Dear Imaging Informatics Insider,
Peer review of radiologist performance can be difficult to implement in a fair and objective manner. In Moscow, that challenge has been successfully addressed, however, by a remote regional radiology quality assurance system, according to a new column on AuntMinnieEurope.com.
The system, which has been in place for over a year, has yielded marked decreases in the percentage of cases with significant or insignificant discrepancies, reported Drs. Ekaterina Guseva, PhD; Natalya Ledikhova; and Sergey Morozov, PhD, of the Research and Practice Center of Medical Radiology in Moscow.
How did they accomplish this improvement in radiologist performance? Click here for all of the details.
European radiologists need to start caring more about artificial intelligence (AI), according to another article authored by Dr. Morozov -- this time in collaboration with Dr. Erik Ranschaert, PhD. Although widespread implementation of AI into the clinical workflow is currently limited by a number of important factors, recent legislation will facilitate the development of clinically justified AI algorithms over the next couple of years. The sooner radiologists embrace AI, the more they will be able to guide creation of these algorithms, according to Morozov and Ranschaert. Click here to learn more.
It's been five months since the WannaCry cyberattack inflicted significant damage on one-fifth of U.K. hospitals and many other healthcare providers across Europe. More powerful cyberattacks are expected in the future, however, and cybersecurity represents a ticking time bomb for European radiology, according to a new column by Stephen Holloway of Signify Research. Click here to learn how vendors and providers should be focusing their cybersecurity efforts.
Radiologists need to be proactive when their institution is planning a PACS replacement, according to Dr. Rizwan Malik of the Bolton National Health Service Foundation Trust in the U.K. In a presentation at the recent Royal College of Radiologists annual scientific meeting, Malik suggested, for example, that radiologists communicate directly with suppliers in person. Click here for more of Malik's tips and guidance.
If you have any tips or suggestions for topics you'd like to see covered in the Imaging Informatics Community, please feel free to drop me a line.
![Examples of ultrasound findings and techniques. (A) Images in a 39-year-old male patient with a mass in the left thigh. The mass is heterogeneous on the B-mode US image (compared with the patient in D) and showed increased microvascularity (superb microvascular imaging [SMI]) and shear-wave elastography (SWE) values. Undifferentiated pleomorphic sarcoma was diagnosed at biopsy (with pleomorphic rhabdomyosarcoma in surgical specimen). (B) Images in an 18-year-old male patient with a mass in the left leg. The mass is hypoechoic on the B-mode image, with no other findings suggestive of malignancy. The lesion is in contact with the cortex of the tibia, which is slightly irregular. CT revealed a doubtful anteromedial tibial erosion. The microvascular study demonstrated high vascularization, suggestive of malignancy. Periosteal Ewing sarcoma was diagnosed with both histologic and immunohistochemical confirmation. (C) Images in a 69-year-old female patient with a lump growing on the outside of the left leg. Multiple SWE examinations were performed (please note the high values obtained in the measurements, whereas the color map highlights the stiffness relative to adjacent tissues). SMI showed areas of increased vascularization to target for sampling. Undifferentiated spindle cell sarcoma was diagnosed at biopsy, with residual leiomyosarcoma in the surgical specimen after neoadjuvant therapy. (D) Images in a 56-year-old female patient with a mass in the right thigh. The mass is heterogeneous at both B-mode ultrasound (similar to patient A) and MRI (coronal T2-weighted spectral attenuated inversion recovery [SPAIR]; T1-weighted pre-contrast and postcontrast imaging), which even shows uptake after the administration of paramagnetic contrast material, which is traditionally suggestive of malignancy. Low values at SMI and elastography are suggestive of benignity. Spindle cell lipoma was diagnosed at biopsy, with atypical spindle cell lipomatous tumor in the surgical specimen.](https://img.auntminnieeurope.com/mindful/smg/workspaces/default/uploads/2026/08/images-radiol250278fig2.APCFLSvX6p.jpg?auto=format%2Ccompress&fit=crop&h=100&q=70&w=100)
![Examples of ultrasound findings and techniques. (A) Images in a 39-year-old male patient with a mass in the left thigh. The mass is heterogeneous on the B-mode US image (compared with the patient in D) and showed increased microvascularity (superb microvascular imaging [SMI]) and shear-wave elastography (SWE) values. Undifferentiated pleomorphic sarcoma was diagnosed at biopsy (with pleomorphic rhabdomyosarcoma in surgical specimen). (B) Images in an 18-year-old male patient with a mass in the left leg. The mass is hypoechoic on the B-mode image, with no other findings suggestive of malignancy. The lesion is in contact with the cortex of the tibia, which is slightly irregular. CT revealed a doubtful anteromedial tibial erosion. The microvascular study demonstrated high vascularization, suggestive of malignancy. Periosteal Ewing sarcoma was diagnosed with both histologic and immunohistochemical confirmation. (C) Images in a 69-year-old female patient with a lump growing on the outside of the left leg. Multiple SWE examinations were performed (please note the high values obtained in the measurements, whereas the color map highlights the stiffness relative to adjacent tissues). SMI showed areas of increased vascularization to target for sampling. Undifferentiated spindle cell sarcoma was diagnosed at biopsy, with residual leiomyosarcoma in the surgical specimen after neoadjuvant therapy. (D) Images in a 56-year-old female patient with a mass in the right thigh. The mass is heterogeneous at both B-mode ultrasound (similar to patient A) and MRI (coronal T2-weighted spectral attenuated inversion recovery [SPAIR]; T1-weighted pre-contrast and postcontrast imaging), which even shows uptake after the administration of paramagnetic contrast material, which is traditionally suggestive of malignancy. Low values at SMI and elastography are suggestive of benignity. Spindle cell lipoma was diagnosed at biopsy, with atypical spindle cell lipomatous tumor in the surgical specimen.](https://img.auntminnieeurope.com/mindful/smg/workspaces/default/uploads/2026/08/images-radiol250278fig2.APCFLSvX6p.jpg?auto=format%2Ccompress&dpr=2&fit=crop&h=167&q=70&w=250)
