Journal of the American College of Radiology最新文献

{"title":"Patient-Friendly Summary of the ACR Appropriateness Criteria®: Thoracic Aortic Aneurysm or Dissection-Treatment Planning and Follow-Up: 2025 Update","authors":"Jonathan Burns , Alexander Lam MD","doi":"10.1016/j.jacr.2025.06.006","DOIUrl":"10.1016/j.jacr.2025.06.006","url":null,"abstract":"","PeriodicalId":49044,"journal":{"name":"Journal of the American College of Radiology","volume":"22 10","pages":"Page 1250"},"PeriodicalIF":5.1,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144251180","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":"Best Practices in Cybersecurity Governance: Safeguarding Radiology","authors":"Vidya Sankar Viswanathan MD ,&nbsp;Peter Harri MD ,&nbsp;Joshua Volin MD ,&nbsp;Jigar Kadakia MBA ,&nbsp;Nabile Safdar MD, MPH, FSIIM ,&nbsp;Elias Kikano MD","doi":"10.1016/j.jacr.2025.06.001","DOIUrl":"10.1016/j.jacr.2025.06.001","url":null,"abstract":"<div><div><span>The health care<span> sector has experienced a significant rise in cybersecurity threats, particularly within diagnostic imaging services, which face increasing cyberattacks; with nearly 90% of health care organizations reporting such incidents, the financial and operational repercussions are severe. High-profile breaches, including ransomware, highlight the urgent need for robust cybersecurity measures. This article examines the evolving regulatory landscape, including updates to HIPAA and </span></span>General Data Protection Regulation<span>, and their implications for cybersecurity governance within radiology departments. It explores the complexities of cybersecurity structures in academic health care settings, emphasizing the importance of leadership roles in managing risks and ensuring compliance. Preparedness strategies, including incident command structures and training protocols, are critical for mitigating downtime impacts. Recent widespread IT outages have underscored the necessity of proactive planning and diversified system usage to maintain operational continuity. This comprehensive analysis provides radiologists and health care professionals insights into enhancing their resilience against cyber threats, ultimately safeguarding sensitive patient data and ensuring efficient radiological services.</span></div></div>","PeriodicalId":49044,"journal":{"name":"Journal of the American College of Radiology","volume":"22 10","pages":"Pages 1132-1140"},"PeriodicalIF":5.1,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144259560","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":"Geopolitics, Trade Policy, and Radiopharmaceutical Supply Chain Resilience: A Chain Reaction","authors":"Vrushab Gowda MD, JD ,&nbsp;Umar Mahmood MD, PhD","doi":"10.1016/j.jacr.2025.06.021","DOIUrl":"10.1016/j.jacr.2025.06.021","url":null,"abstract":"","PeriodicalId":49044,"journal":{"name":"Journal of the American College of Radiology","volume":"22 10","pages":"Pages 1240-1242"},"PeriodicalIF":5.1,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144340759","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":"LGBTQ+ Inclusion Index Quantifies the Consequences of “Sunsetting” Diversity, Equity, and Inclusion","authors":"Jordan D. Perchik MD ,&nbsp;Anne Darrow MD, MA ,&nbsp;Morlie Wang MD, MPH ,&nbsp;Erin Cooke MD ,&nbsp;Mary V. Marx MD ,&nbsp;Lars J. Grimm MD, MHS","doi":"10.1016/j.jacr.2025.06.040","DOIUrl":"10.1016/j.jacr.2025.06.040","url":null,"abstract":"","PeriodicalId":49044,"journal":{"name":"Journal of the American College of Radiology","volume":"22 10","pages":"Pages 1243-1244"},"PeriodicalIF":5.1,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144562197","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":"Expanding Access and Equity in Breast Cancer Screening Through Legislative Action","authors":"Derek L. Nguyen MD","doi":"10.1016/j.jacr.2025.06.038","DOIUrl":"10.1016/j.jacr.2025.06.038","url":null,"abstract":"","PeriodicalId":49044,"journal":{"name":"Journal of the American College of Radiology","volume":"22 10","pages":"Pages 1215-1216"},"PeriodicalIF":5.1,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144700566","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":"Introduction to the JACR Focus Issue on Cybersecurity and Data Safety","authors":"Patricia Balthazar MD, MPH ,&nbsp;Po-Hao Chen MD, MBA","doi":"10.1016/j.jacr.2025.07.020","DOIUrl":"10.1016/j.jacr.2025.07.020","url":null,"abstract":"","PeriodicalId":49044,"journal":{"name":"Journal of the American College of Radiology","volume":"22 10","pages":"Pages 1117-1118"},"PeriodicalIF":5.1,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144769432","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":"Sustainability in Radiology: Position Paper and Call to Action from ACR, AOSR, ASR, CAR, CIR, ESR, ESRNM, ISR, IS3R, RANZCR, and RSNA∗","authors":"Andrea G. Rockall MRCP, FRCR ,&nbsp;Bibb Allen MD, BA ,&nbsp;Maura J. Brown MD, MHA, FRCPC ,&nbsp;Tarek El-Diasty MD ,&nbsp;Jan Fletcher MD ,&nbsp;Rachel F. Gerson MD ,&nbsp;Stacy Goergen MBBS (Hons), MClinEpi ,&nbsp;Amanda P. Marrero González MD ,&nbsp;Thomas M. Grist MD ,&nbsp;Kate Hanneman MD, MPH ,&nbsp;Christopher P. Hess MD, PhD ,&nbsp;Evelyn Lai Ming Ho MD ,&nbsp;Dina H. Salama MD ,&nbsp;Julia Schoen MD, MS ,&nbsp;Sarah Sheard MD","doi":"10.1016/j.jacr.2025.02.009","DOIUrl":"10.1016/j.jacr.2025.02.009","url":null,"abstract":"<div><div>The urgency for climate action is recognized by international government and health care organizations, including the United Nations and World Health Organization. Climate change, biodiversity loss, and pollution negatively impact all life on earth. All populations are impacted but not equally; the most vulnerable are at highest risk, an inequity further exacerbated by differences in access to health care globally. The delivery of health care exacerbates the planetary health crisis through greenhouse gas emissions, largely due to combustion of fossil fuels for medical equipment production and operation, creation of medical and non-medical waste, and contamination of water supplies. As representatives of radiology societies from across the globe who work closely with industry, and both governmental and non-governmental leaders in multiple capacities, we advocate together for urgent, impactful, and measurable changes to the way we deliver care by further engaging our members, policymakers, industry partners, and our patients. Simultaneous challenges including global health disparities, resource allocation, and access to care must inform these efforts. Climate literacy should be increasingly added to radiology training programs. More research is required to understand and measure the environmental impact of radiological services and inform mitigation, adaptation, and monitoring efforts. Deeper collaboration with industry partners is necessary to support innovations in the supply chain, energy utilization, and circular economy. Many solutions have been proposed and are already available, but we must understand and address barriers to implementation of current and future sustainable innovations. Finally, there is a compelling need to partner with patients, to ensure that trust in the excellence of clinical care is maintained during the transition to sustainable radiology. By fostering a culture of global cooperation and rapid sharing of solutions among the broader imaging community, we can transform radiological practice to mitigate its environmental impact, adapt and develop resilience to current and future climate and environmental threats, and simultaneously improve access to care.</div></div>","PeriodicalId":49044,"journal":{"name":"Journal of the American College of Radiology","volume":"22 9","pages":"Pages 1082-1090"},"PeriodicalIF":5.1,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143525439","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":"Inpatient Imaging Utilization and Radiology Workload: Trends of the Past Decade and Through the COVID-19 Pandemic","authors":"Tina Shiang MD ,&nbsp;Edwin Thai BA, MS ,&nbsp;Richard Hanson BA ,&nbsp;Ronilda Lacson MD, PhD ,&nbsp;Sanjay Saini MD ,&nbsp;Catherine S. Giess MD ,&nbsp;David W. Bates MD, MSc ,&nbsp;Ramin Khorasani MD, MPH","doi":"10.1016/j.jacr.2025.05.011","DOIUrl":"10.1016/j.jacr.2025.05.011","url":null,"abstract":"<div><h3>Purpose</h3><div>The aim of this study was to assess inpatient radiology imaging utilization and workload trends at a large academic medical center from fiscal year (FY) 2013 to FY 2023.</div></div><div><h3>Methods</h3><div><span><span>This retrospective study included 896,005 imaging examinations from adult inpatients treated from October 1, 2012, to September 30, 2023 (FY 2013 to FY 2023) at an 866-bed tertiary care academic institution. Examinations were coded by modality—radiography (XR), CT, MRI, ultrasound, and nuclear medicine (NM)—and adjusted for disease severity using case-mix index. Relative value units (RVUs) were used to measure radiology workload. </span>Linear regression analysis and the χ</span>² test were used to assess trends in imaging examinations per case mix–adjusted admission (CMAA) and RVUs.</div></div><div><h3>Results</h3><div>Although total number of annual imaging examinations increased from 102,025 to 118,991 during the study period (<em>P</em> &lt; .001), total imaging examinations per CMAA decreased (<em>P</em> &lt; .001) because of decreases in XR, ultrasound, and NM examinations (<em>P</em> &lt; .001 for all). However, radiology workload (professional, technical, and global) increased significantly (<em>P</em> &lt; .001), attributable mainly to increased CT and MRI utilization (<em>P</em> &lt; .001). Although CT and MRI examinations per CMAA increased by 19.2% and 21.4% respectively, professional RVUs increased by 80.6% for CT (<em>P</em> &lt; .001) and by 90.7% for MRI (<em>P</em> &lt; .001). Average length of stay increased by 32.1% from 5.6 to 7.4 days (<em>P</em> &lt; .001) during the study period.</div></div><div><h3>Conclusions</h3><div>Despite an overall decrease in disease severity–adjusted inpatient imaging utilization, inpatient radiology workload increased significantly over the decade as advanced imaging replaced lower cost modalities. Greater reliance on CT and MRI, possibly influenced by coronavirus disease of 2019 practice changes and not fully explained by disease severity, was associated with longer inpatient stays.</div></div>","PeriodicalId":49044,"journal":{"name":"Journal of the American College of Radiology","volume":"22 9","pages":"Pages 979-989"},"PeriodicalIF":5.1,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144096378","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®: Imaging of Ductal Carcinoma in Situ (DCIS)","authors":"Sania Choudhary ,&nbsp;Sonya Bhole MD","doi":"10.1016/j.jacr.2025.05.007","DOIUrl":"10.1016/j.jacr.2025.05.007","url":null,"abstract":"","PeriodicalId":49044,"journal":{"name":"Journal of the American College of Radiology","volume":"22 9","pages":"Page 1105"},"PeriodicalIF":5.1,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144048044","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":"Co-Development, Evaluation, and Dissemination of a Lung Cancer Screening Digital Outreach Intervention: A Multiphase Randomized Clinical Trial","authors":"Jordan M. Neil PhD ,&nbsp;Nathaniel D. Mercaldo PhD ,&nbsp;Keenae Tiersma BA ,&nbsp;Zoe Nelson BA ,&nbsp;Amy Lee BS ,&nbsp;Lauren Ballini MPH ,&nbsp;Bingjing Mao PhD ,&nbsp;Ruosi Shao PhD ,&nbsp;Kelly Irwin MD ,&nbsp;Ruth C. Carlos MD, MS ,&nbsp;Elyse R. Park PhD, MPH ,&nbsp;Efrén J. Flores MD","doi":"10.1016/j.jacr.2025.06.014","DOIUrl":"10.1016/j.jacr.2025.06.014","url":null,"abstract":"<div><h3>Purpose</h3><div>Individuals from low–socioeconomic status (SES) communities experience worse lung cancer outcomes and multilevel barriers to lung cancer screening (LCS). Digital interventions may bridge LCS barriers. In this study, a three-phase design was used to rigorously develop, evaluate, and disseminate a digital outreach intervention to promote LCS among individuals from low-SES communities.</div></div><div><h3>Methods</h3><div>In phase 1, focus groups were conducted with primary care<span> providers (n = 12), patient advocates (n = 8), and patients who had (n = 7) and had not undergone LCS (n = 8). Focus groups explored barriers and facilitators to LCS and guided the development of three LCS outreach videos, which differed by message source (radiologist, patient, or both). In phase 2, LCS-eligible individuals from a national sample (n = 315) were randomized 1:1:1 to evaluate the videos. Logistic regression analyses were conducted to quantify the association between outreach video and intent to talk to a provider about LCS. In phase 3, 636 participants due for LCS with Medicaid received the outreach video via patient portal or text or email. Reach of the intervention and 12-month LCS follow-up rates were measured.</span></div></div><div><h3>Results</h3><div>In phase 1, participants cited fear of lung cancer and confusion about LCS eligibility criteria. In phase 2, there were no significant differences in intent to speak to a provider about LCS by outreach video type. In phase 3, a significantly greater proportion of participants reached by the intervention had scheduled or completed LCS than those not reached (32.4% vs 23.2%, <em>P</em> = .041).</div></div><div><h3>Conclusions</h3><div>Participants who were reached by the digital outreach intervention codeveloped and disseminated to patients from low-SES communities were more likely to complete LCS.</div></div>","PeriodicalId":49044,"journal":{"name":"Journal of the American College of Radiology","volume":"22 9","pages":"Pages 1008-1018"},"PeriodicalIF":5.1,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144287495","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}