Junjie Huang, Fung Yu Mak, Yuet Yan Wong, Sze Chai Chan, Jonathan Poon, Ellen Tong, Clement S K Cheung, Wing Nam Wong, Ngai Tseung Cheung, Martin C S Wong
{"title":"Acceptability, benefits and barriers of electronic health record radiology image sharing: A mixed-method study.","authors":"Junjie Huang, Fung Yu Mak, Yuet Yan Wong, Sze Chai Chan, Jonathan Poon, Ellen Tong, Clement S K Cheung, Wing Nam Wong, Ngai Tseung Cheung, Martin C S Wong","doi":"10.1002/jmrs.853","DOIUrl":"https://doi.org/10.1002/jmrs.853","url":null,"abstract":"<p><strong>Introduction: </strong>The electronic Health Record Sharing System (eHRSS) bridges public and private healthcare providers to efficiently share and access patient medical records. This study examined the acceptability, benefits and barriers of electronic Health Record (eHR) radiology image sharing as perceived by patients and physicians. This study found radiology image sharing can help improve the management and performance of medical services, but information asymmetry and insufficient publicity still affect the development of information sharing.</p><p><strong>Methods: </strong>Physicians who were potential adopters of radiology image sharing system in Hong Kong were recruited for the quantitative study. In-depth interviews were conducted to examine acceptability, perceived benefits, barriers and potential areas for improvement of radiology image sharing system among physicians and patients. Other descriptive data collected included age, gender, clinical experience and practice type. Correlation between predictors, acceptability and perceived benefits were examined using linear and logistic regression analyses.</p><p><strong>Results: </strong>A total of 288 surveys and 10 interviews were included. High level of user satisfaction (78.5%) with raised patient healthcare experience (82.3%) towards radiology image sharing system was observed. It was seen as highly capable to overcome limitations from using the films and traditional logistics (87.2%). System quality was a significant factor associated with acceptability (aOR = 4.307, 95% CI: 1.815-10.223, p = 0.001). Healthcare Professionals (HCPs) displayed high acceptability towards all system features, tracking patient history in particular. Patients expressed positive attitudes towards radiology image sharing and it is helpful for selecting radiology centres.</p><p><strong>Conclusions: </strong>Particular features of radiology image sharing were associated with positive user acceptability and perceptions. Recommendations included enhancing promotional efforts, encouraging private institutions to enrol, data confidentiality reassurance and granting same level access to patient and provider.</p>","PeriodicalId":16382,"journal":{"name":"Journal of Medical Radiation Sciences","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143730371","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Laura Feighan, Lesley MacDonald-Wicks, Robin Callister, Yolanda Surjan
{"title":"Fuelling Recovery: Is There a Role for Radiation Therapists in Optimising Nutrition for Women With Breast Cancer?","authors":"Laura Feighan, Lesley MacDonald-Wicks, Robin Callister, Yolanda Surjan","doi":"10.1002/jmrs.874","DOIUrl":"https://doi.org/10.1002/jmrs.874","url":null,"abstract":"<p><strong>Introduction: </strong>Women with breast cancer receiving radiation therapy (RT) can experience treatment side effects and compromised quality of life. The quality of a person's diet can play a vital role in preventing cancer and other chronic diseases. Despite this, studies show many Australians do not meet the recommended guidelines for consuming a quality diet. Currently, women with breast cancer receiving RT are not routinely provided nutritional support, highlighting a possible gap in the comprehensive care of this population. This study aims to explore the dietary practices of women with breast cancer receiving RT and their perceptions of nutritional support during treatment. Furthermore, an investigation of the radiation therapists' role in providing nutritional support is considered.</p><p><strong>Methods: </strong>A cross-sectional study design was implemented via an online survey. The survey was offered to women with breast cancer receiving RT in Australia's Capital Territory, New South Wales and Queensland regions. The survey comprised 70 questions focused on exercise, nutritional habits and overall health. The Short Dietary Questions were used specifically for the nutrition-based questions.</p><p><strong>Results: </strong>Ninety women completed the survey; none met all recommended dietary guidelines, with only 33% consuming recommended fruit servings and 12% meeting vegetable requirements daily. While half the women reported receiving dietary guidance during RT, the content and quality of advice are unclear.</p><p><strong>Conclusion: </strong>This study highlights both the dietary patterns of women with breast cancer receiving RT and their unmet needs for nutritional guidance. While nutritional support is crucial for patient wellbeing during cancer treatment, further research is needed to determine optimal approaches for diet education delivery. Specifically, investigation into how radiation therapists can effectively integrate evidence-based nutritional support into their practice to improve patient care.</p>","PeriodicalId":16382,"journal":{"name":"Journal of Medical Radiation Sciences","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143730372","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Michelle P Li, Adam Yeo, Kirsty Wiltshire, Claire Phillips, Joseph Sia, Greg Wheeler, Lisa Hall
{"title":"Response to Letter to the Editor Regarding 'Is Proton Beam Therapy Always Better Than Photon Irradiation? Lessons From Two Cases'.","authors":"Michelle P Li, Adam Yeo, Kirsty Wiltshire, Claire Phillips, Joseph Sia, Greg Wheeler, Lisa Hall","doi":"10.1002/jmrs.872","DOIUrl":"https://doi.org/10.1002/jmrs.872","url":null,"abstract":"<p><p>This correspondence is in response to the Letter to the Editor \"Evaluating Proton Versus Photon Therapy: A Call for Nuanced Decision-Making\". A balanced evidence-based approach that is patient-centred is needed when deciding between proton versus photon radiotherapy.</p>","PeriodicalId":16382,"journal":{"name":"Journal of Medical Radiation Sciences","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143719892","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Continuing Professional Development-Radiation Therapy.","authors":"","doi":"10.1002/jmrs.879","DOIUrl":"https://doi.org/10.1002/jmrs.879","url":null,"abstract":"","PeriodicalId":16382,"journal":{"name":"Journal of Medical Radiation Sciences","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143657319","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Value-Based Healthcare-What Does it Look Like for Medical Radiation Sciences in the Australian Context?","authors":"Andrew Davison","doi":"10.1002/jmrs.877","DOIUrl":"https://doi.org/10.1002/jmrs.877","url":null,"abstract":"<p><p>This editorial provides insight into value-based healthcare in Australia, including organisations such as New South Wales (NSW) Health, which has a focus on implementing and scaling value-based healthcare. This includes exemplary programmes in applying value-based principles in commissioning medical imaging services and expanding hypofractionation radiation therapy for breast cancer patients across the system. This special issue also showcases research in value-based healthcare and its application in medical radiation sciences in the areas of artificial intelligence (AI), virtual reality (VR), computed tomography (CT) and hypofractionated radiation therapy.</p>","PeriodicalId":16382,"journal":{"name":"Journal of Medical Radiation Sciences","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143624957","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Oral Abstracts","authors":"","doi":"10.1002/jmrs.863","DOIUrl":"https://doi.org/10.1002/jmrs.863","url":null,"abstract":"","PeriodicalId":16382,"journal":{"name":"Journal of Medical Radiation Sciences","volume":"72 S1","pages":"4-78"},"PeriodicalIF":1.8,"publicationDate":"2025-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/jmrs.863","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143554714","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Radiographer Preliminary Image Evaluation Accuracy in Interpreting Paediatric Trauma Radiographs.","authors":"Teresa Poon, Michael Neep, Therese Gunn","doi":"10.1002/jmrs.876","DOIUrl":"https://doi.org/10.1002/jmrs.876","url":null,"abstract":"<p><strong>Introduction: </strong>Radiographer preliminary image evaluation (PIE) is a patient safety mechanism where radiographers provide a written comment describing potential pathology in radiographs they have acquired. This can assist emergency referrers in making a diagnosis when a radiologist's report is unavailable. The aim of this study was to evaluate the accuracy of radiographer PIE in interpreting paediatric trauma radiographs in an Australian emergency department.</p><p><strong>Methods: </strong>A randomised sample of paediatric radiographic examinations (aged 16 years and under) from January 2022 to June 2023 was retrospectively reviewed. The anatomical regions reviewed included the appendicular and axial skeleton, chest and abdomen. The PIE for each examination was compared to the radiologist report to indicate if the radiographer's evaluation was a true negative/positive or false negative/positive value. This was used to calculate mean sensitivity, specificity and diagnostic accuracy. Discrepant PIE interpretations were further investigated.</p><p><strong>Results: </strong>A total of 498 PIEs were reviewed. The overall accuracy, sensitivity and specificity were 93.3%, 84.3% and 98.1%, respectively. Cases with no participation and those marked as unsure for pathology represented 0.4% and 2.6% of the sample, respectively. The extremities were identified as a region frequently misinterpreted.</p><p><strong>Conclusion: </strong>Radiographers in this study maintained a high diagnostic accuracy in interpreting paediatric radiographs. PIE may complement the emergency referrer's diagnosis when a radiologist report is unavailable to promote appropriate and timely treatment for paediatric patients in the emergency department. Further research with a larger sample may support targeted training to improve PIE performance in regions frequently misinterpreted.</p>","PeriodicalId":16382,"journal":{"name":"Journal of Medical Radiation Sciences","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143557125","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Sponsor Acknowledgement","authors":"","doi":"10.1002/jmrs.862","DOIUrl":"https://doi.org/10.1002/jmrs.862","url":null,"abstract":"","PeriodicalId":16382,"journal":{"name":"Journal of Medical Radiation Sciences","volume":"72 S1","pages":"1-3"},"PeriodicalIF":1.8,"publicationDate":"2025-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/jmrs.862","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143554713","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Point-Of-Care Ultrasound in Emergency Departments in Australia/New Zealand: An Emergency Physician's Perspective","authors":"Robyn Brady","doi":"10.1002/jmrs.871","DOIUrl":"10.1002/jmrs.871","url":null,"abstract":"<p>This brief overview of the current state of clinician performed focused ultrasound (Emergency PoCUS) by emergency practitioners in Australia/New Zealand (ANZ) has touched on its history, scope of practice both mandated and context-dependent, complex embedding in clinical diagnostic reasoning and range of governance issues. It is the author's hope that an ongoing understanding and interplay between the three professional groups most closely involved in the use of ultrasound to improve patient care and health-care flow can continue to work closely together for the ultimate benefit of patients in multiple contexts in ANZ and beyond.\u0000 <figure>\u0000 <div><picture>\u0000 <source></source></picture><p></p>\u0000 </div>\u0000 </figure></p>","PeriodicalId":16382,"journal":{"name":"Journal of Medical Radiation Sciences","volume":"72 1","pages":"3-7"},"PeriodicalIF":1.8,"publicationDate":"2025-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/jmrs.871","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143557103","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}