Large language models(LLMs)have emerged as transformative tools in radiology artificial intelligence(AI),offering significant capabilities in areas such as image report generation,clinical decision support,and workflo...Large language models(LLMs)have emerged as transformative tools in radiology artificial intelligence(AI),offering significant capabilities in areas such as image report generation,clinical decision support,and workflow optimization.The first part of this manuscript presents a comprehensive overview of the current state of LLM applications in radiology,including their historical evolution,technical foundations,and practical uses.Despite notable advances,inherent architectural constraints,such as token-level sequential processing,limit their ability to perform deep abstract reasoning and holistic contextual understanding,which are critical for fine-grained diagnostic interpretation.We provide a critical perspective on current LLMs and discuss key challenges,including model reliability,bias,and explainability,highlighting the pressing need for novel approaches to advance radiology AI.Large concept models(LCMs)represent a nascent and promising paradigm in radiology AI,designed to transcend the limitations of token-level processing by utilizing higher-order conceptual representations and multimodal data integration.The second part of this manuscript introduces the foundational principles and theoretical framework of LCMs,highlighting their potential to facilitate enhanced semantic reasoning,long-range context synthesis,and improved clinical decision-making.Critically,the core of this section is the proposal of a novel theoretical framework for LCMs,formalized and extended from our group’s foundational concept-based models-the world’s earliest articulation of this paradigm for medical AI.This conceptual shift has since been externally validated and propelled by the recent publication of the LCM architectural proposal by Meta AI,providing a large-scale engineering blueprint for the future development of this technology.We also outline future research directions and the transformative implications of this emerging AI paradigm for radiologic practice,aiming to provide a blueprint for advancing toward human-like conceptual understanding in AI.While challenges persist,we are at the very beginning of a new era,and it is not unreasonable to hope that future advancements will overcome these hurdles,pushing the boundaries of AI in Radiology,far beyond even the most state-of-the-art models of today.展开更多
AIMTo assess the state of radiology education across Europe by means of a survey study.METHODSA comprehensive 23-item radiology survey was distributed via email to the International Society of Radiology members, natio...AIMTo assess the state of radiology education across Europe by means of a survey study.METHODSA comprehensive 23-item radiology survey was distributed via email to the International Society of Radiology members, national radiological societies, radiologists and medical physicists. Reminders to complete the survey were sent and the results were analyzed over a period of 4 mo (January-April 2016). Survey questions include length of medical school and residency training; availability of fellowship and subspecialty training; number of residency programs in each country; accreditation pathways; research training; and medical physics education. Descriptive statistics were used to analyze and summarize data.RESULTSRadiology residency training ranges from 2-6 years with a median of 5 years, and follows 1 year of internship training in 55% (12 out of 22) European countries. Subspecialty fellowship training is offered in 55% (12 out of 22) European countries. Availability for specialization training by national societies is limited to eight countries. For nearly all respondents, less than fifty percent of radiologists travel abroad for specialization. Nine of 22 (41%) European countries have research requirements during residency. The types of certifying exam show variation where 64% (14 out of 22) European countries require both written and oral boards, 23% (5 out of 22) require oral examinations only, and 5% (1 out of 22) require written examinations only. A degree in medical physics is offered in 59% (13 out of 22) European countries and is predominantly taught by medical physicists. Nearly all respondents report that formal examinations in medical physics are required.CONCLUSIONComparative learning experiences across the continent will help guide the development of comprehensive yet pragmatic infrastructures for radiology education and collaborations in radiology education worldwide.展开更多
The phrase“interventional radiology”(IR)was first coined by Margulis in 1967,[1]defining an emerging discipline that leverages image-guided modalities for the diagnosis and management of space-occupying lesions(such...The phrase“interventional radiology”(IR)was first coined by Margulis in 1967,[1]defining an emerging discipline that leverages image-guided modalities for the diagnosis and management of space-occupying lesions(such as tumors)and vascular pathologies(such as thrombosis and atherosclerosis).Since its establishment in China's Mainland in the late 1970s,dedicated efforts by Chinese interventionalists have established the discipline as the“third pillar”of clinical medicine,along with internal medicine and surgery.[2]Interventional therapies are indispensable in clinical practice because of their minimally invasive characteristics,high reproducibility,precise targeting,favorable safety profiles,potentiation of therapeutic efficacy when combined with other treatment strategies,societal benefits at low cost,and the rapid return of patients to the activities of daily living,including work.With advances in medical technology,novel interventional methodologies,devices,and clinical paradigms continue to emerge.IR has demonstrated significant advances in both basic scientific and clinical applications.The present article provides a systematic overview of the current status and future prospects of IR in China,focusing on innovation and translation,discipline development and transformation,and training and standardization.展开更多
In this article,artificial intelligence(AI)usage and its benefits in medicine are reviewed in the oncology,radiology,and cardiology fields.The relevant literature was searched in PubMed and Google Scholar using the wo...In this article,artificial intelligence(AI)usage and its benefits in medicine are reviewed in the oncology,radiology,and cardiology fields.The relevant literature was searched in PubMed and Google Scholar using the words“Artificial Intelligence”,“Artificial Intelligence in Medicine”,“Artificial Intelligence in Cardiology”,“Artificial Intelligence in Oncology”,and“Artificial Intelligence in Radiology”for the last 10 years.This article covers the AI’s current implications in daily practice,discussing its advantages and disadvantages based on the findings.AI’s effect in medicine for reducing workload,diagnosis,time management,and drug dosing is going to be reviewed especially in radiology,oncology,and cardiology fields as well as general usage of AI in addition to important highlights.Lastly,this minireview evaluates the current challenges of AI technology in medicine and how clinicians should work with this emerging technology.展开更多
Background:Convolutional neural networks(CNN)have achieved remarkable success in medical image analysis.However,unlike some general-domain tasks where model accuracy is paramount,medical applications demand both accur...Background:Convolutional neural networks(CNN)have achieved remarkable success in medical image analysis.However,unlike some general-domain tasks where model accuracy is paramount,medical applications demand both accuracy and explainability due to the high stakes affecting patients'lives.Based on model explanations,clinicians can evaluate the diagnostic decisions suggested by CNN.Nevertheless,prior explainable artificial intelligence methods treat medical image tasks akin to general vision tasks,following end-to-end paradigms to generate explanations and frequently overlooking crucial clinical domain knowledge.Methods:We propose a plug-and-play module that explicitly integrates anatomic boundary information into the explanation process for CNN-based thoracopathy classifiers.To generate the anatomic boundary of the lung parenchyma,we utilize a lung segmentation model developed on external public datasets and deploy it on the unseen target dataset to constrain model ex-planations within the lung parenchyma for the clinical task of thoracopathy classification.Results:Assessed by the intersection over union and dice similarity coefficient between model-extracted explanations and expert-annotated lesion areas,our method consistently outperformed the baseline devoid of clinical domain knowledge in 71 out of 72 scenarios,encompassing 3 CNN architectures(VGG-11,ResNet-18,and AlexNet),2 classification settings(binary and multi-label),3 explanation methods(Saliency Map,Grad-CAM,and Integrated Gradients),and 4 co-occurred thoracic diseases(Atelectasis,Fracture,Mass,and Pneumothorax).Conclusions:We underscore the effectiveness of leveraging radiology knowledge in improving model explanations for CNN and envisage that it could inspire future efforts to integrate clinical domain knowledge into medical image analysis.展开更多
BACKGROUND Artificial intelligence(AI)is increasingly being explored in radiology,including its potential role in emergency imaging settings.However,global perspectives on AI adoption,usefulness,and limitations among ...BACKGROUND Artificial intelligence(AI)is increasingly being explored in radiology,including its potential role in emergency imaging settings.However,global perspectives on AI adoption,usefulness,and limitations among emergency radiologists remain underexplored.AIM To assess awareness,usage,perceived benefits,and limitations of AI tools among radiologists practicing emergency radiology worldwide.METHODS A 16-question survey was distributed globally between October 24,2024,and August 4,2025,targeting radiologists working in academic,community,and private settings who practice emergency radiology as a primary or secondary subspecialty.The survey was disseminated via direct emails extracted using automated and manual methods from recent publications in major radiology journals.A total of 57 responses were collected.RESULTS AI awareness was high(93%),but frequent clinical use was reported by only 28%.Daily use of AI in emergent imaging was limited to 23%of respondents.The majority anticipated AI becoming essential within five years(68%),and 51%believed AI would replace certain radiological tasks.Image interpretation and acquisition were the most common AI applications.Key perceived benefits included improved diagnostic accuracy and increased efficiency,while concerns included limited accuracy,integration difficulties,and cost.Trust in AI varied by experience,with less experienced radiologists viewed as more trusting.CONCLUSION While emergency radiologists globally recognize AI’s potential,significant barriers to its routine adoption remain.Addressing issues of trust,cost,accuracy,and workflow integration is essential to unlock AI's full utility in emergency radiology.展开更多
Radiation doses to patients in diagnostics and interventional radiology need to be optimized to comply with the principles of radiation protection in medical practice. This involves using specific detectors with respe...Radiation doses to patients in diagnostics and interventional radiology need to be optimized to comply with the principles of radiation protection in medical practice. This involves using specific detectors with respective diagnostic beams to carry out quality control/quality assurance tests needed to optimize patient doses in the hospital. Semiconductor detectors are used in dosimetry to verify the equipment performance and dose to patients. This work aims to assess the performance, energy dependence, and response of five commercially available semiconductor detectors in RQR, RQR-M, RQA, and RQT at Secondary Standard Dosimetry for clinical applications. The diagnostic beams were generated using Exradin A4 reference ion chamber and PTW electrometer. The ambient temperature and pressure were noted for KTP correction. The detectors designed for RQR showed good performance in RQT beams and vice versa. The detectors designed for RQR-M displayed high energy dependency in other diagnostic beams. The type of diagnostic beam quality determines the response of semiconductor detectors. Therefore, a detector should be calibrated according to the beam qualities to be measured.展开更多
Oral and maxillofacial diagnostic imaging is of paramount importance in dental clinical diagnosis,treatment planning,and follow-up procedures.Periapical ra-diographic examination and numerous panoramic systems are use...Oral and maxillofacial diagnostic imaging is of paramount importance in dental clinical diagnosis,treatment planning,and follow-up procedures.Periapical ra-diographic examination and numerous panoramic systems are used in routine clinical dental practice.Cone beam CT is widely used and currently the method of choice in oral and maxillofacial implantology,endodontics,maxillofacial surgery,periodontics,degenerative temporomandibular joint disease,orthodontics,airway studies,sleep disorders,and forensic dentistry.Another innovative laboratory re-search tool that offers three-dimensional(3D)detailed high-resolution images of in vitro teeth and neighboring structures with submicrometric accuracy is micro-computed tomography.Ultra-high radiation doses,long scanning times,and high costs preclude its routine clinical use.In response to the high demand for a te-chnique that could provide real-time images using a cost-effective,rapid,user-friendly,and portable technique without ionizing radiation,some authors pro-posed ultrasound imaging methods as an alternative to X-ray imaging techniques.Ultrasonography can be used in the dentomaxillofacial region for various diagno-stic purposes such as salivary gland and superficial tissue examination.Recently,dedicated dental magnetic resonance imaging with appropriate software,hard-ware,sequences,and field of view tailored to fit dentomaxillofacial anatomy was introduced.Lately,3D printing technologies and their application in dentistry has attracted attention.During 3D printing a given material is added in successive layers to create a 3D object.The application of this technology has the potential to decrease operation time and minimize operator bias and the possibility of proce-dural errors.Another hot topic regarding dentomaxillofacial radiology is artificial intelligence,which is a field related to computer science dedicated to developing systems or machines that can perform tasks traditionally associated with human intelligence.It is obvious that further investigation and research in the field of dentomaxillofacial radiology will make great contributions to diagnostic imaging for various dental specialties.展开更多
The purpose of this research was to evaluate radiological safety in pediatric radiology in hospitals in the Kongo Central province of the DRC. To this end, we surveyed a convenience sample of 50 health professionals, ...The purpose of this research was to evaluate radiological safety in pediatric radiology in hospitals in the Kongo Central province of the DRC. To this end, we surveyed a convenience sample of 50 health professionals, including 10 radiologists working in the hospitals covered by the survey, to assess the practice of pediatric radiology and the degree of compliance with radiation protection principles for the safety of children and the environment. We collected radiophysical parameters to calculate entrance doses in pediatric radiology in radiology departments to determine the dosimetric level by comparison with the diagnostic reference levels of the International Commission on Radiological Protection (ICRP). All in all, we found that in Kongo Central in the DRC, many health personnel surveyed reported that more than 30% of requested radiological examinations are not justified. Also, after comparing the entrance doses produced in the surveyed departments with those of the International Commission on Radiological Protection (ICRP), a statistically significant difference was found in pediatric radiology between the average doses in five out of six surveyed departments and those of the ICRP. Therefore, almost all of the surveyed departments were found to be highly irradiating in children, while excessive X-ray irradiation in children can have significant effects due to their increased sensitivity to radiation. Among the risks are: increased cancer risks, damage to developing cells, potential genetic effects, and neurological effects. This is why support for implementing radiation protection principles is a necessity to promote the safety of patients and the environment against the harmful effects of X-rays in conventional radiology.展开更多
INTRODUCTIONRadiology has been greatly advanced in China sinceits founding in 1949 and has been developed fasterand further more since China adopted the policy ofsocioeconomic reform in 1978.It plays anincreasingly im...INTRODUCTIONRadiology has been greatly advanced in China sinceits founding in 1949 and has been developed fasterand further more since China adopted the policy ofsocioeconomic reform in 1978.It plays anincreasingly important role in the medical healthcare and treatment in the country and has reachedthe world’s advanced level in certain fields.We nowbriefly review the history of China’s radiology so asto give a clear picture of its development.展开更多
Purpose:Our institution developed the subspecialized medical team(SMT)mode in radiology reporting workflows in July 2022 to strengthen profes-sionalism in radiology residency training.This study aimed to investigate w...Purpose:Our institution developed the subspecialized medical team(SMT)mode in radiology reporting workflows in July 2022 to strengthen profes-sionalism in radiology residency training.This study aimed to investigate whether adopting the SMT mode facilitated radiology resident training.Method:This observational study was conducted in October 2022.An online questionnaire was distributed among first-to third-year radiology residents to determine their levels of perceived stress,anxiety,competency in image interpretation,and learning effectiveness in using the SMT mode and other approaches.Responses were on 4 or 5 point Likert scales,and multiple-choice responses were used for semi-open questions.The turnaround time for radi-ology reports was measured for both residents and senior radiologists.Sta-tistical significance(p<0.05)was determined using chi-square or Fisher's exact tests,one-way analysis of variance,pairwise t-tests,and the Kruskal-Wallis H test.Results:In total,71 residents completed the questionnaire survey.The turnaround times for radiology reports were collected for these residents and 23 senior radiologists.Residents'stress and anxiety scores,perceived levels of competency in image interpretation,and time spent writing reports were significantly increased in the SMT mode.In contrast,the time senior radiol-ogists spent reviewing a single report was decreased for the majority of report types after 1 year of implementing the SMT mode.Conclusion:These findings suggest adopting the SMT mode could facilitate the training of radiology residents.However,residents'mental health and well-being should also be considered.展开更多
In order to further improve the impact of the continuously evolving neurointerventional techniques, the interventional neuroradiologist needs to have at his disposal more powerful techniques to image the central nervo...In order to further improve the impact of the continuously evolving neurointerventional techniques, the interventional neuroradiologist needs to have at his disposal more powerful techniques to image the central nervous system. With the recent development of diagnostics techniques that are computed tomography and magnetic resonance based we are now able to assess not just morphology, but also physiology, physiopathology and function. This review discusses the place of diagnostic techniques in the evaluation that the interventional neuroradiologist hast to make when confronted with patients. We provide an overview of current techniques for the brain and spine.展开更多
Gastrointestinal(GI)cancers often require a multidisciplinary approach involving surgeons,endoscopists,oncologists,and interventional radiologists to diagnose and treat primitive cancers,metastases,and related complic...Gastrointestinal(GI)cancers often require a multidisciplinary approach involving surgeons,endoscopists,oncologists,and interventional radiologists to diagnose and treat primitive cancers,metastases,and related complications.In this context,interventional radiology(IR)represents a useful minimally-invasive tool allowing to reach lesions that are not easily approachable with other techniques.In the last years,through the development of new devices,IR has become increasingly relevant in the context of a more comprehensive management of the oncologic patient.Arterial embolization,ablative techniques,and gene therapy represent useful and innovative IR tools in GI cancer treatment.Moreover,IR can be useful for the management of GI cancer-related complications,such as bleeding,abscesses,GI obstructions,and neurological pain.The aim of this study is to show the principal IR techniques for the diagnosis and treatment of GI cancers and related complications,as well as to describe the future perspectives of IR in this oncologic field.展开更多
Background: The hospitals and health care centres are organized around the patient, a model in which healthcare providers partner with patients and families to identify and satisfy patients’ needs and preferences. Pr...Background: The hospitals and health care centres are organized around the patient, a model in which healthcare providers partner with patients and families to identify and satisfy patients’ needs and preferences. Providers respect patients’ values and preferences, address their emotional and social needs, and involve them and their families in decision making. According to the best of our knowledge, there is no evidence to prove, radiologists and radiographers are aware enough about the patient safety, care, and code of conduct with their patients in the interventional radiology department. Objective: This article aims to measure the awareness of radiologists and radiographers toward care and safety in an interventional radiology department. Material and Method: This study was carried in period from 15 February to 20 April 2022. One hundred sixty-four radiographers and radiologists participating in this study completed the questionnaire, which equals a response rate of approximately 82%. The questionnaire was fully completed by almost all responders;only a few of them gave partial answers. Results: The first question for radiographers and radiologists was “the sufficient awareness about the patient safety and care during the interventional radiology procedure. Also, the majority of the radiographers and radiologists are providing the patients with sufficient information when he/she ask for help or queries. A large number of radiographers and radiologists were participating in this study explaining the procedures to patients before starting the examinations in a structured way. Finally, the result shows both radiographers and radiologists respect the patient’s rights, privacy, and dignity and also kept the radiation protection during the interventional radiology procedures. Conclusion: This article summarizes the key categories of awareness of patient care issues in the provision of interventional radiology services, from the joint perspectives of radiographers and radiologists, and provides references for further reading in all major relevant areas.展开更多
Interventional radiology has acquired a key role in every liver transplantation(LT)program by treating the majority of vascular and non-vascular post-transplant complications,improving graft and patient survival and a...Interventional radiology has acquired a key role in every liver transplantation(LT)program by treating the majority of vascular and non-vascular post-transplant complications,improving graft and patient survival and avoiding,in the majority of cases,surgical revision and/or re-transplantation.The aim of this paper is to review indications,technical consideration,results achievable and potential complications of interventional radiology procedures after deceased donor LT and living related adult LT.展开更多
The large language model called ChatGPT has drawn extensively attention because of its human-like expression and reasoning abilities.In this study,we investigate the feasibility of using ChatGPT in experiments on tran...The large language model called ChatGPT has drawn extensively attention because of its human-like expression and reasoning abilities.In this study,we investigate the feasibility of using ChatGPT in experiments on translating radiology reports into plain language for patients and healthcare providers so that they are educated for improved healthcare.Radiology reports from 62 low-dose chest computed tomography lung cancer screening scans and 76 brain magnetic resonance imaging metastases screening scans were collected in the first half of February for this study.According to the evaluation by radiologists,ChatGPT can successfully translate radiology reports into plain language with an average score of 4.27 in the five-point system with 0.08 places of information missing and 0.07 places of misinformation.In terms of the suggestions provided by ChatGPT,they are generally relevant such as keeping following-up with doctors and closely monitoring any symptoms,and for about 37%of 138 cases in total ChatGPT offers specific suggestions based on findings in the report.ChatGPT also presents some randomness in its responses with occasionally over-simplified or neglected information,which can be mitigated using a more detailed prompt.Furthermore,ChatGPT results are compared with a newly released large model GPT-4,showing that GPT-4 can significantly improve the quality of translated reports.Our results show that it is feasible to utilize large language models in clinical education,and further efforts are needed to address limitations and maximize their potential.展开更多
Acute gastrointestinal bleeding(GIB) can lead to significant morbidity and mortality without appropriate treatment. There are numerous causes of acute GIB including but not limited to infection, vascular anomalies, in...Acute gastrointestinal bleeding(GIB) can lead to significant morbidity and mortality without appropriate treatment. There are numerous causes of acute GIB including but not limited to infection, vascular anomalies, inflammatory diseases, trauma, and malignancy. The diagnostic and therapeutic approach of GIB depends on its location, severity, and etiology. The role of interventional radiology becomes vital in patients whose GIB remains resistant to medical and endoscopic treatment. Radiology offers diagnostic imaging studies and endovascular therapeutic interventions that can be performed promptly and effectively with successful outcomes. Computed tomography angiography and nuclear scintigraphy can localize the source of bleeding and provide essential information for the interventional radiologist to guide therapeutic management with endovascular angiography and transcatheter embolization. This review article provides insight into the essential role of Interventional Radiology in the management of acute GIB.展开更多
The increased use of ionization radiation for diagnostic and therapeutic purposes, the rapid advances in computed tomography as well as the high radiation doses delivered by interventional procedures have raised serio...The increased use of ionization radiation for diagnostic and therapeutic purposes, the rapid advances in computed tomography as well as the high radiation doses delivered by interventional procedures have raised serious safety and health concerns for both patients and medical staff and have necessitated the establishment of a radiation protection culture(RPC) in every Radiology Department. RPC is a newly introduced concept. The term culture describes the combination of attitudes, beliefs, practices and rules among the professionals, staff and patients regarding to radiation protection. Most of the time, the challenge is to improve rather than to build a RPC. The establishment of a RPC requires continuing education of the staff and professional, effective communication among stakeholders of all levels and implementation of quality assurance programs. The RPC creation is being driven from the highest level. Leadership, professionals and associate societies are recognized to play a vital role in the embedding and promotion of RPC in a Medical Unit. The establishment of a RPC enables the reduction of the radiation dose, enhances radiation risk awareness, minimizes unsafe practices, and improves the quality of a radiation protection program. The purpose of this review paper is to describe the role and highlight the importance of establishing a strong RPC in Radiology Departments with an emphasis on promoting RPC in the Interventional Radiology environment.展开更多
Interventional radiology has been beneficial for patients for over 30 years of age with the combination of diagnostic and therapeutic methods. The radiation affecting occupationally exposed workers should be evaluated...Interventional radiology has been beneficial for patients for over 30 years of age with the combination of diagnostic and therapeutic methods. The radiation affecting occupationally exposed workers should be evaluated by means of the energy spectra and flux of X-rays in the treatment room. The present study aims to obtain the energy spectra of interventional procedures and study the capability of some detectors to evaluate the dose in interventional procedures. These measurements were taken by silicon-drift, CdTe, and CdZnTe detectors. The energy spectra were corrected by the energy-response curve of each detector. The energy-response curves of silicon-drift and CdTe detectors provided by the manufacturers specification were used. The energy response of the CdZnTe detector was measured by 133Ba and 152Eu γ sources. The experimental data were compared with the simulation results, and their perfect agreement provides a way to correct the energy or dose response, which can be used for the personal dosimeter developed by our group. Moreover, the measured energy spectra can be used in individual radiation protection. The present study shows that the CdZnTe detector is a good candidate detector in interventional procedures.展开更多
Acute upper and lower gastrointestinal bleeding, enteral feeding, cecostomy tubes and luminal strictures are some of the common reasons for gastroenterology service. While surgery was initially considered the main tre...Acute upper and lower gastrointestinal bleeding, enteral feeding, cecostomy tubes and luminal strictures are some of the common reasons for gastroenterology service. While surgery was initially considered the main treatment modality, the advent of both therapeutic endoscopy and interventional radiology have resulted in the paradigm shift in the management of these conditions. In this paper, we discuss the patient's work up, indications, and complementary roles of endoscopic and angiographic management in the settings of gastrointestinal bleeding, enteral feeding, cecostomy tube placement and luminal strictures. These conditions often require multidisciplinary approaches involving a team of interventional radiologists, gastroenterologists and surgeons. Further, the authors also aim to describe how the fields of interventional radiology and gastrointestinal endoscopy are overlapping and complementary in the management of these complex conditions.展开更多
文摘Large language models(LLMs)have emerged as transformative tools in radiology artificial intelligence(AI),offering significant capabilities in areas such as image report generation,clinical decision support,and workflow optimization.The first part of this manuscript presents a comprehensive overview of the current state of LLM applications in radiology,including their historical evolution,technical foundations,and practical uses.Despite notable advances,inherent architectural constraints,such as token-level sequential processing,limit their ability to perform deep abstract reasoning and holistic contextual understanding,which are critical for fine-grained diagnostic interpretation.We provide a critical perspective on current LLMs and discuss key challenges,including model reliability,bias,and explainability,highlighting the pressing need for novel approaches to advance radiology AI.Large concept models(LCMs)represent a nascent and promising paradigm in radiology AI,designed to transcend the limitations of token-level processing by utilizing higher-order conceptual representations and multimodal data integration.The second part of this manuscript introduces the foundational principles and theoretical framework of LCMs,highlighting their potential to facilitate enhanced semantic reasoning,long-range context synthesis,and improved clinical decision-making.Critically,the core of this section is the proposal of a novel theoretical framework for LCMs,formalized and extended from our group’s foundational concept-based models-the world’s earliest articulation of this paradigm for medical AI.This conceptual shift has since been externally validated and propelled by the recent publication of the LCM architectural proposal by Meta AI,providing a large-scale engineering blueprint for the future development of this technology.We also outline future research directions and the transformative implications of this emerging AI paradigm for radiologic practice,aiming to provide a blueprint for advancing toward human-like conceptual understanding in AI.While challenges persist,we are at the very beginning of a new era,and it is not unreasonable to hope that future advancements will overcome these hurdles,pushing the boundaries of AI in Radiology,far beyond even the most state-of-the-art models of today.
文摘AIMTo assess the state of radiology education across Europe by means of a survey study.METHODSA comprehensive 23-item radiology survey was distributed via email to the International Society of Radiology members, national radiological societies, radiologists and medical physicists. Reminders to complete the survey were sent and the results were analyzed over a period of 4 mo (January-April 2016). Survey questions include length of medical school and residency training; availability of fellowship and subspecialty training; number of residency programs in each country; accreditation pathways; research training; and medical physics education. Descriptive statistics were used to analyze and summarize data.RESULTSRadiology residency training ranges from 2-6 years with a median of 5 years, and follows 1 year of internship training in 55% (12 out of 22) European countries. Subspecialty fellowship training is offered in 55% (12 out of 22) European countries. Availability for specialization training by national societies is limited to eight countries. For nearly all respondents, less than fifty percent of radiologists travel abroad for specialization. Nine of 22 (41%) European countries have research requirements during residency. The types of certifying exam show variation where 64% (14 out of 22) European countries require both written and oral boards, 23% (5 out of 22) require oral examinations only, and 5% (1 out of 22) require written examinations only. A degree in medical physics is offered in 59% (13 out of 22) European countries and is predominantly taught by medical physicists. Nearly all respondents report that formal examinations in medical physics are required.CONCLUSIONComparative learning experiences across the continent will help guide the development of comprehensive yet pragmatic infrastructures for radiology education and collaborations in radiology education worldwide.
基金supported by a grant from the Jiangsu Province Medical Innovation Center (No.CXZX202219)
文摘The phrase“interventional radiology”(IR)was first coined by Margulis in 1967,[1]defining an emerging discipline that leverages image-guided modalities for the diagnosis and management of space-occupying lesions(such as tumors)and vascular pathologies(such as thrombosis and atherosclerosis).Since its establishment in China's Mainland in the late 1970s,dedicated efforts by Chinese interventionalists have established the discipline as the“third pillar”of clinical medicine,along with internal medicine and surgery.[2]Interventional therapies are indispensable in clinical practice because of their minimally invasive characteristics,high reproducibility,precise targeting,favorable safety profiles,potentiation of therapeutic efficacy when combined with other treatment strategies,societal benefits at low cost,and the rapid return of patients to the activities of daily living,including work.With advances in medical technology,novel interventional methodologies,devices,and clinical paradigms continue to emerge.IR has demonstrated significant advances in both basic scientific and clinical applications.The present article provides a systematic overview of the current status and future prospects of IR in China,focusing on innovation and translation,discipline development and transformation,and training and standardization.
文摘In this article,artificial intelligence(AI)usage and its benefits in medicine are reviewed in the oncology,radiology,and cardiology fields.The relevant literature was searched in PubMed and Google Scholar using the words“Artificial Intelligence”,“Artificial Intelligence in Medicine”,“Artificial Intelligence in Cardiology”,“Artificial Intelligence in Oncology”,and“Artificial Intelligence in Radiology”for the last 10 years.This article covers the AI’s current implications in daily practice,discussing its advantages and disadvantages based on the findings.AI’s effect in medicine for reducing workload,diagnosis,time management,and drug dosing is going to be reviewed especially in radiology,oncology,and cardiology fields as well as general usage of AI in addition to important highlights.Lastly,this minireview evaluates the current challenges of AI technology in medicine and how clinicians should work with this emerging technology.
文摘Background:Convolutional neural networks(CNN)have achieved remarkable success in medical image analysis.However,unlike some general-domain tasks where model accuracy is paramount,medical applications demand both accuracy and explainability due to the high stakes affecting patients'lives.Based on model explanations,clinicians can evaluate the diagnostic decisions suggested by CNN.Nevertheless,prior explainable artificial intelligence methods treat medical image tasks akin to general vision tasks,following end-to-end paradigms to generate explanations and frequently overlooking crucial clinical domain knowledge.Methods:We propose a plug-and-play module that explicitly integrates anatomic boundary information into the explanation process for CNN-based thoracopathy classifiers.To generate the anatomic boundary of the lung parenchyma,we utilize a lung segmentation model developed on external public datasets and deploy it on the unseen target dataset to constrain model ex-planations within the lung parenchyma for the clinical task of thoracopathy classification.Results:Assessed by the intersection over union and dice similarity coefficient between model-extracted explanations and expert-annotated lesion areas,our method consistently outperformed the baseline devoid of clinical domain knowledge in 71 out of 72 scenarios,encompassing 3 CNN architectures(VGG-11,ResNet-18,and AlexNet),2 classification settings(binary and multi-label),3 explanation methods(Saliency Map,Grad-CAM,and Integrated Gradients),and 4 co-occurred thoracic diseases(Atelectasis,Fracture,Mass,and Pneumothorax).Conclusions:We underscore the effectiveness of leveraging radiology knowledge in improving model explanations for CNN and envisage that it could inspire future efforts to integrate clinical domain knowledge into medical image analysis.
文摘BACKGROUND Artificial intelligence(AI)is increasingly being explored in radiology,including its potential role in emergency imaging settings.However,global perspectives on AI adoption,usefulness,and limitations among emergency radiologists remain underexplored.AIM To assess awareness,usage,perceived benefits,and limitations of AI tools among radiologists practicing emergency radiology worldwide.METHODS A 16-question survey was distributed globally between October 24,2024,and August 4,2025,targeting radiologists working in academic,community,and private settings who practice emergency radiology as a primary or secondary subspecialty.The survey was disseminated via direct emails extracted using automated and manual methods from recent publications in major radiology journals.A total of 57 responses were collected.RESULTS AI awareness was high(93%),but frequent clinical use was reported by only 28%.Daily use of AI in emergent imaging was limited to 23%of respondents.The majority anticipated AI becoming essential within five years(68%),and 51%believed AI would replace certain radiological tasks.Image interpretation and acquisition were the most common AI applications.Key perceived benefits included improved diagnostic accuracy and increased efficiency,while concerns included limited accuracy,integration difficulties,and cost.Trust in AI varied by experience,with less experienced radiologists viewed as more trusting.CONCLUSION While emergency radiologists globally recognize AI’s potential,significant barriers to its routine adoption remain.Addressing issues of trust,cost,accuracy,and workflow integration is essential to unlock AI's full utility in emergency radiology.
文摘Radiation doses to patients in diagnostics and interventional radiology need to be optimized to comply with the principles of radiation protection in medical practice. This involves using specific detectors with respective diagnostic beams to carry out quality control/quality assurance tests needed to optimize patient doses in the hospital. Semiconductor detectors are used in dosimetry to verify the equipment performance and dose to patients. This work aims to assess the performance, energy dependence, and response of five commercially available semiconductor detectors in RQR, RQR-M, RQA, and RQT at Secondary Standard Dosimetry for clinical applications. The diagnostic beams were generated using Exradin A4 reference ion chamber and PTW electrometer. The ambient temperature and pressure were noted for KTP correction. The detectors designed for RQR showed good performance in RQT beams and vice versa. The detectors designed for RQR-M displayed high energy dependency in other diagnostic beams. The type of diagnostic beam quality determines the response of semiconductor detectors. Therefore, a detector should be calibrated according to the beam qualities to be measured.
文摘Oral and maxillofacial diagnostic imaging is of paramount importance in dental clinical diagnosis,treatment planning,and follow-up procedures.Periapical ra-diographic examination and numerous panoramic systems are used in routine clinical dental practice.Cone beam CT is widely used and currently the method of choice in oral and maxillofacial implantology,endodontics,maxillofacial surgery,periodontics,degenerative temporomandibular joint disease,orthodontics,airway studies,sleep disorders,and forensic dentistry.Another innovative laboratory re-search tool that offers three-dimensional(3D)detailed high-resolution images of in vitro teeth and neighboring structures with submicrometric accuracy is micro-computed tomography.Ultra-high radiation doses,long scanning times,and high costs preclude its routine clinical use.In response to the high demand for a te-chnique that could provide real-time images using a cost-effective,rapid,user-friendly,and portable technique without ionizing radiation,some authors pro-posed ultrasound imaging methods as an alternative to X-ray imaging techniques.Ultrasonography can be used in the dentomaxillofacial region for various diagno-stic purposes such as salivary gland and superficial tissue examination.Recently,dedicated dental magnetic resonance imaging with appropriate software,hard-ware,sequences,and field of view tailored to fit dentomaxillofacial anatomy was introduced.Lately,3D printing technologies and their application in dentistry has attracted attention.During 3D printing a given material is added in successive layers to create a 3D object.The application of this technology has the potential to decrease operation time and minimize operator bias and the possibility of proce-dural errors.Another hot topic regarding dentomaxillofacial radiology is artificial intelligence,which is a field related to computer science dedicated to developing systems or machines that can perform tasks traditionally associated with human intelligence.It is obvious that further investigation and research in the field of dentomaxillofacial radiology will make great contributions to diagnostic imaging for various dental specialties.
文摘The purpose of this research was to evaluate radiological safety in pediatric radiology in hospitals in the Kongo Central province of the DRC. To this end, we surveyed a convenience sample of 50 health professionals, including 10 radiologists working in the hospitals covered by the survey, to assess the practice of pediatric radiology and the degree of compliance with radiation protection principles for the safety of children and the environment. We collected radiophysical parameters to calculate entrance doses in pediatric radiology in radiology departments to determine the dosimetric level by comparison with the diagnostic reference levels of the International Commission on Radiological Protection (ICRP). All in all, we found that in Kongo Central in the DRC, many health personnel surveyed reported that more than 30% of requested radiological examinations are not justified. Also, after comparing the entrance doses produced in the surveyed departments with those of the International Commission on Radiological Protection (ICRP), a statistically significant difference was found in pediatric radiology between the average doses in five out of six surveyed departments and those of the ICRP. Therefore, almost all of the surveyed departments were found to be highly irradiating in children, while excessive X-ray irradiation in children can have significant effects due to their increased sensitivity to radiation. Among the risks are: increased cancer risks, damage to developing cells, potential genetic effects, and neurological effects. This is why support for implementing radiation protection principles is a necessity to promote the safety of patients and the environment against the harmful effects of X-rays in conventional radiology.
文摘INTRODUCTIONRadiology has been greatly advanced in China sinceits founding in 1949 and has been developed fasterand further more since China adopted the policy ofsocioeconomic reform in 1978.It plays anincreasingly important role in the medical healthcare and treatment in the country and has reachedthe world’s advanced level in certain fields.We nowbriefly review the history of China’s radiology so asto give a clear picture of its development.
基金Teaching Reform Project of Higher Education of Sichuan University,Grant/Award Number:SCU10366Research and Practice Project of Undergraduate Teaching Reform of West China School of Medicine,Sichuan University,Grant/Award Number:HXBK-B2023029。
文摘Purpose:Our institution developed the subspecialized medical team(SMT)mode in radiology reporting workflows in July 2022 to strengthen profes-sionalism in radiology residency training.This study aimed to investigate whether adopting the SMT mode facilitated radiology resident training.Method:This observational study was conducted in October 2022.An online questionnaire was distributed among first-to third-year radiology residents to determine their levels of perceived stress,anxiety,competency in image interpretation,and learning effectiveness in using the SMT mode and other approaches.Responses were on 4 or 5 point Likert scales,and multiple-choice responses were used for semi-open questions.The turnaround time for radi-ology reports was measured for both residents and senior radiologists.Sta-tistical significance(p<0.05)was determined using chi-square or Fisher's exact tests,one-way analysis of variance,pairwise t-tests,and the Kruskal-Wallis H test.Results:In total,71 residents completed the questionnaire survey.The turnaround times for radiology reports were collected for these residents and 23 senior radiologists.Residents'stress and anxiety scores,perceived levels of competency in image interpretation,and time spent writing reports were significantly increased in the SMT mode.In contrast,the time senior radiol-ogists spent reviewing a single report was decreased for the majority of report types after 1 year of implementing the SMT mode.Conclusion:These findings suggest adopting the SMT mode could facilitate the training of radiology residents.However,residents'mental health and well-being should also be considered.
文摘In order to further improve the impact of the continuously evolving neurointerventional techniques, the interventional neuroradiologist needs to have at his disposal more powerful techniques to image the central nervous system. With the recent development of diagnostics techniques that are computed tomography and magnetic resonance based we are now able to assess not just morphology, but also physiology, physiopathology and function. This review discusses the place of diagnostic techniques in the evaluation that the interventional neuroradiologist hast to make when confronted with patients. We provide an overview of current techniques for the brain and spine.
文摘Gastrointestinal(GI)cancers often require a multidisciplinary approach involving surgeons,endoscopists,oncologists,and interventional radiologists to diagnose and treat primitive cancers,metastases,and related complications.In this context,interventional radiology(IR)represents a useful minimally-invasive tool allowing to reach lesions that are not easily approachable with other techniques.In the last years,through the development of new devices,IR has become increasingly relevant in the context of a more comprehensive management of the oncologic patient.Arterial embolization,ablative techniques,and gene therapy represent useful and innovative IR tools in GI cancer treatment.Moreover,IR can be useful for the management of GI cancer-related complications,such as bleeding,abscesses,GI obstructions,and neurological pain.The aim of this study is to show the principal IR techniques for the diagnosis and treatment of GI cancers and related complications,as well as to describe the future perspectives of IR in this oncologic field.
文摘Background: The hospitals and health care centres are organized around the patient, a model in which healthcare providers partner with patients and families to identify and satisfy patients’ needs and preferences. Providers respect patients’ values and preferences, address their emotional and social needs, and involve them and their families in decision making. According to the best of our knowledge, there is no evidence to prove, radiologists and radiographers are aware enough about the patient safety, care, and code of conduct with their patients in the interventional radiology department. Objective: This article aims to measure the awareness of radiologists and radiographers toward care and safety in an interventional radiology department. Material and Method: This study was carried in period from 15 February to 20 April 2022. One hundred sixty-four radiographers and radiologists participating in this study completed the questionnaire, which equals a response rate of approximately 82%. The questionnaire was fully completed by almost all responders;only a few of them gave partial answers. Results: The first question for radiographers and radiologists was “the sufficient awareness about the patient safety and care during the interventional radiology procedure. Also, the majority of the radiographers and radiologists are providing the patients with sufficient information when he/she ask for help or queries. A large number of radiographers and radiologists were participating in this study explaining the procedures to patients before starting the examinations in a structured way. Finally, the result shows both radiographers and radiologists respect the patient’s rights, privacy, and dignity and also kept the radiation protection during the interventional radiology procedures. Conclusion: This article summarizes the key categories of awareness of patient care issues in the provision of interventional radiology services, from the joint perspectives of radiographers and radiologists, and provides references for further reading in all major relevant areas.
文摘Interventional radiology has acquired a key role in every liver transplantation(LT)program by treating the majority of vascular and non-vascular post-transplant complications,improving graft and patient survival and avoiding,in the majority of cases,surgical revision and/or re-transplantation.The aim of this paper is to review indications,technical consideration,results achievable and potential complications of interventional radiology procedures after deceased donor LT and living related adult LT.
文摘The large language model called ChatGPT has drawn extensively attention because of its human-like expression and reasoning abilities.In this study,we investigate the feasibility of using ChatGPT in experiments on translating radiology reports into plain language for patients and healthcare providers so that they are educated for improved healthcare.Radiology reports from 62 low-dose chest computed tomography lung cancer screening scans and 76 brain magnetic resonance imaging metastases screening scans were collected in the first half of February for this study.According to the evaluation by radiologists,ChatGPT can successfully translate radiology reports into plain language with an average score of 4.27 in the five-point system with 0.08 places of information missing and 0.07 places of misinformation.In terms of the suggestions provided by ChatGPT,they are generally relevant such as keeping following-up with doctors and closely monitoring any symptoms,and for about 37%of 138 cases in total ChatGPT offers specific suggestions based on findings in the report.ChatGPT also presents some randomness in its responses with occasionally over-simplified or neglected information,which can be mitigated using a more detailed prompt.Furthermore,ChatGPT results are compared with a newly released large model GPT-4,showing that GPT-4 can significantly improve the quality of translated reports.Our results show that it is feasible to utilize large language models in clinical education,and further efforts are needed to address limitations and maximize their potential.
文摘Acute gastrointestinal bleeding(GIB) can lead to significant morbidity and mortality without appropriate treatment. There are numerous causes of acute GIB including but not limited to infection, vascular anomalies, inflammatory diseases, trauma, and malignancy. The diagnostic and therapeutic approach of GIB depends on its location, severity, and etiology. The role of interventional radiology becomes vital in patients whose GIB remains resistant to medical and endoscopic treatment. Radiology offers diagnostic imaging studies and endovascular therapeutic interventions that can be performed promptly and effectively with successful outcomes. Computed tomography angiography and nuclear scintigraphy can localize the source of bleeding and provide essential information for the interventional radiologist to guide therapeutic management with endovascular angiography and transcatheter embolization. This review article provides insight into the essential role of Interventional Radiology in the management of acute GIB.
文摘The increased use of ionization radiation for diagnostic and therapeutic purposes, the rapid advances in computed tomography as well as the high radiation doses delivered by interventional procedures have raised serious safety and health concerns for both patients and medical staff and have necessitated the establishment of a radiation protection culture(RPC) in every Radiology Department. RPC is a newly introduced concept. The term culture describes the combination of attitudes, beliefs, practices and rules among the professionals, staff and patients regarding to radiation protection. Most of the time, the challenge is to improve rather than to build a RPC. The establishment of a RPC requires continuing education of the staff and professional, effective communication among stakeholders of all levels and implementation of quality assurance programs. The RPC creation is being driven from the highest level. Leadership, professionals and associate societies are recognized to play a vital role in the embedding and promotion of RPC in a Medical Unit. The establishment of a RPC enables the reduction of the radiation dose, enhances radiation risk awareness, minimizes unsafe practices, and improves the quality of a radiation protection program. The purpose of this review paper is to describe the role and highlight the importance of establishing a strong RPC in Radiology Departments with an emphasis on promoting RPC in the Interventional Radiology environment.
基金supported by the National Natural Science Foundation of China(No.11705123)Natural Science Foundation of Jiangsu Province(No.BK20160306)+1 种基金China Postdoctoral Science Foundation(No.2016M591911)the Project of the State Key Laboratory of Radiation Medicine and Protection,Soochow University(No.GZN1201801)
文摘Interventional radiology has been beneficial for patients for over 30 years of age with the combination of diagnostic and therapeutic methods. The radiation affecting occupationally exposed workers should be evaluated by means of the energy spectra and flux of X-rays in the treatment room. The present study aims to obtain the energy spectra of interventional procedures and study the capability of some detectors to evaluate the dose in interventional procedures. These measurements were taken by silicon-drift, CdTe, and CdZnTe detectors. The energy spectra were corrected by the energy-response curve of each detector. The energy-response curves of silicon-drift and CdTe detectors provided by the manufacturers specification were used. The energy response of the CdZnTe detector was measured by 133Ba and 152Eu γ sources. The experimental data were compared with the simulation results, and their perfect agreement provides a way to correct the energy or dose response, which can be used for the personal dosimeter developed by our group. Moreover, the measured energy spectra can be used in individual radiation protection. The present study shows that the CdZnTe detector is a good candidate detector in interventional procedures.
文摘Acute upper and lower gastrointestinal bleeding, enteral feeding, cecostomy tubes and luminal strictures are some of the common reasons for gastroenterology service. While surgery was initially considered the main treatment modality, the advent of both therapeutic endoscopy and interventional radiology have resulted in the paradigm shift in the management of these conditions. In this paper, we discuss the patient's work up, indications, and complementary roles of endoscopic and angiographic management in the settings of gastrointestinal bleeding, enteral feeding, cecostomy tube placement and luminal strictures. These conditions often require multidisciplinary approaches involving a team of interventional radiologists, gastroenterologists and surgeons. Further, the authors also aim to describe how the fields of interventional radiology and gastrointestinal endoscopy are overlapping and complementary in the management of these complex conditions.
