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1.
Einstein (Sao Paulo) ; 18: eAO5576, 2020.
Artigo em Inglês, Português | MEDLINE | ID: mdl-33206813

RESUMO

OBJECTIVE: To evaluate anatomic factors and radiologist's experience in the detection of solid renal masses on ultrasonography. METHODS: We searched for solid renal masses diagnosed on cross-sectional imaging from 2007 to 2017 that also had previous ultrasonography from the past 6 months. The following features were evaluated: nodule size, laterality, location and growth pattern, patient body mass index and radiologist's experience in ultrasound. In surgically resected cases, pathologic reports were evaluated. Unpaired t test and χ2 test were used to evaluate differences among subgroups, using R-statistics. Statistical significance was set at p<0.05. RESULTS: The initial search of renal nodules on cross-sectional imaging resulted in 428 lesions and 266 lesions were excluded. Final cohort included 162 lesions and, of those, 108 (67%) were correctly detected on ultrasonography (Group 1) and 54 (33%) were missed (Group 2). Comparison of Groups 1 and 2 were as follows, respectively: body mass index (27.7 versus 27.1; p=0.496), size (2.58cm versus 1.74cm; p=0.003), laterality (54% versus 59% right sided; p=0.832), location (27% versus 22% upper pole; p=0.869), growth pattern (25% versus 28% endophytic; p=0.131) and radiologist's experience (p=0.300). From surgically resected cases, histology available for Group 1 was clear cell (n=11), papillary (n=15), chromophobe (n=2) renal cell carcinoma, oncocytoma (n=1), and, for Group 2, clear cell (n=7), papillary (n=5) renal cell carcinoma, oncocytoma (n=2), angiomyolipoma, chromophobe renal cell carcinoma, and interstitial pyelonephritis (n=1, each). CONCLUSION: Size was the only significant parameter related to renal nodule detection on ultrasound.


Assuntos
Carcinoma de Células Renais , Neoplasias Renais , Rim/diagnóstico por imagem , Ultrassonografia , Carcinoma de Células Renais/diagnóstico por imagem , Diagnóstico Diferencial , Humanos , Rim/patologia , Neoplasias Renais/diagnóstico por imagem , Radiologistas
2.
Radiol Clin North Am ; 58(6): 1019-1031, 2020 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-33040845

RESUMO

Radiologists very frequently encounter incidental findings related to the thyroid gland. Given increases in imaging use over the past several decades, thyroid incidentalomas are increasingly encountered in clinical practice, and it is important for radiologists to be aware of recent developments with respect to workup and diagnosis of incidental thyroid abnormalities. Recent reporting and management guidelines, such as those from the American College of Radiology and American Thyroid Association, are reviewed along with applicable evidence in the literature. Trending topics, such as artificial intelligence approaches to guide thyroid incidentaloma workup, are also discussed.


Assuntos
Inteligência Artificial/estatística & dados numéricos , Tomada de Decisão Clínica , Diagnóstico por Imagem/métodos , Achados Incidentais , Neoplasias da Glândula Tireoide/diagnóstico por imagem , Nódulo da Glândula Tireoide/diagnóstico por imagem , Biópsia por Agulha , Feminino , Humanos , Imuno-Histoquímica , Incidência , Imagem por Ressonância Magnética/métodos , Masculino , Tomografia Computadorizada com Tomografia por Emissão de Pósitrons/métodos , Guias de Prática Clínica como Assunto , Radiologistas/estatística & dados numéricos , Neoplasias da Glândula Tireoide/epidemiologia , Neoplasias da Glândula Tireoide/patologia , Nódulo da Glândula Tireoide/epidemiologia , Nódulo da Glândula Tireoide/patologia , Ultrassonografia Doppler/métodos , Estados Unidos/epidemiologia
3.
Radiographics ; 40(7): 1848-1865, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-33095680

RESUMO

Chest CT has a potential role in the diagnosis, detection of complications, and prognostication of coronavirus disease 2019 (COVID-19). Implementation of appropriate precautionary safety measures, chest CT protocol optimization, and a standardized reporting system based on the pulmonary findings in this disease will enhance the clinical utility of chest CT. However, chest CT examinations may lead to both false-negative and false-positive results. Furthermore, the added value of chest CT in diagnostic decision making is dependent on several dynamic variables, most notably available resources (real-time reverse transcription-polymerase chain reaction [RT-PCR] tests, personal protective equipment, CT scanners, hospital and radiology personnel availability, and isolation room capacity) and the prevalence of both COVID-19 and other diseases with overlapping manifestations at chest CT. Chest CT is valuable to detect both alternative diagnoses and complications of COVID-19 (acute respiratory distress syndrome, pulmonary embolism, and heart failure), while its role for prognostication requires further investigation. The authors describe imaging and managing care of patients with COVID-19, with topics including (a) chest CT protocol, (b) chest CT findings of COVID-19 and its complications, (c) the diagnostic accuracy of chest CT and its role in diagnostic decision making and prognostication, and (d) reporting and communicating chest CT findings. The authors also review other specific topics, including the pathophysiology and clinical manifestations of COVID-19, the World Health Organization case definition, the value of performing RT-PCR tests, and the radiology department and personnel impact related to performing chest CT in COVID-19. ©RSNA, 2020.


Assuntos
Infecções por Coronavirus/diagnóstico , Pulmão/diagnóstico por imagem , Pneumonia Viral/diagnóstico , Radiografia Torácica , Tomografia Computadorizada por Raios X , Protocolos Clínicos , Infecções por Coronavirus/fisiopatologia , Humanos , Pandemias , Pneumonia Viral/fisiopatologia , Radiologistas/educação
4.
N Z Med J ; 133(1524): 20-27, 2020 10 30.
Artigo em Inglês | MEDLINE | ID: mdl-33119567

RESUMO

AIMS: Thyroid nodule malignancy risk is increasingly estimated using ultrasound characteristics. We assessed ultrasound reports of nodules and compared ultrasound-based malignancy risk assessments with cytology and histology findings. METHODS: We identified patients with thyroid ultrasound (55% by private provider, 45% by DHB) and cytology at CMDHB over 18 months. Malignancy risk for each nodule was categorised based on the ultrasound report, then using ultrasound images with the local CMDHB approach and American Thyroid Association guidelines, and then was compared with cytology/histology results. RESULTS: 36/91 nodules (84 patients) had abnormal (Bethesda 3-6) cytology. Forty-eight patients (54 nodules) underwent thyroid surgery and 13 nodules (12 patients) had thyroid cancers. Most ultrasound reports did not mention nodule malignancy risk characteristics (range 13-98%) or a malignancy risk estimate (66/91). 12/33 nodules with benign (Bethesda 2) cytology and 18/36 nodules with abnormal (Bethesda 3-6) cytology were considered intermediate/high risk of malignancy by ultrasound; none and seven, respectively, had cancer identified subsequently. In 18 nodules considered low risk by ultrasound, four cancers were identified. CONCLUSIONS: Most ultrasound reports contained insufficient information about nodule malignancy risk to allow an independent assessment. Agreement between cytological/histological findings and malignancy risk estimates using ultrasound was not high.


Assuntos
Glândula Tireoide/diagnóstico por imagem , Nódulo da Glândula Tireoide/diagnóstico por imagem , Ultrassonografia , Adulto , Idoso , Idoso de 80 Anos ou mais , Biópsia por Agulha Fina , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Variações Dependentes do Observador , Radiologistas , Estudos Retrospectivos , Risco , Índice de Gravidade de Doença , Glândula Tireoide/patologia , Nódulo da Glândula Tireoide/patologia , Adulto Jovem
5.
J Vasc Interv Radiol ; 31(9): 1449-1452, 2020 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-32868018

RESUMO

In this article, the updated status of interventional radiology (IR) in China is reported and compared vs that a decade ago based on a poll carried out in 2017 in Jiangsu Province, where the economy and overall health level are among the best of the 31 provinces in China. All 98 polled centers responded, and 56 IR departments (57%) had become independent departments separate from the radiology department; 74 (76%) had inpatient wards. In 2017, there were 538 interventional radiologists performing IR procedures in Jiangsu Province, with a total of 69,277 procedures performed, with interventional oncologic procedures accounting for the largest proportion (58%).


Assuntos
Radiografia Intervencionista/tendências , Radiologistas/tendências , Serviço Hospitalar de Radiologia/tendências , Pesquisa Biomédica/tendências , China , Pesquisas sobre Serviços de Saúde , Humanos , Especialização/tendências , Fatores de Tempo
6.
Clin Imaging ; 68: 218-225, 2020 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-32892107

RESUMO

BACKGROUND: Efforts to reduce nosocomial spread of COVID-19 have resulted in unprecedented disruptions in clinical workflows and numerous unexpected stressors for imaging departments across the country. Our purpose was to more precisely evaluate these impacts on radiologists through a nationwide survey. METHODS: A 43-item anonymous questionnaire was adapted from the AO Spine Foundation's survey and distributed to 1521 unique email addresses using REDCap™ (Research Electronic Data Capture). Additional invitations were sent out to American Society of Emergency Radiology (ASER) and Association of University Radiologists (AUR) members. Responses were collected over a period of 8 days. Descriptive analyses and multivariate modeling were performed using SAS v9.4 software. RESULTS: A total of 689 responses from radiologists across 44 different states met the criteria for inclusion in the analysis. As many as 61% of respondents rated their level of anxiety with regard to COVID-19 to be a 7 out of 10 or greater, and higher scores were positively correlated the standardized number of COVID-19 cases in a respondent's state (RR = 1.11, 95% CI: 1.02-1.21, p = 0.01). Citing the stressor of "personal health" was a strong predictor of higher anxiety scores (RR 1.23; 95% CI: 1.13-1.34, p < 0.01). By contrast, participants who reported needing no coping methods were more likely to self-report lower anxiety scores (RR 0.4; 95% CI: 0.3-0.53, p < 0.01). CONCLUSION: COVID-19 has had a significant impact on radiologists across the nation. As these unique stressors continue to evolve, further attention must be paid to the ways in which we may continue to support radiologists working in drastically altered practice environments and in remote settings.


Assuntos
Infecções por Coronavirus , Coronavirus , Pandemias , Pneumonia Viral , Betacoronavirus , Pessoal de Saúde , Humanos , Radiologistas , Inquéritos e Questionários , Estados Unidos/epidemiologia
7.
Br J Radiol ; 93(1115): 20200596, 2020 Nov 01.
Artigo em Inglês | MEDLINE | ID: mdl-32903029

RESUMO

OBJECTIVES: Considering the growing use of imaging modalities and contrast agents, radiologists are prone to encounter adverse drug reactions (ADR). In the current study, we mainly aim to evaluate the knowledge of radiologists regarding pharmacovigilance (PV). Also, we intend to gather information about their previous ADR experiences. Secondarily, we hope to increase the awareness about contrast-medium-related ADRs and attract attention to the importance of properly reporting these ADRs. METHODS: A survey was generated by using an online survey webpage, and the relevant link was e-mailed to radiologists and radiology residents. The survey begins with a short explanation about the study. The second section contains questions about PV knowledge level, and the final section aims to gather information about the experienced ADRs. RESULTS: The survey was completed by 202 participants. 65.3% stated that they were aware of PV. 24.8% of the participants said that they know the national PV program. 97% told that they knew the term ADR. 66.3% of the participants encountered an ADR. 53.7% of them reported these ADRs. 70.8% of them reported these ADRs to a clinician. CONCLUSIONS: Radiologists encounter ADRs almost as frequently as the other doctors. Their awareness about PV is similar with other healthcare professionals. They have fewer information about TUFAM and PvCPs. Radiologists generally prefer to communicate with a clinician about an ADR. Overall condition of radiologists about PV is quite similar with other healthcare professionals and education can improve it, as for the others. ADVANCES IN KNOWLEDGE: Radiologists encounters ADRs almost as frequently as the other doctors. Overall condition of radiologists about PV is quite similar with other healthcare professionals and education can improve it, as for the others.


Assuntos
Efeitos Colaterais e Reações Adversas Relacionados a Medicamentos/epidemiologia , Conhecimentos, Atitudes e Prática em Saúde , Internato e Residência , Farmacovigilância , Radiologistas , Sistemas de Notificação de Reações Adversas a Medicamentos/estatística & dados numéricos , Meios de Contraste/efeitos adversos , Humanos , Internato e Residência/estatística & dados numéricos , Radiologistas/estatística & dados numéricos , Inquéritos e Questionários/estatística & dados numéricos
9.
Eur J Radiol ; 132: 109272, 2020 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-32971326

RESUMO

PURPOSE: To report real-world diagnostic performance of chest x-ray (CXR) readings during the COVID-19 pandemic. METHODS: In this retrospective observational study we enrolled all patients presenting to the emergency department of a Milan-based university hospital from February 24th to April 8th 2020 who underwent nasopharyngeal swab for reverse transcriptase-polymerase chain reaction (RT-PCR) and anteroposterior bedside CXR within 12 h. A composite reference standard combining RT-PCR results with phone-call-based anamnesis was obtained. Radiologists were grouped by CXR reading experience (Group-1, >10 years; Group-2, <10 years), diagnostic performance indexes were calculated for each radiologist and for the two groups. RESULTS: Group-1 read 435 CXRs (77.0 % disease prevalence): sensitivity was 89.0 %, specificity 66.0 %, accuracy 83.7 %. Group-2 read 100 CXRs (73.0 % prevalence): sensitivity was 89.0 %, specificity 40.7 %, accuracy 76.0 %. During the first half of the outbreak (195 CXRs, 66.7 % disease prevalence), overall sensitivity was 80.8 %, specificity 67.7 %, accuracy 76.4 %, Group-1 sensitivity being similar to Group-2 (80.6 % versus 81.5 %, respectively) but higher specificity (74.0 % versus 46.7 %) and accuracy (78.4 % versus 69.0 %). During the second half (340 CXRs, 81.8 % prevalence), overall sensitivity increased to 92.8 %, specificity dropped to 53.2 %, accuracy increased to 85.6 %, this pattern mirrored in both groups, with decreased specificity (Group-1, 58.0 %; Group-2, 33.3 %) but increased sensitivity (92.7 % and 93.5 %) and accuracy (86.5 % and 81.0 %, respectively). CONCLUSIONS: Real-world CXR diagnostic performance during the COVID-19 pandemic showed overall high sensitivity with higher specificity for more experienced radiologists. The increase in accuracy over time strengthens CXR role as a first line examination in suspected COVID-19 patients.


Assuntos
Competência Clínica/estatística & dados numéricos , Infecções por Coronavirus/diagnóstico por imagem , Pneumonia Viral/diagnóstico por imagem , Radiografia Torácica/métodos , Betacoronavirus , Feminino , Humanos , Pulmão/diagnóstico por imagem , Masculino , Pessoa de Meia-Idade , Pandemias , Radiografia Torácica/normas , Radiologistas/normas , Reprodutibilidade dos Testes , Estudos Retrospectivos , Sensibilidade e Especificidade
10.
Eur J Radiol ; 132: 109285, 2020 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-32957001

RESUMO

PURPOSE: The COVID-19 pandemic has led to an urgent reorganisation of the healthcare system to prevent hospitals from overflowing and the virus from spreading. Our objective was to evaluate the socioeconomic and psychological impact of the COVID-19 outbreak on radiologists. MATERIAL AND METHODS: French radiologists were invited to answer an online survey during the pandemic through mailing lists. The questionnaire was accessible for nine days. It covered socio-demographic information, exposure to COVID-19 at work and impact on work organisation, and included the Insomnia Severity Index and Hospital Anxiety and Depression Scale. Outcomes were moderate to severe insomnia, definite symptoms of depression or anxiety. Risk and protective factors were identified through multivariate binary logistic regression. RESULTS: 1515 radiologists answered the survey. Overall, 674 (44.5 %) worked in a highCOVID-19 density area, 671 (44.3 %) were women, and 809 (53.4 %) worked in private practice. Among responders, 186 (12.3 %) expressed insomnia, 222 (14.6 %) anxiety, and 189 (12.5 %) depression symptoms. Lack of protective equipment, increased teleradiology activity and negative impact on education were risk factors for insomnia (respectively OR [95 %CI]:1.7[1.1-2.7], 1.5[1.1-2.2], and 2.5[1.8-3.6]). Female gender, respiratory history, working in COVID-19 high density area, increase of COVID-19 related activity, and impacted education were risk factors for anxiety (OR[95 %CI]:1.7[1.2-2.3], 2[1.1-3.4], 1.5[1.1-2], 1.2[1-1.4], and 2.1[1.5-3]). Conversely, working in a public hospital was a protective factor against insomnia, anxiety, and depression (OR[95 %CI]:0.4[0.2-0.7], 0.6[0.4-0.9], and 0.5[0.3-0.8]). CONCLUSIONS: During COVID-19 pandemic, many radiologists expressed depression, anxiety and insomnia symptoms. Working in a public hospital was a protective factor against every psychological symptom. Socio-economic impact was also major especially in private practice.


Assuntos
Infecções por Coronavirus/economia , Infecções por Coronavirus/psicologia , Hospitais Públicos/economia , Pandemias/economia , Pneumonia Viral/economia , Pneumonia Viral/psicologia , Prática Privada/economia , Radiologistas/economia , Radiologistas/psicologia , Fatores Socioeconômicos , Adulto , Betacoronavirus , Feminino , França , Hospitais Públicos/estatística & dados numéricos , Humanos , Masculino , Pessoa de Meia-Idade , Prática Privada/estatística & dados numéricos , Radiologistas/estatística & dados numéricos , Fatores de Risco , Inquéritos e Questionários , Adulto Jovem
12.
AJR Am J Roentgenol ; 215(3): 673-678, 2020 09.
Artigo em Inglês | MEDLINE | ID: mdl-32755165

RESUMO

OBJECTIVE. The purpose of this study is to evaluate the experience of radiologists who include contact information in radiology reports in an era of open access to reports via patient portals. SUBJECTS AND METHODS. A prospective nonrandomized survey of all 61 radiologists in a single private practice group was conducted between July and August 2019. The survey, which consisted of 21 questions, was administered via a secure online survey software platform and distributed by e-mail. Participation was voluntary and anonymous. Data were analyzed using statistical analysis software. RESULTS. A total of 87% (53 of 61) of the radiologists completed the survey. Of these radiologists, 78% (41 of 52) indicated that they include their telephone number in radiology reports 75% or more of the time, with one radiologist not providing a response. Thirty-six percent of the radiologists are contacted once a year by patients, and 27% are contacted once a month. Of the 41 radiologists who include contact information 75% of the time or more, most (56% [23 of 41]) reported an increase in the frequency of patient contact. The reasons why radiologists had a patient contact them were to better understand the radiology report (95% of radiologists), to seek follow-up recommendations (39%), to express gratitude (34%), and to point out mistakes in the report (27%). Moreover, 98% (40 of 41) of radiologists reported never receiving complaints from a referring physician. Only 2% of radiologists stated that patient interaction was detrimental to workflow. Most radiologists found that interacting with patients was a satisfying experience and indicated that they would welcome more patient interaction. CONCLUSION. Including radiologist contact information in radiology reports increases patient-radiologist interaction. Despite this increased patient interaction, most radiologists indicated that they would welcome more interaction and found the communication satisfying.


Assuntos
Portais do Paciente , Padrões de Prática Médica/estatística & dados numéricos , Radiologistas , Telefone , Colorado , Humanos , Relações Médico-Paciente , Estudos Prospectivos , Inquéritos e Questionários
13.
15.
J Comput Assist Tomogr ; 44(5): 656-666, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32842067

RESUMO

The aim of this work is to review interstitial lung fibrosis Imaging Reporting and Data System (ILF-RADS) that was designed for reporting of interstitial lung fibrosis (ILF). Findings include pulmonary and extrapulmonary findings and is subsequently designed into 4 categories. Pulmonary findings included lung volume, reticulations, traction bronchiectasis, honeycomb, nodules, cysts, ground glass, consolidation, mosaic attenuation and emphysema, and distribution of pulmonary lesions; axial (central, peripheral and diffuse), and zonal distribution (upper, middle, and lower zones). Complications in the form of acute infection, acute exacerbation, and malignancy were also assessed. Extrapulmonary findings included mediastinal, pleural, tracheal, and bone or soft tissue lesions. The lexicon of usual interstitial pneumonia (UIP) was classified into 4 categories designated as belonging in 1 of 4 categories. Lexicon of ILF-RADS-1 (typical UIP), ILF-RADS-2 (possible UIP), ILF-RADS-3 (indeterminate for UIP), and ILF-RADS-4 (inconsistent with UIP).


Assuntos
Doenças Pulmonares Intersticiais , Sistemas de Informação em Radiologia , Tomografia Computadorizada por Raios X , Idoso , Feminino , Humanos , Pulmão/diagnóstico por imagem , Pulmão/patologia , Doenças Pulmonares Intersticiais/diagnóstico por imagem , Doenças Pulmonares Intersticiais/patologia , Masculino , Fibrose Pulmonar/diagnóstico por imagem , Fibrose Pulmonar/patologia , Radiologistas
18.
Curr Med Sci ; 40(4): 608-613, 2020 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-32767263

RESUMO

The corona virus disease 2019 (COVID-19) is an emerging respiratory infectious disease caused by SARS-CoV-2, which first occurred in December 2019 in Wuhan, China. These days, in China, chest CT is used for diagnosis of COVID-19, as an important complement to the reverse-transcription polymerase chain reaction (RT-PCR) test. Because of contacting with a large number of suspected or probable cases closely during chest CT examination, radiographers are easily infected with COVID-19. This article included the rearrangement of CT examination room in fever clinic, the rearrangement of human resources in radiology department, and the drafting of new operating procedures for radiologists who carry out CT examination on COVID-19 patients. This article also introduced the emergency management procedures of the department of radiology during the outbreak, and the experience of infection prevention for the staff of the department of radiology.


Assuntos
Betacoronavirus , Técnicas de Laboratório Clínico , Infecções por Coronavirus/diagnóstico por imagem , Pandemias , Pneumonia Viral/diagnóstico por imagem , Serviço Hospitalar de Radiologia/organização & administração , China/epidemiologia , Infecções por Coronavirus/diagnóstico , Infecções por Coronavirus/epidemiologia , Infecções por Coronavirus/prevenção & controle , Desinfecção/normas , Humanos , Controle de Infecções/organização & administração , Controle de Infecções/normas , Profissionais Controladores de Infecções/organização & administração , Pandemias/prevenção & controle , Pneumonia Viral/epidemiologia , Pneumonia Viral/prevenção & controle , Radiologistas/organização & administração , Tomografia Computadorizada por Raios X
19.
Clin Imaging ; 67: 192-193, 2020 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-32854081

RESUMO

The recent COVID-19 pandemic has impacted every facet of life and placed a significant strain on healthcare resources worldwide. One of the emerging themes of medicine's response to the outbreak is doing more with less. In certain parts of the world, the toll on healthcare workers has been immense, and practicing outside one's traditional scope and comfort zone has become the rule rather than the exception. For Radiology as a discipline, the stress of COVID-19 may be comparatively small when measured against the frontline physicians and nurses in the Emergency Department and Intensive Care Unit. Still, it is incumbent upon all disciplines to learn and grow from the challenges encountered during this crisis.


Assuntos
Competência Clínica , Infecções por Coronavirus , Pandemias , Pneumonia Viral , Radiografia , Radiologistas , Radiologia , Âmbito da Prática , Betacoronavirus , Infecções por Coronavirus/epidemiologia , Infecções por Coronavirus/virologia , Pessoal de Saúde , Humanos , Aprendizagem , Pneumonia Viral/epidemiologia , Pneumonia Viral/virologia
20.
Clin Imaging ; 68: 158-160, 2020 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-32623195

RESUMO

Social media are impacting all industries and changing the way daily interactions take place. This has been notable in health care as it allows a mechanism to connect patients directly to physicians, advocacy groups, and health care information. Recently, the development of artificial intelligence (AI) applications in radiology has drawn media attention. This has generated a conversation on social media about the expendable role of a radiologist. Often, articles in the lay press have little medical expertise informing opinions about artificial intelligence in radiology. We propose solutions for radiologists to take the lead in the narrative on social media about the role of AI in radiology to better inform and shape public perception about the role of AI in radiology.


Assuntos
Radiologia , Mídias Sociais , Inteligência Artificial , Humanos , Radiografia , Radiologistas
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