Journal of Medical Radiation Sciences最新文献

{"title":"Radiation Risk in 2D Mammography Screening: A Scoping Review of Modelling Strategies and Emerging AI Applications.","authors":"Nazli A Moda, Mo'ayyad E Suleiman, Sahand Hooshmand, Warren M Reed","doi":"10.1002/jmrs.70022","DOIUrl":"https://doi.org/10.1002/jmrs.70022","url":null,"abstract":"<p><p>Breast cancer is the most commonly diagnosed cancer among women worldwide, and concerns regarding radiation exposure from mammography screening remain a potential barrier to participation. This scoping review explores existing models estimating long-term radiation risks associated with repeated mammography screening. A structured search across five databases (Medline, Embase, Scopus, Web of Science and CINAHL) along with manual searching identified 24 studies published between 2014 and 2024. These were categorised into three themes: (1) models estimating dose-risk profiles, (2) factors affecting radiation dose and (3) the use of artificial intelligence (AI) in dose estimation and mammographic breast density (MBD) estimation. Studies showed that breast density, compressed breast thickness (CBT) and technical imaging parameters significantly influence mean glandular dose (MGD). Modelling studies highlighted the low risk of radiation-induced cancer, inconsistencies in protocols and vendor-specific limitations. AI applications are emerging as promising tools for improving individualised dose-risk assessments but require further development for compatibility across different imaging platforms.</p>","PeriodicalId":16382,"journal":{"name":"Journal of Medical Radiation Sciences","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145225534","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":"Development and Evaluation of an Electronic Patient-Reported Outcome Platform for Children Undergoing Radiation Therapy.","authors":"Mikaela Doig, Andrew Cunningham, Victoria Bedford, Hien Le, Matthew O'Connor, Sophie Jessop, Eva Bezak, Nayana Parange, Amanda Hutchinson, Peter Gorayski, Michala Short","doi":"10.1002/jmrs.70025","DOIUrl":"https://doi.org/10.1002/jmrs.70025","url":null,"abstract":"<p><strong>Introduction: </strong>Health-related quality of life (HRQoL) outcomes are not routinely collected in paediatric radiation therapy (RT). This study co-designed and evaluated an electronic platform to support routine HRQoL assessment using patient-reported outcome measures (PROMs).</p><p><strong>Methods: </strong>A digital platform was developed following a user-centred design approach. Development included planning with consumers and clinicians, identifying user needs through interviews and iterative design refinements. Alpha testing was performed with consumers. Beta testing involved directed tasks by children, parents and clinician participants to evaluate the developed platform. Thematic analysis of participant feedback was performed to identify refinements and shape clinical implementation strategies.</p><p><strong>Results: </strong>Iterative alpha testing with end-users led to significant improvements in functionality and aesthetics. Beta testing involved 18 participants, including seven healthcare professionals, seven children and four parents. All participants successfully navigated the platform, completed tasks and interpreted PROM results. Participants described the platform as intuitive and child-friendly. Challenges included minor navigation issues on mobile devices. Suggestions for improvement included streamlined result visualisation and enhancements to the instructional material. Whilst parents and clinicians recognised the value of allowing parents to view their child's PROM results, considerations to ensure sensitivity were described.</p><p><strong>Conclusion: </strong>The electronic PROM platform was successfully developed to support HRQoL assessment of children undergoing RT. Future research is needed to evaluate the feasibility, usability and acceptability in clinical practice.</p>","PeriodicalId":16382,"journal":{"name":"Journal of Medical Radiation Sciences","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145137879","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":"Switch It Off! Carbon, Financial and Health Service Impacts of Switching Off a Computed Tomography Scanner: A Quality Improvement Study.","authors":"Nicholas Marks, Mya Abigail Acosta, Kristen Pickles, Scott McAlister, Katy J L Bell","doi":"10.1002/jmrs.896","DOIUrl":"https://doi.org/10.1002/jmrs.896","url":null,"abstract":"<p><strong>Introduction: </strong>Medical imaging has been identified as a carbon hotspot in health care, and demand for imaging services is increasing. This study investigated switching off a surplus computerised tomography (CT) scanner when not clinically required as a possible simple and scalable intervention to reduce healthcare emissions.</p><p><strong>Methods: </strong>This before-after quality improvement study introduced a 'Switch it off' intervention where radiography staff switched off the power to a surplus CT scanner after hours (17:00-08:00) for 7 days ('intervention period': 07/7/2023-13/07/2023). Using a power data logger, power consumption (kilowatt hours, KWh) during the intervention period was compared to 7 days without the switch-off practice ('control period': 24/07/2023-31/07/2023). Financial and carbon emission impacts were calculated based on energy consumption. All CT radiographers working in the department were invited to undertake a pre and post intervention survey. Differences in quantitative data pre- and postintervention were analysed using chi-squared test for independent proportions. Free text survey responses were summarised into themes.</p><p><strong>Results: </strong>Compared with energy use in the control period (433.96 kWh), there was a reduction in 139.79 kWh during the intervention period (294.17 kWh): 32% relative reduction. Extrapolation to 12 months found potential savings of 7280 kWh in energy use, $1381 to the hospital budget, and 5.5 T CO₂e to the carbon budget. Of the 22 CT radiographers invited, 10 (45%) completed the survey, reporting no or trivial clinical impacts from switching off. The proportion of radiographers reporting switching off the scanner when not in use increased by 70% (95% CI: 39%, 100%; p = 0.002) from 10% (1/10) pre- to 80% (8/10) postintervention.</p><p><strong>Conclusion: </strong>Identifying and switching off surplus CT scanners in low use times is a simple and scalable intervention that can achieve significant power, financial and carbon savings with little to no impact on clinical workflow.</p>","PeriodicalId":16382,"journal":{"name":"Journal of Medical Radiation Sciences","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145113419","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":"Improving Procedure Completion and Engagement of Neurodivergent Patients in Medical Imaging: A Systematic Review.","authors":"Rheann Wickramasinghe, Glenda McLean","doi":"10.1002/jmrs.70023","DOIUrl":"https://doi.org/10.1002/jmrs.70023","url":null,"abstract":"<p><strong>Introduction: </strong>Neurodivergent conditions such as autism and attention deficit hyperactivity disorder (ADHD) are increasingly recognised in clinical and societal contexts. However, neurodivergent individuals continue to face barriers in accessing healthcare services, including medical imaging. Their complex sensory, communication and emotional needs often go unmet, contributing to reduced rates of completed medical imaging examinations. This systematic review aimed to identify strategies reported in the literature to improve imaging procedure completion among neurodivergent patients.</p><p><strong>Methods: </strong>A systematic search of medical databases was conducted using relevant keywords related to neurodivergence and medical imaging. After screening titles and abstracts and reviewing full texts, studies that investigated interventions or strategies to support neurodivergent individuals during imaging procedures were included and analysed.</p><p><strong>Results: </strong>The search yielded 1789 peer-reviewed articles. After applying inclusion and exclusion criteria, 40 articles underwent full-text review, with 11 meeting eligibility for inclusion. Thematic analysis identified that both pre-examination and examination strategies are necessary to improve procedure completion. These included preparatory interventions, such as mock imaging sessions, environmental adaptations, involvement of carers and flexibility in imaging techniques and scheduling.</p><p><strong>Conclusion: </strong>Improving access to imaging for neurodivergent individuals requires adjustments across all phases of the examination. Despite the existence of supportive strategies, no formal guidelines currently exist to assist medical imaging professionals (radiographers, sonographers and nuclear medicine technologists) in delivering accessible, neurodivergent-inclusive imaging care. Further research and guideline development are needed to ensure equitable access for this patient population.</p>","PeriodicalId":16382,"journal":{"name":"Journal of Medical Radiation Sciences","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145085539","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":"Patient Dose Optimisation of Abdominopelvic Protocols During X-Ray Imaging.","authors":"Emmanuel Ekem-Ferguson, Shirazu Issahaku, Mark Pokoo-Aikins, Mary Boadu","doi":"10.1002/jmrs.70024","DOIUrl":"https://doi.org/10.1002/jmrs.70024","url":null,"abstract":"<p><strong>Introduction: </strong>Abdominopelvic radiography is commonly performed in both supine and erect positions, raising concerns about radiation dose exposure. In Ghana, there is limited data on organ dose evaluation in these examinations, particularly regarding patient positioning for dose optimisation. Additionally, the risk of dose creep in Digital Radiography (DR) due to its wide dynamic range further complicates dose management. This study aimed to estimate organ doses for patients undergoing abdominopelvic radiography in both positions and to develop an optimisation strategy that minimises radiation exposure while maintaining image quality.</p><p><strong>Methods: </strong>Organ doses were estimated using CalDose X 5.0 for 112 patients across two facilities in both erect and supine positions. Image quality was assessed using signal-to-noise ratio (SNR) values for five specific organs, with the kidney, the liver, and the prostate selected for dose and image quality optimisation. Additionally, 34 exposures were performed on an anthropomorphic phantom using varying exposure parameters and focus-to-detector distances (FDD), with thermoluminescence dosimeters (TLDs) employed for dose optimisation measurement.</p><p><strong>Results: </strong>An average of 39.9% and 52.9% of radiographs had optimal and high SNR values respectively. After the optimisation procedure, the recommended exposure parameters were 70 kVp, 10 mAs, and 110 cm FDD for both positions. In the supine position, organ doses reduced with a percentage difference of 50.0, 65.22 and 19.21, and 23.03, 28.97 and 30.98 for SNR for the kidney, the liver and the prostate respectively. In the erect position, organ doses reduced with a percentage difference of 72.34, 72 and 4.55, and SNR percentage difference of 10.69, 9.39 and 32.83 for the kidney, the liver and the prostate respectively.</p><p><strong>Conclusion: </strong>Abdominopelvic organ doses vary based on patient demographics and exposure settings. The optimisation strategy significantly reduced radiation doses while preserving image quality. These findings emphasise the importance of standardised imaging protocols to enhance patient safety and radiation protection in clinical practice.</p>","PeriodicalId":16382,"journal":{"name":"Journal of Medical Radiation Sciences","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145080796","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":"An Evaluation of Mental Health First Aid Officer Utilisation Across an International, Interdisciplinary Oncology Group.","authors":"Janeane Summerfield, Aidan Leong","doi":"10.1002/jmrs.70021","DOIUrl":"https://doi.org/10.1002/jmrs.70021","url":null,"abstract":"<p><strong>Introduction: </strong>Mental health is a critical component of overall well-being, yet healthcare professionals, particularly those in oncology, face unique stressors that increase their risk of compassion fatigue and burnout. Mental Health First Aid (MHFA) training equips non-mental health professionals with the skills to support individuals experiencing distress. Our international oncology organisation implemented MHFA training to foster mentally healthy workplaces. This study evaluated the utilisation of these MHFA officers (MHFAOs) over a 12-month period.</p><p><strong>Methods: </strong>An anonymous online survey was conducted in July 2024, inviting 34 trained MHFAOs across 13 professional disciplines. The survey collected quantitative and qualitative data on MHFA training, utilisation and perceptions.</p><p><strong>Results: </strong>A total of 21 survey responses (62%) were included for analysis. While most respondents had engaged in MHFA interactions, six reported no interactions in the past year. The majority of MHFAO reported the combined interactions totalled between 3 and 5 h, with some exceeding 10 h total in the past 12 months. While most respondents reported manageable MHFA workloads, key challenges identified in the qualitative data include a potential lack of awareness of the MHFA programme, unclear role definitions and responsibilities, and limited resources.</p><p><strong>Conclusions: </strong>Utilisation of MHFA across Icon's international, interdisciplinary oncology service in Australia and New Zealand has been demonstrated. While most respondents reported manageable MHFA workloads, it was identified that challenges exist in programme awareness, role clarity, and resource allocation. Addressing these concerns through improved guidelines, ongoing training, and increased visibility of MHFAOs could enhance the programme's effectiveness and long-term sustainability.</p>","PeriodicalId":16382,"journal":{"name":"Journal of Medical Radiation Sciences","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145023478","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":"How I Do It: Interprofessional Education and Radiation Therapy-Establishing Opportunities for Student Learning in the Workplace.","authors":"Melissa Higson, Sonya Morgan, Eileen McKinlay","doi":"10.1002/jmrs.70018","DOIUrl":"https://doi.org/10.1002/jmrs.70018","url":null,"abstract":"<p><p>Clinical workplaces such as hospitals are often keen to arrange interprofessional learning activities for students on clinical placements, but radiation therapy (RT) students are often overlooked because of a lack of awareness and understanding of their role in patient care. Furthermore, there are challenges in setting up hospital-based interprofessional education (IPE) because of the logistics of liaising with a large number of staff, as students are from different disciplines. Hospitals that offer RT are ideal sites to offer IPE, as invariably staff in these settings work interprofessionally to support patients with cancer and can immediately see its value. This How I do it guide lays out the practical steps needed to initiate and implement workplace-based IPE involving RT students modelled on a long-standing Cancer Care IPE learning activity in New Zealand.</p>","PeriodicalId":16382,"journal":{"name":"Journal of Medical Radiation Sciences","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144957493","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":"The Value of Radiation Therapists in Online Adaptive Radiotherapy","authors":"Meegan Shepherd,&nbsp;Jackie Yim,&nbsp;Alexandra Turk,&nbsp;Leigh Ambrose,&nbsp;Alexander Podreka,&nbsp;John Atyeo","doi":"10.1002/jmrs.70020","DOIUrl":"10.1002/jmrs.70020","url":null,"abstract":"<p>Value-based health care (VBHC) is an evolving paradigm in healthcare that prioritises patient outcomes relative to the costs incurred. VBHC emphasises efficiency, quality, and patient satisfaction as metrics and determinants of healthcare. A VBHC approach is becoming increasingly significant as healthcare systems worldwide grapple with rising costs, staff shortages, and the ongoing need for improved patient care. Online adaptive radiotherapy (oART) is a promising innovation in radiation oncology, allowing for the adaptation of radiation treatment plans to account for daily anatomical changes. This innovation has the potential to improve patient outcomes; however, it requires investment in the technology, manpower, and training to deliver an adaptive radiotherapy service. This commentary aims to explore the role of radiation therapists (RTs) in oART, using RT-led workflows within the context of the broader models of care that involve radiation oncologists and multidisciplinary teams. This commentary also aims to highlight the potential benefits and challenges of adopting an RT-led approach within VBHC principles, focusing on key themes such as treatment accuracy, patient satisfaction, training, and cost implications.</p>","PeriodicalId":16382,"journal":{"name":"Journal of Medical Radiation Sciences","volume":"72 S2","pages":"S79-S84"},"PeriodicalIF":2.0,"publicationDate":"2025-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/jmrs.70020","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144957558","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":"Comparison of Augmented Reality-Based and Conventional Training Methods for Radiographic Positioning in Second-Year Radiologic Technology Students in Japan.","authors":"Shin Nagamata","doi":"10.1002/jmrs.70019","DOIUrl":"https://doi.org/10.1002/jmrs.70019","url":null,"abstract":"<p><strong>Introduction: </strong>In Japanese training schools for radiologic technologists, improving students' practical skills presents an educational challenge. To address this issue, an augmented reality (AR)-based visual assistance tool for radiographic positioning training was developed. This study aimed to evaluate and compare the effectiveness of a previously developed AR tool with conventional training methods.</p><p><strong>Methods: </strong>Fifty-seven second-year radiologic technology students were randomly divided into two groups: an experimental group (n = 29) trained with AR and a control group (n = 28) trained with physical auxiliary tools. Both groups practised positioning the torso at 35° and 45° for 1.5 min each. The timeframe aligned with the typical time allocated to each student during traditional hands-on training. Proficiency tests were conducted 1 and 4 weeks after training to evaluate the accuracy of the angles.</p><p><strong>Results: </strong>In the test conducted 1 week after training, the experimental group demonstrated significantly smaller errors than the control group (p = 0.002). However, in the test administered 4 weeks after training, although the experimental group continued to show smaller errors, the difference was not statistically significant (p = 0.066).</p><p><strong>Conclusion: </strong>AR-based training can enhance radiographic positioning training. However, a single brief session is considered insufficient for maintaining long-term learning effects. Continuous use of AR is warranted for achieving long-term educational effectiveness. Future research is needed to optimise AR training methods and determine the impact on students' clinical training performance and postgraduate proficiency.</p>","PeriodicalId":16382,"journal":{"name":"Journal of Medical Radiation Sciences","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144957534","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":"Planning for Preservation: Feasibility of Erectile Tissue Sparing During Prostate Stereotactic Radiotherapy.","authors":"Felicity Hudson, Glen Dinsdale, Tony Young, Anne McMaster, Tania Erven, Olivia Ryan, Sankar Arumugam, Theresa Nguyen, Mark Sidhom","doi":"10.1002/jmrs.70008","DOIUrl":"10.1002/jmrs.70008","url":null,"abstract":"<p><strong>Introduction: </strong>An estimated one in six Australian men are diagnosed with prostate cancer (PC) by age 85. Cure and quality of life are the modern definitions of successful cancer treatment, and preservation of continence and sexual function relates closely to treatment outcome satisfaction. Erectile tissue sparing (ETS) is not generally standard practice for PC stereotactic body radiotherapy (SBRT). This retrospective planning study aimed to determine if erectile tissue (ET) could be spared whilst maintaining clinically acceptable doses to target volumes (TV) and critical organs during PC SBRT.</p><p><strong>Methods: </strong>Imaging datasets of 30 PC patients treated at our centres were used. Patients underwent magnetic resonance imaging (MRI) scans, with the creation of a substitute CT (sCT) for planning. ET structures, including penile bulb (PB), internal pudendal arteries (IPA) and neurovascular bundles (NVB), were contoured on MRI. Two 40 Gy in five fraction plans were created for each patient, with and without ETS constraints. Plans were compared using Wilcoxon signed-rank tests.</p><p><strong>Results: </strong>Significant dose reduction was observed in bilateral IPAs and NVBs using ETS plans. No significant difference was seen in coverage of the clinical TVD_95%, rectum V_36Gy, urethra planning risk volume V_42Gy, bladder V_36Gy, or PB. Changes in coverage of the planning TVD_95% and bladder V_40Gy were deemed not clinically relevant.</p><p><strong>Conclusion: </strong>Results indicate that ETS is feasible in conjunction with a planning MRI during SBRT for PC without compromise to TVs. Further prospective investigation is required to observe whether a decrease in ET dose correlates to a preservation in sexual function and/or improved treatment outcome satisfaction.</p>","PeriodicalId":16382,"journal":{"name":"Journal of Medical Radiation Sciences","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144883031","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}