Black Hairstyles in Radiological Imaging: A Pilot Study

IF 2.5 4区医学 Q1 MEDICINE, GENERAL & INTERNAL

Journal of the National Medical Association Pub Date : 2024-08-01 DOI:10.1016/j.jnma.2024.07.099

Angela Udongwo MPH, Jariatu Kamara BA, Candrice R. Heath MD, Alex Kleinmann, Alex Sandberg BS, Gary Cohen MD, Hillel S. Maresky MD

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引用次数: 0

Abstract

Background

Hairstyles common in Black communities, braids, twists, locs present as artifacts, posing unique diagnostic challenges in interpreting radiological imaging, though limited research has been conducted on the current climate of their interpretation.

Purpose

Present a review of hairstyles as hair artifacts in literature and investigate the comfortability and familiarity of physicians and radiology technicians in assessing braids, twists, and locs as hair artifacts on radiological imaging.

Methods

Cross-sectional study was conducted in an academic hospital using an online platform to assess the experiences and awareness of hairstyles on imaging. Responses were collected between April 2023 through August 2023 and included demographic information, career length, how often they came across hair artifacts in imaging, comfort and familiarity with Black hairstyles as artifact, and a quiz to distinguish pathology from hair artifact on chest x-ray images.

Results

46 participants from Temple Radiology (41.3%), Temple Emergency Medicine (21.7%), Temple Jeanes Campus (26.1%), and St. Lukes Bethlehem Radiology Group (2.2%), with the Radiologist cohort of an average experience of 9.40 years (SD=12.41), Emergency Medicine cohort 7.11 years (SD=7.08), and the Intern cohort had 0.5 years (SD=0.71). Career length (Row Factor: [9.8]; p < 0.0001) and patient load (Row Factor: [3.1], p = 0.029; p < 0.05) significantly affected self-reported scores, with longer careers and larger loads associated with higher score of comfort and familiarity among study participants.

Conclusions

Longer career lengths and a higher number of patients per day improved awareness of how Black hairstyles presents in medical imaging. This study highlighted a radiological phenomenon lacking in medical literature and provided valuable insights into the impact of experience on physicians' ability to identify and interpret radiological images affected by styles that can mimic pathology. An emphasis is put on the need for education earlier in training.

查看原文本刊更多论文

放射成像中的黑人发型：试点研究

背景黑人社区中常见的发型，如辫子、麻花辫、发夹等，在解释放射成像时构成了独特的诊断挑战，尽管目前对其解释的研究还很有限。目的综述文献中作为毛发伪影的发型，并调查医生和放射技术人员在评估放射成像中作为毛发伪影的辫子、麻花辫和头饰时的舒适度和熟悉程度。方法在一家学术医院开展横断面研究，使用在线平台评估成像中发型的经验和认知。研究在 2023 年 4 月至 2023 年 8 月期间收集回复，内容包括人口统计学信息、工作年限、在成像中遇到头发伪影的频率、对黑人发型作为伪影的舒适度和熟悉程度，以及在胸部 X 光图像上区分病理和头发伪影的测验。结果46名参与者分别来自坦普尔放射科（41.3%）、坦普尔急诊科（21.7%）、坦普尔让斯校区（26.1%）和圣卢克斯伯利恒放射科组（2.2%），其中放射科医师队列的平均从业年限为9.40年（SD=12.41），急诊科医师队列的平均从业年限为7.11年（SD=7.08），实习医师队列的平均从业年限为0.5年（SD=0.71）。职业年限（行因子：[9.8]；p <；0.0001）和患者数量（行因子：[3.1]，p = 0.029；p <；0.05）显著影响自我报告得分，职业年限越长、患者数量越多，研究参与者的舒适度和熟悉度得分越高。这项研究强调了医学文献中缺乏的一种放射学现象，并就经验对医生识别和解释受模仿病理的发型影响的放射图像的能力的影响提供了有价值的见解。研究强调了在培训早期开展教育的必要性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of the National Medical Association 医学-医学：内科

CiteScore

4.80

自引率

3.00%

发文量

139

审稿时长

98 days

期刊介绍： Journal of the National Medical Association, the official journal of the National Medical Association, is a peer-reviewed publication whose purpose is to address medical care disparities of persons of African descent. The Journal of the National Medical Association is focused on specialized clinical research activities related to the health problems of African Americans and other minority groups. Special emphasis is placed on the application of medical science to improve the healthcare of underserved populations both in the United States and abroad. The Journal has the following objectives: (1) to expand the base of original peer-reviewed literature and the quality of that research on the topic of minority health; (2) to provide greater dissemination of this research; (3) to offer appropriate and timely recognition of the significant contributions of physicians who serve these populations; and (4) to promote engagement by member and non-member physicians in the overall goals and objectives of the National Medical Association.