Sergio M. Solis-Barquero , Andrea Astorga Ramirez , Jennifer Sanchez Portuguez , Ignacio Montero Ureña
{"title":"Medical device specialist: An emerging role for medical radiation technologists in Costa Rica","authors":"Sergio M. Solis-Barquero , Andrea Astorga Ramirez , Jennifer Sanchez Portuguez , Ignacio Montero Ureña","doi":"10.1016/j.jmir.2025.101859","DOIUrl":"10.1016/j.jmir.2025.101859","url":null,"abstract":"","PeriodicalId":46420,"journal":{"name":"Journal of Medical Imaging and Radiation Sciences","volume":"56 3","pages":""},"PeriodicalIF":1.3,"publicationDate":"2025-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143132759","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}
{"title":"Recognition of education, training and experience in advanced clinical practice through a national multiprofessional scheme: A narrative review from a radiographer participant","authors":"Gavin Cain , Beverly Snaith","doi":"10.1016/j.jmir.2025.101856","DOIUrl":"10.1016/j.jmir.2025.101856","url":null,"abstract":"<div><div>The Multi-professional Framework (MPF) for Advanced Clinical Practice in England defines the essential capabilities required of advanced clinical practitioners. The Centre for Advanced Practice ePortfolio (supported) route provides a pathway for these practitioners to gain formal recognition, confirming that they meet the educational and experiential standards for advanced practice. This narrative review examines how a diagnostic radiographer from the first cohort successfully demonstrated these capabilities, using excerpts from their ePortfolio and examples of supporting evidence. The review aims to highlight activities characteristic of advanced practice in diagnostic radiography and radiographic reporting, and how they can be effectively documented to demonstrate fulfilment of the MPF capabilities.</div></div>","PeriodicalId":46420,"journal":{"name":"Journal of Medical Imaging and Radiation Sciences","volume":"56 3","pages":"Article 101856"},"PeriodicalIF":1.3,"publicationDate":"2025-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143132758","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}
{"title":"Medical imaging? “Yes Please!”","authors":"Cyndi Logan","doi":"10.1016/j.jmir.2024.101845","DOIUrl":"10.1016/j.jmir.2024.101845","url":null,"abstract":"","PeriodicalId":46420,"journal":{"name":"Journal of Medical Imaging and Radiation Sciences","volume":"56 3","pages":"Article 101845"},"PeriodicalIF":1.3,"publicationDate":"2025-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143133475","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}
{"title":"Letter to the Editor re: How does intelligent noise reduction software influence the image quality in pelvic digital radiography","authors":"Amnuay Kleebayoon , Viroj Wiwanitkit","doi":"10.1016/j.jmir.2024.101849","DOIUrl":"10.1016/j.jmir.2024.101849","url":null,"abstract":"","PeriodicalId":46420,"journal":{"name":"Journal of Medical Imaging and Radiation Sciences","volume":"56 3","pages":"Article 101849"},"PeriodicalIF":1.3,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143082848","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}
{"title":"A systematic review of the effectiveness of leaded glasses for ensuring safety among healthcare professionals in fluoroscopy","authors":"Rogério Lopes , Pedro Teles , Joana Santos","doi":"10.1016/j.jmir.2024.101848","DOIUrl":"10.1016/j.jmir.2024.101848","url":null,"abstract":"<div><h3>Background</h3><div>Currently, there is an increase in procedures across various clinical specialties involving the use of ionising radiation.</div></div><div><h3>Objective</h3><div>The primary objective of this systematic review is to analyse and compare the existing literature regarding the effectiveness of leaded glasses for healthcare professionals.</div></div><div><h3>Methods</h3><div>Comprehensive literature searches were conducted for relevant studies published between 2018 and 2023 using the Scopus, PubMed, and Web of Science databases according to preferred reporting items for systematic reviews and meta-analyses (PRISMA) methodology.</div></div><div><h3>Results</h3><div>After the complete text screening, 11 articles were deemed suitable for inclusion in the review. Leaded glasses significantly reduce eye radiation exposure, with studies showing shielding effects ranging from 10 % to 88,9 %, depending on the configuration and thickness of the glasses. For instance, lightweight glasses achieved a shielding effect of 61.4 %, while thicker lead equivalents (≥0.5 mm) offered up to ninefold dose reductions. Studies also noted the importance of lateral shielding and ergonomic designs for optimal protection. Leaded glasses significantly reduce eye lens doses but are most effective when combined with other protective measures. Factors such as head orientation, procedural complexity, and operator movement influence their performance. The findings underscore the need for standardised guidelines on protective eyewear use and further research under real-world clinical conditions.</div></div><div><h3>Conclusion</h3><div>It is essential to ensure the proper use of leaded glasses to minimize the risks of ionising radiation for healthcare professionals in fluoroscopy procedures.</div></div>","PeriodicalId":46420,"journal":{"name":"Journal of Medical Imaging and Radiation Sciences","volume":"56 2","pages":"Article 101848"},"PeriodicalIF":1.3,"publicationDate":"2025-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143018983","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}
{"title":"Group learning contracts in healthcare education: A systematic review","authors":"Minh Chau , Clare L Singh , Tricia Bowman","doi":"10.1016/j.jmir.2024.101843","DOIUrl":"10.1016/j.jmir.2024.101843","url":null,"abstract":"<div><h3>Introduction/Background</h3><div>Group work plays a crucial role in healthcare education by fostering collaboration, communication, and teamwork skills. However, students often face challenges such as unequal workload distribution, conflict, and anxiety. Group learning contracts have been introduced to improve group dynamics by setting clear expectations, enhancing accountability, and promoting effective collaboration. This systematic review explores the impact of group learning contracts on students’ experiences in healthcare education.</div></div><div><h3>Methods</h3><div>A comprehensive search across six databases, including Medline, ProQuest, and SCOPUS, identified studies published from inception to 2023. Keywords related to group work, healthcare education, and learning contracts were used. Data extraction and quality appraisal followed the PRISMA guidelines, with the Mixed Methods Appraisal Tool (MMAT) used for bias assessment.</div></div><div><h3>Results</h3><div>All four studies demonstrated positive outcomes from using group learning contracts. Improvements included better workload distribution, increased communication, reduced anxiety, and enhanced collaboration. One study reported greater effectiveness of these contracts in online learning settings. Some students, however, found the additional paperwork burdensome. Despite overall low bias risk, methodological limitations, including small sample sizes and absence of control groups, were noted.</div></div><div><h3>Discussion</h3><div>The findings highlight the potential of group learning contracts to mitigate common challenges in group work and enhance students' learning experiences. Aligning with previous research, structured agreements foster accountability and reduce group-related stress.</div></div><div><h3>Conclusion</h3><div>Group learning contracts are valuable tools in healthcare education, promoting positive group dynamics and improving student outcomes. Further research with larger, more diverse samples is needed to confirm these findings and optimize implementation across various educational contexts.</div></div>","PeriodicalId":46420,"journal":{"name":"Journal of Medical Imaging and Radiation Sciences","volume":"56 2","pages":"Article 101843"},"PeriodicalIF":1.3,"publicationDate":"2025-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143018985","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}
{"title":"Into the light: A story about breast cancer radiation treatment","authors":"Jennifer Anderson","doi":"10.1016/j.jmir.2024.101836","DOIUrl":"10.1016/j.jmir.2024.101836","url":null,"abstract":"","PeriodicalId":46420,"journal":{"name":"Journal of Medical Imaging and Radiation Sciences","volume":"56 2","pages":"Article 101836"},"PeriodicalIF":1.3,"publicationDate":"2025-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142960774","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}
{"title":"Utilisation of radiographer comments to reduce errors in the radiology department","authors":"Allie Tonks , Caitlin Tu , Ingrid Klobasa","doi":"10.1016/j.jmir.2024.05.005","DOIUrl":"10.1016/j.jmir.2024.05.005","url":null,"abstract":"<div><h3>Introduction</h3><div>Radiographer commenting is a written account of suspected abnormalities identified on medical imaging examinations by the radiographer at the time of image acquisition. Radiographer comments were originally implemented to support emergency clinicians; however, they may also have the potential to support radiologists in reducing missed findings. Therefore, the aim of this study was to investigate if a newly implemented radiographer comment system could reduce the number of errors made in radiology reports for general X-rays. Incidental findings from multisite collaborative research led to the hypothesis that in some cases radiographer comments could accurately detect abnormal X-ray appearances that were not otherwise documented in the radiologist report, thereby enabling results to be revised and errors collaboratively reduced <span><span>[1]</span></span>.</div></div><div><h3>Methods</h3><div>This study was conducted at an 800-bed hospital, where 92% of general radiographers self-selected to participate. Radiographer comments were provided to referring physicians through the electronic medical record and could be made for any emergency or inpatient general X-ray examinations. All comments made over a 12-month period were audited against the corresponding radiologist report. Radiologists were blinded to radiographer comments at the time of reporting. Where discrepancies between the radiographer comment and radiologist report arose, additional radiologist review or subsequent imaging reports were used to determine the accurate interpretation. The number of discrepant radiographer comments that were deemed true positive (TP) and provided new and correct diagnostic information compared to the radiologist report were identified. These were converted to a percentage of total radiographer comments that were therefore able to positively influence radiologist report accuracy. The number of discrepant cases where radiographer comments were deemed false positive (FP) was also measured and converted to a percentage of the total comments. Confidence intervals for both TP and FP binomial proportions were calculated using the Wilson Score Interval.</div></div><div><h3>Results</h3><div>Over 12 months, 282 radiographer comments were made to alert clinically significant radiographic appearances on general X-ray. Of these, 32 radiographer comments were discrepant with the report. Of these 32 comments, 24 were deemed TP meaning they correctly identified a pathological imaging appearance that was not otherwise documented in the radiology report. Therefore, 8.5% of all radiographer comments added value by correctly identifying a pathology that was not otherwise documented, 95% CI (5.8% - 12.4%). This enabled results to be promptly amended and reporting errors collaboratively reduced. Conversely, eight (2.8%) radiographer comments were discrepant with the report but deemed FP and did not add value to the investigation, 95% CI (1.4% - 5.5%","PeriodicalId":46420,"journal":{"name":"Journal of Medical Imaging and Radiation Sciences","volume":"56 1","pages":"Article 101432"},"PeriodicalIF":1.3,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141187051","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}
Wan Chin Lee , Jun Kai Poon , Jacqueline Jin Hui Siah , Mei Choo Chong , Christopher Lai
{"title":"Feasibility of low contrast volume and low injection flow rate in CT pulmonary angiography","authors":"Wan Chin Lee , Jun Kai Poon , Jacqueline Jin Hui Siah , Mei Choo Chong , Christopher Lai","doi":"10.1016/j.jmir.2023.11.009","DOIUrl":"10.1016/j.jmir.2023.11.009","url":null,"abstract":"<div><h3>Background</h3><div><span><span>Computed Tomography </span>Pulmonary Angiography (CTPA) is currently the gold standard for diagnosing </span>Pulmonary Embolism<span> (PE), with a high flowrate (>4.5ml/s) for contrast media (CM) administration recommended for sufficient pulmonary artery opacification. However, this may not be achievable for patients with challenging IV access.</span></div></div><div><h3>Aim</h3><div>To determine if a low volume CM, low flowrate (LVLF) CTPA protocol produces images of similar image quality compared to a standard protocol in two aspects, in terms of peak arterial enhancement through the quantitative measurement of Hounsfield unit (HU) and based on subjective overall image quality.</div></div><div><h3>Methods</h3><div>Retrospective collection of 151 patients who underwent CTPA via 320 slice multi-detector CT due to clinical suspicion of PE. 80 patients underwent the standard protocol, with a fixed flowrate of 4.5ml/s and 50ml of CM, while 71 patients underwent the LVLF protocol with up to a 37% and 30% reduction in flowrate and CM administered, respectively. Two independent radiographers measured the attenuation of multiple pulmonary arteries in HU, with ≥200HU being considered diagnostic. Overall image quality was also reviewed using a 5-point close-ended questionnaire by two independent radiologists.</div></div><div><h3>Results</h3><div>There was no significant difference in terms of attenuation measured in HU for the seven regions of interest (main pulmonary trunk, right and left pulmonary arteries, right and left lobar arteries, and right and left subsegmental arteries (RSA and LSA)) between the LVLF and standard CTPA protocol. Similarly, there were no significant differences in the overall image quality score obtained from standard and LVLF protocols reported by both radiologists.</div></div><div><h3>Conclusion</h3><div>The LVLF protocol can achieve similar enhancement and subjective image quality as the standard CTPA protocol, potentially allowing for further optimisation in the CM dosage.</div></div>","PeriodicalId":46420,"journal":{"name":"Journal of Medical Imaging and Radiation Sciences","volume":"56 1","pages":"Article 101349"},"PeriodicalIF":1.3,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141428541","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}
{"title":"Subscription","authors":"","doi":"10.1016/S1939-8654(24)00571-X","DOIUrl":"10.1016/S1939-8654(24)00571-X","url":null,"abstract":"","PeriodicalId":46420,"journal":{"name":"Journal of Medical Imaging and Radiation Sciences","volume":"56 1","pages":"Article 101840"},"PeriodicalIF":1.3,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143162817","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}