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Response to Editorial on "The Current and Future Landscape of Interventional Neuro-Oncology". 对“介入神经肿瘤学的当前和未来前景”社论的回应。
IF 3.7 3区 医学
Canadian Association of Radiologists Journal-Journal De L Association Canadienne Des Radiologistes Pub Date : 2025-11-01 Epub Date: 2025-06-11 DOI: 10.1177/08465371251348835
Francois H Cornelis
{"title":"Response to Editorial on \"The Current and Future Landscape of Interventional Neuro-Oncology\".","authors":"Francois H Cornelis","doi":"10.1177/08465371251348835","DOIUrl":"10.1177/08465371251348835","url":null,"abstract":"","PeriodicalId":55290,"journal":{"name":"Canadian Association of Radiologists Journal-Journal De L Association Canadienne Des Radiologistes","volume":" ","pages":"572"},"PeriodicalIF":3.7,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144267945","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Environmental Sustainability and Cancer Imaging. 环境可持续性和癌症成像。
IF 3.7 3区 医学
Canadian Association of Radiologists Journal-Journal De L Association Canadienne Des Radiologistes Pub Date : 2025-11-01 Epub Date: 2025-02-27 DOI: 10.1177/08465371251323107
Parthiv Amin, Aleena Malik, Matthew D F Mcinnes, Maura J Brown, Andrew Szava-Kovats
{"title":"Environmental Sustainability and Cancer Imaging.","authors":"Parthiv Amin, Aleena Malik, Matthew D F Mcinnes, Maura J Brown, Andrew Szava-Kovats","doi":"10.1177/08465371251323107","DOIUrl":"10.1177/08465371251323107","url":null,"abstract":"<p><p>The rising global burden of cancer drives increased demands for medical imaging, which is essential throughout cancer care. However, delivering medical imaging presents significant environmental challenges including high energy use, reliance on single-use supplies, and the production of environmental pollutants. Environmental factors, such as ultraviolet radiation, wildfire smoke, and carcinogenic pollutants contribute to rising cancer rates, while extreme weather events driven by climate change disrupt cancer care delivery-highlighting the close connection between patient and planetary health. This review explores opportunities to improve the environmental sustainability of oncologic imaging, emphasizing the importance of patient-relevant outcomes-such as quality of life and overall survival-as a guiding principle in cancer care. Key strategies include optimizing imaging schedules to reduce low-value imaging, selecting modalities with lower environmental impact where clinically appropriate, minimizing waste streams, and adopting energy-efficient practices. Artificial intelligence offers the potential to personalize imaging schedules and improve efficiency, though its benefits must be weighed against energy use. Mobile imaging programs and integrated scheduling reduce patient travel-related emissions while promoting health equity, particularly in underserved communities. Future research should focus on optimizing imaging intervals to address patient-relevant outcomes better, expanding the use of abbreviated imaging protocols, and the judicious deployment of artificial intelligence, ensuring its benefits justify energy use.</p>","PeriodicalId":55290,"journal":{"name":"Canadian Association of Radiologists Journal-Journal De L Association Canadienne Des Radiologistes","volume":" ","pages":"611-622"},"PeriodicalIF":3.7,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143525299","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Imaging Climate-Related Environmental Exposures: Impact and Opportunity. 与气候相关的环境暴露成像：影响与机遇。
IF 3.7 3区 医学
Canadian Association of Radiologists Journal-Journal De L Association Canadienne Des Radiologistes Pub Date : 2025-11-01 Epub Date: 2025-02-28 DOI: 10.1177/08465371251322762
Felipe Castillo, Omar Taboun, John Farag Alla, Karyna Yankova, Kate Hanneman
{"title":"Imaging Climate-Related Environmental Exposures: Impact and Opportunity.","authors":"Felipe Castillo, Omar Taboun, John Farag Alla, Karyna Yankova, Kate Hanneman","doi":"10.1177/08465371251322762","DOIUrl":"10.1177/08465371251322762","url":null,"abstract":"<p><p>Climate change is the most important challenge of this century. Global surface temperature is continuously rising to new record highs, adversely affecting the health of the planet and humans. The purpose of this article is to review the impact of climate related environmental exposures on human health, healthcare delivery, and medical imaging and explore the potential to leverage medical imaging as a non-invasive tool to advance our understanding of climate related health effects. Radiology departments and healthcare systems must focus on building resilience to the effects of climate change while ensuring that the delivery of care is environmentally sustainable. Further research is needed to refine our understanding of the effects of climate change on human health and to forecast the expected changes in the demand for healthcare and radiology services.</p>","PeriodicalId":55290,"journal":{"name":"Canadian Association of Radiologists Journal-Journal De L Association Canadienne Des Radiologistes","volume":" ","pages":"577-587"},"PeriodicalIF":3.7,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143525366","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Interventional Neuro-Oncology: Expanding the Frontiers of Image-Guided Therapy. 介入神经肿瘤学：拓展影像引导治疗的前沿。
IF 3.7 3区 医学
Canadian Association of Radiologists Journal-Journal De L Association Canadienne Des Radiologistes Pub Date : 2025-11-01 Epub Date: 2025-05-17 DOI: 10.1177/08465371251340249
Ruben Geevarghese, Eric Lis, Marc Cohen, Andrew Lin, Viviane Tabar, Stephen B Solomon, Francois H Cornelis
{"title":"Interventional Neuro-Oncology: Expanding the Frontiers of Image-Guided Therapy.","authors":"Ruben Geevarghese, Eric Lis, Marc Cohen, Andrew Lin, Viviane Tabar, Stephen B Solomon, Francois H Cornelis","doi":"10.1177/08465371251340249","DOIUrl":"10.1177/08465371251340249","url":null,"abstract":"<p><p>Interventional neuro-oncology is an evolving subspecialty that leverages minimally invasive endovascular and percutaneous techniques to improve outcomes for patients with spine, brain, and head-neck tumours. While conventional interventions have historically focused on vascular pathologies such as stroke and aneurysms, interventional techniques in oncology are gaining prominence. This review explores the role of image-guided interventions in preoperative tumour embolization, middle meningeal artery embolization in thrombocytopenic cancer patients, management of head and neck hemorrhage, intra-arterial drug delivery, and spinal interventions. Through a synthesis of current evidence, we highlighted the growing importance of interventional techniques in neuro-oncology and discuss future advancements in image guidance, robotics, and targeted drug delivery.</p>","PeriodicalId":55290,"journal":{"name":"Canadian Association of Radiologists Journal-Journal De L Association Canadienne Des Radiologistes","volume":" ","pages":"740-749"},"PeriodicalIF":3.7,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144086554","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A Computed Tomography-Based Score to Predict Survival in Patients With Adrenocortical Carcinoma: A Proof-of-Concept Study. 基于计算机断层扫描的评分预测肾上腺皮质癌患者的生存：一项概念验证研究。
IF 3.7 3区 医学
Canadian Association of Radiologists Journal-Journal De L Association Canadienne Des Radiologistes Pub Date : 2025-11-01 Epub Date: 2025-05-04 DOI: 10.1177/08465371251335170
Maxime Barat, Mohamed Eltaher, Ahmed W Moawad, Philippe Soyer, David Fuentes, Marianne Golse, Anne Jouinot, Ayahallah A Ahmed, Mostafa A Shehata, Guillaume Assié, Mohab M Elmohr, Magalie Haissaguerre, Mouhammed A Habra, Christine Hoeffel, Khaled M Elsayes, Jérome Bertherat, Anthony Dohan
{"title":"A Computed Tomography-Based Score to Predict Survival in Patients With Adrenocortical Carcinoma: A Proof-of-Concept Study.","authors":"Maxime Barat, Mohamed Eltaher, Ahmed W Moawad, Philippe Soyer, David Fuentes, Marianne Golse, Anne Jouinot, Ayahallah A Ahmed, Mostafa A Shehata, Guillaume Assié, Mohab M Elmohr, Magalie Haissaguerre, Mouhammed A Habra, Christine Hoeffel, Khaled M Elsayes, Jérome Bertherat, Anthony Dohan","doi":"10.1177/08465371251335170","DOIUrl":"10.1177/08465371251335170","url":null,"abstract":"<p><p><b>Purpose:</b> Adrenocortical carcinoma (ACC) is a rare condition with a poor and hardly predictable prognosis. This study aims to build and evaluate a preoperative computed tomography (CT)-based score (CT score) using features previously reported as biomarkers in ACC to predict overall survival (OS) in patients with ACC. <b>Methods:</b> A CT score based on preoperative CT examinations combining shape elongation, maximum tumour diameter, and the European Network for the Study of Adrenal Tumors (ENSAT) stage was built using a logistic regression model to predict OS duration in a development cohort of 89 patients with ACC. An optimal cut-off of the CT score was defined and the Kaplan-Meier method was used to assess OS. The CT score was then tested in an external validation cohort of 54 patients wit ACC. The C-index of the CT score for predicting OS was compared to that of ENSAT stage alone. <b>Results:</b> The CT score helped discriminate between patients with poor prognosis and patients with good prognosis in both the validation cohort (54 patients; mean OS, 69.4 months; 95% confidence interval [CI]: 57.4-81.4 months vs mean OS, 75.6 months; 95% CI: 62.9-88.4 months, respectively; <i>P</i> = .022). In the validation cohort the C-index of the CT score was significantly better than that of the ENSAT stage alone (0.62 vs 0.35; <i>P</i> = .002). <b>Conclusion:</b> A CT score combining morphological criteria, radiomics, and ENSAT stage on preoperative CT examinations allows a better prognostic stratification of patients with ACC compared to ENSAT stage alone.</p>","PeriodicalId":55290,"journal":{"name":"Canadian Association of Radiologists Journal-Journal De L Association Canadienne Des Radiologistes","volume":" ","pages":"683-691"},"PeriodicalIF":3.7,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144052894","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Yesterday's Plombage, Today's Bypass, Tomorrow's Pill. 昨天的手术，今天的手术，明天的药。
IF 3.7 3区 医学
Canadian Association of Radiologists Journal-Journal De L Association Canadienne Des Radiologistes Pub Date : 2025-11-01 Epub Date: 2025-06-11 DOI: 10.1177/08465371251347859
Iain D C Kirkpatrick
{"title":"Yesterday's Plombage, Today's Bypass, Tomorrow's Pill.","authors":"Iain D C Kirkpatrick","doi":"10.1177/08465371251347859","DOIUrl":"10.1177/08465371251347859","url":null,"abstract":"","PeriodicalId":55290,"journal":{"name":"Canadian Association of Radiologists Journal-Journal De L Association Canadienne Des Radiologistes","volume":" ","pages":"570-571"},"PeriodicalIF":3.7,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144267946","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Prospective External Validation of an AI-Based Emergency Department Pneumonia Disposition Prediction Tool. 基于人工智能的急诊科肺炎处置预测工具的前瞻性外部验证。
IF 3.7 3区 医学
Canadian Association of Radiologists Journal-Journal De L Association Canadienne Des Radiologistes Pub Date : 2025-11-01 Epub Date: 2025-02-26 DOI: 10.1177/08465371251320938
Aaditeya Jhaveri, Farbod Abolhassani, Benjamin Fine
{"title":"Prospective External Validation of an AI-Based Emergency Department Pneumonia Disposition Prediction Tool.","authors":"Aaditeya Jhaveri, Farbod Abolhassani, Benjamin Fine","doi":"10.1177/08465371251320938","DOIUrl":"10.1177/08465371251320938","url":null,"abstract":"<p><p><b>Purpose:</b> This shadow deployment evaluated an externally-developed AI tool to predict disposition using chest X-rays (CXR) in patients with community-acquired pneumonia (CAP) in the Emergency Department (ED). Retrospective and prospective external validations were conducted to assess differences between the 2 evaluations and across subgroups to inform deployment decisions. <b>Methods:</b> The CNN was retrospectively validated (n = 17 689) from November 1, 2020, to June 30, 2021, and prospectively validated on \"suspected-CAP\" patients (n = 3062) from Jan 1 to Jan 31, 2023. Calibration and standard metrics, including AUC, accuracy, sensitivity, specificity, PPV, and NPV, were calculated. Subgroup analyses were conducted for age, sex, modality, and CXR projection (PA vs AP). <b>Results:</b> The model's AUC was 67% in both validations. The prospective evaluation showed a non-significant increase in sensitivity (65% vs 59%) and PPV (64% vs 63%), while specificity (68% vs 73%) and NPV (69% vs 70%) slightly decreased. NPV was very high for younger patients in the prospective evaluation (95%); PPV was moderately high for older patients (81%). Sensitivity dropped significantly in females under 31 years (50%), and specificity was reduced in females over 86 years (38%). <b>Conclusion:</b> This study showed moderate, consistent performance in both retrospective and prospective validations. While this consistency is encouraging, further direct comparisons are needed to determine whether both validation approaches are necessary in different clinical settings. Subgroup analysis suggests the tool may be helpful to accelerate discharge in younger patients (high NPV) and possibly for admission in older patients (high PPV).</p>","PeriodicalId":55290,"journal":{"name":"Canadian Association of Radiologists Journal-Journal De L Association Canadienne Des Radiologistes","volume":" ","pages":"664-673"},"PeriodicalIF":3.7,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143506228","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
How to Become a Leader in Academic Radiology? 如何成为学术放射学的领导者？
IF 3.7 3区 医学
Canadian Association of Radiologists Journal-Journal De L Association Canadienne Des Radiologistes Pub Date : 2025-11-01 Epub Date: 2025-05-26 DOI: 10.1177/08465371251343784
Philippe Soyer, Gilles Soulez
{"title":"How to Become a Leader in Academic Radiology?","authors":"Philippe Soyer, Gilles Soulez","doi":"10.1177/08465371251343784","DOIUrl":"10.1177/08465371251343784","url":null,"abstract":"","PeriodicalId":55290,"journal":{"name":"Canadian Association of Radiologists Journal-Journal De L Association Canadienne Des Radiologistes","volume":" ","pages":"566-567"},"PeriodicalIF":3.7,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144152883","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
First Year in a New Leadership Role: Lessons Learned. 新领导角色的第一年：经验教训。
IF 3.7 3区 医学
Canadian Association of Radiologists Journal-Journal De L Association Canadienne Des Radiologistes Pub Date : 2025-11-01 Epub Date: 2025-04-17 DOI: 10.1177/08465371251332504
Hannah Hughes, Kate Hanneman, Michael N Patlas
{"title":"First Year in a New Leadership Role: Lessons Learned.","authors":"Hannah Hughes, Kate Hanneman, Michael N Patlas","doi":"10.1177/08465371251332504","DOIUrl":"10.1177/08465371251332504","url":null,"abstract":"<p><p>When discussing leadership, multiple questions arise: what does it mean to be an effective leader?; what are the characteristics of a person that make them so?; and are leaders born, or are they made? Organizations need effective leaders at all levels, especially in the constant and rapidly changing landscape that is healthcare provision. Those in senior leadership roles should encourage junior team members to engage in leadership activities appropriate to their level of comfort and expertise. Integrity and principle are also essential leadership characteristics, particularly when faced with making decisions that are difficult, or considered to be \"unpopular.\" Organizations that wish to develop and maintain effective leadership programs must ensure that they balance the needs of the organization with those of the leaders. Adequate space must be made to facilitate leadership activities as well as personal, academic, and clinical duties. Ultimately, leadership takes practice and persistence on the part of the leader themselves, but also on the part of the organization in which they work.</p>","PeriodicalId":55290,"journal":{"name":"Canadian Association of Radiologists Journal-Journal De L Association Canadienne Des Radiologistes","volume":" ","pages":"659-663"},"PeriodicalIF":3.7,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143993003","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A Letter to Our Patients: Patient-Centred Reporting in Radiology. 致病人的一封信：以病人为中心的放射学报告。
IF 3.7 3区 医学
Canadian Association of Radiologists Journal-Journal De L Association Canadienne Des Radiologistes Pub Date : 2025-11-01 Epub Date: 2025-04-17 DOI: 10.1177/08465371251332843
Samuel S Haile, Michael N Patlas
{"title":"A Letter to Our Patients: Patient-Centred Reporting in Radiology.","authors":"Samuel S Haile, Michael N Patlas","doi":"10.1177/08465371251332843","DOIUrl":"10.1177/08465371251332843","url":null,"abstract":"","PeriodicalId":55290,"journal":{"name":"Canadian Association of Radiologists Journal-Journal De L Association Canadienne Des Radiologistes","volume":" ","pages":"562-563"},"PeriodicalIF":3.7,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144059060","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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