Innovative Educational Program to Aid Clinical Vessel Wall MR Imaging Interpretation Among Neuroradiologists.

Innovations that introduce new knowledge domains face greater barriers to adoption, often requiring investment in infrastructure, training/education and cultural change. Sustaining and scaling an advanced clinical vessel wall MR imaging program requires technical resources and sub-specialized neuroradiologists with advanced cerebrovascular expertise. A multifaceted educational program, including lectures, reporting templates and an online resource, was implemented within a large academic neuroradiology division to address neuroradiology workforce readiness. Seven neuroradiology faculty "super-users" interested in cerebrovascular imaging were identified to facilitate case discussions and provide daily support for colleagues, clinicians, and MR technologists. Impact was assessed through a 12-month pre-/post-intervention survey measuring confidence levels in (a) evaluating VWI exam appropriateness, (b) assessing image quality, and (c) diagnostic interpretations. Results showed division-wide increases in self-reported confidence and statistically significant increases among the super-users. These results show that a structured, expert-led peer-support model can enhance clinical readiness and sustain advanced imaging programs.ABBREVIATIONS: VWI＝ vessel wall magnetic resonance imaging.