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Creating and Sustaining a Successful Fellowship Program: Challenges and Solutions
Subspecialty expertise and fellowship training are 2 of the most desirable attributes in new radiology hires.1 A candidate with fellowship training has a competitive advantage over one without such training when commencing a job search. As such, graduating radiology residents and many employers consider “subspecialty expertise” and “fellowship training” to be one and the same. Not surprisingly, more than 90% of diagnostic radiologists entering the job market today have had fellowship training.2 The primary training objective of any fellowship is to impart advanced interpretive and intervent ional expertise beyond t...
Source: Current Problems in Diagnostic Radiology - January 15, 2017 Category: Radiology Authors: Keith D. Herr, Tarek N. Hanna, Bharti Khurana, Jamlik-Omari Johnson, Aaron Sodickson Source Type: research

MRI Evaluation of Rectal Cancer: Staging and Restaging
Magnetic resonance imaging (MRI) plays an important role in the staging and restaging of rectal cancer. Multiplanar high-resolution ( ≤3-mm section thickness) T2-weighted images are the primary sequences used for rectal cancer staging. No preprocedural bowel cleansing regimen, intravenous contrast material, nor endorectal coil is necessary. MRI is highly accurate for differentiating T1-T2 disease from T3 and T4 disease, an impor tant distinction as patients with T3 and T4 tumors typically undergo preoperative neoadjuvant chemoradiation before resection. (Source: Current Problems in Diagnostic Radiology)
Source: Current Problems in Diagnostic Radiology - January 13, 2017 Category: Radiology Authors: Courtney C. Moreno, Patrick S. Sullivan, Pardeep K. Mittal Source Type: research

Radiology Reports: What YOU Think You ’re Saying and What THEY Think You’re Saying
Image interpretation and translation into written language is an imperfect process. Yet, the radiology report represents the link between radiologist's opinion and patient's images. Increased access to images through remote viewing stations has made direct communication between radiologists and clinicians less commonplace. We are interested in how accurately the descriptive contents within radiology reports convey the feelings of the radiologist to the referring clinician. We hypothesize that certain words and phrases hold different connotations for radiologists and clinicians. (Source: Current Problems in Diagnostic Radiology)
Source: Current Problems in Diagnostic Radiology - January 6, 2017 Category: Radiology Authors: Bonmyong Lee, Matthew T. Whitehead Source Type: research

Double Fellowships in Radiology: A Survey of 2014 Graduating Fellows
Purpose: Radiology fellowship training has evolved from being an uncommon option to being a near requisite for post-training employment in the United States. A subset of fellows elect to pursue second fellowships with potentially substantial implications on both the private sector and academic radiology workforce. The purpose of this study was to assess the proportion of current radiology fellows pursuing multiple years of post-residency fellowship training. Materials and Methods: After obtaining IRB approval, an anonymous web-based survey was emailed to 1,269 radiology fellows listed as “completing fellowship” in the ...
Source: Current Problems in Diagnostic Radiology - January 5, 2017 Category: Radiology Authors: Thomas Y. Wong, Andrew Moriarity, Neil Lall, Jason C. Hoffmann, Douglas S. Katz, Jonathan A. Flug Source Type: research

Evaluation of Myocardial Strain in Patients With Amyloidosis Using Cardiac Magnetic Resonance Feature Tracking
To study the use of cardiac magnetic resonance (CMR) feature tracking technique in evaluation of myocardial amyloidosis. (Source: Current Problems in Diagnostic Radiology)
Source: Current Problems in Diagnostic Radiology - January 3, 2017 Category: Radiology Authors: Tarun Pandey, Sindhura Alapati, Vibhor Wadhwa, Mohan M. Edupuganti, Pooja Gurram, Shelly Lensing, Kedar Jambhekar Source Type: research

Structured Reporting of Magnetic Resonance Enterography for Pediatric Crohn ’s Disease: Effect on Key Feature Reporting and Subjective Assessment of Disease by Referring Physicians
To objectively compare the content of structured reports (SR) vs nonstructured reports (NSR) for magnetic resonance enterography (MRE) of pediatric patients with Crohn ’s disease, and to evaluate referring clinicians’ subjective assessment of reports. (Source: Current Problems in Diagnostic Radiology)
Source: Current Problems in Diagnostic Radiology - January 2, 2017 Category: Radiology Authors: Benjamin Wildman-Tobriner, Brian C. Allen, Joseph T. Davis, Chad M. Miller, Gary R. Schooler, Nancy M. McGreal, Reinaldo Quevedo, Julie K. Thacker, Tracy A. Jaffe Source Type: research

Workflow Dynamics and the Imaging Value Chain: Quantifying the Effect of Designating a Nonimage-Interpretive Task Workflow
To assess the impact of separate non-image interpretive task and image-interpretive task workflows in an academic neuroradiology practice. (Source: Current Problems in Diagnostic Radiology)
Source: Current Problems in Diagnostic Radiology - December 30, 2016 Category: Radiology Authors: Matthew H. Lee, Andrew J. Schemmel, B. Dustin Pooler, Taylor Hanley, Tabassum A. Kennedy, Aaron S. Field, Douglas Wiegmann, John-Paul J. Yu Source Type: research

Navigational Guidance and Ablation Planning Tools for Interventional Radiology
Image-guided biopsy and ablation relies on successful identification and targeting of lesions. Currently, image-guided procedures are routinely performed under ultrasound, fluoroscopy, magnetic resonance imaging, or computed tomography (CT) guidance. However, these modalities have their limitations including inadequate visibility of the lesion, lesion or organ or patient motion, compatibility of instruments in an magnetic resonance imaging field, and, for CT and fluoroscopy cases, radiation exposure. (Source: Current Problems in Diagnostic Radiology)
Source: Current Problems in Diagnostic Radiology - December 29, 2016 Category: Radiology Authors: Yadiel S ánchez, Arash Anvari, Anthony E. Samir, Ronald S. Arellano, Anand M. Prabhakar, Raul N. Uppot Source Type: research

A Window to the Real World of Radiology From the Ivory Tower of Academia: The Value of Community Rotations and “Career Training” in Radiology Residency Programs in Canada
We highlight what we believe are 2 major areas of weakness in current Canadian radiology training programs: insufficient community radiology training and limited preparation of residents for the job market. Although focusing on Canadian radiology programs, we suspect that these are also 2 areas of substantial concern for radiology training programs in the United States and other countries. We offer suggestions to address these deficiencies, particularly by using pre-existing hybrid radiology practices and by making relatively small changes to the current curricula of radiology residency programs. (Source: Current Problems ...
Source: Current Problems in Diagnostic Radiology - December 29, 2016 Category: Radiology Authors: Abdullah Alabousi, Michael N. Patlas, Douglas S. Katz Source Type: research

Behavioral Interviewing: Integrating ACGME Competency-Based Questions Into the Radiology Resident Selection Process
The practice of radiology is continually evolving with external pressures increasing the involvement of the radiologist as an integrated member of the multidisciplinary care delivery team and not just image interpreters working in isolation. Radiologists need to be comfortable interacting directly with patients and practicing “patient and family-centered care” and “value-based medicine.” Despite this evolving role of the radiologist, medical training and the residency selection process have not significantly adapted to accommodate these new demands. (Source: Current Problems in Diagnostic Radiology)
Source: Current Problems in Diagnostic Radiology - December 27, 2016 Category: Radiology Authors: Tatum A. McArthur, Jonathan A. Flug, Nicole Restauri Source Type: research

Percutane Image-Guided Cryoablation of Painful Osseous Metastases: A Retrospective Single-Center Review
Painful osseous metastases are a common problem in patients with malignancy, and they can be associated with significant morbidity owing to immobility, pain, pathologic fracture, or neurovascular compromise or all of these. We retrospectively evaluated pain levels and tumor enhancement in patients who underwent palliative percutaneous cryoablation for painful bone metastasis. (Source: Current Problems in Diagnostic Radiology)
Source: Current Problems in Diagnostic Radiology - December 25, 2016 Category: Radiology Authors: Tatum A. McArthur, Carl A. Narducci, Phillip H. Lander, Robert Lopez-Ben Source Type: research

Deep Work: A Productivity Superpower
A radiologist ’s life is full of constant distractions and interruptions especially in the reading room. Cultivating focused attention is increasingly becoming very valuable. We cannot really afford NOT to be doing “deep work.” Deep work is the ability to focus without distraction on a cognitively demanding task and about increasing our intensity to get more work done in less time. Acquiring the ability to do deep work is critical to our success. I recently read a book by Cal Newport titled “Deep Work: Rules for Focused Success in a Distracted World.” I learnt several important productivity lesson s, which I will...
Source: Current Problems in Diagnostic Radiology - December 14, 2016 Category: Radiology Authors: Puneet Bhargava Source Type: research

Reporting of Malposition of Lines and Tubes on Portable Radiographs Using Alert Notification of Critical Results
Line malposition may result in significant iatrogenic complications. Awareness of the most common types of line malposition and the frequency of significant line-related complications is an important reminder to the radiologist to look carefully at all lines, especially the devices that are most commonly subject to malposition. Alert Notification of Critical Results (ANCR) are computer-generated pages or e-mails created by the radiologist to inform referring clinicians of significant radiologic findings. (Source: Current Problems in Diagnostic Radiology)
Source: Current Problems in Diagnostic Radiology - November 10, 2016 Category: Radiology Authors: Rachna Madan, LaTia D. Peavy, Breland Crudup, Andetta Hunsaker Source Type: research

Daily Readiness Huddles in Radiology —Improving Communication, Coordination, and Problem-Solving Reliability
Deploying an intentional daily management process is a key part to create high-reliability culture. Key components described in the literature for a successfully daily management process include leadership standard work, visual controls, daily accountability processes, and the discipline to stick to the process over the long term. We believe that the institution of a daily readiness huddle has helped us better coordinate and communicate as a department and improved our ability to deliver imaging services on a daily basis. (Source: Current Problems in Diagnostic Radiology)
Source: Current Problems in Diagnostic Radiology - November 3, 2016 Category: Radiology Authors: Lane F. Donnelly Source Type: research

The Reliability of a Standardized Reporting System for the Diagnosis of Appendicitis
Computed tomography (CT) is a fast and ubiquitous tool to evaluate intra-abdominal organs and diagnose appendicitis. However, traditional CT reporting does not necessarily capture the degree of uncertainty and indeterminate findings are still common. The purpose of this study was to evaluate the reproducibility of a standardized CT reporting system for appendicitis across a large population and the system's impact on radiologists' certainty in diagnosing appendicitis. (Source: Current Problems in Diagnostic Radiology)
Source: Current Problems in Diagnostic Radiology - October 11, 2016 Category: Radiology Authors: Vlad V. Simianu, Anna Shamitoff, Daniel S. Hippe, Benjamin D. Godwin, Jabi E. Shriki, Frederick T. Drake, Ryan B. O ׳Malley, Suresh Maximin, Sarah Bastawrous, Mariam Moshiri, Jean H. Lee, Carlos Cuevas, Manjiri Dighe, David Flum, Puneet Bhargava Source Type: research