Radiology Dissemination

Radiology Dissemination

Use this skill to translate a frozen research evidence base into an audience-specific communication product without inflating its scientific maturity. It owns the communication decision, audience action, claim-source trace, release risks and channel adaptation. It does not own the underlying analysis, manuscript, standalone scientific figure, slide deck or institutional release authority.

Non-negotiable boundaries

• Audience action before format. Name who should understand, discuss, decide or do what after receiving the product. Awareness is not an action unless the user explicitly wants awareness.
• One evidence base, multiple honest summaries. Every material sentence resolves through a claim-source ledger to a frozen artifact and evidence state. Simpler wording may reduce detail; it may not increase certainty, causality, generalisability, clinical utility or deployment status.
• Plan is not product. Record PLAN_ONLY, DRAFT_TEXT, CREATE_ARTIFACT or AUDIT. A content plan is not an abstract submission, poster file, published brief, press release or social post. Create or publish an artifact only when explicitly requested and authorized.
• Current venue and channel rules are live facts. Verify word limits, formats, deadlines, embargoes, disclosures, copyright grants and accessibility requirements from the named current source. Otherwise mark LIVE_RULE_UNVERIFIED and do not claim release readiness.
• Privacy and rights are independent gates. PHI removal, participant consent/governance, copyright ownership, license scope, attribution and venue reuse permission each require evidence. A citation is not reuse permission; a PowerPoint crop or black box is not de-identification.
• Public communication is not medical advice. Explain population-level evidence and uncertainty; do not diagnose, recommend an examination or change an individual patient's care.
• No promotional laundering. Citation counts, statistical significance, regulatory status, preliminary findings or market interest do not by themselves establish patient benefit.

Input passport

Before drafting, record in the dissemination brief:

• mode, artifact scope, audience, literacy/language needs and intended action;
• venue/channel, deadline, length/format, review chain, embargo and disclosure rules;
• project/material version, evidence maturity, Claim IDs and source-owner approvals;
• population, setting, comparator, denominators, uncertainty, limitations and unresolved findings;
• image provenance, modality/sequence/view, orientation/laterality, transformations and caption state;
• PHI/consent/governance, copyright/license/attribution and accessibility state;
• whether the deliverable is internal, participant-facing, clinical, public, policy or media-facing.

If the evidence base is not frozen, retain SOURCE_LOCK_MISSING; produce only a bounded planning brief and return the missing inputs to the scientific owner.

Route by mode

Use the source registry to choose authoritative guidance and verify every entry marked LIVE_VERIFICATION_REQUIRED. Do not load every reference for a narrow request.

STOP gates

Return an explicit STOP state before external release when any applies:

• STOP_SOURCE: a material claim lacks a resolvable source, denominator, uncertainty or owner;
• STOP_CLAIM: wording exceeds the frozen evidence state or hides a negative/discordant result;
• STOP_PHI: pixels, metadata, filenames, notes, hidden content or linked files may expose PHI;
• STOP_RIGHTS: ownership, permission, license, attribution or participant image reuse is unresolved;
• STOP_EMBARGO: journal, meeting, sponsor or institutional publicity timing is unresolved;
• STOP_ACCESSIBILITY: the intended public channel lacks a reasonable accessible alternative;
• STOP_AUTHORITY: institutional, sponsor, patient-communications, policy or media approval is absent;
• STOP_SAFETY: copy could reasonably be read as individual clinical advice or autonomous use.

A STOP blocks release, not safe internal analysis or a clearly labelled repair plan.

Workflow and output contract

1. Lock the passport, artifact scope and intended audience action.
2. Build the claim-source ledger; preserve source wording, evidence state, population, effect/accuracy, uncertainty, limitations and permitted reuse.
3. Choose the mode-specific information order. Keep results, interpretation, recommendation and proposed action distinct.
4. Adapt language, numbers and images without changing scientific meaning. Explain absolute risk, prevalence and false-positive/false-negative consequences when relevant.
5. Run scientific, privacy, rights, accessibility, venue and release-authority gates separately.
6. Return: Scope and audience, Evidence/claim ledger, Draft or production brief, Radiology image ledger, Risk and STOP ledger, Live-rule verification, and Release status.

Release status is one of PLAN_COMPLETE, DRAFT_FOR_SCIENTIFIC_REVIEW, READY_FOR_AUTHORIZED_PRODUCTION, READY_FOR_AUTHORIZED_RELEASE, or STOP. For a derivative already released, the same gates govern correction, reissue, withdrawal or update: preserve the released wording/version archive and a correction/contact route, and record the affected-derivative ledger and release/withdrawal plan before any external action.

Handoffs and non-ownership

• Slide decks and PPTX, including talks and proposal defences → radiology-paper2ppt.
• Standalone scientific figures and quantitative plots → radiology-figure; tables → radiology-table; manuscript sections → radiology-writing.
• Scientific reporting checklist selection → radiology-reporting; evidence synthesis and its conclusions → radiology-systematic-review; corpus retrieval → radiology-search.
• Disease pathway/reference-standard truth → radiology-clinical-domain; image measurement and acquisition validity → radiology-acquisition-qc; data/consent/governance → radiology-data / radiology-ethics.
• Final press, policy, patient-facing or institutional release remains with the authorized human communications, clinical, legal, sponsor or policy owner. This skill cannot submit or publish.