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Contrast and Clarity with the JACR: Daily Summaries Delivered
by Maddi Wulfeck
Welcome to "Contrast & Clarity with the JACR," where we dive into the latest trends in the world of radiology. Join hosts Maddi Wulfeck and Jeff Waltz as they discuss current radiology topics and innovations that are shaping the future of healthcare. Topics will span the hottest trends in radiology such as artificial intelligence, expert perspectives, and what the future holds for the field. Whether you're a seasoned radiologist, resident, medical student, or simply curious about the field, this podcast sets the stage for an exciting journey into the world of medical imaging.
Latest Episodes
The most recent episodes — sign up to get AI-powered summaries of each one.
- 5 days ago36 min
61. TLDR November 2026 Issue
What happens when standardized reporting systems cross international borders? And when does standardization actually make us better radiologists?This month's JACR features a special focus on RADS in China: Clinical Use and Perspectives, and we're exploring what China's experience reveals about the promise - and pitfalls - of standardized reporting. But that's just the beginning:RADS without borders: Should reporting systems be adapted to local populations, or does customization undermine standardization?AI beyond the hype: From breast ultrasound quality control to predicting patient no-shows, where is AI actually making a difference?Better imaging, better decisions? Can functional CAD-RADS improve cardiovascular risk prediction? And could ultra-low-dose CT change renal stone surveillance?Follow the money: Which radiology subspecialties are winning the NIH funding game - and which are being left behind?From diagnostic algorithms to the systems shaping our profession, this issue asks a bigger question: Are we simply getting better at standardizing radiology, or are we actually making radiology better?
- 1 weeks ago29 min
60. Your Career Doesn't End at the Worklist *CME*
Who's shaping the future of radiology? And if you're not at the table, who is making those decision for you?Advocacy influences everything from reimbursement and scope of practice to patient care and the future of our profession. Yet many radiologists have little idea what happens behind the scenes - or how to get involved.In this episode, Drs. Jay Parikh and Kirang Patel join Maddi to discuss their recent JACR article on engaging young professionals in radvocacy and why the next generation of radiologists needs more than just an invitation to participate. We tackle why involvement drops off after residency, what organized medicine might be getting wrong, the advocacy victories most radiologists never hear about, and how the Texas Radiological Society is giving young professionals a meaningful seat at the table. The biggest takeaway? You don't need a fancy title, political connections, or a trip to Capitol Hill to make a difference. Sometimes, you just need to show up. Claim your free CME here: https://cmetracker.net/EVMS/Publisher?page=pubOpen#/getCertificate/33128To find the full article, click here. To register for DXIT Essentials for Residents webinar, click here. To apply for up to $1,500 in travel reimbursement for medical students, residents, and fellows to attend the annual 2027 ACR meeting, click here. Apply by November 30th!To apply to run for an RFS Executive Committee position, click here. Apply by December 7th! To apply to run for an ACR position, click here. Apply by November 6th!
- 3 weeks ago32 min
59. Dude, Where Are the Radiologists?
We are training more radiologists than ever, so why does it feel like we are constantly falling further behind?In this two-part episode of Contrast & Clarity, Ajay Malhotra MD FACR joins Maddi to unpack the troubling numbers behind radiology's growing workforce crisis. Then, Anand Singh MD FACR helps tackle the bigger questions: Are we losing radiologists faster than we can replace them? Can AI actually help us catch up? And are we focusing too much on producing more radiologists instead of rethinking how radiology works?From burnout and rising imaging demand to the radiologist of 2035, we look beyond the work list to ask a provocative question: What if the solution to the radiologist shortage isn't simply more radiologists? Find the full JACR article here: https://www.jacr.org/article/S1546-1440(26)00207-3/abstract
- Oct 10, 202629 min
58. TLDR October 2026 Issue
October's JACR is serving up some big questions. This month's JACR is packed with provocative questions, surprising findings, and a few uncomfortable truths.Here's a sneak peek:🤖 AI: Are we measuring accuracy when we should be measuring patient benefit?💻 Vibe coding: Is AI redefining what it means to be an expert?🩻 Imaging utilization: Does who reads the scan influence how often scans get ordered?🎓 Workforce: Are we training enough radiologists for the future?🔄 Specialization: Can becoming an expert actually limit your career options?⚖️ Ethics: Are we teaching radiologists how to navigate the decisions that matter most?Join me for the October Contrast & Clarity TLDR, where we skip the academic jargon and get straight to the interesting stuff.
- Oct 4, 202642 min
57. The Great Consolidation *Free CME Available*
Radiology is consolidating. The question isn't whether it's happening - it's who will control what comes next.Andy Moriarity, MD, MBA and David Rosman, MD, MBA join Maddi to unpack what "getting bigger" actually means for radiologists. From private practice and hospital employment to private equity, declining reimbursement, culture, autonomy, and the growing pressure of AI, we ask whether scale is the problem - or part of the solution. Getting bigger doesn't necessarily mean getting better. But in modern radiology, staying small may be getting a whole lot harder. Find the JACR article here: https://www.jacr.org/article/S1546-1440(25)00403-X/fulltextClaim your *free CME* here: https://cmetracker.net/EVMS/Publisher?page=pubOpen#/getCertificate/33127Accreditation InformationContributorsAndrew K. Moriarity, MD, MBADavid Rosman, MD, MBAMadison Wulfeck, MD, MBAReviewersMadison Wulfeck, MD, MBAJeffrey Waltz, MDRelease DateOctober 2026Expiration DateOctober 2029Disclosure StatementThe planners and contributors have no financialrelationships with ineligible companies to disclose.Accreditation StatementThis activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACGME) through the joint providership of Macon and Joan Brock Virginia Health Sciences at Old Dominion University and Contrast & Clarity Podcast. Macon and Joan Brock Virginia Health Sciences at Old Dominion University is accredited by the ACCME to provide continuing medical education for physicians.Credit DesignationMacon and Joan Brock Virginia Health Sciences at Old Dominion University designates this enduring material activity for a maximum of 1.0 AMA PRA Category 1 CreditsTM. Physiciansshould claim only the credit commensurate with the extent of their participation in the activity.If you have any questions regarding CME, please email CME@ODU.edu or call 757-446-6140.
- Sep 20, 202643 min
56. Whole-Body MRI, Revisited: What Have We Actually Learned? *CME*
Whole-body MRI promises to find disease before it finds you - but does finding more actually mean living longer or better? Matthew Davenport, MD, MBA, FSABI, FSAR, FACR joins Maddi to revisit the evidence (or lack thereof) behind whole-body MRI screening, from cancer detection and incidental findings to over diagnosis and increased downstream costs. He also addresses the question that matters most: What evidence would actually prove that screening improves health?Because detecting disease is one thing. Proving that detection helps patients is another. Claim your free CME here: https://cmetracker.net/EVMS/Publisher?page=pubOpen#/getCertificate/31903Find related JACR articles here: https://www.jacr.org/article/S1546-1440(24)00765-8/abstracthttps://www.jacr.org/article/S1546-1440(24)00764-6/abstractAccreditation InformationContributorsMatthew Davenport, MD, MBAMadison Wulfeck, MD, MBAJeffrey Waltz, MDReviewersMadison Wulfeck, MD, MBAJeffrey Waltz, MDRelease DateSeptember 2026Expiration DateSeptember 2029Disclosure StatementThe planners and contributors have no financialrelationships with ineligible companies to disclose. Accreditation StatementThis activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of Macon and Joan Brock Virginia Health Sciences at Old Dominion University and Contrast & Clarity Podcast. Macon and Joan Brock Virginia Health Sciences at Old Dominion University is accredited by the ACCME to provide continuing medical education for physicians.Credit DesignationMacon and Joan Brock Virginia Health Sciences at Old Dominion University designates this enduring material activity for a maximum of 1.0 AMA PRA Category 1 CreditsTM. Physiciansshould claim only the credit commensurate with the extent of their participation in the activity. If you have any questions regarding CME, please email CME@ODU.edu or call 757-446-6140.
- Sep 16, 202617 min
55. TLDR September 2026 Issue
This September JACR may be short and sweet, but it's packed with surprisingly big ideas. This month's TLDR tackles:Where diagnostic errors really happenWhether radiology AI actually pays for itselfWhat a breast biopsy needle shortage can teach us about resilienceHow radiology should prepare for the World Cup and OlympicsPlus: AI disclosure in scientific publishing, smarter radiation dose benchmarking, and a timely look at maternal mental healthPlenty to talk about. Take a listen for everything you need to know from the September issue! Find the entire September 2026 JACR issue here: https://www.jacr.org/issue/S1546-1440(26)X2007-5
- Sep 6, 202643 min
54. The Turnaround Time Trap
Report turnaround time is easy to track - and faster certainly feels better. But does a faster report actually mean better patient care? And what happens when speed becomes a benchmark tied to physician performance and payment?In this episode of Contrast & Clarity, Nadja Kadom, MD joins us to discuss her JACR review article examining the evidence (or lack thereof) behind national turnaround-time benchmarks - and why uniform thresholds may overlook differences in case complexity, workflow, practice setting, and the work that can actually increase value. Then, quality and safety expert Anand Singh, MD takes the conversation one step further: turnaround time may be a useful measure of operations and capacity, but is it really a measure of quality and patient safety?Find the full JACR article here: https://www.jacr.org/article/S1546-1440(26)00290-5/fulltext
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About Contrast and Clarity with the JACR
Welcome to "Contrast & Clarity with the JACR," where we dive into the latest trends in the world of radiology. Join hosts Maddi Wulfeck and Jeff Waltz as they discuss current radiology topics and innovations that are shaping the future of healthcare. Topics will span the hottest trends in radiology such as artificial intelligence, expert perspectives, and what the future holds for the field. Whether you're a seasoned radiologist, resident, medical student, or simply curious about the field, this podcast sets the stage for an exciting journey into the world of medical imaging.
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