Selon une enquête nationale mesurant les perceptions des gardes des résidents, ce sont quelques-unes des expériences les plus couramment citées par les résidents en radiologie de garde. @caradiologists.bsky.social

High call volumes and limited rest. Challenging interactions with referring physicians. Lower satisfaction. According to a national survey measuring the perceptions of resident call, these are some of the most common cited experiences of radiology residents on call. @caradiologists.bsky.social

Canadian radiologists value MDT rounds for collaboration but face significant challenges. 93.8% feel undercompensated, 60% deal with last-minute cases, and only 6.2% have dedicated prep time. https://journals.sagepub.com/doi/full/10.1177/08465371251365205

MRI-guided prostate biopsies show 59% accuracy in detecting significant cancer. Higher success rates (74%) seen with PI-RADS 5 scores, elevated PSA density & ultrasound-visible lesions. Small lesions (<7mm) less likely to be cancer. https://journals.sagepub.com/doi/full/10.1177/08465371251365213

A study of 421 parathyroid scans shows higher calcium levels strongly predict positive results. Findings suggest need for tailored biochemical criteria between primary & secondary hyperparathyroidism. https://journals.sagepub.com/doi/full/10.1177/08465371251364714

Deep Learning-accelerated MRI matches or outperforms traditional pelvic scans while cutting scan time. Research shows superior image quality in most cases, better contrast ratio, and reduced artifacts. https://journals.sagepub.com/doi/full/10.1177/08465371251357790

New strategies aim to boost patient throughput despite limited resources, while calling for provincial & national policies to build sustainable radiology services for the future. https://journals.sagepub.com/doi/full/10.1177/08465371251361082

Dual-energy CT is transforming pancreatic imaging: enhancing contrast, reducing artifacts, and optimizing radiation dose. This review highlights its impact across tumor detection, trauma, and pancreatitis care. https://journals.sagepub.com/doi/full/10.1177/08465371251352840

CTA overestimates MCA M1 vessel diameter compared to DSA in stroke patients undergoing EVT. This modest discrepancy could impact device choice in borderline cases—radiologists should be aware. https://journals.sagepub.com/doi/full/10.1177/08465371251356908

Checkpoint inhibitors have transformed cancer care but assessing response is tricky. Pseudo-progression can mislead traditional RECIST criteria. This review demystifies iRECIST, offering tools to better evaluate immunotherapy outcomes. https://journals.sagepub.com/doi/full/10.1177/08465371251355866

AI, sustainability, and efficiency took center stage in radiology in 2025. The CARJ “Year in Review” highlights 10 impactful articles shaping the future of the field—and our planet. How do we evolve with AI while reducing our footprint? https://journals.sagepub.com/doi/abs/10.1177/08465371251360188

Interventional neuro-oncology is reshaping cancer care with minimally invasive, image-guided techniques for brain, spine, and head-neck tumors. From embolization to targeted drug delivery, this evolving field is pushing boundaries. https://journals.sagepub.com/doi/abs/10.1177/08465371251340249

New CT-based score improves prediction of overall survival in adrenocortical carcinoma. By combining tumor shape, size, and ENSAT stage, it outperforms ENSAT alone in stratifying patient prognosis. https://journals.sagepub.com/doi/abs/10.1177/08465371251335170

The reporting of O-RADS risk category increased from <5% to 88% over a 16-month period with a high level of agreement among readers in assigning O-RADS risk category. https://journals.sagepub.com/doi/full/10.1177/08465371241301335

The February 2026 issue now available online! The CARJ is free to access for all CAR members.

Discover how CT power-downs can save energy and costs! Read the award-winning article! #Radiology #EnergySavings ow.ly/NwZ950XXgmX @carjournal.bsky.social

MRI-guided prostate biopsies show 59% accuracy in detecting significant cancer. Higher success rates (74%) seen with PI-RADS 5 scores, elevated PSA density & ultrasound-visible lesions. Small lesions (<7mm) less likely to be cancer. https://journals.sagepub.com/doi/full/10.1177/08465371251365213

Study of 421 parathyroid scans shows higher calcium levels strongly predict positive results. Male sex & younger age also linked. Findings suggest need for tailored biochemical criteria between primary & secondary hyperparathyroidism. https://journals.sagepub.com/doi/full/10.1177/08465371251364714

Deep Learning-accelerated MRI matches or outperforms traditional pelvic scans while cutting scan time by 50%! Research shows superior image quality in most cases, better contrast ratio, and reduced artifacts. https://journals.sagepub.com/doi/full/10.1177/08465371251357790

New strategies aim to boost patient throughput despite limited resources, while calling for provincial & national policies to build sustainable radiology services for the future. https://journals.sagepub.com/doi/full/10.1177/08465371251361082

Dual-energy CT is transforming pancreatic imaging: enhancing contrast, reducing artifacts, and optimizing radiation dose. This review highlights its impact across tumor detection, trauma, and pancreatitis care. https://journals.sagepub.com/doi/full/10.1177/08465371251352840

New in CARJ: CTA overestimates MCA M1 vessel diameter compared to DSA in stroke patients undergoing EVT. This modest discrepancy could impact device choice in borderline cases—radiologists should be aware. https://journals.sagepub.com/doi/full/10.1177/08465371251356908

Checkpoint inhibitors have transformed cancer care but assessing response is tricky. Pseudo-progression can mislead traditional RECIST criteria. This review demystifies iRECIST, offering tools to better evaluate immunotherapy outcomes. https://journals.sagepub.com/doi/full/10.1177/08465371251355866

Le CARJ a atteint un nouveau jalon cette année, terminant une année 2025 très réussie. Le CARJ avait reçu un record de 363 soumissions, le nombre total définitif étant susceptible d’être supérieur. @caradiologists.bsky.social

The CARJ reached a new milestone this year, capping off a very successful 2025. In total, the CARJ received a record of 363 submissions. @caradiologists.bsky.social

Japan's medical imaging revolution covers it all: Upright CT scans, AI breast/gynecologic cancer detection, advanced abdominal imaging with photon-counting CT, brain waste clearance research (glymphatic system), & Large Language Models transforming diagnostics.

The ‘FLAIR motor’ sign—a loss of normal low signal in the precentral cortex on MRI—shows 86% sensitivity & 100% specificity for detecting adult hypoxic-ischemic brain injury after cardiac arrest. A reliable tool for early diagnosis. https://journals.sagepub.com/doi/full/10.1177/08465371251352699

This review outlines the key imaging pitfalls in focal lesion detection and characterization due to diffuse liver disease and offers practical, evidence-based strategies to overcome them. https://journals.sagepub.com/doi/full/10.1177/08465371251383887

Radiomics shows promise for early detection of aggressive pancreatic cancer (PDAC) by extracting detailed imaging data. But challenges like image variability slow clinical use. Overcoming these barriers is key to improving survival through timely diagnosis.

AI tools often misrepresent radiologists vs. medical radiation technologists—showing bias in roles, gender, & race. 82% of MRTs depicted correctly vs. only 56% of radiologists. https://journals.sagepub.com/doi/full/10.1177/08465371251350085

Breast MRI-guided biopsies of high T2 signal lesions found 20% malignancy, mainly DCIS & IDC. T2 hyperintensity alone isn’t enough to rule out cancer—age, kinetics, and clinical context matter. https://journals.sagepub.com/doi/full/10.1177/08465371251346137

Radiology decisions shape lives, but how often do we capture what patients feel and experience? Our review highlights why PROMs & are essential to bridge that gap, and how to make them work in radiology practice. https://journals.sagepub.com/doi/full/10.1177/08465371251387572

It's paradoxical that, as reliance upon and capabilities of radiological investigation grow, radiologists' direct interaction with patients and referring colleagues seems to be diminishing. https://journals.sagepub.com/doi/abs/10.1177/08465371251386863

Canadian radiology research drives patient care through innovation & teamwork. From lung nodule management to sports imaging & breast cancer screening, top universities like Dalhousie, UBC, Ottawa & Montréal lead global advances. https://journals.sagepub.com/doi/full/10.1177/08465371251346687

Physicians in Canada are disproportionately concentrated in urban centers, with rural regions facing significant gaps in specialist care. The geo-spatial characteristics of IR in Canada have not been systematically studied. https://journals.sagepub.com/doi/full/10.1177/08465371251385534

Prompted by new evidence and recent international guidelines, the Incidental Findings Working Group re-evaluated the literature and assessed both the 2022 SRU Consensus Recommendations and the 2022 joint European guidelines. https://journals.sagepub.com/doi/full/10.1177/08465371251346728

By providing accessible, engaging, and equitable opportunities for knowledge-sharing, VTD continues to support the next generation of radiologists across Canada.

Thanks to Dr. Richard Walker for providing an update on the latest guidelines and news from the CARJ at the Alberta Society of Radiologists annual event!

Le Journal de la CAR (CARJ) consacre son numéro de novembre 2025 à un enjeu incontournable de notre époque : les changements climatiques et les conséquences environnementales des soins de santé et de la radiologie en particulier. @katehanneman.bsky.social @caradiologists.bsky.social

The CAR Journal (CARJ) is taking on the most pressing concern of our time by focusing the November 2025 issue on climate change and how the energy consumption of radiology and healthcare factors into the health of our planet. @katehanneman.bsky.social @caradiologists.bsky.social

Breast imaging training in Canadian radiology shows wide variability. While all offer 4 months’ exposure, many lack multidisciplinary rounds and uniform assessments. https://journals.sagepub.com/doi/full/10.1177/08465371251344246

Nearly half of lower extremity CTAs were done on trauma patients with normal exams—none needed intervention. Hard signs of vascular injury strongly predict positive CTAs. Using tailored criteria can cut costs and reduce ER wait times. https://journals.sagepub.com/doi/full/10.1177/08465371251342064

After-hours interventional radiology (IR) services in Ontario hospitals are limited, with only 70% of IR departments offering on-call coverage. Demand is rising, but staffing shortages remain the biggest barrier. https://journals.sagepub.com/doi/full/10.1177/08465371251340368

Sustainability in radiology QI projects boosts patient care while protecting the planet. The SusQI model balances environmental, social & economic factors, creating a triple win. https://journals.sagepub.com/doi/full/10.1177/08465371251340243

New recommendations aim to reduce MRI overuse for shoulder, hip, and knee conditions. Developed through expert consensus using the latest CAR guidelines, they promote value-based radiology and healthcare resource stewardship. https://journals.sagepub.com/doi/full/10.1177/08465371251339389

Le numéro de novembre 2025 est désormais disponible en ligne ! L'accès au CARJ est gratuit pour tous les membres de la CAR.

Read the November 2025 issue, now available online! The CARJ is free to access for all CAR members.

Bariatric surgery is on the rise—radiologists must recognize normal post-op anatomy and complications. This review covers key imaging features across common and uncommon procedures to aid early diagnosis. https://journals.sagepub.com/doi/full/10.1177/08465371251336977

In a prospective cohort without known CVD undergoing mammography, notification of BAC and CAC status prompted high follow-up rates with PCPs and lifestyle modifications. https://journals.sagepub.com/doi/full/10.1177/08465371251337022

18F-FDG PET/CT is highly effective in detecting immune-related adverse events (IRAEs) in metastatic melanoma patients undergoing immunotherapy. It identified 92% of IRAEs, including 33% not suspected clinically, making it a valuable tool in managing adverse effects. 🔗 https://bit.ly/47aH5u7