{"title":"The Importance of Quantifying Prediction in Real-World Settings.","authors":"Grayson L Baird","doi":"10.2214/AJR.25.34011","DOIUrl":"https://doi.org/10.2214/AJR.25.34011","url":null,"abstract":"","PeriodicalId":55529,"journal":{"name":"American Journal of Roentgenology","volume":" ","pages":""},"PeriodicalIF":6.1,"publicationDate":"2025-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145253983","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Brilliant Recall but Blunt Intuition: The Gaps in Medical Artificial Intelligence.","authors":"Sarah Meribout","doi":"10.2214/AJR.25.33346","DOIUrl":"10.2214/AJR.25.33346","url":null,"abstract":"","PeriodicalId":55529,"journal":{"name":"American Journal of Roentgenology","volume":" ","pages":"1"},"PeriodicalIF":6.1,"publicationDate":"2025-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144276794","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"What It Takes to Blend Business Brains With Radiology Leadership-Radiology Trailblazers, an <i>AJR</i> Podcast Series (Episode 4).","authors":"Lindsey Negrete, Amy Maduram, Andy Moriarity","doi":"10.2214/AJR.25.33986","DOIUrl":"https://doi.org/10.2214/AJR.25.33986","url":null,"abstract":"","PeriodicalId":55529,"journal":{"name":"American Journal of Roentgenology","volume":" ","pages":""},"PeriodicalIF":6.1,"publicationDate":"2025-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145253918","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Sona A Chikarmane, Erwin Thimm, Jeri-Sue Plaxco, Stephanie Chung, Jennifer Harvey, Priscilla Slanetz
{"title":"Remote Diagnostic Breast Imaging: An Implementation Guide.","authors":"Sona A Chikarmane, Erwin Thimm, Jeri-Sue Plaxco, Stephanie Chung, Jennifer Harvey, Priscilla Slanetz","doi":"10.2214/AJR.25.33537","DOIUrl":"https://doi.org/10.2214/AJR.25.33537","url":null,"abstract":"<p><p>A growing shortage of breast radiologists has hindered timely access to diagnostic breast imaging services, particularly in rural and underserved areas. Radiologist burnout is exacerbating these workforce challenges. This Clinical Perspective, drawing on experiences of radiologists from diverse practice backgrounds, explores the implementation of a remote diagnostic breast imaging service as a sustainable strategy to address these gaps. Although remote diagnostic breast imaging was historically considered challenging due to the need for direct patient interaction, advances in teleradiology technology, development of communication infrastructures, and telehealth acceptance, have enabled effective delivery of diagnostic breast imaging in remote settings with preserved quality and patient experience. We outline key components for successful implementation, including practice leadership that promotes a change culture, optimization of patient selection criteria, integrated information technology (IT) systems, and systems for real-time communication with technologists and patients. A multidisciplinary team-spanning radiologists, technologists, IT professionals, and support staff-is critical to ensuring clinical quality, regulatory compliance, and operational efficiency. For practices seeking to expand service capacity, reach geographically distant populations, or mitigate burnout of its radiologist members, remote diagnostic breast imaging offers a practical and forward-looking solution.</p>","PeriodicalId":55529,"journal":{"name":"American Journal of Roentgenology","volume":" ","pages":""},"PeriodicalIF":6.1,"publicationDate":"2025-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145253962","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The Importance of Preventing Psychologic Confounders in Multireader Multicase Experiments.","authors":"Grayson L Baird","doi":"10.2214/AJR.25.34006","DOIUrl":"https://doi.org/10.2214/AJR.25.34006","url":null,"abstract":"","PeriodicalId":55529,"journal":{"name":"American Journal of Roentgenology","volume":" ","pages":""},"PeriodicalIF":6.1,"publicationDate":"2025-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145253981","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Beyond Late Gadolinium Enhancement: Added Value of Early Gadolinium Enhancement for Microvascular Obstruction Prognostic Assessment.","authors":"Farah Cadour","doi":"10.2214/AJR.25.33991","DOIUrl":"https://doi.org/10.2214/AJR.25.33991","url":null,"abstract":"","PeriodicalId":55529,"journal":{"name":"American Journal of Roentgenology","volume":" ","pages":""},"PeriodicalIF":6.1,"publicationDate":"2025-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145253992","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Intussusception Reduction: Point-Emergent Reduction Is Best for Patient Care.","authors":"Peter J Strouse","doi":"10.2214/AJR.25.33829","DOIUrl":"https://doi.org/10.2214/AJR.25.33829","url":null,"abstract":"","PeriodicalId":55529,"journal":{"name":"American Journal of Roentgenology","volume":" ","pages":""},"PeriodicalIF":6.1,"publicationDate":"2025-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145253933","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Monica M Forbes-Amrhein, Jeanne S Chow, Kelly K Horst, Helen Hr Kim, Rajesh Krishnamurthy, Ezekiel Maloney, Robert J McDonald, Leah G Scheller, Deborah Stein, Michael J Callahan
{"title":"Contrast Media in Children: Ten Important Concepts on Administration, Applications, Complications, and Environmental Considerations, From the <i>AJR</i> Special Series on Contrast Media.","authors":"Monica M Forbes-Amrhein, Jeanne S Chow, Kelly K Horst, Helen Hr Kim, Rajesh Krishnamurthy, Ezekiel Maloney, Robert J McDonald, Leah G Scheller, Deborah Stein, Michael J Callahan","doi":"10.2214/AJR.24.32009","DOIUrl":"10.2214/AJR.24.32009","url":null,"abstract":"<p><p>Contrast media are an indispensable adjunct to pediatric imaging. The most common include iodine-based contrast media for CT and fluoroscopy, gadolinium-based contrast media and iron oxide nanoparticles for MRI, and microbubbles for ultrasound. Although many of the considerations in the routine use of contrast media in infants and children (relating, for example, to renal function, allergiclike reactions, GBCM deposition, and extravasations) are similar to considerations in adults, some important differences exist. These variances are often age dependent and require an appreciation of pediatric physiology for safe and effective clinical practice. This article highlights 10 concepts relating to contrast media administration for diagnostic imaging of children that are important for radiologists and pediatricians to recognize and understand. We present contrast media classes and their use in children, discuss safety concerns and complications, and explore environmental impacts.</p>","PeriodicalId":55529,"journal":{"name":"American Journal of Roentgenology","volume":" ","pages":"1-15"},"PeriodicalIF":6.1,"publicationDate":"2025-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142734884","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Bari Dane, Lakshmi Anathakrishnan, Daniele Marin, Giuseppe V Toia, Amir A Borhani, Fides R Schwartz, Ryan Chung, Shuai Leng, Joel G Fletcher, Desiree E Morgan
{"title":"Adult Abdominal Photon-Counting CT Protocols: A Multiinstitutional Consensus of the Society of Abdominal Radiology Photon-Counting Detector CT Emerging Technology Commission.","authors":"Bari Dane, Lakshmi Anathakrishnan, Daniele Marin, Giuseppe V Toia, Amir A Borhani, Fides R Schwartz, Ryan Chung, Shuai Leng, Joel G Fletcher, Desiree E Morgan","doi":"10.2214/AJR.25.33625","DOIUrl":"https://doi.org/10.2214/AJR.25.33625","url":null,"abstract":"<p><p>Photon-counting CT (PCCT) offers new opportunities for abdominal imaging by enabling higher spatial resolution, improved image quality, and reduced radiation exposure compared with conventional energy-integrating detector CT systems. However, standardized PCCT protocols for abdominal imaging are lacking, which limits clinical adoption, comparability across institutions, and multicenter research studies. The Society of Abdominal Radiology (SAR) Photon-Counting Detector CT Emerging Technology Commission created a survey to achieve consensus on common adult abdominal PCCT protocols for the FDA-approved PCCT, including portal venous phase CT, multiphase aortic CTA, and multiphase pancreas CT protocols. The survey included the following items for each protocol: scan mode, tube potential, image quality level, primary viewing virtual monoenergetic imaging (VMI) level, reconstruction kernel, additional VMI or other spectral reconstructions sent to PACS, and details of archiving the special spectral image dataset. Consensus statements were generated based on the survey and voted upon by nine radiologists from nine institutions using the consensus-minus-one method. Consensus was reached for 20 protocol features, including that 70-keV VMI is recommended for primary interpretation of portal venous and multiphase pancreas PCCT and that, for multiphase aortic CTA, low virtual monoenergetic levels should be viewed. This multiinstitutional consensus endorsed by SAR establishes standardized abdominal PCCT protocols.</p>","PeriodicalId":55529,"journal":{"name":"American Journal of Roentgenology","volume":" ","pages":""},"PeriodicalIF":6.1,"publicationDate":"2025-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145253931","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Intussusception Reduction: Counterpoint-In the Age of Ultrasound Diagnosis, Reduction Is Urgent, Not Emergent.","authors":"Summer L Kaplan, Jorge Delgado","doi":"10.2214/AJR.25.33888","DOIUrl":"https://doi.org/10.2214/AJR.25.33888","url":null,"abstract":"","PeriodicalId":55529,"journal":{"name":"American Journal of Roentgenology","volume":" ","pages":""},"PeriodicalIF":6.1,"publicationDate":"2025-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145253897","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}