Volume 77 Issue 4, November 2026

Discover the latest thinking shaping radiology practice. From workforce and leadership challenges to imaging guidelines, health policy, innovation, and equity, this issue brings together expert perspectives and evidence-based research that matter to radiologists today. Readers will find practical insights, thought-provoking commentary, and actionable knowledge to support clinical excellence and informed decision-making. 

Table of Contents

Editorials 

• Addressing the Radiology Workforce Crisis Through Early Exposure 

• A Note of Thanks to 2026 CARJ Reviewers 

• CARJ Outstanding Reviewers Awards for 2026 

• CARJ Editor’s Award 2026 

Guest Editorials 

• Contemporary Leadership in Radiology: Transitioning From Hierarchical Models to Distributive Servant Leadership 

• Financial Reasoning in Canadian Radiology: A Public Sector Perspective 

• After Hours, After Thought? Rethinking CT Stewardship in Pediatric Head Trauma 

• Improving Quality of Life in Terminal Patients With Malignant Bowel Obstruction: A Feasible, Safe and Successful Interventional Radiological Technique 

Health Policy and Practice 

• Building Purpose-Driven Radiology Departments: Distributed and Servant Leadership in Action 

• CAR/CAIR Practice Guidelines: Periprocedural Management of Patient Bleeding Risk 

• Geographic and Sex Distribution of LI-RADS Research Globally: A Cross-Sectional Meta-Research Study 

• Financial Reasoning in Radiology: Interpreting Risk, Value, and Capital Allocation for Resilient and High-Value Imaging Services 

• CAR/BRC Recommendations for Management of Axillary Lymphadenopathy Following COVID-19 Vaccination 

• CAR Practice Guidelines on Breast Imaging and Interventions: Mammography and Digital Breast Tomosynthesis 

• CAR Practice Guidelines on Breast Imaging and Interventions: Contrast-Enhanced Mammography 

• CAR Practice Guidelines on Breast Imaging and Interventions: Breast Ultrasound 

• CAR Practice Guidelines on Breast Imaging and Interventions: Breast Magnetic Resonance Imaging 

• CAR Practice Guidelines on Breast Imaging and Interventions: Breast Intervention and Biopsy Procedures 

Abdominal Imaging 

• Differentiating Between Pancreatic Adenosquamous Carcinoma and Pancreatic Ductal Adenocarcinoma Using Computed Tomography 

• Predictors of Repeat Nondiagnostic Cytology in Thyroid Fine-Needle Aspiration 

• CT and MRI in the Characterization and Preoperative Assessment of Adrenocortical Carcinoma: Current Concepts and Perspectives 

Breast Imaging 

• Association Between Breast Arterial Calcifications and Increased Cardiovascular Risk: A Canadian Perspective on Clinical Implications and the Potential Role in Preventive Care 

Pediatric Radiology 

• Cranial Computed Tomography Use in Pediatric Head Trauma: Assessing Appropriateness, Insights, and Recommendations in a Single-Centre Cohort 

Vascular and Interventional Radiology 

• Short- and Long-Term Outcomes and Catheter Durability After Venting Percutaneous Transesophageal Gastrostomy in Palliative Malignant Bowel Obstruction 

Research Letter 

• Equity, Diversity, and Inclusion in Academic Radiology: Exposing Polarized Perspectives 

Letter to the Editor 

• It’s Time for Radiologists to Stop Misusing the Phrase “Diagnosis of Exclusion”