Patient-reported outcome measures (PROMs) are standardized, validated instruments that measure how patients feel and function, collected directly from the patient. Traditionally, key metrics in radiology include technical aspects such as image quality, radiation dose, and diagnostic accuracy. However, medical imaging and image-guided therapies shape patient experience in informational, emotional, physical, and logistical domains that are rarely measured. Failing to capture this information is an important gap in radiology research and practice today that needs to be addressed. This review synthesizes the science of PROMs through a radiology lens: what PROMs are; why PROMs are relevant to diagnostic imaging and interventional practice; how to select and interpret PROMs responsibly, with explicit attention to bias, conflicts of interest, and minimal important differences; and how to implement PROMs pragmatically using contemporary digital workflows. This article highlights radiology-specific frameworks for patient-centred outcomes of diagnostic tests, summarizes evidence on how electronic PROM (ePROM) programs can improve patient experience and clinical outcomes, and proposes a practical roadmap for department-level implementation. Throughout, this review aligns recommendations with current methodological and regulatory guidance, draws on Canadian implementation experience, and translates lessons from applied PROM programs in complex clinical services to radiology settings. Implemented thoughtfully, PROMs give radiologists a rigorous, low-burden way to document benefits radiology already provides, strengthen outcome and health-economic analyses, and co-design services around what patients value. Integrating PROMs alongside established technical and diagnostic metrics can extend radiology's value proposition, and make radiology's patient-centred impact visible, measurable, and improvable.

Diffuse liver diseases, including steatosis, cirrhosis, and fibrosis, significantly alter hepatic architecture, and can obscure, mimic, or alter the imaging features of focal liver lesions and reduce the diagnostic accuracy of specific imaging modalities. This review outlines the key imaging pitfalls created by diffuse liver disease and offers practical, evidence-based strategies to overcome them. We describe several key imaging pitfalls in interpreting liver lesions in diffuse liver disease, including the atypical appearance of focal lesions on ultrasound and CT due to altered background parenchyma; the phenomenon of "vanishing washout" of hepatocellular carcinoma on CT in steatotic livers; and the significant risk of underestimating metastatic disease burden or missing occult lesions. For each pitfall, we discuss the strengths and weaknesses of various imaging modalities and suggest problem-solving strategies, such as guidance on selecting the most appropriate next-line imaging modality for lesion characterization. We highlight the roles of contrast-enhanced ultrasound and MRI in resolving diagnostic uncertainty when initial ultrasound or CT imaging is atypical or equivocal. A comprehensive understanding of how diffuse liver disease affects the imaging of both benign and malignant lesions is important for accurate diagnosis. Recognizing these pitfalls allows a tailored, multimodality imaging approach that optimizes the detection and characterization of focal liver lesions, ultimately guiding clinical management and improving patient care.

Physicians in Canada are disproportionately concentrated in urban centers, with rural regions facing significant gaps in specialist care. The geo-spatial characteristics of Interventional Radiology (IR) in Canada have not been systematically studied. This study examines the distribution of Canadian Association of Interventional Radiology (CAIR) members and the sociodemographic characteristics of the populations they serve.

Despite the centrality of radiology and radiologists in much clinical investigation and care of patients, the precise roles radiologists fulfil are often poorly understood by patients, and, sometimes, sadly, by our colleagues in healthcare. Loose use of language often designates those who refer patients for radiological investigation as "clinicians," implying that this descriptor does not apply to radiologists. The term "clinician" applies to physicians with direct responsibility for patient care; this includes typical radiologist activity. For a variety of reasons (personal preference, workload demands, modern methods of communication and working), direct contact between radiologists and patients, and between radiologists and referring colleagues is in decline. Yet this trend is occurring against a backdrop of increased reliance upon radiology and other investigative tests, as opposed to history-taking and physical examination, for diagnosis and management decision-making. Given the opportunity this trend creates for radiology and radiologists to demonstrate and enhance our clinical centrality, and the concurrent increasing expectation on the part of patients for direct interaction with those making decisions with respect to their healthcare, radiologists need to emphasise our clinical role by embracing every opportunity for direct contact with our patients and our referring colleagues, rather than allowing ourselves to become overwhelmed by and hidden behind ever-increasing workload. It is only by being true, active clinicians that radiologists can deliver most value for our patients, and ensure that our speciality prospers and grows.

Evaluate global interest in middle meningeal artery (MMA) embolization, for subdural hematoma, by analyzing search behavior and academic output using Google Trends and PubMed data.

Acute non-traumatic pelvic pain represents a frequent and complex diagnostic dilemma in pre-menopausal females presenting to the emergency department due to overlapping symptomatology across pregnancy and non-pregnancy related causes. Radiologists play a pivotal role in expediting accurate diagnosis and guiding appropriate management in these potentially life-threatening scenarios. This review provides an approach to workup and imaging selection in these patients, emphasizing the necessity of serum β-hCG testing and the central role of transabdominal and transvaginal pelvic ultrasound. An overview of female pelvic anatomy is provided. Using a multimodality imaging approach, early pregnancy related complications such as ectopic pregnancy, retained products of conception, and gestational trophoblastic disease and non-pregnancy related causes of acute pelvic pain such as ovarian torsion, ruptured ovarian cysts, pelvic inflammatory disease, endometriosis, uterine vascular malformation, ovarian vein thrombosis, ovarian hyperstimulation syndrome, and intrauterine device complications are reviewed. Finally, we propose an algorithmic approach to imaging selection and interpretation tailored to the clinical scenario, laboratory findings (notably β-hCG status), and patient demographics. This structured framework aims to support radiologists in efficiently narrowing the differential diagnosis and optimizing patient outcomes in acute, non-traumatic pelvic emergencies.

This review provides a comprehensive overview of recent transformative advancements in diagnostic imaging that position Japan at the forefront of radiological innovation. We highlight pivotal innovations that enhance diagnostic capabilities and redefine clinical workflows. The article begins with upright multidetector computed tomography (MDCT), a groundbreaking technology offering novel insights into posture-dependent anatomical and physiological changes. We then explore significant progress in breast and gynecologic imaging, including advancements in artificial intelligence computer-aided (AI-CAD) synthesized mammograms, automated breast ultrasound (ABUS), and abbreviated MRI protocols. These innovations address unique regional challenges in early cancer detection. Significant innovations in abdominal radiology, spanning advanced CT (including photon-counting detector CT), accelerated MRI, and AI applications, are also discussed. The review further delves into glymphatic system research, where advanced MRI techniques, particularly DTI-ALPS, are unraveling new insights into brain waste clearance and neurological disorders. Finally, we examine the future of Japanese radiology through the lens of AI, with a focus on Large Language Models (LLMs). We discuss their growing role in diagnostic support, report generation, and information extraction, as well as important societal and ethical considerations. These collective advancements underscore Japan's dynamic contributions to radiological innovation, poised to significantly impact global healthcare practices by improving disease detection, optimizing workflows, and extending healthy life expectancy in an aging society.

This study aimed to assess the experiences and challenges faced by Canadian radiologists participating in Multidisciplinary Team rounds (MDT), with a focus on demographics, meeting characteristics, preparation processes, and perceptions of workload and compensation.

To assess the operational and environmental benefits of using an abbreviated protocol for hepatocellular carcinoma (HCC) surveillance.

Domain shift has been shown to have a major detrimental effect on AI model performance however prior studies on domain shift for MRI prostate cancer segmentation have been limited to small, or heterogenous cohorts. Our objective was to assess whether prostate cancer segmentation models trained on local MRI data continue to outperform those trained on external data with cohorts exceeding 1000.

This study examines factors contributing to burnout among radiology residents through a Canadian lens and assesses strategies employed at our institution to mitigate its impact.

Osteoporosis is an under-screened musculoskeletal disorder that results in diminished quality of life and significant burden to the healthcare system. We aimed to evaluate the ability of Rho, an artificial intelligence (AI) tool, to prospectively identify patients at-risk for low bone mineral density (BMD) from standard x-rays, its adoption rate by radiologists, and acceptance by primary care providers (PCPs).

Accurate vessel measurement is essential in endovascular thrombectomy (EVT) for acute ischemic stroke. Discrepancies between computed tomography angiography (CTA) and digital subtraction angiography (DSA) may impact procedural planning and device selection. This study compares vessel diameter measurements from CTA and DSA in patients with middle cerebral artery (MCA) M1 occlusions.