Current Problems in Diagnostic Radiology最新文献

{"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":"2025-09-01","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":"2025-09-01","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":"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":"2025-09-01","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":"Diagnostic impact of DWI absence on prostate lesion assessment using PI-RADS 2.1","authors":"Negar Firoozeh MD ,&nbsp;Sung Yoon Park MD ,&nbsp;Yaw Nyame MD ,&nbsp;Arash Mahdavi MD ,&nbsp;Seyed Ali Nabipoorashrafi MD ,&nbsp;Achille Mileto MD ,&nbsp;Bahar Mansoori MD ,&nbsp;Antonio C Westphalen MD, PhD","doi":"10.1067/j.cpradiol.2025.03.001","DOIUrl":"10.1067/j.cpradiol.2025.03.001","url":null,"abstract":"<div><h3>Objective</h3><div>To compare Prostate Imaging Reporting and Data System (PI-RADS) scores derived from a standard multiparametric prostate MRI (mpMRI) protocol with those from a protocol consisting only of T2-weighted and dynamic contrast-enhanced images (T2+DCE MRI).</div></div><div><h3>Methods</h3><div>In this retrospective, single-center, cross-sectional study approved by the IRB and compliant with HIPAA, 492 MRI exams performed in 2022 were analyzed. PI-RADS scores from mpMRIs were extracted from medical records, and new scores were generated for T2+DCE MRI following PI-RADS guidelines. Score differences were evaluated using Wilcoxon signed-rank and McNemar's tests, stratified by lesion location (peripheral zone, PZ, and transition zone, TZ). Diagnostic accuracies of the two methods were compared using ROC curves, and logistic regression was employed to identify predictors of score changes.</div></div><div><h3>Results</h3><div>Notable differences in PI-RADS scores were observed were observed in the PZ (<em>P</em> = 0.03) and TZ (<em>P</em> &lt; 0.001). 4.8 % of PZ and 4.0 % of TZ PI-RADS 3-5 lesions were misclassified as PI-RADS 1-2 on T2W+DCE MRI (PZ vs TZ, <em>P</em> = 0.64). However, ROC curve analyses revealed no significant difference in diagnostic accuracy between mpMRI (Az = 0.77) and T2+DCE MRI (Az = 0.75, <em>P</em> = 0.07). PSA density was identified as a predictor of score changes from PI-RADS 3-5 to 1-2, although the effect size was modest.</div></div><div><h3>Conclusions</h3><div>Although T2+DCE MRI yields different PI-RADS scores compared to mpMRI, the clinical impact on diagnostic accuracy and decision-making is overall small. This supports the continued use of T2+DCE MRI, particularly when diffusion-weighted imaging is compromised.</div></div>","PeriodicalId":51617,"journal":{"name":"Current Problems in Diagnostic Radiology","volume":"54 5","pages":"Pages 596-602"},"PeriodicalIF":1.5,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143607567","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 Reading Room for the Future: Harnessing the Power of Large Language Models Like ChatGPT","authors":"Charit Tippareddy,&nbsp;Sirui Jiang,&nbsp;Kaustav Bera,&nbsp;Nikhil Ramaiya","doi":"10.1067/j.cpradiol.2023.08.018","DOIUrl":"10.1067/j.cpradiol.2023.08.018","url":null,"abstract":"<div><div><span>Radiology has usually been the field of medicine that has been at the forefront of technological advances, often being the first to wholeheartedly embrace them. Whether it's from digitization to cloud side architecture, radiology has led the way for adopting the latest advances. With the advent of </span>large language models (LLMs), especially with the unprecedented explosion of freely available ChatGPT, time is ripe for radiology and radiologists to find novel ways to use the technology to improve their workflow. Towards this, we believe these LLMs have a key role in the radiology reading room not only to expedite processes, simplify mundane and archaic tasks, but also to increase the radiologist's and radiologist trainee's knowledge base at a far faster pace. In this article, we discuss some of the ways we believe ChatGPT, and the likes can be harnessed in the reading room.</div></div>","PeriodicalId":51617,"journal":{"name":"Current Problems in Diagnostic Radiology","volume":"54 4","pages":"Pages 408-413"},"PeriodicalIF":1.5,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41143008","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":"2025-07-01","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":"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":"2025-07-01","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":"Assessing asymmetric enhancement on breast MRI: Besting the diagnostic challenge with imaging and clinical clues","authors":"Stephane Chartier D.O. ,&nbsp;Jennifer Kramer M.D. ,&nbsp;Sheryl Jordan M.D. ,&nbsp;Alan Chiang M.D., Ph.D.","doi":"10.1067/j.cpradiol.2024.12.011","DOIUrl":"10.1067/j.cpradiol.2024.12.011","url":null,"abstract":"<div><div>Breast magnetic resonance imaging (MRI) has the highest sensitivity for breast cancer detection compared to other breast imaging modalities such as mammography and ultrasound. As a functional modality, it captures the increased angiogenic activity of breast cancer through gadolinium-based contrast enhancement. Normal breast tissue also enhances, albeit in distinct patterns termed background parenchymal enhancement (BPE). Asymmetric enhancement, i.e., when one breast enhances more prominently than the other, can pose a diagnostic challenge for interpreting radiologists as distinguishing suspicious nonmass enhancement (NME) versus benign asymmetric BPE can be difficult. Correlating with patient history and imaging findings can help differentiate benign versus suspicious patterns of asymmetric enhancement. We present a collection of cases illustrating clues helpful for assessing asymmetric enhancement encountered on breast MRI.</div></div>","PeriodicalId":51617,"journal":{"name":"Current Problems in Diagnostic Radiology","volume":"54 4","pages":"Pages 481-489"},"PeriodicalIF":1.5,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142928867","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":"Creation of nomograms that combine clinical, CT, and radiographic features to separate benign from malignant diseases using spiculation or (and) lobulation signs","authors":"Ruoxuan Wang ,&nbsp;Tianjie Qi","doi":"10.1067/j.cpradiol.2024.12.014","DOIUrl":"10.1067/j.cpradiol.2024.12.014","url":null,"abstract":"<div><h3>Background</h3><div>Distinguishing between benign and malignant pulmonary nodules based on CT imaging features such as the spiculation sign and/or lobulation sign remains challenging and these nodules are often misinterpreted as malignant tumors. this retrospective study aimed to develop a prediction model to estimate the likelihood of benign and malignant lung nodules exhibiting spiculation and/or lobulation signs.</div></div><div><h3>Methods</h3><div>A total of 500 patients with pulmonary nodules from June 2022 to August 2024 were retrospectively analyzed. Among them, 190 patients with spiculation sign and lobar sign or both on CT scan were included in this study. This investigation collected the clinical information, preoperative chest CT imaging characteristics, and postoperative histopathologic results from patients.Univariate and multivariate logistic regression analyses were employed to identify independent risk factors, from which a prediction model and nomogram were developed. In addition, The model performance was assessed through receiver operating characteristic(ROC) curve analysis, calibration curve analysis, and decision curve analysis (DCA).</div></div><div><h3>Results</h3><div>In our study, 190 patients with pulmonary nodules underwent lung biopsy in 10 patients and surgical resection in 180 patients, of whom 53 were benign nodules and 137 were malignant nodules. When combined with the spiculation sign or (and) the lobulation sign, the vascular cluster sign, bronchial architectural distortion, bubble-like translucent area, nodule density, and CEA were found to be significant independent predictors for determining the benignity and malignancy of pulmonary nodules. The nomogram prediction model demonstrated high predictive accuracy with an area under the ROC curve (AUC) of 0.904. Furthermore, the model's calibration curve demonstrated adequate calibration. DCA confirmed the prediction model's validity.</div></div><div><h3>Conclusion</h3><div>The model can assist clinicians in making more accurate preoperative diagnoses and in guiding clinical decision-making regarding treatment, potentially reducing unnecessary surgical interventions.</div></div>","PeriodicalId":51617,"journal":{"name":"Current Problems in Diagnostic Radiology","volume":"54 4","pages":"Pages 443-448"},"PeriodicalIF":1.5,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143026223","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":"2025-07-01","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}