Current Problems in Diagnostic Radiology最新文献

{"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":"Effects of patient survey feedback on improving patient experience with outpatient magnetic resonance imaging","authors":"Evie Nguyen ,&nbsp;Christopher A. Dodoo MS ,&nbsp;Imon Banerjee PhD ,&nbsp;Fatima Al-Khafaji MBChB ,&nbsp;Jacob A. Varner ,&nbsp;Iridian Jaramillo MS ,&nbsp;Meghana Nadella MS ,&nbsp;Tyler M. Kuo ,&nbsp;Zoe Deahl ,&nbsp;Dyan G. DeYoung ,&nbsp;Nelly Tan MD","doi":"10.1067/j.cpradiol.2024.10.035","DOIUrl":"10.1067/j.cpradiol.2024.10.035","url":null,"abstract":"<div><h3>Objective</h3><div>We examined the feasibility of collecting timely patient feedback after outpatient magnetic resonance imaging (MRI) and the effect of radiology staff responses or actions on patient experience scores.</div></div><div><h3>Methods</h3><div>This study included 6043 patients who completed a feedback survey via email after undergoing outpatient MRI at a tertiary care medical center between April 2021 and September 2022. The survey consisted of the question “How was your radiology visit?” with a 5-point emoji-Likert scale, an open-text feedback box, and an option to request a response. The primary outcome measure analyzed was the “top box” score (ie, the percentage of 5/5 scores) reflecting overall patient satisfaction. For comparison, Press Ganey quarterly top box scores from a separate group of patients who underwent outpatient MRI concurrent with the study period were also analyzed. Patient-reported feedback was categorized by using natural language processing and analyzed along with radiology staff responses and actions.</div></div><div><h3>Results</h3><div>The top box score for “How was your radiology visit?” increased from 81.1% during the first month of the study to 86.1% during the last month. Similarly, the comparative Press Ganey top box scores for questions related to “radiology staff concern for comfort” and “courtesy of radiology technologist” increased from the first quarter to the last quarter of the study. Patients reported service excellence in 59.2% of surveys (<em>n</em>=3576), long wait time in 6.3% (<em>n</em>=383), and poor communication in 6.1% (<em>n</em>=369). Some praise from patients was shared with staff members who interacted with the patients. Of all survey responses, 5.5% required radiology staff responses or actions, such as sharing feedback with supervisors, providing direct feedback to staff, and making telephone calls to patients. From the first half to the second half of the study, the median (IQR) wait time decreased from 46 (32–66) minutes to 45 (31–64) minutes (<em>P</em>=.02), and the percentage of patients who reported long wait time decreased from 7.4% to 5.4% (<em>P</em>=.002).</div></div><div><h3>Conclusion</h3><div>Our study highlights the feasibility of obtaining timely patient feedback after outpatient MRI and using it to improve patient experience. These results may contribute to the development of more patient-centered care in the field of radiology.</div></div>","PeriodicalId":51617,"journal":{"name":"Current Problems in Diagnostic Radiology","volume":"54 3","pages":"Pages 369-376"},"PeriodicalIF":1.5,"publicationDate":"2025-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143817172","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":"Bilateral internal carotid dissection: advocating for the use of the “googly eyes sign’’","authors":"Nikolaos-Achilleas Arkoudis MD, PhD ,&nbsp;Georgios Velonakis MD, PhD","doi":"10.1067/j.cpradiol.2025.04.001","DOIUrl":"10.1067/j.cpradiol.2025.04.001","url":null,"abstract":"","PeriodicalId":51617,"journal":{"name":"Current Problems in Diagnostic Radiology","volume":"54 4","pages":"Pages 526-527"},"PeriodicalIF":1.5,"publicationDate":"2025-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144038648","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":"Personnel wellness: Creating the next blue zone in radiology","authors":"Cody R. Johnson MD,&nbsp;Syed Muhammad Awais Bukhari MD,&nbsp;Amit Gupta MD","doi":"10.1067/j.cpradiol.2025.01.005","DOIUrl":"10.1067/j.cpradiol.2025.01.005","url":null,"abstract":"<div><div>Personnel wellness in professional environments is often perceived as a secondary concern wherein efficiency and productivity are prioritized. The Blue Zones philosophy challenges this traditional approach. We propose implementing consistent wellness practices that are based on the Blue Zones principles and believe that these will primarily benefit providers and organizations as a whole. By fostering an environment where all interactions and activities nurture the collective, we can reimagine wellness as an integral part of professional life.</div></div>","PeriodicalId":51617,"journal":{"name":"Current Problems in Diagnostic Radiology","volume":"54 4","pages":"Pages 440-442"},"PeriodicalIF":1.5,"publicationDate":"2025-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143371412","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":"Management options for vascular anomalies in the distal extremities","authors":"Chase Mahler BS ,&nbsp;Emily Gullette MD ,&nbsp;Jake DiFatta BS ,&nbsp;Rachel Oser MD FSIR ,&nbsp;Junaid Raja MD MSPH FACP","doi":"10.1067/j.cpradiol.2025.01.013","DOIUrl":"10.1067/j.cpradiol.2025.01.013","url":null,"abstract":"<div><div>Vascular anomalies arise during embryologic development due to errors in vasculogenesis. They are associated with sporadic or inherited mutations in receptors, growth factors or enzymes within various vasculogenic pathways such as mTOR, VEGF, and PI3K. Vascular anomalies have the capability to cause significant symptoms and disability, especially when located in the distal extremities. These symptoms often include local pain, swelling, and decreased range of motion and functionality of the affected area.</div><div>This article intends to provide a concise overview of vascular anomalies in the distal extremities and their treatment options. The categorization of the vascular anomalies, key clinical features, diagnostic approaches, and potential significance of when they occur in the extremities and how that makes them unique are discussed. An overview of the six major management options used to treat vascular anomalies in general is reviewed in the context of vascular anomalies in the extremities, including observation, pharmacotherapy, sclerotherapy, embolization, cryoablation, and surgery. Each section discusses the role of the treatment approach and associated benefits and risks.</div></div>","PeriodicalId":51617,"journal":{"name":"Current Problems in Diagnostic Radiology","volume":"54 4","pages":"Pages 506-512"},"PeriodicalIF":1.5,"publicationDate":"2025-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143070134","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":"A retrospective analysis of medical student authorship in highest impact radiology journal publications","authors":"Aiman Shahid BSc ,&nbsp;Rooshi Parikh BSc ,&nbsp;Muhammad Ebrahim Shahid ,&nbsp;Aleena Malik BSc ,&nbsp;Sonali Sharma BSc ,&nbsp;Faisal Khosa MD MBA","doi":"10.1067/j.cpradiol.2025.01.007","DOIUrl":"10.1067/j.cpradiol.2025.01.007","url":null,"abstract":"<div><h3>Objectives</h3><div>To assess medical student authorship in radiology research, focusing on the prevalence and impact of student articles, demographic trends, and potential barriers and opportunities for involvement.</div></div><div><h3>Methods</h3><div>We retrospectively assessed original research and review papers from 2018 to 2022 in the top five radiology journals based on their 2022 Impact Factor. Three reviewers manually validated and classified articles by medical student (MS) and non-MS authorship. Data collected included publication and authorship metrics. Thematic analysis of articles was performed from keywords and SCOPUS topic clusters. Significant associations were identified using chi-squared and two-tailed z-tests.</div></div><div><h3>Results</h3><div>Of the 2533 publications from all five journals, only 0.47 % were MS-authored, of which 83.3 % had a Field Weighted Citation Impact (FWCI) &gt; 1. Of the 19 MS authors, 68.42 % had prior publications, with the same proportion holding prior first authorship. Female students averaged a higher FWCI (2.47 ± 2.31) but comprised only 26.32 % of all students. Only 16.67 % of MS articles had a female senior author (SA). This was consistent in non-MS articles, with females representing 19.9 % to 25.2 % of SAs across all journals. Of the 2521 non-MS articles, 92 % were classified into themes, revealing that 47.89 % of publications primarily focused on machine learning, while another 42.26 % incorporated some machine learning concepts.</div></div><div><h3>Conclusion</h3><div>Compared to non-medical student publications in radiology, those by medical students were disproportionately limited but impactful. Both demographic and academic factors hinder student engagement in publishing. Hence promoting, supporting, and sponsoring student involvement in research is pivotal for the discipline.</div></div>","PeriodicalId":51617,"journal":{"name":"Current Problems in Diagnostic Radiology","volume":"54 4","pages":"Pages 433-439"},"PeriodicalIF":1.5,"publicationDate":"2025-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143061466","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 radiologist productivity in screening mammogram interpretation","authors":"W. Tania Rahman MD,&nbsp;Rebecca Oudsema MD,&nbsp;Kimbery Garver MD,&nbsp;N. Reed Dunnick MD,&nbsp;Annette Joe MD","doi":"10.1067/j.cpradiol.2025.01.009","DOIUrl":"10.1067/j.cpradiol.2025.01.009","url":null,"abstract":"<div><div>At our institution, a backlog of unread screening mammograms accumulated with a peak turnaround time of 198 h (8.25 days). Three major root causes of workflow inefficiencies were identified: radiologist interruptions, paper-based workflow, and a cumbersome report dictation workflow. A batched, digitized workflow with reporting assistance called “Uninterrupted with Assistant” was implemented. Following the intervention, the mean report turnaround time (TAT) was significantly decreased by 38.8 % (51.0 ± 16.0 vs 83.3 ± 46.6 h, <em>p =</em> 0.014) and the institutional goal for TAT (72 h) was met more often (93.3 %, 14/15 weeks vs 35.3 %, 6/17 weeks). Radiologist distraction in the new assignment was significantly lower (2.0 ± 1.4 SD) compared to the traditional “Interrupted” setting (5.6 ± 2.8 SD, <em>t =</em> -4.956, <em>p &lt;</em> 0.01). Radiologist fatigue in the new assignment (2.6 ± 1.6 SD) was also significantly lower compared to the “Interrupted” setting (4.8 ± 2.2 SD, <em>t =</em> -5.159, <em>p &lt;</em> 0.01). The average daily volume of screening mammograms interpreted in the “Uninterrupted with Assistant” assignment (50.3 ± 13.9 SD) was greater than in the “Interrupted” setting (21.0 ± 11.3). These interventions offer strategies to improve productivity and address practical issues of burnout and workforce retention.</div></div>","PeriodicalId":51617,"journal":{"name":"Current Problems in Diagnostic Radiology","volume":"54 3","pages":"Pages 289-295"},"PeriodicalIF":1.5,"publicationDate":"2025-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143076712","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":"Expediting care for hepatocellular carcinoma ≤ 3 cm by streamlining radiation segmentectomy: A quality improvement project","authors":"Cynthia De la Garza-Ramos ,&nbsp;Steven Bussone ,&nbsp;LaRissa L. Adams ,&nbsp;Maeghan D. Barber ,&nbsp;Gregory T. Frey ,&nbsp;Andrew R. Lewis ,&nbsp;Ricardo Paz-Fumagalli ,&nbsp;Beau B. Toskich","doi":"10.1067/j.cpradiol.2025.01.010","DOIUrl":"10.1067/j.cpradiol.2025.01.010","url":null,"abstract":"<div><div>Radiation segmentectomy (RS) for early-stage hepatocellular carcinoma (HCC) is routinely performed in two sessions. A process improvement analysis at a single destination medical center demonstrated a prolonged RS time to treatment in early-stage HCC. In response, a multidisciplinary quality improvement project to optimize RS treatment expediency was initiated. The selected strategy was the introduction of single-session RS without Technetium-99m-labeled macroaggregated albumin (MAA) for patients with solitary HCC ≤ 3 cm, based on multi-institutional evidence supporting the safety of eliminating MAA due to a low lung shunt fraction in this population. This patient-centered quality initiative aimed to reduce time from consult to treatment, with total fluoroscopy peak skin dose serving as a measurable safety metric. Participants (n=9) were prospectively screened from 09/2022-10/2023. To measure the effect of the intervention, a matched control cohort (n=24) of patients treated with RS in 2021 was gathered retrospectively. Median time from consult to treatment was 14 days (IQR: 12, 15) in the intervention cohort vs 47 days (IQR: 31, 64) in the control cohort (<em>P</em>&lt;0.001). Estimated lung dose was similar between the intervention and control cohorts (median 2.7 and 2.2 Gy; <em>P</em>=0.32). Total fluoroscopy peak skin dose was 1.4 Gy (IQR: 0.9, 1.6) in the intervention and 2.1 Gy (IQR: 1.3, 3.1) in the control cohort (<em>P</em>=0.06). These results support that streamlining RS can safely expedite cancer care.</div></div>","PeriodicalId":51617,"journal":{"name":"Current Problems in Diagnostic Radiology","volume":"54 3","pages":"Pages 308-312"},"PeriodicalIF":1.5,"publicationDate":"2025-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143426827","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":"Converting case conferences to peer learning: Opportunities and barriers","authors":"N Kadom MD,&nbsp;T Sivathapandi MD,&nbsp;DJ Murcia MD,&nbsp;C Moreno MD,&nbsp;P Balthazar MD","doi":"10.1067/j.cpradiol.2025.01.004","DOIUrl":"10.1067/j.cpradiol.2025.01.004","url":null,"abstract":"<div><h3>Background</h3><div>We hypothesized that faculty from a radiology division with weekly case conferences would be interested in adopting a peer learning meeting to grow the practice of peer learning in our department.</div></div><div><h3>Materials and Methods</h3><div>The Abdominal Division volunteered to pilot peer learning once a month in lieu of the weekly case conferences. A peer learning champion from the division took leadership for this project. An abdominal division faculty survey was completed to gauge interest in peer learning.</div></div><div><h3>Results</h3><div>The survey had an 81 % response rate: Faculty felt comfortable collecting cases in a database (47 %) and preferred receiving case feedback by chat or email; faculty favored a variety of case types for inclusion in peer learning; faculty slightly preferred having a dedicated peer learning conference leader (35 %) and indicated the submission target for the division faculty should be 1 case per month per faculty (88 %). All faculty indicated the importance of a no-blame culture and most favored anonymous case presentations (70 %). Despite the positive attitudes towards peer learning among the division faculty, the technical piece of the implementation represented a major barrier due to lack of integration into the radiologist workflow and inability to commit time to a faculty member's role as peer learning conference leader.</div></div><div><h3>Conclusions</h3><div>Our faculty members’ concerns regarding peer learning integration into the daily and monthly divisional workflow needed to be addressed before attempting to implement peer learning. In the context of high clinical imaging volumes, additional efforts, such as accessing case submission tools and time needed to prepare conferences, outweighed the overall perceived value of peer learning in our setting.</div></div>","PeriodicalId":51617,"journal":{"name":"Current Problems in Diagnostic Radiology","volume":"54 3","pages":"Pages 313-317"},"PeriodicalIF":1.5,"publicationDate":"2025-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143076709","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":"Evaluation of an image-rich quiz-based iOS app as a study resource for the ABR Core exam","authors":"Erin Gomez MD,&nbsp;Lilly Kauffman BA,&nbsp;Elliot K. Fishman MD, FACR,&nbsp;Sara Raminpour BS","doi":"10.1067/j.cpradiol.2025.01.003","DOIUrl":"10.1067/j.cpradiol.2025.01.003","url":null,"abstract":"<div><div>The American Board of Radiology Core exam requires that trainees demonstrate knowledge of critical concepts across 12 domains spanning a range of imaging modalities and anatomic regions. Mobile apps have become popular components of medical and radiology education since the inception of smartphones. Numerous medical educational apps are accessible via smartphone devices and tablets, regardless of operating system, for medical training and learning purposes. For over two decades, CTisus has served as an informational and educational radiology website containing image-rich materials and resources dedicated to the use of body CT. We conducted a study to evaluate the perceived utility of the CTisus iQuiz app as a study resource for the American Board of Radiology Core exam. The overall rating of the app was above average with 50 % of respondents characterizing the app as “Good” and 29 % evaluating the app as “Excellent.” Further, 85 % of survey respondents found the app easy to understand and use, with related pearls deemed helpful by 75 % of participants, the video discussions found to be clear and beneficial by 79 %. Mobile apps are a valuable tool for the current generation of medical trainees, with quizzes shown to be an effective method to evaluate and enhance knowledge. The CTisus iQuiz app may benefit radiology residents studying for the ABR Core exam by providing access to image-rich, multiple choice-based self-assessments with in-depth explanations and feedback in an accessible interface, allowing for asynchronous learning and repeated practice.</div></div>","PeriodicalId":51617,"journal":{"name":"Current Problems in Diagnostic Radiology","volume":"54 3","pages":"Pages 296-307"},"PeriodicalIF":1.5,"publicationDate":"2025-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143048535","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}