Radiography最新文献

{"title":"Underestimation of lung regions on chest X-ray segmentation masks assessed by comparison with total lung volume evaluated on computed tomography","authors":"P. Bombiński ,&nbsp;P. Szatkowski ,&nbsp;B. Sobieski ,&nbsp;T. Kwieciński ,&nbsp;S. Płotka ,&nbsp;M. Adamek ,&nbsp;M. Banasiuk ,&nbsp;M.I. Furmanek ,&nbsp;P. Biecek","doi":"10.1016/j.radi.2025.102930","DOIUrl":"10.1016/j.radi.2025.102930","url":null,"abstract":"<div><h3>Introduction</h3><div>The lung regions on chest X-ray segmentation masks created according to the current gold standard method for AI-driven applications are underestimated. This can be evaluated by comparison with computed tomography.</div></div><div><h3>Methods</h3><div>This retrospective study included data from non-contrast chest low-dose CT examinations of 55 individuals without pulmonary pathology. Synthetic X-ray images were generated by projecting a 3D CT examination onto a 2D image plane. Two experienced radiologists manually created two types of lung masks: 3D lung masks from CT examinations (ground truth for further calculations) and 2D lung masks from synthetic X-ray images (according to the current gold standard method: following the contours of other anatomical structures). Overlapping and non-overlapping lung regions covered by both types of masks were analyzed. Volume of the overlapping regions was compared with total lung volume, and volume fractions of non-overlapping lung regions in relation to the total lung volume were calculated. The performance results between the two radiologists were compared.</div></div><div><h3>Results</h3><div>Significant differences were observed between lung regions covered by CT and synthetic X-ray masks. The mean volume fractions of the lung regions not covered by synthetic X-ray masks for the right lung, the left lung, and both lungs were 22.8 %, 32.9 %, and 27.3 %, respectively, for Radiologist 1 and 22.7 %, 32.9 %, and 27.3 %, respectively, for Radiologist 2. There was excellent spatial agreement between the masks created by the two radiologists.</div></div><div><h3>Conclusions</h3><div>Lung X-ray masks created according to the current gold standard method significantly underestimate lung regions and do not cover substantial portions of the lungs.</div></div><div><h3>Implications for practice</h3><div>Standard lung masks fail to encompass the whole range of the lungs and significantly restrict the field of analysis in AI-driven applications, which may lead to false conclusions and diagnoses.</div></div>","PeriodicalId":47416,"journal":{"name":"Radiography","volume":"31 3","pages":"Article 102930"},"PeriodicalIF":2.5,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143739257","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":"Experiences in burnout and empathy among undergraduate radiography students","authors":"M.M. Abuzaid ,&nbsp;W. Elshami ,&nbsp;Z.Y. Hamd ,&nbsp;M. Ibham","doi":"10.1016/j.radi.2025.102934","DOIUrl":"10.1016/j.radi.2025.102934","url":null,"abstract":"<div><h3>Introduction</h3><div>Burnout and empathy are key factors influencing healthcare professionals' performance, particularly among radiography students, who face the dual challenges of mastering technology and ensuring patient care. This study explores the relationship between burnout and empathy among undergraduate radiography students in the Middle East, with a focus on how empathy varies across different years of study and its correlation with burnout.</div></div><div><h3>Methods</h3><div>A cross-sectional survey was conducted among radiography students from four Middle Eastern countries. Data were collected using the Jefferson Scale of Physician Empathy for Students (JSPE-S) and the Copenhagen Burnout Inventory (CBI). Empathy scores and Burnout was assessed across several few components. Kruskal–Wallis and Pearson's correlation tests were used to explore associations between demographic factors, empathy scores, and burnout levels.</div></div><div><h3>Results</h3><div>Significant difference in scores for empathy across years of study (p = 0.001), with the lowest empathy recorded among third-year students (mean = 3.81). Burnout was also significantly higher in third-year students. A significant negative correlation was found between empathy and burnout (r = −0.173, p = 0.017), indicating that higher levels of burnout were associated with lower empathy. Burnout was also found to be higher among female students and those from UAE and Saudi Arabia.</div></div><div><h3>Conclusion</h3><div>This study identifies a critical decline in empathy during the third year of radiography education, coinciding with heightened burnout levels. The negative correlation between empathy and burnout suggests that as stress and burnout increase, students’ ability to empathize with patients decreases.</div></div><div><h3>Implications for practice</h3><div>Interventions aimed at reducing burnout and promoting empathy, particularly during high-stress years of radiography education, are essential. Educational programs should focus on communication skills and stress management to ensure students maintain empathy.</div></div>","PeriodicalId":47416,"journal":{"name":"Radiography","volume":"31 3","pages":"Article 102934"},"PeriodicalIF":2.5,"publicationDate":"2025-03-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143725738","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":"What are the causes and outcomes of malpractice litigation in medical imaging technologists and sonographers? A scoping review","authors":"C. Ling,&nbsp;E. Arruzza,&nbsp;A. Chau,&nbsp;N. Parange","doi":"10.1016/j.radi.2025.102922","DOIUrl":"10.1016/j.radi.2025.102922","url":null,"abstract":"<div><h3>Introduction</h3><div>Medical imaging examinations are performed by radiographers, nuclear medicine technologists (NMT) and sonographers. Radiology litigation has been extensively studied, however, litigation involving imaging professionals is not. This scoping review aims to identify the causes and outcomes of malpractice litigation among medical imaging technologists and sonographers.</div></div><div><h3>Methods</h3><div>A scoping review in accordance with the Joanna Briggs Institute Manual for Evidence Synthesis and the Preferred Reporting Items for Systematic Reviews and Meta-Analyses – Scoping Review checklist was performed using five databases and five grey literature sources. Australian professional bodies, insurance companies and coronial services were contacted. Literature published between 2018-2023 were included. No exclusions were placed on the practitioner’s age, sex, or levels of clinical experience.</div></div><div><h3>Results</h3><div>Thirty-five cases and one study were included. Of the 35 cases, 26 were radiographer cases (X-ray and magnetic resonance imaging), one was a NMT case and eight were sonographer cases. The main categories that led to litigation for radiographers were unprofessional behaviour (16.87%), lack of competency and/or misconduct (13.25%) and errors in imaging technique (9.64%). Lack of competency and/or misconduct (17.02%), operator-dependent errors (12.77%) and incorrect reporting and/or documentation issues (10.64%) were the main categories for sonographer litigation. Being struck off from a professional register was the most common case outcome (22.64%) for radiographers, while conditions of practice (20.00%), voluntary removal (20.00%) and suspension (20.00%) were equally tied for sonographer case outcomes.</div></div><div><h3>Conclusion</h3><div>Categories of malpractice litigation and discipline-specific technical errors leading to litigation were identified for MITs and sonographers. Lack of studies in this area suggest further research is required to confirm our findings.</div></div><div><h3>Implications for practice</h3><div>Identifying the common causes of malpractice litigation can reveal strategies to mitigate litigation risks and improve patient safety. Our findings can educate students, practitioners and promote best practice policies.</div></div>","PeriodicalId":47416,"journal":{"name":"Radiography","volume":"31 3","pages":"Article 102922"},"PeriodicalIF":2.5,"publicationDate":"2025-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143716292","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Educational climate for health sciences education in Ethiopian public universities: The case of medical radiology technology undergraduate program","authors":"Y. Molla ,&nbsp;T. Fereja ,&nbsp;A. Assefa ,&nbsp;T. Yigzaw ,&nbsp;F. Ayalew","doi":"10.1016/j.radi.2025.102927","DOIUrl":"10.1016/j.radi.2025.102927","url":null,"abstract":"<div><h3>Introduction</h3><div>Medical Radiology Technologists (MRTs) play a vital role in healthcare through diagnostic imaging and radiation therapy, necessitating high-quality education and training. Despite the Ethiopian undergraduate MRT program's contributions to healthcare, little research has examined its educational climate or academic outcomes. This nationally accredited 4-year program integrates coursework, clinical training, and internships to prepare students for diverse medical imaging modalities. This study evaluates the program's educational environment using the Dundee Ready Education Environment Measure (DREEM), aiming to identify strengths, areas for improvement, and factors influencing the educational climate, ultimately enhancing quality, student satisfaction, and program effectiveness.</div></div><div><h3>Methodology</h3><div>Using a quantitative, comparative cross-sectional design, the study surveyed 123 graduating MRT students, adhering to ethical guidelines for research involving human subjects.</div></div><div><h3>Result</h3><div>The findings indicate a positive overall DREEM score of 179 out of 200 (89 %), reflecting generally favorable perceptions of the educational climate, though concerns remain regarding the overall atmosphere.</div></div><div><h3>Conclusion</h3><div>The results highlight specific areas for improvement within the educational environment. Enhancing teaching-learning facilities, providing better support for stressed students, and ensuring a more motivating atmosphere can significantly impact student perceptions.</div></div><div><h3>Implication for practice</h3><div>This research is significant for improving MRT education quality and advancing healthcare services in Ethiopia, providing valuable insights for policymakers and educators. Ultimately, it aims to strengthen the foundations of radiology education, contributing to a more competent healthcare workforce.</div></div>","PeriodicalId":47416,"journal":{"name":"Radiography","volume":"31 3","pages":"Article 102927"},"PeriodicalIF":2.5,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143705430","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":"Evaluation of a customised, AI-focused educational seminar delivered to final year undergraduate radiography students in the UK: A cross-sectional study","authors":"N. Stogiannos ,&nbsp;E. Skelton ,&nbsp;S. Kumar ,&nbsp;S. Ahmed ,&nbsp;C. Amedu ,&nbsp;C. Vince ,&nbsp;M. Schiavottiello ,&nbsp;C. O'Sullivan ,&nbsp;C. Malamateniou","doi":"10.1016/j.radi.2025.102926","DOIUrl":"10.1016/j.radi.2025.102926","url":null,"abstract":"<div><h3>Introduction</h3><div>AI education is essential to facilitate seamless clinical integration. The HCPC in the UK requires all radiographers to have some level of digital skills to maintain safety of clinical practice. This study aimed to evaluate the impact of a dedicated AI seminar on radiography students.</div></div><div><h3>Methods</h3><div>A dedicated 1.5-h in-person seminar was delivered by an AI vendor to final year undergraduate diagnostic radiography students at a UK University. The course consisted of both theory and practice training. An online survey was built and piloted, consisting of both closed and open-ended questions, to explore their level of knowledge, skills and confidence in AI, before (pre-test) and after the delivery (post-test) of the seminar using a 10-point scale. Pre-test was distributed two weeks before the seminar and post-test was open two weeks after.</div></div><div><h3>Results</h3><div>A total of 68 students answered the pre-test and 31 the post-test survey. Students’ theoretical knowledge (Mean = 6.57 vs Mean = 3.85), skills (Mean = 5.39 vs Mean = 3.44) and confidence (Mean = 5.47 vs Mean = 3.43) on AI were all significantly improved after the seminar. Their responses became more focused and specific in the post-test survey. In both surveys students expressed concerns around reliability and accountability of AI, data management and security, patient confidentiality and overreliance on technology in the open-ended questions. They also requested more AI training with hands-on options in their undergraduate degree.</div></div><div><h3>Conclusion</h3><div>This study confirms the importance of even brief, but customised educational interventions relating to AI for radiographers. The learning needs to be customised to maximise knowledge retention and applicability and to include both theoretical and practical aspects for consolidation of skills.</div></div><div><h3>Implications for practice</h3><div>These findings will help radiography educators build more focused, tailored AI courses for future students.</div></div>","PeriodicalId":47416,"journal":{"name":"Radiography","volume":"31 3","pages":"Article 102926"},"PeriodicalIF":2.5,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143705926","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Preliminary phantom study of four-dimensional computed tomographic angiography for renal artery mapping: Low-tube voltage and low-contrast volume imaging with deep learning-based reconstruction","authors":"A. Urikura ,&nbsp;I. Ishii ,&nbsp;M. Sone ,&nbsp;S. Sugawara ,&nbsp;C. Itou ,&nbsp;S. Kimura ,&nbsp;H. Suzuki ,&nbsp;T. Ishihara ,&nbsp;M. Kusumoto","doi":"10.1016/j.radi.2025.102929","DOIUrl":"10.1016/j.radi.2025.102929","url":null,"abstract":"<div><h3>Introduction</h3><div>A hybrid angio-CT system with 320-row detectors and deep learning-based reconstruction (DLR), provides additional imaging via 4D-CT angiography (CTA), potentially shortening procedure time and reducing DSA acquisitions, contrast media, and radiation dose. This study evaluates the feasibility of low-tube voltage 4D-CTA with low-contrast volume and DLR for selective renal artery embolization using a vessel phantom.</div></div><div><h3>Methods</h3><div>A custom-made phantom simulating contrast-enhanced vessels filled with contrast medium was scanned. The study assessed image quality under varying image noise and vessel contrast. Quantitative analysis included peak contrast-to-noise ratio (pCNR) and image noise. Qualitative assessment was performed by seven radiologists using a 4-point scale; each radiologist independently recorded their evaluations on an assessment sheet.</div></div><div><h3>Results</h3><div>A pCNR of approximately 15.0 was identified as the threshold for acceptable image quality. The pCNR decreased as the noise index increased (by 25–75 % when comparing a noise index of 30–70 HU).Vessels with a CT value of 500 Hounsfield units (HU) achieved sufficient image quality with a noise index of 50 HU. Dose reduction was substantial compared to traditional DSA, with effective radiation dose remaining within acceptable clinical levels.</div></div><div><h3>Conclusion</h3><div>4D-CTA, combined with DLR, demonstrated the potential to reduce radiation and contrast agent usage while preserving diagnostic quality for renal artery angiography. Further clinical validation is required to confirm these findings in clinical settings.</div></div><div><h3>Implications for practice</h3><div>4D-CTA with low-tube voltage and deep learning-based reconstruction (DLR) can reduce radiation and contrast use while maintaining image quality. This approach might improve safety, particularly in patients with renal impairment, and serve as a viable alternative to conventional DSA for selective renal artery embolization.</div></div>","PeriodicalId":47416,"journal":{"name":"Radiography","volume":"31 3","pages":"Article 102929"},"PeriodicalIF":2.5,"publicationDate":"2025-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143705432","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":"Adult national diagnostic reference levels for common computed tomography examinations in Zambia: A preliminary study with findings from public hospitals","authors":"S. Kafwimbi ,&nbsp;J.M. Sichone ,&nbsp;F. Munsanje ,&nbsp;O. Sutherland ,&nbsp;O. Bwanga ,&nbsp;B. Ohene-Botwe ,&nbsp;S.M. Munsaka","doi":"10.1016/j.radi.2025.102925","DOIUrl":"10.1016/j.radi.2025.102925","url":null,"abstract":"<div><h3>Introduction</h3><div>While many European and American countries have established national diagnostic reference levels (NDRLs), few African countries have. Therefore, this study aimed to propose adult NDRLs for common computed tomography (CT) examinations in Zambia.</div></div><div><h3>Methods</h3><div>1360 CT patient data for the brain, chest, abdomen and pelvis were collected from 10 public CT facilities. The CT images were assessed for acceptable image quality and patient anthropometry was done, with patients' anteroposterior diameter used as the patient parameter. NDRLs were set at the 75th percentile of the distribution of volume-based CT dose index (CTDI_vol) and dose length product (DLP) and were compared to countries’ NDRLs.</div></div><div><h3>Results</h3><div>NDRLs for CTDI_vol in mGy were calculated as follows; non-contrast brain 70.5, contrast brain 56.74, non-contrast chest 20.24, contrast chest 20, non-contrast abdomen/pelvis, 21.3, contrast abdomen/pelvic 21.3, non-contrast chest/abdomen/pelvis 20 and contrast chest/abdomen/pelvis 19.1. The corresponding NDRLs for DLP in mGy.cm are 1455, 1206, 745.8, DLP 666.7, 1103, 1103, 1237 and 1141. Variations in DLP values between facilities were statistically significant (<em>p</em> &lt; 0.0001). NDRLs for the brain and chest were higher than those from other countries but lower for the abdomen/pelvis and chest/abdomen/pelvis. Correlations between the CT scanner's number of detector rows and CTDI_vol were (r = 0.08285, <em>p</em> &lt; 0.0.0022) and (r = 0.5038, <em>p</em> &lt; 0.0001) between patients' AP diameter and CTDI_vol.</div></div><div><h3>Conclusion</h3><div>The proposed NDRLs confirmed the need to optimise CT scan parameters and protocols in Zambia. Therefore, extensive training of all CT radiographers in optimising CT image acquisition parameters and regular dose audits is recommended.</div></div><div><h3>Implication of practice</h3><div>NDRLs will likely provide a benchmarking mechanism for dose optimisation practices among CT radiographers in Zambia and beyond.</div></div>","PeriodicalId":47416,"journal":{"name":"Radiography","volume":"31 3","pages":"Article 102925"},"PeriodicalIF":2.5,"publicationDate":"2025-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143704022","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":"Beyond technical proficiency: A scoping review of the role of soft skills in medical radiation science","authors":"B. Ofori-Manteaw,&nbsp;T. Nelson,&nbsp;K. Barry,&nbsp;D. Al Mousa,&nbsp;C. Nabasenja,&nbsp;N. Frame,&nbsp;C. Singh,&nbsp;K. Spuur,&nbsp;M. Chau","doi":"10.1016/j.radi.2025.102924","DOIUrl":"10.1016/j.radi.2025.102924","url":null,"abstract":"<div><h3>Introduction</h3><div>Soft skills, including communication, empathy, and teamwork, are essential in medical radiation science (MRS) for delivering comprehensive patient care. Despite the emphasis on technical skills, integrating soft skills is crucial for improving patient outcomes and fostering a collaborative healthcare environment. This scoping review investigates the role, significance, and teaching strategies of soft skills in MRS practice and education.</div></div><div><h3>Method</h3><div>A scoping review was conducted across Scopus, PubMed, Web of Science, Emcare and CINAHL for studies published from 1st January 2014 to 31st December 2023. Twenty-five studies employing various designs were included. Data extraction was performed double-blindly by four authors and validated by two additional reviewers. The review synthesized findings on soft skills such as communication, empathy, patient care, emotional intelligence, teamwork, and compassion.</div></div><div><h3>Results</h3><div>Communication was the most frequently reported soft skill, noted in 17 articles, followed by empathy in ten studies. Twelve studies highlighted training strategies, including workshops, video demonstrations, and simulation-based training. These strategies were effective in enhancing soft skills.</div></div><div><h3>Conclusion</h3><div>Soft skills play a crucial role in delivering holistic patient care in MRS. Diverse training approaches can improve medical radiation practitioners’ competencies and promote a supportive work environment.</div></div><div><h3>Implications for practice</h3><div>The review highlights studies that demonstrate good practices and measurable improvements in patient interactions, interdisciplinary collaboration, and overall care quality. These findings may support training institutions that may need to improve their curricula in relation to soft skills integration.</div></div>","PeriodicalId":47416,"journal":{"name":"Radiography","volume":"31 3","pages":"Article 102924"},"PeriodicalIF":2.5,"publicationDate":"2025-03-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143680387","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":"Weight based diagnostic reference levels (DRLS) for paediatric fluoroscopic procedures: A single centre review","authors":"J. Eaton ,&nbsp;C. Udoh ,&nbsp;J. Armstrong ,&nbsp;M. Koutalonis ,&nbsp;O.J. Arthurs","doi":"10.1016/j.radi.2025.102914","DOIUrl":"10.1016/j.radi.2025.102914","url":null,"abstract":"<div><h3>Introduction</h3><div>This study establishes weight-based diagnostic reference levels (DRLs) for paediatric fluoroscopic procedures by conducting a radiation dose survey for children under 50 kg.</div></div><div><h3>Methods</h3><div>Utilizing data from 859 fluoroscopic examinations, the study calculated local DRLs across seven common procedures, categorizing patients by weight to reflect the large size variation among paediatric patients. Our local DRLs were compared to United Kingdom National Diagnostic Reference Levels (NDRLs).</div></div><div><h3>Results</h3><div>The results show that radiation doses at our centre were consistently lower than national guidelines, with an average of 16 % of NDRLs. Doses were lowest for fluoroscopy studies of swallowing (3–10 % of NDRLs), and highest for MCUGs and upper GI studies (10–42 % of NDRLs).</div></div><div><h3>Conclusion</h3><div>This research highlights the importance of weight-based DRLs to enhance radiation safety in paediatric imaging and advocates for the broader adoption of such practices across healthcare facilities.</div></div><div><h3>Implications for practice</h3><div>The results emphasize the need for regular updates of national DRLs and encourage widespread reporting of paediatric dose data by weight, to optimize radiation protection strategies.</div></div>","PeriodicalId":47416,"journal":{"name":"Radiography","volume":"31 3","pages":"Article 102914"},"PeriodicalIF":2.5,"publicationDate":"2025-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143680448","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 global evaluation of Advanced Practice recognition pathways for diagnostic radiography","authors":"D. Nocum ,&nbsp;J. Hewis","doi":"10.1016/j.radi.2025.102923","DOIUrl":"10.1016/j.radi.2025.102923","url":null,"abstract":"<div><h3>Introduction</h3><div>Advanced practice roles in diagnostic radiography are progressively being recognised by various national professional societies on a global scale. The advanced practice workforce is filling in the demands of healthcare settings and a growing population to serve patient care needs. Advanced practice recognition pathways vary with each nation and thus do not follow a uniform approach to progress the advanced practice diagnostic radiographer. The aim of this study is to explore the formal recognition of advanced practice in diagnostic radiography by examining how national professional society pathways are designed, administered, and assessed.</div></div><div><h3>Methods</h3><div>A qualitative content analysis of advanced practice recognition pathway data was extracted from nine (n = 9) national professional society websites that met the inclusion criteria out of eighty-three (n = 83) registered with the International Society of Radiographers &amp; Radiological Technologists (ISRRT). No formal ethical approval was required for open-source data used.</div></div><div><h3>Results</h3><div>Open-source advanced practice pathway data was extracted from nine national society websites with significant heterogeneity globally. Several themes emerged during data analysis to include overarching rationale, diversity in definition and scope of AP, variation in characteristics and qualification requirements, and the advanced practice assessment process.</div></div><div><h3>Conclusion</h3><div>Open-source advanced practice pathway data provides a global snapshot of current formalised recognition by national societies. There is significant heterogeneity in all aspects of formal recognition, which highlights the need for greater global collaboration.</div></div><div><h3>Implications for practice</h3><div>This study highlights that there is limited opportunity for transnational recognition of AP roles and the need for greater international collaboration between national societies to build a more sustainable and transferable global AP workforce. The findings from this study offer valuable insights for nations establishing or revising their AP recognition pathway.</div></div>","PeriodicalId":47416,"journal":{"name":"Radiography","volume":"31 3","pages":"Article 102923"},"PeriodicalIF":2.5,"publicationDate":"2025-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143674134","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}