Journal of the American College of Radiology最新文献

{"title":"The Elevation Approach for Work-Life Harmony","authors":"Tina Wells BA , Elliot K. Fishman MD , Linda C. Chu MD , Steven P. Rowe MD, PhD , Charles K. Crawford BA","doi":"10.1016/j.jacr.2025.02.046","DOIUrl":"10.1016/j.jacr.2025.02.046","url":null,"abstract":"","PeriodicalId":49044,"journal":{"name":"Journal of the American College of Radiology","volume":"22 8","pages":"Pages 972-974"},"PeriodicalIF":5.1,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143627133","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":"Radiology Resident Perspectives on and Experiences With Labor Union Participation","authors":"Erica Kinne MD ,&nbsp;Charles Maxfield MD ,&nbsp;Elliot Varney MD, PhD ,&nbsp;Charlotte S. Taylor MD ,&nbsp;Sara Janos MD ,&nbsp;Jennifer Gould MD ,&nbsp;Lars J. Grimm MD","doi":"10.1016/j.jacr.2025.04.005","DOIUrl":"10.1016/j.jacr.2025.04.005","url":null,"abstract":"<div><h3>Purpose</h3><div>The aim of this study was to understand the perceptions of radiology residents regarding labor unions and the differences between unionized and nonunionized residents in perceived versus actual benefits of unionization.</div></div><div><h3>Methods</h3><div>This cross-sectional survey, focused on residents’ experiences with and perceptions of unions, was sent to radiology residency program directors within the 50-member Radiology Residency Education Research Alliance, who subsequently forwarded it to 756 residents across 24 programs. Bivariable analyses were conducted to evaluate differences in opinions between unionized and nonunionized residents regarding benefits and drawbacks of union membership. Additional subgroup analyses were performed for current union members.</div></div><div><h3>Results</h3><div>A total of 249 responses were received, with 20 excluded because of incomplete data (n = 229, a 30.3% response rate). The majority of residents were very supportive (n = 126 [55.0%]) or somewhat supportive (n = 47, 20.5%) of unions, believing that unions had a positive impact on time off (n = 151 [65.9%]), duty hours (n = 147 [64.2%]), the ability of residents to make their voices heard (n = 156 [68.1%]), resident salaries (n = 183 [79.9%]), resident benefits (n = 190 [83.0%]), and resident wellness (n = 137 [59.8%]). Unionized residents reported more vacation time (20 or more days: 90.4% vs 70.3%; <em>P</em> &lt; .001), more subsidized housing (53.8% vs 5.7%, <em>P</em> &lt; .001), and more technology and education stipends (90.4% vs 81.7%, <em>P</em> = .025) compared with nonunionized counterparts. Nonunionized respondents were significantly more likely to report that unionization positively affected duty hours (70.9% vs 53.9%, <em>P</em> = .026). Additionally, nonunionized residents were more likely to view disciplinary action as a drawback of union membership (14.6% vs 1.9%, <em>P</em> = .011). Although the majority of radiology respondents felt that unionization had neither a positive nor a negative impact on fostering resident-faculty relationships, those from nonunionized programs were significantly more likely than their unionized peers to perceive these relationships as both positively (22.2% vs 9.6%, <em>P</em> = .034) and negatively (33.5% vs 19.2%, <em>P</em> = .044) affected by union membership.</div></div><div><h3>Conclusions</h3><div>The majority of radiology residents surveyed were supportive of resident unions, believing that unions positively affected time off, duty hours, ability of residents to make their voices heard, salaries, benefits, and wellness.</div></div>","PeriodicalId":49044,"journal":{"name":"Journal of the American College of Radiology","volume":"22 8","pages":"Pages 924-934"},"PeriodicalIF":5.1,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144045824","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":"Diagnostic Management Pathways for Workup of Abnormal Screening With Digital Mammography Versus Digital Breast Tomosynthesis","authors":"Louise M. Henderson PhD ,&nbsp;Weiwei Zhu MS ,&nbsp;Tracy Onega PhD ,&nbsp;Karla Kerlikowske MD ,&nbsp;Diana L. Miglioretti PhD ,&nbsp;Erin J. Aiello Bowles MPH ,&nbsp;Brian L. Sprague PhD ,&nbsp;Donald L. Weaver MD ,&nbsp;Anna N.A. Tosteson ScD ,&nbsp;Christoph I. Lee MD, MS, MBA","doi":"10.1016/j.jacr.2025.04.008","DOIUrl":"10.1016/j.jacr.2025.04.008","url":null,"abstract":"<div><h3>Purpose</h3><div>Our objective was to assess the transition from digital mammography (DM) to digital breast tomosynthesis (DBT) screening, the authors compared diagnostic workup type and frequency, workup pathways, and time to resolution of abnormal screening between DBT and DM.</div></div><div><h3>Methods</h3><div>This cohort study included screening examinations with an abnormal results from 2011 to 2020 at 107 facilities across six Breast Cancer Surveillance Consortium registries. Diagnostic workup included diagnostic DM, diagnostic DBT, ultrasound, MRI, and biopsy within 90 days of the abnormal result on screening mammography. Workup modalities and number of workup procedures were compared using differences in proportion and 95% confidence intervals (CIs). Time to diagnostic resolution between DBT and DM was compared using a log-rank test.</div></div><div><h3>Results</h3><div>Among 77,123 DBT and 197,589 abnormal DM screening examinations with abnormal results, the number of imaging modalities in the diagnostic pathway was similar. The first workup procedure was more often ultrasound after abnormal results on DBT compared with DM (21.1% versus 4.7%). Biopsy rates were higher for DBT versus DM (16.2% versus 14.0%; difference in proportions = 2.27; 95% CI, 1.97-2.58) with biopsies after DM versus DBT more likely surgical versus fine-needle aspiration or core (5.8% versus 3.2%; difference in proportions = 2.6; 95% CI, 2.19-3.01), resulting in a rate of excision biopsy per 1,000 screens with abnormal findings of 5.1 for DBT and 8.0 for DM. Time to diagnostic resolution was similar (median, 10 days).</div></div><div><h3>Conclusions</h3><div>This study revealed differences in the type of diagnostic workup pathways after abnormal results on screening DBT versus DM. Although the biopsy rate was higher after abnormal results on DBT, the biopsy type may be more invasive (surgical excision) after abnormal results on DM.</div></div>","PeriodicalId":49044,"journal":{"name":"Journal of the American College of Radiology","volume":"22 8","pages":"Pages 897-904"},"PeriodicalIF":5.1,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144047798","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":"A Reality Check on the GPT Revolution","authors":"Mohamed W. Waked A,&nbsp;Ana M. Rendón-Garavito MD,&nbsp;Laura Manuela Olarte Bermúdez MD,&nbsp;Hernan Dario Paez Rueda","doi":"10.1016/j.jacr.2025.04.025","DOIUrl":"10.1016/j.jacr.2025.04.025","url":null,"abstract":"","PeriodicalId":49044,"journal":{"name":"Journal of the American College of Radiology","volume":"22 8","pages":"Pages 858-859"},"PeriodicalIF":5.1,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144065316","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":"Communication Errors in Radiology: A Single-Center Experience and Development of a Classification System","authors":"Meghavi Mashar MD,&nbsp;Suzanne Swedeen MD,&nbsp;Olga R. Brook MD,&nbsp;Jennifer Cutts MD,&nbsp;Bettina Siewert MD","doi":"10.1016/j.jacr.2025.04.030","DOIUrl":"10.1016/j.jacr.2025.04.030","url":null,"abstract":"","PeriodicalId":49044,"journal":{"name":"Journal of the American College of Radiology","volume":"22 8","pages":"Pages 912-916"},"PeriodicalIF":5.1,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144054760","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®: Lung Cancer-Surveillance After Therapy","authors":"Elizabeth McGuire ,&nbsp;Saadiya Sehareen DO","doi":"10.1016/j.jacr.2025.04.035","DOIUrl":"10.1016/j.jacr.2025.04.035","url":null,"abstract":"","PeriodicalId":49044,"journal":{"name":"Journal of the American College of Radiology","volume":"22 8","pages":"Page 978"},"PeriodicalIF":5.1,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144030402","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":"CT Bone Density Assessed Using Thoracic Vertebrae Are Well Validated","authors":"Matthew J. Budoff MD,&nbsp;Suvasini Lakshmanan MD","doi":"10.1016/j.jacr.2025.04.012","DOIUrl":"10.1016/j.jacr.2025.04.012","url":null,"abstract":"","PeriodicalId":49044,"journal":{"name":"Journal of the American College of Radiology","volume":"22 8","pages":"Page 857"},"PeriodicalIF":5.1,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143993876","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":"Myth Busted! Dispelling Myths Surrounding Pediatric Radiology as a Career","authors":"Shannon G. Farmakis MD ,&nbsp;Aashim Bhatia MD, MS ,&nbsp;Susan D. John MD ,&nbsp;Mesha Martinez MD ,&nbsp;Sarah S. Milla MD ,&nbsp;Cory Pfeifer MD, MBA, MPH, MS ,&nbsp;Desi M. Schiess MD","doi":"10.1016/j.jacr.2025.04.022","DOIUrl":"10.1016/j.jacr.2025.04.022","url":null,"abstract":"","PeriodicalId":49044,"journal":{"name":"Journal of the American College of Radiology","volume":"22 8","pages":"Pages 967-971"},"PeriodicalIF":5.1,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144029850","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®: Acute Hip Pain","authors":"Jonathan Burns ,&nbsp;Shari T. Jawetz MD","doi":"10.1016/j.jacr.2025.04.034","DOIUrl":"10.1016/j.jacr.2025.04.034","url":null,"abstract":"","PeriodicalId":49044,"journal":{"name":"Journal of the American College of Radiology","volume":"22 8","pages":"Page 977"},"PeriodicalIF":5.1,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144030399","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":"Correlation of Examination and Nonexamination Factors With Ultrasound Positivity for Deep Vein Thrombosis","authors":"Eric Pepin MD, PhD ,&nbsp;Jacob Player MD ,&nbsp;Yin Xi PhD ,&nbsp;David T. Fetzer MD ,&nbsp;Travis Browning MD","doi":"10.1016/j.jacr.2025.04.029","DOIUrl":"10.1016/j.jacr.2025.04.029","url":null,"abstract":"<div><h3>Purpose</h3><div>First-line imaging for diagnosis of deep vein thrombosis (DVT) is ultrasound. Although the Wells criteria and laboratory testing help inform best ordering practices, this investigation evaluates the influence of various patient and nonpatient factors on examination results.</div></div><div><h3>Methods</h3><div>The authors analyzed structured reports from all inpatient and emergency department ultrasound examinations across two institutions from 2015 to 2022. Examination, provider, and patient factors were compared with examination results for effect on examination results and intergroup variance.</div></div><div><h3>Results</h3><div>The overall rate of acute or new noncalf DVT was 10.4%. Rates of acute or new noncalf DVT were found to be higher in inpatients (versus emergency department patients), in upper extremities (versus lower extremities), in patients with lower body mass index values, among physicians (versus advanced practice providers), and when examinations were ordered by providers with fewer overall DVT ultrasound examinations ordered. Mixed results were observed for number of limbs examined and provider supervision status. Examination day of week and time of day were not significant.</div></div><div><h3>Conclusions</h3><div>DVT ultrasound results varied according to examination-, facility-, patient-, and provider-level factors, which can inform institutional quality monitoring programs, resource utilization, and future investigations into factors that may influence diagnostic testing results.</div></div>","PeriodicalId":49044,"journal":{"name":"Journal of the American College of Radiology","volume":"22 8","pages":"Pages 869-876"},"PeriodicalIF":5.1,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144044169","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}