AJR Podcasts

AJR

In this series, authors of select AJR articles discuss how their studies were performed, the results, and how the studies changed their practices.

  1. 6d ago

    How to Navigate Data and Research Ethics

    Clinical data drive meaningful research, but access comes with responsibility. Andrea Doria, MD PhD, speaks with host Amit Gupta, MD, about navigating research ethics, informed consent, deidentification, dataset bias, responsible data sharing, and patient trust. Listen to their discussion in episode 4 of The Early-Career Researcher's Playbook, an AJR Podcast Series. *Key Takeaways Ethics as Good Science: Ethical guidelines are not administrative obstacles. They are an integral part of responsible data stewardship and maintaining the trust patients place in the healthcare system. The Consent Misconception: Retrospective studies do not automatically bypass patient consent. Only the ethics board can grant a waiver of consent, for example for scenarios with large unreachable patient populations. Anonymization vs. De-identification: Removing a name is merely anonymization. True de-identification requires scrubbing private DICOM metadata, redacting burned-in pixels on ultrasounds, and accounting for 3D reconstructions that might reveal unique physical patient characteristics. External Data Sharing: Before uploading clinical data to external cloud platforms or AI tools, institutions should establish strict Data Transfer Agreements detailing storage protocols, access rights, and data deletion timelines. Scope Creep and Amendments: Reusing an existing dataset to answer a new research question unapproved by the IRB is an ethical violation. Researchers must submit an amendment or a new application to the ethics board before shifting the scope of their study. *Chapters 0:00 - Welcome 02:21 - When Ethics Approval Starts 04:40 - Consent and Waivers 09:26 - Deidentifying Imaging Data 12:48 - Sharing Data Externally 15:31 - Bias and Representation 18:41 - Stewardship Beyond Rules 21:30 - Reusing Data and Amendments 26:34 - Quick Fire Playbook 33:23 - Final Takeaways Follow AJR on Social Media LinkedIn: https://www.linkedin.com/showcase/ajr-radiology/ YouTube: https://www.youtube.com/channel/UCfFAYezkLMxJGMgIJLN0Dpg Instagram: https://www.instagram.com/ajr_radiology/ TikTok: https://www.tiktok.com/@ajr_radiology X: https://x.com/AJR_Radiology BlueSky: https://bsky.app/profile/ajrradiology.bsky.social Threads: https://www.threads.com/@ajr_radiology *These sections were generated using artificial intelligence (Descript and Google Gemini) and then reviewed for accuracy.

    How to Navigate Data and Research Ethics
  2. Oct 7

    Wrong Turns: What to Do When You Realize You Chose the Wrong Path

    Every radiologist can name the career decisions that worked out. Almost nobody talks about the ones that did not. Peter S. Moskowitz, MD, a pediatric radiologist turned physician career coach, speaks with hosts Surbhi Raichandani, MD, and Sherry Wang, MBBS, about burnout, sunk costs, and what comes after a wrong turn. Listen to their discussion in episode 4 of Difficult Conversations, an AJR Podcast Series. https://www.ajronline.org/doi/10.2214/AJR.26.36011 *Key Takeaways The Second Career: A physician's primary job is clinical excellence, but a secondary job is active career self-management, which requires finding trusted mentors and being vulnerable enough to ask for help. The 4 D's of Transition: Recognizing the need for a career pivot may begin with identifying William Bridges' four D's of transition endings: disengagement, disidentification, disenchantment, and disorientation. Proactive "Protirement": True retirement planning or "protirement" should begin the first day of your first paying job, involving professional financial planners and your significant other to align your long-term vision. *Chapters 0:00 - Welcome 3:51 - Tenure Setback and Toxic Practice 5:23 - Burnout to Coaching 6:58 - Return to Academia 8:44 -  Lessons From Career Transitions 12:29 -  Career Resilience 14:14 -  The Moment Burnout Hit 16:40 - Golden Handcuffs and Wrong Paths 19:42 - Why Burnout Happens 22:06 -  Greed and Leadership Voice 26:37 - Advice for Early Attendings 31:32 - How CPPR Coaching Works 34:17 - Protirement Plan Early 39:52 - Radiologist-Centered Imaging 43:08 - Wellness Progress and What Next 49:29 - AI Efficiency Burnout Myth 55:52 - One Sentence Advice and Takeaways 59:00 -  Closing Follow AJR on Social Media LinkedIn: https://www.linkedin.com/showcase/ajr-radiology/ YouTube: https://www.youtube.com/channel/UCfFAYezkLMxJGMgIJLN0Dpg Instagram: https://www.instagram.com/ajr_radiology/ TikTok: https://www.tiktok.com/@ajr_radiology X: https://x.com/AJR_Radiology BlueSky: https://bsky.app/profile/ajrradiology.bsky.social Threads: https://www.threads.com/@ajr_radiology *These sections were generated using artificial intelligence (Descript and Google Gemini) and then reviewed for accuracy.

    Wrong Turns: What to Do When You Realize You Chose the Wrong Path
  3. Sep 30

    Can Artificial Intelligence Help Us See the Person Behind the Pattern? Intimate Partner Violence Through the Lens of Radiology

    What do you do when images tell a different story? Bharti Khurana, MD, MBA, speaks with cohosts Lindsey Negrete, MD, and Amy Maduram, MD, about her journey from the reading room to the forefront of artificial intelligence innovation, transforming the way we identify and support survivors of intimate partner violence. Listen to their discussion in episode 4 of Extreme Radiology, an AJR Podcast Series.  https://www.ajronline.org/doi/10.2214/AJR.26.35966 *Key Takeaways The Longitudinal Biomarker: There is no single characteristic injury that defines intimate partner violence (IPV). Instead, the true warning sign is a longitudinal pattern of trauma over time, including target injuries to the head and face, defensive injuries to the upper extremities, and neck injuries from strangulation.   Protecting the Patient Portal: Radiologists should not write "suspicious for IPV" in a formal imaging report because the partner may be monitoring the patient's electronic records. Radiologists should objectively describe the injuries in the text and directly call the referring clinician to raise abuse suspicions.   The "Pickle Jar" of Disclosure: If a case is flagged and the patient denies the abuse, the radiologist should not feel that they have failed. Reporting IPV is like opening a tight pickle jar; each safe conversation loosens the lid until the patient is finally ready and empowered to disclose their situation.  Humanizing Medicine with AI: The AIRS tool uses computational analysis to flag high probability IPV risk, which allows clinicians to better dedicate appointment times toward empathetic, trauma-informed conversations. Bias as a Strength: Critics initially warned that radiologists could not diagnose IPV because they may not see the patient's socioeconomic background in the reading room. However, this is also a source of strength, allowing radiologists to report objective findings without certain potential implicit biases. *Chapters 0:00 - Welcome and Content Warning 2:46 - Why Study IPV in Radiology 6:17 - Imaging Clues and Patterns 8:03 - Longitudinal Data and Integration 9:19 - Gender Differences and Misconceptions 14:33 - Reporting Safely in the EMR Era 19:00 - The Longitudinal Biomarker Eureka Moment 22:56 - AI That Prompts Human Care 25:21 - AIRS Workflow and Future Tools 30:25 - Collaboration and Leaving the Silo 34:47 - Handling Criticism and Staying Motivated 38:12 - What Trainees Should Know 41:52 - Closing Takeaways Follow AJR on Social Media LinkedIn: https://www.linkedin.com/showcase/ajr-radiology/ YouTube: https://www.youtube.com/channel/UCfFAYezkLMxJGMgIJLN0Dpg Instagram: https://www.instagram.com/ajr_radiology/ TikTok: https://www.tiktok.com/@ajr_radiology X: https://x.com/AJR_Radiology BlueSky: https://bsky.app/profile/ajrradiology.bsky.social Threads: https://www.threads.com/@ajr_radiology *These sections were generated using artificial intelligence (Descript and Google Gemini) and then reviewed for accuracy.

    Can Artificial Intelligence Help Us See the Person Behind the Pattern? Intimate Partner Violence Through the Lens of Radiology

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In this series, authors of select AJR articles discuss how their studies were performed, the results, and how the studies changed their practices.

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