Journal of the American College of Radiology : Recent

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Systematic Review of Transgender-Related Research in Radiology Over a Decade: There Is Work to Be Done

The ACR has established that diversity and inclusion are central to its mission of excellence in the radiologic professions; therefore, radiologists have a responsibility to serve the imaging needs of the transgender community. To understand radiologists’ current knowledge of transgender topics, the authors performed a systematic review of publications from radiology journals.

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Mapping the Ultrasound Landscape to Define Point-of-Care Ultrasound and Diagnostic Ultrasound: A White Paper From the Society of Radiologists in Ultrasound and ACR Commission on Ultrasound

Current descriptions of ultrasound evaluations, including use of the term “point-of-care ultrasound” (POCUS), are imprecise because they are predicated on distinctions based on the device used to obtain images, the location where the images were obtained, the provider who obtained the images, or the focus of the examination. This is confusing because it does not account for more meaningful distinctions based on the setting, comprehensiveness, and completeness of the evaluation. In this white paper, the Society of Radiologists in Ultrasound and the ACR Commission on Ultrasound articulate a map of the ultrasound landscape that divides sonographic evaluations into four distinct categories on the basis of setting, comprehensiveness, and completeness.

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Implementation of an Electronic Dashboard for Reporting and Tracking of Health Care Professional Requirements

Since the adoption of the Patient Protection and Affordable Care Act of 2010, there has been a trend in medicine to focus on quality metrics aimed at increasing “value-added care” [1]. This trend is happening in parallel with continued advances in technology, as well as increasing utilization of radiologic services. As a result of these realities, there has been increasing demand on both radiologists and associated support staff members to track professional requirements. In our multispecialty physician group, these requirements had historically been tracked with a paper-based or person-based method.

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Murmurs of Mirth: Ruling in Levity and Lightness

I have seen what a laugh can do. It can transform almost unbearable tears into something bearable, even hopeful.—Bob Hope [1]

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Analysis of the 30-Pack-Year Smoking Threshold in African Americans From an Underserved Lung Cancer Screening Program

African Americans were underrepresented in lung cancer screening (LCS) trials, despite having higher lung cancer incidence and worse outcomes compared with Caucasians. There is concern that the 30-pack-year threshold excludes some African Americans who may benefit from LCS.

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Patient-Friendly Summary of the ACR Appropriateness Criteria: Chronic Dyspnea-Noncardiovascular Origin

Dyspnea is the experience of breathing discomfort or shortness of breath and has many possible causes. When it is not caused by a heart problem, dyspnea is called “noncardiovascular.” When dyspnea lasts for more than 1 month, it is considered chronic.

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Authors’ Reply

We thank Dr Farmakis and Dr Barth for their letter to the editor, in which they raise concerns regarding the exclusion of pediatric radiology data and information within the 2019 ACR Commission on Human Resources Workforce Survey [1]. They recognize that the annual publications of the survey from 2012 [2] through 2018 [3] did include information regarding pediatric radiology. This information was not included in the 2019 article. This perceived exclusion was due to a change in JACR format and a request from JACR that the survey results be reported in a different manner.

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The Economic Footprint of Interventional Radiology in the United States: Implications for Systems Development

Despite the growing presence of interventional radiology (IR) in inpatient care, its global impact on the health care system remains uncharacterized. The aim of this study was to quantitate the use of IR services rendered to hospitalized patients in the United States and the impact on cost.

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Appropriateness of Emergency CT Utilization During the Initial Peak of the COVID-19 Pandemic

The appearance of the novel coronavirus known as severe acute respiratory syndrome coronavirus 2 at the end of 2019, and the subsequent coronavirus disease 2019 (COVID-19) pandemic, which gripped most of the world by March 2020, required massive adaptations in the health care delivery system in the United States. During the initial peak of the COVID-19 crisis in the United States, from late March through the end of May 2020, there was nationwide concern about maintaining adequate hospital resource capacity, including conserving supplies of needed personal protective equipment and maintaining access to needed services, including CT scanning.

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