD, MPH, Justin T. Stowell MD, Travis S. Henry MD","doi":"10.1016/j.jacr.2026.07.004","DOIUrl":"10.1016/j.jacr.2026.07.004","url":null,"abstract":"<div><div>Diffuse lung diseases (DLD) also referred to as diffuse parenchymal lung diseases or interstitial lung diseases encompass diverse disorders affecting the lung parenchyma with possible multicompartment involvement in the chest. DLD include several hundred established clinical syndromes and pathologies, with a variety of possible etiologies. Imaging plays a central role during multidisciplinary discussion, which constitutes the current standard for diagnosis and monitoring of DLD. This document aims to establish guidelines for evaluation of diffuse lung diseases for 1) initial imaging of suspected diffuse lung disease, 2) initial imaging of suspected acute exacerbation or acute deterioration in cases of confirmed diffuse lung disease, and 3) surveillance of confirmed diffuse lung disease without acute deterioration.</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 10","pages":"Pages 2024-2038"},"PeriodicalIF":5.3,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148708793","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}

引用次数: 0

Association of Office-Visit Imaging Utilization with Radiologist Versus Ordering Provider Imaging Interpretation 放射科医生与订制医生影像解释的办公室访问影像利用的关联。

IF 5.3 3区医学

Journal of the American College of Radiology Pub Date : 2026-10-01 Epub Date: 2026-09-01 DOI: 10.1016/j.jacr.2026.07.017

Eric W. Christensen PhD, Chi-Mei Liu PhD, Elizabeth Y. Rula PhD, Vijay M. Rao MD

{"title":"Association of Office-Visit Imaging Utilization with Radiologist Versus Ordering Provider Imaging Interpretation","authors":"Eric W. Christensen PhD, Chi-Mei Liu PhD, Elizabeth Y. Rula PhD, Vijay M. Rao MD","doi":"10.1016/j.jacr.2026.07.017","DOIUrl":"10.1016/j.jacr.2026.07.017","url":null,"abstract":"<div><h3>Objective</h3><div>To assess the association between imaging ordering rates after office-based evaluation and management (E&M) visits and the percentage of a practice’s imaging studies interpreted by a radiologist versus the ordering provider.</div></div><div><h3>Methods</h3><div>CMS 5% Research Identifiable Files (2021-2023) were used to identify office-based E&M claims, patient and clinical characteristics, and associated imaging (CT, MR, nuclear medicine, ultrasound, radiography/fluoroscopy) within 30 days. Provider and practice characteristics were derived from the CMS Medicare Data on Provider Practice and Specialty. Multivariable logistic regression assessed the association between imaging after an E&M visit and the share of imaging interpreted by radiologists or ordering providers, controlling for provider, practice, patient, and clinical characteristics.</div></div><div><h3>Results</h3><div>There were 24,243,642 E&M visits that met the selection criteria. Of these, 13.6% had imaging, and the ordering provider’s self-interpretation rate was 33.2%. Practices with 100% versus 0% radiologist interpretation had lower adjusted odds ratios for 30-day imaging for all modalities except CT ranging from 0.59 (95% confidence interval [CI], 0.57-0.62) for ultrasound to 0.95 (95% CI, 0.90-0.99) for MR. Conversely, ordering providers with 100% versus 0% self-interpretation had higher odds ratios for visit-associated imaging, overall (2.88; 95% CI, 2.79-2.98) and for each modality ranging from 1.54 (95% CI, 1.42-1.66) for MR to 3.51 (95% CI, 3.37-3.65) for ultrasound. Odds varied by ordering provider subspecialty and patient diagnosis.</div></div><div><h3>Discussion</h3><div>Imaging orders were more likely after visits to providers that always versus never self-interpret imaging, while visits to practices that refer a higher percentage of imaging to radiologists were less likely to result in imaging.</div></div>","PeriodicalId":49044,"journal":{"name":"Journal of the American College of Radiology","volume":"23 10","pages":"Pages 1904-1914"},"PeriodicalIF":5.3,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148868148","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}

引用次数: 0

Patient Preferences Regarding Immediate Versus Delayed Release of Breast Biopsy Results in a Safety-Net Health System 在安全网卫生系统中，患者对乳房活检结果的即时或延迟释放的偏好。

IF 5.3 3区医学

Journal of the American College of Radiology Pub Date : 2026-10-01 Epub Date: 2026-07-30 DOI: 10.1016/j.jacr.2026.07.016

Antonio R. Lopez MD, Gelareh Sadigh MD, Sarah Tevis MD, Angela Whittington MD, Aiyah Jandali MD, Ruth C. Carlos MD, MS, Randy C. Miles MD, MPH

引用次数: 0

Patient-Friendly Summary of the ACR Appropriateness Criteria®: Scoliosis-Child ACR适宜性标准的患者友好总结®：脊柱侧凸-儿童。

IF 5.3 3区医学

Journal of the American College of Radiology Pub Date : 2026-10-01 Epub Date: 2026-07-21 DOI: 10.1016/j.jacr.2026.07.007

Jayden Lee BS, BA, Saadiya Sehareen DO

引用次数: 0

Comment on “Would You Like a Side of Artificial Intelligence With Your Mammogram? An Experimental Study of Patient Willingness to Pay for Artificial Intelligence” 评论“你想在乳房x光检查中加入人工智能吗？”患者为人工智能付费意愿的实验研究”。

IF 5.3 3区医学

Journal of the American College of Radiology Pub Date : 2026-10-01 Epub Date: 2026-08-07 DOI: 10.1016/j.jacr.2026.07.019

Liao Ming Shan PhD, Mei Zhaojun PhD

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Table of Content 目录表

IF 5.3 3区医学

Journal of the American College of Radiology Pub Date : 2026-10-01 DOI: 10.1016/S1546-1440(26)00416-3

引用次数: 0

Patient-Friendly Summary of the ACR Appropriateness Criteria®: Anorectal Disease 对患者友好的ACR适宜性标准总结：肛肠疾病。

IF 5.3 3区医学

Journal of the American College of Radiology Pub Date : 2026-09-01 Epub Date: 2026-04-21 DOI: 10.1016/j.jacr.2026.04.012

Sania Choudhary, David H. Kim MD

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“Accuracy or Agreement?” Reconsidering the Use of Artificial Intelligence as a Reference Standard in Head CT Reformatting “准确还是一致？”重新考虑在头部CT重格式化中使用AI作为参考标准。

IF 5.3 3区医学

Journal of the American College of Radiology Pub Date : 2026-09-01 Epub Date: 2026-06-04 DOI: 10.1016/j.jacr.2026.04.026

Zhihao Lei MPS

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Efficiency and Financial Gains From Artificial Intelligence Algorithm Implementation 人工智能算法实现的效率和经济收益。

IF 5.3 3区医学

Journal of the American College of Radiology Pub Date : 2026-09-01 Epub Date: 2026-07-08 DOI: 10.1016/j.jacr.2026.06.013

Miriam A. Bredella MD, MBA, Nazish Ilyas MD, Katie Tobin MS, Steven Chatfield MBA, Michael P. Recht MD

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