Contrast and Clarity with the JACR

Maddi Wulfeck
  • 5.0 (17)
  • Medicine
  • Updated Biweekly

Welcome to "Contrast & Clarity with the JACR," where we dive into the latest trends in the world of radiology. Join hosts Maddi Wulfeck and Jeff Waltz as they discuss current radiology topics and innovations that are shaping the future of healthcare. Topics will span the hottest trends in radiology such as artificial intelligence, expert perspectives, and what the future holds for the field. Whether you're a seasoned radiologist, resident, medical student, or simply curious about the field, this podcast sets the stage for an exciting journey into the world of medical imaging.

  1. Sep 20

    56. Whole-Body MRI, Revisited: What Have We Actually Learned? *CME*

    Whole-body MRI promises to find disease before it finds you - but does finding more actually mean living longer or better? Matthew Davenport, MD, MBA, FSABI, FSAR, FACR joins Maddi to revisit the evidence (or lack thereof) behind whole-body MRI screening, from cancer detection and incidental findings to over diagnosis and increased downstream costs. He also addresses the question that matters most: What evidence would actually prove that screening improves health? Because detecting disease is one thing. Proving that detection helps patients is another. Claim your free CME here: https://cmetracker.net/EVMS/Publisher?page=pubOpen#/getCertificate/31903 Find related JACR articles here: https://www.jacr.org/article/S1546-1440(24)00765-8/abstract https://www.jacr.org/article/S1546-1440(24)00764-6/abstract Accreditation Information Contributors Matthew Davenport, MD, MBA Madison Wulfeck, MD, MBA Jeffrey Waltz, MD Reviewers Madison Wulfeck, MD, MBA Jeffrey Waltz, MD Release Date September 2026 Expiration Date September 2029 Disclosure Statement The planners and contributors have no financialrelationships with ineligible companies to disclose.   Accreditation Statement This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of Macon and Joan Brock Virginia Health Sciences at Old Dominion University and Contrast & Clarity Podcast. Macon and Joan Brock Virginia Health Sciences at Old Dominion University is accredited by the ACCME to provide continuing medical education for physicians. Credit Designation Macon and Joan Brock Virginia Health Sciences at Old Dominion University designates this enduring material activity for a maximum of 1.0 AMA PRA Category 1 CreditsTM.  Physiciansshould claim only the credit commensurate with the extent of their participation in the activity.   If you have any questions regarding CME, please email CME@ODU.edu or call 757-446-6140.

    56. Whole-Body MRI, Revisited: What Have We Actually Learned? *CME*

  2. Sep 16

    55. TLDR September 2026 Issue

    This September JACR may be short and sweet, but it's packed with surprisingly big ideas. This month's TLDR tackles: Where diagnostic errors really happenWhether radiology AI actually pays for itselfWhat a breast biopsy needle shortage can teach us about resilienceHow radiology should prepare for the World Cup and OlympicsPlus: AI disclosure in scientific publishing, smarter radiation dose benchmarking, and a timely look at maternal mental health Plenty to talk about. Take a listen for everything you need to know from the September issue! Find the entire September 2026 JACR issue here: https://www.jacr.org/issue/S1546-1440(26)X2007-5

    55. TLDR September 2026 Issue

  3. Sep 6

    54. The Turnaround Time Trap

    Report turnaround time is easy to track - and faster certainly feels better. But does a faster report actually mean better patient care? And what happens when speed becomes a benchmark tied to physician performance and payment? In this episode of Contrast & Clarity, Nadja Kadom, MD joins us to discuss her JACR review article examining the evidence (or lack thereof) behind national turnaround-time benchmarks - and why uniform thresholds may overlook differences in case complexity, workflow, practice setting, and the work that can actually increase value. Then, quality and safety expert Anand Singh, MD takes the conversation one step further: turnaround time may be a useful measure of operations and capacity, but is it really a measure of quality and patient safety? Find the full JACR article here: https://www.jacr.org/article/S1546-1440(26)00290-5/fulltext

    54. The Turnaround Time Trap

  4. Aug 23

    53. Out of Slack: When Radiology Ran Out of Room to Bend

    What happens when radiology simply can't read any faster? For nearly a decade, radiologists managed to absorb rising imaging volumes, increasing complexity, and a growing workforce shortage while keeping turnaround times remarkably stable. We worked harder, read faster, picked up more shifts, and squeezed out the slack that once existed in the system. Then something changed. In this episode, Maddi and Jeff are joined by Eric Christensen, PhD from the Neiman Health Policy Institute to discuss new national data suggesting that radiology may have finally reached maximum capacity. We explore why turnaround times suddenly began to climb, what the surprising differences between practice types and sizes might tell us, whether bigger really means more efficient, and whether AI can actually help the workforce problem - or simply allow the system to demand even more from radiologists. Because this isn't really a story about turnaround times. It's about what happens when an increasingly efficient system finally runs out of room to absorb what comes next - and what radiology does from here. Find the full JACR article here: https://www.jacr.org/article/S1546-1440(26)00148-1/fulltext

    53. Out of Slack: When Radiology Ran Out of Room to Bend

  5. Aug 16

    52. TLDR August 2026 Issue

    The August issue of the JACR is packed with big questions - and in this month's TLDR, we read it so you don't have to. Join Maddi as she breaks down some of the interesting papers and ideas, including: 🤖 AI that transforms images—and what it might accidentally erase 🩻 The growing radiologist workforce shortage 🧠 How AI should change the way we train radiologists 🎯 Smarter cancer screening and patient follow-up 📣 Why young radiologists matter in advocacy ⚖️ Paid family leave, burnout, and building a sustainable workforce 💡 Why achievement and fulfillment aren’t the same thing Plus, practical studies on contrast reduction, MRI safety, financial toxicity, turnaround times, and more. Big ideas. Practical takeaways. Without having to read a 200-page journal. Find the full August 2026 issue here: https://www.jacr.org/issue/S1546-1440(26)X2006-3

    52. TLDR August 2026 Issue

  6. Aug 8

    51. The Signal Illusion in the Match: More Strategy, Same Chaos *CME*

    Preference signaling was supposed to make the radiology Match smarter: fewer applications, less uncertainty, and a more efficient process for both applicants and programs. But did it actually work? In this episode of Contrast & Clarity, Maddi and Jeff are joined by Christopher Keshishian, MD to unpack new data examining more than 1,300 matched radiology applicants across seven Match cycles. The results are surprising: applicants are submitting more applications, receiving fewer interview offers, and doubling the number of available signals hasn't meaningfully changed behavior. Together, they explore the game theory behind the modern Match, why applicants and programs continue to adapt to one another, whether signaling has become more of a screening tool than a preference tool, and what increasing to 15 signals might mean for the future. Whether you're a medical student preparing for the Match season, a program director navigating an avalanche of applications, or simply interested in how incentives shape behavior, this conversation will challenge the way you think about what preference signals are really signaling. Find the full article here: https://www.jacr.org/article/S1546-1440(25)00745-8/abstract Claim your CME here: https://cmetracker.net/EVMS/Publisher?page=pubOpen#/getCertificate/31902 Accreditation Information Contributors Madison Wulfeck, MD, MBA, CIIP Jeffrey Waltz, MD Christopher Keshishian, MD Reviewers Madison Wulfeck, MD, MBA Release Date August 2026 Expiration Date August 2029 Disclosure Statement The planners and contributors have no financial relationships with ineligible companies to disclose.   Accreditation Statement This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACGME) through the joint providership of Macon and Joan Brock Virginia Health Sciences at Old Dominion University and Contrast & Clarity Podcast. Macon and Joan Brock Virginia Health Sciences at Old Dominion University is accredited by the ACCME to provide continuing medical education for physicians.   Credit Designation Macon and Joan Brock Virginia Health Sciences at Old Dominion University designates this enduring material activity for a maximum of 1.0 AMA PRA Category 1 CreditsTM.  Physicians should claim only the credit commensurate with the extent of their participation in the activity. If you have any questions regarding CME, please email CME@ODU.edu or call757-446-6140.

    51. The Signal Illusion in the Match: More Strategy, Same Chaos *CME*

  7. Jul 30

    50. TLDR July 2026 Issue

    What do radiology turnaround times, AI-powered software development, MRI helium shortages, and the future of academic radiology all have in common? They are all shaping the future of our specialty - and they are all in this month's JACR issue! This TLDR episode highlights the newest articles that will make you think, challenge your assumptions, and may even change your practice. Skip the stack of journal article and get insights that matter the most - in about the time it takes to finish your commute. Find the entire July JACR issue here: https://www.jacr.org/issue/S1546-1440(26)X2005-1

    50. TLDR July 2026 Issue

  8. Jul 26

    49. Signal vs. Noise: Navigating the Radiology Match

    Think matching into diagnostic radiology is all about Step 2 scores and publications? Think again. Behind every successful applicant is something far less obvious: strategy. The rules have changed: preference signaling, virtual interviews, and application inflation. Every cycle brings a new layer to the game - and many applicants are still playing by last year's rules. In this episode, Maddi and Jeff pull back the curtain on what actually separates applicants who match from those left wondering what went wrong. Using three recent JACR articles, they reveal the hidden incentives and strategic decisions: 🎯Should you apply to 70+ programs? 🎯How should you use Gold and Silver signals? 🎯Is there a point where more interviews stop helping? If you're applying to radiology, this episode isn't just another discussion about the Match. It's your scouting report. Because every applicant has the same goal and not everyone understands the game. Find the JACR articles here: https://www.jacr.org/article/S1546-1440(22)00261-7/fulltext https://www.jacr.org/article/S1546-1440(24)00896-2/abstract https://www.jacr.org/article/S1546-1440(25)00579-4/fulltext

    49. Signal vs. Noise: Navigating the Radiology Match
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Ratings & Reviews

5
out of 5
17 Ratings

About

Welcome to "Contrast & Clarity with the JACR," where we dive into the latest trends in the world of radiology. Join hosts Maddi Wulfeck and Jeff Waltz as they discuss current radiology topics and innovations that are shaping the future of healthcare. Topics will span the hottest trends in radiology such as artificial intelligence, expert perspectives, and what the future holds for the field. Whether you're a seasoned radiologist, resident, medical student, or simply curious about the field, this podcast sets the stage for an exciting journey into the world of medical imaging.

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