Journal of Medical Radiation Sciences最新文献

{"title":"What Fat Is That? Scanning Perirenal Fat: A Survey of Australasian Sonographers.","authors":"Victoria Baumann, Richard Banati, Jillian Clarke","doi":"10.1002/jmrs.70091","DOIUrl":"10.1002/jmrs.70091","url":null,"abstract":"<p><strong>Introduction: </strong>Ultrasound measures of perirenal adipose tissue (PRAT) have emerged as potentially efficient, cost-effective, and accessible methods for assessing cardiovascular disease (CVD) risk. Our recent systematic review supported the utility of PRAT measurement using ultrasound but highlighted a lack of standardised protocols for its clinical implementation. This measurement could be added to abdominal ultrasound examinations for little added time or cost to provide an important indicator of cardiovascular-significant obesity. The aim of this survey was to explore current practices and awareness of PRAT measurement among Australasian sonographers.</p><p><strong>Methods: </strong>We conducted an online survey of Australasian sonographers aiming to explore respondents' knowledge of the distinct types of renal adipose tissue, and their understanding of PRAT thickness and its association with CVD. We asked if they measure it and, if so, what technique they use. Responses were assessed in terms of answers to knowledge questions or ability, and of interest or engagement.</p><p><strong>Results: </strong>Albeit a low response rate, n = 42, both student and qualified sonographers were represented from metropolitan, rural, and remote settings, with a broad range of professional experience. Knowledge of renal anatomy, PRAT links with metabolic disease, and peri-renal fat layers varied. There was no consensus in the ultrasound technique for measuring PRAT.</p><p><strong>Conclusion: </strong>Findings revealed considerable variations in knowledge of PRAT and its clinical relevance. These differences are influenced by workplace setting, patient demographics, and level of sonographer experience. The results underscore the need for a standardised protocol to support the broader implementation of PRAT measurement in routine ultrasound practice.</p>","PeriodicalId":16382,"journal":{"name":"Journal of Medical Radiation Sciences","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2026-04-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13399496/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147722631","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":"Collaborative Autoethnography: A Research Method to Investigate Professional Identity of Medical Radiation Practitioners.","authors":"Michelle Fenech, Nadia Mead, Paula Kinnane","doi":"10.1002/jmrs.70090","DOIUrl":"10.1002/jmrs.70090","url":null,"abstract":"<p><p>Professional identity (PI) encompasses the values, knowledge, skills and attitudes aligned with an individual's role in the workplace and the expectations of a professional group. Due to the changing landscape of healthcare and the extended scope of practice of medical radiation practitioners (MRPs), their PI is also evolving. A well-formed PI can assist individuals, organisations and professions. For individuals, understanding PI can provide role clarity, a clear sense of purpose and direction, career progression opportunities, enhance work motivation and satisfaction, and improve well-being. For professions or organisations, a well-defined PI can increase workforce retention, improve work productivity and professional performance, support the professional development of individuals, and the way the profession is perceived by society. An understanding of the evolving PI of MRPs is required. Collaborative autoethnography (CAE) qualitative research can be feasibly used by MRPs to investigate their PI. To undertake CAE, the steps involved in the research process must be appreciated.</p>","PeriodicalId":16382,"journal":{"name":"Journal of Medical Radiation Sciences","volume":" ","pages":""},"PeriodicalIF":2.1,"publicationDate":"2026-04-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13398860/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147674289","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 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":"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":"S62-S72"},"PeriodicalIF":2.1,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13121556/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144528333","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":"The Case for Implementation Science in Medical Radiation Practice.","authors":"Laura Di Michele, Mitchell Sarkies, Nicola Creagh","doi":"10.1002/jmrs.70072","DOIUrl":"10.1002/jmrs.70072","url":null,"abstract":"<p><p>Initiating and sustaining clinical change can be incredibly challenging. Implementation science offers methods, tools and frameworks to systematically drive the uptake of evidence-based practices, speeding uptake and driving sustained practice change. The fields of Medical Radiation Science would benefit significantly by utilising the knowledge base from the discipline of implementation science and translating this within our context to realise clinical change more effectively and contribute our own specific knowledge to this field.</p>","PeriodicalId":16382,"journal":{"name":"Journal of Medical Radiation Sciences","volume":" ","pages":"S6-S8"},"PeriodicalIF":2.1,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13121538/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147307144","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":"Development and Initial Evaluation of an In-House Paediatric CT Immobilisation Device.","authors":"Maeve Masterson, Vinay Krishnan, Ahilan Kuganesan, Mohamed K Badawy","doi":"10.1002/jmrs.891","DOIUrl":"10.1002/jmrs.891","url":null,"abstract":"<p><strong>Introduction: </strong>Paediatric imaging often requires immobilisation to reduce motion artefacts, reduce the risk of repeat imaging and subsequently reduce patient radiation exposure. Commercial immobilisation devices may be expensive and infrequently used, making them difficult to justify for institutions with budget constraints. This study aimed to design and evaluate a cost-effective, in-house alternative.</p><p><strong>Methods: </strong>An in-house CT immobilisation device was developed using acrylic and polyethylene foam, tailored for newborns under 5 kg. Image quality was assessed using a Gammex ACR phantom on a CT scanner. Hounsfield units, noise and artefacts were compared between the in-house and commercial devices. Artefacts were independently evaluated by a radiographer and a medical physicist.</p><p><strong>Results: </strong>The in-house device performed comparably to the commercial version, with uniformity deviation within 2 HU and noise within 2.4 SD of baseline values; artefacts were minimal for both devices. There was no significant difference between the two immobilisation devices (p = 0.711). Stability concerns with the in-house device's square base could be resolved using immobilisation straps, and future iterations should address the foam insert's porous nature.</p><p><strong>Conclusion: </strong>The in-house CT immobilisation device offers a cost-effective alternative without compromising image quality, making it a viable option for healthcare institutions with limited budgets. However, its implementation would require further clinical evaluation and compliance with local regulations.</p>","PeriodicalId":16382,"journal":{"name":"Journal of Medical Radiation Sciences","volume":" ","pages":"S55-S61"},"PeriodicalIF":2.1,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13121561/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144216110","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.70051","DOIUrl":"10.1002/jmrs.70051","url":null,"abstract":"","PeriodicalId":16382,"journal":{"name":"Journal of Medical Radiation Sciences","volume":" ","pages":"S126-S127"},"PeriodicalIF":2.1,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13121557/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145804801","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":"Radiographer Preliminary Image Evaluation Accuracy in Interpreting Paediatric Trauma Radiographs.","authors":"Teresa Poon, Michael Neep, Therese Gunn","doi":"10.1002/jmrs.876","DOIUrl":"10.1002/jmrs.876","url":null,"abstract":"<p><strong>Introduction: </strong>Radiographer preliminary image evaluation (PIE) is a patient safety mechanism where radiographers provide a written comment describing potential pathology in radiographs they have acquired. This can assist emergency referrers in making a diagnosis when a radiologist's report is unavailable. The aim of this study was to evaluate the accuracy of radiographer PIE in interpreting paediatric trauma radiographs in an Australian emergency department.</p><p><strong>Methods: </strong>A randomised sample of paediatric radiographic examinations (aged 16 years and under) from January 2022 to June 2023 was retrospectively reviewed. The anatomical regions reviewed included the appendicular and axial skeleton, chest and abdomen. The PIE for each examination was compared to the radiologist report to indicate if the radiographer's evaluation was a true negative/positive or false negative/positive value. This was used to calculate mean sensitivity, specificity and diagnostic accuracy. Discrepant PIE interpretations were further investigated.</p><p><strong>Results: </strong>A total of 498 PIEs were reviewed. The overall accuracy, sensitivity and specificity were 93.3%, 84.3% and 98.1%, respectively. Cases with no participation and those marked as unsure for pathology represented 0.4% and 2.6% of the sample, respectively. The extremities were identified as a region frequently misinterpreted.</p><p><strong>Conclusion: </strong>Radiographers in this study maintained a high diagnostic accuracy in interpreting paediatric radiographs. PIE may complement the emergency referrer's diagnosis when a radiologist report is unavailable to promote appropriate and timely treatment for paediatric patients in the emergency department. Further research with a larger sample may support targeted training to improve PIE performance in regions frequently misinterpreted.</p>","PeriodicalId":16382,"journal":{"name":"Journal of Medical Radiation Sciences","volume":" ","pages":"S35-S45"},"PeriodicalIF":2.1,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13121574/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143557125","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":"Healthcare Professional Perspectives on Digital Health-Related Quality-of-Life Assessment in Paediatric Radiation Therapy: A Qualitative Study.","authors":"Mikaela Doig, Andrew Cunningham, Victoria Bedford, Hien Le, Matthew O'Connor, Eva Bezak, Nayana Parange, Amanda Hutchinson, Peter Gorayski, Michala Short","doi":"10.1002/jmrs.880","DOIUrl":"10.1002/jmrs.880","url":null,"abstract":"<p><strong>Introduction: </strong>Health-related quality of life (HRQoL) is not routinely evaluated using patient-reported outcome measures (PROMs) in paediatric radiation therapy (RT). This study aimed to identify barriers and facilitators to HRQoL implementation in paediatric RT clinical practice and requirements for a digital PROM platform, from the perspectives of healthcare professionals.</p><p><strong>Method: </strong>Exploratory semi-structured interviews were conducted with multidisciplinary clinicians from two hospitals providing care to paediatric RT patients. Interviews were transcribed verbatim, descriptively coded and analysed using content analysis. Consolidated Framework for Implementation Research (CFIR) was used as a theoretical framework for data collection, analysis and interpretation.</p><p><strong>Results: </strong>Nine interviews were held with nurses (n = 3), radiation therapists (n = 3), radiation oncology registrars (n = 2) and a consultant family therapist. Participants identified digital, clinical and child-friendly features to inform platform development. All participants recognised the proposed digital platform to be of value by generating new information to support patient care. The perceived alignment with clinical workflows, potential to provide staff satisfaction and individual scope to act on PROM results were key facilitators. Clinical time pressures, transient staffing and reluctance for change were identified as potential barriers. Engagement of clinical staff and training in addressing psychosocial concerns were recommended to support clinical actioning of results and foster successful clinical uptake.</p><p><strong>Conclusion: </strong>This study used CFIR to systematically identify requirements for a digital platform and barriers to routine patient-reported HRQoL collection in the paediatric RT setting. The facilitators and complexities of PROM implementation can inform platform development and future implementation strategies.</p>","PeriodicalId":16382,"journal":{"name":"Journal of Medical Radiation Sciences","volume":" ","pages":"S46-S54"},"PeriodicalIF":2.1,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13121558/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143997891","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-Medical Imaging.","authors":"","doi":"10.1002/jmrs.70081","DOIUrl":"10.1002/jmrs.70081","url":null,"abstract":"","PeriodicalId":16382,"journal":{"name":"Journal of Medical Radiation Sciences","volume":" ","pages":"S124-S125"},"PeriodicalIF":2.1,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13121572/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147463414","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":"Evaluating the Diagnostic Utility of Spinal Ultrasound in Neonates With a Simple Sacral Dimple: An Eight-Year Retrospective Study.","authors":"Nyles Tattersall, Lateisha Stam, Madonna Burnett, Deborah Starkey, Christopher Edwards, Tristan Reddan","doi":"10.1002/jmrs.70046","DOIUrl":"10.1002/jmrs.70046","url":null,"abstract":"<p><strong>Introduction: </strong>Spinal dysraphism describes a spectrum of congenital anomalies pertaining to the spine and spinal cord. Ultrasound is the preferred imaging modality for diagnosing dysraphism in low-risk neonates due to its cost-effectiveness and availability. Recent research demonstrates a low incidence of dysraphism in infants with an isolated sacral dimple and associated cutaneous stigmata (e.g., hairy tuft, haemangioma). We sought to determine the number of neonates referred for investigation of a simple sacral dimple, and the proportion found to have dysraphism.</p><p><strong>Methods: </strong>A retrospective analysis of the radiology information system was performed in a quaternary Australian children's hospital. Children undergoing spinal ultrasound from January 2016 to November 2024 were included. Patients over 90 days of age, and with indications other than simple sacral dimple were excluded.</p><p><strong>Results: </strong>There were 448 spinal ultrasound examinations reviewed; of these, 195 (43.5%) were for a simple sacral dimple. Mean age at scan was 33 days (range 2-90 days, sd = 24 days), 88 (45.1%) were female. Only two (1.0%) were diagnosed with dysraphism; both were found to have tethered cords. Both patients were subsequently diagnosed with concomitant anomalies (cardiac, and a Dandy Walker Malformation).</p><p><strong>Conclusion: </strong>Our findings support literature suggesting ultrasound screening for neonates with a simple sacral dimple has a very low diagnostic yield.</p>","PeriodicalId":16382,"journal":{"name":"Journal of Medical Radiation Sciences","volume":" ","pages":"S73-S80"},"PeriodicalIF":2.1,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13121573/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145668284","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}