RadiographyPub Date : 2025-06-17DOI: 10.1016/j.radi.2025.103008
C.J. Heales, P. Ulett, A. Hancock, F. Manning
{"title":"‘No such thing as one size fits all’: A survey of experiences of those with larger bodies in radiography","authors":"C.J. Heales, P. Ulett, A. Hancock, F. Manning","doi":"10.1016/j.radi.2025.103008","DOIUrl":"10.1016/j.radi.2025.103008","url":null,"abstract":"<div><h3>Introduction</h3><div>Individuals living in larger bodies face significant barriers when accessing healthcare, including both internal and external weight stigma. Within radiography, challenges such as inadequate equipment, accessibility limitations, and discomfort during procedures contribute to healthcare avoidance and poorer outcomes. This study investigates personal experiences of individuals living in larger bodies who have experienced radiographic services (medical imaging and radiotherapy) in the UK, with a focus on facilities, equipment, and accessories.</div></div><div><h3>Methods</h3><div>Following institutional ethical approval, a cross-sectional survey was distributed via social media. The anonymous survey collected demographic data and invited participants to describe their most impactful experience within radiographic services. Basic content analysis was conducted on short text responses; then aligned with key quantitative responses and included alongside the results for illustrative purposes. Public engagement representatives contributed to the study design, ensuring inclusivity and appropriate terminology.</div></div><div><h3>Results</h3><div>92 participants completed the survey. The majority identified as female (79.3 %) and white (94.6 %), with ages ranging from 18 to 85 years. Most respondents (98.9 %) had experience with medical imaging, while 16.3 % had undergone radiotherapy. Key challenges included inadequately sized hospital gowns (55.3 %), chairs with armrests limiting accessibility, and a lack of adjustable imaging equipment for taller individuals. Humiliation and discomfort were frequently reported, particularly regarding ill-fitting gowns in public settings. Unlike medical imaging, radiotherapy participants did not report significant equipment-related concerns.</div></div><div><h3>Conclusion</h3><div>This study highlights the impact of inadequate radiographic equipment on individuals living in larger bodies, with both practical and emotional consequences.</div></div><div><h3>Implications for practice</h3><div>Findings suggest a need for improved accessibility to appropriately sized equipment and staff training to enhance patient experiences. Future research should explore emotional impacts and staff challenges to develop inclusive healthcare practices.</div></div>","PeriodicalId":47416,"journal":{"name":"Radiography","volume":"31 5","pages":"Article 103008"},"PeriodicalIF":2.5,"publicationDate":"2025-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144298618","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 : 2025-06-16DOI: 10.1016/j.radi.2025.103005
J.A. Memon , Z.A. Memon , M.S. Shah , M.S. Chandio , A. Baloch
{"title":"Examining the role of radiation risk perception in patient decision-making for diagnostic imaging procedures: Insights from a multi-centre study across diverse populations","authors":"J.A. Memon , Z.A. Memon , M.S. Shah , M.S. Chandio , A. Baloch","doi":"10.1016/j.radi.2025.103005","DOIUrl":"10.1016/j.radi.2025.103005","url":null,"abstract":"<div><h3>Introduction</h3><div>Ionising radiation-based diagnostic imaging is crucial for modern medical care and carries potential hazards, including the risk of radiation-induced cancer at cumulative higher doses. Patients' perceptions significantly influence decisions related to diagnostic imaging procedures. Despite advancements in information and technology, knowledge gaps and communication barriers persist, leading to misconceptions and anxieties.</div></div><div><h3>Methods</h3><div>This multi-centre cross-sectional study assessed the knowledge, perceptions, and attitudes of 628 patients regarding radiation risks. Stratified random sampling selected participants from urban and rural medical facilities. Data were collected from 26 healthcare centres (7 urban, 19 rural) to ensure diverse coverage. A structured questionnaire, comprising closed-ended and Likert-scale questions, was used to examine patient backgrounds, knowledge of radiation-emitting methods, trust in healthcare providers, and factors influencing decision-making.</div></div><div><h3>Results</h3><div>Results showed varying patient knowledge. While 98.7 % correctly identified X-rays as a source of radiation, only 54.3 % recognised CT scans. Misconceptions were common, with 9.2 % believing that MRI and 3.8 % believing that ultrasound emits ionising radiation. Additionally, 82.3 % of respondents felt that medical professionals did not adequately communicate the risks associated with radiation. Rural participants reported significantly higher anxiety (mean score: rural = 3.2, urban = 2.6).</div></div><div><h3>Conclusion</h3><div>The study emphasises the necessity of more consistent patient education and better physician communication about radiation hazards. Resolving misunderstandings and promoting informed decision-making can enhance patient confidence and optimise the utilisation of diagnostic imaging.</div></div><div><h3>Implications for practice</h3><div>This study underscores the importance of comprehensive patient education, standardised provider communication, and informed consent practices in addressing knowledge gaps and mitigating radiation-related fears. Community outreach and telemedicine can help address health literacy gaps, while digital technology and hospital-led counselling can facilitate a better understanding of radiation risk in patients.</div></div>","PeriodicalId":47416,"journal":{"name":"Radiography","volume":"31 5","pages":"Article 103005"},"PeriodicalIF":2.5,"publicationDate":"2025-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144298619","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 : 2025-06-16DOI: 10.1016/j.radi.2025.103006
X. (Katherine) Cai , D. Abu Awwad , E. Ekpo
{"title":"Radiographic imaging use for lacerations: A necessity or over-imaging?","authors":"X. (Katherine) Cai , D. Abu Awwad , E. Ekpo","doi":"10.1016/j.radi.2025.103006","DOIUrl":"10.1016/j.radi.2025.103006","url":null,"abstract":"<div><h3>Introduction</h3><div>Lacerations are a common cause for individuals seeking care in Emergency Departments. Radiographs are commonly the first imaging modality used when foreign bodies (FBs) or fractures are suspected. However, the effectiveness of radiographs for assessing different laceration presentations remains unexplored, with no standardised practices or guidelines available. This paper aims to investigate the diagnostic yield of radiographic imaging for different laceration presentations.</div></div><div><h3>Methods</h3><div>A retrospective cross-sectional study design was employed to analyse data of patients who presented for radiographs where lacerations have been mentioned in the referral. Data was collected from two hospitals over a 12-month period. Key variables collected included anatomical region, mechanism of injury, clinical question, and imaging findings. Pearson’s Chi–Square test was to assess the distribution of imaging outcomes.</div></div><div><h3>Results</h3><div>In total, 10 % (<em>n</em> = 90/869) of radiographs performed for lacerations showed a positive or new abnormal finding, and 7 % (<em>n</em> = 61/869) of radiographs showed suspicious or inconclusive findings. Radiographs were commonly used to assess for fractures and FBs, which were found in 7 % (<em>n</em> = 59/869) and 3 % (<em>n</em> = 28/869) of patients, respectively. However, there were more inconclusive or suspected findings of FBs than confirmed cases. Request forms with no clear mechanism of injury (<em>n</em> = 316) had the lowest proportion of clinically significant findings.</div></div><div><h3>Conclusion</h3><div>Radiographs have a relatively low diagnostic yield for lacerations, suggesting the need for sufficient physical examination prior to imaging and alignment between clinical judgment and imaging necessity.</div></div><div><h3>Implications for practice</h3><div>The findings highlight the need for a cautious approach in radiographic utilisation, acknowledging its effectiveness in detecting fractures in injury presentations while understanding its limitations in foreign body detection.</div></div>","PeriodicalId":47416,"journal":{"name":"Radiography","volume":"31 5","pages":"Article 103006"},"PeriodicalIF":2.5,"publicationDate":"2025-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144290678","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 : 2025-06-14DOI: 10.1016/j.radi.2025.103002
M. Chau , G. Higgins , E. Arruzza , C.L. Singh
{"title":"‘Bill’: An artificial intelligence (AI) clinical scenario coach for medical radiation science education","authors":"M. Chau , G. Higgins , E. Arruzza , C.L. Singh","doi":"10.1016/j.radi.2025.103002","DOIUrl":"10.1016/j.radi.2025.103002","url":null,"abstract":"<div><h3>Introduction</h3><div>The integration of artificial intelligence (AI) into medical radiation science (MRS) education offers significant potential to enhance student training and bridge gaps in traditional pedagogical methods. This technical note describes the development of “Bill,” an AI-driven Clinical Scenario Coach, designed as a prototype to simulate realistic clinical challenges for undergraduate radiography students. Bill utilizes OpenAI's GPT-4o model to create structured, interactive learning environments aligned with the Medical Radiation Practice Board of Australia (MRPBA) professional standards.</div></div><div><h3>Methods</h3><div>Bill was developed as a collaborative effort between academics and clinical practitioners. Scenarios were designed to simulate tasks ranging from basic technical skills to advanced clinical decision-making in radiography. The prototype incorporates real-time feedback and reflective prompts to align with evidence-based educational practices. The development process focused on ensuring authenticity, relevance, and compliance with MRS-specific standards while optimizing the functionality of the AI framework.</div></div><div><h3>Results</h3><div>The prototype demonstrated the feasibility of using AI to simulate clinical scenarios in radiography education. Scenarios included tasks such as performing mobile X-rays on critically ill patients and managing fluoroscopy near-miss incidents. Bill provided structured, adaptive guidance and feedback tailored to the complexity of each scenario. The framework was found to effectively simulate real-world challenges, offering a dynamic environment for prototype testing and future refinements.</div></div><div><h3>Conclusions</h3><div>The development of Bill marks a step forward in exploring AI applications within MRS education. The prototype successfully illustrates the potential for AI to augment traditional teaching methods and create engaging, adaptive learning environments.</div></div><div><h3>Implications for practice</h3><div>While still in its experimental phase, Bill provides a replicable model for AI-driven clinical coaching, with potential applications across various healthcare disciplines.</div></div>","PeriodicalId":47416,"journal":{"name":"Radiography","volume":"31 5","pages":"Article 103002"},"PeriodicalIF":2.5,"publicationDate":"2025-06-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144289115","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 : 2025-06-14DOI: 10.1016/j.radi.2025.102992
K. Matthews , C. Kamp , N. Dalen-Seime , B. Kraus , F. Zarb , P. Sakariassen , P. Costa , G. Aarhus , P. Bezzina , M. Jaronen , J. Huhtanen , R. Strudwick
{"title":"Corrigendum to “User evaluation of clinical simulation-based learning developed by FORCE (Framework for Online Radiographer Clinical Education)”[Radiography 31 (2025)]","authors":"K. Matthews , C. Kamp , N. Dalen-Seime , B. Kraus , F. Zarb , P. Sakariassen , P. Costa , G. Aarhus , P. Bezzina , M. Jaronen , J. Huhtanen , R. Strudwick","doi":"10.1016/j.radi.2025.102992","DOIUrl":"10.1016/j.radi.2025.102992","url":null,"abstract":"","PeriodicalId":47416,"journal":{"name":"Radiography","volume":"31 5","pages":"Article 102992"},"PeriodicalIF":2.5,"publicationDate":"2025-06-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144289116","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 : 2025-06-12DOI: 10.1016/j.radi.2025.103004
E. Dzidzornu , S.K. Angmorterh , N.A. Angaag , E.K. Ofori , K. Dzefi-Tettey , S. Aboagye
{"title":"Mammographic breast density classification among Ghanaian population","authors":"E. Dzidzornu , S.K. Angmorterh , N.A. Angaag , E.K. Ofori , K. Dzefi-Tettey , S. Aboagye","doi":"10.1016/j.radi.2025.103004","DOIUrl":"10.1016/j.radi.2025.103004","url":null,"abstract":"<div><h3>Introduction</h3><div>Breast density is an established risk factor for breast cancer. However, there is limited literature on breast density evaluation among the African population. This study aimed to evaluate the breast density classification of patients presenting for mammography examination in a selected hospital in Ghana to inform national policy guidelines on breast cancer screening.</div></div><div><h3>Methods</h3><div>The study analyzed retrospective data of 960 digital screening and diagnostic mammograms of 245 patients from January to December 2020. Two consultant radiologists with over 10 years of clinical experience evaluated mammogram breast density using the fifth edition of the Breast Imaging-Reporting and Data System (BI-RADS) descriptors. Cohen kappa was used in calculating inter and intraobserver reliability for the breast density. Parameters including compressed breast thickness, and age were also recorded.</div></div><div><h3>Results</h3><div>The majority (62.0 % by Radiologist 1 and 63.3 % by Radiologist 2) of the patients were classified as having ‘almost entirely fatty’ breasts while a few (3.7 % by Radiologist 1 and 4.5 % by Radiologist 2) had ‘extremely dense’ breasts. Most of the patients aged 50–59 years were found to have ‘almost entirely fatty’ breasts. In general, the interobserver and intraobserver reliability showed an almost perfect agreement for the breast density (κ = 0.844, κ = 0.892). However, the interobserver reliability agreement varied from substantial to almost perfect score, with significant p-values, within each BI-RADS category.</div></div><div><h3>Conclusion</h3><div>The radiologists demonstrated consistency in both interobserver and intraobserver reliability with an almost perfect agreement for the breast density categories.</div></div><div><h3>Implications for practice</h3><div>The consistency observed in the BI-RADS assessment will guide future practice to develop models for breast cancer risk stratification and decision making for asymptomatic patients.</div></div>","PeriodicalId":47416,"journal":{"name":"Radiography","volume":"31 4","pages":"Article 103004"},"PeriodicalIF":2.5,"publicationDate":"2025-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144262119","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 : 2025-06-11DOI: 10.1016/j.radi.2025.103000
J.P. McNulty , M. Zarnado M , C. Buissink , R. DeCoster , W. Hennessy , K. Knapp , B. Kraus , L. Lanca , S. Lewis , B. Mahlaola Tintswalo , M. McEntee , D. O'Leary , H. Precht , T. Starc , L.A. Rainford
{"title":"Professional challenges faced by student radiographers during COVID-19","authors":"J.P. McNulty , M. Zarnado M , C. Buissink , R. DeCoster , W. Hennessy , K. Knapp , B. Kraus , L. Lanca , S. Lewis , B. Mahlaola Tintswalo , M. McEntee , D. O'Leary , H. Precht , T. Starc , L.A. Rainford","doi":"10.1016/j.radi.2025.103000","DOIUrl":"10.1016/j.radi.2025.103000","url":null,"abstract":"<div><h3>Introduction</h3><div>This study aimed to identify the challenges facing radiography students at the peak of the COVID-19 pandemic, document their experiences in mid-2020, and explore supports for resilience-building in educational and clinical contexts.</div></div><div><h3>Methods</h3><div>An online survey of 20 questions was distributed to students from radiography programmes across 12 countries between June and July 2020. Demographic data included country of training, academic stage, and age. Students were asked to describe their principal training-related challenges through free text responses. Thematic analysis was applied to responses.</div></div><div><h3>Results</h3><div>Of the 1277 survey participants, 1110 students (87 %) provided open-text responses. Thematic evaluation identified five core themes: radiography teaching, university management, personal protective equipment and infection, financial concerns, and no concerns. Additional categories emerged related to fear and anxiety, professional practice, and personal health and quality of life. Concerns included clinical preparedness, placement safety, disrupted learning, and institutional communication. Nevertheless, many students reported strengthened professional identity, clinical competence, and teamwork skills.</div></div><div><h3>Conclusion</h3><div>This study highlights key training-related challenges faced by radiography students during the early pandemic and provides insights into the emotional and professional impact of this period. In addition to informing future emergency preparedness, the findings reflect broader developments in healthcare education. Strategies such as enhanced digital learning, structured clinical debriefing, and peer mentorship introduced during the pandemic have since been consolidated in many programmes. These trends offer a foundation for more flexible, resilient educational models.</div></div><div><h3>Implications for practice</h3><div>Studies such as this highlight the impact on student radiographers worldwide. Understanding students’ lived experiences can inform improved support structures and help build more sustainable, student-centred training environments in both routine and crisis settings.</div></div>","PeriodicalId":47416,"journal":{"name":"Radiography","volume":"31 4","pages":"Article 103000"},"PeriodicalIF":2.5,"publicationDate":"2025-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144262070","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 : 2025-06-07DOI: 10.1016/j.radi.2025.103001
B. Ohene-Botwe , W.K. Antwi , C. Amedu , T.N. Akudjedu , L.-S. Mudadi , B. Chinene , S.N. Adjeley Quaye , M.Y. Dambele , S.S. Mkoloma , C. Barare , M.J. Kumsa , J. Sichone , R. Saizi , S. Mdletshe , J.Z. Dlama , C. Malamateniou , R. Ahmad
{"title":"Challenges and strategies for retaining Africa’s radiography workforce in the continent amidst a competitive global market: Insights from 17 countries","authors":"B. Ohene-Botwe , W.K. Antwi , C. Amedu , T.N. Akudjedu , L.-S. Mudadi , B. Chinene , S.N. Adjeley Quaye , M.Y. Dambele , S.S. Mkoloma , C. Barare , M.J. Kumsa , J. Sichone , R. Saizi , S. Mdletshe , J.Z. Dlama , C. Malamateniou , R. Ahmad","doi":"10.1016/j.radi.2025.103001","DOIUrl":"10.1016/j.radi.2025.103001","url":null,"abstract":"<div><h3>Introduction</h3><div>African countries face a critical challenge as radiography professionals and other healthcare workers migrate to high-income countries with better-resourced health systems. This study sought to identify the factors influencing the migration of qualified radiography professionals and evaluate the challenges and strategies for retaining the radiography workforce across the continent.</div></div><div><h3>Methods</h3><div>This quantitative cross-sectional study was conducted using an online questionnaire. The link to the questionnaire was widely advertised through professional body platforms, as well as the professional and social media pages of radiography professionals across Africa. Descriptive, inferential statistics and exploratory factor analysis using principal component analysis were used to examine the data.</div></div><div><h3>Results</h3><div>A total of 755 radiography professionals from 17 African countries participated. Poor salary was the most commonly cited push factor for migration, reported by 80.00 % of participants. In the exploratory factor analysis, five factors were identified, explaining 55.57 % of the variation in the data on push factors for migration among radiography professionals. These factors include the health system, economic concerns, professional challenges, political issues, and social conditions. Better salaries (86.49 %) and improved living conditions (86.35 %) were the most common pull factors. Additionally, 92.00 % of participants identified improving radiography professionals' salaries as the most effective strategy for reducing migration.</div></div><div><h3>Conclusion</h3><div>Low salaries, inadequate working conditions, and the pursuit of better opportunities abroad are key contributors to the migration of radiography professionals from Africa. To address this issue, African healthcare systems must prioritise improving remuneration, enhancing working conditions, investing in health infrastructure, and implementing targeted policies focused on professional development and career growth.</div></div><div><h3>Implication for practice</h3><div>Retaining radiography professionals in Africa requires a multifaceted approach to strengthen the workforce and improve healthcare systems.</div></div>","PeriodicalId":47416,"journal":{"name":"Radiography","volume":"31 4","pages":"Article 103001"},"PeriodicalIF":2.5,"publicationDate":"2025-06-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144230767","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 : 2025-06-06DOI: 10.1016/j.radi.2025.103003
G. Currie , P. Tually , L. Groombridge , J. Meadows , S. Tagore , N. Lenzo
{"title":"Prostate cancer detection with [99mTc]Tc-HYNIC-iPSMA SPECT: The Australian experience","authors":"G. Currie , P. Tually , L. Groombridge , J. Meadows , S. Tagore , N. Lenzo","doi":"10.1016/j.radi.2025.103003","DOIUrl":"10.1016/j.radi.2025.103003","url":null,"abstract":"<div><h3>Introduction</h3><div><sup>99m</sup>Tc-HYNIC-iPSMA SPECT or SPECT/CT has potential to improve detection and staging of prostate cancer (PrCa) patients, and better direct appropriate therapies in those patients where cost or availability of PET/CT is prohibitive. Furthermore, without the targeted molecular imaging afforded by <sup>99m</sup>Tc-HYNIC-iPSMA, rural patients are also disadvantaged with respect to access to theranostic treatment options. The primary objective of this prospective investigation was to assess the safety and clinical impact of <sup>99m</sup>Tc-HYNIC-iPSMA SPECT imaging among PrCa patients in remote Western Australia.</div></div><div><h3>Methods</h3><div>Twenty-seven rural Western Australian patients with confirmed PrCa were enrolled in this prospective observational study. Imaging was performed 2–4 h after intravenous administration of 650–800 MBq <sup>99m</sup>Tc-HYNIC-iPSMA. Planar whole-body images, static images and SPECT/CT acquisitions (chest, abdomen and pelvis) were performed. Treatment-related adverse events were collected, and patients’ follow-up data were collected from medical records.</div></div><div><h3>Results</h3><div>No adverse reactions or events were observed in any patient. Normal physiologic biodistribution of <sup>99m</sup>Tc-HYNIC-iPSMA was observed in 26 (96.3 %) patients. The mean radiochemical purity was 92.5 % (±1.7) with a range of 90 %–96 % and median of 92. At least one PSMA-positive lesion was detected in 81.5 % (n = 22) of patients. The <sup>99m</sup>Tc-HYNIC-iPSMA findings altered patient management in 11 (40.7 %) patients.</div></div><div><h3>Conclusion</h3><div>These findings support <sup>99m</sup>Tc-HYNIC-iPSMA as a reliable alternative to existing imaging modalities, enhancing the diagnostic pipeline and informing patient management. Beyond detection rate, patient management was changed based on the <sup>99m</sup>Tc-HYNIC-iPSMA findings in 41 % of patients who would otherwise not have had access to molecular imaging.</div></div><div><h3>Implications for practice</h3><div>SPECT may extend advantage where PET is not accessible due to geographic and socioeconomic factors. <sup>99m</sup>Tc-HYNIC-iPSMA provides reliable imaging, narrowing the equity gap among PrCa patients.</div></div>","PeriodicalId":47416,"journal":{"name":"Radiography","volume":"31 4","pages":"Article 103003"},"PeriodicalIF":2.5,"publicationDate":"2025-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144230768","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 : 2025-06-05DOI: 10.1016/j.radi.2025.102998
E. Skelton , R. Sharpe , M. Bartlett , C. O'Sullivan , G. Harrison
{"title":"“Less paperwork and more practical approaches”: An exploration of stakeholder opinions and priorities for UK postgraduate medical ultrasound education","authors":"E. Skelton , R. Sharpe , M. Bartlett , C. O'Sullivan , G. Harrison","doi":"10.1016/j.radi.2025.102998","DOIUrl":"10.1016/j.radi.2025.102998","url":null,"abstract":"<div><h3>Introduction</h3><div>Training in medical ultrasound must adapt to the evolving needs of the healthcare landscape. This study aimed to gain a comprehensive understanding of stakeholders’ current opinions and priorities for UK postgraduate medical ultrasound education.</div></div><div><h3>Methods</h3><div>A UK-wide, online, anonymous survey was open to responses between 7th June and 15th July 2024. To ensure participant convenience, the survey questions were mainly designed as closed or priority ranking questions. Additionally, participants were given the opportunity to elaborate on their answers through free-text response options. Responses to closed questions were analysed using descriptive statistics and integrated within coding clusters generated through qualitative content analysis of free-text responses.</div></div><div><h3>Results</h3><div>89 valid responses were received, with an overall average completion rate of 64 %. The largest group of respondents were sonographers (n = 48), from a radiography background (n = 30). Most respondents held a CASE-accredited qualification in medical ultrasound (n = 66). Five coding clusters were developed during data analysis: 1) Teaching and academic assessment; 2) Clinical competency; 3) Educational content, delivery, and faculty structure; 4) Stakeholder development and, 5) Student experience. Key stakeholder priorities included high-quality teaching and standardised assessment processes, maintaining good working relationships between faculty and practice educators, and increased opportunities for professional development to support student learning and personal career advancement.</div></div><div><h3>Conclusion</h3><div>Although traditional lectures are regarded as core, increased integration of practical approaches, enabled by digital technology is needed to develop critical reasoning and real-world competency. Co-development of curricula with key stakeholders is essential to ensure relevance and suitability of course content and delivery.</div></div><div><h3>Implications for practice</h3><div>This study highlights important considerations for medical ultrasound education providers to support positive learning experiences for trainee sonographers whilst facilitating professional development opportunities for practice educators.</div></div>","PeriodicalId":47416,"journal":{"name":"Radiography","volume":"31 4","pages":"Article 102998"},"PeriodicalIF":2.5,"publicationDate":"2025-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144213015","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}