Hosted by The Radiological Society of North America · EN
In this episode, host Dr. Refky Nicola speaks with Dr. Francesco Giganti and Dr. Alex Kirkham about how MRI is used to guide active surveillance in prostate cancer, including the role of PRECISE scoring in tracking disease progression. They share practical insights on imaging techniques, measurement challenges, and how emerging AI tools may improve consistency and decision-making in surveillance care. MRI for Active Surveillance in Prostate Cancer: How I Do It. Giganti et al. Radiology 2026; 318(3):e242164.
Dr. Ashwin Singh Parihar sits down with Dr. Iben Lyskjær and Dr. Tommy Kjærgaard Nielsen to unpack new nationwide registry data comparing ablation and surgical approaches for small renal masses. Together, they explore how minimally invasive treatments stack up in real-world practice and what the findings mean for patient selection, outcomes, and future care decisions. Ablation and Surgery Show Comparable Long-term Outcomes for T1a Renal Cell Carcinoma: A Danish Nationwide Registry Study. Ahrenfeldt et al. Radiology 2026; 318(3):e251485.
Dr. Lauren Kim sits down with Dr. Jonathan Kottlors to explore how large language models are reshaping radiology research and why standardized reporting is critical for trust and reproducibility. They dive into the new FLAIR framework and what it means for the future of AI integration in clinical radiology. Guidelines for Reporting Studies on Large Language Models in Radiology: An International Delphi Expert Survey. Kottlors and Iuga et al. Radiology 2026; 318(2):e250913.
In this episode, Dr. Linda Chu reviews new Radiology studies exploring how photon counting CT is transforming thoracic imaging with ultra‑high resolution and dramatically lower radiation and contrast doses. She examines whether these visually striking images translate into better diagnostic confidence and meaningful improvements in patient care for emphysema and lung cancer imaging. Ultra-Low-Dose Photon-counting Detector CT for EmphysemaAssessment: A Head-to-Head Comparative Study with Low-Dose CT. Yuan and Yang et al. Radiology 2026; 318(1):e251609. Photon-counting CT versus Energy-integrating Detector CTin Imaging Lung Cancer. Yang et al. Radiology 2026; 318(2):e251126. Photon-counting CT versus Energy-integrating Detector CTPerformance for Various BMI and Tumor Sizes in Lung Cancer. Zhou and Guo et al. Radiology 2026; 318(2):e251663. Prospective Evaluation of Ultra-Low-Dose Photon-counting CT inEmphysema Assessment. Schwartz. Radiology 2026; 318(2):e254065.
Hosted by Dr. Sid Dogra, this episode of the Radiology Podcast explores new research showing that where fat is distributed in the body—particularly visceral and organ-specific fat—may matter more for brain health than overall BMI. Drawing on a large UK Biobank MRI study, Dr. Dogra discusses how specific fat distribution patterns, including pancreatic-predominant and "skinny fat" phenotypes, are associated with accelerated brain aging, cognitive decline, and increased neurologic disease risk. Association of Body Fat Distribution Patterns at MRI with BrainStructure, Cognition, and Neurologic Diseases. Yu and Yao et al. Radiology 2026; 318(1):e252610.
Hosted by Dr. Ashwin Singh Parihar, this episode features Dr. Mickael Tordjman and Dr. Bachir Taouli discussing their landmark Radiology study on AI‑generated deepfake medical images that are realistic enough to fool trained radiologists. Together, they examine what this new level of image realism means for diagnostic accuracy, clinical trust, and the future of safeguards in medical imaging. The Rise of Deepfake Medical Imaging: Radiologists' Diagnostic Accuracy in Detecting ChatGPT-generated Radiographs. Tordjman and Yuce et al. Radiology 2026; 318(3):e252094. The Democratization of Deceit: Seeing Is No Longer Believing. Bhayana and Krishna. Radiology 2026; 318(3):e260466.
Dr. Celina Nahyun Jo talks with Dr. Mahla Radmard about how NEXUS and the Canadian C‑Spine Rule shape cervical spine imaging decisions in trauma patients. Together they explore new research that questions long‑standing imaging practices and highlights opportunities to improve value safety and accuracy in patient care. Evaluating National Emergency X-Radiography Utilization Study and Canadian C-Spine Rule Criteria and Their Clinical Impact on Cervical Spine Imaging: Best Practice. Asadollahi and Arjmand et al. Radiology 2026; 318(1):e243834.
Dr. Refky Nicola speaks with Dr. Atul Shinagare about his team's research showing that incidental adnexal lesions on single‑phase CT are often difficult for radiologists to classify consistently, with only certain classic lesions yielding strong agreement. Their conversation underscores the limitations of CT compared with ultrasound or MRI and reinforces that most incidental adnexal findings are benign, though many still require additional imaging for clarification. Incidental Adnexal Lesions: CT Diagnosis and Interreader Agreement. Guo et al. Radiology 2026; 318(2):e243477.
Dr. Ashwin Parihar speaking with Drs. Sungmin Woo and Alberto Vargas about why standardized PSMA PET scoring systems—such as PSMA‑RADS and PROMISE—are becoming essential for consistent interpretation, communication, and treatment planning in prostate cancer. They explore the evidence behind these frameworks, current barriers to adoption, and how future harmonization efforts like the SPARC Initiative may shape the evolution of PSMA PET reporting. Navigating the Scoring Systems and Interpretation Frameworksof Prostate-specific Membrane Antigen PET. Woo and Masci et al. Radiology 2025; 317(3):e250701.
Dr. Lauren Kim speaks with Adarsh Mallepally and Dr. Cory Trankle about their large-scale retrospective study of nearly 4 million patients examining the risk of nephrogenic systemic fibrosis after gadolinium-based contrast administration in those with advanced renal dysfunction. They discuss how modern group 2 and macrocyclic agents were associated with an exceedingly low incidence of NSF, offering important reassurance for evidence-based contrast use and evolving clinical practice. Nephrogenic Systemic Fibrosis in Patients with Advanced RenalDysfunction Following Gadolinium-based Contrast Agents. Mallepally et al. Radiology 2025; 317(3):e251794.