Independent analysis of the evidence behind what radiology adopts: scoring systems, guidelines, protocols, and AI. What the endpoints actually measure, how the tools affect the radiologist, and whether impressive results hold up in clinical practice.
New evidence in radiology often arrives with an impressive headline number. The harder questions come afterward.
RadBrief examines those questions closely and in public.
Some pieces analyze clinical standards, scoring systems, and guidelines. Others examine how AI tools are evaluated. Both ask the same question: does the evidence support what we are being asked to adopt?
Melina Pectasides, MD, is an academic abdominal radiologist at Cleveland Clinic, focused on gynecologic and prostate MRI. Most of her career has been on the standards side of imaging: body MRI directorships, quality programs, the NCI Ovarian Task Force, and the ACR Appropriateness Criteria panel for gynecologic imaging.
She writes RadBrief to examine what the evidence behind radiology's standards and its newest tools actually establishes, and what it leaves unanswered.
She is also the founder of RadReason, a reasoning-support tool designed for use while a radiologist is actively interpreting a case. Building and studying the tool provides an additional perspective on endpoints, human and AI interaction, and the difference between producing an answer and improving a clinician's reasoning.
RadReason surfaces structured differentials while findings are being dictated, and asks the questions that separate them. It works during the read, and it never makes the diagnosis.
See RadReason →RadBrief is one part of Modvium. Modvium is where I keep the tools and the teaching, all aimed at making reasoning clearer. RadReason is there. So are plain guides on building with AI.
Visit Modvium ↗A journal club for practicing radiologists. Once a month: what holds up, what doesn't, and what I'd actually do. Shorter notes go up on LinkedIn in between, and everything stays in the archive here, with references.
Or read on Substack ↗