Radiography最新文献

{"title":"From curricular inclusion to entrustable IPC competence in medical imaging drug administration.","authors":"I S Tunny, E Fitriasari, M T Umasugi","doi":"10.1016/j.radi.2026.103424","DOIUrl":"https://doi.org/10.1016/j.radi.2026.103424","url":null,"abstract":"","PeriodicalId":47416,"journal":{"name":"Radiography","volume":" ","pages":"103424"},"PeriodicalIF":2.8,"publicationDate":"2026-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147844057","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":"Response to \"From curricular inclusion to entrustable IPC competence in medical imaging drug administration\".","authors":"R Freihat, Y Jimenez, P Kench, S Lewis","doi":"10.1016/j.radi.2026.103427","DOIUrl":"https://doi.org/10.1016/j.radi.2026.103427","url":null,"abstract":"","PeriodicalId":47416,"journal":{"name":"Radiography","volume":" ","pages":"103427"},"PeriodicalIF":2.8,"publicationDate":"2026-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147822083","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":"Variations in guidance, policy, and scope of practice for radiographers in interventional radiology and cardiology: An international survey of professional body representatives in Europe","authors":"S. McFadden ,&nbsp;A. Karera ,&nbsp;E. Greer ,&nbsp;A.T. Villikudathil ,&nbsp;C. Rainey ,&nbsp;L. McLaughlin ,&nbsp;J.P. McNulty","doi":"10.1016/j.radi.2025.103236","DOIUrl":"10.1016/j.radi.2025.103236","url":null,"abstract":"<div><h3>Introduction</h3><div>Interventional radiology (IR) and interventional cardiology (IC) are increasingly central to modern healthcare delivery. Radiographers play a key role in these procedures, particularly in radiation safety and procedural support. However, regulation and formal guidance concerning their roles remain inconsistent across countries. This study explored how professional bodies, and national societies define and support radiographer practice in IR and IC.</div></div><div><h3>Methods</h3><div>A cross-sectional descriptive survey was distributed to representatives of radiographer professional bodies and societies across Europe using purposive sampling. The 11-item online questionnaire was piloted and disseminated via SurveyMonkey®, with promotion through social media, conferences, and the European Federation of Radiographer Societies (EFRS). Data were analysed using SPSS (v27), with descriptive statistics and cross-country comparisons.</div></div><div><h3>Results</h3><div>Responses from 36 society representatives across ten countries revealed substantial variation in whether IR and IC are formally recognised as radiographic specialisations, the skills expected at graduation, and support for advanced practice roles. While basic IR skills were widely endorsed, roles such as cannulation, consent, and drug administration were inconsistently reported. Only three respondents confirmed the publication of national guidance documents for radiographers in IR and IC. Notably, discrepancies within individual countries, particularly Ireland, Portugal, and the UK, highlight internal communication gaps between the societies, its representatives and general members.</div></div><div><h3>Conclusion</h3><div>The findings indicate significant gaps and inconsistencies in the regulation, training expectations, and scope of radiographer practice in IR and IC. These disparities have implications for patient safety, workforce development, and professional mobility across borders.</div></div><div><h3>Implications for practice</h3><div>Harmonised guidance from national societies and European bodies is needed to support radiographer competency, reduce training inequities, and enable safe and consistent IR and IC service delivery.</div></div>","PeriodicalId":47416,"journal":{"name":"Radiography","volume":"32 4","pages":"Article 103236"},"PeriodicalIF":2.8,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145524123","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":"Can we reduce the radiation dose further without compromising image quality in 3D rotational angiography (3DRA)? A single center qualitative evaluation of 3DRA in congenital heart disease (CHD) patients","authors":"G. Carpanelli ,&nbsp;M. Gregori ,&nbsp;F. Dal Bo ,&nbsp;G. Iavazzo ,&nbsp;A. Moro ,&nbsp;A. Sergenti ,&nbsp;G. Egidy Assenza ,&nbsp;M. Brighenti ,&nbsp;S. Durante ,&nbsp;A. Donti","doi":"10.1016/j.radi.2025.103229","DOIUrl":"10.1016/j.radi.2025.103229","url":null,"abstract":"<div><h3>Introduction</h3><div>This retrospective study compares two 3D rotational angiography (3DRA) protocols in patients with congenital heart disease (CHD), with the aim of identifying the optimal balance between radiation dose reduction and preservation of diagnostic image quality. The overarching goal is to facilitate safer percutaneous interventions by minimizing exposure while maintaining imaging adequacy.</div></div><div><h3>Methods</h3><div>A single-center retrospective analysis was conducted, evaluating two 3DRA acquisition protocols with distinct exposure parameters. Image quality was assessed subjectively by two cardiologists using Likert scales and objectively through signal-to-noise ratio (SNR) measurements. Particular attention was given to the visualization of cardiovascular structures and the overall clinical utility of the images.</div></div><div><h3>Results</h3><div>The low-dose protocol achieved a significant reduction in radiation dose (p = 0.009). SNR values were significantly higher in the low-dose group (p &lt; 0.05), while qualitative assessments showed only minor differences between protocols. Image quality and procedural usefulness remained consistently diagnostic in all cases.</div></div><div><h3>Conclusion</h3><div>Significant dose reduction in 3DRA is achievable without compromising diagnostic performance, supporting safer imaging practices for this radiosensitive patient population.</div></div><div><h3>Implications for practice</h3><div>Optimized 3DRA protocols provide a meaningful reduction in radiation exposure for pediatric CHD patients while preserving procedural efficacy, reinforcing their adoption in routine clinical practice.</div></div>","PeriodicalId":47416,"journal":{"name":"Radiography","volume":"32 4","pages":"Article 103229"},"PeriodicalIF":2.8,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145507425","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 retrospective mixed-methods service evaluation of radiographer-led adult nephrostomy exchange service","authors":"A. Spalding","doi":"10.1016/j.radi.2025.103316","DOIUrl":"10.1016/j.radi.2025.103316","url":null,"abstract":"<div><h3>Introduction</h3><div>Global healthcare systems, including the UK’s, face a supply-demand imbalance exacerbated by the COVID-19 pandemic. Interventional radiology (IR) is expanding, but workforce shortages persist, with a 30 % shortfall in clinical radiologists in England, projected to increase to 40 % by 2028.</div></div><div><h3>Methods</h3><div>This service evaluation (SE) employs a mixed-methods approach to evaluate an advanced practice (AP) radiographer-led nephrostomy exchange (NE) service, aiming to reduce the interval between NEs from 94 to 84 days.</div></div><div><h3>Results</h3><div>The study found that the AP service successfully performed NE with lower radiation doses (RD) and fluoroscopy screening times (FST) compared to radiologists. The service also reduced minor complication rates and created additional appointment slots for radiologists. Patient and stakeholder feedback indicated high satisfaction.</div></div><div><h3>Conclusion</h3><div>This service evaluation (SE) demonstrates that AP skills, backed by master ‘s-level education, can effectively address the growing demands and workforce shortages in IR. The evidence from this project shows that AP radiographers can provide a comparable, and in some aspects, improved service with lower RD and FST.</div></div><div><h3>Implications to practice</h3><div>By training radiographers to perform select, routine procedures, healthcare systems can alleviate the burden on radiologists.</div></div>","PeriodicalId":47416,"journal":{"name":"Radiography","volume":"32 4","pages":"Article 103316"},"PeriodicalIF":2.8,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146004359","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":"Laser positioning versus conventional CT-Guided lung biopsy: A systematic review and meta-analysis of clinical outcomes","authors":"R.M. Qafesha ,&nbsp;A.L. Nassourah ,&nbsp;S. Amro ,&nbsp;Z.M. Abdelhalim ,&nbsp;M. Dervis ,&nbsp;H.A. Ishreiteh ,&nbsp;R.I. Abuayyash ,&nbsp;M. Kashbour","doi":"10.1016/j.radi.2025.103280","DOIUrl":"10.1016/j.radi.2025.103280","url":null,"abstract":"<div><h3>Introduction</h3><div>CT-guided percutaneous lung biopsy remains essential for diagnosing pulmonary nodules but is frequently complicated by pneumothorax, hemorrhage, and hemoptysis. Laser-assisted CT-guided biopsy (LACT) has been proposed to enhance procedural precision and safety. This meta-analysis compared the efficacy and safety of LACT versus conventional CT-guided (CCT) lung biopsies.</div></div><div><h3>Methods</h3><div>A comprehensive search of six electronic databases was performed to identify studies comparing LACT and CCT lung biopsies. Statistical analyses were performed using RevMan 5.4.1, and P &lt; 0.05 was considered statistically significant. Meta-regression was done by Open Meta-Analyst.</div></div><div><h3>Results</h3><div>Twelve studies involving 1353 patients were included. The LACT group demonstrated significantly higher first-puncture success (RR = 2.47, 95 % CI: 1.44–4.23, P = 00.001), fewer CT scans and needle adjustments (MD = −1.50, 95 % CI: −2.08 to −0.91, P &lt; 0.00001), shorter procedure duration (MD = −7.69 min, 95 % CI: −9.75 to −5.64, P &lt; 0.00001), and shorter intraoperative time (P &lt; 0.00001). LACT also showed a lower overall complication rate, including pneumothorax, hemorrhage, and hemoptysis. Meta-regression indicated that increasing age was associated with a higher pneumothorax risk.</div></div><div><h3>Conclusions</h3><div>LACT-guided lung biopsy improves first-puncture success, procedural efficiency, and safety compared with the conventional approach. However, as most studies originated from a single geographic region and had variable methodological quality, these findings require confirmation through larger, multicenter randomized controlled trials.</div></div><div><h3>Implications for practice</h3><div>LACT may offer procedural and safety advantages over conventional CT-guided lung biopsy, with the potential to reduce risks to patients. Future considerations include the need for robust, generalizable evidence beyond the studied population and geographic setting, along with support for wider clinical implementation such as standardized device specifications, workflow and protocol optimization, professional-body guidance, and operator training.</div></div>","PeriodicalId":47416,"journal":{"name":"Radiography","volume":"32 4","pages":"Article 103280"},"PeriodicalIF":2.8,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145745042","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 metaheuristics-equipped post-processing model for coronary angiograms","authors":"K.Y. Devi ,&nbsp;J.S. Bobby ,&nbsp;S. Vinurajkumar ,&nbsp;V. Venugopal","doi":"10.1016/j.radi.2026.103355","DOIUrl":"10.1016/j.radi.2026.103355","url":null,"abstract":"<div><h3>Introduction</h3><div>Contrast-limited adaptive histogram equalization (CLAHE) is a post-processing algorithm used for improving the quality of coronary angiograms. Proper tuning of the clip limit (CL) is crucial to fetch high-quality and distortion-free outputs from the CLAHE.</div></div><div><h3>Methods</h3><div>We propose a parameter optimization model to automate the selection of CL in the CLAHE deployed for post-processing the coronary angiograms. The grey wolf optimization (GWO) and patch-based contrast quality index (PCQI) fitness are embedded in the model. We compared the optimum CLAHE (OCLAHE) with state-of-the-art schemes for improving the quality of the angiograms, namely histogram equalization (HE), unsharp masking (USM), morphological filtering (MF), and Frangi filter (FF), in terms of subjective visual appeal of the enhanced angiograms and objective quality measured via image quality assessment (IQA) indices. We used four IQA indices, namely PCQI, quality-aware relative contrast measure (QRCM), entropy, and blind/referenceless image spatial quality evaluator (BRISQUE), to objectively compare the quality of OCLAHE outputs with that of the state-of-the-art schemes.</div></div><div><h3>Results</h3><div>The OCLAHE produces outputs with higher PCQI, QRCM, and entropy and lower BRISQUE compared to HE, USM, MF, and FF.</div></div><div><h3>Conclusion</h3><div>Higher QRCM value indicates OCLAHE outputs with preserved gradient profiles that are free of textural distortions. High entropy signifies OCLAHE outputs with high information content and greater contrast. Low BRISQUE reflects the natural appearance of OCLAHE outputs. High PCQI shows OCLAHE outputs with higher local contrast that are free from over-enhancement/overshoot.</div></div><div><h3>Implications for practice</h3><div>The OCLAHE amplifies the intensity differences among vessel regions and backgrounds without exaggerating the overall brightness of the angiograms. Thus, improved visual quality of the coronary angiograms facilitated by the OCLAHE will ease automated and subjective detection of stenosis.</div></div>","PeriodicalId":47416,"journal":{"name":"Radiography","volume":"32 4","pages":"Article 103355"},"PeriodicalIF":2.8,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146776916","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":"Prelim ii - EFRS Member","authors":"","doi":"10.1016/S1078-8174(26)00110-0","DOIUrl":"10.1016/S1078-8174(26)00110-0","url":null,"abstract":"","PeriodicalId":47416,"journal":{"name":"Radiography","volume":"32 4","pages":"Article 103434"},"PeriodicalIF":2.8,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147807836","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":"Diagnostic accuracy of sonomammography in the evaluation of palpable breast masses: Correlation with histopathology","authors":"S. Sharma ,&nbsp;J. Tamang ,&nbsp;B. Nepal ,&nbsp;S. Gupta","doi":"10.1016/j.radi.2026.103426","DOIUrl":"10.1016/j.radi.2026.103426","url":null,"abstract":"<div><h3>Introduction</h3><div>Ultrasonography plays an important role in evaluating palpable breast masses, particularly in women with dense breast tissue. Although the Breast Imaging Reporting and Data System has standardized ultrasound reporting. This study aimed to evaluate the diagnostic accuracy of sonomammography in differentiating benign and malignant breast masses and to correlate specific ultrasound features with histopathological findings, including differentiation between invasive ductal carcinoma and ductal carcinoma in situ (DCIS).</div></div><div><h3>Methods</h3><div>This prospective observational study included patients presenting with palpable breast masses who underwent sonomammographic evaluation between January 2019 and December 2022. A total of 98 patients with lesions categorized as BI-RADS 4 or 5 on ultrasonography were included. High-resolution ultrasound examinations were performed using a 3–12 MHz linear transducer, and lesions were characterized according to the BI-RADS lexicon. Histopathological examination served as the reference standard. Statistical analysis included the Chi-square test, univariate, and multivariate analyses.</div></div><div><h3>Results</h3><div>A total of 98 lesions, including 57 malignant and 41 benign lesions. Sonomammography demonstrated a diagnostic accuracy of 84.69%, with a sensitivity of 92.98% and a specificity of 73.17%. Significant sonographic predictors of malignancy (<em>p&lt;0.05</em>) included irregular shape, non-circumscribed margins, non-parallel orientation, and hypoechoic or complex echotexture. Irregular lesion shape and non-circumscribed margins showed a significant association with invasive ductal carcinoma compared with DCIS (<em>p&lt;0.05</em>).</div></div><div><h3>Conclusion</h3><div>BI-RADS–based sonomammographic evaluation provides valuable diagnostic information in the assessment of palpable breast masses. Specific ultrasound features demonstrate significant correlation with histopathological outcomes and may assist in differentiating benign from malignant lesions.</div></div><div><h3>Implication of practice</h3><div>The findings highlight the clinical value of BI-RADS–guided breast ultrasound in improving lesion characterization and supporting appropriate biopsy decisions in patients presenting with palpable breast masses.</div></div>","PeriodicalId":47416,"journal":{"name":"Radiography","volume":"32 4","pages":"Article 103426"},"PeriodicalIF":2.8,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147844136","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":"Critical organ dose evaluation during interventional stroke imaging: Implications for radiation safety","authors":"E. Özgür ,&nbsp;D. Tunçman Kayaokay ,&nbsp;D.S. Özgür ,&nbsp;A. Tünay ,&nbsp;O. Günay ,&nbsp;F.F. Kesmezacar ,&nbsp;M. Demir ,&nbsp;G. ALMisned ,&nbsp;H.O. Tekin","doi":"10.1016/j.radi.2026.103331","DOIUrl":"10.1016/j.radi.2026.103331","url":null,"abstract":"<div><h3>Introduction</h3><div>Neurointerventional stroke imaging involves prolonged fluoroscopy and multiple angiographic acquisitions, potentially delivering meaningful radiation doses to radiosensitive head and neck organs. This study quantified organ-specific absorbed doses under clinically realistic conditions.</div></div><div><h3>Methods</h3><div>Organ doses were measured using calibrated MTS-100 LiF:Mg,Ti thermoluminescent dosimeters (TLD-100) placed in an Alderson Rando anthropomorphic phantom. Simulated stroke imaging was performed on a Siemens Artis Zee C-arm system using routine clinical parameters. TLDs were calibrated under RQR-9 beam quality at an accredited SSDL and read with a Harshaw 4500 reader.</div></div><div><h3>Results</h3><div>The highest absorbed doses occurred in the left parotid gland and C1–C2 vertebral level. Bilateral thyroid doses averaged ∼4.6 mGy, and eye lens doses ranged from 5.6 to 11.5 mGy. Dose distribution showed marked spatial variability, reflecting projection geometry and scatter contributions.</div></div><div><h3>Conclusion</h3><div>Although measured single-session doses were below deterministic thresholds, cumulative exposure during repeated or prolonged interventions may become clinically significant.</div></div><div><h3>Implications for practice</h3><div>The findings support the need for strict collimation, optimized projection angles, pulsed fluoroscopy, and continuous dose monitoring to minimize patient and staff exposure while maintaining diagnostic image quality.</div></div>","PeriodicalId":47416,"journal":{"name":"Radiography","volume":"32 4","pages":"Article 103331"},"PeriodicalIF":2.8,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146041670","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}