Iva Petkovska

Burnout rates are high amongst radiologists due to intense cognitive load, time pressure of reporting ever-increasing imaging studies with high diagnostic accuracy and procedural demands. Abdominal radiologists must review large and complex imaging datasets, oncological imaging, reporting incidental findings with recommendations, and frequent multidisciplinary collaborations. Increased work volume and complexity require significant time sitting at a computer workstation with few breaks. Over time, these may have negative impact on one’s physical wellbeing and professional satisfaction. While not all factors that contribute to diminished wellness can be easily changed, one can address individual and environmental factors that foster sustained wellbeing and professional satisfaction. This review article outlines several personal and departmental strategies to support the wellbeing of abdominal radiologists including organization support of wellbeing and professional development, workflow optimization strategies, leveraging innovative solutions, ergonomic improvements and lifestyle modifications. Graphical abstract

Purpose To identify computed tomography (CT) and clinical characteristics that may aid the radiologist and clinician in differentiating desmoid tumor from peritoneal metastasis in patients with a history of resected colon cancer. Methods This retrospective, single-center study included patients with resected colon cancer with one or more new peritoneal nodules on CT that then yielded pathology-proven desmoid tumor or peritoneal metastasis. Three radiologists, blinded to histopathology results, assessed peritoneal nodule characteristics on CT, including location, multiplicity, shape, contour, margin, density, homogeneity, presence of other metastatic disease, and size. Clinical characteristics assessed included age, biological sex, race, history of familial adenomatosis polyposis, carcinoembryonic antigen (CEA) level within 4 weeks of CT, time between colon cancer resection and diagnosis of either desmoid tumor or peritoneal metastasis, colon primary histology, and pathology TNM stage. Clinical characteristics as well as imaging characteristics (assessed by the most experienced radiologist) were tested for significance using Fisher’s exact test or Wilcoxon rank sum test. Results Of 30 patients (median age at colon cancer resection, 51 years [range, 20–79]; 18/30 (60%) male), 18/30 (60%) had desmoid tumor and 12/30 (40%) had peritoneal metastasis. On CT, location in the root of the mesentery and whorled margin were associated with desmoid tumor (p = 0.02 for both), and multiplicity and presence of other metastatic disease with peritoneal metastasis (p = 0.002 and 0.006). CEA > 5 ng/mL was associated with peritoneal metastasis (p = 0.0005). Conclusion Some CT characteristics and elevated CEA may help differentiate desmoid tumor from peritoneal metastasis, guiding prognosis and disease management.

Representativeness of Study Participants

Molecular Subtyping of Endometrial Cancer

Association Between Molecular Biomarkers and Clinical Activity as Measured by Objective Response (OR)

There was fair to moderate agreement between MRI and pathology-based assessment of anal sphincter involvement after neoadjuvant therapy in patients with rectal cancer, and radiologists showed excellent conditional sensitivity regardless of their level of experience.