By Lucy Tamborino
Photos ASA 400 Studio
Continuing the program, the JPR 2025 Professionalism and Management session continued on Friday (02). Traditionally known for discussing the most current topics in radiology, the session presented the need for an empathetic and necessary radiologist for the patient, sustainability, quality and safety in diagnosis. Check out the highlights!
How to establish technology management and empathy in diagnosis?
Opening the module, JPR 2025 welcomed Magali Hovsepian, coordinator of CAP SAR “Patient Quality and Safety” and Medical Director of TCba Diagnostic Center, Bs As Argentina.
She highlighted the importance of healthcare that places the patient at the center and advocated actions such as effective communication, patient education, as well as physical comfort and emotional connection (made possible by observing the values, preferences and needs of family care).
This would lead to improvements in the quality of processes with greater patient safety; cost reduction; better diagnostic/treatment results and increased satisfaction of patients and referring physicians. Among the articles cited to support the class is Communication and empathy skills: Essential requisites for patient-centered radiology care.
Marcos Roberto Gomes de Queiroz, Director of Diagnostic Medicine at Hospital Israelita Albert Einstein, addressed the need to stay up to date and “go against mass care”. The radiologist must be a protagonist: not hide, take risks and show up when needed.
Technology also plays a crucial role in this scenario, as explored by Roberto Caldeira Cury, Vice President of Service Units and Customer Experience – Dasa. He reflected on the main roles of technology in the sector: growth and efficiency, digitalization, medical engagement, early treatment and patient experience.
PADI: “We need to eliminate this Manichean vision”
More than 1 million exams are generated per month in PADI-certified services, demonstrating the national relevance of the initiative in quality and safety in radiology. Topics such as clarity, correct anatomical coverage, adequate tissue contrast, exam title, side identified in the images, among others, are evaluated.
The most complex errors are not always unique and expected. “Ensuring the quality of exams is more than correcting errors – it is valuing life through precision, ethics and commitment to excellence,” explains Ruy Moraes Machado Guimarães, coordinator of the PADI accreditation committee.
Bruno Aragão Rocha, coordinator of the CBR’s innovation and teleradiology committee, proposed to analyze the cases of artificial intelligence applications to improve patient safety – exploring the main potentialities and risks: “We need to eliminate this Manichean vision, between AI as a villain or an ally – it is much more complex”.
Adriano Tashibana, coordenador do CADI/PADI do CBR, discutiu como os líderes querem conduzir o ambiente e os negócios. Para ele, a valorização da equipe é fundamental para resultados, chegando inclusive a mencionar um case na área – “How Alcoa quintupled their revenue by focusing on worker safety”.
Adriano Tashibana, CADI/PADI coordinator at CBR, discussed how leaders want to conduct the environment and business. For him, valuing the team is fundamental for results, even mentioning a case in the area – “How Alcoa quintupled their revenue by focusing on worker safety”.
Diagnostic quality in focus: from ROI to error prevention and the role of AI
With a critical view on the topic, Anderson Mattozinhos de Castro, Padi Lead Auditor, reflected on ROI in healthcare – the relationship between net profit and the cost of investment.
For him, the methodology has limitations, such as not considering the duration of investments, opportunity costs, risks, seasonality and external factors.
“We need to reflect on the limits of cost cutting. Our operation cannot accommodate further downsizing without harming people and compromising diagnostic safety,” he criticized.
For him, the path to transformation involves the radiologist delivering and communicating value – engaging with the patient and the referring physician and avoiding the reductionist approach of acting only as a ‘reporter’. It is also necessary not to give in to the pressure of working for any price, to accept work without receiving payment and not to give up quality to reduce costs.
Augusto Braga Fernandes Antunes, Medical Coordinator of the Alliance Teaching, Research and Innovation Center, and Communications Director of the CBR, mentioned a study that showed that 60% to 80% of errors in radiology reports were due to perception.
Despite its potential, AI should be used with caution when analyzing reports. “Most solutions do not deliver on their promises in terms of accuracy. They work well on the datasets they were developed for, but fail when applied to others,” he noted.
O profissional trouxe diversos artigos, como o External Validation of Deep Learning Algorithms for Radiologic Diagnosis: A Systematic Review, e sugere entender o papel do radiologista e como se posicionar.
The professional brought several articles, such as External Validation of Deep Learning Algorithms for Radiologic Diagnosis: A Systematic Review, and suggests understanding the role of the radiologist and how to position oneself.
Aline Morião, a member of the CBR’s diagnostic imaging accreditation committee and a major in the Brazilian Air Force, discussed the prevention of human errors in radiology. She addressed strategies such as listening to the patient and family; diagnostic pauses; differential diagnoses; second opinions; diagnostic decision support such as AI; medical records and contact with the person who requested the exam.
Closing the session, Ruy Moraes Machado Guimarães addressed sustainability in radiology. He criticized the excessive prescription of low-value exams, which represent waste and unnecessary exposure to radiation.
The proposed solution, for him, involves the creation of a “National Prescription Card” with penalties for poorly prescribed exams and greater transparency about radiation in scientific publications.
