Current Problems in Diagnostic Radiology最新文献

{"title":"Use of pre-procedure electronic questionnaire to enhance scheduling and safety in interventional radiology procedures with anesthesia care","authors":"Joanna Serafin PhD ,&nbsp;Kara M. Barnett MD, FASA, SAMBA-F ,&nbsp;Todd J. Liu MD ,&nbsp;Nina M. Maresca DNP, FNP-BC ,&nbsp;Patrick J. McCormick MD, MEng ,&nbsp;Alan L. Kotin MD","doi":"10.1067/j.cpradiol.2025.04.008","DOIUrl":"10.1067/j.cpradiol.2025.04.008","url":null,"abstract":"<div><div>The growth of interventional radiology (IR) procedures with anesthesia team care in increasingly medically complex populations points to the need for effective and efficient pre-procedure screening. We present an ongoing quality improvement project involving a brief online questionnaire disseminated to patients three to ten days before the day of their scheduled IR procedures. The questionnaire was developed by anesthesiologists and a nurse practitioner to increase pre-procedure awareness of relevant medical concerns, guide scheduling of procedures at outpatient versus inpatient locations, and improve patient pre-procedure management. The response rate after one year was 57% and indicated that at least 1 in 10 patient histories required review and discussion by the care team. The most common concerns were shortness of breath (8%), difficult airway (3%) and syncope (3%). Most procedures proceeded as scheduled, however, 18 procedures (0.4% of patients who responded), had to be rescheduled from an outpatient to the inpatient site due to medical concerns. The electronic pre-procedure screening has been feasible to implement at a busy clinical practice and has improved team communication, patient preparedness, and scheduling at appropriate locations. The team has since expanded the questionnaire to other non-operating room anesthesia procedures and added questions about opioids and glucagon-like peptide-1 receptor agonists use. Future work needs to evaluate whether the online pre-screening was associated with decreases in cancelation rates and cost savings.</div></div>","PeriodicalId":51617,"journal":{"name":"Current Problems in Diagnostic Radiology","volume":"55 1","pages":"Pages 10-13"},"PeriodicalIF":1.5,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144050372","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":"Experience of diagnostic radiology residents with Kaizen, a novel online app-based gamified education tool, and performance compared to RadExam","authors":"Alisa Mobley ,&nbsp;Tamara Zaza ,&nbsp;Jeremey Walker MD ,&nbsp;Madhuri Molleti ,&nbsp;Karthik Sadanand ,&nbsp;Rohan Badve ,&nbsp;Jordan Tzabari ,&nbsp;Gracie Trulove ,&nbsp;Mei Li Ph.D ,&nbsp;Yufeng Li Ph.D ,&nbsp;Rachel Bass MD ,&nbsp;Angela Choe MD ,&nbsp;Padma Manapragada MD ,&nbsp;Desmin Milner MD ,&nbsp;Aparna Singhal MD ,&nbsp;Elainea Smith MD ,&nbsp;Janelle West MD ,&nbsp;Ceren Yalniz MD ,&nbsp;Stefanie Zalasin MD ,&nbsp;Kathryn Zamora MD ,&nbsp;Stefanie Woodard DO","doi":"10.1067/j.cpradiol.2025.08.005","DOIUrl":"10.1067/j.cpradiol.2025.08.005","url":null,"abstract":"<div><h3>Rationale and Objectives</h3><div>Gamification is the application of gaming elements in a nongame context. The use of gamification in education increases motivation, participation and both short- and long-term knowledge retention. Millennial and Generation Z learners are the largest percentage of radiology residents and medical students, respectively, and gamification is an educational tool they are likely familiar with and may enjoy. To date, performance of a gamified learning platform for radiology residents has not been compared to validated resources such as RadExam.</div></div><div><h3>Materials and Methods</h3><div>This is an IRB-approved prospective study evaluating the performance of R1-R4 radiology residents participating in a month-long voluntary novel app-based game at a tertiary care academic program. Questions were created by radiology attendings from several radiology subspecialties and reviewed by a radiologist experienced in radiology education. Informed consent was acquired from all participants, and questions were delivered by Kaizen’s secure online app. Performance was recorded for each group. Scores overall and within each discipline were compared institutional RadExam performance using a one-way Anova test. Likert survey was administered at the conclusion of the study to assess participant engagement, motivation, clinical knowledge, board preparation, satisfaction and likelihood to play again.</div></div><div><h3>Results</h3><div>There were 25 radiology residents (65.7 %, 25/38) who completed at least one question. First year residents made up the largest percentage of class participation with 89 % (8/9) answering at least one question. Third-year residents answered the highest percentage of questions correctly, while the first-year class answered the lowest percentage correctly. One-way Anova analysis showed no significant difference between mean Kaizen and RadExam scores (<em>p</em> = 0.3641). There was also no significant difference between the RadExam and Kaizen scores separated by question category. Most enjoyed the game and 75 % of survey participants would participate in a Kaizen game again. Team collaboration and question feedback significantly increased motivation for most. Most participants felt the game enhanced their radiology knowledge and was beneficial for daily work and board preparation.</div></div><div><h3>Conclusion</h3><div>The Kaizen game was well-received among radiology residents with positive feedback on content, perceived educational benefits and motivation. Team competition appeared to play a role in maintaining engagement and motivation. Resident performance on the RadExam and Kaizen game by both overall and topic-based assessments showed similar results. More research is needed to assess the reliability and validity of gamified learning for radiology residents.</div></div>","PeriodicalId":51617,"journal":{"name":"Current Problems in Diagnostic Radiology","volume":"55 1","pages":"Pages 54-61"},"PeriodicalIF":1.5,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144983645","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":"Radiological approach to emergent ocular and orbital pathology: a visual review","authors":"Samuel Pereiro Pérez,&nbsp;Ana Robles Gómez,&nbsp;Sabela García Benito,&nbsp;María Pérez Costas,&nbsp;Álvaro José de la Iglesia Salas,&nbsp;Rubén Méndez Rodríguez,&nbsp;María Milagros Otero García","doi":"10.1067/j.cpradiol.2025.09.003","DOIUrl":"10.1067/j.cpradiol.2025.09.003","url":null,"abstract":"<div><div>Emergent ocular and orbital conditions encompass a wide spectrum of potentially vision-threatening pathologies. A structured approach based on orbital anatomy and pathophysiologic mechanisms enhances diagnostic accuracy and supports appropriate clinical decision-making. This pictorial review highlights key CT and MRI findings in infectious, inflammatory, traumatic, and vascular orbital emergencies, emphasizing relevant anatomical landmarks, critical imaging signs, and common diagnostic pitfalls. By recognizing characteristic imaging patterns radiologists can play a pivotal role in the diagnosis and management of acute orbital pathology.</div></div>","PeriodicalId":51617,"journal":{"name":"Current Problems in Diagnostic Radiology","volume":"55 1","pages":"Pages 118-129"},"PeriodicalIF":1.5,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145152411","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":"Assessment of radiology residents' diagnostic accuracy in thoracic emergencies using the WIDI SIM platform","authors":"Michael Mathelier BS ,&nbsp;Abheek Raviprasad MD ,&nbsp;Kevin Pierre MD ,&nbsp;Persis Desai BS ,&nbsp;Olivia Scheuermann BS ,&nbsp;Christopher Sistrom MD, PhD, MPH ,&nbsp;Roberta Slater MD ,&nbsp;Otgonbayar Batmunh MS ,&nbsp;Linda Lanier MD ,&nbsp;Anthony Mancuso MD ,&nbsp;Dhanashree Rajderkar MD ,&nbsp;Priya Sharma MD","doi":"10.1067/j.cpradiol.2025.02.001","DOIUrl":"10.1067/j.cpradiol.2025.02.001","url":null,"abstract":"<div><h3>Purpose</h3><div>To assess radiology residents' diagnostic accuracy in interpreting thoracic emergency cases using the Wisdom in Diagnostic Imaging Simulation (WIDI SIM) platform and identify potential areas for educational improvement.</div></div><div><h3>Methods</h3><div>In this retrospective study, 761 radiology residents were assessed on five thoracic emergency cases using WIDI SIM over four years. Cases included bronchial disruption, septic emboli, ventricular perforation, pulmonary embolism, and a negative pulmonary CTA. Residents provided free-text interpretations, which were scored by faculty using a standardized point system. Scores and errors were analyzed using descriptive statistics and the Kruskal-Wallis test.</div></div><div><h3>Results</h3><div>Residents' performance varied across the five cases, with the highest average score on the negative pulmonary CTA (9.59) and the lowest on bronchial disruption (6.59). Observational errors were more common than interpretive errors. The Kruskal-Wallis test revealed significant differences in median scores across the cases (<em>p</em> &lt; 0.0001), with pairwise comparisons showing significant differences in all but two comparisons.</div></div><div><h3>Conclusion</h3><div>This study reveals significant variability in radiology residents' diagnostic accuracy in interpreting thoracic emergency cases, with a high prevalence of observational errors. Our observations emphasize the need for targeted educational strategies to address specific areas of weakness and improve diagnostic accuracy in this critical area of radiology practice.</div></div>","PeriodicalId":51617,"journal":{"name":"Current Problems in Diagnostic Radiology","volume":"55 1","pages":"Pages 105-110"},"PeriodicalIF":1.5,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143477002","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":"Assessment of Pectoralis muscle invasion using combined DBT and contrast-enhanced mammography: Retrospective multi-reader study","authors":"Olena O. Weaver ,&nbsp;Alejandro Contreras ,&nbsp;Ethan O. Cohen ,&nbsp;Mary S. Guirguis ,&nbsp;Megha M. Kapoor ,&nbsp;Marion E. Scoggins ,&nbsp;Rosa F. Hwang ,&nbsp;Rosalind P. Candelaria ,&nbsp;Wei T. Yang ,&nbsp;Jennifer B. Dennison ,&nbsp;Jia Sun ,&nbsp;Gary J. Whitman","doi":"10.1067/j.cpradiol.2025.04.005","DOIUrl":"10.1067/j.cpradiol.2025.04.005","url":null,"abstract":"<div><h3>Objectives</h3><div>To evaluate combined digital breast tomosynthesis and contrast-enhanced mammography (DBT/CEM) for predicting pectoralis muscle invasion.</div></div><div><h3>Methods</h3><div>This retrospective multi-reader cohort study included research patients who underwent combined DBT/CEM for breast cancer staging and had prepectoral masses. Images were independently reviewed by six fellowship-trained breast radiologists. Diagnostic performance, reader confidence, and inter-reader agreement were calculated for each image type/modality.</div></div><div><h3>Results</h3><div>Among 10 patients with prepectoral masses on DBT/CEM, muscle invasion was present in 3 and absent in 7. The overall diagnostic accuracy of DBT/CEM for PMI was 0.6 (range 0.4-0.9); for predefined radiologic signs it was 0.5-0.7 for low energy (LE) CEM, 0.4-0.7 for DBT, and 0.4-0.8 for recombined (RC) CEM. Muscle deformity on MLO views had the highest accuracy (0.7-0.8). On a scale of 1-3, mean radiologist confidence for combined DBT/CEM was 1.9 (1.5-2.3; SD=0.65). Median confidence ranged from 1.9 for RC to 2.2 for DBT. Per-case reader agreement was poor (<em>K</em>=-0.01) for DBT/CEM; poor to slight (<em>K</em>= -0.13-0.40, median 0.28) for RC; slight to fair (<em>K</em> = 0.04-0.43, median 0.27 and <em>K</em> = 0.02-0.42, median 0.19, respectively) for DBT and LE. In two patients with subpectoral breast implants CEM was accurate in PMI detection, while MRI had one false-positive result.</div></div><div><h3>Conclusion</h3><div>Combined DBT/CEM accuracy and inter-reader agreement are suboptimal for PMI evaluation, except in patients with breast implants. RC images marginally improve accuracy compared to LE images but have lowest radiologist confidence. DBT has lowest accuracy but highest confidence. Muscle deformity on MLO view was the most accurate sign.</div></div><div><h3>Critical Relevance Statement</h3><div>Combined DBT/CEM demonstrated suboptimal diagnostic accuracy, reader confidence, and inter-reader agreement for detecting pectoralis muscle invasion (PMI) in prepectoral breast cancer (BC) except for patients with subpectoral breast implants, where recombined images on implant-displaced CEM views performed better than MRI.</div></div>","PeriodicalId":51617,"journal":{"name":"Current Problems in Diagnostic Radiology","volume":"55 1","pages":"Pages 95-104"},"PeriodicalIF":1.5,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143994967","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":"Quantitative and qualitative imaging in marijuana users and smokers","authors":"Aparna Singh ,&nbsp;Ozgu Alcali ,&nbsp;Andetta R. Hunsaker,&nbsp;Mark M. Hammer","doi":"10.1067/j.cpradiol.2025.04.002","DOIUrl":"10.1067/j.cpradiol.2025.04.002","url":null,"abstract":"<div><h3>Objective</h3><div>To evaluate the effect of marijuana use compared to cigarette smoking on imaging findings in the lungs.</div></div><div><h3>Methods</h3><div>By searching the electronic medical record, we identified patients who were marijuana users who never smoked; current smokers; and non-marijuana never smokers, who underwent chest CT in our healthcare system in 2019. We generated a random sample of 100 marijuana users as well as 100 each age- and sex-matched controls from the current smoker and never-smoker groups. Patients with extensive airspace disease on CT were excluded. Quantitative CT analysis was performed to measure total lung volume (TLV). A thoracic radiologist reviewed chest CTs in a blinded fashion for the presence of emphysema, centrilobular ground glass opacities, mosaic attenuation, bronchial wall thickening, and coronary calcification.</div></div><div><h3>Results</h3><div>Our study included 285 participants, comprising 89 non-smokers, 97 smokers, and 99 marijuana users. Despite propensity score matching, the marijuana user group was slightly younger than the smokers and non-smokers (mean age 59 versus 62 and 64 years, respectively, <em>p</em> = 0.04), with similar sex distribution across all groups. TLV was higher in smokers than marijuana users and non-smokers (<em>p</em>&lt;.01 for both). By visual analysis, 62 % of smokers had emphysema versus 4 % of marijuana users (<em>p</em>&lt;.001). Additionally, centrilobular ground glass opacities were more prevalent in smokers (15 %) than in marijuana users (2 %) (<em>p</em> = 0.0008). No significant difference was noted in the occurrence of mosaic attenuation between smokers and marijuana users. In terms of coronary artery calcification, more smokers had moderate to severe coronary artery calcifications compared to marijuana users (43 % versus 25 %, <em>p</em> = 0.01).</div></div><div><h3>Conclusion</h3><div>While emphysema and hyperinflation were common in smokers, they were rare in marijuana users.</div></div>","PeriodicalId":51617,"journal":{"name":"Current Problems in Diagnostic Radiology","volume":"55 1","pages":"Pages 85-89"},"PeriodicalIF":1.5,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144059973","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":"3-Dimensional T2-weighted MRI may compensate for instances of motion degraded 2-Dimensional T2-weighted prostate MRI","authors":"Almohannad Atyani MD,&nbsp;Kanika Diwan MD,&nbsp;Emmanuel Salinas MD,&nbsp;Faraz Ahmad MD,&nbsp;Gerd Melkus PhD,&nbsp;Nicola Schieda MD","doi":"10.1067/j.cpradiol.2025.09.010","DOIUrl":"10.1067/j.cpradiol.2025.09.010","url":null,"abstract":"<div><div>None required for 'Learning from Experience'</div></div>","PeriodicalId":51617,"journal":{"name":"Current Problems in Diagnostic Radiology","volume":"55 1","pages":"Pages 72-74"},"PeriodicalIF":1.5,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145133113","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":"Cultivating the next generation of radiologists: A single institution's experience with radiology preclinical electives for medical students","authors":"Issra Osman ,&nbsp;Shweta Ravi M.D. ,&nbsp;Zachary Baker M.D. ,&nbsp;Inas Mohamed M.D., M.S. ,&nbsp;Pauravi Vasavada M.D.","doi":"10.1067/j.cpradiol.2025.08.007","DOIUrl":"10.1067/j.cpradiol.2025.08.007","url":null,"abstract":"<div><div>Medical students often lack meaningful exposure and educational opportunities in radiology, especially those facilitated by practicing radiologists. This limits the cultivation of early radiology interest into a future career, since preclinical radiology education often focuses on anatomic correlation. To increase medical students’knowledge, participation, and interest in the field, we created a preclinical elective that emphasizes the clinical application and practice of diagnostic radiology.</div><div>The preclinical elective in diagnostic radiology has been held at University Hospitals Cleveland Medical Center since Fall 2021. Medical students attended ten-day sessions that included visiting reading rooms, attending resident- or faculty-led lectures, and simulating image-guided procedures. Upon completion of the elective, informal student feedback was collected and used to adjust curriculum content for future cohorts. A post-course electronic survey was also distributed to the 2024 cohort to provide objective feedback about the provided curriculum.</div><div>Our institution's experience indicates that preclinical electives serve as effective educational instruments for enhancing early clinical radiology exposure for medical students. Our educational model highlights the clinical aspects of diagnostic radiology practice while also creating mentorship opportunities, bolstering student understanding of the role of a radiologist, and increasing student motivation to pursue a career in radiology. In this manuscript, we describe our step-by-step approach to building the structured learning curriculum of the radiology preclinical elective and its evolution throughout its four years of implementation.</div></div>","PeriodicalId":51617,"journal":{"name":"Current Problems in Diagnostic Radiology","volume":"55 1","pages":"Pages 14-17"},"PeriodicalIF":1.5,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144884600","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 pediatric sonographer visualization of the superior mesenteric vasculature: A local quality improvement initiative","authors":"Jeffrey J. Tutman MD ,&nbsp;Michael Tchou MD ,&nbsp;Kelly Harris RDMS ,&nbsp;Colleen Violette RDMS ,&nbsp;HaiThuy N. Nguyen MD","doi":"10.1067/j.cpradiol.2025.07.004","DOIUrl":"10.1067/j.cpradiol.2025.07.004","url":null,"abstract":"<div><h3>Background</h3><div>Ultrasound is emerging as a viable first-line imaging modality in the assessment of midgut volvulus. However, successful transition to this technique can be challenging.</div></div><div><h3>Objective</h3><div>The aim of our project was to increase sonographer visualization rates of the superior mesenteric artery and superior mesenteric vein (SMA/SMV) by &gt;39 % from baseline over a 7-month period.</div></div><div><h3>Methods</h3><div>We conducted a quality improvement project targeting the ultrasound department at a large academic children’s hospital system. The study included 615 patients who underwent pyloric or volvulus ultrasounds. Interventions included implementation of a team goal, monthly review of deficient exams and radiologist to sonographer peer review. Our primary outcome measure was percentage of exams in which the SMA/SMV vascular pedicle was successfully visualized.</div></div><div><h3>Results</h3><div>The average baseline rate of SMA/SMV visualization was 37 %. This rate increased to 72 % within one month of implementation, and an average of 83 % visualization was achieved over the 7-month period of observation. This improvement was sustained during the 2 months immediately following the conclusion of the formal observation period and remained evident 2 years post-completion.</div></div><div><h3>Conclusion</h3><div>Our quality improvement initiative resulted in significant, rapid, and sustained improvement in sonographer visualization rates of the superior mesenteric vasculature. Given widespread interest in volvulus ultrasound, we provide a framework for successfully training sonographers to perform this exam. The approach we used may also have potential to be utilized in the implementation of other imaging protocols.</div></div>","PeriodicalId":51617,"journal":{"name":"Current Problems in Diagnostic Radiology","volume":"55 1","pages":"Pages 18-24"},"PeriodicalIF":1.5,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144818885","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 breakdown of how diagnostic radiology residency became increasingly competitive for US doctors of osteopathic medicine (DOs) and international medical graduates (IMGs)","authors":"Sakina Divan ,&nbsp;Hebatullah M. Elsingergy ,&nbsp;Arif Musa ,&nbsp;Mohamed M. Elsingergy ,&nbsp;Brigitte Berryhill ,&nbsp;Gulcin Altinok","doi":"10.1067/j.cpradiol.2025.04.007","DOIUrl":"10.1067/j.cpradiol.2025.04.007","url":null,"abstract":"<div><div>Diagnostic Radiology has emerged as an increasingly competitive specialty posing a significant challenge for aspirants, particularly for Doctors of Osteopathic Medicine (DOs) and International Medical Graduates (IMGs). This could be attributed to the field’s dynamic nature, flexibility of career paths, and high job demand. This article delves into a decade's worth of matching trends in diagnostic radiology, underscoring the unique obstacles faced by DOs and IMGs including possible implicit biases, logistical hurdles, and the implications of the USMLE Step 1′s transition to pass/fail scoring. It offers practical solutions to level the playing field, such as expanding clinical and research opportunities for applicants, encouraging residency programs to address implicit biases, increasing curriculum adaptability in osteopathic and foreign medical schools, and exploring accreditation reforms. Together, these recommendations aim to create a more equitable selection process and mitigate the systemic barriers DOs and IMGs face in securing highly sought-after radiology residency spots.</div></div>","PeriodicalId":51617,"journal":{"name":"Current Problems in Diagnostic Radiology","volume":"55 1","pages":"Pages 1-4"},"PeriodicalIF":1.5,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144014892","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}