Journal of the American College of Radiology最新文献

{"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":"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":"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":"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}

{"title":"ACR Appropriateness Criteria® Abdominal Aortic Aneurysm or Dissection-Interventional Planning and Follow-Up: Update 2025","authors":"Expert Panel on Vascular Imaging,&nbsp;Daniel P. Sheeran MD,&nbsp;Ricky T. Tong MD, PhD,&nbsp;Minhaj S. Khaja MD, MBA,&nbsp;Mikhail C.S.S. Higgins MD, MPH,&nbsp;Nima Kokabi MD,&nbsp;Resmi Charalel MD, MPH,&nbsp;Aaron W. Aday MD, MSc,&nbsp;Murthy R. Chamarthy MD,&nbsp;Benjamin N. Contrella MD,&nbsp;Anahita Dua MBBCh,&nbsp;Sanjeeva P. Kalva MD,&nbsp;Nicole A. Keefe MD,&nbsp;Michael Malinowski MD,&nbsp;David S. Wang MD,&nbsp;Madison Wulfeck MD, MBA,&nbsp;Nicholas Fidelman MD,&nbsp;Bill S. Majdalany MD","doi":"10.1016/j.jacr.2026.02.018","DOIUrl":"10.1016/j.jacr.2026.02.018","url":null,"abstract":"<div><div>Guidelines were developed for aortic evaluation based on a patient’s health status, comorbidities, and the aneurysm’s maximum diameter. The arrival of the endovascular aneurysm repair (EVAR) technique and its more advanced permutations introduced new variables to managing abdominal aortic aneurysm (AAA) and aortic dissection. For patients who present de novo for treatment of AAA or aortic dissection without any prior imaging available, the entire aorta (including the thoracic portion) should be assessed to fully characterize the anatomy. Preoperative imaging has one primary focus: to determine the need and feasibility for surgery based on anatomy, pathology extent, and rate of growth. Following both open and endovascular repair, surveillance imaging is needed. This is particularly true for EVAR due to its higher rate of complications that require reintervention. Successful therapy results in an aneurysm or dissection that remains stable or decreases in size with preserved branch vessel flow, as documented on surveillance imaging.</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 1647-1665"},"PeriodicalIF":5.3,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147470421","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":"ACR Appropriateness Criteria® Breast Imaging During Lactation","authors":"Expert Panel on Breast Imaging,&nbsp;Basak E. Dogan MD,&nbsp;Lonie R. Salkowski MD, PhD, MS,&nbsp;Susan P. Weinstein MD,&nbsp;Stacey Bartell MD,&nbsp;Sona Chikarmane MD,&nbsp;Elizabeth H. Dibble MD,&nbsp;Katerina Dodelzon MD,&nbsp;Shari Goldfarb MD,&nbsp;Claudia Kasales MD, MHA,&nbsp;Jean M. Kunjummen DO,&nbsp;Cherie M. Kuzmiak DO,&nbsp;Santo Maimone MD,&nbsp;Mitva Patel MD,&nbsp;Lisa V. Paulis MD,&nbsp;Kahyun Yoon-Flannery DO, MPH,&nbsp;Alana A. Lewin MD","doi":"10.1016/j.jacr.2026.03.002","DOIUrl":"10.1016/j.jacr.2026.03.002","url":null,"abstract":"<div><div>This article provides evidence-based guidance for imaging lactating women across screening, diagnostic, and staging scenarios. Imaging should not be deferred because of lactation; mammography with digital breast tomosynthesis, targeted ultrasound, and contrast-enhanced MRI have defined roles based on age, presenting complaint, and cancer risk and may be used similarly to nonlactating patients. Physiologic changes during lactation can alter breast appearance and complicate clinical and imaging assessment. Gadolinium contrast and most nuclear medicine procedures result in negligible infant exposure and do not require interruption of breastfeeding. Image-guided core biopsy and aspiration are safe and effective, with rare lactation-specific risks, which should be discussed during consent. Recommendations aim to standardize care, minimize diagnostic delay, preserve breastfeeding when possible, and support multidisciplinary decision-making. These guidelines inform clinicians, radiologists, and multidisciplinary teams in routine practice.</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 1768-1785"},"PeriodicalIF":5.3,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147517351","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":"Paid Family and Medical Leave Policies in Academic Radiology and Radiation Oncology Departments: A SCARD and SCAROP Survey","authors":"Alexa Lavergne BS,&nbsp;Miriam Chisholm BSPH,&nbsp;Judy Yee MD,&nbsp;Reshma Jagsi MD, DPhil,&nbsp;Elizabeth K. Arleo MD,&nbsp;Thomas S.C. Ng MD, PhD,&nbsp;Lori A. Deitte MD,&nbsp;Kirti Magudia MD, PhD","doi":"10.1016/j.jacr.2026.05.007","DOIUrl":"10.1016/j.jacr.2026.05.007","url":null,"abstract":"<div><h3>Background</h3><div>Paid family and medical leave (PFML) is increasingly recognized as an important component of physician well-being, recruitment, and retention. However, the implementation, utilization, and clarity of PFML policies within academic radiology and radiation oncology departments remain incompletely characterized.</div></div><div><h3>Methods</h3><div>We conducted a national, anonymous, novel web-based survey of department chairs from academic radiology and radiation oncology programs across the United States. The survey was developed through iterative refinement and cognitive testing and distributed via email to members of the Society of Chairs of Academic Radiology Departments and the Society of Chairs of Academic Radiation Oncology Programs from June to July 2025. Survey items assessed PFML policy availability, leave duration, compensation during leave, promotion clock extension, noncontiguous leave options, utilization in the prior year, and perceptions of departmental culture and coverage challenges. Responses were summarized using descriptive statistics.</div></div><div><h3>Results</h3><div>Of 233 department chairs contacted, 91 responded (39.1% response rate), including 49 radiology and 42 radiation oncology departments. PFML policies were widely available across specialties, regions, and department sizes. Respondents consistently endorsed a supportive departmental culture and identified PFML as an important recruitment and retention tool. PFML utilization remained modest, with most respondents reporting that fewer than 10% of faculty utilized leave in the prior year, although nearly all departments reported at least some utilization. Over half of respondents reported concerns regarding clinical coverage during PFML, regardless of department size. Uncertainty was commonly reported regarding promotion clock extension and noncontiguous leave options. No significant differences were observed between radiology and radiation oncology across key PFML characteristics.</div></div><div><h3>Conclusion</h3><div>PFML policies are widely supported and available within academic radiology and radiation oncology departments. However, a significant proportion require vacation or sick time with variable allowance for noncontiguous leave or promotion clock extension, and substantial concerns remain regarding clinical coverage. These findings highlight an important gap between PFML policy availability and real-world implementation, underscoring opportunities for enhanced communication and advocacy.</div></div>","PeriodicalId":49044,"journal":{"name":"Journal of the American College of Radiology","volume":"23 8","pages":"Pages 1597-1604"},"PeriodicalIF":5.3,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147870497","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}