In this single-center retrospective cohort, one-third of thyroid nodules remained nondiagnostic after repeat FNA, with older age and cystic or mixed composition linked to higher likelihood of a nondiagnostic result. https://journals.sagepub.com/doi/full/10.1177/08465371261442120

Venting PTEG provides effective and durable gastrointestinal decompression in MBO patients unsuitable for percutaneous gastrostomy, with rapid symptom relief, a favourable safety profile, and catheter function generally maintained. https://journals.sagepub.com/doi/10.1177/08465371261437627

ACC is a rare and aggressive malignancy arising from the adrenal cortex. This tumor shows suggestive imaging features on CT, which include a large size, internal heterogeneity and various degrees of internal necrosis. https://journals.sagepub.com/doi/10.1177/08465371261438317

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HCC has an uneven global distribution and a higher incidence in males. The LI-RADS is a standardized imaging framework for HCC diagnosis. It is unclear whether the evidence used to inform LI-RADS reflects the global burden of HCC. https://journals.sagepub.com/doi/10.1177/08465371261429344

Given the overlap in populations of perimenopausal and postmenopausal women at risk for cardiovascular disease, there is an opportunity to use BAC to identify women at increased cardiovascular risk. https://journals.sagepub.com/doi/10.1177/08465371261435478

How do radiology departments stay high-performing without burning out their people? In this paper, we propose distributed servant leadership as a practical model for building adaptable, inclusive, and purpose-driven radiology teams. https://journals.sagepub.com/doi/10.1177/08465371261437071

In a review of after-hours pediatric head trauma CT, most scans were normal. Findings support improved adherence to PECARN Pediatric Head Injury Prediction Rule while highlighting higher diagnostic yield in children <2. https://journals.sagepub.com/doi/10.1177/08465371261435381

A CT signature based on three reproducible imaging features can help distinguish pancreatic adenosquamous cell carcinoma from pancreatic ductal adenocarcinoma. https://journals.sagepub.com/doi/10.1177/08465371261426959

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The 2024 AAST-OIS revision for pancreatic trauma prioritizes direct main pancreatic duct evaluation with advanced imaging to improve injury grading accuracy, outcome prediction. https://journals.sagepub.com/doi/10.1177/08465371261424865

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Technical and interpretative pitfalls can bias visual or quantitative assessment, leading to overestimation or underestimation of stenosis. These errors influence clinical decision-making, downstream testing, and patient management. https://journals.sagepub.com/doi/10.1177/08465371251413195

CAR Journal

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Recognizing the inherent limitations of CCTA and employing a systematic, structured interpretive approach are essential for preserving its high diagnostic accuracy and ensuring optimal patient care. https://journals.sagepub.com/doi/10.1177/08465371251413217

CAR Journal

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Financial decisions shape radiology practice. A new article in CARJ examines how understanding risk, value, and capital allocation can help radiologists engage more effectively in leadership and system-level decision-making. https://journals.sagepub.com/doi/10.1177/08465371261419016

Nearly 20% of patients in Nova Scotia traveled farther than necessary for outpatient MRI examinations, generating substantial avoidable emissions. Aligning MRI service distribution with population density could lessen the environmental impact of medical imaging. https://bit.ly/4eK1HwQ

This study compares the incidence and imaging characteristics of non-malignant changes (NMC) versus LTP after renal ablation. https://journals.sagepub.com/doi/10.1177/08465371261418513

We have BIG news 🗞️ The CARJ is proud to announce the 2026 Impact Factor is 4.0💥 This marks a major increase from previous scores: 2.9 (2024) 📈 3.7 (2025) 📈 4.0 (2026) 😲 @caradiologists.bsky.social

Dr. Michael Patlas, @carjournal.bsky.social Editor-in-Chief, and Dr. Alison Harris, CAR President, at the U of T celebration. ✨️

This guideline presents Part IV of the @caradiologists.bsky.social Practice Guidelines on Breast Imaging and Intervention and addresses breast magnetic resonance imaging (MRI). 1/

This guideline presents Part III of the @caradiologists.bsky.social Practice Guidelines on Breast Imaging and Intervention and focuses on breast ultrasound. Recommendations address the diagnostic, supplemental screening, and interventional roles of ultrasound. 🔗 https://bit.ly/4annOYE

This guideline presents Part II of the @caradiologists.bsky.social Practice Guidelines on Breast Imaging and Intervention and addresses the clinical application of contrast-enhanced mammography (CEM). Read 📒 https://bit.ly/3QwzwJL Also in Clinical Companion 📱 https://bit.ly/4x6tK1U

Part I of the @caradiologists.bsky.social Practice Guidelines on Breast Imaging and Intervention and focuses on mammography and digital breast tomosynthesis (DBT) ⬇️ https://bit.ly/4ugxGdK

A systematic review and meta-analysis were performed to assess the diagnostic accuracy of MRI for paediatric appendicitis and its role in reducing negative appendicectomy rates (NAR). https://journals.sagepub.com/doi/10.1177/08465371251409633

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🚨 GUIDELINE ALERT 🚨 The @caradiologists.bsky.social Practice Guidelines for Breast Imaging and Intervention are now available online! This 5-part series offers recommendations for different modalities of breast imaging and intervention. ⬇️

We compared examination time, image quality, and lesion detection rates between pancreaticobiliary rFOV T2WI with and without DLR. https://journals.sagepub.com/doi/10.1177/08465371251407889

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NOW PUBLISHED 📝 @caradiologists.bsky.social/BRC Recommendations for the Management of Axillary Lymphadenopathy Following COVID-19 Vaccination car.ca/wp-content/u...

Despite their characteristic features such as microcystic or honeycomb appearance, central scar, or lobulated margins, SCAs can display a range of morphologies, complicating their diagnosis and leading to potential confusion with premalignant or malignant lesions. https://bit.ly/4uAz8sk

Sage Journals: Discover world-class research

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Call is among the most challenging aspects of radiology residency, fostering both knowledge development and decision-making under pressure. This study explores the perceptions of resident call across Canadian radiology programs. https://journals.sagepub.com/doi/10.1177/08465371251407871

This study introduces a semi-supervised deep learning (DL) model to automate BAC severity grading, enhance cross-system generalizability, and align with clinical consensus. https://journals.sagepub.com/doi/10.1177/08465371251400538

Contrast-Enhanced Mammography (CEM) improves detection & characterization of invasive lobular cancer (ILC) compared to conventional methods. Radiologists must be familiar with ILC on CEM to facilitate accurate interpretation. https://journals.sagepub.com/doi/10.1177/08465371251398520

Change management research provides a practical vocabulary and set of concepts that can help radiology leaders design and sequence change more effectively. https://journals.sagepub.com/doi/10.1177/08465371251403918

We’ve taken the @caradiologists.bsky.social Clinical Practice Guidelines you trust and transformed them into a high-speed tool for your workstation and smartphone. 📱