Journal of Medical Radiation Sciences最新文献

{"title":"When Work Integrated Learning Costs Too Much: The Hidden Toll of Clinical Placements","authors":"Vicki Braithwaite,&nbsp;Therese Gunn,&nbsp;Pamela Rowntree,&nbsp;Judith Singleton","doi":"10.1002/jmrs.70032","DOIUrl":"10.1002/jmrs.70032","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Work Integrated Learning (WIL) experiences are a key component in medical imaging (MI) studies. However, these unpaid placements often result in significant financial stress, otherwise known as ‘placement poverty’, due to reduced income during placement and associated costs. Despite significant research in other allied health disciplines, the impact on MI students remains under-researched.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A structured survey based upon the WIDE survey originally developed in New Zealand was administered by the University's Qualtrics platform. Ethics approval was granted (Ethics # 6894). The survey targeted students in their final 2 years of the four-year Honours degree, along with students within 2 years post-graduation. The survey collected both quantitative and qualitative data on financial stress during WIL placements. Of 250 eligible participants, 56 responded, with 28 complete responses included in the analysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Findings have demonstrated MI students experience substantial financial hardship during WIL placements. Key stressors included travel, accommodation, uniforms, and increased daily living costs. Full-time placement schedules limited students' ability to maintain part-time employment, with rural placements further increasing their financial burden. Students reported impacts on mental health, academic performance, and overall wellbeing. Financial stress led some students to reduce their study load, take leave from the course or consider course withdrawal.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>This study highlights the significant financial challenges facing MI students during WIL placements, with implications for students' retention and workforce sustainability. Targeted financial support, flexible placement models, and policy reform are urgently needed to ensure equitable training and to address the ongoing workforce shortage.</p>\u0000 </section>\u0000 </div>","PeriodicalId":16382,"journal":{"name":"Journal of Medical Radiation Sciences","volume":"73 2","pages":"174-180"},"PeriodicalIF":2.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/jmrs.70032","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145488866","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.70059","DOIUrl":"10.1002/jmrs.70059","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 to find the answers.</p>","PeriodicalId":16382,"journal":{"name":"Journal of Medical Radiation Sciences","volume":"73 2","pages":"235-236"},"PeriodicalIF":2.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/jmrs.70059","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147307096","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":"Student Perceptions of the Implementation of Novel Sonography Phantoms in Radiography Curricula: A Mixed Methods Study","authors":"Jad Boutros,&nbsp;Susan Said,&nbsp;Jillian Clarke","doi":"10.1002/jmrs.70067","DOIUrl":"10.1002/jmrs.70067","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Sonography phantoms are an educational tool for training student sonographers and acquainting health science students to the conventions of sonography, which employs high frequency sound waves for soft tissue imaging. Phantoms are objects that mimic human anatomy and their appearance on sonography, enabling the practical application of theoretical skills in a simulated environment. As such, sonography phantoms are essential in providing an interactive experience for medical imaging students by consolidating theoretical knowledge and facilitating collaborative learning. This research study aims to analyse the experiences of diagnostic radiography students' use of four new sonography phantoms recently integrated into their curricula to examine the implementation of the phantoms in this environment which has not yet been researched.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A mixed methods study was performed using an online Qualtrics survey composed of open and closed-ended questions as well as focus groups.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Twenty-three students completed the survey, of whom thirteen participated in focus groups. Most students indicated strong engagement with these learning tools, found them easy to use, and demonstrated an improved understanding of sonography. Key themes generated from the focus groups and open-ended survey questions included active phantom engagement, appreciation of sonography, and its role in medical imaging and quality improvement.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Students indicated a substantial level of enjoyment from phantom engagement and learning, describing a greater appreciation of sonography.</p>\u0000 </section>\u0000 </div>","PeriodicalId":16382,"journal":{"name":"Journal of Medical Radiation Sciences","volume":"73 2","pages":"205-214"},"PeriodicalIF":2.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/jmrs.70067","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146113423","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":"Exploring the Clinical Potential of Dynamic Digital Radiography: A Narrative Review","authors":"Connor W. Braniff,&nbsp;Mohamed K. Badawy","doi":"10.1002/jmrs.70060","DOIUrl":"10.1002/jmrs.70060","url":null,"abstract":"<p>Dynamic Digital Radiography (DDR) is an emerging X-ray technology that captures anatomical motion through rapid sequential imaging, typically at 15 frames per second. By enabling real-time visualisation of physiological processes, DDR offers functional insights that extend beyond the capabilities of traditional static radiography. This literature review evaluates current evidence on DDR's clinical applications, with particular attention to pulmonary assessment, cardiac motion analysis and orthopaedic evaluations. Recent advances in post-processing software, including motion quantification and enhanced visual analytics, further support DDR's potential utility in a range of clinical settings. Findings from existing studies indicate that DDR provides meaningful functional information that may assist clinicians in evaluating disease progression, monitoring treatment response and identifying subtle dynamic abnormalities. Its portability and relatively low radiation dose are notable advantages, especially for patients with limited mobility or for point-of-care use. DDR has shown diagnostic performance comparable to established modalities such as CT, conventional radiography and fluoroscopy in selected applications, suggesting value as a complementary imaging tool. Nevertheless, the review also highlights important limitations. Current research is constrained by small study populations and limited long-term data. Although DDR offers versatility and unique dynamic imaging capability, its ability to outperform established modalities is unclear, making its suitability as a replacement in routine clinical practice uncertain. Broader adoption will require further large-scale, standardised studies to establish diagnostic accuracy, reproducibility and cost-effectiveness. Overall, DDR represents a promising adjunct to existing imaging technologies. Its ability to capture real-time anatomical motion positions it as a valuable emerging tool with the potential to enhance functional assessment and expand imaging accessibility across varied clinical environments.</p>","PeriodicalId":16382,"journal":{"name":"Journal of Medical Radiation Sciences","volume":"73 2","pages":"135-149"},"PeriodicalIF":2.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/jmrs.70060","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146119250","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":"IMPACT Requests: Evaluating the Effectiveness of IMPACT Education for Emergency Department Referrers to Improve the Quality of CT Requests","authors":"Chelsea Castillo,&nbsp;Tom Steffens,&nbsp;Georgia Livesay,&nbsp;Lawrence Sim,&nbsp;Liam Caffery","doi":"10.1002/jmrs.70069","DOIUrl":"10.1002/jmrs.70069","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>The quality of radiology reports is closely linked to clinical information provided by referrers. Inadequate information can lead to broader differential diagnoses, delayed decisions and lower-value healthcare. To address this, the IMPACT (Information Medically Pertinent for Acute Computed Tomography) criteria were developed to guide referrers on essential clinical details for computed tomography (CT) requests in emergency settings. This study aimed to evaluate whether education based on these criteria—IMPACT Education—improved the quality of CT requests.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A cross-sectional study was conducted in a large Australian, metropolitan, trauma hospital. Junior doctors in the Emergency Department (ED) were provided with IMPACT Education, a multi-modal teaching program based on rationalised, mnemonic-driven clinical criteria for chest, abdomen and multi-trauma CT requests. A total of 1200 CT requests, 200 made before education (the control group) and 200 made by referrers after completing education (post-education group) for each scan region were assessed for compliance with the IMPACT Criteria. Statistical analyses included Chi-square and Mann–Whitney U tests to assess changes in individual criteria and overall request scores between the two groups.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Overall mean request scores were significantly higher for all scan types in the requests made by those who completed the education, compared to the control group. For CT chest and abdomen, the majority of individual criteria showed significant improvements in the post-education sample. CT multi-trauma requests showed more modest gains, possibly due to clinical urgency and complexity.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The IMPACT Education program improved the quality of clinical information in CT requests from ED referrers for CT chest, abdomen and multi-trauma presentations. The success of the education is attributed to the use of evidence-based teaching strategies. The next phase of this project will investigate the impact of this improvement in request quality on the quality of resultant radiology reports.</p>\u0000 </section>\u0000 </div>","PeriodicalId":16382,"journal":{"name":"Journal of Medical Radiation Sciences","volume":"73 2","pages":"215-223"},"PeriodicalIF":2.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/jmrs.70069","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147365625","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":"Clinical Value and Research Prospects of 1024 Matrix Optimization in 64-Slice Cerebral CTA for Perforating Artery Visualisation.","authors":"Yang Liu, Wei Wu","doi":"10.1002/jmrs.70101","DOIUrl":"10.1002/jmrs.70101","url":null,"abstract":"<p><p>This letter comments on Nagumo et al.'s study evaluating 1024-matrix reconstruction for intracranial perforating artery visualisation in 64-slice cerebral CTA, affirming its cost-effective value for standard CT scanners (https://doi.org/10.1002/jmrs.70055). We endorse the key finding that 1024-matrix improves small artery detection via higher sampling density, while highlighting the need for cross-vendor validation, workflow impact quantification, and clinical outcome assessment. This simple post-processing strategy is highly scalable, and further multicentre studies are warranted to confirm its universal utility.</p>","PeriodicalId":16382,"journal":{"name":"Journal of Medical Radiation Sciences","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2026-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13399236/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148031625","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":"Adherence to Diagnostic Imaging Pathways for Patients Presenting to Emergency Departments With Undifferentiated Acute Abdominal Pain: Impact on Radiation Exposure and Multiple Imaging Testing.","authors":"Brian Evans, Nicola Giannotti, Ernest Ekpo","doi":"10.1002/jmrs.70097","DOIUrl":"10.1002/jmrs.70097","url":null,"abstract":"<p><strong>Introduction: </strong>The Diagnostic Imaging Pathways (DIP) are a tool that has been developed to assist physicians with selecting appropriate imaging tests. Adherence to these imaging pathways and their impact on patient outcomes have not been explored. This study aims to assess the impact that adherence to the acute abdomen DIPs has on the number of imaging tests performed and patients' exposure to imaging modalities that utilise radiation.</p><p><strong>Method: </strong>Imaging requests and radiologist's reports of 1257 patients who presented to emergency departments with abdominal pain and had abdominopelvic computed tomography (CT) scans were collected over a period of 1 year. These data were classified into whether or not patients' imaging investigations followed the DIPs for undifferentiated acute abdominal pain. Based on this classification, we assessed the impact that adherence to the DIP had on diagnostic yield, patients' exposure to imaging tests that utilise radiation, and the number of diagnostic imaging tests performed.</p><p><strong>Discussion: </strong>The results highlight poor adherence to DIPs with 71% of acute abdomen presentations not following the recommended pathways. While the proportion of pathologies detected when DIPs were followed compared to when DIPs were not followed was similar, there were significant reductions in the number of imaging tests performed and radiation dose burden to patients. Given the risks associated with radiation exposure and the need to optimise health resources, these results suggest that the DIPs are a useful tool for optimising radiation dose and cost in patients presenting with abdominal pain.</p><p><strong>Conclusions: </strong>Adherence to imaging guidelines shows a strong positive correlation in reducing patient exposure to radiation and multiple imaging.</p>","PeriodicalId":16382,"journal":{"name":"Journal of Medical Radiation Sciences","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2026-05-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13398615/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148016016","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":"Agentic Artificial Intelligence in Medical Imaging Education: Architectural Autonomy and the Risk of Cognitive Surrender.","authors":"James Hayes","doi":"10.1002/jmrs.70099","DOIUrl":"10.1002/jmrs.70099","url":null,"abstract":"<p><p>As agentic artificial intelligence systems become increasingly embedded in medical imaging, practice is moving from episodic decision support to workflow-based architectures that alter how practitioners think and practise. Medical imaging practice is traditionally conceptualised using Dual Process Theory, which describes how practitioners use their System 1 (intuitive decision making) and System 2 (analytic decision making) in practice. However, as more practitioners incorporate agentic artificial intelligence systems into their workflow, a Tri-System framework may be required. This Perspective paper will show how the practitioner and an agentic artificial intelligence system become part of a cognitive team known as System 3. It will argue that an appropriate level of cognitive surrender should be considered and that current decision making should be reframed through diagnostic complementarity, with added emphasis on structured human and AI interaction to achieve optimal performance. We recommend the implementation of the following educational methods in radiography programmes: (a) training students using fault-injected medical images to reinforce the importance of human verification in image interpretation; (b) preparing students to supervise the performance of agentic artificial intelligence systems; (c) normalising AI-assisted activities to mitigate potential deskilling.</p>","PeriodicalId":16382,"journal":{"name":"Journal of Medical Radiation Sciences","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2026-05-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13399573/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147964019","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":"Radiation Safety in Practice: A Cross-Sectional Study on Radiographers' Knowledge, Awareness and Adherence to Personal Radiation Monitoring Devices in Resource Limited Settings.","authors":"Lindiwe Hungwe, Moneni Shilumba","doi":"10.1002/jmrs.70093","DOIUrl":"10.1002/jmrs.70093","url":null,"abstract":"<p><strong>Introduction: </strong>Diagnostic radiographers work in environments where ionizing radiation is used, making radiation protective measures essential for occupational safety. Personal Radiation Monitoring Devices (PRMDs) are used by diagnostic radiographers to monitor cumulative occupational exposure, resulting from faulty equipment or unsafe work practices; however, research indicates that strict adherence to PRMD use is not consistent. The study aimed to explore radiographers' knowledge, awareness and adherence to PRMD use in five major state hospitals in Namibia.</p><p><strong>Methods: </strong>A quantitative, cross-sectional and descriptive study was conducted using an online questionnaire. Fifty radiographers from five major Namibian public hospitals were targeted through convenience sampling. Data were analysed using IBM SPSS version 26 to assess levels of knowledge, awareness and adherence.</p><p><strong>Results: </strong>Thirty radiographers participated in the study with a mean age of 32 years. Most respondents, n = 23 (77%), demonstrated adequate knowledge regarding PRMDs, with n = 26 (87%) 'strongly agreeing' that they understood the purpose of PRMDs. Regarding awareness, n = 14 (47%) showed good awareness; however, n = 22 (73%) reported not knowing their cumulative radiation exposure. Access to dose results was limited, with only n = 7 (23%) regularly reviewing their readings. Additionally, n = 22 (73%) reported that they would continue working without a PRMD.</p><p><strong>Conclusion: </strong>Namibian radiographers demonstrated adequate knowledge and awareness of PRMDs; however, adherence was low. It highlights the need for stricter compliance policies and enforcement. Further research is needed to investigate barriers to consistent usage and identify effective strategies to improve adherence.</p>","PeriodicalId":16382,"journal":{"name":"Journal of Medical Radiation Sciences","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2026-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13398807/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147863774","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":"","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":16382,"journal":{"name":"Journal of Medical Radiation Sciences","volume":"73 S2","pages":"S1-S2"},"PeriodicalIF":2.0,"publicationDate":"2026-04-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148122300","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}