Journal of Medical Imaging and Radiation Sciences最新文献

{"title":"The cost of perfection: An investigation into the unnecessary rejection of clinically acceptable lateral wrist imaging","authors":"Mr Adam Steward ,&nbsp;Miss Sarah Semsem ,&nbsp;Miss Katie Currie","doi":"10.1016/j.jmir.2024.101489","DOIUrl":"10.1016/j.jmir.2024.101489","url":null,"abstract":"<div><h3>Introduction</h3><div>This study illustrates image rejection rates of the lateral wrist x-ray projection at a large, public teaching hospital. Rejected images were evaluated to determine the number of images where image repeat was required based on the clinical indication. This study highlights the difference in subjective image-repeat decision-making skills existing between radiologists, experienced radiographers and junior radiographers.</div></div><div><h3>Methods</h3><div>A retrospective review was conducted of all rejected lateral wrist x-ray images by a panel of 3 radiologists, 3 experienced radiographers and 6 junior radiographers. This review aimed to determine if rejected imaging met the consideration of the clinical indication and assumed appropriate acquisition of an orthogonal projection. A compliment of images that had not been rejected were included in the review.</div></div><div><h3>Results</h3><div>The review demonstrated 85.8% of rejected images were deemed to meet clinical requirements according to radiologists. The experienced radiographers agreed with radiologists regarding 75.3% of images. Junior radiographers agreed with radiologists in 34.2% of cases. Junior radiographers were three times more likely to seek repeat imaging than the radiologists and experienced radiographers.</div></div><div><h3>Conclusion</h3><div>This review demonstrated a lateral wrist projection reject rate of 38.7% with unnecessary repeats according to clinical indications in 85.8% of cases. The review of experienced radiographers was comparable to radiologists, however, difference in decision making skills was evident in the junior radiographers. This highlights an alarming trend, should similar results be demonstrated at other health services. Inclusion of clinical reasoning for imaging and the need for repeat imaging is recommended for radiography training programs.</div></div>","PeriodicalId":46420,"journal":{"name":"Journal of Medical Imaging and Radiation Sciences","volume":"55 3","pages":"Article 101489"},"PeriodicalIF":1.3,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142530607","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":"Motion scout trigger technique improves the quality of 3.0T MRI images of the fetal brain","authors":"Miaona Zhang,&nbsp;Dr. Lianxiang Xiao,&nbsp;Dong Xu","doi":"10.1016/j.jmir.2024.101515","DOIUrl":"10.1016/j.jmir.2024.101515","url":null,"abstract":"<div><h3>Purpose</h3><div>Single-shot fast spin-echo (SSFSE) is the premier imaging and diagnostic sequence for fetal brain magnetic resonance imaging (MRI). This sequence is affected by maternal respiratory motion, and the repeated excitation of protons at some levels of the fetal brain partially leads to a high probability of cross talk artifact, which affects the image quality, especially at 3 Tesla. In this paper, we will explore the application of motion scout trigger technology to reduce cross talk artifact in SSFSE images and improve image quality.</div></div><div><h3>Methods</h3><div>43 cases of fetal brain MRI scans were performed in pregnant women using SSFSE and motion scout trigger SSFSE scans in free breathing state, respectively to obtain axial brain images of the same fetus. Using self-control and paired t-test to compare the signal-to-noise ratio (SNR) and contrast-to-noise ratio (CNR) uniformity of fetal white matter, and then evaluate the difference in image quality between the two groups.</div></div><div><h3>Results</h3><div>The SNR of free-breathing SSFSE and motion scout trigger SSFSE images were 99.93±36.16 and 120.18±44.58 (P&lt;0.05), and the CNR uniformity was 32.67±21.07 and 7.00±6.69 (P&lt;0.05), respectively. All differences were statistically significant.</div></div><div><h3>Conclusion</h3><div>Motion scout trigger SSFSE can significantly improve the signal-to-noise ratio of fetal brain MRI images and effectively reduce cross talk artifact. Therefore, it can clearly display the fetal brain structure and provide more effective information for diagnosis.</div></div>","PeriodicalId":46420,"journal":{"name":"Journal of Medical Imaging and Radiation Sciences","volume":"55 3","pages":"Article 101515"},"PeriodicalIF":1.3,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142530736","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":"Shaping patient care in Geriatric Radiation Oncology: Through the lens of an Advanced Practice Radiation Therapist","authors":"Wendy Hoy ,&nbsp;Lili Goh ,&nbsp;Dr Francis Cho Hao Ho","doi":"10.1016/j.jmir.2024.101474","DOIUrl":"10.1016/j.jmir.2024.101474","url":null,"abstract":"<div><h3>Background</h3><div>Singapore's ageing population necessitates heightened focus on complex health issues, particularly cancer. With a projected 53% increase in cancer cases by 2030, of which 70% will affect the elderly. Geriatric Oncology is pivotal in meeting this demographic's unique needs. Over 60% of cancer patients will require radiation therapy. Elderly patients exhibit specific challenges, including reduced treatment tolerance, increased comorbidities, and social support requirements, which complicate their care. Highlighting the need to advance geriatric radiation therapy services, Advanced Practice Radiation therapists (APRT) can provide personal care to address the rising demands of the ageing population.</div></div><div><h3>Role expansion and Development</h3><div>Our initiative is grounded in utilising the Advanced Practice Registered Technologist (Radiation Therapy) Competency Profile provided by the Canadian Association of Medical Radiation Technologies. This framework serves as the basis for our role expansion and development efforts. We have identified the feasibility of extending roles and the corresponding educational prerequisites. In the domain of clinical competencies, our experiential journey involves implementing established clinical geriatric assessment tools to evaluate elderly patients undergoing radiation treatment and elucidate the clinical rationale that informs treatment decisions and underscores the importance of collaboration with multidisciplinary teams to ensure personalized, patient-centred care. Technical competencies: The use of geriatric tools enhances radiation treatment for this vulnerable population, aligning with geriatric assessment clinical practice guidelines. In the realm of professional competencies, we address the development of geriatric APRT in education, research, and leadership domains.</div></div><div><h3>Conclusion</h3><div>Our aim is to illuminate the evolving landscape of geriatric radiation oncology through the journey of an APRT. This transformation marked by challenges and opportunities, includes comprehensive patient care, geriatric assessment tools, and multidisciplinary collaboration. By embracing this initiative, APRT can have a profound impact on improving outcomes and enhancing the quality of life for geriatric oncology patients.</div></div>","PeriodicalId":46420,"journal":{"name":"Journal of Medical Imaging and Radiation Sciences","volume":"55 3","pages":"Article 101474"},"PeriodicalIF":1.3,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142530044","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)00525-3","DOIUrl":"10.1016/S1939-8654(24)00525-3","url":null,"abstract":"","PeriodicalId":46420,"journal":{"name":"Journal of Medical Imaging and Radiation Sciences","volume":"55 3","pages":"Article 101794"},"PeriodicalIF":1.3,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142530384","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":"HEROCARE: Advancing Paediatric Radiotherapy and Education through Innovative Care Models","authors":"Dr Shara Wee-yee Lee","doi":"10.1016/j.jmir.2024.101465","DOIUrl":"10.1016/j.jmir.2024.101465","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Background&lt;/h3&gt;&lt;div&gt;The need for innovative paediatric cancer care models that minimise the reliance on anaesthesia and sedation during treatment has never been more critical. The HEROCARE (Holistic Empowerment in Radiation Oncology) project, developed at the Hong Kong Polytechnic University, pioneers an advanced framework that emphasises personalised preparations and experiential learning for patients, undergraduate radiography students and healthcare providers, particularly radiation therapists.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Objective&lt;/h3&gt;&lt;div&gt;This presentation outlines the transformative impact of the HEROCARE model in paediatric radiotherapy, detailing its dual benefits in enhancing treatment efficacy and educational outcomes. It highlights the model's role in fostering empathy and compassion among practitioners, crucial for patient-centred care.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;div&gt;The HEROCARE model integrates immersive simulations and interdisciplinary workshops to prepare children and their carers for the radiotherapy course, significantly reducing the need for sedation/anaesthesia. This model serves as a practical training ground for radiation therapy students and practising therapists, emphasising hands-on engagement, empathetic patient and carer interactions. This model, incorporating real-world clinical scenarios into education, enhances students’ professional skills, communication abilities, and emotional intelligence.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;The implementation of HEROCARE has led to remarkable improvements in treatment outcomes, including a substantial reduction in sedation/anaesthesia use, shorter treatment times, and increased patient comfort and compliance. Simultaneously, the project enriches the training of future radiation therapists by providing them with comprehensive insights into patient-centred approaches and interdisciplinary collaboration. Feedback from participants indicates enhanced understanding of the emotional and physical needs of paediatric patients, better communication with children and families, and greater confidence in managing complex clinical situations without sedation.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Extension Beyond Paediatric Care&lt;/h3&gt;&lt;div&gt;Building on its success in paediatric settings, the HEROCARE framework is proposed as a model for continuing professional development in radiation therapy. The model's adaptability for advanced practice professionals helps in refining their skills in empathetic patient care, complex decision-making, and collaborative practice. This initiative not only exemplifies the integration of service and education but also sets a visionary standard for developing cancer treatment protocols that are both effective and compassionate.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusion&lt;/h3&gt;&lt;div&gt;The HEROCARE project not only revolutionises paediatric radiotherapy by improving clinical outcomes and reducing dependency on sedation/anaesthesia but also significantly advances radiation therapy education. B","PeriodicalId":46420,"journal":{"name":"Journal of Medical Imaging and Radiation Sciences","volume":"55 3","pages":"Article 101465"},"PeriodicalIF":1.3,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142530550","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":"Mobility of radiological technologists within the Asia Pacific: a comparative study between Japan and Australia","authors":"Dr. Yuh Morimoto ,&nbsp;Prof. Jenny Sim ,&nbsp;Prof. Hiroyuki Daida","doi":"10.1016/j.jmir.2024.101517","DOIUrl":"10.1016/j.jmir.2024.101517","url":null,"abstract":"<div><h3>Background</h3><div>Facilitating international mobility among radiological technologists (RTs) has the potential to enhance clinical practice of individual practitioners, their host countries and their country of origin when they return home. The key to maximizing the benefits and managing drawbacks of such mobility lies in international cooperation and information exchange. This study investigated the licensing/registration systems for RTs to explore the possibility of promoting transnational movement for qualified RTs to practice within the Asia Pacific region.</div></div><div><h3>Methods</h3><div>Ten countries/regions in the Asia Pacific region were selected based on two primary types of licensing/registration systems: single and multiple registration. Invitations were extended to presidents of professional societies or board members from national registration bodies. Participants completed an initial questionnaire, followed by semi-structured interviews online. Data was analysed using thematic analysis. This presentation focuses on Japan and Australia, comparing the similarities and differences of a single and multiple registration respectively.</div></div><div><h3>Results</h3><div>In Japan, diagnostic imaging, radiation therapy, and nuclear medicine operate under a single license, while Australia requires separate registration for each of the three specialisations. In Japan, a diploma is the minimum education requirement, whereas Australia requires a bachelor's degree. Both countries offer licensing/registration pathways determined through individual assessments. Language was recognized as one of the main barriers in the mobility of RTs between the two countries.</div></div><div><h3>Conclusions</h3><div>The unrestricted movement of RTs between Japan and Australia is presently limited. Our ongoing analysis of the systems in the remaining countries/regions aims to inform and identify potential pathways for RTs to practice within the Asia-Pacific region. With appropriate policies and strategies in place, a well-established international movement has the potential to mitigate workforce shortages, enhance patient safety, and foster mutual development in clinical practice.</div></div>","PeriodicalId":46420,"journal":{"name":"Journal of Medical Imaging and Radiation Sciences","volume":"55 3","pages":"Article 101517"},"PeriodicalIF":1.3,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142530644","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":"Quantitative Susceptibility Mapping for Distinguishing Progression from Treatment Response: Added Value to 3D Pseudo-continuous Arterial Spin Labelling Perfusion","authors":"Dr. Yanzhao Diao ,&nbsp;Mrs. Huimin Hou ,&nbsp;Dr Hong Qu ,&nbsp;Dr. Guihua Jiang","doi":"10.1016/j.jmir.2024.101519","DOIUrl":"10.1016/j.jmir.2024.101519","url":null,"abstract":"<div><h3>Purpose</h3><div>To assess the diagnostic value of quantitative susceptibility mapping(QSM), 3D pseudo-continuous arterial spin labeling(3D-PCASL) imaging and diffusion-weighted imaging(DWI) in distinguishing true progression(TP) from treatment response(TR).</div></div><div><h3>Methods</h3><div>45 patients with glioblastoma(GBM) who showed newly appearing enhancing lesions after treatment were enrolled. All underwent examination including conventional MRI, QSM, 3D-PcASL and DWI sequences. Longitudinal MRI for 6 months follow-up or repeat surgery were used to define the diagnosis. We calculated the proportion of hemorrhagic foci for the enhancing-lesions (proQSM) on magnitude image and corresponding average magnetic susceptibility value(SUS) on QSM image. The maximum cerebral blood flow (CBFmax) obtained from ASL and minimum ADC value(ADCmin) generated from DWI were measured by placing 3–5 circular ROIs, receiver-operating characteristic(ROC) analyses were conducted to evaluate diagnostic performance.</div></div><div><h3>Results</h3><div>28 patients were finally diagnosed with TP, and 17 patients were diagnosed with TR. The proQSM in the TP was significantly lower than in the TR(0.060 vs. 0.270; p&lt;0.001), The rCBFmax were significantly higher in TP(2.180 vs. 1.265; p&lt;0.001), and the rADCmin in the TP was lower than TR (1.229 vs. 1.432; p&lt;0.05), with the area under the ROC curve (AUCs) of 0.891, 0.854 and 0.662, respectively. Combining the two parameters with the highest diagnostic efficiency (proQSM_rCBF parameter), AUC can reach 0.952, the sensitivity can reach 88.9%, and the specificity can reach 93.3%. Besides, there was a close negative correlation between proQSM and rCBFmax(rs=-0.492; p=0.004).</div></div><div><h3>Conclusion</h3><div>QSM can be used as an imaging biomarker for distinguishing TP and TR. Combining the QSM and ASL can improve diagnostic performance.</div></div>","PeriodicalId":46420,"journal":{"name":"Journal of Medical Imaging and Radiation Sciences","volume":"55 3","pages":"Article 101519"},"PeriodicalIF":1.3,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142530646","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":"Assessment of variable helical pitch scan protocol for preoperative evaluation of transcatheter aortic valve implantation with automated software tool","authors":"Dr Ye Dong,&nbsp;Dr Jun Xing","doi":"10.1016/j.jmir.2024.101510","DOIUrl":"10.1016/j.jmir.2024.101510","url":null,"abstract":"<div><h3>Objective</h3><div>To evaluate variable helical pitch (VHP) protocol for pre-intervention evaluation of transcatheter aortic valve implantation (TAVI).</div></div><div><h3>Methods</h3><div>60 patients (M/F 39/21, Mean age 59 ± 13 years) with aortic valvular disease who underwent CT scan for preoperative assessment of TAVI were randomly divided into two groups. Group A, performed VHP scan mode with ECG-gated scans for chest area by non-ECG-gated abdominal scans. Contrast agent: kg * 1.0 ml, flow rate 4.0 ml /s. Group B used conventional two injections protocol to scan retrospectively ECG-gated CTA of the aortic root and heart (Contrast agent: kg * 0.7 ml, flow rate 4.5ml / s) and non-ECG-gated CTA of the aorta / iliac artery / femoral artery respectively (Contrast agent: kg * 1.1 ml, flow rate 3.0 ml / s). Statistical analysis was performed on the image quality, radiation dose, software measurement report, and contrast agent usage of the two sets of data.</div></div><div><h3>Results</h3><div>There was no statistically significant difference (P&gt;0.05) in the CT values of the thoracic aorta, abdominal aorta, coronary artery, and iliac artery between the two sets of images. After post-processing analysis using 3mensio software, both sets of scanning data were able to evaluate the patient's peripheral vascular access, sinus height, degree of coronary artery stenosis, and measure the diameter of the ascending aorta, aortic root, and aortic ring. In terms of patient radiation dose, Group A (DLP=706.4 ± 49.1) showed a significant decrease compared to Group B (DLP=923.8±56.6) (P&lt;0.001). The usage of the two groups of contrast agents was statistically significant (P&lt;0.001).</div></div><div><h3>Conclusion</h3><div>The “one-stop” scan using the VHP protocol for preoperative TAVI evaluation can significantly reduce the radiation dose and contrast agent consumption without affecting the image quality and measurement data, which show great potential value in clinical routine for TAVI preoperative evaluation.</div></div>","PeriodicalId":46420,"journal":{"name":"Journal of Medical Imaging and Radiation Sciences","volume":"55 3","pages":"Article 101510"},"PeriodicalIF":1.3,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142530737","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":"The practical experience of performing cardiac MRI (CMR) for patients with Cardiac Implantable Electronic Device (CIED) using WB LGE (Wideband Late Gadolinium Enhancement) sequence","authors":"Mr Junda Song","doi":"10.1016/j.jmir.2024.101475","DOIUrl":"10.1016/j.jmir.2024.101475","url":null,"abstract":"<div><div>MRI conditional Cardiac Implantable Electronic Devices have become more common nowadays, which allowing patients with these devices to undergo MRI examinations safely with appropriate programming and monitoring during the procedures. CIED is no longer a contraindication or safety concern for MRI examinations. However, patients with heart disease after CIED implantation are usually not able to undergo CMR because of the susceptibility and off-resonance artefacts caused by CIED and its leads. The artefacts are substantial and obscure the heart which makes CMR almost not interpretable, especially late gadolinium enhancement. WB LGE sequence is introduced by Siemens to reduce the susceptibility and off-resonance artefacts caused by the device. NUH installed the sequence in June 2023. CMR scans were performed on 2 patients with CIED. Quality of the CMR images produced was satisfactory. In conclusion, performing CMR for patients with CIED is challenging because of device related artefacts. With WB LGE sequence, we can produce diagnostic quality CMR images by reducing the artefacts caused by the device.</div></div>","PeriodicalId":46420,"journal":{"name":"Journal of Medical Imaging and Radiation Sciences","volume":"55 3","pages":"Article 101475"},"PeriodicalIF":1.3,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142530045","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":"Current State of Radiographic Patient Shielding in the United States","authors":"Dr. Kristi Moore ,&nbsp;Mr. Daniel DeMaio","doi":"10.1016/j.jmir.2024.101477","DOIUrl":"10.1016/j.jmir.2024.101477","url":null,"abstract":"<div><h3>Background</h3><div>The American Association of Physicists in Medicine (AAPM) proposed the elimination of routine patient fetal and gonadal shielding during x-ray-based diagnostic medical imaging in April 2019. This change was met with considerable confusion and consternation in the United States. The American Society of Radiologic Technologists (ASRT) Patient Shielding Task Force developed educational materials to assist radiologic technologists in appropriately implementing this change in patient shielding. After more than a year of developing and disseminating these resources, the Task Force seeks quantifiable information on current shielding practices and perceptions of the front-line imaging professionals who have been directly implementing this change in clinical practice.</div></div><div><h3>Methods</h3><div>In February 2024, a 30-item online survey will be administered to members of the ASRT currently performing radiographic procedures in the United States. Survey questions are designed to investigate the current state of patient shielding as reported by responding ASRT members and to identify needed educational resources to assist clinical practitioners and patients in understanding the rationale behind this proposed change.</div></div><div><h3>Results</h3><div>While survey results are pending, we will collect and analyze data demonstrating the diversity of current practice and the perceptions of radiologic technologists regarding these recent changes. Analyses of the survey responses will inform the Task Force of the depth and breadth of this change's impact. They will aid in the further development of educational resources for both patients and technologists.</div></div><div><h3>Conclusion</h3><div>The proposed elimination of routine fetal and gonadal shielding during x-ray-based medical imaging impacted a fundamental tenet of radiation protection in medical imaging practice. Strategic change management is critical for the effective implementation of any significant change. The ASRT Patient Shielding Task Force continues to evaluate current practices and develop practical educational resources.</div></div>","PeriodicalId":46420,"journal":{"name":"Journal of Medical Imaging and Radiation Sciences","volume":"55 3","pages":"Article 101477"},"PeriodicalIF":1.3,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142530047","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}