Journal of the American College of Radiology : JACR最新文献

{"title":"Co-development, evaluation, and dissemination of a lung cancer screening digital outreach intervention: A multiphase randomized clinical trial.","authors":"Jordan M Neil, Nathaniel D Mercaldo, Keenae Tiersma, Zoe Nelson, Amy Lee, Lauren Ballini, Bingjing Mao, Ruosi Shao, Kelly Irwin, Ruth C Carlos, Elyse R Park, Efrén J Flores","doi":"10.1016/j.jacr.2025.06.014","DOIUrl":"https://doi.org/10.1016/j.jacr.2025.06.014","url":null,"abstract":"<p><strong>Background: </strong>Individuals from low socioeconomic status (SES) communities experience worse lung cancer outcomes and multilevel barriers to lung cancer screening (LCS). Digital interventions may bridge LCS barriers. This study employed a three-phase design to rigorously develop, evaluate, and disseminate a digital outreach intervention to promote LCS among individuals from low SES communities.</p><p><strong>Methods: </strong>Phase 1: Focus groups (FG) were conducted with primary care providers (n=12), patient advocates (n=8), and patients who had (n=7) and hadn't undergone LCS (n=8). FG explored barriers and facilitators to LCS and guided the development of 3 LCS outreach videos, which differed by message source (radiologist, patient, or both). Phase 2: LCS-eligible individuals from a national sample (N=315) were randomized 1:1:1 to evaluate the videos. Logistic regression analyses quantified the association between outreach video and intent to talk to a provider about LCS. Phase 3. 636 participants due for LCS with Medicaid received the outreach video via patient portal or text/email. Reach of the intervention and 12-month LCS follow-up rates were measured.</p><p><strong>Results: </strong>Phase 1: Participants cited fear of lung cancer and confusion about LCS eligibility criteria. Phase 2: There were no significant differences in intent to speak to a provider about LCS by outreach video type. Phase 3. A significantly greater proportion of participants reached by the intervention had scheduled/completed a LCS than participants not reached (32.4% vs. 23.2%, p=.041).</p><p><strong>Conclusions: </strong>Participants who were reached by the digital outreach intervention co-developed and disseminated to patients from low SES communities were more likely to complete LCS.</p>","PeriodicalId":73968,"journal":{"name":"Journal of the American College of Radiology : JACR","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144287495","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":"RadGPT: A system based on a large language model that generates sets of patient-centered materials to explain radiology report information.","authors":"Sanna E Herwald, Preya Shah, Andrew Johnston, Cameron Olsen, Jean-Benoit Delbrouck, Curtis P Langlotz","doi":"10.1016/j.jacr.2025.06.013","DOIUrl":"https://doi.org/10.1016/j.jacr.2025.06.013","url":null,"abstract":"<p><strong>Objective: </strong>The Cures Act Final Rule requires that patients have real-time access to their radiology reports, which contain technical language. Our objective to was to use a novel system called RadGPT, which integrates concept extraction and a large language model (LLM), to help patients understand their radiology reports.</p><p><strong>Methods: </strong>RadGPT generated 150 concept explanations and 390 question-and-answer pairs from 30 radiology report impressions from between 2012 and 2020. The extracted concepts were used to create concept-based explanations, as well as concept-based question-and-answer pairs where questions were generated using either a fixed template or an LLM. Additionally, report-based question-and-answer pairs were generated directly from the impression using an LLM without concept extraction. One board-certified radiologist and 4 radiology residents rated the material quality using a standardized rubric.</p><p><strong>Results: </strong>Concept-based LLM-generated questions were significantly higher quality than concept-based template-generated questions (p < 0.001). Excluding those template-based question-and-answer pairs from further analysis, nearly all (> 95%) of RadGPT-generated materials were rated highly, with at least 50% receiving the highest possible ranking from all 5 raters. No answers or explanations were rated as likely to affect the safety or effectiveness of patient care. Report-level LLM-based questions and answers were rated particularly highly, with 92% of report-level LLM-based questions and 61% of the corresponding report-level answers receiving the highest rating from all raters.</p><p><strong>Discussion: </strong>The educational tool RadGPT generated high-quality explanations and question-and-answer pairs that were personalized for each radiology report, unlikely to produce harmful explanations and likely to enhance patient understanding of radiology information.</p>","PeriodicalId":73968,"journal":{"name":"Journal of the American College of Radiology : JACR","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144287496","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":"Generalizability and Causal Inference Considerations in Self-Scheduling Mammography Completion.","authors":"Qi Xu","doi":"10.1016/j.jacr.2025.05.022","DOIUrl":"https://doi.org/10.1016/j.jacr.2025.05.022","url":null,"abstract":"","PeriodicalId":73968,"journal":{"name":"Journal of the American College of Radiology : JACR","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144276938","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":"Reply to Letter to the Editor: Quantifying the Opportunity and Economic Value of Bone Density Screening using Opportunistic CT: A Medicare Database Analysis by Race/Ethnicity.","authors":"Soterios Gyftopoulos, Casey E Pelzl, Connie Y Chang","doi":"10.1016/j.jacr.2025.06.009","DOIUrl":"https://doi.org/10.1016/j.jacr.2025.06.009","url":null,"abstract":"","PeriodicalId":73968,"journal":{"name":"Journal of the American College of Radiology : JACR","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144276941","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":"How can Medical Physics Foster More Environmentally Sustainable Practices in Medical Imaging?","authors":"Andrew M Hernandez, Megan Lipford, Youngkyoo Jung","doi":"10.1016/j.jacr.2025.06.004","DOIUrl":"https://doi.org/10.1016/j.jacr.2025.06.004","url":null,"abstract":"","PeriodicalId":73968,"journal":{"name":"Journal of the American College of Radiology : JACR","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144276939","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":"Practical Notes on Leveraging the Detection of Previously Unknown Strokes to Impact Patient Outcomes.","authors":"Carys L Kenny-Howell, Irene Dixe de Oliveira Santo, Charles Wira, Adam de Havenon, Long H Tu","doi":"10.1016/j.jacr.2025.06.011","DOIUrl":"https://doi.org/10.1016/j.jacr.2025.06.011","url":null,"abstract":"","PeriodicalId":73968,"journal":{"name":"Journal of the American College of Radiology : JACR","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144276940","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 \"New\" Diagnostic Radiology Oral Boards: Strategies for Success.","authors":"Lily M Belfi, Roger J Bartolotta, Tara Catanzano, Alison L Chetlen, Grace Lo, Michele Retrouvey, Lori A Deitte","doi":"10.1016/j.jacr.2025.06.003","DOIUrl":"https://doi.org/10.1016/j.jacr.2025.06.003","url":null,"abstract":"<p><p>The reintroduction of the oral boards in diagnostic radiology requires integrated individual, program level, and professional society strategies to foster clinical reasoning, effective communication, and professionalism through case-based learning grounded in real-world practice.</p>","PeriodicalId":73968,"journal":{"name":"Journal of the American College of Radiology : JACR","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144276943","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":"Reply to the Letter.","authors":"Ali Rashidi, Gillean Cortes, Wen-Pin Chen, Ziogas Aryagus, Irene Tsai, Gelareh Sadigh","doi":"10.1016/j.jacr.2025.06.010","DOIUrl":"https://doi.org/10.1016/j.jacr.2025.06.010","url":null,"abstract":"","PeriodicalId":73968,"journal":{"name":"Journal of the American College of Radiology : JACR","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144276942","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":"Optimizing the Impact of Incidental Stroke Detection on Secondary Prevention.","authors":"Dawood Javed, Abdullah Javed","doi":"10.1016/j.jacr.2025.05.021","DOIUrl":"https://doi.org/10.1016/j.jacr.2025.05.021","url":null,"abstract":"","PeriodicalId":73968,"journal":{"name":"Journal of the American College of Radiology : JACR","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-06-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144259557","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":"Remote Radiologists: Benefits, Costs and Opportunities.","authors":"Lori A Deitte, Rohini Nadgir, Michael Recht, Michele Retrouvey","doi":"10.1016/j.jacr.2025.06.008","DOIUrl":"https://doi.org/10.1016/j.jacr.2025.06.008","url":null,"abstract":"","PeriodicalId":73968,"journal":{"name":"Journal of the American College of Radiology : JACR","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-06-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144259558","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}