Journal of the American College of Radiology最新文献

{"title":"Patient-Friendly Summary of the ACR Appropriateness Criteria®: Parathyroid Adenoma","authors":"Christian P. Haskett PhD, AEMT , Gregory J. Czuczman MD","doi":"10.1016/j.jacr.2024.06.016","DOIUrl":"10.1016/j.jacr.2024.06.016","url":null,"abstract":"","PeriodicalId":49044,"journal":{"name":"Journal of the American College of Radiology","volume":"22 5","pages":"Page 618"},"PeriodicalIF":4.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141499752","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":"Characterization and Targeting of the Main Drivers of Elective Imaging Utilization: A Cross-Sectional Study Applying Conjoint Analysis","authors":"Cindy Yuan MD, PhD ,&nbsp;Hongxian Huang MA ,&nbsp;Douglas Dirschl MD ,&nbsp;Pradeep Chintagunta PhD ,&nbsp;David Paushter MD","doi":"10.1016/j.jacr.2025.01.009","DOIUrl":"10.1016/j.jacr.2025.01.009","url":null,"abstract":"<div><h3>Objective</h3><div>To characterize patient and referring physician preferences when selecting where to have elective imaging performed.</div></div><div><h3>Methods</h3><div>In this institutional research board–approved survey-based study, online surveys were completed by 393 patients who had recently had a noncontrast MRI of the shoulder, lumbar spine, or knee within the past 2 years and 168 physicians who had ordered at least 12 such MRIs in the past year. The survey data included explicit questions about preferences as well as a set of conjoint choice screens. Conjoint analysis used a logistic model estimated using maximum likelihood estimation. Additionally, latent class analysis was performed to evaluate segmentation of the market.</div></div><div><h3>Results</h3><div>Both patients and referring physicians placed most value on copay and cost, with both groups containing a large segment that places almost all value on low costs. Patients also valued the recommendation of their referring physician and convenient appointment time and location. Overall, physicians also valued image quality and a trusted radiologist, with one physician segment placing more value on these traits than cost. As expected, there was some variation between the relative importance of traits depending on whether respondents were ranking, rating, or implicitly valuing characteristics.</div></div><div><h3>Discussion</h3><div>Overall, both patients and referring physicians place greatest importance on copay and cost but other nonmonetary characteristics have significant utility values, which could be leveraged to help radiology practices offer better services for their patients and referring physicians.</div></div>","PeriodicalId":49044,"journal":{"name":"Journal of the American College of Radiology","volume":"22 5","pages":"Pages 521-529"},"PeriodicalIF":4.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143017749","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®: Supplemental Breast Cancer Screening Based on Breast Density: 2024 Update","authors":"Avani Shinde ,&nbsp;Samantha L. Heller MD, PhD","doi":"10.1016/j.jacr.2025.01.005","DOIUrl":"10.1016/j.jacr.2025.01.005","url":null,"abstract":"","PeriodicalId":49044,"journal":{"name":"Journal of the American College of Radiology","volume":"22 5","pages":"Page 614"},"PeriodicalIF":4.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143017750","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(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":"ACR Appropriateness Criteria® Chylothorax Treatment Planning: 2024 Update","authors":"Expert Panel on Vascular Imaging,&nbsp;Nima Kokabi MD ,&nbsp;Howard Dabbous MD ,&nbsp;Minhaj S. Khaja MD, MBA ,&nbsp;Joe B. Baker MD ,&nbsp;Anupama G. Brixey MD ,&nbsp;William F. Browne MD ,&nbsp;Benjamin N. Contrella MD ,&nbsp;Saadia A. Faiz MD ,&nbsp;Andrew J. Gunn MD ,&nbsp;Nicole A. Keefe MD ,&nbsp;A. Tuba Kendi MD ,&nbsp;Philip A. Linden MD ,&nbsp;Harold Litt MD, PhD ,&nbsp;Aditya M. Sharma MBBS ,&nbsp;Kanupriya Vijay MD, MBBS ,&nbsp;David S. Wang MD ,&nbsp;Bill S. Majdalany MD","doi":"10.1016/j.jacr.2025.02.033","DOIUrl":"10.1016/j.jacr.2025.02.033","url":null,"abstract":"<div><div>Chylothoraces are encountered at a rate of up to 1 in 6,000 in all hospital admissions. The etiology of these chylothoraces can be categorized into traumatic or nontraumatic. Traumatic or iatrogenic chylothorax can be seen in up to half of all chylothoraces with nontraumatic or unknown etiology constituting the remaining majority. Treatment planning is essential in chylothorax due to the varying etiologies. Lymphangiography continues to be usually appropriate, as it is both an effective diagnostic and a therapeutic intervention. Additionally, with development in MR technology, MR lymphangiography has advanced rapidly in the last decade and is an additional radiological procedure that is usually appropriate in all etiologies of chylothoraces. Ultrasound is not appropriate for treatment planning in all etiologies and CT chest without contrast is not appropriate in nontraumatic etiologies of chylothoraces. All other radiological procedures may be appropriate based on individual cases.</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":"22 5","pages":"Pages S177-S189"},"PeriodicalIF":4.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144106336","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® Lung Cancer-Surveillance After Therapy","authors":"Expert Panel on Thoracic Imaging,&nbsp;Rachna Madan MBBS ,&nbsp;Raquelle H. El Alam MD ,&nbsp;Christopher M. Walker MD ,&nbsp;Tami J. Bang MD ,&nbsp;Twyla B. Bartel DO, MBA ,&nbsp;Kiran Batra MD ,&nbsp;Anupama G. Brixey MD ,&nbsp;Jared D. Christensen MD, MBA ,&nbsp;Christian W. Cox MD ,&nbsp;Anne V. Gonzalez MD, MSc ,&nbsp;Brent P. Little MD ,&nbsp;Natalie S. Lui MD ,&nbsp;Hannah Maxfield MD ,&nbsp;William H. Moore MD ,&nbsp;Angel Qin MD ,&nbsp;Girish S. Shroff MD ,&nbsp;Kazuhiro Yasufuku MD, PhD ,&nbsp;Jonathan H. Chung MD","doi":"10.1016/j.jacr.2025.02.025","DOIUrl":"10.1016/j.jacr.2025.02.025","url":null,"abstract":"<div><div>This document reviews the evidence supporting different imaging modalities and techniques used to evaluate patients with a history of lung cancer. It focuses on the imaging evaluation of patients treated for stage I-III non–small-cell lung cancer and small-cell lung cancer, whether using individual modalities or combinations. Guidelines for both routine surveillance of stage I-III lung cancer and for the evaluation of suspected recurrence or disease progression are provided.</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":"22 5","pages":"Pages S319-S342"},"PeriodicalIF":4.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144106246","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":"TOC","authors":"","doi":"10.1016/S1546-1440(25)00161-9","DOIUrl":"10.1016/S1546-1440(25)00161-9","url":null,"abstract":"","PeriodicalId":49044,"journal":{"name":"Journal of the American College of Radiology","volume":"22 5","pages":"Pages A1-A6"},"PeriodicalIF":4.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144106454","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® Acute Hip Pain: 2024 Update","authors":"Expert Panel on Musculoskeletal Imaging,&nbsp;Roger J. Bartolotta MD ,&nbsp;Alice S. Ha MD, MS ,&nbsp;Cyrus P. Bateni MD ,&nbsp;Karen C. Chen MD ,&nbsp;Aleksey Dvorzhinskiy MD ,&nbsp;Jonathan Flug MD, MBA ,&nbsp;Christian S. Geannette MD ,&nbsp;A. Tuba Karagulle Kendi MD ,&nbsp;Olga Laur MD ,&nbsp;Robin B. Levenson MD ,&nbsp;Nadia Mujahid MD ,&nbsp;Sreelakshmi Panginikkod MD ,&nbsp;Gary M. Plant MD ,&nbsp;Benjamin E. Plotkin MD ,&nbsp;Richard D. Shih MD ,&nbsp;Daniel E. Wessell MD, PhD","doi":"10.1016/j.jacr.2025.02.039","DOIUrl":"10.1016/j.jacr.2025.02.039","url":null,"abstract":"<div><div>Acute hip pain can be related to any combination of hip fracture, dislocation, and/or soft tissue injury. These injuries require timely diagnosis to avoid associated complications, such as osteonecrosis or prolonged immobility. Imaging plays a crucial role in the evaluation of these injuries, noting that hip fractures cannot be reliably diagnosed or excluded via physical examination alone. Radiographs are the initial imaging modality of choice for acute hip pain. Several recent studies have evaluated specific scenarios in which cross-sectional imaging (CT and/or MRI) should also be obtained—these scenarios will be reviewed as separate variants within this document.</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":"22 5","pages":"Pages S3-S13"},"PeriodicalIF":4.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144106456","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 ,&nbsp;Catherine H. Phillips MD ,&nbsp;Jessica B. Robbins MD ,&nbsp;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,&nbsp;Pilar López-Úbeda PhD,&nbsp;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}