RadiographyPub Date : 2025-04-21DOI: 10.1016/j.radi.2025.102960
M. Vorster , Y. Casmod, A. Hajat
{"title":"Sonographers' experiences in coping with stress in the workplace in Gauteng, South Africa","authors":"M. Vorster , Y. Casmod, A. Hajat","doi":"10.1016/j.radi.2025.102960","DOIUrl":"10.1016/j.radi.2025.102960","url":null,"abstract":"<div><h3>Introduction</h3><div>Ultrasound is a cost-effective and non-invasive imaging method that has evolved and accounts for 4–10 million ultrasound examinations annually. Sonographers face challenges such as staff shortages and burnout due to the increased workload and demand for ultrasound investigations. Despite these issues, sonographers acknowledge the essential role they play in the diagnosis, management and treatment of patients often neglecting their personal health and wellbeing.</div></div><div><h3>Methods</h3><div>The purpose of this qualitative, exploratory descriptive contextual study was to explore and describe sonographers' experiences in coping with stress. Purposive sampling was used, and registered diagnostic sonographers working in both private and public hospitals in Gauteng were invited to participate in one-on-one semi-structured interviews via an online platform, Zoom. A central question was posed to all participants: “Tell me about your experience in coping with stress.” Using thematic analysis, the audio recordings were transcribed and coded into themes and categories.</div></div><div><h3>Results</h3><div>From the results three themes were developed: (1) challenges faced by sonographers with the main focus on staff shortages & increased workload, poor communication, reporting backlog and errors in clinical practice; (2) Impact of work on personal life including the effect on psychological and physical health; (3) Coping mechanisms employed on a personal and work-related basis to deal with stress.</div></div><div><h3>Conclusion</h3><div>The participants shared their experiences of stress causing factors and challenges experienced within the ultrasound department. Furthermore, sonographers described the mechanisms used to cope with stress, enhance patient care and wellbeing.</div></div><div><h3>Implications for practice</h3><div>The findings of this study contribute to understanding the experiences of sonographers in coping with stress in the workplace. This can be used to enhance and provide adequate assistance and support for sonographers in the work-place.</div></div>","PeriodicalId":47416,"journal":{"name":"Radiography","volume":"31 3","pages":"Article 102960"},"PeriodicalIF":2.5,"publicationDate":"2025-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143855991","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}
RadiographyPub Date : 2025-04-21DOI: 10.1016/j.radi.2025.102951
S. Allan, N. Courtier, L. Mundy
{"title":"The impact of working patterns on therapeutic radiographers’ experience of work-life balance: A qualitative study at a cancer treatment centre in Wales","authors":"S. Allan, N. Courtier, L. Mundy","doi":"10.1016/j.radi.2025.102951","DOIUrl":"10.1016/j.radi.2025.102951","url":null,"abstract":"<div><h3>Introduction</h3><div>Current and projected demand for NHS radiotherapy services outstrips projected capacity. One solution to increase treatment capacity seen in UK radiotherapy centres has been to adapt the treatment hours and working patterns of therapeutic radiographers. This study explores radiographers’ experiences of the impact of working extended treatment hours on their work-life balance and wellbeing.</div></div><div><h3>Method</h3><div>Eligible Radiographers were employed in a substantive NHS AfC Band 6 Therapeutic Radiographer role. A descriptive qualitative design utilising semi-structured interviews allowed participants freedom to reflect upon individual experiences. The interview schedule and process were piloted before data collection in October 2023. Anonymised data were analysed using content analysis.</div></div><div><h3>Results</h3><div>Six participants were recruited. Our findings reveal different outlooks between radiographers of different ages, life-stage, personal circumstances and caring responsibilities. The importance for work-life balance of non-working weekends and flexibility, reliability and predictability of shift scheduling were common categories. There was concern that further changes to working patterns would lead to diminished work-life balance and wellbeing. As Radiographers’ priorities regarding work-life balance were dynamic, agency to easily adapt working hours was seen as the ideal.</div></div><div><h3>Conclusion</h3><div>Opportunities to flexibly adapt working hours to suit personal circumstances are viewed as key to maintaining a healthy and rewarding work-life balance. Our findings reveal a desire for more openness to adaptation requests and highlight the need for future research into the transparency of parity between request grounds and the competing needs of services and the individual.</div></div><div><h3>Implications for practice</h3><div>Poor work-life balance risks burnout in TRs, with consequent retention issues and lower quality patient care.</div></div>","PeriodicalId":47416,"journal":{"name":"Radiography","volume":"31 3","pages":"Article 102951"},"PeriodicalIF":2.5,"publicationDate":"2025-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143852145","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}
RadiographyPub Date : 2025-04-18DOI: 10.1016/j.radi.2025.102955
D. Shettigar , S. Sukumar , A. Pradhan , W. Dkhar , P.S. Paramashiva , V. K , B. Chandrasekaran , H.P. Palaniswamy , H.J. Felix , A. Shazli , S. Ravichandran , S.S. Muthu , K. Kamath
{"title":"Occupational health challenges in radiography: A comprehensive systematic review and meta-analytic approach","authors":"D. Shettigar , S. Sukumar , A. Pradhan , W. Dkhar , P.S. Paramashiva , V. K , B. Chandrasekaran , H.P. Palaniswamy , H.J. Felix , A. Shazli , S. Ravichandran , S.S. Muthu , K. Kamath","doi":"10.1016/j.radi.2025.102955","DOIUrl":"10.1016/j.radi.2025.102955","url":null,"abstract":"<div><h3>Introduction</h3><div>Radiographers play a pivotal role in healthcare but face significant occupational health challenges, including work-related musculoskeletal disorders (WRMSDs), burnout, fatigue, and sleep disturbances. These challenges, influenced by high workloads and inadequate ergonomics, compromise their well-being and job performance. This study aims to assess the prevalence of these health outcomes and evaluate the role of workplace factors in mitigating or exacerbating these issues.</div></div><div><h3>Methods</h3><div>A systematic review and meta-analysis was conducted per PRISMA 2020 guidelines. Literature searches across PubMed, Scopus, Web of Science, and Embase included quantitative studies published from 2014 to 2024. Data on prevalence, outcomes, and measurement tools were extracted, and a random-effects model was used to estimate pooled prevalence. Risk of bias was assessed with the ROBINS-E tool.</div></div><div><h3>Results</h3><div>From 1080 records, 14 studies met inclusion criteria. WRMSDs were reported by 85 % (95 % CI: 74–95) of radiographers, with the neck (73 %) and lower back (67 %) being the most affected regions. Burnout prevalence included emotional exhaustion at 29.8 % (95 % CI: 19.8–39.8). Chronic fatigue and sleep disturbances were strongly linked to extended shifts and poor ergonomics. Protective factors included professional recognition and workplace ergonomic interventions.</div></div><div><h3>Conclusion</h3><div>Radiographers are disproportionately affected by physical and psychological health risks. Addressing these through enhanced workplace ergonomics, stress management, and workload balancing is imperative to improving their quality of life and job performance.</div></div><div><h3>Implications for practice</h3><div>Implementing ergonomic training, fostering professional recognition, and reducing workloads are crucial for sustainable radiography practices. Policy reforms and workplace interventions can significantly improve radiographers' health, ensuring better job satisfaction and retention.</div></div>","PeriodicalId":47416,"journal":{"name":"Radiography","volume":"31 3","pages":"Article 102955"},"PeriodicalIF":2.5,"publicationDate":"2025-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143844483","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}
RadiographyPub Date : 2025-04-17DOI: 10.1016/j.radi.2025.102950
T. Masuda , T. Nakaura , Y. Funama , T. Sato , K. Arao , J. Miyata , K. Sugimoto , A. Ono , S. Arao , K. Awai
{"title":"Calculating the heart rate cutoff that avoids motion artifacts with and without beta-blockers during 64-row coronary artery CT angiography","authors":"T. Masuda , T. Nakaura , Y. Funama , T. Sato , K. Arao , J. Miyata , K. Sugimoto , A. Ono , S. Arao , K. Awai","doi":"10.1016/j.radi.2025.102950","DOIUrl":"10.1016/j.radi.2025.102950","url":null,"abstract":"<div><h3>Introduction</h3><div>This study evaluates the establishment of specific heart rate (HR) cutoff values for coronary computed tomography angiography (CCTA) images obtained with and without the use of beta-blockers in a 64-row scanner.</div></div><div><h3>Methods</h3><div>The study included 399 patients, of whom 269 received beta-blockers and 130 did not. Patients with an HR exceeding 65 bpm were administered an additional dose of landiolol hydrochloride (CoreBeta; Ono, Osaka, Japan). HR was continuously monitored using a noninvasive cardiac output monitor (Aesculon mini; Ospyka Medical, Berlin, Germany). A total of 1197 randomized curved maximum intensity projection images were independently reviewed by observers for the presence or absence of motion artifacts in the CCTA images. Receiver operating characteristic (ROC) analysis was used to calculate the area under the curve (AUC) and determine the optimal HR thresholds that maximized the sum of sensitivity and specificity for detecting motion artifacts.</div></div><div><h3>Results</h3><div>The optimal HR cutoff values were 76.6 bpm (AUC = 0.88, sensitivity = 83.0 %, specificity = 78.0 %) with beta-blockers, and 64.3 bpm (AUC = 0.91, sensitivity = 93.0 %, specificity = 86.0 %) without beta-blockers.</div></div><div><h3>Conclusion</h3><div>This study determined the optimal HR cut-off values for CCTA using a 64-row CT scanner, with and without beta-blockers, respectively. Future research should explore how evolving imaging technology and techniques influence optimal HR thresholds and image quality.</div></div><div><h3>Implications for practice</h3><div>Patients whose HR exceed 64.3 bpm during a CCTA scan, should be administered beta-blockers to lower HR to the level (≤64.3) that optimises image quality.</div></div>","PeriodicalId":47416,"journal":{"name":"Radiography","volume":"31 3","pages":"Article 102950"},"PeriodicalIF":2.5,"publicationDate":"2025-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143838595","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}
RadiographyPub Date : 2025-04-16DOI: 10.1016/j.radi.2025.102945
R. Pape , C. West , X. Zheng , A. Carstens , C. Cowling
{"title":"A qualitative study of mammography best practice positioning for female body habitus and breast tissue inclusion in Australia","authors":"R. Pape , C. West , X. Zheng , A. Carstens , C. Cowling","doi":"10.1016/j.radi.2025.102945","DOIUrl":"10.1016/j.radi.2025.102945","url":null,"abstract":"<div><h3>Introduction</h3><div>Optimal positioning in mammography is key to maximise the inclusion of breast tissue on the image. This study aimed to explore the top performing Australian radiographers' mammography best positioning techniques for patients with various body habitus and their perspective on optimised breast tissue inclusion.</div></div><div><h3>Methods</h3><div>Twelve qualified Australian female radiographers with an age range of 20–70 years with equal representation from screening and diagnostic mammography settings were invited through Volpara® Health to participate in an online individual semi structured interview. Audio-recorded data was transcribed and analysed thematically. Key demographics of the participants include age, education, and mammographic experience.</div></div><div><h3>Results</h3><div>Three key themes emerged for the craniocaudal (CC) view and the mediolateral oblique (MLO) view: good communication, CC detector height and MLO image receptor (IR) angle. Responses to each theme were categorised under six female body habitus for both the CC and MLO views: small, average, large, rib hump, pectus excavatum and pectus carinatum. Effective communication was demonstrated as critical by radiographers during positioning for varied body habitus. A 45° angle was commonly used for an average, small and large body habitus.</div></div><div><h3>Conclusion</h3><div>Appropriate and customised positioning and effective communication is important during mammography positioning to maximise breast tissue inclusion on the image. Routine CC and MLO positioning techniques cannot be applied for patients with extreme curvature of the thorax or protruding sternum and ribs.</div></div><div><h3>Implications for practice</h3><div>It is critical for mammography screening programs to include a language interpretation service that targets patients from multiple cultural backgrounds to enhance effective communication during positioning. This study highlights best positioning technique by radiographers that may impact women with extreme thorax curvature or protruding ribs, and subsequent obstruction in optimal positioning.</div></div>","PeriodicalId":47416,"journal":{"name":"Radiography","volume":"31 3","pages":"Article 102945"},"PeriodicalIF":2.5,"publicationDate":"2025-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143834953","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 College of Radiographers’ Education and Career Framework (fourth edition): Exploring the guideline implementation gap across England using Normalisation Process Theory","authors":"H.L. Spencer , K.E. Williamson , A. Robertson , M.N.K. Anudjo , C.R. Burton","doi":"10.1016/j.radi.2025.102931","DOIUrl":"10.1016/j.radi.2025.102931","url":null,"abstract":"<div><h3>Introduction</h3><div>In 2022, the College of Radiographers (CoR) published the fourth edition of their Education and Career Framework (ECF). This essential document provides a professional blueprint for the radiography career trajectory with the overarching aim of improving patient outcomes. However, publication does not guarantee adoption. To access the full benefits of the ECF, its implementation requires a strategic approach.</div></div><div><h3>Methods</h3><div>To advance our understanding of the translational gap between policy and practice, this observational mixed-methods study employed Normalisation Process Theory (NPT) as a theoretical frame. Focusing on the diagnostic radiography profession in England, a national consultation survey was deployed, together with four consultation workshops. The quantitative survey data was analysed using descriptive and inferential statistics. Meanwhile, the framework approach was adapted for the qualitative analysis.</div></div><div><h3>Results</h3><div>The data collection took place between April–June 2023. In total, 142 survey responses were returned. Each workshop was comprised of 7–11 participants. The findings were deductively interpreted through the lens of NPT, from which five core themes emerged: making sense of complexity (coherence); bringing people together (cognitive participation); being strategic (collective action); evaluating complexity (reflexive monitoring); implementation in the ‘real world’ (barriers and enablers).</div></div><div><h3>Conclusion</h3><div>By furthering our understanding of how the workforce has received and utilised the ECF, the gaps in its implementation were identified. This led to the development of recommendations to address the implementation gaps and enhance the ECF's adoption. The recommendations were study-derived, linked to responsible stakeholders, and grouped into four strategic priorities, aligned with the NPT domains.</div></div><div><h3>Implications for practice</h3><div>By enacting these evidence-based recommendations, we can enhance the ECF's translation from printed page to real-world outcomes, for the benefit of the profession, service delivery, and service users.</div></div>","PeriodicalId":47416,"journal":{"name":"Radiography","volume":"31 3","pages":"Article 102931"},"PeriodicalIF":2.5,"publicationDate":"2025-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143838594","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}
RadiographyPub Date : 2025-04-14DOI: 10.1016/j.radi.2025.102952
W. Abdul Razak , C. Takyi , B.B. Ofori-Manteaw
{"title":"Exploring sustainability in radiography: A study of Ghanaian radiographers","authors":"W. Abdul Razak , C. Takyi , B.B. Ofori-Manteaw","doi":"10.1016/j.radi.2025.102952","DOIUrl":"10.1016/j.radi.2025.102952","url":null,"abstract":"<div><h3>Introduction</h3><div>Sustainability in healthcare seeks to minimize environmental impact while maintaining high standards of patient care. This study examines the level of awareness among Ghanaian radiographers regarding sustainability in radiography.</div></div><div><h3>Methods</h3><div>In this cross-sectional study, 187 radiographers were invited to complete a self-administered questionnaire from May to June 2024, with a focus on sustainability practices. The questionnaire covered topics such as radiographers’ perspectives on environmental impact in society and radiography, sustainable healthcare education in the radiography curriculum, and strategies for enhancing sustainability.</div></div><div><h3>Results</h3><div>A 91.9 % response rate (n = 172) was achieved, with 97 % of participants in diagnostic radiography and 3 % in therapy radiography. Nearly half (47.67 %) strongly agreed that climate change is a significant concern in society. To support sustainability, 33.73 % recommended enhanced training programs, 37.20 % advocated for collaboration with environmental experts, and 29.07 % suggested the need for clear guidelines and policies.</div></div><div><h3>Conclusion</h3><div>The findings underscore the need for sustainable practices in radiography, highlighting both the challenges faced by radiographers and potential pathways for improvement.</div></div><div><h3>Implications for practice</h3><div>The study highlights the need for ongoing education in sustainable practices within radiography, suggesting that incorporating sustainability training into professional development and the radiography curriculum could enhance radiographers’ environmental awareness and practice. Establishing clear guidelines and fostering collaborations with environmental experts may also support radiographers in adopting sustainable practices effectively, thereby contributing to environmental stewardship within healthcare settings.</div></div>","PeriodicalId":47416,"journal":{"name":"Radiography","volume":"31 3","pages":"Article 102952"},"PeriodicalIF":2.5,"publicationDate":"2025-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143825484","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}
RadiographyPub Date : 2025-04-13DOI: 10.1016/j.radi.2025.102948
C. Edwards , A. Murphy , A. Singh , S. Daniel , C. Chamunyonga
{"title":"The role of patient outcomes in shaping moral responsibility in AI-supported decision making","authors":"C. Edwards , A. Murphy , A. Singh , S. Daniel , C. Chamunyonga","doi":"10.1016/j.radi.2025.102948","DOIUrl":"10.1016/j.radi.2025.102948","url":null,"abstract":"<div><h3>Introduction</h3><div>Integrating decision support mechanisms utilising artificial intelligence (AI) into medical radiation practice introduces unique challenges to accountability for patient care outcomes. AI systems, often seen as “black boxes,” can obscure decision-making processes, raising concerns about practitioner responsibility, especially in adverse outcomes. This study examines how medical radiation practitioners perceive and attribute moral responsibility when interacting with AI-assisted decision-making tools.</div></div><div><h3>Methods</h3><div>A cross-sectional online survey was conducted from September to December 2024, targeting international medical radiation practitioners. Participants were randomly assigned one of four profession-specific scenarios involving AI recommendations and patient outcomes. A 5-point Likert scale assessed the practitioner's perceptions of moral responsibility, and the responses were analysed using descriptive statistics, Kruskal–Wallis tests, and ordinal regression. Demographic and contextual factors were also evaluated.</div></div><div><h3>Results</h3><div>649 radiographers, radiation therapists, nuclear medicine scientists, and sonographers provided complete responses. Most participants (49.8 %) had experience using AI in their current roles. Practitioners assigned higher moral responsibility to themselves in positive patient outcomes compared to negative ones (χ<sup>2</sup>(1) = 18.98, p < 0.001). Prior knowledge of AI ethics and professional discipline significantly influenced responsibility ratings. While practitioners generally accepted responsibility, 33 % also attributed shared responsibility to AI developers and institutions.</div></div><div><h3>Conclusion</h3><div>Patient outcomes significantly influence perceptions of moral responsibility, with a shift toward shared accountability in adverse scenarios. Prior knowledge of AI ethics is crucial in shaping these perceptions, highlighting the need for targeted education.</div></div><div><h3>Implications for practice</h3><div>Understanding practitioner perceptions of accountability is critical for developing ethical frameworks, training programs, and shared responsibility models that ensure the safe integration of AI into clinical practice. Robust regulatory structures are necessary to address the unique challenges of AI-assisted decision-making.</div></div>","PeriodicalId":47416,"journal":{"name":"Radiography","volume":"31 3","pages":"Article 102948"},"PeriodicalIF":2.5,"publicationDate":"2025-04-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143825499","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}
RadiographyPub Date : 2025-04-13DOI: 10.1016/j.radi.2025.102953
A. Donkor , D. Kumi , E. Amponsah , V. Della Atuwo-Ampoh
{"title":"Principles for enhancing trust in artificial intelligence systems among medical imaging professionals in Ghana: A nationwide cross-sectional study","authors":"A. Donkor , D. Kumi , E. Amponsah , V. Della Atuwo-Ampoh","doi":"10.1016/j.radi.2025.102953","DOIUrl":"10.1016/j.radi.2025.102953","url":null,"abstract":"<div><h3>Introduction</h3><div>To realise the full potential of artificial intelligence (AI) systems in medical imaging, it is crucial to address challenges, such as cyberterrorism to foster trust and acceptance. This study aimed to determine the principles that enhance trust in AI systems from the perspective of medical imaging professionals in Ghana.</div></div><div><h3>Methods</h3><div>An anonymous, online, nationwide cross-sectional survey was conducted. The survey contained questions related to socio-demographic characteristics and AI trustworthy principles, including “human agency and oversight”, “technical robustness and safety”, “data privacy, security and governance” and “transparency, fairness and accountability”.</div></div><div><h3>Results</h3><div>A total of 370 respondents completed the survey. Among the respondents, 66.5 % (n = 246) were diagnostic radiographers. Considerable number of respondents (n = 121, 32.7 %) reported having little or no understanding of how medical imaging AI systems work. Overall, 54.9 % (n = 203) of the respondents agreed or strongly agreed that each of the four principles was important to enhance trust in medical imaging AI systems, with a composite mean score of 3.88 ± 0.45. Transparency, fairness and accountability had the highest rating (4.27 ± 0.58), whereas the mean score for human agency and oversight was 3.89 ± 0.53. Technical robustness and safety as well as data privacy, security and governance obtained mean scores of 3.79 ± 0.61 and 3.58 ± 0.65, respectively.</div></div><div><h3>Conclusion</h3><div>Medical imaging professionals in Ghana agreed that human agency, technical robustness, data privacy and transparency are important principles to enhance trust in AI systems; however, future plans including medical imaging AI educational interventions are required to improve AI literacy among medical imaging professionals in Ghana.</div></div><div><h3>Implications for practice</h3><div>The evidence presented should encourage organisations to design and deploy trustworthy medical imaging AI systems.</div></div>","PeriodicalId":47416,"journal":{"name":"Radiography","volume":"31 3","pages":"Article 102953"},"PeriodicalIF":2.5,"publicationDate":"2025-04-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143825485","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}