A growing shortage of breast radiologists has hindered timely access to diagnostic breast imaging services. Radiologist burnout is exacerbating these workforce challenges. In this AJR Conversation, Breast Imaging Senior Editor Wei Yang, MD, speaks with Sona Chikarmane, MD, about her team's recently published AJR article exploring how the implementation of a remote diagnostic breast imaging program can provide a sustainable strategy to address these gaps.

Full article: Decoupling Visual Parsing and Diagnostic Reasoning for Vision–Language Models (GPT-4o and GPT-5): Analysis Using Thoracic Imaging Quiz Cases

What is the bottleneck in ongoing attempts to use vision-language models to interpret radiologic imaging? Pranjal Rai, MD, discusses this recent AJR model by Han et al. that seeks to differentiate the roles of visual parsing and diagnostic reasoning toward impacting VLM performance.

How can lessons from sports aid a radiology career? Claude Sirlin, MD, and Benjamin Wildman-Tobriner, MD, join cohosts Lindsey Negrete, MD, and Amy Maduram, MD to discuss resilience through failure in athletics, mental habits during high-stakes competitions, and the nonlinear path to academic success.

Full article: Artificial Intelligence for CT and MRI Protocoling: A Meta-analysis of Traditional Machine Learning, Transformer, and Large Language Models

CT and MRI protocoling can pose substantial time burdens for radiologists. Selima Siala, MD, discusses this AJR article by Sacoranksy et al. that reports a meta-analysis comparing traditional machine-learning, transformer, and large language models for automated examination protocoling.

Full article: False-Negative Screening and Diagnostic Mammograms in the National Mammography Database From 2010 to 2022

What lessons can we use from the National Mammography Database? Jordan Kondo, MD, discusses the AJR article from Oluyemi et al. that explores false-negative mammography rates based on this large data resource.

Full article: Echogenic Rind Associated With Suspicious Masses on Ultrasound: Performance for Breast Cancer Diagnosis and Associations With Pathologic Tumor Characteristics

How should radiologists approach an echogenic rind detected in association with a breast mass on ultrasound? Osvaldo Berlina, MD, discusses this article by Nguyen et al. on the clinical implications of this finding.

As the year comes to a close, we pause to reflect on what wellness truly means in medicine and radiology. Sherry Wang, MD, joins host Surbhi Raichandani, MD, for an honest conversation on burnout, gratitude, and rediscovering purpose in the small moments that sustain us.

From creating a reporting fix as a resident to leading industry-shaping startups, the path has been a playbook for impact. Woojin Kim, MD, speaks with host Sid Dogra, MD, about his entrepreneurial journey, discussing startup lessons, maintenance of clinical practice, time management keys, and the future of radiology artificial intelligence.

A guide to modern, safer pediatric imaging! Michael S. Gee, MD, and Camilo J. Cobos, MD, speak with host Raisa Amiruddin, MBBS, on the impacts of standardization and new technologies in improving the consistency of care while highlighting the efforts of key partners in redefining protocol execution and patient experience.