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Contrast and Clarity with the JACR

Maddi Wulfeck
Radiology
Non-Physician Practitioners
Competency-Based Education
Radiology Training
Artificial Intelligence
Patient Care
Merit-Based Incentive Payment System
American College Of Radiology
Healthcare Access
Lung Cancer Screening
Medicare
Discursive Innovation
University Of Pennsylvania
Emergency Department
Accreditation Council For Graduate Medical Education
Boston Medical Center
Medical Credentialing
Dr. Priscilla Slanetz
Raddiscord
Healthcare Quality Measures

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. Wheth... more

PublishesTwice monthlyEpisodes39Foundeda year ago
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Health & FitnessMedicine

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Artwork for Contrast and Clarity with the JACR

Latest Episodes

Radiology has a dirty little secret.

The people who look the most confident...often feel like they're faking it.

In this episode, Maddi and Jeff talk with Sherry Wang, MBBS about one of the most pervasive - and least talked about - realities in ra... more

Radiology runs medicine.

So why are we teaching it like a side quest?

In this episode of Contrast & Clarity, Maddi and Jeff talk with Scott Simpson, DO, MSEd and Daniel DePietro, MD about the uncomfortable truth: we’re graduating physicians who rel... more

Are we training radiology residents for yesterday’s world?

Because the traditional model of workstation teaching + didactic conferences? It may not be sustainable anymore.

In this week's episode, Maddi and Jeff sit down with the authors of “Alterna... more

Imaging volumes are "down."

Radiologist workload is "up."

Length is stay is longer.

Wait. What?

In this episode of Contrast & Clarity with the JACR, Maddi and Jeff sat down with Tina Shiang, MD to unpack her recent analysis of inpatient imaging u... more

That “black box” AI algorithm your practice just bought might look sleek on a demo screen—but when something goes wrong, it won’t be the software company signing the report. It’ll be you.

In this episode of Contrast & Clarity, Maddi and Jeff interv... more

What happens when AI gets it wrong – and who’s actually on the hook?

In this episode of Contrast & Clarity with the JACR, we sit down with Tanya E. Karwaki, JD, PhD, author of the JACR opinion piece “Balancing Artificial Intelligence Risks and Benef... more

Artificial intelligence isn’t failing radiology. Our healthcareinfrastructure just isn’t ready for it.

In this episode of Contrast & Clarity with the JACR, we cut through the hype to tackle the real reason artificial intelligence hasn’t transformed... more

What happens when the dream of remote radiology becomes a nightmare for practice culture?

Tune in as Maddi and Jeff are joined by Ivan DeQuesada, MD and Andrew Moriarty, MD to discuss onsite staffing concerns and the tensions between productivity, ... more

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Recent Guests

Mahan Mathur
Associate Professor of Radiology and Biomedical Imaging, Yale School of Medicine; Vice Chair of Education; Editor-in-Chief of STARS
Yale School of Medicine
Episode: 36. Flip it, Click it, and Send it: How we Should be Teaching Residents in 2026
Billy Chen
Second year radiology resident, Yale School of Medicine; ACR member
Yale School of Medicine
Episode: 36. Flip it, Click it, and Send it: How we Should be Teaching Residents in 2026
Tina Shiang
Musculoskeletal Radiologist at Massachusetts General Hospital and Mass General Brigham, ACR member
Massachusetts General Hospital / Mass General Brigham
Episode: 35. Radiology Workload is Up 90% Please Send Snacks *CME*
Ken Davis
Healthcare attorney with Katten Law Firm
Katten LLP
Episode: 34. AI Roadblocks Part 3: The Way Forward
Tanya Karwaki
Assistant Teaching Professor in the School of Public Health, University of Washington
University of Washington
Episode: 33. AI Roadblocks Part 2: Legal Lag
Michael Bruno
Professor of Radiology and Medicine at Penn State College of Medicine
Penn State College of Medicine
Episode: 32. AI Roadblocks Part 1: The Infrastructure Problem *CME*
Ivan DeQuesada
Radiologist, Medical Director of Tele-radiology at Radiology Associates of North Texas, and Board Member
Radiology Associates of North Texas
Episode: 31. The Great Radiology Migration: From Hospitals to Home Offices
Andrew Moriarty
Executive Vice President at Advanced Radiology Services and Associate Professor of Radiology at Michigan State University
Advanced Radiology Services
Episode: 31. The Great Radiology Migration: From Hospitals to Home Offices
Shanna Matalon
Body radiologist and former associate program director
Vanderbilt
Episode: 30. The New Readout Reality *CME Available*

Hosts

Maddi Wulfeck
Co-host of Contrast & Clarity with the JACR; affiliated with JACR
Jeff Waltz
Co-host of Contrast & Clarity with the JACR; affiliated with JACR

Top Medicine Podcasts

Talking Points

Recent interactions between the hosts and their guests.

33. AI Roadblocks Part 2: Legal Lag
Q: How do you see the role of legislation and regulatory bodies evolving in tandem with AI advances in radiology?
Legislation may shift from reactive to proactive, with emphasis on human-in-the-loop, adequate quality assurance, and standards that guide AI use while courts help refine the evolving standard of care through emerging case law.
33. AI Roadblocks Part 2: Legal Lag
Q: What are the practical steps radiology practices should take now to prepare for AI-enabled care and potential litigation?
Establish internal approval and validation processes for AI tools, document decision-making and reasoning, ensure physician-led governance, and engage with policymakers to shape proactive legislation that clarifies standards and protections.
33. AI Roadblocks Part 2: Legal Lag
Q: You mentioned in your opinion piece that the adoption of AI into radiology is likely to increase the number of lawsuits, but not necessarily liability for radiologists. Could you explain this distinction?
Liability hinges on the standard of care and whether a radiologist's actions align with what a reasonably prudent practitioner would do in that AI-influenced scenario; lawsuits may rise to test evolving standards, but the actual liability depends on demonstrated negligence or misjudgment, not merely the presence of AI.
25. Labor Unions and Radiology Residencies
Q: Your study suggests that radiology residents may see unionization as protection against changes in their work environment. Were you surprised by these results?
Yes, we were surprised as there was no significant difference in program satisfaction between unionized and non-unionized residents.
25. Labor Unions and Radiology Residencies
Q: What was the initial inspiration behind your work and what did you hope to accomplish?
We aimed to understand radiology residents' perspectives on unionization and compare unionized and non-unionized groups.

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Frequently Asked Questions About Contrast and Clarity with the JACR

What is Contrast and Clarity with the JACR about and what kind of topics does it cover?

Blending clinical radiology with education, policy, and technology discussions, this program frequently explores AI, workload, residency training, and the evolving work environment in radiology. Episodes feature expert clinicians, researchers, educators, and legal/policy voices who dissect practical implications of new tools, governance, and workforce trends, often linking AI, patient care, and education to real-world outcomes. The show stands out for its focus on practical, implementable ideas—ranging from AI-assisted workflows and flipped classrooms to remote readouts, data governance, and mentorship—within a healthcare system undergoing rapid change. Listeners are likely to include practicing radiologists, residents, medical students, ho... more

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Contrast and Clarity with the JACR launched a year ago and published 39 episodes to date. You can find more information about this podcast including rankings, audience demographics and engagement in our podcast database.

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What guests have appeared on Contrast and Clarity with the JACR?

Recent guests on Contrast and Clarity with the JACR include:

1. Mahan Mathur
2. Billy Chen
3. Tina Shiang
4. Ken Davis
5. Tanya Karwaki
6. Michael Bruno
7. Ivan DeQuesada
8. Andrew Moriarty

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