Journal of Medical Radiation Sciences最新文献

{"title":"Radiography Interns' and Recent Graduates' Self-Perceived Professional Competency Development at Two Saudi Universities: A Cross-Sectional Study.","authors":"Ahmad Subahi, Khalid Mahboob, Refan Dammas, Wejdan Aljehani, Majid Al Thaqafy, Khalid Alshamrani, Ahmaed Baashar","doi":"10.1002/jmrs.70118","DOIUrl":"10.1002/jmrs.70118","url":null,"abstract":"<p><strong>Introduction: </strong>Patient safety is a fundamental component of healthcare quality and is closely linked to the preparation of healthcare graduates for professional practice. In radiography undergraduate programs, students are expected to develop clinical, technical, communication, teamwork, patient care, ethical, and image interpretation-related competencies required for safe and effective practice. This study assessed radiography interns' and recent graduates' perceptions of acquired knowledge and skills across seven professional competency domains during their undergraduate education.</p><p><strong>Methods: </strong>A cross-sectional descriptive online survey was conducted among 61 radiography interns and recent graduates from the 2020 to 2023 cohorts at two Saudi universities. A self-administered questionnaire assessed perceived improvement, program coverage, confidence, clinical placement contribution, perceived importance, and future relevance across seven domains: communication, procedural knowledge, technical knowledge, patient care, collaborative teamwork, medico-legal and ethical knowledge, and identification of significant findings. Data were analysed using descriptive statistics, including frequencies, percentages and Likert-scale mean scores.</p><p><strong>Results: </strong>Participants generally reported positive perceptions of professional competency development across most domains, particularly communication, procedural knowledge, technical knowledge, patient care and collaborative teamwork. These domains were also perceived as important and relevant to future professional practice. However, medico-legal and ethical knowledge and identification of significant findings received comparatively lower scores in perceived improvement, program coverage and confidence.</p><p><strong>Conclusion: </strong>This study provides perception-based insight into radiography undergraduate education at two Saudi universities. Participants reported generally positive perceptions across most professional domains, while lower scores in medico-legal and ethical knowledge and identification of significant findings highlight opportunities for targeted curricular enhancement to support graduate preparedness.</p>","PeriodicalId":16382,"journal":{"name":"Journal of Medical Radiation Sciences","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2026-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13595180/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149016719","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":"Dosimetry, Toxicity and Stability Associated With a Hyaluronic Acid-Based Prostate-Rectal Spacing Device During Prostate Radiation Therapy: A Retrospective Comparative Analysis.","authors":"Fadila Najem, Bridget Smith, Sary Chen, Lucinda Wood, Asmaa El-Heneidy, Lloyd Smyth, Hodo Haxhimolla, Pat Bowden","doi":"10.1002/jmrs.70125","DOIUrl":"10.1002/jmrs.70125","url":null,"abstract":"<p><strong>Introduction: </strong>Hypofractionated radiation therapy (HFRT) for localised prostate cancer may increase gastrointestinal (GI) toxicity. This study evaluated spacer geometry, dosimetric and clinical outcomes associated with the use of a stabilised hyaluronic acid (sHA)-based rectal spacer, when inserted prior to HFRT, compared to a non-spacer cohort.</p><p><strong>Method: </strong>This was a retrospective comparative cohort study of patients receiving HFRT (60 Gy in 20 fractions) between July 2019 and December 2023 at two centres from a single institution. Prostate-rectum spacing was measured at apex, mid-gland, and base levels at simulation as baseline and on five cone beam CT scans during treatment. Rectal dose-volume metrics and planning target volume (PTV) coverage were compared. Toxicities were retrospectively graded using CTCAE Version 5.0 for participants with a minimum follow-up of 3 months.</p><p><strong>Results: </strong>Ninety-one patients were included in this study; 64 with sHA-based spacers and 27 without spacing. The mean baseline spacing was 0.8, 1.0 and 0.9 cm at apex, mid-gland and base, respectively, and this separation remained stable throughout treatment. The spacer cohort demonstrated significantly lower rectal doses across all metrics except V60Gy and achieved slightly higher PTV coverage (D98%: 57.8 vs. 57.3 Gy, p < 0.001). Acute GI toxicity (grade ≥ 1) was lower in the spacer cohort (23.5% vs. 48.0%; OR = 0.33, p = 0.05), with grade ≥ 2 toxicity in 2.9% versus 20.0%. Genitourinary toxicity rates were comparable between cohorts. No complications associated with spacer insertion were recorded.</p><p><strong>Conclusions: </strong>sHA-based rectal spacers provided physically stable spacing throughout treatment, facilitating significant reductions in rectal dose and a favourable toxicity profile. This study adds further evidence to support the use of sHA-based spacers in prostate HFRT.</p>","PeriodicalId":16382,"journal":{"name":"Journal of Medical Radiation Sciences","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2026-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13595181/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149016664","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 Six- and Three-Dimensional Error Corrections for the Planning Target Volume in Patients With Nasopharyngeal Cancer.","authors":"Huan-Chun Chen, Ming-Chung Chou","doi":"10.1002/jmrs.70126","DOIUrl":"10.1002/jmrs.70126","url":null,"abstract":"<p><strong>Introduction: </strong>During radiation therapy, patients may experience positioning errors that can affect the irradiated volume and result in unnecessary radiation doses to normal tissues. Correcting for setup errors is essential for patients undergoing radiation therapy; however, it remains unclear whether six-dimensional (6D) correction is superior to conventional three-dimensional (3D) correction in nasopharyngeal cancer. Therefore, the purpose of this study was to compare the planning target volume (PTV) coverage between 3D and 6D cone-beam computed tomography (CBCT) corrections for patients with nasopharyngeal carcinoma.</p><p><strong>Methods: </strong>We retrospectively enrolled 30 patients with nasopharyngeal cancer who underwent image-guided radiation therapy. The 3D and 6D corrections were performed using CBCT images registered to CT simulation images based on skeletal structures at 1, 3, and 5 weeks, respectively. The volume percentages of the PTV achieving the prescribed dose of 70, 63, and 56 Gy were calculated after both 3D and 6D corrections and were statistically compared using a repeated measures analysis of variance test.</p><p><strong>Results: </strong>The results showed that the percentage coverage of the target volume was 94.1% ± 4.3% and 95.4% ± 3.4% for 70 Gy, 94.4% ± 2.6% and 95.3% ± 2.4% for 63 Gy, and 92.1% ± 7.7% and 95.6% ± 5.4% for 56 Gy after 3D and 6D corrections, respectively. A significant difference was noted in the volume coverage for 56 Gy between the two correction methods. Additionally, the average maximum dose percentages after 3D and 6D corrections were 5.9% ± 8.0% and 3.3% ± 6.2% for the spinal cord, and 1.8% ± 8.5% and 2.7% ± 6.0% for the brain stem, respectively; however, no significant difference was observed between the two correction methods.</p><p><strong>Conclusion: </strong>We conclude that 6D correction for CBCT images achieved better dose coverage of the target tumour volume than 3D correction in patients with nasopharyngeal carcinoma.</p>","PeriodicalId":16382,"journal":{"name":"Journal of Medical Radiation Sciences","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2026-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13589106/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149001935","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":"StrataXRT Versus Mepitel Film for Prevention of Acute Radiation Dermatitis in Postmastectomy Radiotherapy: A Pooled Analysis of Intra-Patient Randomised Trials.","authors":"Shing Fung Lee, Patries M Herst, Melissa L James, Pui Lam Yip, Carminia Lapuz, Farshad Foroudi, Michael Chao","doi":"10.1002/jmrs.70117","DOIUrl":"10.1002/jmrs.70117","url":null,"abstract":"<p><strong>Introduction: </strong>We report a pooled analysis of two multicentre intra-patient randomised controlled trials (RCTs) comparing the silicone-based dressings Mepitel Film and StrataXRT for the prevention of acute radiation dermatitis (ARD) in postmastectomy radiotherapy (RT).</p><p><strong>Methods: </strong>Each irradiated chest wall was divided into medial and lateral halves, randomised to one dressing each. The primary endpoint was the incidence of grade 2 or 3 ARD. Secondary endpoints included grade 3 ARD, moist desquamation, time to moist desquamation, Radiation-Induced Skin Reaction Assessment Scale (RISRAS) scores, adverse events, and treatment preferences. Discordant-pair methods, conditional logistic regression, paired comparisons of area under the curve (AUC), and longitudinal fixed-effects regression were used.</p><p><strong>Results: </strong>A total of 120 patients (median age, 60 years; interquartile range, 51-69) were included (Australia, n = 40; New Zealand, n = 80); 64.2% received moderately hypofractionated or ultrahypofractionated RT. Among 38 discordant pairs, grade 2 or 3 ARD occurred only on the StrataXRT side in 30 patients and only on the Mepitel Film side in eight patients (odds ratio 3.75, 95% CI 1.72-8.18; p = 0.001). Grade 3 ARD and moist desquamation did not differ significantly. HCP-assessed RISRAS AUCs for erythema (p < 0.001) and moist desquamation (p = 0.034) were significantly lower with Mepitel Film, consistent with the longitudinal analyses. Patient-reported RISRAS AUCs did not differ between treatments. Treatment preferences were broadly balanced.</p><p><strong>Conclusions: </strong>Mepitel Film reduced the incidence of grade 2 or 3 ARD and cumulative HCP-assessed erythema and moist desquamation burden compared with StrataXRT, while patient-reported symptom burden was similar. Selection of a prophylactic dressing for postmastectomy RT should consider patient preference, cost, ease of application, skin sensitivity, and available resources.</p><p><strong>Trial registration: </strong>Australian New Zealand Clinical Trials Registry: ACTRN12621000124831 and ACTRN12619001477112.</p>","PeriodicalId":16382,"journal":{"name":"Journal of Medical Radiation Sciences","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2026-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13563419/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148944945","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":"Patient Centring in CT: An International Survey of Clinical Practice and Future Directions.","authors":"Yasser H Hadi, Mo'men Bani-Ahmad, Niamh Moore, Kevin R Clark, Yazan Al-Hayek, Salman M Albeshan, Sultan B Alghamdi, Helle Precht, Andrew England, Mark McEntee","doi":"10.1002/jmrs.70119","DOIUrl":"10.1002/jmrs.70119","url":null,"abstract":"<p><strong>Introduction: </strong>Accurate patient centring in computed tomography (CT) is essential for optimising radiation dose and ensuring consistent image quality. Mis-centring can affect automatic tube current modulation, compromise CT number accuracy and increase radiation exposure, but actual centring practices and knowledge differ widely. This study investigates CT centring practices, radiographers' knowledge of their implications and the use of advanced technologies for improved positioning accuracy.</p><p><strong>Methods: </strong>An international survey was conducted among radiographers performing CT imaging using a 38-question questionnaire covering demographics, patient positioning, CT number variability, radiation dose management and auto-centring technologies. Translated into 12 languages, the survey was distributed through professional societies and social media, with data analysed using descriptive statistics and inferential tests.</p><p><strong>Results: </strong>A total of 321 radiographers from 43 countries completed the survey. Vertical mis-centring was frequently identified by respondents as the predominant positioning error, with 101 (31.5%) reporting that patients were commonly positioned below the gantry isocentre. 126 of the respondents (39.3%) believed HU values likely change with mis-centring, while 76 (23.7%) were unsure. Understanding of localiser direction varied, with 113 (35.4%) stating it 'probably' affects radiation dose and 45 (14.1%) unsure. Although 110 (34.3%) had access to automated centring technologies, only 56 (17.4%) used them consistently. Practitioners holding CT-specific qualifications were more likely to achieve a high knowledge score than those without (58.3% vs. 55.7%; OR 1.11, 95% CI 0.70-1.76; p = 0.72).</p><p><strong>Conclusion: </strong>This global survey shows significant variability in CT patient-centring practices and knowledge. Improved training and more automated positioning tools are needed to optimise dose and image quality in CT.</p>","PeriodicalId":16382,"journal":{"name":"Journal of Medical Radiation Sciences","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2026-09-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13547694/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148900785","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":"Building Research Capacity in Medical Radiation Sciences Through University-Clinical Partnerships: A Commentary on Working Smarter, Not Harder.","authors":"Therese Gunn, Michael Neep, Pamela Rowntree, Deborah Starkey","doi":"10.1002/jmrs.70120","DOIUrl":"10.1002/jmrs.70120","url":null,"abstract":"<p><p>A research partnership model frames university-clinical collaboration as central to strengthening medical radiation sciences research capacity. By aligning students, academics, clinicians, resources, ethics processes, skills development and outputs, the model supports sustainable, evidence-informed practice with potential benefits for patients and professionals.</p>","PeriodicalId":16382,"journal":{"name":"Journal of Medical Radiation Sciences","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2026-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13540145/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148887868","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":"How We Embedded Consumer Engagement Into Workplace Education and Continuing Professional Development: A Quality Improvement Initiative in a Tertiary Imaging Department.","authors":"Ilona Lavender, Mohamed K Badawy","doi":"10.1002/jmrs.70121","DOIUrl":"10.1002/jmrs.70121","url":null,"abstract":"<p><p>Consumer engagement, meaning the active involvement of patients and carers with lived experience, is increasingly recognised as central to high-quality, patient-centred healthcare, and in Australia it is embedded in national accreditation standards. Within diagnostic imaging departments, however, consumer perspectives remain under-represented in workplace education and continuing professional development (CPD), where educational activities have traditionally prioritised technical competency and workflow. This is despite the fact that clinicians frequently meet patients at vulnerable moments. This paper describes how a tertiary imaging department embedded consumer engagement across workplace education and CPD, governance and service improvement, and outlines practical lessons for departments wishing to implement similar initiatives. It draws on a series of initiatives undertaken within a tertiary imaging department between 2024 and 2025, including consumer storytelling within multidisciplinary workshops and continuing professional development, consumer co-design of patient information resources, a dedicated patient-experience role, and consumer participation in departmental governance. We considered these activities alongside established frameworks for patient involvement in health-professions education and for consumer participation, and we reflected on the practical conditions that distinguish meaningful engagement from tokenism: clarity of purpose, attention to consumer wellbeing, and a shift from symbolic inclusion towards genuine partnership. The activities are illustrated with feedback volunteered by clinicians and consumers, although we are careful to note that these reflections are not a formal evaluation. We argue that consumer storytelling and structured engagement are feasible, low-resource strategies that may promote reflection on empathy, communication and patient-centred practice, while offering practical approaches for embedding consumer engagement within imaging departments. Formal evaluation of educational and patient outcomes remains the necessary next step.</p>","PeriodicalId":16382,"journal":{"name":"Journal of Medical Radiation Sciences","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2026-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13535535/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148874438","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":"Continuing Professional Development—Radiation Therapy","authors":"","doi":"10.1002/jmrs.70108","DOIUrl":"10.1002/jmrs.70108","url":null,"abstract":"<p>Maximise your continuing professional development (CPD) by reading the selected article and answering the five questions. Please remember to self-claim your CPD and retain your supporting evidence. Answers will be available via the QR code and published in JMRS – Volume 73, Issue 4, December 2026.</p><p>Scan this QR code or https://www.surveymonkey.com/r/JMRS_Sept2026_RT to find the answers.</p>","PeriodicalId":16382,"journal":{"name":"Journal of Medical Radiation Sciences","volume":"73 3","pages":"377-378"},"PeriodicalIF":2.1,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13398473/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148391132","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":"Improving Procedure Completion and Engagement of Neurodivergent Patients in Medical Imaging: A Systematic Review","authors":"Rheann Wickramasinghe,&nbsp;Glenda McLean","doi":"10.1002/jmrs.70023","DOIUrl":"10.1002/jmrs.70023","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>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>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>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>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>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>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>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>\u0000 </section>\u0000 </div>","PeriodicalId":16382,"journal":{"name":"Journal of Medical Radiation Sciences","volume":"73 3","pages":"319-326"},"PeriodicalIF":2.1,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13398792/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145085539","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":"Improving Equity of Care for Culturally and Linguistically Diverse Patients: Utilising Multilingual Software to Support Breath-Hold Breast Radiation Therapy","authors":"Toby Lowe,&nbsp;Rory Hartley,&nbsp;John Atyeo,&nbsp;Brooke Griffiths,&nbsp;Brian Porter,&nbsp;Gillian Lamoury,&nbsp;Marita Morgia,&nbsp;Gabrielle Metz,&nbsp;Susan Carroll","doi":"10.1002/jmrs.70095","DOIUrl":"10.1002/jmrs.70095","url":null,"abstract":"<p>Breath-hold techniques, including Deep Inspiration Breath Hold (DIBH) and Exhalation Breath Hold (EBH), are commonly used in radiation therapy to reduce radiation exposure to organs at risk while maintaining accurate tumour targeting. However, high failure rates during breath-hold simulations have been associated with patient anxiety and insufficient preparation—particularly when instruction is given only 20 min prior to the procedure. These challenges are amplified for patients from culturally and linguistically diverse (CALD) backgrounds. To address this, a multilingual mobile application (app) has been developed to improve patient education, communication, and compliance, with a particular focus on supporting CALD patients. Replacing traditional pamphlets with interactive instructional videos, visual aids, and real-time translation in seven languages, the app allows patients to familiarise themselves with breath-hold techniques before their Computed Tomography (CT) simulation. A General Radiation Therapy (RT) section in the app further supports communication between radiation therapists (RTs) and their patients by providing translated commands for standard patient positioning and movement instructions, improving accuracy and workflow efficiency. The app integrates with in-room sound systems, allowing RTs to provide remote coaching while maintaining clear and consistent communication. Additionally, the Frequently Asked Questions (FAQ) section of the app addresses common concerns that patients have about radiation therapy, helping them gain a better understanding with the possibility of reducing anxiety. The app has been implemented at the Northern Sydney Cancer Centre (NSCC) and is expected to improve patient compliance in breath-hold techniques and streamline clinical workflows.</p>","PeriodicalId":16382,"journal":{"name":"Journal of Medical Radiation Sciences","volume":"73 3","pages":"352-358"},"PeriodicalIF":2.1,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13398367/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148218128","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}