AJR Podcast Series

In this episode of the AJR Podcast Series on Diagnostic Excellence and Error, Francis Deng, MD, and Saurabh Jha, MD, discusses the complex phenomenon of overdiagnosis in radiology, exploring its population-level recognition, ethical tensions, and the role of radiologists in mitigating harm through reporting practices, societal guidelines, and advocacy. https://www.ajronline.org/doi/10.2214/AJR.25.33273 

Full article: Attenuation Coefficient for Hepatic Steatosis Using a Single Ultrasound System: Associations of Measurement Parameters With Interoperator Agreement and Diagnostic Performance Morgan McLuckey, MD, discusses the AJR article by Ferraioli et al. exploring attenuation coefficient for hepatic steatosis evaluation using a single ultrasound system.

In this episode of the AJR Podcast Series on Training and Education, Umar Mahmood, MD, PhD, joins host Monica Cheng, MD, in a conversation that explores radiology's vital role in a globalized healthcare system, fostering educational exchanges and building bridges through multidisciplinary and international collaboration. https://www.ajronline.org/doi/10.2214/AJR.25.33244

Full article: Architectural Distortions Detected by Digital Breast Tomosynthesis Alone With No Ultrasound Correlate and Nonmalignant Results on Core Needle Biopsy: Outcomes From an Imaging-Focused Management Strategy Charisma DeSai, MD, discusses a recently published AJR article addressing the management of architectural distortions detected on DBT alone with nonmalignant biopsy results.

In this episode of the AJR Podcast Series on Sustainability, Sean Woolen, MD, MS, speaks with Julia Schoen, MD, and Katie Lichter, MD, MPH, about how education empowers clinicians and trainees to lead sustainable change in radiology and radiation oncology through practical tools, strategies, and collaboration.

In this episode of the AJR Podcast Series on Diagnostic Excellence and Error, Francis Deng, MD, and Atul Shinagare, MD, discuss how radiologists communicate diagnostic uncertainty. They examine the potential misalignment between radiologists and referrers in diagnostic confidence, as well as strategies to improve clarity like standardized certainty scales. https://www.ajronline.org/doi/10.2214/AJR.25.33101

Full article: Private Equity Acquisitions of Radiology Practices From 2013 to 2023: National- and State-Level Analyses Shailin Thomas, MD, discusses the AJR article by Khunte and Singh on trends in private equity acquisitions of radiology practices.

Full article: Self-Interpretation of Imaging Studies by Ordering Providers: Frequency and Associated Provider and Practice Characteristics Aishwariya Vegunta, MD, discusses the article by Christensen et al. highlighting the phenomenon of self-interpretation, whereby an imaging study is interpreted by its ordering provider.

Full article: NPV of Biparametric and Multiparametric Prostate MRI: A Comparative Systematic Review and Meta-Analysis Kamyar Ghabili, MD, discusses the AJR article by Salinas-Miranda et al. that evaluates available comparative studies of the NPV of biparametric MRI and multiparametric MRI of the prostate.

CT colonography (CTC) is now at an inflection point following recent regulatory updates. In this AJR Conversation, Gastrointestinal Imaging Section Editor Federica Vernuccio, MD, PhD, speaks with David Kim, MD, about his team's recently published article on the use of CTC for colorectal cancer prevention and detection.

In this episode of the AJR Podcast Series on Training and Education, Geraldine McGinty, MD, MBA, joins host Monica Cheng, MD, in a conversation highlighting economic factors and financial structures that shape equitable health care delivery, the value of quality imaging, and the role of healthcare leadership in enhancing patient care. https://www.ajronline.org/doi/10.2214/AJR.25.33058

Full article: Prognostic Implications of the Volume Doubling Time of the Solid Component in Lung Adenocarcinomas Manifesting as Part-Solid Lesions on Chest CT Aisha Alam, DO, discusses the AJR article by Ahn et al. exploring the importance of the volume doubling time of the solid component in lung cancers appearing as part-solid nodules.

Full article: LI-RADS Ultrasound Surveillance Version 2024: Comparison With Version 2017 for Hepatocellular Carcinoma Detection and Risk Factors for Visualization Score C Antonino Andrea Blandino, MD, discusses the AJR article by Heo et al. that compares LI-RADS Ultrasound Surveillance version 2024 with version 2017.

Full article: Contrast Media in Children: Ten Important Concepts on Administration, Applications, Complications, and Environmental Considerations, From the AJR Special Series on Contrast Media   How can radiologists and pediatricians optimize contrast media use in children? In this AJR Conversation, Pediatric Imaging Section Editor Jonathan R. Dillman, MD, MSc, sits down with Monica M. Forbes-Amrhein, MD, PhD, and Michael J. Callahan, MD, to discuss essential concepts presented in their latest AJR article.  

In this episode of the AJR Podcast Series on Diagnostic Excellence and Error, Francis Deng, MD, and Benjamin Strong, MD, discuss the justification and implementation of artificial intelligence (AI) for detection of critical pathologies within a quality assurance framework. They explore AI's evolving impact on diagnostic error and malpractice risk. https://www.ajronline.org/doi/10.2214/AJR.25.32962 

In this episode of the AJR Podcast Series on Training and Education, Omer Awan, MD, joins host Monica Cheng, MD, in a conversation that delves into the role of creativity in education, sharing innovative teaching methods and technologic advancements that are shaping our learning and educational practices.

In this episode of the AJR Podcast Series on Wellness, Sherry Wang, MBBS, and Jessica T. Wen, MD, PhD, discuss the current state of radiology resident wellness, along with challenges and potential opportunities. https://www.ajronline.org/doi/10.2214/AJR.25.32901

Full article: White Matter Hyperintensities on High-Resolution 3-T MRI: Frequency in Mild Traumatic Brain Injury and Associations with Clinical Markers—A Prospective Controlled Multicenter Study Pranjal Rai, MBBS, discusses the AJR article by Tanwar et al., reporting a prospective multicenter study evaluating the potential role of white matter hyperintensities as a biomarker of mild traumatic brain injury.

In this episode of the AJR Podcast Series on Sustainability, Sean Woolen, MD, MS, speaks with Christopher Hess, MD, PhD, Elmar Merkle, MD, and Charles Goh, MBBS, about global perspectives on sustainability in radiology. They explore regional challenges, innovative solutions, and collaborative strategies to drive environmentally responsible radiology practices worldwide. https://www.ajronline.org/doi/10.2214/AJR.25.32864 

Full article: Use of ChatGPT Large Language Models to Extract Details of Recommendations for Additional Imaging From Free-Text Impressions of Radiology Reports Morgan McLuckey, MD, discusses the AJR article by Li et al. exploring the use of large language models for extracting details related to recommendations for additional imaging from radiology reports.

In this episode of the AJR Podcast Series on Diagnostic Excellence and Error, Francis Deng, MD and Neena Kapoor, MD discuss challenges in follow-up imaging recommendations, including low adherence and reporting variability. They emphasize system-based solutions like tracking tools and safety net teams to ensure necessary follow-up and reduce errors. https://www.ajronline.org/doi/10.2214/AJR.25.32830 

Full article: Bosniak Classification of Cystic Renal Masses Version 2019: Proportion of Malignancy by Class and Subclass—Systematic Review and Meta-Analysis Aric Berning, MD, discusses the AJR article by McGrath et al. that provides a meta-analysis of malignancy proportions for Bosniak classification version 2019, stratified by class and subclass.

Full article: CT-based Body Composition Measures and Systemic Disease: A Population-Level Analysis Using Artificial Intelligence Tools in Over 100,000 Patients Bardia Nadim, MD, discusses the article by Pooler et al., exploring associations of CT body composition measurements, derived using automated artificial intelligence tools, with common systemic diseases.

In this episode of the AJR Podcast Series on Training and Education, Marc Succi, MD, joins host Monica Cheng, MD, to discuss insights in healthcare innovation, from founding MESH Incubator at Mass General Brigham to exploring how leadership and education can foster innovation in radiology to meaningfully impact patient care.

Full article: Machine Learning to Detect Cervical Spine Fractures Missed by Radiologists on CT: Analysis Using Seven Award-Winning Models from the RSNA 2022 Cervical Spine Fracture AI Challenge Shailin Thomas, MD, discusses the AJR article by Chen et al. exploring the use of award-winning machine-learning models to detect cervical spine fractures missed by radiologists.

In this episode of the AJR Podcast Series on Wellness, Sherry Wang, MBBS, and Elizabeth Dibble, MD, discuss the Family Medical Leave Act and its integral role for wellness of the individual and of the health system.

Full article: Use of Photon-Counting Detector CT to Visualize Liver-Specific Gadolinium-Based Contrast Agents: A Phantom Study Aishwariya Vegunta, MD, discusses the AJR article by Rau et al. exploring the potential of photon-counting detector CT, combined with low-keV virtual monoenergetic reconstructions, to visualized a hepatocyte-specific gadolinium-based contrast agent.

Full article: Ultrahigh-Resolution Photon-Counting Detector CTA of the Head and Neck: Image Quality Assessment and Vascular Kernel Optimization Atefeh Zeinoddini, MD, discusses the AJR article by He et al. exploring ultrahigh-resolution photon-counting detector CTA for evaluation of the head and neck, with attention to vascular kernel optimization.

Full article: Digital Mammography, Tomosynthesis, and Contrast-Enhanced Mammography: Intraindividual Comparison of Mean Glandular Dose for Screening Examinations   Charisma DeSai, MD, and Olena Weaver, MD, discuss a recently published AJR article on radiation dose associated with contrast-enhanced mammography in the context of supplemental screening modalities for dense breasts.

Full article: Nonmass Lesions on Breast Ultrasound: Interreader Agreement and Associations With Malignancy Kamyar Ghabili, MD, discusses the AJR article by Cho et al. exploring issues related to nonmass lesions on breast ultrasound.

In this episode of the AJR Podcast Series on Diagnostic Excellence and Error, Francis Deng, MD speaks with Keith Herr, MD about the emotional impact of medical errors on radiologists, exploring concepts like the "second victim," psychological responses, and strategies to foster resilience and professional growth.

In this episode of the AJR Podcast Series on Sustainability, Sean Woolen, MD, MS, speaks with Reed Omary, MD, MS,  and Elizabeth Schumacher, JD, about the role of patient preferences in sustainable healthcare. They explore how patient insights can shape radiology practices and promote environmentally responsible medicine moving forward.

In this episode of the AJR Podcast Series on Training and Education, Carmen Alvarez and Stacy Smith, MD, join host Monica Cheng, MD, to discuss evidence-based wellness initiatives that create a supportive workplace environment, fostering mindfulness and resilience while reducing burnout, to enhance overall well-being of radiology trainees and faculty.

Full article: Access to Breast Cancer Screening: Disparities and Determinants—AJR Expert Panel Narrative Review In this AJR Conversation, Breast Imaging Section Editor Wei Yang, MD speaks with Anand Narayan, MD, PhD, FSBI, about his team's recently published article analyzing persistent inequities in screening, focusing on race, ethnicity, socioeconomic status, disabilities, health insurance, and geography.

Sherry Wang, MBBS, discusses the freedom in letting go, which will increase your wellness and wellbeing. 

Full article: LI-RADS Nonradiation Treatment Response Algorithm Version 2024: Diagnostic Performance and Impact of Ancillary Features Aisha Alam, DO, discusses the AJR article by Zhou et al. evaluating the diagnostic performance of LI-RADS Nonradiation Treatment Response Algorithm version 2024, with attention to the ancillary features.  

Full article: Automated Breast Ultrasound With Remote Reading for Primary Breast Cancer Screening: A Prospective Study Involving 46 Community Health Centers in China Antonino Andrea Blandino, MD, discusses the AJR article by Dang et al. evaluating the use of automated breast ultrasound with remote reading for breast cancer screening.

In this episode of the AJR Podcast Series on Diagnostic Excellence and Error, Francis Deng, MD, and Jonathan Mezrich, MD, JD, MBA, LLM, discuss radiologists' communication duties, legal precedents, and strategies for risk management. The conversation highlights situations necessitating nonroutine communication, evolving standards, and the potential impact of technology.

In this episode of the AJR Podcast Series on Training and Education, Michael Recht, MD, joins host Monica Cheng, MD, in a conversation that explores precision education and novel learning paradigms that harness the power of artificial intelligence and innovation in radiology education. https://www.ajronline.org/doi/10.2214/AJR.24.32504 

Full article: Multiparametric MRI Radiomics With Machine Learning for Differentiating HER2-Zero, -Low, and -Positive Breast Cancer: Model Development, Testing, and Interpretability Analysis Aishwariya S Vegunta, MBBS, discusses the AJR article by Chen et al. that explores the use of MRI radiomics with machine learning for differentiating among three-tiered HER2 expression statuses of breast cancer, with a focus on interpretability analysis.

Full article: Opportunistic Assessment for Parathyroid Adenoma on CT: A Retrospective Cohort Study Evaluating Primary Hyperparathyroidism-Associated Morbidity Over 10 Years of Follow-Up Pranjal Rai, MBBS, discusses the AJR article by Bunch et al. exploring associations of an enlarged parathyroid gland on CT with morbidity related to primary hyperparathyroidism.

In this episode of the AJR Podcast Series on Wellness, Sherry Wang, MBBS, discusses the importance of being okay with yourself and the implications on your wellness. https://www.ajronline.org/doi/10.2214/AJR.24.32472 

Morgan McLuckey, MD, discusses the AJR article by Mertiri et al. comparing outcomes between pediatric intussusception reductions performed on an emergent versus urgent basis.  ARTICLE TITLE - Association of Time Since Diagnosis of Pediatric Ileocolic Intussusception With Success of Attempted Reduction: Analysis in 1065 Patients

In this episode of the AJR Podcast Series on Diagnostic Excellence and Error, Francis Deng, MD, and Shailin Thomas, MD, JD, discuss medical malpractice liability as it relates to radiology residents, especially during overnight shifts. They give tips for future and current residents to consider as they progress through training.

Bardia Nadim, MD, meets with guest Ian Pan, MD, to discuss the AJR article by Savage et al. that provides a prospective real-world evaluation of the use of artificial intelligence assistance for intracranial hemorrhage detection on head CT. ARTICLE TITLE - Prospective Evaluation of Artificial Intelligence Triage of Intracranial Hemorrhage on Noncontrast Head CT Examinations

In this episode of the AJR Podcast Series on Training and Education, David Naeger, MD, joins host Monica Cheng, MD, to discuss how to captivate learners, give an amazing talk, and balance a humane yet rigorous educational philosophy.

In this episode of the AJR Podcast Series on Wellness, Sherry Wang, MBBS, explores three Gs—gratitude, grace, and grit—and how they help with our wellness.

Aric Berning, MD, discusses the AJR article by Hardie et al. that compares lung nodule detection by two CAD systems between low-dose and standard-dose chest CT scans in pediatric patients. ARTICLE TITLE - Performance of Lung-Nodule Computer-Aided Detection Systems on Standard-Dose and Low-Dose Pediatric CT Scans: An Intraindividual Comparison

Charisma DeSai, MD, discusses the AJR article by El Sadaney et al., exploring photon-counting detector CT in the context of historical methods of measuring bone mineral density and comparisons among modalities with respect to dose and cost.   ARTICLE TITLE - Opportunistic Bone Mineral Density Measurement Using Photon-Counting Detector CT Spectral Localizer Images: A Prospective Study

In this episode of the AJR Podcast Series on Sustainability, Sean Woolen, MD, MS, speaks with  Amanda Marrero-Gonzalez, MD, about the impact of extreme weather on healthcare delivery. They explore challenges in radiology services during hurricanes and discuss strategies to build climate-resilient health systems for the future.

In this AJR Conversation, Interventional Radiology Section Editor Anne Covey, MD speaks with Ari Isaacson, MD, about his team's recently published article discussing the current status of transarterial embolization for musculoskeletal pain management, focusing on treatment of knee osteoarthritis and chronic shoulder pain.