AJR Podcasts

How fast can a knee MRI examination be performed? Zahra F. Rahmatullah, MBBS, discussed the article by Leonhardt et al. exploring a deep-learning pipeline for achieving 7-minute knee MRI.
Full article: Arthroscopy-Validated Diagnostic Performance of a Deep Learning Reconstruction Pipeline for Rapid 7-Minute Five-Sequence 3-T Knee MRI
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In-stent restenosis presents a challenge on coronary CTA. Bryce Saba, MD, discusses the multicenter study by Xu et al. exploring a super-resolution deep-learning reconstruction method for stent evaluation.
Full article: Comparison of Super-Resolution Deep-Learning Reconstruction and Hybrid Iterative Reconstruction for Coronary Stent Assessment on CTA: A Prospective Multicenter Study 
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Could you handle the high-stakes pressure of working with professional athletes? Chris Beaulieu, MD, PhD, speaks with c-hosts Lindsey Negrete, MD and Amy Maduram, MD about the medical, legal, and communication challenges involved when dealing with a professional sports franchise. Listen to their discussion in episode 2 of Extreme Radiology, an AJR Podcast Series. 
https://www.ajronline.org/doi/10.2214/AJR.26.35724
*Key Takeaways
The Monday Morning Rush: While game-day X-rays are typically read by team orthopedists at the stadium, the radiologist's critical role begins on Monday morning with reserved MRI slots to accurately stage and grade joint injuries. 
Call it Tight, But Call it Right: Radiologists must avoid overcalling minor, non-acute incidental findings, such as mild degenerative changes, that could needlessly trigger panic.  
Controlling the Narrative: Direct communication with players, coaches, or sports agents is highly discouraged due to the risk of misinterpretation. Radiologists maintain a strict reporting chain directly to the head athletic trainer and team orthopedic surgeon.  
Astronomical Liability: The malpractice risk in pro sports imaging operates on a vastly different scale, with potential liability reaching hundreds of millions of dollars to cover an athlete's lost career wages.  
Second Opinions: Because most sports injuries are non-surgical and imaging serves as the gold standard, agents frequently demand multiple opinions. 
*Chapters
0:00 - Welcome
4:15 - Game Day Imaging Setup
5:34 - Monday Morning MRI Rush
7:48 - Stadium PACS And Teamwork
9:47 - Communication With Players
11:30 - Pressure And Liability
13:50 - Reporting Nuance And Contracts
19:53 - Ultrasound-Guided Interventions
22:18 - Call It Tight. Call It Right.
27:51 - Monday Morning Quarterback Game
40:06 - Closing
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*These sections were generated using artificial intelligence (Descript and Google Gemini) and then reviewed for accuracy.

Curious about the future of radiology economics? Richard E. Heller III, MD, MBA speaks with co-hosts Sherry S. Wang, MBBS, and Surbhi Raichandani, MD, to discuss radiology economics, from the basics to the niche and what is up ahead. Listen to their discussion in episode 2 of Difficult Conversations, an AJR Podcast Series.
Full article: https://www.ajronline.org/doi/10.2214/AJR.26.35690
*Key Takeaways
The Efficiency Fallacy: CMS recently implemented a 2.5% efficiency reduction to work relative value units, assuming that technology makes reading scans faster. However, modern multiplanar CTs contain thousands of images which can slow down down interpretation times.
The No Surprises Act and Ghost Rates: While designed to protect patients from unexpected out-of-network bills, poor implementation allows insurers to use "ghost rates," which are contracted rates for never-billed services, to artificially lower the Qualifying Payment Amount and force rate reductions on practices.
Advocacy is Essential: Radiologists serve as the nexus of the hospital. If the specialty does not demonstrate its downstream value, such as avoiding unnecessary surgeries and shortening hospital stays, business-minded policymakers will continue to treat it as a high-cost expense center to be cut.
*Chapters 
0:00 - Welcome
1:12 - Future Outlook For Radiology
2:27 -  How Radiologists Generate Revenue
3:09 - RVUs Conversion Factor Basics
4:30 - MIPS And Payment Adjustments
5:59 - Revenue Versus Paycheck
7:22 - Medicare Fee Schedule Trends
8:53 - Efficiency Adjustment Debate
12:50 - How CMS Sets The Rules
14:24 - Comment Letters And Advocacy
17:16 - Medicare As System Benchmark
19:09 - Commercial Insurer Headaches
21:21 - Steerage And Pediatric Risks
22:57 - No Surprises Act Explained
27:59 - Arbitration And Implementation Issues
29:10 - Radiology as Nexus
30:16 - Proving Downstream Value
31:34 - Total Value Equation
33:44 - RVUs and Complexity
36:53 - Fixing Incentives
46:04 - AI as Capacity Booster
49:01 - Will AI Cut Pay
50:12 - Teleradiology Done Right
54:30 - Radiology in 10 Years
57:53 - Optimism and Call to Action
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*These sections were generated using artificial intelligence (Descript and Google Gemini) and then reviewed for accuracy.

Patient out-of-pocket costs can have implications for care access. Jabre Millon, MD, discusses the AJR article by Billig et al. comparing patient cost-sharing for advanced diagnostic imaging in Medicare Advantage plans between 2018 and 2026.
Full article: Patient Cost-Sharing for Advanced Diagnostic Imaging in Medicare Advantage Plans
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