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Article ; Online: Beyond regulatory compliance: evaluating radiology artificial intelligence applications in deployment.

Ross, J / Hammouche, S / Chen, Y / Rockall, A G

2024 Volume 79, Issue 5, Page(s) 338–345

Abstract: The implementation of artificial intelligence (AI) applications in routine practice, following regulatory approval, is currently limited by practical concerns around reliability, accountability, trust, safety, and governance, in addition to factors such ... ...

Abstract	The implementation of artificial intelligence (AI) applications in routine practice, following regulatory approval, is currently limited by practical concerns around reliability, accountability, trust, safety, and governance, in addition to factors such as cost-effectiveness and institutional information technology support. When a technology is new and relatively untested in a field, professional confidence is lacking and there is a sense of the need to go above the baseline level of validation and compliance. In this article, we propose an approach that goes beyond standard regulatory compliance for AI apps that are approved for marketing, including independent benchmarking in the lab as well as clinical audit in practice, with the aims of increasing trust and preventing harm.
MeSH term(s)	Humans ; Artificial Intelligence ; Reproducibility of Results ; Radiography ; Radiology
Language	English
Publishing date	2024-02-08
Publishing country	England
Document type	Journal Article ; Review
ZDB-ID	391227-9
ISSN	1365-229X ; 0009-9260
ISSN (online)	1365-229X
ISSN	0009-9260
DOI	10.1016/j.crad.2024.01.026
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Article ; Online: AI and ML in radiology: Making progress.

Rockall, A G / Shelmerdine, S C / Chen, M

Clinical radiology

2023 Volume 78, Issue 2, Page(s) 81–82

MeSH term(s)	Humans ; Radiology ; Radiography ; Artificial Intelligence ; Radiologists
Language	English
Publishing date	2023-01-10
Publishing country	England
Document type	Editorial ; Comment
ZDB-ID	391227-9
ISSN	1365-229X ; 0009-9260
ISSN (online)	1365-229X
ISSN	0009-9260
DOI	10.1016/j.crad.2022.10.010
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Book: Diagnostic imaging

Armstrong, Peter / Wastie, Martin L. / Rockall, Andrea G.

2009

Author's details	Peter Armstrong ; Martin L. Wastie ; Andrea G. Rockall
Keywords	Diagnostic Imaging
Language	English
Size	VIII, 469 S. : zahlr. Ill., graph. Darst.
Edition	6. ed.
Publisher	Wiley-Blackwell
Publishing place	Chichester u.a.
Publishing country	Great Britain
Document type	Book
HBZ-ID	HT015921547
ISBN	978-1-4051-7039-0 ; 1-4051-7039-5
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Article ; Online: MR imaging of the Adnexa: Technique and Imaging Acquisition.

Rockall, Andrea G / Jalaguier-Coudray, Aurélie / Thomassin-Naggara, Isabelle

Magnetic resonance imaging clinics of North America

2022 Volume 31, Issue 1, Page(s) 149–161

Abstract: MR imaging has a high diagnostic accuracy and reproducibility to classify adnexal masses as benign or malignant, using a risk stratification scoring system, the Ovarian-Adnexal Reporting and Data System (O-RADS) MR imaging score. The first step in ... ...

Abstract	MR imaging has a high diagnostic accuracy and reproducibility to classify adnexal masses as benign or malignant, using a risk stratification scoring system, the Ovarian-Adnexal Reporting and Data System (O-RADS) MR imaging score. The first step in achieving high accuracy is to ensure high technical quality of the MR scan. The sequences needed are clearly described in this article, with tips for handling difficult cases. This information will assist in obtaining the best possible images, to allow for accurate use of the O-RADS MR imaging risk score.
MeSH term(s)	Female ; Humans ; Magnetic Resonance Imaging/methods ; Reproducibility of Results ; Ovarian Neoplasms/pathology ; Adnexa Uteri ; Adnexal Diseases/diagnostic imaging ; Sensitivity and Specificity
Language	English
Publishing date	2022-10-20
Publishing country	United States
Document type	Journal Article ; Review
ZDB-ID	1196851-5
ISSN	1557-9786 ; 1064-9689
ISSN (online)	1557-9786
ISSN	1064-9689
DOI	10.1016/j.mric.2022.09.002
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Article ; Online: Planetary Health and Radiology: Why We Should Care and What We Can Do.

McKee, Hayley / Brown, Maura J / Kim, Helen H R / Doo, Florence X / Panet, Hayley / Rockall, Andrea G / Omary, Reed A / Hanneman, Kate

Radiology

2024 Volume 311, Issue 1, Page(s) e240219

Abstract: Climate change adversely affects the well-being of humans and the entire planet. A planetary health framework recognizes that sustaining a healthy planet is essential to achieving individual, community, and global health. Radiology contributes to the ... ...

Abstract	Climate change adversely affects the well-being of humans and the entire planet. A planetary health framework recognizes that sustaining a healthy planet is essential to achieving individual, community, and global health. Radiology contributes to the climate crisis by generating greenhouse gas (GHG) emissions during the production and use of medical imaging equipment and supplies. To promote planetary health, strategies that mitigate and adapt to climate change in radiology are needed. Mitigation strategies to reduce GHG emissions include switching to renewable energy sources, refurbishing rather than replacing imaging scanners, and powering down unused scanners. Radiology departments must also build resiliency to the now unavoidable impacts of the climate crisis. Adaptation strategies include education, upgrading building infrastructure, and developing departmental sustainability dashboards to track progress in achieving sustainability goals. Shifting practices to catalyze these necessary changes in radiology requires a coordinated approach. This includes partnering with key stakeholders, providing effective communication, and prioritizing high-impact interventions. This article reviews the intersection of planetary health and radiology. Its goals are to emphasize why we should care about sustainability, showcase actions we can take to mitigate our impact, and prepare us to adapt to the effects of climate change. © RSNA, 2024
MeSH term(s)	Humans ; Climate Change ; Global Health ; Greenhouse Gases ; Radiology ; Radiology Department, Hospital/organization & administration
Chemical Substances	Greenhouse Gases
Language	English
Publishing date	2024-03-13
Publishing country	United States
Document type	Journal Article ; Review
ZDB-ID	80324-8
ISSN	1527-1315 ; 0033-8419
ISSN (online)	1527-1315
ISSN	0033-8419
DOI	10.1148/radiol.240219
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Article ; Online: An observational study of replicate faecal immunochemical tests in the urgently referred symptomatic cohort.

Farkas, Nicholas G / O'Brien, James / Whyte, Martin / Jourdan, Iain / Rockall, Tim / Benton, Sally C

Annals of clinical biochemistry

2023 Volume 60, Issue 5, Page(s) 313–319

Abstract: ... Study period was 01/03/2020-31/07/2020. Three subgroups were compared; double positive (≥10 μg Hb/g ...

Abstract	Introduction: Triage of patients with suspected colorectal cancer (CRC) utilises a single faecal immunochemical test (FIT) at a defined threshold. Limited evidence exists regarding whether replicate FIT improves the positive and negative predictive value in symptomatic patients. This study examines urgently referred symptomatic patients undergoing replicate FIT. Primary aim is to assess two FITs and CRC/serious bowel disease. Secondary aims are to determine correlation and utility of replicate FIT. Methodology: Patients carried out one additional FIT during COVID-19 pandemic. FIT 1 and FIT 2 (the replicate sample) were analysed in relation to symptoms, diagnoses, investigations, future colonoscopy and missed CRC. Study period was 01/03/2020-31/07/2020. Three subgroups were compared; double positive (≥10 μg Hb/g faeces), double negative, and discordant FIT (one positive). Results: 111 patients had replicate FIT (50 male, 61 female). 43 (38.7%) patients had double negative, 32 (28.8%) double positive and 36 (32.4%) had discordant FITs. Median time between FITs was 14 days (IQR = 11-19). 83% of double positive patients underwent colonoscopy/virtual colonoscopy (61% in double negative patients). Six CRC and one high-risk polyp were in double positive patients (none in other groups). One discordant patient was not investigated and a CRC missed. Conclusions: Replicate FIT as a triage strategy appears most effective where both FITs are negative. CRC risk is low when FIT results are discordant. Double negative FITs are reassuring given benign associated diagnoses, or for patients where endoscopic investigation is high-risk. Larger studies are required to evaluate discordant FITs, enabling refinement of urgent investigation pathways.
MeSH term(s)	Humans ; Male ; Female ; Colorectal Neoplasms/diagnosis ; Sensitivity and Specificity ; Pandemics ; COVID-19 ; Predictive Value of Tests ; Occult Blood ; Feces/chemistry ; Early Detection of Cancer/methods ; Hemoglobins/analysis
Chemical Substances	Hemoglobins
Language	English
Publishing date	2023-03-14
Publishing country	England
Document type	Observational Study ; Journal Article
ZDB-ID	390309-6
ISSN	1758-1001 ; 0004-5632
ISSN (online)	1758-1001
ISSN	0004-5632
DOI	10.1177/00045632231163425
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Article ; Online: Patient communication in radiology: Moving up the agenda.

Rockall, Andrea G / Justich, Caroline / Helbich, Thomas / Vilgrain, Valerie

European journal of radiology

2022 Volume 155, Page(s) 110464

Abstract: Optimised communication between patients and the imaging team is an essential component of providing patient-centred and value-based care. Communication with patients can be challenging in the setting of busy radiology departments where there is a focus ... ...

Abstract	Optimised communication between patients and the imaging team is an essential component of providing patient-centred and value-based care. Communication with patients can be challenging in the setting of busy radiology departments where there is a focus on efficient and accurate diagnosis. Traditionally, most results are provided directly to the referring clinician. However, the importance of direct communication between the radiologist and patient is increasingly relevant, particularly in the context of face-to-face settings such as rapid assessment and ultrasound clinics, and interventional radiology, as well as in written form through electronic patient portals. Artificial intelligence tools may improve efficiency, allowing more time for radiologists to communicate directly with patients. There is a need for dedicated training in communication skills for imaging professionals. This review considers the topic of patient communication in the setting of imaging departments and discusses the ways that communication skills may be improved through training and through harnessing emerging digital technologies that may enhance the quality of communication.
MeSH term(s)	Artificial Intelligence ; Communication ; Humans ; Radiography ; Radiologists ; Radiology
Language	English
Publishing date	2022-08-12
Publishing country	Ireland
Document type	Journal Article ; Review
ZDB-ID	138815-0
ISSN	1872-7727 ; 0720-048X
ISSN (online)	1872-7727
ISSN	0720-048X
DOI	10.1016/j.ejrad.2022.110464
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Article ; Online: Factors affecting quality of life in rectal cancer survivors who have undergone laparoscopic surgery: patient-reported outcomes over 10 years at a single institution.

Singh, R / White, D / Romano, G / Osenda, E / Allen, S / Dunstan, M / Elangovan, R / Jourdan, I / Rockall, T / Scala, A

Annals of the Royal College of Surgeons of England

2023 Volume 106, Issue 1, Page(s) 13–18

Abstract: Introduction: Colorectal cancer survivors have many problems affecting their quality of life (QOL). Traditional follow-up focuses on the detection of recurrence rather than QOL. Efforts are being made to assess patient-reported outcomes (PROMS) more ... ...

Abstract	Introduction: Colorectal cancer survivors have many problems affecting their quality of life (QOL). Traditional follow-up focuses on the detection of recurrence rather than QOL. Efforts are being made to assess patient-reported outcomes (PROMS) more formally. Such changes may enable patients to consider QOL factors when deciding on treatment. Methods: Patients who underwent laparoscopic surgery for rectal cancer between 2005 and 2015 at a single institution were identified and sent European Organisation for Research and Treatment of Cancer (EORTC) QLQ-C30 and QLQ-CR29 QOL questionnaires. QOL and the impact of radiotherapy, chemotherapy and formation of end colostomy were assessed. Results: Some 141 patients were identified: 12 died and 118 (83.7%) responded, of whom 101 completed the questionnaires and 17 declined to participate; 11 were lost to follow-up. Mean age was 67 years, median follow-up was 58 months. Median QOL score was 6 (maximum 7) and 4.5% of patients reported a poor QOL score (<4). Significant rectal/perianal pain, sexual dysfunction and urinary symptoms were reported in 3.6%, 10.9% and 2.7% of respondents, respectively. Significant differences between treatment groups were uncommon. All cohorts reported similar QOL, functional and symptom scores. Conclusions: These results compare favourably with the published data. Future studies may benefit from baseline assessment to better assess treatment impact, prescient in an increasingly elderly and comorbid population. This paper establishes that good PROMs are achievable with laparoscopic surgery for rectal cancer. It identifies limited differences in QOL between treatment modalities. Restoration of intestinal continuity and end colostomy result in similar QOL. This may address common concerns regarding stomata, sexual function and low anterior resection syndrome in this cohort.
MeSH term(s)	Humans ; Aged ; Rectal Neoplasms/surgery ; Quality of Life ; Cancer Survivors ; Postoperative Complications/epidemiology ; Postoperative Complications/etiology ; Postoperative Complications/surgery ; Syndrome ; Laparoscopy/adverse effects ; Laparoscopy/methods ; Survivors ; Patient Reported Outcome Measures ; Surveys and Questionnaires
Language	English
Publishing date	2023-02-07
Publishing country	England
Document type	Journal Article
ZDB-ID	80044-2
ISSN	1478-7083 ; 0035-8843
ISSN (online)	1478-7083
ISSN	0035-8843
DOI	10.1308/rcsann.2022.0156
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Book: Diagnostic imaging

Armstrong, Peter / Wastie, Martin L. / Rockall, Andrea G.

2004

Author's details	Peter Armstrong ; Martin L. Wastie ; Andrea G. Rockall
Keywords	Diagnostic Imaging
Language	English
Size	VIII, 460 S. : überw. Ill., graph. Darst.
Edition	5. ed.
Publisher	Blackwell
Publishing place	Malden, Mass
Publishing country	United States
Document type	Book
HBZ-ID	HT013812692
ISBN	1-4051-0230-6 ; 978-1-4051-0230-8
Database	Catalogue ZB MED Medicine, Health

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Article: O-RADS MRI risk stratification system: pearls and pitfalls.

Nougaret, Stephanie / Razakamanantsoa, Leo / Sadowski, Elizabeth A / Stein, Erica B / Lakhman, Yulia / Hindman, Nicole M / Jalaguier-Coudray, Aurelie / Rockall, Andrea G / Thomassin-Naggara, Isabelle

Insights into imaging

2024 Volume 15, Issue 1, Page(s) 45

Abstract: In 2021, the American College of Radiology (ACR) Ovarian-Adnexal Reporting and Data System (O-RADS) MRI Committee developed a risk stratification system and lexicon for assessing adnexal lesions using MRI. Like the BI-RADS classification, O-RADS MRI ... ...

Abstract	In 2021, the American College of Radiology (ACR) Ovarian-Adnexal Reporting and Data System (O-RADS) MRI Committee developed a risk stratification system and lexicon for assessing adnexal lesions using MRI. Like the BI-RADS classification, O-RADS MRI provides a standardized language for communication between radiologists and clinicians. It is essential for radiologists to be familiar with the O-RADS algorithmic approach to avoid misclassifications. Training, like that offered by International Ovarian Tumor Analysis (IOTA), is essential to ensure accurate and consistent application of the O-RADS MRI system. Tools such as the O-RADS MRI calculator aim to ensure an algorithmic approach. This review highlights the key teaching points, pearls, and pitfalls when using the O-RADS MRI risk stratification system.Critical relevance statement This article highlights the pearls and pitfalls of using the O-RADS MRI scoring system in clinical practice.Key points• Solid tissue is described as displaying post- contrast enhancement.• Endosalpingeal folds, fimbriated end of the tube, smooth wall, or septa are not solid tissue.• Low-risk TIC has no shoulder or plateau. An intermediate-risk TIC has a shoulder and plateau, though the shoulder is less steep compared to outer myometrium.
Language	English
Publishing date	2024-02-14
Publishing country	Germany
Document type	Journal Article ; Review
ZDB-ID	2543323-4
ISSN	1869-4101
ISSN	1869-4101
DOI	10.1186/s13244-023-01577-5
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