Current Problems in Diagnostic Radiology最新文献

{"title":"Assessing and improving women representation in radiology leadership positions","authors":"Sonali Sharma ,&nbsp;Aleena Malik ,&nbsp;Jessica Matschek ,&nbsp;Kaitlin M. Zaki-Metias MD ,&nbsp;Rushali Gandhi ,&nbsp;Charlotte J. Yong-Hing MD FRCPC ,&nbsp;Faisal Khosa MD, MBA, TI, FFRRCSI, FRCPC, DABR, FACR","doi":"10.1067/j.cpradiol.2024.10.021","DOIUrl":"10.1067/j.cpradiol.2024.10.021","url":null,"abstract":"<div><div>Gender representation remains a critical issue in professions, especially within medical specialties like radiology, where the representation of women in leadership roles significantly lags. Despite a promising increase in women physicians in Canada, reaching 42.7% by 2019, radiology showcases a stark gender disparity, particularly in leadership positions. This article examines the barriers hindering women's advancement in radiology and proposes actionable solutions to cultivate a more equitable environment. It highlights the underrepresentation of women in radiology leadership across the United States and Canada, with women holding significantly fewer senior academic positions and leadership roles. Key barriers include a lack of women role models, gender-based obstacles in research opportunities, and by design discriminatory practices. Solutions proposed include the establishment of mentorship programs, and inclusive policies at multiple organizational levels such as at the level of trainees, faculty and leadership positions including chair of the department. Additionally, policies and initiatives centred on education and training in unconscious bias, the creation of professional groups for women in radiology, and interventions to address unsafe work environments.</div></div>","PeriodicalId":51617,"journal":{"name":"Current Problems in Diagnostic Radiology","volume":"54 1","pages":"Pages 4-10"},"PeriodicalIF":1.5,"publicationDate":"2024-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142722004","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"“Equal pay for equal work”: Exploring the gender pay gap in radiology","authors":"Ali A. Ibrahim MD,&nbsp;Pauravi Vasavada MD,&nbsp;Inas Mohamed MD","doi":"10.1067/j.cpradiol.2024.10.015","DOIUrl":"10.1067/j.cpradiol.2024.10.015","url":null,"abstract":"<div><div>Among the enduring disparities confronting the United States is the gender pay gap. Women experience lower wages than their male peers in nearly every major occupation, including medicine, and this further underscores how gender-based inequities within the practice of radiology are wide regarding pay, promotion opportunities, and leadership representation in diagnostic and interventional radiology. This review article analyzes the historical and current data for the gender pay gap in radiology relative to other medical specialties, as well as the influence of other intersecting factors, such as race or ethnicity. The manuscript identifies key root causes of the pay discrepancies, including underrepresentation of women in leadership positions, deeply held biases, stereotypes, and inequities in promotion practices. Several strategies have been explored to tackle these challenges, encompassing enhancing pay transparency, reinforcing the commitments of institutions to pay equity, and advocating for systemic changes.</div></div>","PeriodicalId":51617,"journal":{"name":"Current Problems in Diagnostic Radiology","volume":"54 1","pages":"Pages 115-120"},"PeriodicalIF":1.5,"publicationDate":"2024-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142721952","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":"Gender disparity among top North American medical schools and their affiliated radiology departments","authors":"Shukria Ahmadi HBSc ,&nbsp;Ishraq Joarder HBSc ,&nbsp;Lara K Rotter MD ,&nbsp;Mehwish Hussain ,&nbsp;Charlotte J Yong-Hing MD ,&nbsp;Stacy E. Smith MD ,&nbsp;Faisal Khosa MD, MBA, TI, FFRRCSI, FRCPC, FACR","doi":"10.1067/j.cpradiol.2024.10.028","DOIUrl":"10.1067/j.cpradiol.2024.10.028","url":null,"abstract":"<div><h3>Purpose</h3><div>This study aimed to evaluate the degree of gender disparity in leadership positions at the top 25 medical schools in North America compared to their affiliated radiology departments.</div></div><div><h3>Methods</h3><div>The academic rank and leadership appointment of medical school and radiology faculty were obtained from publicly available official websites between June-November 2022. Gender was determined using self-identified pronouns on website biographies. Alternatively, gender API software was used. Finally, SCOPUS Elsevier was used to extract research output metrics including publication counts, citations, and h-indices. Statistical analysis was conducted using the IBM SPSS Statistics version 25 software.</div></div><div><h3>Results</h3><div>2216 individuals across 25 medical schools were included in this study. 1301 (58.7 %) were part of the medical school and 915 (41.3 %) were part of the affiliated radiology departments. Additionally, 1575 (71.1 %) were identified as men and 641 (28.9 %) as women. Rank biserial correlations showed a significant association between higher academic rank and male gender (<em>r_pb</em> = 0.143, <em>p</em> &lt; 0.001) regardless of affiliation (medical school leadership versus radiology faculty); this disparity was largest at the highest academic ranks. Male gender was associated with higher research productivity relative to female gender regardless of affiliation (<em>p &lt;</em> 0.001). There were minimal statistical differences in leadership positions between genders, however the proportion of men holding the position of dean was two times higher than women.</div></div><div><h3>Conclusion</h3><div>The underrepresentation of women in academic medicine is prevalent in the top-ranking medical institutions in North America and disproportionately involves senior academic ranks and leadership positions.</div></div>","PeriodicalId":51617,"journal":{"name":"Current Problems in Diagnostic Radiology","volume":"54 1","pages":"Pages 75-80"},"PeriodicalIF":1.5,"publicationDate":"2024-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142721945","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Continued improvement to imaging diagnosis and treatment triage of endometriosis: The role of the multi-disciplinary conference","authors":"Nikita Consul M.D. ,&nbsp;Hilary R. Haber M.D. ,&nbsp;Peter R. Movilla M.D. ,&nbsp;Mukesh G. Harisinghani M.D. ,&nbsp;Avinash Kambadakone M.D. ,&nbsp;Aoife Kilcoyne M.B.B.Ch., B.A.O. ,&nbsp;Anuradha S. Shenoy-Bhangle M.D.","doi":"10.1067/j.cpradiol.2024.08.001","DOIUrl":"10.1067/j.cpradiol.2024.08.001","url":null,"abstract":"<div><p>Patient-centered endometriosis management tailored to the individual patient's subset of symptoms often requires highly sensitive and specific preoperative imaging. In the setting of a present ongoing learning curve among radiologists who interpret pelvis ultrasounds and MRIs for diagnosis of endometriosis, we have found that routine feedback between minimally invasive gynecology surgeons and radiologists, based on pre-operative imaging and postoperative laparoscopic findings, is essential for the continual improvement of imaging-based staging of endometriosis and empower pre-operative imaging as an important pillar of endometriosis management. We share illustrative patient cases, which, after collaborative discussion during our routine multi-institutional, multi-disciplinary conferences (MDCs) have led to improved patient counseling, better pre-surgical planning, and therefore improved patient satisfaction. Our endometriosis MDCs will continue to improve patient management in the future by providing a forum for trainees in medical, surgical, imaging, and pathology specialties to gain expertise directly from subspecialists, and participate in the care of these patients.</p></div>","PeriodicalId":51617,"journal":{"name":"Current Problems in Diagnostic Radiology","volume":"53 6","pages":"Pages 663-669"},"PeriodicalIF":1.5,"publicationDate":"2024-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0363018824001476/pdfft?md5=d54c2c32669c951bb2004a64c3b03885&pid=1-s2.0-S0363018824001476-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142094317","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Success factors for interventions to reduce low-value imaging. Six crucial lessons learned from a practical case study in Norway","authors":"Bjørn Hofmann ,&nbsp;Eivind Richter Andersen ,&nbsp;Ingrid Øfsti Brandsæter ,&nbsp;Fiona Clement ,&nbsp;Adam G Elshaug ,&nbsp;Stirling Bryan ,&nbsp;Aslak Aslaksen ,&nbsp;Stefán Hjørleifsson ,&nbsp;Peter Mæhre Lauritzen ,&nbsp;Bente Kristin Johansen ,&nbsp;Gregor Jarosch von Schweder ,&nbsp;Fredrik Nomme ,&nbsp;Elin Kjelle","doi":"10.1067/j.cpradiol.2024.08.007","DOIUrl":"10.1067/j.cpradiol.2024.08.007","url":null,"abstract":"<div><h3>Background</h3><p>Substantial overuse of health care services is identified and intensified efforts are incited to reduce low-value services in general and in imaging in particular.</p></div><div><h3>Objective</h3><p>To report crucial success factors for developing and implementing interventions to reduce specific low-value imaging examinations based on a case study in Norway.</p></div><div><h3>Materials and methods</h3><p>Mixed methods design including one systematic review, one scoping review, implementation science, qualitative interviews, content analysis of stakeholders’ input, and stakeholder deliberations.</p></div><div><h3>Results</h3><p>The description and analysis of an intervention to reduce low-value imaging in Norway identifies six general success factors: 1) Acknowledging complexity: advanced knowledge synthesis, competence of the context, and broad and strong stakeholder involvement is crucial to manage de-implementation complexity. 2) Clear consensus-based criteria for selecting low-value imaging procedures are key. 3) Having a clear target group is critical. 4) Stakeholder engagement is essential to ascertain intervention relevance and compliance. 5) Active and well-motivated intervention collaborators is imperative. 6) Paying close attention to the mechanisms of low-value imaging and the barriers to reduce it is decisive.</p></div><div><h3>Conclusion</h3><p>Reducing low-value imaging is crucial to increase the quality, safety, efficiency, and sustainability of the health services. Reducing low-value imaging is a complex task and paying attention to specific practical success factors is key.</p></div>","PeriodicalId":51617,"journal":{"name":"Current Problems in Diagnostic Radiology","volume":"53 6","pages":"Pages 670-676"},"PeriodicalIF":1.5,"publicationDate":"2024-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0363018824001506/pdfft?md5=24695daa3769c950350f51afefd9e91b&pid=1-s2.0-S0363018824001506-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142010160","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"High-density pulmonary lesions: Review in chest imaging","authors":"Catalina Jaramillo M.D,&nbsp;Emma Ferguson M.D,&nbsp;Erika Odisio M.D,&nbsp;Daniel Ocazionez M.D","doi":"10.1067/j.cpradiol.2024.07.004","DOIUrl":"10.1067/j.cpradiol.2024.07.004","url":null,"abstract":"<div><p><span>High-density pulmonary lesions<span> are frequently seen in chest imaging, and it is important to identify their different causes. Radiologists must be able to distinguish between common and rare conditions in order to provide the best diagnosis and treatment. This article provides an overview of the various causes and imaging features of high-density lesions in the lungs. The lesions are classified into various categories, such as </span></span>pulmonary nodules<span>, inflammatory conditions, deposition diseases, contrast-related lesions, and thoracic devices. A clear understanding of these categories can help radiologists accurately diagnose and manage high-density pulmonary lesions encountered in practice.</span></p></div>","PeriodicalId":51617,"journal":{"name":"Current Problems in Diagnostic Radiology","volume":"53 6","pages":"Pages 745-752"},"PeriodicalIF":1.5,"publicationDate":"2024-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141636228","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 model for teaching radiology to clinical specialty trainees: A pilot study in pediatric neuroradiology and neonatology","authors":"Elizabeth K. Sewell ,&nbsp;Sarah S. Milla ,&nbsp;Monideep Dutt ,&nbsp;Erica Riedesel ,&nbsp;Nadja Kadom","doi":"10.1067/j.cpradiol.2024.07.016","DOIUrl":"10.1067/j.cpradiol.2024.07.016","url":null,"abstract":"<div><p>This article describes the development and assessment of a neuroimaging curriculum for neonatology fellows. The curriculum is focused on topics that are relevant to the practice of neonatology and employs contemporary teaching methods, such as flipped classroom, learner engagement, and spaced repetition. Since its implementation 2018 the curriculum has been appreciated by our trainees and demonstrated improvements in trainee knowledge.</p></div>","PeriodicalId":51617,"journal":{"name":"Current Problems in Diagnostic Radiology","volume":"53 6","pages":"Pages 679-684"},"PeriodicalIF":1.5,"publicationDate":"2024-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141701555","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":"MR Evaluation of Placenta Accreta Spectrum: Concordance Rates and Effect of Structured Reporting on Patient Outcomes","authors":"Robert M. Weinstein BE ,&nbsp;Theresa Boyer MS, MSPH ,&nbsp;Abigail Coco BA ,&nbsp;Arthur Vaught MD ,&nbsp;Torre Halscott MD, MS ,&nbsp;Katarzyna Macura MD, PhD ,&nbsp;Erin Gomez MD","doi":"10.1067/j.cpradiol.2024.07.002","DOIUrl":"10.1067/j.cpradiol.2024.07.002","url":null,"abstract":"<div><h3>Objective</h3><p>To examine the concordance rate of MRI findings with intraoperative and pathologic findings in patients with Placenta Accreta Spectrum (PAS), as well as the use of structured reporting, and their relationship to clinical outcomes.</p></div><div><h3>Methods</h3><p>An IRB approved retrospective chart review was performed for patients with a history of cesarean delivery, a diagnosis of PAS on post-operative pathology report, and a placental MRI prior to delivery between 2008-2022. Concordance rates were calculated between final MRI, ultrasound, operative, and pathologic diagnoses, as well as impact on clinical outcomes. Quantitative variables were analyzed using a t-test. Categorical variables were analyzed using chi-squared and Fischer's exact tests.</p></div><div><h3>Results</h3><p>A total of 59 patients met initial inclusion criteria. Of these 59 patients, 8 (13.6%) were interpreted using structured reporting. Discordance between preoperative imaging, operative findings and final pathology diagnoses were associated with increased blood loss, blood transfusion, ICU admission, and postpartum length of stay. Structured reporting was found to significantly reduce the amount of diagnostic discordance (p=.017) and was associated with decreased ICU admissions when utilized (p=.045).</p></div><div><h3>Conclusions</h3><p>Use of structured reporting in the interpretation of placental MRI may decrease the amount of discordance between imaging and intraoperative or pathologic diagnoses, which in our study is associated with improved patient outcomes including decreased blood loss and amount of blood transfused. Radiologists must be cognizant of key imaging features of PAS on MRI, as interpretation provides an opportunity to positively impact the quality and safety of patient care.</p></div>","PeriodicalId":51617,"journal":{"name":"Current Problems in Diagnostic Radiology","volume":"53 6","pages":"Pages 700-708"},"PeriodicalIF":1.5,"publicationDate":"2024-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0363018824001117/pdfft?md5=f968752783f1a9d58488b7e39e5bcdc7&pid=1-s2.0-S0363018824001117-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141617847","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Interinstitutional outside imaging transfer: Benefits, challenges, and evolving technology","authors":"Ravinder Legha MD ,&nbsp;Sarah Martaindale MD ,&nbsp;Megan Speer MD ,&nbsp;Taylor Beal BS ,&nbsp;Megan Kalambo MD","doi":"10.1067/j.cpradiol.2024.07.009","DOIUrl":"10.1067/j.cpradiol.2024.07.009","url":null,"abstract":"<div><p>The interinstitutional transfer of outside images in radiology is a critical aspect of modern healthcare, enabling seamless collaboration among healthcare institutions and enhancing patient care. This paper explores the significance of interinstitutional image transfer in radiology, its challenges, and the technological advancements that have facilitated efficient image sharing. This practice offers several benefits, such as improving diagnostic accuracy, treatment planning, and patient outcomes. However, we also highlight the ethical and security issues involved in exchanging sensitive medical data between institutions. Through a review of existing literature and case studies, this manuscript discusses the advancements made in interinstitutional image transfer and the future potential of this evolving field.</p></div>","PeriodicalId":51617,"journal":{"name":"Current Problems in Diagnostic Radiology","volume":"53 6","pages":"Pages 753-757"},"PeriodicalIF":1.5,"publicationDate":"2024-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141694842","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":"Pioneers of progress: Documenting the legacy of underrepresented radiologists","authors":"Thomas Stirrat BS ,&nbsp;Joshua Yu BS ,&nbsp;Caitlyn Tran BS ,&nbsp;Anousheh Sayah MD ,&nbsp;Muhammad Umair MD ,&nbsp;Yusuf T. Akpolat MD","doi":"10.1067/j.cpradiol.2024.07.003","DOIUrl":"10.1067/j.cpradiol.2024.07.003","url":null,"abstract":"<div><h3>Purpose</h3><p>This study aims to illuminate the enduring contributions of underrepresented pioneers in radiology, emphasizing their resilience, innovations, and the significant barriers they overcame. By weaving their achievements into the broader narrative of medical science, this research highlights the critical role of diversity and progress in the evolution of radiology.</p></div><div><h3>Historical Exploration</h3><p>This narrative review chronicles the significant contributions of underrepresented radiologists from the early 20th century to the present. By synthesizing historical data, biographical sketches, and contemporary medical literature, we highlight the pivotal roles these pioneers have played in advancing radiology. Their groundbreaking work not only enhanced medical imaging technologies and practices but also championed the cause of diversity and inclusion within the field. These stories of perseverance and innovation underscore the ongoing need for an inclusive approach in the medical community, reflecting on how diversity has shaped and will continue to influence the evolution of radiology.</p></div><div><h3>Findings and Conclusion</h3><p>The study identifies several pivotal figures, such as Marcus F. Wheatland, the first known African American radiologist, and Ivy O. Roach Brooks, the first woman to lead a radiology department at a major U.S. hospital. It explores their wide-ranging contributions from clinical practice and education to leadership and advocacy for diversity within the medical profession.</p><p>The legacies of these radiologists illuminate not just their individual accomplishments but also reflect the broader struggle for equality and representation in the medical field. Their determination and excellence have paved the way for future generations, significantly enhancing the inclusivity and diversity of the radiology field.</p></div><div><h3>Clinical Relevance and Application</h3><p>Understanding the contributions of these underrepresented radiologists enriches the field's perspective on diversity, equity, and inclusion. Highlighting these pioneers underscores the importance of mentorship, representation, and advocacy in creating an environment where all talented individuals can thrive. Insights from this historical analysis are crucial for shaping future policies and practices in radiology and medical education, ensuring the continuation of these trailblazers' inspiring legacy.</p></div>","PeriodicalId":51617,"journal":{"name":"Current Problems in Diagnostic Radiology","volume":"53 5","pages":"Pages 533-538"},"PeriodicalIF":1.5,"publicationDate":"2024-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141617848","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}