Journal of the American College of Radiology最新文献

{"title":"Enhancing Insights for Implementing a Virtual Research Collaboration Program","authors":"Amir Hassankhani MD, Melika Amoukhteh MD, Ali Gholamrezanezhad MD","doi":"10.1016/j.jacr.2023.09.018","DOIUrl":"10.1016/j.jacr.2023.09.018","url":null,"abstract":"","PeriodicalId":49044,"journal":{"name":"Journal of the American College of Radiology","volume":"22 1","pages":"Pages 3-4"},"PeriodicalIF":4.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139646088","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®: Chronic Hand and Wrist Pain: 2024 Update","authors":"Jeshwanth Mohan , Shari T. Jawetz MD","doi":"10.1016/j.jacr.2024.09.010","DOIUrl":"10.1016/j.jacr.2024.09.010","url":null,"abstract":"","PeriodicalId":49044,"journal":{"name":"Journal of the American College of Radiology","volume":"22 1","pages":"Page 147"},"PeriodicalIF":4.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142482485","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":"Enhanced PROcedural Information READability for Patient-Centered Care in Interventional Radiology With Large Language Models (PRO-READ IR)","authors":"Tarig Elhakim MD ,&nbsp;Allison R. Brea ,&nbsp;Wilton Fidelis ,&nbsp;Sriram S. Paravastu MD ,&nbsp;Mira Malavia BA ,&nbsp;Mustafa Omer MBBS ,&nbsp;Ana Mort ,&nbsp;Shakthi Kumaran Ramasamy MBBS ,&nbsp;Satvik Tripathi ,&nbsp;Michael Dezube MEng ,&nbsp;Sara Smolinski-Zhao MD ,&nbsp;Dania Daye MD, PhD","doi":"10.1016/j.jacr.2024.08.010","DOIUrl":"10.1016/j.jacr.2024.08.010","url":null,"abstract":"<div><h3>Purpose</h3><div>To evaluate the extent to which Generative Pre-trained Transformer 4 (GPT-4) can educate patients by generating easily understandable information about the most common interventional radiology (IR) procedures.</div></div><div><h3>Materials and methods</h3><div>We reviewed 10 IR procedures and prepared prompts for GPT-4 to provide patient educational instructions about each procedure in layman’s terms. The instructions were then evaluated by four clinical physicians and nine nonclinical assessors to determine their clinical appropriateness, understandability, and clarity using a survey. A grade-level readability assessment was performed using validated metrics to evaluate accessibility to a wide patient population. The same procedures were also evaluated from the patient instructions available at <span><span>radiologyinfo.org</span><svg><path></path></svg></span> and compared with GPT-generated instructions utilizing a paired <em>t</em> test.</div></div><div><h3>Results</h3><div>Evaluation by four clinical physicians shows that nine GPT-generated instructions were fully appropriate, whereas arterial embolization instructions was somewhat appropriate. Evaluation by nine nonclinical assessors shows that paracentesis, dialysis catheter placement, thrombectomy, ultrasound-guided biopsy, and nephrostomy-tube instructions were rated excellent by 57% and good by 43%. The arterial embolization and biliary-drain instructions were rated excellent by 28.6% and good by 71.4%. In contrast, thoracentesis, port placement, and CT-guided biopsy instructions received 43% excellent, 43% good, and 14% fair. The readability assessment across all procedural instructions showed a better Flesch-Kincaid mean grade of GPT-4 instructions compared with <span><span>radiologyinfo.org</span><svg><path></path></svg></span> (7.8 ± 0.87 versus 9.6 ± 0.83; <em>P</em> = .007) indicating excellent readability at 7th- to 8th-grade level compared with 9th to 10th grade. Additionally there was a lower Gunning Fog mean index (10.4 ± 1.2 versus 12.7 ± 0.93; <em>P</em> = .006), and higher Flesch Reading Ease mean score (69.4 ± 4.8 versus 51.3±3.9; <em>P</em> = .0001) indicating better readability.</div></div><div><h3>Conclusion</h3><div>IR procedural instructions generated by GPT-4 can aid in improving health literacy and patient-centered care in IR by generating easily understandable explanations.</div></div>","PeriodicalId":49044,"journal":{"name":"Journal of the American College of Radiology","volume":"22 1","pages":"Pages 84-97"},"PeriodicalIF":4.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142115724","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®: Dizziness and Ataxia: 2024 Update","authors":"Corey Feuer ,&nbsp;Vincent M. Timpone MD","doi":"10.1016/j.jacr.2024.09.007","DOIUrl":"10.1016/j.jacr.2024.09.007","url":null,"abstract":"","PeriodicalId":49044,"journal":{"name":"Journal of the American College of Radiology","volume":"22 1","pages":"Page 148"},"PeriodicalIF":4.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142309283","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":"Limiting Demographic Diversity in Radiology Through the Hidden Curriculum: An Underexplored Influence","authors":"Lars J. Grimm MD, MHS ,&nbsp;Anand K. Narayan MD, PhD ,&nbsp;Charles M. Maxfield MD","doi":"10.1016/j.jacr.2024.10.015","DOIUrl":"10.1016/j.jacr.2024.10.015","url":null,"abstract":"","PeriodicalId":49044,"journal":{"name":"Journal of the American College of Radiology","volume":"22 1","pages":"Pages 22-24"},"PeriodicalIF":4.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142549391","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":"Leadership: A Different Approach From a Different Perspective","authors":"Ed Catmull PhD ,&nbsp;Elliot K. Fishman MD ,&nbsp;Linda C. Chu MD ,&nbsp;Ryan C. Rizk BS ,&nbsp;Steven P. Rowe MD, PhD ,&nbsp;Jen-Hsun Huang","doi":"10.1016/j.jacr.2024.08.028","DOIUrl":"10.1016/j.jacr.2024.08.028","url":null,"abstract":"","PeriodicalId":49044,"journal":{"name":"Journal of the American College of Radiology","volume":"22 1","pages":"Pages 143-144"},"PeriodicalIF":4.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142302712","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 End of CMS’ Appropriate Use Criteria Program","authors":"Christoph I. Lee MD, MS, MBA ,&nbsp;Bethany Agusala MD ,&nbsp;Jhee U. Lee MD ,&nbsp;Marta E. Heilbrun MD ,&nbsp;Joseph R. Bledsoe MD ,&nbsp;Joshua M. Liao MD, MSc","doi":"10.1016/j.jacr.2024.06.006","DOIUrl":"10.1016/j.jacr.2024.06.006","url":null,"abstract":"","PeriodicalId":49044,"journal":{"name":"Journal of the American College of Radiology","volume":"22 1","pages":"Pages 41-43"},"PeriodicalIF":4.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141441205","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":"Embracing Appreciative Inquiry in Radiology to Enhance Performance","authors":"Subha Ghosh MD, MBA ,&nbsp;Peter S. Liu MD ,&nbsp;James Stoller MD, MS","doi":"10.1016/j.jacr.2024.09.005","DOIUrl":"10.1016/j.jacr.2024.09.005","url":null,"abstract":"","PeriodicalId":49044,"journal":{"name":"Journal of the American College of Radiology","volume":"22 1","pages":"Pages 139-142"},"PeriodicalIF":4.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142302709","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":"Editorial Response to Watson et al","authors":"Ruth C. Carlos MD, MS (Editor-in-Chief, JACR)","doi":"10.1016/j.jacr.2024.11.029","DOIUrl":"10.1016/j.jacr.2024.11.029","url":null,"abstract":"","PeriodicalId":49044,"journal":{"name":"Journal of the American College of Radiology","volume":"22 1","pages":"Page 3"},"PeriodicalIF":4.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143017751","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":"Status of LGBTQ+ Inclusion Using a Multi-Institution Assessment of US Radiology Residencies","authors":"Jordan D. Perchik MD ,&nbsp;Charles M. Maxfield MD ,&nbsp;Megan Mills MD ,&nbsp;Atul Agarwal MD ,&nbsp;Nate C. Hull MD ,&nbsp;Anne Darrow MD, MA ,&nbsp;Morlie Wang MD ,&nbsp;Erin Cooke MD ,&nbsp;Jayne Seekins DO ,&nbsp;Mary Marx MD ,&nbsp;Heidi Wassef MD ,&nbsp;Jennifer Gould MD ,&nbsp;Lars J. Grimm MD, MHS","doi":"10.1016/j.jacr.2024.08.008","DOIUrl":"10.1016/j.jacr.2024.08.008","url":null,"abstract":"<div><h3>Introduction</h3><div>An inclusive residency program is crucial to the recruitment and retention of competitive and diverse applicants. The radiology lesbian, gay, bisexual, transgender, queer or questioning, or another diverse gender identity (LGBTQ+) inclusion audit was published in 2022, which provided a road map for assessing the inclusivity of a program’s policies, facilities, culture, and engagement. In this multi-institutional trial, we detail the results of the LGBTQ+ inclusion audit for nine US radiology residency programs.</div></div><div><h3>Methods</h3><div>A volunteer cohort of academic radiology programs was recruited through the Radiology Residency Education Research Alliance. The LGBTQ+ inclusion audit was modified to apply to a multi-institutional study. Participating programs performed the audit from December 2023 to February 2024. Pre- and postaudit surveys were distributed to capture participants subjective assessment of inclusivity at their programs.</div></div><div><h3>Results</h3><div>Nine US radiology residency programs completed the audit. Audit scores ranged from 6 out of 10 to 9 out of 10; no program received a perfect 10 out of 10 score. Inclusive facilities and institutional culture scored highly, with eight of nine programs reporting all milestones met in these areas. The lowest-performing areas were department culture and community engagement with only three of nine and four of nine programs reporting “all milestones met.” After the audit, programs overall reported improved self-perceived inclusivity, with postaudit survey scores increasing in areas related to department policy, inclusive facilities, and LGBTQ+ community outreach.</div></div><div><h3>Discussion</h3><div>Participating radiology residency programs demonstrated an overall high level of LGBTQ+ inclusivity; however, all programs identified inclusion shortcomings in department policy and practice. Intentional review of a department can be a helpful tool to promote a welcoming and healthy environment for a diverse radiology practice.</div></div>","PeriodicalId":49044,"journal":{"name":"Journal of the American College of Radiology","volume":"22 1","pages":"Pages 108-115"},"PeriodicalIF":4.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142115725","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}