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2. Canadian Association of Radiologists White Paper on Ethical and Legal Issues Related to Artificial Intelligence in Radiology
- Author
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Jaremko, Jacob L., Azar, Marleine, Bromwich, Rebecca, Lum, Andrea, Alicia Cheong, Li Hsia, Gibert, Martin, Laviolette, François, Gray, Bruce, Reinhold, Caroline, Cicero, Mark, Chong, Jaron, Shaw, James, Rybicki, Frank J., Hurrell, Casey, Lee, Emil, and Tang, An
- Published
- 2019
- Full Text
- View/download PDF
3. Canadian Association of Radiologists White Paper on Artificial Intelligence in Radiology
- Author
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O'Connell, Timothy, Babyn, Paul, Koff, David, Ferguson, Darren, Derkatch, Sheldon, Bilbily, Alexander, Shabana, Wael, Tang, An, Tam, Roger, Cadrin-Chênevert, Alexandre, Guest, Will, Chong, Jaron, Barfett, Joseph, Chepelev, Leonid, Cairns, Robyn, Mitchell, J. Ross, Cicero, Mark D., Poudrette, Manuel Gaudreau, Jaremko, Jacob L., Reinhold, Caroline, Gallix, Benoit, Gray, Bruce, and Geis, Raym
- Published
- 2018
- Full Text
- View/download PDF
4. Canadian Association of Radiologists Prostate MRI White Paper.
- Author
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Chang, Silvia D., Reinhold, Caroline, Kirkpatrick, Iain D. C., Clarke, Sharon E., Schieda, Nicola, Hurrell, Casey, Cool, Derek W., Tunis, Adam S., Alabousi, Abdullah, Diederichs, Brendan J., and Haider, Masoom A.
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DIGITAL image processing , *MEN'S health , *REPORT writing , *BIOPSY , *MAGNETIC resonance imaging , *RADIOLOGIC technology , *QUALITY assurance , *PROSTATE tumors - Abstract
Prostate cancer is the most common malignancy and the third most common cause of death in Canadian men. In light of evolving diagnostic pathways for prostate cancer and the increased use of MRI, which now includes its use in men prior to biopsy, the Canadian Association of Radiologists established a Prostate MRI Working Group to produce a white paper to provide recommendations on establishing and maintaining a Prostate MRI Programme in the context of the Canadian healthcare system. The recommendations, which are based on available scientific evidence and/or expert consensus, are intended to maintain quality in image acquisition, interpretation, reporting and targeted biopsy to ensure optimal patient care. The paper covers technique, reporting, quality assurance and targeted biopsy considerations and includes appendices detailing suggested reporting templates, quality assessment tools and sample image acquisition protocols relevant to the Canadian healthcare context. [ABSTRACT FROM AUTHOR]
- Published
- 2022
- Full Text
- View/download PDF
5. Canadian Association of Radiologists Prostate MRI White Paper
- Author
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Silvia D. Chang, Caroline Reinhold, Iain D. C. Kirkpatrick, Sharon E. Clarke, Nicola Schieda, Casey Hurrell, Derek W. Cool, Adam S. Tunis, Abdullah Alabousi, Brendan J. Diederichs, and Masoom A. Haider
- Subjects
Image-Guided Biopsy ,Male ,Canada ,Radiologists ,Prostate ,Humans ,Prostatic Neoplasms ,Radiology, Nuclear Medicine and imaging ,General Medicine ,Magnetic Resonance Imaging - Abstract
Prostate cancer is the most common malignancy and the third most common cause of death in Canadian men. In light of evolving diagnostic pathways for prostate cancer and the increased use of MRI, which now includes its use in men prior to biopsy, the Canadian Association of Radiologists established a Prostate MRI Working Group to produce a white paper to provide recommendations on establishing and maintaining a Prostate MRI Programme in the context of the Canadian healthcare system. The recommendations, which are based on available scientific evidence and/or expert consensus, are intended to maintain quality in image acquisition, interpretation, reporting and targeted biopsy to ensure optimal patient care. The paper covers technique, reporting, quality assurance and targeted biopsy considerations and includes appendices detailing suggested reporting templates, quality assessment tools and sample image acquisition protocols relevant to the Canadian healthcare context.
- Published
- 2022
6. Canadian Association of Radiologists White Paper on Artificial Intelligence in Radiology
- Author
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Wael Shabana, Mark Cicero, Jacob L. Jaremko, Tim O'Connell, Joseph Barfett, Leonid L. Chepelev, Manuel Gaudreau Poudrette, Robyn Cairns, An Tang, Paul Babyn, Jaron Chong, Sheldon Derkatch, Raym Geis, Darren Ferguson, Roger Tam, Caroline Reinhold, Bruce Gray, Benoit Gallix, Alexander Bilbily, David Koff, Will Guest, Alexandre Cadrin-Chênevert, and J. Ross Mitchell
- Subjects
Canada ,medicine.medical_specialty ,media_common.quotation_subject ,Lifelong learning ,Population health ,030218 nuclear medicine & medical imaging ,Terminology ,03 medical and health sciences ,0302 clinical medicine ,White paper ,Artificial Intelligence ,Radiologists ,medicine ,Humans ,Radiology, Nuclear Medicine and imaging ,Quality (business) ,Societies, Medical ,media_common ,business.industry ,General Medicine ,Workflow ,030220 oncology & carcinogenesis ,Mandate ,Artificial intelligence ,Applications of artificial intelligence ,Radiology ,business - Abstract
Artificial intelligence (AI) is rapidly moving from an experimental phase to an implementation phase in many fields, including medicine. The combination of improved availability of large datasets, increasing computing power, and advances in learning algorithms has created major performance breakthroughs in the development of AI applications. In the last 5 years, AI techniques known as deep learning have delivered rapidly improving performance in image recognition, caption generation, and speech recognition. Radiology, in particular, is a prime candidate for early adoption of these techniques. It is anticipated that the implementation of AI in radiology over the next decade will significantly improve the quality, value, and depth of radiology's contribution to patient care and population health, and will revolutionize radiologists' workflows. The Canadian Association of Radiologists (CAR) is the national voice of radiology committed to promoting the highest standards in patient-centered imaging, lifelong learning, and research. The CAR has created an AI working group with the mandate to discuss and deliberate on practice, policy, and patient care issues related to the introduction and implementation of AI in imaging. This white paper provides recommendations for the CAR derived from deliberations between members of the AI working group. This white paper on AI in radiology will inform CAR members and policymakers on key terminology, educational needs of members, research and development, partnerships, potential clinical applications, implementation, structure and governance, role of radiologists, and potential impact of AI on radiology in Canada.
- Published
- 2018
7. Elements of a Good Radiology Artificial Intelligence Paper
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Gong, Bo, primary, Soyer, Philippe, additional, McInnes, Matthew D. F., additional, and Patlas, Michael N., additional
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- 2022
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- View/download PDF
8. Recommendations for the Management of Incidental Hepatobiliary Findings in Adults: Endorsement and Adaptation of the 2017 and 2013 ACR Incidental Findings Committee White Papers by the Canadian Association of Radiologists Incidental Findings Working Group
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Iain D.C. Kirkpatrick, Sunit Sebastian, Jeffery R Bird, Gary Brahm, and Christopher Fung
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Adult ,Diagnostic Imaging ,Canada ,medicine.medical_specialty ,Biliary Tract Diseases ,Computed tomography ,Subspecialty ,Patient care ,Liver mass ,030218 nuclear medicine & medical imaging ,03 medical and health sciences ,0302 clinical medicine ,Humans ,Medicine ,Radiology, Nuclear Medicine and imaging ,Association (psychology) ,Biliary dilatation ,Societies, Medical ,Incidental Findings ,medicine.diagnostic_test ,Practice patterns ,business.industry ,Liver Diseases ,General surgery ,General Medicine ,030220 oncology & carcinogenesis ,Thickening ,business ,Algorithms - Abstract
The Canadian Association of Radiologists Incidental Findings Working Group consists of both academic subspecialty and general radiologists and is tasked with adapting and expanding upon the American College of Radiology incidental findings white papers to more closely apply to Canadian practice patterns, particularly more comprehensively dealing with the role of ultrasound and pursuing more cost-effective approaches to the workup of incidental findings without compromising patient care. Presented here are the 2020 Canadian guidelines for the management of hepatobiliary incidental findings. Topics covered include initial assessment of hepatic steatosis and cirrhosis, the workup of incidental liver masses identified on ultrasound and computed tomography (with algorithms presented), incidental gallbladder findings (wall thickening, calcification, and polyps), and management of incidental biliary dilatation.
- Published
- 2020
9. Recommendations for the Management of Incidental Hepatobiliary Findings in Adults: Endorsement and Adaptation of the 2017 and 2013 ACR Incidental Findings Committee White Papers by the Canadian Association of Radiologists Incidental Findings Working Group
- Author
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Bird, Jeffery R., Brahm, Gary L., Fung, Christopher, Sebastian, Sunit, and Kirkpatrick, Iain D. C.
- Subjects
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GALLBLADDER , *LIVER , *CIRRHOSIS of the liver - Abstract
The Canadian Association of Radiologists Incidental Findings Working Group consists of both academic subspecialty and general radiologists and is tasked with adapting and expanding upon the American College of Radiology incidental findings white papers to more closely apply to Canadian practice patterns, particularly more comprehensively dealing with the role of ultrasound and pursuing more cost-effective approaches to the workup of incidental findings without compromising patient care. Presented here are the 2020 Canadian guidelines for the management of hepatobiliary incidental findings. Topics covered include initial assessment of hepatic steatosis and cirrhosis, the workup of incidental liver masses identified on ultrasound and computed tomography (with algorithms presented), incidental gallbladder findings (wall thickening, calcification, and polyps), and management of incidental biliary dilatation. [ABSTRACT FROM AUTHOR]
- Published
- 2020
- Full Text
- View/download PDF
10. Canadian Association of Radiologists White Paper on De-identification of Medical Imaging: Part 2, Practical Considerations
- Author
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Parker, William, primary, Jaremko, Jacob L., additional, Cicero, Mark, additional, Azar, Marleine, additional, El-Emam, Khaled, additional, Gray, Bruce G., additional, Hurrell, Casey, additional, Lavoie-Cardinal, Flavie, additional, Desjardins, Benoit, additional, Lum, Andrea, additional, Sheremeta, Lori, additional, Lee, Emil, additional, Reinhold, Caroline, additional, Tang, An, additional, and Bromwich, Rebecca, additional
- Published
- 2020
- Full Text
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11. Canadian Association of Radiologists White Paper on De-Identification of Medical Imaging: Part 1, General Principles
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Parker, William, primary, Jaremko, Jacob L., additional, Cicero, Mark, additional, Azar, Marleine, additional, El-Emam, Khaled, additional, Gray, Bruce G., additional, Hurrell, Casey, additional, Lavoie-Cardinal, Flavie, additional, Desjardins, Benoit, additional, Lum, Andrea, additional, Sheremeta, Lori, additional, Lee, Emil, additional, Reinhold, Caroline, additional, Tang, An, additional, and Bromwich, Rebecca, additional
- Published
- 2020
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12. Canadian Association of Radiologists White Paper on De-identification of Medical Imaging: Part 2, Practical Considerations.
- Author
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Parker, William, Jaremko, Jacob L., Cicero, Mark, Azar, Marleine, El-Emam, Khaled, Gray, Bruce G., Hurrell, Casey, Lavoie-Cardinal, Flavie, Desjardins, Benoit, Lum, Andrea, Sheremeta, Lori, Lee, Emil, Reinhold, Caroline, Tang, An, and Bromwich, Rebecca
- Subjects
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ALGORITHMS , *ARTIFICIAL intelligence , *DATA encryption , *DATABASE management , *DIAGNOSTIC imaging , *HEALTH services accessibility , *MACHINE learning , *MEDICAL protocols , *DICOM (Computer network protocol) , *COVID-19 pandemic - Abstract
The application of big data, radiomics, machine learning, and artificial intelligence (AI) algorithms in radiology requires access to large data sets containing personal health information. Because machine learning projects often require collaboration between different sites or data transfer to a third party, precautions are required to safeguard patient privacy. Safety measures are required to prevent inadvertent access to and transfer of identifiable information. The Canadian Association of Radiologists (CAR) is the national voice of radiology committed to promoting the highest standards in patient-centered imaging, lifelong learning, and research. The CAR has created an AI Ethical and Legal standing committee with the mandate to guide the medical imaging community in terms of best practices in data management, access to health care data, de-identification, and accountability practices. Part 2 of this article will inform CAR members on the practical aspects of medical imaging de-identification, strengths and limitations of de-identification approaches, list of de-identification software and tools available, and perspectives on future directions. [ABSTRACT FROM AUTHOR]
- Published
- 2021
- Full Text
- View/download PDF
13. Canadian Association of Radiologists White Paper on De-Identification of Medical Imaging: Part 1, General Principles.
- Author
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Parker, William, Jaremko, Jacob L., Cicero, Mark, Azar, Marleine, El-Emam, Khaled, Gray, Bruce G., Hurrell, Casey, Lavoie-Cardinal, Flavie, Desjardins, Benoit, Lum, Andrea, Sheremeta, Lori, Lee, Emil, Reinhold, Caroline, Tang, An, and Bromwich, Rebecca
- Subjects
- *
RIGHT of privacy , *MEDICAL ethics laws , *DATABASE management standards , *ARTIFICIAL intelligence , *DATA encryption , *HEALTH , *IDENTIFICATION , *DIGITAL image processing , *INFORMATION resources management , *PATIENTS , *RESPONSIBILITY , *INFORMATION resources , *ACCESS to information - Abstract
The application of big data, radiomics, machine learning, and artificial intelligence (AI) algorithms in radiology requires access to large data sets containing personal health information. Because machine learning projects often require collaboration between different sites or data transfer to a third party, precautions are required to safeguard patient privacy. Safety measures are required to prevent inadvertent access to and transfer of identifiable information. The Canadian Association of Radiologists (CAR) is the national voice of radiology committed to promoting the highest standards in patient-centered imaging, lifelong learning, and research. The CAR has created an AI Ethical and Legal standing committee with the mandate to guide the medical imaging community in terms of best practices in data management, access to health care data, de-identification, and accountability practices. Part 1 of this article will inform CAR members on principles of de-identification, pseudonymization, encryption, direct and indirect identifiers, k-anonymization, risks of reidentification, implementations, data set release models, and validation of AI algorithms, with a view to developing appropriate standards to safeguard patient information effectively. [ABSTRACT FROM AUTHOR]
- Published
- 2021
- Full Text
- View/download PDF
14. Canadian Association of Radiologists White Paper on Artificial Intelligence in Radiology.
- Author
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Tang, An, Tam, Roger, Cadrin-Chênevert, Alexandre, Guest, Will, Chong, Jaron, Barfett, Joseph, Chepelev, Leonid, Cairns, Robyn, Mitchell, J. Ross, Cicero, Mark D., Poudrette, Manuel Gaudreau, Jaremko, Jacob L., Reinhold, Caroline, Gallix, Benoit, Gray, Bruce, and Geis, Raym
- Subjects
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ARTIFICIAL intelligence , *HOSPITAL radiological services , *POLICY sciences , *PROFESSIONAL associations , *QUALITY assurance , *QUALITY control , *PATIENT-centered care - Abstract
Abstract Artificial intelligence (AI) is rapidly moving from an experimental phase to an implementation phase in many fields, including medicine. The combination of improved availability of large datasets, increasing computing power, and advances in learning algorithms has created major performance breakthroughs in the development of AI applications. In the last 5 years, AI techniques known as deep learning have delivered rapidly improving performance in image recognition, caption generation, and speech recognition. Radiology, in particular, is a prime candidate for early adoption of these techniques. It is anticipated that the implementation of AI in radiology over the next decade will significantly improve the quality, value, and depth of radiology's contribution to patient care and population health, and will revolutionize radiologists' workflows. The Canadian Association of Radiologists (CAR) is the national voice of radiology committed to promoting the highest standards in patient-centered imaging, lifelong learning, and research. The CAR has created an AI working group with the mandate to discuss and deliberate on practice, policy, and patient care issues related to the introduction and implementation of AI in imaging. This white paper provides recommendations for the CAR derived from deliberations between members of the AI working group. This white paper on AI in radiology will inform CAR members and policymakers on key terminology, educational needs of members, research and development, partnerships, potential clinical applications, implementation, structure and governance, role of radiologists, and potential impact of AI on radiology in Canada. [ABSTRACT FROM AUTHOR]
- Published
- 2018
- Full Text
- View/download PDF
15. Elements of a Good Radiology Artificial Intelligence Paper.
- Author
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Gong, Bo, Soyer, Philippe, McInnes, Matthew D. F., and Patlas, Michael N.
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PATIENT selection , *ARTIFICIAL intelligence , *HOSPITAL radiological services , *DECISION making in clinical medicine ,RESEARCH evaluation - Published
- 2023
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16. Developing, Purchasing, Implementing and Monitoring AI Tools in Radiology: Practical Considerations. A Multi-Society Statement From the ACR, CAR, ESR, RANZCR & RSNA.
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Brady, Adrian P., Allen, Bibb, Chong, Jaron, Kotter, Elmar, Kottler, Nina, Mongan, John, Oakden-Rayner, Lauren, dos Santos, Daniel Pinto, Tang, An, Wald, Christoph, and Slavotinek, John
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PRODUCT safety , *PATIENT safety , *ARTIFICIAL intelligence , *PROFESSIONAL associations , *DISEASE management , *NEW product development , *ACQUISITION of property , *HOSPITAL radiological services , *COMPUTER-aided diagnosis , *AUTOMATION , *MACHINE learning , *MEDICAL ethics , *GOVERNMENT regulation , *MEDICAL practice - Abstract
Artificial Intelligence (AI) carries the potential for unprecedented disruption in radiology, with possible positive and negative consequences. The integration of AI in radiology holds the potential to revolutionize healthcare practices by advancing diagnosis, quantification, and management of multiple medical conditions. Nevertheless, the ever‑growing availability of AI tools in radiology highlights an increasing need to critically evaluate claims for its utility and to differentiate safe product offerings from potentially harmful, or fundamentally unhelpful ones. This multi‑society paper, presenting the views of Radiology Societies in the USA, Canada, Europe, Australia, and New Zealand, defines the potential practical problems and ethical issues surrounding the incorporation of AI into radiological practice. In addition to delineating the main points of concern that developers, regulators, and purchasers of AI tools should consider prior to their introduction into clinical practice, this statement also suggests methods to monitor their stability and safety in clinical use, and their suitability for possible autonomous function. This statement is intended to serve as a useful summary of the practical issues which should be considered by all parties involved in the development of radiology AI resources, and their implementation as clinical tools. [ABSTRACT FROM AUTHOR]
- Published
- 2024
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17. Clinical Features, Non-Contrast CT Radiomic and Radiological Signs in Models for the Prediction of Hematoma Expansion in Intracerebral Hemorrhage.
- Author
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Chen, Zejia Frank, Zhang, Liying, Carrington, André M, Thornhill, Rebecca, Miguel, Olivier, Auriat, Angela M, Omid-Fard, Nima, Hiremath, Shivaprakash, Tshemeister Abitbul, Vered, Dowlatshahi, Dar, Demchuk, Andrew, Gladstone, David, Morotti, Andrea, Casetta, Ilaria, Fainardi, Enrico, Huynh, Thien, Elkabouli, Marah, Talbot, Zoé, Melkus, Gerd, and Aviv, Richard I
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WARFARIN , *GOODNESS-of-fit tests , *PREDICTION models , *RESEARCH funding , *COMPUTED tomography , *HEMATOMA , *RETROSPECTIVE studies , *MULTIVARIATE analysis , *GLASGOW Coma Scale , *CEREBRAL hemorrhage , *SYMPTOMS - Abstract
Purpose: Rapid identification of hematoma expansion (HE) risk at baseline is a priority in intracerebral hemorrhage (ICH) patients and may impact clinical decision making. Predictive scores using clinical features and Non-Contract Computed Tomography (NCCT)-based features exist, however, the extent to which each feature set contributes to identification is limited. This paper aims to investigate the relative value of clinical, radiological, and radiomics features in HE prediction. Methods: Original data was retrospectively obtained from three major prospective clinical trials ["Spot Sign" Selection of Intracerebral Hemorrhage to Guide Hemostatic Therapy (SPOTLIGHT)NCT01359202; The Spot Sign for Predicting and Treating ICH Growth Study (STOP-IT)NCT00810888] Patients baseline and follow-up scans following ICH were included. Clinical, NCCT radiological, and radiomics features were extracted, and multivariate modeling was conducted on each feature set. Results: 317 patients from 38 sites met inclusion criteria. Warfarin use (p=0.001) and GCS score (p=0.046) were significant clinical predictors of HE. The best performing model for HE prediction included clinical, radiological, and radiomic features with an area under the curve (AUC) of 87.7%. NCCT radiological features improved upon clinical benchmark model AUC by 6.5% and a clinical & radiomic combination model by 6.4%. Addition of radiomics features improved goodness of fit of both clinical (p=0.012) and clinical & NCCT radiological (p=0.007) models, with marginal improvements on AUC. Inclusion of NCCT radiological signs was best for ruling out HE whereas the radiomic features were best for ruling in HE. Conclusion: NCCT-based radiological and radiomics features can improve HE prediction when added to clinical features. Visual Abstract [ABSTRACT FROM AUTHOR]
- Published
- 2023
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18. Pancreatic Cystic Lesions: Review of the Current State of Diagnosis and Surveillance.
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Alwahbi, Omar, Ghumman, Zonia, van der Pol, Christian B., Patlas, Michael N., and Gopee-Ramanan, Prasaanthan
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PANCREATIC tumors , *PANCREAS , *PUBLIC health surveillance , *CONSENSUS (Social sciences) , *ADENOCARCINOMA , *PANCREATIC cysts , *MAGNETIC resonance imaging , *UNCERTAINTY , *TOMOGRAPHY , *NEEDLE biopsy - Abstract
Pancreatic cystic lesions (PCLs) are both common and often incidental. These encompass a range of pathologies with varying degrees of concern for malignancy. Although establishing a diagnosis is helpful for determining malignant potential, many PCLs are either too small to characterize or demonstrate nonspecific morphologic features. The most salient modalities involved in diagnosis and surveillance are magnetic resonance imaging, multidetector computerized tomography, and endoscopic ultrasound. Fine needle aspiration has a role in conjunction with molecular markers as a diagnostic tool, particularly for identifying malignant lesions. Although several major consensus guidelines exist internationally, there remains uncertainty in establishing the strength of the association between all PCLs and pancreatic adenocarcinoma, and in showing a benefit from extended periods of imaging surveillance. No consensus exists between the major guidelines, particularly regarding surveillance duration, frequency, or endpoints. This review paper discusses PCL subtypes, diagnosis, and compares the major consensus guidelines with considerations for local adaptability along with questions regarding current and future priorities for research. [ABSTRACT FROM AUTHOR]
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- 2023
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19. Emergency Radiology: Evolution, Current Status, and Future Directions.
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Li, David, Basilico, Raffaella, Blanco, Ana, Calli, Cem, Dick, Elizabeth, Kirkpatrick, Iain D. C., Nicolaou, Savvas, and Patlas, Michael N.
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HOSPITAL emergency services , *BIOLOGICAL evolution , *MEDICAL office management , *DISASTERS , *SOCIAL status , *CRITICAL care medicine , *HOSPITAL radiological services , *MASS casualties - Abstract
Emergency Radiology is a clinical practice and an academic discipline that has rapidly gained increasing global recognition among radiology and emergency/critical care departments and trauma services around the world. As with other subspecialties, Emergency Radiology practice has a unique scope and purpose and presents with its own unique challenges. There are several advantages of having a dedicated Emergency Radiology section, perhaps most important of which is the broad clinical skillset that Emergency Radiologists are known for. This multi-society paper, representing the views of Emergency Radiology societies in Canada and Europe, outlines several value-oriented contributions of Emergency Radiologists and briefly discusses the current state of Emergency Radiology as a subspecialty. [ABSTRACT FROM AUTHOR]
- Published
- 2022
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20. Recommendations for the Management of Incidental Pancreatic Findings in Adults by the Canadian Association of Radiologists Incidental Findings Working Group.
- Author
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Fung, Christopher I., Bigam, David L., Wong, Clarence K. W., Hurrell, Casey, Bird, Jeffery R., Brahm, Gary L., and Kirkpatrick, Iain D. C.
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PANCREAS , *PANCREATIC tumors , *PANCREATIC cysts , *PANCREATIC duct , *MEDICAL protocols - Abstract
The Canadian Association of Radiologists Incidental Findings Working Group consists of both academic subspecialty and general radiologists and is tasked with adapting and expanding upon the American College of Radiology incidental findings white papers to more closely apply to Canadian practice patterns, particularly more comprehensively dealing with the role of ultrasound and pursuing more cost-effective approaches to the workup of incidental findings without compromising patient care. Presented here are the 2021 Canadian guidelines for the management of pancreatic incidental findings. Topics covered include anatomic variants, fatty atrophy, pancreatic calcifications, ductal ectasia, and management of incidental pancreatic cysts. [ABSTRACT FROM AUTHOR]
- Published
- 2022
- Full Text
- View/download PDF
21. Female Authorship in Radiology: Trends in the Past Decade in CARJ.
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Li, Nicole, Alabousi, Mostafa, and Patlas, Michael N.
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AUTHORS , *SERIAL publications , *WOMEN , *RETROSPECTIVE studies , *DESCRIPTIVE statistics , *STATISTICAL models , *LOGISTIC regression analysis , *ODDS ratio , *AUTHORSHIP - Abstract
Purpose: To identify trends in female authorship in the Canadian Association of Radiologists Journal (CARJ) from 2010 to 2019. Methods: We retrieved papers published in the CARJ over a 10-year period, and retrospectively reviewed 602 articles. All articles except editorials and advertisements were included. We categorized the names of the first and last position authors as female or male and excluded articles that had at least one author of which gender was not known. We compared the trends in the first and last position authors of the articles from 2010 to 2019. For statistical analysis, logistic regression was performed with reported odds ratios (ORs), and a P value of <.05 was defined as statistically significant. Results: Five hundred thirteen articles met inclusion criteria. Among them, 23 articles with a single author were classified as having only a first author. 39.8% (204/513) of first authors were female and 26.9% (132/490) of last authors were female. There has been an overall temporal increase in the odds of both the first and last author being female in CARJ publications (OR: 1.11, P =.034). Similarly, the odds a CARJ publication's first author being female increased over time (OR: 1.07, P =.033). Female last author did not predict female first author (OR: 1.48, P =.056). There was no association identified between female last author and year of publication (OR: 1.04, P =.225). Conclusion: There has been an overall increase in engagement of female authorship in CARJ. [ABSTRACT FROM AUTHOR]
- Published
- 2021
- Full Text
- View/download PDF
22. Radiology in the Era of Value-Based Healthcare: A Multi-Society Expert Statement From the ACR, CAR, ESR, IS3R, RANZCR, and RSNA.
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Brady, Adrian P., Bello, Jaqueline A., Derchi, Lorenzo E., Fuchsjäger, Michael, Goergen, Stacy, Krestin, Gabriel P., Lee, Emil J. Y., Levin, David C., Pressacco, Josephine, Rao, Vijay M., Slavotinek, John, Visser, Jacob J., Walker, Richard E. A., and Brink, James A.
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PATIENT-centered care , *HEALTH outcome assessment , *VALUE-based healthcare , *HEALTH insurance reimbursement , *PROFESSIONAL associations , *MEDICAL specialties & specialists - Abstract
Background: The Value-Based Healthcare (VBH) concept is designed to improve individual healthcare outcomes without increasing expenditure, and is increasingly being used to determine resourcing of and reimbursement for medical services. Radiology is a major contributor to patient and societal healthcare at many levels. Despite this, some VBH models do not acknowledge radiology's central role; this may have future negative consequences for resource allocation. Methods, findings and interpretation: This multi-society paper, representing the views of Radiology Societies in Europe, the USA, Canada, Australia, and New Zealand, describes the place of radiology in VBH models and the health-care value contributions of radiology. Potential steps to objectify and quantify the value contributed by radiology to healthcare are outlined. [ABSTRACT FROM AUTHOR]
- Published
- 2021
- Full Text
- View/download PDF
23. Radiology in the Era of Value-Based Healthcare: A Multi-Society Expert Statement From the ACR, CAR, ESR, IS3R, RANZCR, and RSNA
- Abstract
Background: The Value-Based Healthcare (VBH) concept is designed to improve individual healthcare outcomes without increasing expenditure, and is increasingly being used to determine resourcing of and reimbursement for medical services. Radiology is a major contributor to patient and societal healthcare at many levels. Despite this, some VBH models do not acknowledge radiology’s central role; this may have future negative consequences for resource allocation. Methods, findings and interpretation: This multi-society paper, representing the views of Radiology Societies in Europe, the USA, Canada, Australia, and New Zealand, describes the place of radiology in VBH models and the health-care value contributions of radiology. Potential steps to objectify and quantify the value contributed by radiology to healthcare are outlined.
- Published
- 2020
- Full Text
- View/download PDF
24. Impact of COVID-19 on Canadian Radiology Residency Training Programs.
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Odedra, Devang, Chahal, Baljot S., and Patlas, Michael N.
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DIAGNOSTIC imaging , *INTERNSHIP programs , *MEDICAL specialties & specialists , *QUESTIONNAIRES , *ONLINE education , *EVALUATION of human services programs , *COVID-19 pandemic - Abstract
Purpose: The novel coronavirus disease (COVID-19) pandemic has swept the globe, with a domino effect on medical education and training. In this study, we surveyed Canadian radiology residents to understand the impact of the pandemic on their residency training, strategies utilized by the residency programs in mitigating those impacts, and factors important to residents in the selection of educational resources on COVID-19. Methods: A 10-item questionnaire was distributed to 460 resident members of the Canadian Association of Radiologists. The survey was open for 2 weeks, with a reminder sent at half-way mark. Results: We received 96 responses (response rate: 20.9%). The 4 highest affected domains of training were daytime case volumes (92.4%), daytime schedules (87.4%), internal and external assessments (86.5%), and vacation/travel (83.3%). Virtual teaching rounds (91.7%), change in schedules to allow staying home (78.1%), and virtual/phone readouts (72.9%) were the most utilized strategies by the Canadian radiology residency programs. Overall stress of exposure to the disease was moderate to low (86.5%). A minority of the residents were redeployed (6.2%), although most (68.8%) were on standby for redeployment. Residents preferred published society guidelines (92.3%), review papers (79.3%), video lectures (79.3%), and web tools (76.9%) for learning about COVID-19 imaging manifestations. Conclusion: The COVID-19 pandemic has had a significant impact on various domains of the Canadian radiology residency programs, which has been mitigated by several strategies employed by the training programs. [ABSTRACT FROM AUTHOR]
- Published
- 2020
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- View/download PDF
25. An Environmental Scan of the National and Provincial Diagnostic Reference Levels in Canada for Common Adult Computed Tomography Scans.
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Ferderbar, Michelle Linda, Doyle, Thomas E., Samavi, Reza, and Koff, David
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CRANIAL radiography , *PELVIC radiography , *ABDOMINAL radiography , *CHEST X rays , *COMPUTED tomography , *RADIATION doses , *REFERENCE values , *SURVEYS , *SYSTEMATIC reviews - Abstract
Several regulatory bodies have agreed that low-dose radiation used in medical imaging is a weak carcinogen that follows a linear, non-threshold model of cancer risk. While avoiding radiation is the best course of action to mitigate risk, computed tomography (CT) scans are often critical for diagnosis. In addition to the as low as reasonably achievable principle, a more concrete method of dose reduction for common CT imaging exams is the use of a diagnostic reference level (DRL). This paper examines Canada's national DRL values from the recent CT survey and compares it to published provincial DRLs as well as the DRLs in the United Kingdom and the United States of America for the 3 most common CT exams: head, chest, and abdomen/pelvis. Canada compares well on the international scale, but it should consider using more electronic dose monitoring solutions to create a culture of dose optimization. [ABSTRACT FROM AUTHOR]
- Published
- 2019
- Full Text
- View/download PDF
26. The Efficacy of Computed Tomography-Guided Percutaneous Spine Biopsies in Determining a Causative Organism in Cases of Suspected Infection: A Systematic Review.
- Author
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Sertic, Madeleine, Parkes, Leighanne, Mattiassi, Sabrina, Pritzker, Kenneth, Gardam, Michael, and Murphy, Kieran
- Subjects
- *
INFECTION , *BIOPSY , *COMPUTED tomography , *CULTURES (Biology) , *MEDLINE , *MYCOBACTERIUM , *ONLINE information services , *PROTEOLYTIC enzymes , *SPINE , *STAPHYLOCOCCUS aureus , *SYSTEMATIC reviews , *DESCRIPTIVE statistics , *DIAGNOSIS - Abstract
Abstract Purpose In suspected spondylodiscitis and vertebral osteomyelitis, computed tomography (CT)-guided biopsies are often performed to determine a causative organism and guide antimicrobial therapy. The aim of this study is to determine the diagnostic culture yield of CT-guided biopsies performed in cases of suspected spinal infections. Methods A literature search of PubMed and MEDLINE up to April 2017 was performed for keywords "CT guided vertebral biopsy infection," "CT-guided spine biopsy infection," "CT guided spine biopsy yield," and "CT guided vertebral biopsy yield." Inclusion criteria primarily consisted of studies exclusively using CT-guided biopsies in cases of suspected infectious lesions only. After study selection, published articles were analysed to determine diagnostic culture yield. Descriptive statistics were applied. Results 220 search results were screened; 11 met our inclusion criteria and were reviewed. In total, 647 biopsies of suspected infectious spinal lesions were performed. Positive cultures were obtained in 241 cases. Upon excluding one paper's skewed results, the net pooled results culture yield was 33%. Several cultures grew multiple organisms, leading to a total of 244 species identified. Most common isolated organisms include S taphylococcus aureus (n = 83), coagulase-negative S taphylococcus (n = 45), and Mycobacteria (n = 38). Conclusions The diagnostic culture yield of CT-guided biopsies in cases of suspected spinal infection is 33%. In the majority of cases, a causative organism is not identified. This suggests that improvements can be made in biopsy technique and specimen transfer to optimize culture yield and increase the clinical value of the procedure. [ABSTRACT FROM AUTHOR]
- Published
- 2019
- Full Text
- View/download PDF
27. Designing a Comprehensive Undergraduate Medical Education Radiology Curriculum Using the 5C's of Radiology Education Framework.
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Visscher, Kari L. and Faden, Lisa
- Subjects
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CONCEPTUAL structures , *CURRICULUM , *HOSPITAL radiological services , *INTERPROFESSIONAL relations , *MEDICAL education , *PSYCHOLOGY of medical students , *SENSORY perception , *GRADUATE education , *CLINICAL competence , *TEACHING methods , *RADIOLOGISTS , *EDUCATION , *PSYCHOLOGY - Abstract
Abstract The 5C's of Radiology Education is a tool created from a recent qualitative study designed to explore how radiology exposures impact medical student opinions and perceptions of radiology and radiologists. It outlines the factors that the medical students identified as important for their radiology education. These factors are curriculum, coaching, collaborating, career, and commitment. The purpose of this paper is to provide a review of the literature of undergraduate medical education both broadly and more specifically to radiology education using the 5C's of Radiology Education framework. [ABSTRACT FROM AUTHOR]
- Published
- 2018
- Full Text
- View/download PDF
28. Multimodality Imaging of Tumour Thrombus.
- Author
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Rohatgi, Saurabh, Howard, Stephanie A., Tirumani, Sree Harsha, Ramaiya, Nikhil H., and Krajewski, Katherine M.
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CARDIOVASCULAR disease treatment , *TUMOR diagnosis , *DOPPLER ultrasonography , *ADRENAL cortex , *COMPUTED tomography , *DIFFERENTIAL diagnosis , *DIAGNOSTIC imaging , *HEPATOCELLULAR carcinoma , *LUNG tumors , *MAGNETIC resonance imaging , *OVARIAN tumors , *PANCREATIC tumors , *RENAL cell carcinoma , *THROMBOSIS , *THYROID gland tumors , *LEIOMYOSARCOMA ,RECTUM tumors - Abstract
Vascular thrombosis occurs commonly in cancer patients. Once the diagnosis of thrombosis is established, it is important to characterize the nature of thrombus, tumoural versus bland, as each have a different prognosis, clinical significance, and management. This review paper discusses the imaging spectrum of tumour thrombus and its clinical significance emphasizing the role of imaging in differentiating tumour from bland thrombus. [ABSTRACT FROM AUTHOR]
- Published
- 2015
- Full Text
- View/download PDF
29. Canadian Association of Radiologists Annual Scientific Meetings: How Many Abstracts Go on to Publication?
- Author
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Dressier, Danielle and Leswick, David
- Subjects
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RADIOLOGISTS , *ABSTRACTING , *CONFERENCES & conventions , *MEDLINE , *ONLINE information services , *PUBLISHING , *RESEARCH , *SERIAL publications , *RETROSPECTIVE studies , *SOCIETIES - Abstract
Purpose: To determine the percentage of abstracts presented at the Canadian Association of Radiologists (CAR) annual scientific meetings that go on to publication. Methods: Records of previous CAR meetings from the years 2005-2011 were obtained. An Internet search was performed to determine which abstracts went on to publication. Abstracts were assessed according to exhibit category (Resident Award Papers), educational institution, publishing journal, and time to publication. Results: Of the 402 abstracts presented, 112 (28%) were published. Overall, an average of 37% of Radiologists-In-Training Presentations, 34% of Scientific Exhibits, and 20% of Educational Exhibits went on to publication. The University of British Columbia and University of Ottawa published the largest number of abstracts (66 and 62, respectively) from the years 2005-2011. The University of Montreal had the largest percentage of abstracts published (42%). The range of publishing journals was wide, but the top publisher was the Canadian Association of Radiologists Journal (27%). Eighty-three percent of abstracts were published within 3 years of being presented. Conclusion: In total, 28% of all the abstracts presented at the CAR conferences between 2005 and 2011 were published. Further exploration into the reasons and barriers for abstracts not being published may be a next step in future research. [ABSTRACT FROM AUTHOR]
- Published
- 2015
- Full Text
- View/download PDF
30. Recommendations for the Management of Incidental Pancreatic Findings in Adults by the Canadian Association of Radiologists Incidental Findings Working Group
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Gary Brahm, Iain D.C. Kirkpatrick, Jeffery R Bird, Christopher Fung, David L. Bigam, Casey Hurrell, and Clarence Wong
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medicine.medical_specialty ,Practice patterns ,business.industry ,General surgery ,General Medicine ,Guideline ,medicine.disease ,Subspecialty ,Patient care ,03 medical and health sciences ,0302 clinical medicine ,030220 oncology & carcinogenesis ,Fatty atrophy ,Medicine ,030211 gastroenterology & hepatology ,Radiology, Nuclear Medicine and imaging ,Pancreatic cysts ,business ,Association (psychology) ,Pancreatic calcification - Abstract
The Canadian Association of Radiologists Incidental Findings Working Group consists of both academic subspecialty and general radiologists and is tasked with adapting and expanding upon the American College of Radiology incidental findings white papers to more closely apply to Canadian practice patterns, particularly more comprehensively dealing with the role of ultrasound and pursuing more cost-effective approaches to the workup of incidental findings without compromising patient care. Presented here are the 2021 Canadian guidelines for the management of pancreatic incidental findings. Topics covered include anatomic variants, fatty atrophy, pancreatic calcifications, ductal ectasia, and management of incidental pancreatic cysts.
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- 2021
31. Clinical Features, Non-Contrast CT Radiomic and Radiological Signs in Models for the Prediction of Hematoma Expansion in Intracerebral Hemorrhage
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Zejia Frank Chen, Liying Zhang, André M Carrington, Rebecca Thornhill, Olivier Miguel, Angela M Auriat, Nima Omid-Fard, Shivaprakash Hiremath, Vered Tshemeister Abitbul, Dar Dowlatshahi, Andrew Demchuk, David Gladstone, Andrea Morotti, Ilaria Casetta, Enrico Fainardi, Thien Huynh, Marah Elkabouli, Zoé Talbot, Gerd Melkus, and Richard I Aviv
- Subjects
Radiology, Nuclear Medicine and imaging ,General Medicine - Abstract
Purpose Rapid identification of hematoma expansion (HE) risk at baseline is a priority in intracerebral hemorrhage (ICH) patients and may impact clinical decision making. Predictive scores using clinical features and Non-Contract Computed Tomography (NCCT)-based features exist, however, the extent to which each feature set contributes to identification is limited. This paper aims to investigate the relative value of clinical, radiological, and radiomics features in HE prediction. Methods Original data was retrospectively obtained from three major prospective clinical trials [“Spot Sign” Selection of Intracerebral Hemorrhage to Guide Hemostatic Therapy (SPOTLIGHT)NCT01359202; The Spot Sign for Predicting and Treating ICH Growth Study (STOP-IT)NCT00810888] Patients baseline and follow-up scans following ICH were included. Clinical, NCCT radiological, and radiomics features were extracted, and multivariate modeling was conducted on each feature set. Results 317 patients from 38 sites met inclusion criteria. Warfarin use (p=0.001) and GCS score (p=0.046) were significant clinical predictors of HE. The best performing model for HE prediction included clinical, radiological, and radiomic features with an area under the curve (AUC) of 87.7%. NCCT radiological features improved upon clinical benchmark model AUC by 6.5% and a clinical & radiomic combination model by 6.4%. Addition of radiomics features improved goodness of fit of both clinical (p=0.012) and clinical & NCCT radiological (p=0.007) models, with marginal improvements on AUC. Inclusion of NCCT radiological signs was best for ruling out HE whereas the radiomic features were best for ruling in HE. Conclusion NCCT-based radiological and radiomics features can improve HE prediction when added to clinical features.
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- 2023
32. Female Authorship in Radiology: Trends in the Past Decade in CARJ
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Michael N. Patlas, Mostafa Alabousi, and Nicole Li
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Male ,Canada ,medicine.medical_specialty ,business.industry ,General Medicine ,Authorship ,030218 nuclear medicine & medical imaging ,03 medical and health sciences ,0302 clinical medicine ,Bibliometrics ,Family medicine ,Serial Publications ,medicine ,Humans ,Female ,Radiology, Nuclear Medicine and imaging ,030212 general & internal medicine ,Radiology ,business ,Period (music) - Abstract
Purpose: To identify trends in female authorship in the Canadian Association of Radiologists Journal (CARJ) from 2010 to 2019. Methods: We retrieved papers published in the CARJ over a 10-year period, and retrospectively reviewed 602 articles. All articles except editorials and advertisements were included. We categorized the names of the first and last position authors as female or male and excluded articles that had at least one author of which gender was not known. We compared the trends in the first and last position authors of the articles from 2010 to 2019. For statistical analysis, logistic regression was performed with reported odds ratios (ORs), and a P value of Results: Five hundred thirteen articles met inclusion criteria. Among them, 23 articles with a single author were classified as having only a first author. 39.8% (204/513) of first authors were female and 26.9% (132/490) of last authors were female. There has been an overall temporal increase in the odds of both the first and last author being female in CARJ publications (OR: 1.11, P = .034). Similarly, the odds a CARJ publication’s first author being female increased over time (OR: 1.07, P = .033). Female last author did not predict female first author (OR: 1.48, P = .056). There was no association identified between female last author and year of publication (OR: 1.04, P = .225). Conclusion: There has been an overall increase in engagement of female authorship in CARJ.
- Published
- 2020
33. Impact of COVID-19 on Canadian Radiology Residency Training Programs
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Michael N. Patlas, Baljot S. Chahal, and Devang Odedra
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Canada ,2019-20 coronavirus outbreak ,medicine.medical_specialty ,Coronavirus disease 2019 (COVID-19) ,Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) ,education ,Pneumonia, Viral ,emergency preparedness ,Article ,030218 nuclear medicine & medical imaging ,Betacoronavirus ,03 medical and health sciences ,0302 clinical medicine ,Surveys and Questionnaires ,Radiologists ,Pandemic ,Humans ,Medicine ,Radiology, Nuclear Medicine and imaging ,Pandemics ,virtual education ,SARS-CoV-2 ,business.industry ,pandemic ,COVID-19 ,Internship and Residency ,General Medicine ,030220 oncology & carcinogenesis ,Radiology ,medical education ,Coronavirus Infections ,business ,Residency training - Abstract
Purpose:The novel coronavirus disease (COVID-19) pandemic has swept the globe, with a domino effect on medical education and training. In this study, we surveyed Canadian radiology residents to understand the impact of the pandemic on their residency training, strategies utilized by the residency programs in mitigating those impacts, and factors important to residents in the selection of educational resources on COVID-19.Methods:A 10-item questionnaire was distributed to 460 resident members of the Canadian Association of Radiologists. The survey was open for 2 weeks, with a reminder sent at half-way mark.Results:We received 96 responses (response rate: 20.9%). The 4 highest affected domains of training were daytime case volumes (92.4%), daytime schedules (87.4%), internal and external assessments (86.5%), and vacation/travel (83.3%). Virtual teaching rounds (91.7%), change in schedules to allow staying home (78.1%), and virtual/phone readouts (72.9%) were the most utilized strategies by the Canadian radiology residency programs. Overall stress of exposure to the disease was moderate to low (86.5%). A minority of the residents were redeployed (6.2%), although most (68.8%) were on standby for redeployment. Residents preferred published society guidelines (92.3%), review papers (79.3%), video lectures (79.3%), and web tools (76.9%) for learning about COVID-19 imaging manifestations.Conclusion:The COVID-19 pandemic has had a significant impact on various domains of the Canadian radiology residency programs, which has been mitigated by several strategies employed by the training programs.
- Published
- 2020
34. Multimodality Imaging of Tumour Thrombus
- Author
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Stephanie A. Howard, Sree Harsha Tirumani, Katherine M. Krajewski, Nikhil H. Ramaiya, and Saurabh Rohatgi
- Subjects
Pathology ,medicine.medical_specialty ,Tumour thrombus ,Multimodal Imaging ,Veins ,Diagnosis, Differential ,Fluorodeoxyglucose F18 ,Neoplasms ,Humans ,Medicine ,Neoplasm Invasiveness ,Radiology, Nuclear Medicine and imaging ,Clinical significance ,cardiovascular diseases ,Ultrasonography, Doppler, Color ,Thrombus ,business.industry ,Cancer ,Thrombosis ,Phlebography ,General Medicine ,medicine.disease ,Magnetic Resonance Imaging ,Positron-Emission Tomography ,cardiovascular system ,Radiology ,Vascular thrombosis ,Radiopharmaceuticals ,Tomography, X-Ray Computed ,business - Abstract
Vascular thrombosis occurs commonly in cancer patients. Once the diagnosis of thrombosis is established, it is important to characterize the nature of thrombus, tumoural versus bland, as each have a different prognosis, clinical significance, and management. This review paper discusses the imaging spectrum of tumour thrombus and its clinical significance emphasizing the role of imaging in differentiating tumour from bland thrombus.
- Published
- 2015
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