Journal of Medical Radiation Sciences最新文献

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Enhancing Patient-Centred Care and Cultural Safety in Medical Imaging: The Radiographers Experience of Communicating With Patients in a Multicultural and Multilingual Setting in Auckland. 加强以病人为中心的护理和医学成像的文化安全:在奥克兰的多元文化和多语言环境中与病人交流的放射技师的经验。
IF 1.8
Journal of Medical Radiation Sciences Pub Date : 2025-07-10 DOI: 10.1002/jmrs.70005
Nica Abrasado, Sibusiso Mdletshe
{"title":"Enhancing Patient-Centred Care and Cultural Safety in Medical Imaging: The Radiographers Experience of Communicating With Patients in a Multicultural and Multilingual Setting in Auckland.","authors":"Nica Abrasado, Sibusiso Mdletshe","doi":"10.1002/jmrs.70005","DOIUrl":"https://doi.org/10.1002/jmrs.70005","url":null,"abstract":"<p><strong>Introduction: </strong>Effective communication between patients and healthcare professionals has been shown to contribute to beneficial patient outcomes but requires recognition of linguistic and cultural differences. This is critical in a locality like Auckland which has been shown to be the most diverse region in New Zealand in terms of ethnicity, languages and culture. English is the most spoken language in New Zealand, followed by Te Reo Māori. The aim of this qualitative, phenomenological study was to explore and describe the experience of radiographers communicating with patients in a multi-cultural, multi-lingual healthcare setting in Auckland, New Zealand.</p><p><strong>Methods: </strong>The research study population included radiographers registered with the Medical Radiation Technologists Board (MRTB) employed at the study location. The participant recruitment process included convenience, purposive, and snowball sampling. Data was collected through individual interviews that were audio-recorded and transcribed verbatim, with the sample size (n = 11) determined through the saturation of themes. Data was analysed by means of Tesch's framework for data analysis.</p><p><strong>Results: </strong>Four themes emerged: (a) cross-cultural challenges in patient communication; (b) enhanced patient-centred care through culturally responsive communication; (c) tailored communication methods based on contextual patient factors; and (d) adaptive communication strategies.</p><p><strong>Conclusion: </strong>This study underscores the importance of adaptive communication in overcoming linguistic and cultural barriers, emphasising the need for culturally safe and patient-centered care while maintaining professionals' responsibility to provide quality care to diverse patient populations. The findings have relevance beyond Māori context, highlighting the changing role of radiographers towards equitable and culturally sensitive healthcare.</p>","PeriodicalId":16382,"journal":{"name":"Journal of Medical Radiation Sciences","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144600726","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
Quantifying the Carbon Footprint of External Beam Radiation Therapy-A Narrative Review. 量化外束放射治疗的碳足迹-述评。
IF 1.8
Journal of Medical Radiation Sciences Pub Date : 2025-07-09 DOI: 10.1002/jmrs.70009
Karen Mukasa Kyeyune, Michelle Leech
{"title":"Quantifying the Carbon Footprint of External Beam Radiation Therapy-A Narrative Review.","authors":"Karen Mukasa Kyeyune, Michelle Leech","doi":"10.1002/jmrs.70009","DOIUrl":"https://doi.org/10.1002/jmrs.70009","url":null,"abstract":"<p><p>The health care sector contributes significant amounts of greenhouse gases (GHGs) to the global climate change issue. However, little remains known about the specific contribution of radiation therapy even though there are methods/tools to quantify its carbon footprint. This narrative review aimed to identify aspects within the external beam radiation therapy pathway that are associated with a significant carbon footprint and the methods by which this footprint can be assessed. These were categorised as power consumption of magnetic resonance imaging (MRI) and computed tomography (CT) for imaging and/or diagnosis in the pre-treatment setting, power consumption of linear accelerators (LINACs) in the treatment phase as well as patient travel. A search strategy with appropriate search terms was carried out on PubMed, Scopus, Embase and Web of Science to identify relevant studies. No time filter was applied during the search. Life cycle assessment as a method to quantify carbon footprint for radiation therapy remains under-utilised. Direct conversion of power consumption into carbon dioxide equivalence is a more feasible method. In the pre-treatment setting, use of MRI results in more GHG output compared to CT. Longer courses of radiation therapy result in significantly more GHG output compared to shorter fractionations as an alternative in the same disease site. Fractionation impacts the frequency of patient travel, another aspect that contributes significantly to the radiation therapy carbon footprint. Identification of areas contributing the most to the carbon footprint of radiation therapy will pave the way for future research into finding solutions to its offset.</p>","PeriodicalId":16382,"journal":{"name":"Journal of Medical Radiation Sciences","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144591467","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
Comparison of Auto-Contouring Tools for Delineation of Normal Organs at Risk in Paediatric Patients Undergoing Radiotherapy. 在接受放射治疗的儿科患者中,自动轮廓工具用于正常器官危险描绘的比较。
IF 1.8
Journal of Medical Radiation Sciences Pub Date : 2025-06-29 DOI: 10.1002/jmrs.893
Isabel Cant, Jonathan Sykes, Yolanda Surjan, Rachael Beldham-Collins, Laura Murphy, John Fernandez, Alison Salkeld
{"title":"Comparison of Auto-Contouring Tools for Delineation of Normal Organs at Risk in Paediatric Patients Undergoing Radiotherapy.","authors":"Isabel Cant, Jonathan Sykes, Yolanda Surjan, Rachael Beldham-Collins, Laura Murphy, John Fernandez, Alison Salkeld","doi":"10.1002/jmrs.893","DOIUrl":"https://doi.org/10.1002/jmrs.893","url":null,"abstract":"<p><strong>Introduction: </strong>Contouring organs at risk (OARs) manually in paediatric patients undergoing cranial-spinal radiation therapy (CSI) is a time-consuming, labour-intensive task. This study aims to assess the accuracy and clinical acceptability of auto-contours produced by the Siemens DirectORGANS auto-contouring software on paediatric patients receiving CSI treatment.</p><p><strong>Methods: </strong>Auto-contours of OARs were produced using the Siemens DirectORGANS Auto-contouring Software from 20 paediatric CSI patients datasets that had previously been manually contoured by a paediatric specialist radiation therapist (RT) for plan production. Manual and auto-contours were retrospectively analysed using quantitative (Dice Similarity Coefficient, Hausdorff Distance, Mean Distance to Agreement) and qualitative (Likert ratings, Turing test) assessment techniques.</p><p><strong>Results: </strong>Auto-contoured structures were clinically acceptable for use without edits 72.8% of the time, and manual contours were clinically acceptable for use 91.7% of the time. The liver was the only auto-contoured structure that performed better than the manual equivalent. Poor performance by the auto contouring tool was noted for structures surrounded by low contrast edges, such as the breasts, oesophagus, and brainstem, in both quantitative and qualitative assessment techniques. Brain auto-contours were deemed not suitable for clinical use.</p><p><strong>Conclusion: </strong>The clinical acceptability of many of the auto-contours favours the implementation of this auto-contouring system for clinical use. However, prior to use, all contours should be critically assessed and edited accordingly. Our study results indicate that whilst auto-contouring tools are designed for adult populations, they are suitable for use on paediatric patients when used with caution.</p>","PeriodicalId":16382,"journal":{"name":"Journal of Medical Radiation Sciences","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2025-06-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144528333","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
Positional Challenges of the Anteroposterior Pelvic X-Ray: Comparison of Imaging Reject Rates Between Trauma Trolley and Table Bucky 骨盆正位x线的位置挑战:创伤推车与手术台的影像拒绝率比较。
IF 2
Journal of Medical Radiation Sciences Pub Date : 2025-06-29 DOI: 10.1002/jmrs.70004
Sangdon Lee, Frances Gray, Yobelli Jimenez, Susan Said, Cameron Moore
{"title":"Positional Challenges of the Anteroposterior Pelvic X-Ray: Comparison of Imaging Reject Rates Between Trauma Trolley and Table Bucky","authors":"Sangdon Lee,&nbsp;Frances Gray,&nbsp;Yobelli Jimenez,&nbsp;Susan Said,&nbsp;Cameron Moore","doi":"10.1002/jmrs.70004","DOIUrl":"10.1002/jmrs.70004","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Pelvic x-rays can be conducted on a trauma trolley or conventional table bucky. The aim of this study was to compare the positional challenges and reject rate between pelvic x-ray images taken on a trauma trolley and a table bucky during a 12-month period in an Australian public metropolitan hospital's emergency department and to determine the accuracy rate of anatomical inclusion via a qualitative assessment of pelvic x-rays using a modified Visual Grading Scale (VGS).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A retrospective clinical audit of pelvic x-ray image reject rates over a 12-month period was conducted for an emergency department at an Australian hospital. Reject rate and anatomical cut-off were compared between images taken on a trauma trolley and a table bucky using independent samples <i>t</i>-test.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>A total of 1847 patients who underwent pelvic x-ray examinations were included in the study. The mean reject rate and the first exposure accuracy of pelvis x-rays taken on a trauma trolley were 35.5% and 56.7% respectively, while the mean reject rate and the first exposure accuracy for images taken on a table bucky were 18.8% and 81.8%, respectively (<i>p</i> &lt; 0.01). The superior and lateral anatomy cut-off were the major causes of image rejection for both techniques.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Pelvic x-rays taken on a trauma trolley had a significantly higher reject rate and lower first exposure accuracy compared with those taken on an x-ray table. Future studies could involve implementing strategies to reduce the reject rate of pelvic x-rays taken on trauma trolleys.</p>\u0000 </section>\u0000 </div>","PeriodicalId":16382,"journal":{"name":"Journal of Medical Radiation Sciences","volume":"72 3","pages":"376-384"},"PeriodicalIF":2.0,"publicationDate":"2025-06-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/jmrs.70004","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144528334","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}
引用次数: 0
Three-Dimensional Printing in Breast Radiation Therapy: A Scoping Review of the Literature 三维打印在乳房放射治疗中的应用:文献综述。
IF 2
Journal of Medical Radiation Sciences Pub Date : 2025-06-27 DOI: 10.1002/jmrs.70000
Chamitha Weerasinghe, Patrick Estoesta, Ashley Cullen, Elizabeth Claridge Mackonis
{"title":"Three-Dimensional Printing in Breast Radiation Therapy: A Scoping Review of the Literature","authors":"Chamitha Weerasinghe,&nbsp;Patrick Estoesta,&nbsp;Ashley Cullen,&nbsp;Elizabeth Claridge Mackonis","doi":"10.1002/jmrs.70000","DOIUrl":"10.1002/jmrs.70000","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Tissue equivalent bolus is used to increase dose to skin and superficial tissue in adjuvant breast or chest wall radiation therapy. Three-dimensional (3D) printed bolus offers a customised conformal device and potential for improved anatomic conformity and dose distribution.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A literature search was defined as per PRISMA guidelines for scoping review. Inclusion criteria were determined using PICO guidelines. The parameters of interest, including year, journal, study type, intervention details, clinical sample size and pre-clinical case numbers, were extracted from each article. The reported outcomes, such as dosimetry, anatomic conformity, dose to organs at risk and toxicity data were recorded.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Thirteen publications were reviewed, six studies were pre-clinical and seven were clinical. Ten were performed in the post-mastectomy setting and utilised polylactic acid (PLA) bolus. Overall, most studies reported marginal improvement in dosimetry, anatomic conformity, organ at risk dosimetry and toxicity with 3D printed bolus. However, sample sizes utilised were small and study design was variable with unusual choices of comparator arm and introduction of other variables.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Three-dimensional printed bolus is an emerging technology in radiation oncology. Most available data in the setting of breast radiation therapy is positive, though interpretation of results is difficult given the small sample sizes and variable study design. Further investigations in larger cohorts in a clinical setting is warranted.</p>\u0000 </section>\u0000 </div>","PeriodicalId":16382,"journal":{"name":"Journal of Medical Radiation Sciences","volume":"72 3","pages":"297-307"},"PeriodicalIF":2.0,"publicationDate":"2025-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/jmrs.70000","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144511941","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}
引用次数: 0
Local Diagnostic Reference Levels in Digital Breast Tomosynthesis 数字乳腺断层合成的局部诊断参考水平。
IF 2
Journal of Medical Radiation Sciences Pub Date : 2025-06-25 DOI: 10.1002/jmrs.892
Peter Barnes, Michelle Kostidis, Julie Nguyen, Molly O'Donohue
{"title":"Local Diagnostic Reference Levels in Digital Breast Tomosynthesis","authors":"Peter Barnes,&nbsp;Michelle Kostidis,&nbsp;Julie Nguyen,&nbsp;Molly O'Donohue","doi":"10.1002/jmrs.892","DOIUrl":"10.1002/jmrs.892","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Diagnostic Reference Levels (DRLs) are a guideline to indicate whether the radiation administered during medical procedures performed under routine conditions is unusually low or high. Currently, there are no national DRLs in Australia for Digital Breast Tomosynthesis Mammography (DBT). Given the radiosensitivity of breast tissue, establishing DRLs for DBT is of great importance. This research aims to develop Local Diagnostic Reference Levels (LDRLs) for DBT that can be used as a guide for monitoring radiation delivery levels, and a Quality Assurance tool to assist in monitoring the performance of the mammography unit.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Average Glandular Dose (AGD) was collected from patient data through OpenREM software. Other data collected included breast density, compression force, compressed breast thickness (CBT), operative and treatment status. LDRLs were set using the 75th percentile (third quartile AGD values), categorised into four CBT ranges and compared against the median AGD values.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>LDRLs were similar for both craniocaudal and mediolateral oblique views. LDRLs for CBT ranges of 13–49 mm, 50–74 mm, 75–99 mm and 100–118 mm were calculated to be 1.5, 2.70, 3.90 and 4.70 mGy, respectively. There was no statistically significant correlation between breast density and AGD.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>It was found that CBT had a larger impact on dose than density. Significant differences were found between the LDRLs for each of the CBTs; therefore, setting a single LDRL for all CBTs may result in missing unacceptably high or low breast doses. LDRLs should be reviewed frequently to ensure the radiation dose patients receive is within optimal levels.</p>\u0000 </section>\u0000 </div>","PeriodicalId":16382,"journal":{"name":"Journal of Medical Radiation Sciences","volume":"72 3","pages":"341-349"},"PeriodicalIF":2.0,"publicationDate":"2025-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/jmrs.892","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144497324","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}
引用次数: 0
Creating Our Professional Evidence-Base: A Journey, Not a Destination 创建我们的专业证据基础:一个旅程,而不是目的地。
IF 2
Journal of Medical Radiation Sciences Pub Date : 2025-06-23 DOI: 10.1002/jmrs.70003
Jonathan P. McNulty
{"title":"Creating Our Professional Evidence-Base: A Journey, Not a Destination","authors":"Jonathan P. McNulty","doi":"10.1002/jmrs.70003","DOIUrl":"10.1002/jmrs.70003","url":null,"abstract":"<p>Let's continue this essential and exciting journey as a profession and then we can celebrate our achievements, celebrate our new collaborations, and celebrate the impact of our research!\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 3","pages":"277-279"},"PeriodicalIF":2.0,"publicationDate":"2025-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/jmrs.70003","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144475614","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}
引用次数: 0
Optimising Radiation Dose Estimation: UNSCEAR DAP-to-ED Conversion in Uterine Artery Embolisation 优化辐射剂量估计:UNSCEAR子宫动脉栓塞中dap到ed的转换。
IF 2
Journal of Medical Radiation Sciences Pub Date : 2025-06-19 DOI: 10.1002/jmrs.70002
Don J. Nocum, John Robinson, Warren Reed
{"title":"Optimising Radiation Dose Estimation: UNSCEAR DAP-to-ED Conversion in Uterine Artery Embolisation","authors":"Don J. Nocum,&nbsp;John Robinson,&nbsp;Warren Reed","doi":"10.1002/jmrs.70002","DOIUrl":"10.1002/jmrs.70002","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Radiographers and physicians working in interventional radiology (IR) departments are responsible for monitoring and optimising radiation dose exposure to both patients and staff. The dose-area product (DAP) is a common measurement of radiation output but does not directly correlate with stochastic risks. Pre-determined conversion factors allow estimation of effective dose (ED) for IR procedures to better assess radiation exposure risks. This study evaluates the clinical utility of DAP-to-ED conversion factors to improve knowledge of radiation risk assessment.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Retrospective data on DAP (Gray per centimetre-squared/Gy.cm<sup>2</sup>) from uterine artery embolisation (UAE) procedures were analysed. Conversion factors were obtained from the ‘United Nations Scientific Committee on the Effects of Atomic Radiation (UNSCEAR) Global Survey on Medical Exposure: A User Manual’. Group A (<i>n</i> = 50), which followed standard protocols, was compared with Group B (<i>n</i> = 50) which implemented dose optimisation techniques.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Multivariable linear regression (MVLR) analysis demonstrated that DAP correlated with the converted ED values for both groups (<i>p</i> &lt; 0.01). The mean ED was 9.5 milliSieverts (mSv) for Group A and 8.7 mSv for Group B.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>MVLR analysis confirmed a strong correlation between DAP and the ED conversions, demonstrating that the ‘UNSCEAR User Manual’ has potential to serve as a DAP-to-ED estimation tool for common interventional procedures. The mean ED found was equivalent to the radiation dose of approximately one abdominal computed tomography (CT) scan. Implementing DAP-to-ED conversion can be valuable in improving both clinicians and patients' awareness of radiation exposure.</p>\u0000 </section>\u0000 </div>","PeriodicalId":16382,"journal":{"name":"Journal of Medical Radiation Sciences","volume":"72 3","pages":"368-375"},"PeriodicalIF":2.0,"publicationDate":"2025-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/jmrs.70002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144333287","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}
引用次数: 0
Impact of Digital Breast Tomosynthesis on Extra Views and Concomitant Ultrasound Examinations in One Year Post Breast-Conserving Surgery Patients 数字乳房断层合成对保乳术后1年患者额外视点及伴随超声检查的影响。
IF 2
Journal of Medical Radiation Sciences Pub Date : 2025-06-16 DOI: 10.1002/jmrs.70001
Michelle Kostidis, Yasha Pathmaperuma, Numan Kutaiba, Mia Le Plastrier
{"title":"Impact of Digital Breast Tomosynthesis on Extra Views and Concomitant Ultrasound Examinations in One Year Post Breast-Conserving Surgery Patients","authors":"Michelle Kostidis,&nbsp;Yasha Pathmaperuma,&nbsp;Numan Kutaiba,&nbsp;Mia Le Plastrier","doi":"10.1002/jmrs.70001","DOIUrl":"10.1002/jmrs.70001","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Imaging surveillance of patients post breast surgery for breast cancer is routinely performed with mammography. In practice, a large number of patients receive a concomitant ultrasound. The latter has not been established as routine practice and varies across imaging departments and referrers. This study aims to determine if the use of digital breast tomosynthesis (DBT) has decreased the need for concomitant ultrasound and extra mammographic views compared to digital mammography (DM).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Data was retrospectively reviewed for patients undergoing surveillance mammography for two periods: 2015–2016 (DM) and 2018–2019 (DBT). Patients identified as first-year post breast-conserving surgery (BCS) were included in the study. Comparison of proportions of concomitant ultrasound use between the two periods, with subgroup analysis for breast density categories, was performed using Chi-squared tests.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The study included 499 patients, of which 245 and 254 represented the DM and DBT periods, respectively, with a mean age of 60.1 years (SD 13.1) for the entire cohort.</p>\u0000 \u0000 <p>During DBT period, the percentage of patients having concomitant ultrasounds decreased by 15 percentage points (95% CI 8.9%–21.1%) (<i>p</i> &lt; 0.0001) when compared to the DM period. During DBT period, the percentage of patients having extra views decreased by 44 percentage points (95% CI 36.1%–51.1%) (<i>p</i> &lt; 0.0001).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The introduction of DBT resulted in fewer concomitant ultrasound examinations and extra mammographic views performed in the first-year post breast cancer treatment. The role of ultrasound in cancer surveillance post-treatment is debatable and large prospective studies investigating its value are warranted.</p>\u0000 </section>\u0000 </div>","PeriodicalId":16382,"journal":{"name":"Journal of Medical Radiation Sciences","volume":"72 3","pages":"361-367"},"PeriodicalIF":2.0,"publicationDate":"2025-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/jmrs.70001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144310031","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}
引用次数: 0
Continuing Professional Development – Medical Imaging 持续专业发展-医学影像。
IF 2
Journal of Medical Radiation Sciences Pub Date : 2025-06-11 DOI: 10.1002/jmrs.894
{"title":"Continuing Professional Development – Medical Imaging","authors":"","doi":"10.1002/jmrs.894","DOIUrl":"10.1002/jmrs.894","url":null,"abstract":"<p>Maximise your continuing professional development (CPD) by reading the following 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 72, Issue 4, December 2025.</p><p>Zoe Moran, Amber Loh, Annie K. Lewis, Paul Kelly, Amy M. Dennett, https://doi.org/10.1002/jmrs.881.</p>","PeriodicalId":16382,"journal":{"name":"Journal of Medical Radiation Sciences","volume":"72 3","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/jmrs.894","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144275139","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}
引用次数: 0
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