Journal of the American College of Radiology最新文献

{"title":"Unraveled: Prescriptions to Repair a Broken Health System","authors":"William B. Weeks MD, PhD, MBA , Ryan C. Rizk BS, MS , Steven P. Rowe MD, PhD , Elliot K. Fishman MD , Linda C. Chu MD","doi":"10.1016/j.jacr.2024.01.021","DOIUrl":"10.1016/j.jacr.2024.01.021","url":null,"abstract":"","PeriodicalId":49044,"journal":{"name":"Journal of the American College of Radiology","volume":"21 12","pages":"Pages 1919-1921"},"PeriodicalIF":4.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139669603","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® Imaging of Suspected Intracranial Hypotension","authors":"Expert Panel on Neurological Imaging,&nbsp;Vincent M. Timpone MD ,&nbsp;Matthew S. Parsons MD ,&nbsp;Daniel J. Boulter MD ,&nbsp;Judah Burns MD ,&nbsp;Rami W. Eldaya MD, MBA ,&nbsp;Jonathan A. Grossberg MD ,&nbsp;Alvand Hassankhani MD ,&nbsp;Troy A. Hutchins MD ,&nbsp;Adam G. Kelly MD ,&nbsp;Majid A. Khan MD ,&nbsp;A. Orlando Ortiz MD, MBA ,&nbsp;Christopher A. Potter MD ,&nbsp;Vinil N. Shah MD ,&nbsp;Richard D. Shih MD ,&nbsp;Chadwick L. Wright MD, PhD ,&nbsp;Bruno Policeni MD, MBA","doi":"10.1016/j.jacr.2024.08.020","DOIUrl":"10.1016/j.jacr.2024.08.020","url":null,"abstract":"<div><div>The clinical syndrome of intracranial hypotension refers to the symptoms caused by cerebrospinal fluid hypovolemia and is primarily characterized by postural headaches, but can be associated with a multitude of other neurological symptoms. Imaging plays a critical role in helping to establish a diagnosis of intracranial hypotension, localize the source of cerebrospinal fluid leak, and assist in directing targeted treatments. Using the best available evidence, this document provides diagnostic imaging recommendations for the workup of intracranial hypotension across various clinical presentations.</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":"21 11","pages":"Pages S396-S412"},"PeriodicalIF":4.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142565435","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":"Association of Scholarly Impact to Industrial Contributions Among Academic Interventional Radiologists","authors":"Mahee Islam MD ,&nbsp;Jasmine Lee BS ,&nbsp;Bunchhin Huy BS ,&nbsp;Srinidhi Shanmugasundaram MD ,&nbsp;Abhishek Kumar MD ,&nbsp;Pratik Shukla MD","doi":"10.1016/j.jacr.2024.06.012","DOIUrl":"10.1016/j.jacr.2024.06.012","url":null,"abstract":"<div><h3>Objective</h3><div>The Physician Sunshine Act of 2010 aimed to increase public awareness of physician-industry relationships. Our objective was to evaluate whether there is an association between scholarly impact and industry funding among academic interventional radiologists.</div></div><div><h3>Methods</h3><div>A database from a prior study with our group was used in which we had investigated H-indices among US interventional radiologists; academic rank, gender, institution, and geographic location were obtained. The Scopus database was queried to determine all physicians’ H-index. The CMS Open Payments database was used to determine industry payments from 2015 to 2021 for each interventional radiologist.</div></div><div><h3>Results</h3><div>H-index and professor rank positively and significantly correlated with industrial funding (H-index coefficient = $6,977, <em>P</em> &lt; .001 and professor rank coefficient = $183,902, <em>P</em> = .003). Industry funding was found to be significantly different between all ranks. Among 830 academic interventional radiologists, the mean industrial funding of male physicians was $130,034, which was significantly higher than female physicians’ $28,166 (<em>P</em> = .00013). By academic rank, male primary investigators of associate professor and unranked position had higher industrial funding than female primary investigators (Wilcoxon test, <em>P</em> = .029 and <em>P</em>= .039, respectively). Professor and assistant professor ranks had no significant difference in industrial funding between male and female physicians (Wilcoxon’s test, <em>P</em> = .080 and <em>P</em> = .053, respectively).</div></div><div><h3>Conclusion</h3><div>Scholarly activity as defined by the H-index and academic rank seem to have a positive association with industry funding of academic interventional radiologists.</div></div>","PeriodicalId":49044,"journal":{"name":"Journal of the American College of Radiology","volume":"21 11","pages":"Pages 1741-1745"},"PeriodicalIF":4.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141473280","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®: Occupational Lung Diseases","authors":"Sania Choudhary ,&nbsp;Sonya Bhole MD","doi":"10.1016/j.jacr.2024.07.012","DOIUrl":"10.1016/j.jacr.2024.07.012","url":null,"abstract":"","PeriodicalId":49044,"journal":{"name":"Journal of the American College of Radiology","volume":"21 11","pages":"Page e97"},"PeriodicalIF":4.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141891136","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":"Neurodiversity and Leadership","authors":"Diana Heldfond ,&nbsp;Elliot K. Fishman MD ,&nbsp;Linda C. Chu MD ,&nbsp;Ryan C. Rizk MS ,&nbsp;Steven P. Rowe MD, PhD","doi":"10.1016/j.jacr.2024.02.012","DOIUrl":"10.1016/j.jacr.2024.02.012","url":null,"abstract":"","PeriodicalId":49044,"journal":{"name":"Journal of the American College of Radiology","volume":"21 11","pages":"Pages 1832-1834"},"PeriodicalIF":4.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139926158","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":"Virtual Multidisciplinary Team Meetings: A Tool to Increase Radiology Access in Global Health Settings","authors":"Benjamin Brown MD ,&nbsp;William Pryor MD ,&nbsp;Bip Nandi MB, BChir ,&nbsp;Amarylis Mapurisa MD ,&nbsp;Casey L. McAtee MD, MPH ,&nbsp;Nmazuo Ozuah MD ,&nbsp;Suzgo Mzumara MD ,&nbsp;Katrina McGinty MD","doi":"10.1016/j.jacr.2024.07.018","DOIUrl":"10.1016/j.jacr.2024.07.018","url":null,"abstract":"","PeriodicalId":49044,"journal":{"name":"Journal of the American College of Radiology","volume":"21 11","pages":"Pages 1805-1809"},"PeriodicalIF":4.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141908579","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 Perils and the Promise of Whole-Body MRI: Why We May Be Debating the Wrong Things","authors":"Daniel K. Sodickson MD, PhD","doi":"10.1016/j.jacr.2024.08.025","DOIUrl":"10.1016/j.jacr.2024.08.025","url":null,"abstract":"","PeriodicalId":49044,"journal":{"name":"Journal of the American College of Radiology","volume":"21 11","pages":"Pages 1816-1818"},"PeriodicalIF":4.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142302714","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® Multiple Gestations: 2024 Update","authors":"Expert Panel on GYN and OB Imaging,&nbsp;Priyanka Jha MD ,&nbsp;Vickie A. Feldstein MD ,&nbsp;Liina Poder MD ,&nbsp;Loretta M. Strachowski MD ,&nbsp;Dorothy I. Bulas MD ,&nbsp;Ingrid Burger MD, PhD ,&nbsp;Sherelle L. Laifer-Narin MD ,&nbsp;Edward R. Oliver MD, PhD ,&nbsp;Eileen Y. Wang MD ,&nbsp;Carolyn M. Zelop MD ,&nbsp;Stella K. Kang MD, MS","doi":"10.1016/j.jacr.2024.08.013","DOIUrl":"10.1016/j.jacr.2024.08.013","url":null,"abstract":"<div><div>The incidence of twin pregnancies has been rising, largely attributable to increasing use of artificial reproductive techniques. Ultrasound plays a critical role in establishing the chorionicity and amnionicity of multiple gestations, a key predictor of the expected risk and complications, along with guiding future clinical and imaging follow-up examinations and intervals. People carrying multiple gestations will typically undergo more ultrasound examinations (and occasionally fetal MRI) than those carrying singletons, at minimum including a first trimester dating scan, nuchal translucency scan at 11 to 14 weeks, an anatomy scan at 18 to 22 weeks, and other scans in the second and third trimesters for growth and surveillance. This document clarifies the most appropriate imaging guidelines for multiple gestations for seven clinical scenarios/variants, which range from initial imaging, follow-up imaging, growth and surveillance for uncomplicated multiple gestations, and those complicated by a known abnormality or discordance between fetuses.</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":"21 11","pages":"Pages S413-S432"},"PeriodicalIF":4.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142565437","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® Endometriosis","authors":"Expert Panel on GYN and OB Imaging,&nbsp;Myra K. Feldman MD ,&nbsp;Ashish P. Wasnik MD ,&nbsp;Megan Adamson MD ,&nbsp;Adrian A. Dawkins MD ,&nbsp;Elizabeth H. Dibble MD ,&nbsp;Lisa P. Jones MD ,&nbsp;Gayatri Joshi MD ,&nbsp;Kira Melamud MD ,&nbsp;Krupa K. Patel-Lippmann MD ,&nbsp;Kimberly Shampain MD ,&nbsp;Wendaline VanBuren MD ,&nbsp;Stella K. Kang MD, MS","doi":"10.1016/j.jacr.2024.08.017","DOIUrl":"10.1016/j.jacr.2024.08.017","url":null,"abstract":"<div><div>Endometriosis is a common condition impacting individuals assigned female at birth. Though incompletely understood, the disorder is caused by endometrial-like tissue located outside of the endometrial cavity, associated with inflammation and fibrosis. Clinical presentation is variable, ranging from asymptomatic to severe pelvic pain and infertility. Treatment is determined by the patient’s individualized goals and can include medical therapies to temporize symptoms or definitive surgical excision. Imaging is used to help diagnose endometriosis and for treatment planning.</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":"21 11","pages":"Pages S384-S395"},"PeriodicalIF":4.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142565430","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 Scents, Sense, and Cents in Jeni’s Splendid Ice Creams: Implications for Radiology","authors":"Jeni Britton ,&nbsp;Elliot K. Fishman MD ,&nbsp;Steven P. Rowe MD, PhD ,&nbsp;Linda C. Chu MD ,&nbsp;Ryan C. Rizk BS","doi":"10.1016/j.jacr.2024.07.017","DOIUrl":"10.1016/j.jacr.2024.07.017","url":null,"abstract":"","PeriodicalId":49044,"journal":{"name":"Journal of the American College of Radiology","volume":"21 11","pages":"Pages 1835-1836"},"PeriodicalIF":4.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141908578","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}