Full article: Leveraging Fine-Tuned Large Language Models for Interpretable Pancreatic Cystic Lesion Feature Extraction and Risk Categorization

Pancreatic cyst research is challenged by the need for large-scale extraction of cyst features from radiology reports. Antonin Andrea Blandino, MD, discusses the article by Rasromani et al. exploring the use of large language models for this purpose.

How do we teach effectively without sacrificing efficiency or burning out? Scott A Simpson, DO MSEd, speaks with host Surbhi Raichandani, MD, about radiology readout frameworks, formative feedback, workflow-conscious teaching, and preparing trainees for independent practice in modern radiology.

Full article: Human-in-the-Loop Large Language Model–Augmented Diagnostic Reasoning in Thoracic Imaging: Impact of Radiologic Expertise

Use of LLMs in the diagnostic reasoning process can either improve or hinder performance. Pranjal Rai, MD, discusses the AJR article by Song et al. exploring the association of reader expertise and reader performance when using LLMs as a diagnostic aid.

What does it take to shape radiology beyond the reading room? Richard Duszak, MD, speaks with host Siddhant Dogra, MD, about his journey from private practice to national leadership, founding a health policy institute, advancing academic radiology, and championing leadership development across the specialty.

Full article: Interreader Agreement for Individual Ancillary Features in LI-RADS CT/MRI Version 2018: A Systematic Review and Meta-Analysis

LI-RADS CT/MRI ancillary features may vary in their ease of application. Jordon Kondo, MD, is joined by Luke Ginocchio, MD, to discuss the AJR article by Jung et al. exploring interreader agreement of LI-RADS ancillary features.

Augmenting anatomy with disease activity! Summit Shah, MD MPH, explains to host, Raisa Amiruddin, MBBS, how visualizing disease activity through molecular imaging helps in solving diagnostic uncertainties. Explore how PET/MRI, brain mapping, targeted radiotracers, and theranostics are driving the shift towards personalized, precision medicine in pediatric patients.

Full article: Utilization of Pediatric Contrast-Enhanced Ultrasound in the United States After FDA Approval: Insights From a Large Claims Database

Regulatory approval alone is insufficient to drive clinical adoption. Selima Siala, MD, is joined by Marcelo Takahashi, MD, to discuss the AJR article by Guarilha et al. that explores the trajectory of national utilization of contrast-enhanced ultrasound in children.

Full article: Artificial Intelligence–Assisted Lung Nodule Evaluation on Low-Dose Chest CT in Asymptomatic Individuals: A Prospective Randomized Controlled Trial

Pragmatic data obtained in clinical settings can add further insights into how AI shapes radiology practice. Hira Qureshi, MD, discusses the AJR article by Hwang et al. that reports a prospective randomized trial of the impact of AI for low-dose chest CT interpretation.

Mission control, we need a read! Michael Polen, MD, joins cohosts Lindsey Negrete, MD, and Amy Maduram, MD, to discuss his incredible journey into space medicine, including engagement with the team leading the first radiograph obtained in space, medical conditions occurring during weightlessness, and the commercial shift into space research.

What drives early-career momentum? Patricia Balthazar, MD, MPH, speaks with host Surbhi Raichandani, MD, about building an intentional academic career through informatics, quality improvement, time management, and strategic decision-making, offering practical insights for trainees and early-career radiologists.