Current Problems in Diagnostic Radiology最新文献

{"title":"Data governance in radiology Part I: Overview of data management approaches to radiology","authors":"Chloe M. Chhor MD ,&nbsp;Surbhi Raichandani MD ,&nbsp;Liam du Preez MD ,&nbsp;Nicholas R. Brandser BS ,&nbsp;Joseph Fotos MD ,&nbsp;Rahim S. Jiwani MS ,&nbsp;David Li MD ,&nbsp;Prabhakar Shantha Rajiah MBBS, MD, FRCR ,&nbsp;Jessica M. Sin MD, PhD ,&nbsp;Xuan V. Nguyen MD PhD","doi":"10.1067/j.cpradiol.2025.06.004","DOIUrl":"10.1067/j.cpradiol.2025.06.004","url":null,"abstract":"<div><div>Each year, the healthcare industry generates a substantial amount of data, and radiology stands out as a medical specialty that often produces significant volumes of data. This is due to the large amount of data contained within imaging studies such CT scans, MRIs, and radiographs. As the demand for imaging services grows, practices encounter more patients and perform more scans, leading to an ever-growing volume of generated data. To sustain the growing volume of data and to adhere to data privacy regulations, radiology groups require a thoughtfully designed data governance program to oversee data availability, usability, integrity, and security. Data governance, when effectively implemented, safeguards the consistency and trustworthiness of data, reducing risk of misuse. This review summarizes various concepts and practices related to data governance in radiology.</div></div>","PeriodicalId":51617,"journal":{"name":"Current Problems in Diagnostic Radiology","volume":"54 5","pages":"Pages 554-561"},"PeriodicalIF":1.5,"publicationDate":"2025-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144287561","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Improving patient safety education for radiology residents: Using a quality improvement approach","authors":"Chloe Reyes (Student) ,&nbsp;Lisa M. Ponce MS, RT(R) ,&nbsp;Cathy L. Hannafin MBA/HCM, RN, CPHQ ,&nbsp;Jonathan A. Flug MD, MBA ,&nbsp;Meredith Fishleder (Student) ,&nbsp;Nelly Tan MD","doi":"10.1067/j.cpradiol.2025.06.005","DOIUrl":"10.1067/j.cpradiol.2025.06.005","url":null,"abstract":"<div><h3>Background and Objective</h3><div>The 2021-2022 Accreditation Council for Graduate Medical Education (ACGME) survey of radiology residents at our institution showed a level of participation in safety event investigations that was below ACGME compliance standards. We undertook a quality improvement (QI) project that aimed to increase resident participation in safety event root cause analysis (RCA) and action planning, as well as to enhance the QI training experience for radiology residents.</div></div><div><h3>Methods</h3><div>A team of residents, program leaders, and radiology QI professionals applied the DMAIC (Define, Measure, Analyze, Improve, Control) methodology to identify root causes of low resident participation in safety event investigations.</div></div><div><h3>Results</h3><div>We designed and implemented targeted interventions that aimed to restore compliance with ACGME standards. Interventions included integrating first-year residents into the Radiology Quality Oversight Committee, improving safety event reporting education, clarifying terminology used in ACGME survey questions, and incorporating simulated RCA events. The subsequent ACGME survey showed that our QI initiative led to a 33% increase in resident participation in safety event investigations without compromising the balance between education and patient care.</div></div><div><h3>Discussion</h3><div>Addressing the observed decline through structured QI initiatives not only restored compliance with ACGME standards but also strengthened the overall educational experience for residents. This project underscores the critical role of targeted interventions in maintaining high levels of resident engagement in patient safety activities.</div></div>","PeriodicalId":51617,"journal":{"name":"Current Problems in Diagnostic Radiology","volume":"54 5","pages":"Pages 568-573"},"PeriodicalIF":1.5,"publicationDate":"2025-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144295524","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Age is more than just a number – Tailoring radiologic practice for the geriatric population","authors":"Sirui Jiang MD PhD ,&nbsp;Kaustav Bera MD ,&nbsp;Zachary A Ohs DO ,&nbsp;Ifeanyi O Ekpunobi BS ,&nbsp;Nami R Azar MD ,&nbsp;Sree Harsha Tirumani MD ,&nbsp;Nikhil H Ramaiya MD","doi":"10.1067/j.cpradiol.2025.06.003","DOIUrl":"10.1067/j.cpradiol.2025.06.003","url":null,"abstract":"<div><div>The growing elderly population is transforming healthcare delivery, with radiology playing a central role in diagnosing and managing diseases in older adults. As patients age, they develop distinct imaging characteristics due to physiological changes and comorbidities, which can complicate diagnosis and treatment across radiologic subspecialties. This article explores key geriatric imaging considerations in neuroradiology, cardiothoracic, abdominopelvic, musculoskeletal, oncologic, and interventional radiology, emphasizing how each subspecialty faces unique challenges in distinguishing normal aging from pathology.</div><div>Despite progress in geriatric care across many medical disciplines, radiology has lagged in its adaptation—lacking specific training programs, imaging protocols, and geriatric-focused guidelines. This article calls for the integration of geriatric content into radiology curricula and the development of tailored imaging templates and multimodality strategies.</div><div>By aligning imaging approaches with the realities of aging physiology, radiologists can enhance diagnostic accuracy and clinical decision-making. Geriatric-specific radiologic frameworks are essential to optimizing outcomes, reducing diagnostic ambiguity, and meeting the complex needs of elderly patients. Advancing radiology practices in this direction will ensure that older adults receive more precise, personalized care and benefit from innovations in imaging science tailored to their demographic.</div></div>","PeriodicalId":51617,"journal":{"name":"Current Problems in Diagnostic Radiology","volume":"54 5","pages":"Pages 529-542"},"PeriodicalIF":1.5,"publicationDate":"2025-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144277126","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Data governance in radiology part II: Innovative opportunities for research, education, and clinical practice in radiology","authors":"Chloe M. Chhor MD ,&nbsp;Surbhi Raichandani MD ,&nbsp;Liam du Preez MD ,&nbsp;Nicholas R. Brandser BS ,&nbsp;Joseph Fotos MD ,&nbsp;Rahim S. Jiwani MS ,&nbsp;David Li MD ,&nbsp;Prabhakar Shantha Rajiah MBBS, MD, FRCR ,&nbsp;Jessica M. Sin MD, PhD ,&nbsp;Xuan V. Nguyen MD PhD","doi":"10.1067/j.cpradiol.2025.06.009","DOIUrl":"10.1067/j.cpradiol.2025.06.009","url":null,"abstract":"<div><div>Effective data governance has potential to enhance clinical radiology practice and facilitate radiologic research and education. This article will review specific topics in data governance relevant to radiology, with emphasis on innovative approaches and adaptations that may advance radiology in the near future. The potential value of radiology images and reports for AI and other research opportunities is discussed, as are mechanisms to facilitate radiologic data access and exchange, including federated data access to facilitate research or large-scale quality monitoring while preserving data privacy. Data governance also has application to radiology education, including limitations and privacy/confidentiality issues related to access by radiology learners. Innovative approaches to radiology report generation and other modifications to radiology workflow could add to radiologist efficiency and maximize accuracy or other quality measures of radiology data.</div></div>","PeriodicalId":51617,"journal":{"name":"Current Problems in Diagnostic Radiology","volume":"54 5","pages":"Pages 562-567"},"PeriodicalIF":1.5,"publicationDate":"2025-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144287562","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparison of sagittal angle of trigeminal nerve at porus trigeminus between responders and non-responders to microvascular decompression surgery in patients with trigeminal neuralgia","authors":"Shehbaz Ansari MD,&nbsp;Brian H. Mu MD,&nbsp;Eric R. Basappa MD,&nbsp;Melih Akyuz MD,&nbsp;Miral D. Jhaveri MD MBA,&nbsp;Santhosh Gaddikeri MD","doi":"10.1067/j.cpradiol.2025.05.003","DOIUrl":"10.1067/j.cpradiol.2025.05.003","url":null,"abstract":"<div><h3>Background and purpose</h3><div>The sagittal angle of the trigeminal nerve at the porus trigeminus (SATNaPT) has been described as abnormally hyperacute in a subset of patients with trigeminal neuralgia and proposed as a potential marker for the likelihood of poor microvascular decompression (MVD) outcomes. The purpose of this study is to replicate these results and evaluate this hypothesized association by comparing the SATNaPT between MVD responders and non-responders.</div></div><div><h3>Materials and methods</h3><div>At a single institution, 80 patients with a clinical diagnosis of trigeminal neuralgia, surgical intervention with MVD, and available adequate high-resolution T2 imaging were identified. SATNaPT was measured between the cisternal segment of the trigeminal nerve and its uppermost branch in the Meckel cave by a blinded observer. These data were evaluated for normality of distribution and compared between responders and non-responders to MVD as well as between affected and unaffected sides. Non-response to MVD was defined as persistent pain requiring continuous medication postoperatively or progression to secondary interventions.</div></div><div><h3>Results</h3><div>There were 43 (52.5 %) responders and 39 (47.5 %) non-responders to MVD. Two patients had bilateral disease for 82 affected sides and 78 unaffected sides. The mean SATNaPT among responders was 150.5° (SD: ±10.6°), which was not significantly different (<em>p</em> = 0.21) from the 153.1° (SD: ±8.0°) mean angle in non-responders. Mean SATNaPT was not significantly different (<em>p</em> = 0.10) between the affected (mean: 151.7°, SD: ±9.5°) and the unaffected (mean: 153.1°, SD: ±10.0°) sides.</div></div><div><h3>Conclusions</h3><div>Our study did not replicate the bimodal distribution of the SATNaPT in cTN patients. No statistically significant difference was noted in the SATNaPT between responders and non-responders to MVD or between symptomatic and asymptomatic sides.</div></div>","PeriodicalId":51617,"journal":{"name":"Current Problems in Diagnostic Radiology","volume":"54 5","pages":"Pages 585-589"},"PeriodicalIF":1.5,"publicationDate":"2025-05-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144096405","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The current state of radiology residency lectures: Requirements, institutional approach, challenges, and solutions","authors":"Jack Porrino MD,&nbsp;Syed Ahmad Bokhari MD,&nbsp;Mahan Mathur MD","doi":"10.1067/j.cpradiol.2025.04.017","DOIUrl":"10.1067/j.cpradiol.2025.04.017","url":null,"abstract":"<div><div>Radiology residency is a time where trainees are expected to become familiar with an extensive amount of new information as they master their specialty. Lectures are one critical component of the residency training and are an ACGME residency mandate. Implementing a successful lecture series is challenging. We review the current requirements, reflect upon our experience, and discuss the challenges and solutions of radiology resident lectures.</div></div>","PeriodicalId":51617,"journal":{"name":"Current Problems in Diagnostic Radiology","volume":"54 4","pages":"Pages 405-407"},"PeriodicalIF":1.5,"publicationDate":"2025-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144048670","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Contrast enhanced mammography - revisiting structured reporting with special focus on suggested modifications","authors":"Dr Veenu Singla,&nbsp;Dr Pallavi T,&nbsp;Dr Dollphy Garg","doi":"10.1067/j.cpradiol.2025.04.010","DOIUrl":"10.1067/j.cpradiol.2025.04.010","url":null,"abstract":"<div><div>Contrast-enhanced mammography (CEM) is an innovative breast imaging technique that combines the strengths of both mammography and MRI. It provides both morphological and functional information, making it a valuable, cost-effective alternative to MRI, especially in resource-limited settings.</div><div>In this article, we explore the evolving role of CEM, beginning with a brief discussion of its indications, contraindications, and technical nuances. We have described a structured reporting format based on the ACR BI-RADS® CEM lexicon through a series of illustrative examples, to enhance the reader's familiarity with key descriptors and their clinical implications. Furthermore, we delve into the diagnostic challenges associated with CEM, offering practical guidance to the radiologist for accurate image interpretation. Finally, we propose refinements to the existing ACR BI-RADS® CEM lexicon to enhance its utility in clinical practice.</div></div>","PeriodicalId":51617,"journal":{"name":"Current Problems in Diagnostic Radiology","volume":"54 5","pages":"Pages 627-651"},"PeriodicalIF":1.5,"publicationDate":"2025-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143994972","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Radiology for kids: Benefits of early education and workplace volunteerism","authors":"Meredith H. Fishleder ,&nbsp;Maria Zulfiqar ,&nbsp;Sadeer J. Alzubaidi ,&nbsp;Cathy L. Hannafin ,&nbsp;Martha-Gracia Knuttinen ,&nbsp;Lisa M. Ponce ,&nbsp;Nelly Tan","doi":"10.1067/j.cpradiol.2025.04.014","DOIUrl":"10.1067/j.cpradiol.2025.04.014","url":null,"abstract":"<div><h3>Objective</h3><div>Physician shortages are predicted to affect all fields of health care by 2036. One potential approach to address this shortage is through outreach. We describe how a radiology department developed and hosted a volunteer-driven, immersive educational event for children.</div></div><div><h3>Methods</h3><div>Staff volunteers were recruited though a department-wide email. Two radiologists organized the program and arranged to obtain imaging equipment for demonstrations. Other volunteers were tasked with overseeing audiovisual equipment use, facilitating workshops, ordering food, and reserving rooms. One staff member was paid to support event logistics. Before and after the event, student participants were asked to complete optional, anonymous surveys that assessed their knowledge, attitudes, and behavior toward radiology.</div></div><div><h3>Results</h3><div>The half-day radiology educational event consisted of 2 hours of didactic lectures, followed by hands-on experiences in quality improvement, point-of-care ultrasonography, interventional radiology, and interventional oncology. Thirty-two students attended the event (median age, 14 [range, 8-17] years); 21 (66%) were children of allied health employees, and 11 (35%) were children of physicians. The pre-event survey response rate was 94%; the postevent response rate was 63%. The postevent survey showed significant increases in the proportion of students who said they “[understood] what a radiologist does” (from 23% to 55%; <em>P</em>=.01) and “[could] name at least 3 different modalities” (from 33% to 70%; <em>P</em>=.02). Students and their parents gave enthusiastic feedback after the event.</div></div><div><h3>Conclusion</h3><div>A radiology department–sponsored educational program for young learners was well received and provided multiple volunteer and socialization opportunities for employees.</div></div><div><h3>Summary sentence</h3><div>Department-sponsored volunteer events, such as an educational event, can meaningfully contribute to student growth and employee engagement and well-being.</div></div>","PeriodicalId":51617,"journal":{"name":"Current Problems in Diagnostic Radiology","volume":"54 5","pages":"Pages 603-607"},"PeriodicalIF":1.5,"publicationDate":"2025-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144028853","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Quality improvement project: Patient-centered breast imaging letters","authors":"Jada Hislop MD ,&nbsp;Jasmine Locklin MD ,&nbsp;Chris Ho MD ,&nbsp;Elizabeth A. Krupinski PhD ,&nbsp;Charnaye R. Bosley ,&nbsp;Timothy Arleo MD ,&nbsp;Nadja Kadom MD","doi":"10.1067/j.cpradiol.2025.04.015","DOIUrl":"10.1067/j.cpradiol.2025.04.015","url":null,"abstract":"<div><h3>Purpose</h3><div>Assess patient-centered revisions to our institution’s screening mammography letters for BIRADS-0 and BIRADS-0 dense breast employing existing validated readability and usability rating instruments.</div></div><div><h3>Methods/approach</h3><div>Cross-sectional analysis of two different mammography recall letters used by our institution revised to be patient-centered: the mammography recall letter (BIRADS 0) and the recall letter for patients with dense breasts (BIRADS 0-DB). During the editorial stage, we used chat GPT v3.5 and the Flesch-Kincaid grade level (FKGL). After updates to the layout and addition of visuals, the letters were rated by professional subject-matter experts (SME) for understandability and actionability using the Patient Education Materials Assessment Tool (PEMAT). The letters were then evaluated by patients for comprehensibility, utility, and design using the Consumer Information Rating Form (CIRF). Descriptive statistics were calculated for each assessment.</div></div><div><h3>Results</h3><div>Baseline BI-RADS 0 and BI-RADS 0-DB letter FKGL levels were 11.9 and 10.7, respectively; after iterative revision the FKGL were 6.7 and 5.8, respectively. PEMAT ratings for understandability for the BI-RADS 0 recall letter improved from 41 to 90 % after the revision, and for actionability improved from 50 to 88 %. The understandability for the revised BI-RADS 0-DB letter improved from 46 to 85 % and actionability improved from 44 to 73 %. CIRF ratings indicated significant value for the added images in the BIRADS-0-DB letter.</div></div><div><h3>Conclusion</h3><div>Use of validated and established assessment tools confirmed that our new breast imaging letters were improved in terms of readability, understandability/comprehensibility, actionability, utility, and design. The process now serves as a pipeline for future revisions to documents that our department is sharing with patients</div></div>","PeriodicalId":51617,"journal":{"name":"Current Problems in Diagnostic Radiology","volume":"54 5","pages":"Pages 608-615"},"PeriodicalIF":1.5,"publicationDate":"2025-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144000560","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Level up your radiology case conferences: Preparing residents for success in oral board examinations using gamification","authors":"Alexander Antigua Made BA ,&nbsp;Mahan Mathur MD","doi":"10.1067/j.cpradiol.2025.04.006","DOIUrl":"10.1067/j.cpradiol.2025.04.006","url":null,"abstract":"<div><div>The American Board of Radiology's new Diagnostic Radiology Oral Examination emphasizes clinical decision-making, communication, and critical thinking. Traditional \"hot seat\" case conferences remain a valuable way to prepare residents for these requirements. Incorporating game-based formats into these case conferences, such as “Who Wants to Be a Millionaire?”, “Jeopardy!”, “Family Feud,” and “Kahoot!”, can make learning more dynamic and interactive. This review provides practical strategies for integrating these methods into radiology case conferences to enhance resident training and engagement.</div></div>","PeriodicalId":51617,"journal":{"name":"Current Problems in Diagnostic Radiology","volume":"54 5","pages":"Pages 579-584"},"PeriodicalIF":1.5,"publicationDate":"2025-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144038672","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}