Journal of Medical Radiation Sciences最新文献_第2页

Open or closed: Experience of head and neck radiotherapy masks - A mixed-methods study. 开放或封闭：头颈部放射治疗面罩的使用体验--一项混合方法研究。

IF 1.8

Journal of Medical Radiation Sciences Pub Date : 2024-09-27 DOI: 10.1002/jmrs.825

Erik Lundin, Sofia Axelsson, Emma Ohlsson-Nevo

{"title":"Open or closed: Experience of head and neck radiotherapy masks - A mixed-methods study.","authors":"Erik Lundin, Sofia Axelsson, Emma Ohlsson-Nevo","doi":"10.1002/jmrs.825","DOIUrl":"https://doi.org/10.1002/jmrs.825","url":null,"abstract":"Introduction: In radiotherapy for head and neck cancer, a mask is used to immobilise the head and shoulders. An open mask that does not cover the face is expected to cause less anxiety, but there is need to further investigate the patients' experience of open versus closed masks. Therefore, the aim of this study is to evaluate patient preferences for open or closed masks and whether an open mask can reduce discomfort and anxiety for patients.Methods: Twenty participants were treated in alternating weeks using open and closed masks. Their distress was evaluated through semi-structured interviews and patient-reported outcome measures.Results: When using the open mask, it took longer to position the patient correctly. The closed mask felt more confining and could induce a sense of claustrophobia. Participants employed both internal and external strategies to cope with the stressful situation. The Hospital Anxiety and Depression Scale (HADS) showed a significant reduction in anxiety over time during the treatment period, but no significant difference between the masks. When participants chose which mask to use for the final treatments, 12 chose the open mask, while 8 chose the closed mask. In addition to the 20 analysed participants, two participants withdrew from the study because they could only tolerate the open mask, one due to anxiety and the other due to swelling.Conclusions: The open mask seems to provide a less confined experience but may lead to greater difficulties in achieving the correct treatment position. While both masks can be viable options for most patients, some cannot tolerate closed masks but do tolerate open masks.","PeriodicalId":16382,"journal":{"name":"Journal of Medical Radiation Sciences","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2024-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142348406","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}

引用次数: 0

Comparing immobilisation devices in gynaecological external beam radiotherapy: improving inter-fraction reproducibility of pelvic tilt. 比较妇科外照射放射治疗中的固定装置：提高骨盆倾斜的分段间再现性。

IF 1.8

Journal of Medical Radiation Sciences Pub Date : 2024-09-20 DOI: 10.1002/jmrs.826

引用次数: 0

Artificial intelligence and radiographer preliminary image evaluation: What might the future hold for radiographers providing x-ray interpretation in the acute setting? 人工智能和放射技师初步图像评估：在急诊环境中提供 X 射线判读的放射技师的未来会怎样？

IF 1.8

Journal of Medical Radiation Sciences Pub Date : 2024-09-20 DOI: 10.1002/jmrs.821

Clare Rainey

引用次数: 0

Preliminary image evaluation performance of radiographers in one New Zealand District: A 6-month prospective study. 新西兰一个地区放射技师的初步图像评估表现：为期 6 个月的前瞻性研究。

IF 1.8

Journal of Medical Radiation Sciences Pub Date : 2024-09-20 DOI: 10.1002/jmrs.827

引用次数: 0

Learning in radiation oncology: 12-month experience with a new incident learning system. 放射肿瘤学的学习：使用新事故学习系统的 12 个月经验。

IF 1.8

Journal of Medical Radiation Sciences Pub Date : 2024-09-15 DOI: 10.1002/jmrs.823

Krystle Crouch, Laura Adamson, Rachael Beldham-Collins, Jonathan Sykes, David Thwaites

{"title":"Learning in radiation oncology: 12-month experience with a new incident learning system.","authors":"Krystle Crouch, Laura Adamson, Rachael Beldham-Collins, Jonathan Sykes, David Thwaites","doi":"10.1002/jmrs.823","DOIUrl":"https://doi.org/10.1002/jmrs.823","url":null,"abstract":"Introduction: Safety and quality improvement are essential to clinical practice in radiation therapy as planning and treatment increase in complexity and sophistication. An incident learning system (ILS) is a safety and quality improvement tool that can aid risk mitigation to improve patient safety and quality of care. The aim of this study was to quantify the impact of implementing a new e-ILS, Learning In Radiation ONcology (LIRON), on reporting and safety culture within a local health district (LHD).Methods: The ILS (LIRON) was implemented in 2020 with the intent of tracking actual incidents, near misses and procedural non-compliances for analysis of root causes and contributing factors. A survey was conducted after 12 months of LIRON use, and distributed to radiation oncologists, radiation therapists and radiation oncology medical physicists within the LHD. Results were compared with the responses to a pre-ILS implementation survey, to review changes in staff perceptions of safety culture, barriers to reporting and ILS understanding.Results: Survey response rates were similar at baseline and at the 12-month follow-up, 64% and 63%, respectively. Findings showed increased ILS participation (49-71%), increased perception of no barriers to reporting (34-43%) and increased encouragement to report (37-43%). Greater confidence in the department's ability to learn from the ILS was evident (24-46%).Conclusion: Initial findings of LIRON implementation show positive impact but warrant further long-term review for greater understanding of its impact on staff perceptions, safety culture and improving departmental processes.","PeriodicalId":16382,"journal":{"name":"Journal of Medical Radiation Sciences","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2024-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142289383","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}

引用次数: 0

Paediatric computed tomography diagnostic reference levels in Africa: A systematic review. 非洲儿科计算机断层扫描诊断参考水平：系统回顾。

IF 1.8

Journal of Medical Radiation Sciences Pub Date : 2024-09-12 DOI: 10.1002/jmrs.824

Emmanuel Gyan, Christiana Subaar, George Edusei, Linda Antwi Nyarko

{"title":"Paediatric computed tomography diagnostic reference levels in Africa: A systematic review.","authors":"Emmanuel Gyan, Christiana Subaar, George Edusei, Linda Antwi Nyarko","doi":"10.1002/jmrs.824","DOIUrl":"https://doi.org/10.1002/jmrs.824","url":null,"abstract":"Introduction: Improvements in computed tomography (CT) technology in terms of image quality and reduction in absorbed dose have increased its applications in medical imaging. Diagnostic reference levels (DRLs) help to identify high radiation doses that are unusually delivered to patients undergoing exposure to ionising radiation. The aim of this review was to provide an overview of published studies by African researchers towards establishing paediatric CT DRLs in Africa.Methods: The search for articles was conducted using some relevant literature search engines including PubMed, Scopus, Science Direct, Google Scholar and Web of Science. Two reviewers were involved in the article selection process which involved a three-stage screening process of identifying; article titles, abstracts and full-test reading.Results: One hundred and seventy-four articles were identified from the database, PubMed (30), Scopus (21), Google Scholar (53), Web of Science (25) and Science Direct (45). Fifty duplicated articles were excluded before screening. Twelve peer-reviewed articles were included in this study based on the inclusion criteria. DRL values in terms of computed tomography dose index volume of head for the age groupings 0-1, 1-5, 5-10 and 10-15 were 27, 36.6, 39.5 and 47.5 mGy while the dose length product values were 461.6, 664, 872 and 978 mGy.cm respectively. The DRLs were calculated as 75th percentile of the local DRLs reported by the 12 articles included in this review.Conclusion: This review has shown that only few of the African countries (19%) have published studies on paediatric CT DRLs. There were variations in the DRLs published by the various authors which indicate that harmonisation and standardisation of paediatric CT protocols is essential for the optimisation of paediatric doses.","PeriodicalId":16382,"journal":{"name":"Journal of Medical Radiation Sciences","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2024-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142289384","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}

引用次数: 0

Radiation therapists' perceptions of participating in Professional Supervision - a pilot study. 放射治疗师对参与专业督导的看法--一项试点研究。

IF 1.8

Journal of Medical Radiation Sciences Pub Date : 2024-09-08 DOI: 10.1002/jmrs.822

Gay Dungey, Sarah Thomson, Paula Rodriguez Lopez

{"title":"Radiation therapists' perceptions of participating in Professional Supervision - a pilot study.","authors":"Gay Dungey, Sarah Thomson, Paula Rodriguez Lopez","doi":"10.1002/jmrs.822","DOIUrl":"https://doi.org/10.1002/jmrs.822","url":null,"abstract":"Introduction: Professional Supervision (PS) is a common approach used to reduce the fallout from stress and burnout. It involves monthly face-to-face meetings between a supervisor and supervisee to address well-being and professional goals. This pilot study examines 12 radiation therapists (RTs) perceptions of participating in PS.Methods: Conducted in the Christchurch Radiation Oncology Centre, this mixed-methods pilot study introduced PS in March 2022. In August 2023, 12 RTs completed a QUALTRICS online questionnaire consisting of 33 questions, including the Supervisor Working Alliance Inventory (SWAI). The SWAI assessed the alliance of supervision from a supervisee's perspective and comprised of 19 questions on a 7-point Likert scale and nine yes/no statements with optional comments. Five demographic questions were also included.Results: All 12 RTs completed the questionnaire, with quantitative results indicating a positive alliance between supervisors and supervisees. RTs found PS to be a safe and comfortable space for reflective practice and support. Thematic analysis of qualitative data from additional comments revealed PS enabled RTs to reflect on career achievements, appreciate highlights of being an RT and consider future career paths within the profession.Conclusions: Radiation therapists responded positively to PS, suggesting its potential in managing workplace stressors, promoting career advancement and providing dedicated time for reflection, support and guidance. RTs endorsed the efficacy of PS in enhancing their practice and advocated for its widespread adoption among RTs.","PeriodicalId":16382,"journal":{"name":"Journal of Medical Radiation Sciences","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2024-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142154373","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}

引用次数: 0

Cultural safety in radiation therapy education: Identifying knowledge deficits to improve Indigenous health practice. 放射治疗教育中的文化安全：找出知识缺陷，改善土著人的医疗实践。

IF 1.8

Journal of Medical Radiation Sciences Pub Date : 2024-09-08 DOI: 10.1002/jmrs.819

Thashmira Naidoo, Crispen Chamunyonga, Julie Burbery, Peta Rutledge

引用次数: 0

Radiography students' knowledge, attitude and practice relating to infection prevention and control in the use of contrast media injectors in computed tomography. 放射摄影专业学生在计算机断层扫描中使用造影剂注射器时与感染预防和控制有关的知识、态度和实践。

IF 1.8

Journal of Medical Radiation Sciences Pub Date : 2024-09-01 DOI: 10.1002/jmrs.820

Dania Abu Awwad, Suzanne Hill, Minh Chau, Sarah Lewis, Yobelli Alexandra Jimenez

{"title":"Radiography students' knowledge, attitude and practice relating to infection prevention and control in the use of contrast media injectors in computed tomography.","authors":"Dania Abu Awwad, Suzanne Hill, Minh Chau, Sarah Lewis, Yobelli Alexandra Jimenez","doi":"10.1002/jmrs.820","DOIUrl":"https://doi.org/10.1002/jmrs.820","url":null,"abstract":"Introduction: Radiography students complete professional placements in various clinical settings and must adhere to distinct infection prevention and control (IPC) protocols. The aim of this study was to explore radiography students' training, knowledge, attitudes, and practice (KAP) relating to IPC in the use of contrast media injectors in computed tomography (CT).Methods: An online survey study was undertaken with radiography students enrolled at two Australian universities. Survey questions related to contrast media training and KAP regarding IPC in CT. Data was summarised using descriptive statistics, with comparisons between experience in public and private practice. One free-text response question focused on non-adherence to IPC best practice, analysed using content analysis.Results: In total, 40 students completed the survey (9% response rate). Reports of IPC and contrast media equipment training was high, with disposition for further training. Regarding IPC knowledge, 65% of students responded correctly to all 'knowledge' items (individual scores range: 60-100%). Low consensus was observed regarding whether gloves replace the need for hand hygiene and if CT contrast tubing poses risk to healthcare workers (85% each). Mean scores ranged from 41% to 100% regarding identification of sterile syringe and tubing components. Responses to the open-ended question were categorised into four themes: 'High non-adherence risk working conditions', 'attitudes and practice', 'knowledge', and 'prioritise good IPC practice'.Conclusions: Radiography students demonstrate varied comprehension of IPC regarding contrast media equipment, and results suggest need for collaborative efforts between academic institutions and clinical training sites to integrate IPC protocols into curricula and on-site training.","PeriodicalId":16382,"journal":{"name":"Journal of Medical Radiation Sciences","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142108233","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}

引用次数: 0

Preliminary image evaluation performance of radiographers in one New Zealand District: a 6-month prospective study. 新西兰一个地区放射技师的初步图像评估表现：一项为期 6 个月的前瞻性研究。

IF 1.8

Journal of Medical Radiation Sciences Pub Date : 2024-08-26 DOI: 10.1002/jmrs.810

Kim Lewis, Sibusiso Mdletshe, Andrea Doubleday, Tracey Pieterse

{"title":"Preliminary image evaluation performance of radiographers in one New Zealand District: a 6-month prospective study.","authors":"Kim Lewis, Sibusiso Mdletshe, Andrea Doubleday, Tracey Pieterse","doi":"10.1002/jmrs.810","DOIUrl":"https://doi.org/10.1002/jmrs.810","url":null,"abstract":"Introduction: Preliminary image evaluation (PIE) is a system where radiographers alert emergency department referrers to the presence or absence of abnormalities on acute extremity X-ray examinations. PIE and similar systems have been utilised in the United Kingdom (UK) and Australia due to a shortage of radiologists to provide a timely report. As New Zealand (NZ) faces a similar shortage, PIE should be considered to address the negative impact this has on patients. The aim of this study was to determine the effect of regular feedback and education on radiographers' performance when detecting and describing acute abnormalities on extremity X-ray examinations in ED.Methods: A prospective longitudinal study design was utilised for this study. The sensitivity, specificity, accuracy, and accuracy of PIEs performed by seven radiographers at a public provincial district in NZ were assessed over a 6-month period, with the participants provided monthly results along with regular e-mailed feedback on common errors.Results: The mean for sensitivity, specificity, and accuracy calculated with a 95% confidence interval over the 6-month period were 92.8% (89.9, 95.8), 94.9 (93.1, 96.8), and 94.2 (91.9, 96.5), respectively. When the month-to-month results were analysed, the results demonstrated an improvement in participants' sensitivity, specificity, and accuracy over the 6-month period.Conclusion: The results of this study demonstrated that radiographers who participated in the study can perform PIE to a high standard that is comparable with the findings from international studies and demonstrated an improvement over 6 months. Therefore, PIE may be useful in NZ to aid ED clinicians in their clinical decisions when a radiology report is unavailable.","PeriodicalId":16382,"journal":{"name":"Journal of Medical Radiation Sciences","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2024-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142073044","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}

引用次数: 0