{"title":"From Standardized Imaging to Personalized Procedures.","authors":"Francois H Cornelis, Stephen B Solomon","doi":"10.1177/08465371251367048","DOIUrl":"https://doi.org/10.1177/08465371251367048","url":null,"abstract":"","PeriodicalId":55290,"journal":{"name":"Canadian Association of Radiologists Journal-Journal De L Association Canadienne Des Radiologistes","volume":" ","pages":"8465371251367048"},"PeriodicalIF":3.7,"publicationDate":"2025-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144979253","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}
{"title":"The FLAIR Motor Sign in Hypoxic-Ischemic Brain Injury: Diagnostic Insights, Challenges, and Future Directions.","authors":"Àlex Rovira, Cristina Auger","doi":"10.1177/08465371251368026","DOIUrl":"https://doi.org/10.1177/08465371251368026","url":null,"abstract":"","PeriodicalId":55290,"journal":{"name":"Canadian Association of Radiologists Journal-Journal De L Association Canadienne Des Radiologistes","volume":" ","pages":"8465371251368026"},"PeriodicalIF":3.7,"publicationDate":"2025-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144979637","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}
{"title":"Greener by Design: Weighing the Environmental Impact of Radiology AI Development.","authors":"Nicholas Dietrich, Kate Hanneman","doi":"10.1177/08465371251364698","DOIUrl":"https://doi.org/10.1177/08465371251364698","url":null,"abstract":"","PeriodicalId":55290,"journal":{"name":"Canadian Association of Radiologists Journal-Journal De L Association Canadienne Des Radiologistes","volume":" ","pages":"8465371251364698"},"PeriodicalIF":3.7,"publicationDate":"2025-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144823198","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}
{"title":"Radiomics for Early Pancreatic Cancer Detection: From Promise to Practice?","authors":"Adriano B Dias","doi":"10.1177/08465371251359867","DOIUrl":"https://doi.org/10.1177/08465371251359867","url":null,"abstract":"","PeriodicalId":55290,"journal":{"name":"Canadian Association of Radiologists Journal-Journal De L Association Canadienne Des Radiologistes","volume":" ","pages":"8465371251359867"},"PeriodicalIF":3.7,"publicationDate":"2025-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144790741","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}
Mitchell P Wilson, Gavin Low, Alexandra Medellin, Silvia D Chang, Emily Pang, Toni Whitaker, Andreu F Costa, An Tang, Jérémy Dana, Noam Millo, Ania Kielar, Li Xin Zhang, Abdel-Aziz Shaheen, Mark Swain, Victoria Leung, Daisy Fung, Casey Hurrell, Christopher Fung
{"title":"Part 3: CAR Metabolic Dysfunction-Associated Steatotic Liver Disease Working Group Recommendations for Ultrasound Shear Wave Elastography and MR Elastography Program Implementation, Funding, and Quality Assurance.","authors":"Mitchell P Wilson, Gavin Low, Alexandra Medellin, Silvia D Chang, Emily Pang, Toni Whitaker, Andreu F Costa, An Tang, Jérémy Dana, Noam Millo, Ania Kielar, Li Xin Zhang, Abdel-Aziz Shaheen, Mark Swain, Victoria Leung, Daisy Fung, Casey Hurrell, Christopher Fung","doi":"10.1177/08465371251357446","DOIUrl":"10.1177/08465371251357446","url":null,"abstract":"<p><p>The Canadian Association of Radiologists (CAR) metabolic dysfunction-associated steatotic liver disease (MASLD) Working Group (WG) is a multidisciplinary working group composed of radiologists, hepatologists, and family physicians. In this 3-part series, we provide Delphi consensus-based guidance on clinical and imaging findings for patients with known or suspected MASLD (formerly termed nonalcoholic fatty liver disease or NAFLD). Part 1 focuses on the detection and grading of hepatic steatosis on imaging; Part 2 on risk stratification of patients with MASLD, including a patient pathway that applies blood-based and imaging-based investigations; and Part 3 on the implementation of practice recommendations for quality assurance using shear wave elastography (SWE) and magnetic resonance elastography (MRE) for disease staging. In the third part of these guidelines, the WG provides 18 recommendations for standardized implementation, remuneration, and quality assurance for SWE and MRE programs. Structured reporting templates for standardized SWE and MRE are provided. Introductory training presentations for technologists and radiologists are also provided. The goal of these guidelines is to enable standardized image-based screening and risk stratification of patients with MASLD across Canada.</p>","PeriodicalId":55290,"journal":{"name":"Canadian Association of Radiologists Journal-Journal De L Association Canadienne Des Radiologistes","volume":" ","pages":"8465371251357446"},"PeriodicalIF":3.7,"publicationDate":"2025-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144790739","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}
Mitchell P Wilson, Gavin Low, Abdel-Aziz Shaheen, Andreu F Costa, An Tang, Emily Pang, Silvia Chang, Alexandra Medellin, Jérémy Dana, Noam Millo, Ania Kielar, Li Xin Zhang, Toni Whitaker, Mark Swain, Victoria Leung, Daisy Fung, Casey Hurrell, Christopher Fung
{"title":"Part 2: CAR Metabolic Dysfunction-Associated Steatotic Liver Disease Working Group Recommendations for Risk Stratifying Patients With MASLD.","authors":"Mitchell P Wilson, Gavin Low, Abdel-Aziz Shaheen, Andreu F Costa, An Tang, Emily Pang, Silvia Chang, Alexandra Medellin, Jérémy Dana, Noam Millo, Ania Kielar, Li Xin Zhang, Toni Whitaker, Mark Swain, Victoria Leung, Daisy Fung, Casey Hurrell, Christopher Fung","doi":"10.1177/08465371251357447","DOIUrl":"https://doi.org/10.1177/08465371251357447","url":null,"abstract":"<p><p>The Canadian Association of Radiologists (CAR) metabolic dysfunction-associated steatotic liver disease (MASLD) Working Group (WG) is a multidisciplinary working group composed of radiologists, hepatologists, and family physicians. In this 3-part series, we provide Delphi consensus-based guidance on clinical and imaging findings for patients with known or suspected MASLD (formerly termed nonalcoholic fatty liver disease or NAFLD). Part 1 focuses on the detection and grading of hepatic steatosis on imaging; Part 2 on risk-stratification of patients with MASLD, including a patient pathway using serological and imaging investigations; and Part 3 on the implementation of practice recommendations for quality assurance using shear wave elastography (SWE) and magnetic resonance elastography (MRE) programs. In Part 2 of these guidelines, the WG provides 14 recommendations for risk stratifying MASLD patients into low and high risk for advanced hepatic fibrosis (<i>F</i> ≥ 3) using a combination of serological and imaging investigations. Population screening and risk stratification of MASLD patients using a clinical and serological investigation (FIB-4) followed by imaging pathway is recommended. Clinical, technical, and grading recommendations for point shear wave elastography (pSWE), 2-dimensional SWE (2D-SWE), and MRE are discussed.</p>","PeriodicalId":55290,"journal":{"name":"Canadian Association of Radiologists Journal-Journal De L Association Canadienne Des Radiologistes","volume":" ","pages":"8465371251357447"},"PeriodicalIF":3.7,"publicationDate":"2025-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144790738","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}
Eric Bartlett, Heidi Schmidt, Paula Alcaide Leon, Ciara O'Brien
{"title":"Preserving the Cognitive Process: Rethinking Radiology Education in the Age of Artificial Intelligence.","authors":"Eric Bartlett, Heidi Schmidt, Paula Alcaide Leon, Ciara O'Brien","doi":"10.1177/08465371251365828","DOIUrl":"https://doi.org/10.1177/08465371251365828","url":null,"abstract":"","PeriodicalId":55290,"journal":{"name":"Canadian Association of Radiologists Journal-Journal De L Association Canadienne Des Radiologistes","volume":" ","pages":"8465371251365828"},"PeriodicalIF":3.7,"publicationDate":"2025-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144790740","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}
Mitchell P Wilson, An Tang, Gavin Low, Li Xin Zhang, Andreu F Costa, Emily Pang, Silvia Chang, Alexandra Medellin, Abdel-Aziz Shaheen, Jérémy Dana, Noam Millo, Ania Kielar, Mark Swain, Victoria Leung, Daisy Fung, Casey Hurrell, Christopher Fung
{"title":"Part 1: CAR Metabolic Dysfunction-Associated Steatotic Liver Disease Working Group Guidance Statements for Detecting and Grading Hepatic Steatosis Using Ultrasound, CT, or MRI.","authors":"Mitchell P Wilson, An Tang, Gavin Low, Li Xin Zhang, Andreu F Costa, Emily Pang, Silvia Chang, Alexandra Medellin, Abdel-Aziz Shaheen, Jérémy Dana, Noam Millo, Ania Kielar, Mark Swain, Victoria Leung, Daisy Fung, Casey Hurrell, Christopher Fung","doi":"10.1177/08465371251357444","DOIUrl":"https://doi.org/10.1177/08465371251357444","url":null,"abstract":"<p><p>The Canadian Association of Radiologists (CAR) metabolic dysfunction-associated steatotic liver disease (MASLD) Working Group (WG) is a multidisciplinary working group composed of radiologists, hepatologists, and family physicians. In this 3-part series, we provide Delphi consensus-based guidance on clinical and imaging findings for patients with known or suspected MASLD (formerly termed non-alcoholic fatty liver disease or NAFLD). Part 1 focuses on the detection and grading of hepatic steatosis on imaging; Part 2 on risk-stratification of patients with MASLD, including a patient pathway that incorporates serological and imaging investigations; and Part 3 on the implementation of practice recommendations for quality assurance using shear wave elastography (SWE) and magnetic resonance elastography (MRE) for disease staging. In the first part of these guidelines, we provide 17 guidance statements for detection, grading, and surveillance of hepatic steatosis using ultrasound (US), CT, or MRI. In addition to conventional B-mode US, we review current evidence on semi-quantitative and quantitative US techniques and provide guidance for appropriate indications and recommended technique.</p>","PeriodicalId":55290,"journal":{"name":"Canadian Association of Radiologists Journal-Journal De L Association Canadienne Des Radiologistes","volume":" ","pages":"8465371251357444"},"PeriodicalIF":3.7,"publicationDate":"2025-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144790737","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}
Marshall S Sussman, Lumeng Cui, Stephanie B M Tan, Shopnil Prasla, Tanya Wah-Kahn, Dominik Nickel, Kartik S Jhaveri
{"title":"Deep Learning Reconstruction for T2 Weighted Turbo-Spin-Echo Imaging of the Pelvis: Prospective Comparison With Standard T2-Weighted TSE Imaging With Respect to Image Quality, Lesion Depiction, and Acquisition Time.","authors":"Marshall S Sussman, Lumeng Cui, Stephanie B M Tan, Shopnil Prasla, Tanya Wah-Kahn, Dominik Nickel, Kartik S Jhaveri","doi":"10.1177/08465371251357790","DOIUrl":"https://doi.org/10.1177/08465371251357790","url":null,"abstract":"<p><strong>Purpose: </strong>In pelvic MRI, Turbo Spin Echo (TSE) pulse sequences are used for T2-weighted imaging. However, its lengthy acquisition time increases the potential for artifacts. Deep learning (DL) reconstruction achieves reduced scan times without the degradation in image quality associated with other accelerated techniques. Unfortunately, a comprehensive assessment of DL-reconstruction in pelvic MRI has not been performed. The objective of this prospective study was to compare the performance of DL-TSE and conventional TSE pulse sequences in a broad spectrum of pelvic MRI indications.</p><p><strong>Methods: </strong>Fifty-five subjects (33 females and 22 males) were scanned at 3 T using DL-TSE and conventional TSE sequences in axial and/or oblique acquisition planes. Two radiologists independently assessed image quality in 6 categories: edge definition, vessel margin sharpness, T2 Contrast Dynamic Range, artifacts, overall image quality, and lesion features. The contrast ratio was calculated for quantitative assessment. A two-tailed sign test was used for assessment.</p><p><strong>Results: </strong>The 2 readers found DL-TSE to deliver equal or superior image quality than conventional TSE in most cases. There were only 3 instances out of 24 where conventional TSE was scored as providing better image quality. Readers agreed on DL-TSE superiority/inferiority/equivalence in 67% of categories in the axial plane and 75% in the oblique plane. DL-TSE also demonstrated a better contrast ratio in 75% of cases. DL-TSE reduced scan time by approximately 50%.</p><p><strong>Conclusion: </strong>DL-accelerated TSE sequences generally provide equal or better image quality in pelvic MRI than standard TSE with significantly reduced acquisition times.</p>","PeriodicalId":55290,"journal":{"name":"Canadian Association of Radiologists Journal-Journal De L Association Canadienne Des Radiologistes","volume":" ","pages":"8465371251357790"},"PeriodicalIF":3.7,"publicationDate":"2025-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144776971","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}
Sian Chin, Aimee Langan, Richard Walker, Alison Harris, Gilles Soulez, Ania Kielar
{"title":"Improving Patient Throughput in Limited Resource Environments.","authors":"Sian Chin, Aimee Langan, Richard Walker, Alison Harris, Gilles Soulez, Ania Kielar","doi":"10.1177/08465371251361082","DOIUrl":"https://doi.org/10.1177/08465371251361082","url":null,"abstract":"<p><p>Waiting times for medical imaging examinations in Canada are growing as the demand for these tests exceeds current capacity. This document summarizes strategies that may be employed to increase medical imaging patient throughput in an environment of limited resources. This document also advocates for provincial measures to optimize use of resources and national policies that support sustainable radiology services to meet growing demand now and in the future.</p>","PeriodicalId":55290,"journal":{"name":"Canadian Association of Radiologists Journal-Journal De L Association Canadienne Des Radiologistes","volume":" ","pages":"8465371251361082"},"PeriodicalIF":3.7,"publicationDate":"2025-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144776972","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}