AJR Podcasts

Please check out the AJR's podcast offerings, including: •AJR Conversations: Podcasts hosted by the journal’s Section Editors, interviewing the authors of recently published Review and Clinical Perspective articles •AJR Series: Monthly or bimonthly episodes on major topics affecting radiology today, with a dedicated host per series •Trainee podcasts: Critiques of recently published research by the editorial board’s trainee members

How to Navigate Data and Research Ethics 10/21/2026

How to Navigate Data and Research Ethics Clinical data drive meaningful research, but access comes with responsibility. Andrea Doria, MD PhD, speaks with host Amit Gupta, MD, about navigating research ethics, informed consent, deidentification, dataset bias, responsible data sharing, and patient trust. Listen to their discussion in episode 4 of The Early-Career Researcher’s Playbook, an AJR Podcast Series. *Key Takeaways Ethics as Good Science: Ethical guidelines are not administrative obstacles. They are an integral part of responsible data stewardship and maintaining the trust patients place in the healthcare system. The Consent Misconception: Retrospective studies do not automatically bypass patient consent. Only the ethics board can grant a waiver of consent, for example for scenarios with large unreachable patient populations. Anonymization vs. De-identification: Removing a name is merely anonymization. True de-identification requires scrubbing private DICOM metadata, redacting burned-in pixels on ultrasounds, and accounting for 3D reconstructions that might reveal unique physical patient characteristics. External Data Sharing: Before uploading clinical data to external cloud platforms or AI tools, institutions should establish strict Data Transfer Agreements detailing storage protocols, access rights, and data deletion timelines. Scope Creep and Amendments: Reusing an existing dataset to answer a new research question unapproved by the IRB is an ethical violation. Researchers must submit an amendment or a new application to the ethics board before shifting the scope of their study. *Chapters 0:00 - Welcome 02:21 - When Ethics Approval Starts 04:40 - Consent and Waivers 09:26 - Deidentifying Imaging Data 12:48 - Sharing Data Externally 15:31 - Bias and Representation 18:41 - Stewardship Beyond Rules 21:30 - Reusing Data and Amendments 26:34 - Quick Fire Playbook 33:23 - Final Takeaways Follow AJR on Social Media LinkedIn: YouTube: Instagram: TikTok: X: BlueSky: Threads: *These sections were generated using artificial intelligence (Descript and Google Gemini) and then reviewed for accuracy. /episode/index/show/ajrpodcast/id/42875720

When FFRCT Gets Rejected: How Scanner Technology and Image Quality Matter 10/19/2026

Wrong Turns: What to Do When You Realize You Chose the Wrong Path 10/07/2026

Wrong Turns: What to Do When You Realize You Chose the Wrong Path Every radiologist can name the career decisions that worked out. Almost nobody talks about the ones that did not. Peter S. Moskowitz, MD, a pediatric radiologist turned physician career coach, speaks with hosts Surbhi Raichandani, MD, and Sherry Wang, MBBS, about burnout, sunk costs, and what comes after a wrong turn. Listen to their discussion in episode 4 of Difficult Conversations, an AJR Podcast Series. *Key Takeaways The Second Career: A physician's primary job is clinical excellence, but a secondary job is active career self-management, which requires finding trusted mentors and being vulnerable enough to ask for help. The 4 D's of Transition: Recognizing the need for a career pivot may begin with identifying William Bridges' four D's of transition endings: disengagement, disidentification, disenchantment, and disorientation. Proactive "Protirement": True retirement planning or "protirement" should begin the first day of your first paying job, involving professional financial planners and your significant other to align your long-term vision. *Chapters 0:00 - Welcome 3:51 - Tenure Setback and Toxic Practice 5:23 - Burnout to Coaching 6:58 - Return to Academia 8:44 - Lessons From Career Transitions 12:29 - Career Resilience 14:14 - The Moment Burnout Hit 16:40 - Golden Handcuffs and Wrong Paths 19:42 - Why Burnout Happens 22:06 - Greed and Leadership Voice 26:37 - Advice for Early Attendings 31:32 - How CPPR Coaching Works 34:17 - Protirement Plan Early 39:52 - Radiologist-Centered Imaging 43:08 - Wellness Progress and What Next 49:29 - AI Efficiency Burnout Myth 55:52 - One Sentence Advice and Takeaways 59:00 - Closing Follow AJR on Social Media LinkedIn: YouTube: Instagram: TikTok: X: BlueSky: Threads: *These sections were generated using artificial intelligence (Descript and Google Gemini) and then reviewed for accuracy. /episode/index/show/ajrpodcast/id/42860800

Making AI-Generated Radiology Reports Safer for Patients: A Comprehensive Quality Assessment Tool 10/05/2026

Same Scan, Different Footprint: Does the Power Grid Matter More Than How Much We Image? 10/05/2026

Can Artificial Intelligence Help Us See the Person Behind the Pattern? Intimate Partner Violence Through the Lens of Radiology 09/30/2026

Can Artificial Intelligence Help Us See the Person Behind the Pattern? Intimate Partner Violence Through the Lens of Radiology What do you do when images tell a different story? Bharti Khurana, MD, MBA, speaks with cohosts Lindsey Negrete, MD, and Amy Maduram, MD, about her journey from the reading room to the forefront of artificial intelligence innovation, transforming the way we identify and support survivors of intimate partner violence. Listen to their discussion in episode 4 of Extreme Radiology, an AJR Podcast Series. *Key Takeaways The Longitudinal Biomarker: There is no single characteristic injury that defines intimate partner violence (IPV). Instead, the true warning sign is a longitudinal pattern of trauma over time, including target injuries to the head and face, defensive injuries to the upper extremities, and neck injuries from strangulation. Protecting the Patient Portal: Radiologists should not write "suspicious for IPV" in a formal imaging report because the partner may be monitoring the patient's electronic records. Radiologists should objectively describe the injuries in the text and directly call the referring clinician to raise abuse suspicions. The "Pickle Jar" of Disclosure: If a case is flagged and the patient denies the abuse, the radiologist should not feel that they have failed. Reporting IPV is like opening a tight pickle jar; each safe conversation loosens the lid until the patient is finally ready and empowered to disclose their situation. Humanizing Medicine with AI: The AIRS tool uses computational analysis to flag high probability IPV risk, which allows clinicians to better dedicate appointment times toward empathetic, trauma-informed conversations. Bias as a Strength: Critics initially warned that radiologists could not diagnose IPV because they may not see the patient's socioeconomic background in the reading room. However, this is also a source of strength, allowing radiologists to report objective findings without certain potential implicit biases. *Chapters 0:00 - Welcome and Content Warning 2:46 - Why Study IPV in Radiology 6:17 - Imaging Clues and Patterns 8:03 - Longitudinal Data and Integration 9:19 - Gender Differences and Misconceptions 14:33 - Reporting Safely in the EMR Era 19:00 - The Longitudinal Biomarker Eureka Moment 22:56 - AI That Prompts Human Care 25:21 - AIRS Workflow and Future Tools 30:25 - Collaboration and Leaving the Silo 34:47 - Handling Criticism and Staying Motivated 38:12 - What Trainees Should Know 41:52 - Closing Takeaways Follow AJR on Social Media LinkedIn: YouTube: Instagram: TikTok: X: BlueSky: Threads: *These sections were generated using artificial intelligence (Descript and Google Gemini) and then reviewed for accuracy. /episode/index/show/ajrpodcast/id/42871275

It’s Not You, It’s the Workflow 09/28/2026

Low-keV Virtual Monoenergetic Imaging in Bladder Cancer: Does Photon-Counting CT Make a Difference? 09/28/2026

Negotiating the Career You Want 09/23/2026

Negotiating the Career You Want Negotiation is an important skill that physicians are rarely taught. Anees Chagpar, MD, MA, MBA, MPH, and Naman Desai, MD, speak with cohosts Winnie Hahn, MD, and Elizabeth Hecht, MD, about how preparation, practice, and a shift in mindset can help physicians negotiate with confidence and build careers that align with their values and priorities. Listen to their discussion in episode 3 of Mentorship Unfiltered, an AJR Podcast Series. *Key Takeaways The Collaborative Mindset: Negotiation is not a zero-sum, adversarial battle. Approaching the conversation as joint problem-solvers allows both the employer and employee to find creative ways to "grow the pie" and achieve mutual benefits. Expanding the Target: Candidates often make the mistake of focusing exclusively on base salary. Successful negotiators research historical precedents (like AAMC data) and ask for flexible perks, such as housing stipends, free childcare, CME funding, and specific call schedules. The Malpractice Trap: Understanding the difference between claims-based and occurrence-based malpractice insurance is critical. If a practice uses claims-based insurance, exiting the job requires tail coverage that can cost between $10,000 and $30,000; this should be negotiated upfront. Continuous Self-Advocacy: Negotiation does not end once the initial contract is signed. Mid-career physicians should continually reassess their value and leverage employer investments. *Chapters 0:00 - Why Negotiation Matters 4:00 - Negotiation Misconceptions 5:34 - Prepping Before First Offer 8:06 - Expand Beyond Salary 14:30 - Negotiation Phrases That Work Well? 16:16 - Avoiding Ultimatums 20:01 - Finding Market Pay Information 21:59 - Priorities and Job Stability 24:42 - W2 vs 1099 26:07 - Malpractice and Tail Coverage 28:55 - Money Priorities Checklist 31:27 - RVU Volume Reality Check 36:48 - Red Flags Researching Groups 38:25 - Switching Jobs and Credentialing 39:58 - Mid-Career Negotiation Never Ends 45:00 - Women and Negotiation Bias 52:32 - Institution Responsibilities 56:52 - Key Takeaways and Wrap Up Follow AJR on Social Media LinkedIn: YouTube: Instagram: TikTok: X: BlueSky: *These sections were generated using artificial intelligence (Descript and Google Gemini) and then reviewed for accuracy. /episode/index/show/ajrpodcast/id/42641015

How to Avoid Pitfalls in Study Design 09/16/2026

Beyond the Mammogram: Can AI Predict Breast Cancer Risk? 09/14/2026

Rising Neuroimaging Utilization in the ED 09/14/2026

Vision Language Models for Ultrasound Assessment of Suspicious Axillary Lymph Nodes in Breast Cancer 09/14/2026

Is Your Daily Workflow Inviting a Cyberattack? 09/09/2026

Crossing Borders, Closing Gaps: The International Medical Graduate Path in Radiology 09/02/2026

How to Turn Clinical Intuition Into Impactful Science 09/02/2026

How to Turn Clinical Intuition Into Impactful Science Good research questions may be hiding in everyday clinical work. Marco Francone, MD, PhD, and Daniel Pinto dos Santos, MD, speak with host Amit Gupta, MD, about transforming clinical intuition, recurring gaps, and diagnostic challenges into focused, testable, and clinically impactful research. Listen to their discussion in episode 2 of The Early-Career Researcher’s Playbook, an AJR Podcast Series. *Key Takeaways Questioning the Routine: Meaningful research often begins by simply asking "why" established practices exist. For example, questioning the necessity of a non-contrast series prior to contrast media administration when looking for abdominal hemorrhage may lead to a publishable study. The Prospective Shift: Retrospective research may be limited by biased intuitions and imperfect hypotheses. The specialty should move toward prospective models, carefully considering the clinical impact and cost-effectiveness of potential interventions. The "Tool-First" Trap: Pushed by a publish-or-perish academic culture, researchers may make the mistake of starting with an AI model or radiomics pipeline and then searching for a problem to which to apply it. True clinical impact more likely comes with starting with the patient problem and finding the appropriate method to solve it. Combating Confirmation Bias: When researchers firmly believe their own clinical intuition, they risk designing studies solely to confirm their preconceived notions. To maintain scientific credibility, you should assign a colleague the specific role of opposing your views to actively try and prove your hypothesis wrong. *Chapters 0:00 - Introduction 2:07 - What Clinical Intuition Means 6:47 - Daniel’s Routine to Research 9:23 - Ideas Hiding in Workflow 11:32 - From Observation to Study Plan 14:28 - Marco’s Prospective CT Example 18:26 - Avoiding Confirmation Bias 23:20 - AI Tool First Trap 29:53 - Quick Fire Takeaways 33:34 - Final Advice and Closing Follow AJR on Social Media LinkedIn: YouTube: Instagram: TikTok: X: BlueSky: Threads: *These sections were generated using artificial intelligence (Descript and Google Gemini) and then reviewed for accuracy. /episode/index/show/ajrpodcast/id/41924560

Validating AI-Reconstructed Knee MRI Against Arthroscopy 08/24/2026

Escaping the Noise in Coronary CTA 08/24/2026

Is There a Radiologist in the Stadium? The High-Stakes World of Pro-Sports Imaging 08/19/2026

Is There a Radiologist in the Stadium? The High-Stakes World of Pro-Sports Imaging Could you handle the high-stakes pressure of working with professional athletes? Chris Beaulieu, MD, PhD, speaks with co-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. *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 should 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 Follow AJR on Social Media LinkedIn: YouTube: Instagram: TikTok: X: BlueSky: Threads: *These sections were generated using artificial intelligence (Descript and Google Gemini) and then reviewed for accuracy. /episode/index/show/ajrpodcast/id/41924180

Radiology Economics Forecast: Is It Doom and Gloom? 08/12/2026

Radiology Economics Forecast: Is It Doom and Gloom? 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: *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 Follow AJR on Social Media LinkedIn: YouTube: Instagram: TikTok: X: BlueSky: Threads: *These sections were generated using artificial intelligence (Descript and Google Gemini) and then reviewed for accuracy. /episode/index/show/ajrpodcast/id/41924505

Medicare Advantage and Imaging Costs: What Radiologists Should Know 08/10/2026

Screening for Fibrosis in MASLD 08/06/2026

To Fellow or Not to Fellow? 08/05/2026

To Fellow or Not to Fellow? Completing a fellowship was once not a question in radiology, but today’s market has changed the hiring landscape. Bruce Distell, MD, a radiology department chair, speaks with cohosts Elizabeth Hecht, MD, and Winnie Hahn, MD, about why we do fellowships and if we need them today given market demands and looming future of artificial intelligence. Listen to their discussion in episode 2 of Mentorship Unfiltered, an AJR Podcast Series. *Key Takeaways The Value of Fellowship: An extra year of training provides protected time to develop deep clinical expertise and signals a commitment to continuous education, which remains highly attractive to large practices. AI and the Future of Radiology: Despite trainee fears of artificial intelligence eliminating jobs, human oversight will remain essential. Highly specialized expertise secures the radiologist's role as the indispensable pilot of patient care. Lifelong Learning vs. Formal Training: Dedicated fellowship training demonstrates a commitment to clinical expertise, empowering radiologists to lead rather than be replaced in an AI-driven field. However, straight-to-practice routes can also succeed through dedicated, lifelong education. *Chapters 0:00 - Introduction 0:52 - The Existential Choice 1:52 - Pros and cons breakdown 3:20 - Hosts share their paths 4:49 - Meet Bruce Distell 11:04 - Endorsing Fellowships 12:29 - Inside a Modern Practice 16:28 - Training Beyond Fellowship 18:51 - AI and Future Expertise 21:46 - Speed vs Accuracy Debate 25:30 - Hiring What Matters Most 29:51 - Marketability and Mobility 36:38 - Private Equity Pressures 44:00 - Is Fellowship Worth It 47:51 - Advice for Those Considering Fellowship 49:37 - Final Takeaways Follow AJR on Social Media LinkedIn: YouTube: Instagram: TikTok: X: BlueSky: Threads: *These sections were generated using artificial intelligence (Descript and Google Gemini) and then reviewed for accuracy. /episode/index/show/ajrpodcast/id/41923725

Feeding Artery Sign on Prostate MRI: Tipping the Scales Towards Biopsy 07/27/2026

BI-RADS v2025: Updates and Implications 07/23/2026

How to Choose a Research Question That Survives Reality 07/22/2026

How to Choose a Research Question That Survives Reality A good research idea is not always a good research question. Bruno Hochhegger, MD, PhD, speaks with host Amit Gupta, MD, about choosing research questions that are clinically relevant, feasible, and worth pursuing in real-world settings. Listen to their discussion in episode 1 of The Early Career Researcher’s Playbook, an AJR Podcast Series. Full article: *Key Takeaways Defining Clinical Relevance: A strong research question must answer a direct patient management issue, such as determining if a nodule is benign or malignant. The Feasibility and Sustainability Matrix: Moving from simple case reports to professional science requires navigating EMRs, securing IRB authorizations, and finding reliable grant funding. The AI Implementation Trap: While building artificial intelligence models on GitHub has become more accessible, adequately validating these tools for real-world clinical practice remains a massive, frequently underestimated hurdle. Multidisciplinary Research Networks: True feasibility requires nonmedical input; successful projects demand early feedback from IT departments, technologists, and referring surgeons to ensure workflows survive reality. *Key Moments 00:00 Intro and Welcome 01:18 The Importance of Small Steps: Lessons from a Failed MRI Lung Cancer Screening Trial. 04:30 Defining Clinical Relevance and the Crucial Role of the Physician-Researcher. 07:47 Assessing Feasibility: Navigating EMRs, IRB Approvals, and Data Access. 08:45 Research Sustainability: Securing Grants and Transitioning from Voluntary to Professional Science. 10:50 The AI Feasibility Trap: Why Validating Models is Harder Than Coding on GitHub. 16:08 Identifying the Key Indication: Solving Direct Patient Management Questions. 21:51 Beyond Mentorship: Building a Network Across IT, Technologists, and Referring Clinicians. 28:51 Establishing Niche Expertise: Strategic Advice for Radiology Residents and Fellows Follow AJR on Social Media LinkedIn: YouTube: Instagram: TikTok: X: BlueSky: Threads: *These portions of the page were generated using artificial intelligence (Google Gemini) and then reviewed for accuracy. /episode/index/show/ajrpodcast/id/41591075

Does Our Habitat Define Our Behavior? 07/20/2026

Welcome to The Early Career Researcher's Playbook 07/20/2026

Does Your Pet Need an IR doctor? Pioneering Minimally Invasive Interventions Between Veterinary and Human Radiologists 07/15/2026

Welcome to Extreme Radiology 07/13/2026

AJR Podcasts

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