Radiography最新文献

{"title":"Patients’ radiation exposure during TIPS creation in a high-volume referral hospital","authors":"R. Gerasia ,&nbsp;R. Miraglia ,&nbsp;L. Maruzzelli ,&nbsp;D. Coppolino ,&nbsp;G. Fiorello ,&nbsp;C.M. Giacchetto ,&nbsp;A. Galante ,&nbsp;C. Celsa ,&nbsp;C. Cammà ,&nbsp;V. Calvaruso","doi":"10.1016/j.radi.2025.103287","DOIUrl":"10.1016/j.radi.2025.103287","url":null,"abstract":"<div><h3>Introduction</h3><div>Transjugular Intrahepatic Portosystemic Shunt (TIPS) creation is one of the most complex and radiation-intensive procedures in abdominal interventional radiology. Radiation-induced skin injuries may occur at doses above 2 Gy. This study aimed to evaluate patient radiation exposure during TIPS performed in a single high-volume referral center (&gt;20 procedures/year).</div></div><div><h3>Methods</h3><div>A retrospective review was conducted of 359 consecutive TIPS performed between July 2017 and December 2024. Real-time ultrasound guidance was systematically used for portal vein targeting. Radiation exposure was assessed using cumulative air kerma at the interventional reference point (Ka,r) and fluoroscopy time (XrT). Data were analyzed according to patient body mass index (BMI) and angiographic equipment.</div></div><div><h3>Results</h3><div>The mean Ka,r was 0.18 ± 0.22 Gy, with a maximum of 1.56 Gy. No patient exceeded the 2 Gy trigger level, and no skin injuries were reported at follow-up. Mean XrT was 775 ± 606 s, with only two cases exceeding 60 min (cumulative Ka,r 0.15 ± 0.18 Gy vs 0.24 ± 0.27 Gy, p = 0.0004). Obese patients showed higher Ka,r values (p &lt; 0.0001), although none reached the 2 Gy threshold.</div></div><div><h3>Conclusion</h3><div>Radiation exposure during TIPS creation in this high-volume center remained consistently below thresholds associated with skin injury, even in obese or complex patients.</div></div><div><h3>Implications for practice</h3><div>Performing TIPS in high-volume referral centers with systematic ultrasound guidance and optimized low-dose protocols can maintain radiation exposure well below harmful thresholds with respect to tissue effects, even in complex patients. These findings emphasize not only the need for structured radiation protection strategies and centralization of complex procedures, but also the active involvement of all professionals responsible for radiation safety whose expertise is crucial in dose optimization and ensuring the highest standards of patient care.</div></div><div><h3>Levels of evidence 2b</h3><div>retrospective cohort study.</div></div>","PeriodicalId":47416,"journal":{"name":"Radiography","volume":"32 4","pages":"Article 103287"},"PeriodicalIF":2.8,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145800806","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":"Image-guided interventions: Advances in practice and technology","authors":"J.P. McNulty","doi":"10.1016/j.radi.2026.103408","DOIUrl":"10.1016/j.radi.2026.103408","url":null,"abstract":"","PeriodicalId":47416,"journal":{"name":"Radiography","volume":"32 4","pages":"Article 103408"},"PeriodicalIF":2.8,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147807835","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":"Aims & Scope / Editorial Board","authors":"","doi":"10.1016/S1078-8174(26)00109-4","DOIUrl":"10.1016/S1078-8174(26)00109-4","url":null,"abstract":"","PeriodicalId":47416,"journal":{"name":"Radiography","volume":"32 4","pages":"Article 103433"},"PeriodicalIF":2.8,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147807837","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":"Undergraduate education and preparedness of radiographers for interventional radiology and cardiology: An international survey across Europe","authors":"S. McFadden ,&nbsp;A. Karera ,&nbsp;E. Greer ,&nbsp;L. McLaughlin ,&nbsp;C. Rainey ,&nbsp;J.P. McNulty","doi":"10.1016/j.radi.2026.103342","DOIUrl":"10.1016/j.radi.2026.103342","url":null,"abstract":"<div><h3>Introduction</h3><div>Interventional radiology (IR) and interventional cardiology (IC) are rapidly evolving fields in medical imaging that require radiographers with advanced technical and clinical skills. However, education and training for these roles are not yet standardised across Europe. This study examined how undergraduate and postgraduate programmes prepare radiographers for IR and IC roles, with a focus on teaching structure, clinical exposure, graduate competence, and training needs.</div></div><div><h3>Methods</h3><div>A cross-sectional survey was distributed to radiography academics and clinical educators across Europe using purposive and snowball sampling methods. The online questionnaire comprised 17 items regarding programme duration, ECTS allocation, teaching approaches, clinical placements, and postgraduate study. Descriptive statistics were employed for quantitative data, while open-ended responses were analysed thematically.</div></div><div><h3>Results</h3><div>Twenty-seven institutions from nine countries participated in the survey. The findings revealed significant variation in programme design (60–240 ECTS) and limited content related to IR and IC. Approximately 44 % (<em>n</em> = 12) of respondents indicated less than 10 h of theoretical instruction, and 37 % (<em>n</em> = 10) provided only 1–2 weeks of clinical exposure, with 11 % (<em>n</em> = 3) offering none. Only 11 % (<em>n</em> = 3) of graduates were perceived as ready for independent practice, while 85 % (<em>n</em> = 23) required supervision. About 74 % (<em>n</em> = 20) reported the absence of postgraduate courses. Competence assessments were primarily conducted in-house, with no national guidelines in place. Identified themes included gaps in pre-registration education, inadequate access to structured training, and minimal utilisation of simulation.</div></div><div><h3>Conclusion</h3><div>Radiography education in IR and IC across Europe is inconsistent and fragmented hindering graduates' readiness and mobility. European stakeholders should collaborate to develop a harmonised education and competency framework for IR and IC radiographers.</div></div><div><h3>Implications for practice</h3><div>A harmonised framework will enhance training quality, improve patient safety, and ensure workforce mobility.</div></div>","PeriodicalId":47416,"journal":{"name":"Radiography","volume":"32 4","pages":"Article 103342"},"PeriodicalIF":2.8,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146137971","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":"Competency beyond certification in the interventional suite: Aligning education, credentialing, and departmental assurance","authors":"C. Steelman","doi":"10.1016/j.radi.2026.103389","DOIUrl":"10.1016/j.radi.2026.103389","url":null,"abstract":"","PeriodicalId":47416,"journal":{"name":"Radiography","volume":"32 4","pages":"Article 103389"},"PeriodicalIF":2.8,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147655200","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":"How prepared are undergraduate first-year medical imaging students for their first clinical placement? A qualitative investigation from the students' and clinical educators’ perspectives","authors":"R. French ,&nbsp;A. Kilgour ,&nbsp;S. Xenos ,&nbsp;J.E. Stevens","doi":"10.1016/j.radi.2026.103423","DOIUrl":"10.1016/j.radi.2026.103423","url":null,"abstract":"<div><h3>Introduction</h3><div>Students commencing their first clinical placement are entering what is to most a new, unfamiliar, and challenging environment. Universities have a responsibility to not only their students, but also the clinical sites and their patients, to provide exemplary preparation for the students. This study investigated the effectiveness of pedagogies used in first-year students’ on-campus practical skills classes, identified strategies to improve pre-clinical education and preparation, and identified the best approach to integrate these improvements. The study aimed to explore how practical skill development in the medical imaging skills laboratory prepares first-year radiography students for their first clinical placement.</div></div><div><h3>Methods</h3><div>A qualitative case study approach gained insight into students' and clinical supervisors’ perceptions surrounding preparedness. Data collection was achieved via pre- and post-placement student focus groups, and clinical supervisor post-placement focus groups or interviews and analysed via thematic analysis.</div></div><div><h3>Results</h3><div>Six pre-placement (n = 30) and six post-placement focus groups (n = 25) were conducted face-to-face on campus with first-year undergraduate radiography students. Due to supervisors’ availability, two focus groups and nine individual semi-structured interviews were conducted with 14 clinical supervisors. Five main areas emerged during thematic analysis: the clinical environment, emotional preparedness, communication, technical skills, and clinical performance.</div></div><div><h3>Conclusion</h3><div>The combination of theory, practicals, and hands-on learning environments is effective in preparing first-year undergraduate medical imaging students for their first clinical placement. Students were able to transfer skills and knowledge acquired from the university environment directly to their placements.</div></div><div><h3>Implications for practice</h3><div>Due to the dynamics of clinical radiography, the university environment is unable to prepare students for every scenario and patient likely to be encountered. Students were equipped with fundamental skills and knowledge to scaffold learning via unique interactions in the clinical environment.</div></div>","PeriodicalId":47416,"journal":{"name":"Radiography","volume":"32 4","pages":"Article 103423"},"PeriodicalIF":2.8,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147797876","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":"Advanced practitioners in interventional radiology: Are we worth it?","authors":"E.L. Rose","doi":"10.1016/j.radi.2025.103253","DOIUrl":"10.1016/j.radi.2025.103253","url":null,"abstract":"","PeriodicalId":47416,"journal":{"name":"Radiography","volume":"32 4","pages":"Article 103253"},"PeriodicalIF":2.8,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145745015","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":"Professional practice, training, and role development of radiographers in interventional radiology and cardiology: An international survey across Europe","authors":"S. McFadden ,&nbsp;A. Karera ,&nbsp;E. Greer ,&nbsp;L. McLaughlin ,&nbsp;C. Rainey ,&nbsp;J.P. McNulty","doi":"10.1016/j.radi.2025.103315","DOIUrl":"10.1016/j.radi.2025.103315","url":null,"abstract":"<div><h3>Introduction</h3><div>Radiographers are now key members of interventional radiology (IR) and interventional cardiology (IC) teams, taking on tasks that go beyond image acquisition. These include radiation protection, assisting in procedures and patient care. However, training and regulation for these expanded roles are variable, leading to differences in practice and raising concerns for safety and mobility.</div></div><div><h3>Methods</h3><div>A cross-sectional survey design was used to investigate radiographers' training, practice scope and technology access in IR and IC across Europe. A 31-item online questionnaire was distributed via professional networks, social media and EFRS research hubs at the European Congress of Radiology (2024–2025). Descriptive statistics were utilised, and open-text comments thematically grouped.</div></div><div><h3>Results</h3><div>Ninety-one radiographers from 12 countries responded, with the majority based in the UK (46 %) and Ireland (19 %). Marked differences were noted in training, with 23 % reporting no formal IR/IC education. Technology access also varied, as nearly half worked with fluoroscopy systems older than five years, limiting dose-saving options. Radiation protection practice was inconsistent; just over half (53 %) used pulsed fluoroscopy routinely, while 27 % reported not removing anti-scatter grids for paediatric cases. Scope of practice showed further fragmentation, with advanced clinical functions only reported by a minority.</div></div><div><h3>Conclusion</h3><div>This study demonstrates wide variations in training, equipment quality, and role scope among radiographers practicing in IR and IC across Europe. Such inconsistencies directly impact radiation safety, patient outcomes and the ability of staff to move freely across borders. Without structured frameworks, radiographers may lack key competences in dose optimisation, paediatric safety and procedural support, exposing patients and staff to avoidable risks.</div></div><div><h3>Implications of practice</h3><div>A harmonised European framework is needed to support safe radiation practice and improve care consistency.</div></div>","PeriodicalId":47416,"journal":{"name":"Radiography","volume":"32 4","pages":"Article 103315"},"PeriodicalIF":2.8,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145913412","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 do employers want in their interventional imaging workforce? Document analysis of radiology and cardiology job advertisements across England and Wales","authors":"K. Hizzett ,&nbsp;B. Snaith","doi":"10.1016/j.radi.2025.103321","DOIUrl":"10.1016/j.radi.2025.103321","url":null,"abstract":"<div><h3>Introduction</h3><div>Alongside medical specialists, radiographers and nurses form core members of the interventional imaging teams within radiology and cardiology. Despite these being seen as key functions there is little documented evidence of the requirements of employers for such roles.</div></div><div><h3>Method</h3><div>The requirements of employers for advertised radiographer or nurse vacancies in interventional cardiology (IC) or interventional radiology (IR) were assessed across England and Wales. Over a six-month period vacancies advertised on the NHS website (jobs.nhs.uk) were collated and the advert, job description and person specification subjected to document analysis.</div></div><div><h3>Results</h3><div>185 unique roles were advertised, encompassing 92 individual employers. The posts were based within IR (n = 89/185; 48.1 %), IC (n = 72/185; 38.9) or spanning both areas (n = 24/185; 13.0 %). 60 % of the roles were for a nurse, although another 12.4 % were also open to allied health professions such as operating department practitioners or paramedic. A significantly higher number of band 6 posts were advertised in radiography compared to nursing (<em>X</em>² = 26.674; p &lt; 0.01), although few roles required any formal postgraduate education. The clinical elements of the jobs spanned pre-, peri- and post-procedural elements, however common themes in relation to leadership, education and research were evident.</div></div><div><h3>Conclusion</h3><div>There is an apparent disparity in the level of pay between nurses and radiographers working in the interventional setting, although the cause is unknown. Employers expect autonomy in the complex clinical environment, although opportunities for advancement appear limited.</div></div><div><h3>Implications for practice</h3><div>Core capabilities for nursing and radiographers working in the interventional imaging environment do not exist although there is opportunity to look for transferable skills from the peri-procedural setting. Development of postgraduate education to support the expected skills may underpin future developments.</div></div>","PeriodicalId":47416,"journal":{"name":"Radiography","volume":"32 4","pages":"Article 103321"},"PeriodicalIF":2.8,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146031267","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":"Computed tomography, ultrasound and fluoroscopy guidance in intra-articular sacroiliac joint injections: A systematic review","authors":"A. Greene ,&nbsp;R. Young ,&nbsp;C. Rainey ,&nbsp;C. Greene ,&nbsp;A. Gavin ,&nbsp;L. McLaughlin ,&nbsp;A. England ,&nbsp;M. McEntee","doi":"10.1016/j.radi.2026.103332","DOIUrl":"10.1016/j.radi.2026.103332","url":null,"abstract":"<div><h3>Introduction</h3><div>Fluoroscopy and Computed Tomography (CT) are the reference standards for verifying needle placement when undertaking an Intra-articular (IA) Sacroiliac Joint (SIJ) injection. The use of Ultrasound (US) for performing SIJ injections has become a focus in recent years, as it eliminates radiation exposure. This systematic review aimed to compare the efficacy of US, CT, and Fluoroscopy when undertaking SIJ injections.</div></div><div><h3>Methods</h3><div>A systematic search was conducted using the databases Embase, PubMed, CINAHL, and Scopus. The included studies were published in English (January 2003 to March 2025) and assessed adult patients who had undergone SIJ injections and the efficacy of one or more modalities using diagnostic accuracy measurements or patient pain and function scores.</div></div><div><h3>Results</h3><div>There were 509 papers identified in the search. Following application of the inclusion and exclusion criteria, eight papers were included in the review. Needle placement accuracy ranged from 40 % to 100 %. CT accuracy ranged from 76 % to 100 %, US from 40 % to 96 %, and Fluoroscopy from 65 % to 92 %.</div></div><div><h3>Conclusion</h3><div>While CT guidance provides precise anatomical detail and high accuracy, and fluoroscopy is accessible and accurate, both involve radiation exposure. US guidance provides real-time visualisation without radiation exposure. Further assessment is required to determine the exact role of US.</div></div><div><h3>Implications for practice</h3><div>Current guidelines recommend fluoroscopy or CT guidance for SIJ injections, but US has merit in this area without the use of ionising radiation exposure. Image fusion could be a feasible alternative guidance for SIJ injections. It combines a previous CT scan with real-time US guidance for precise IA placement, reducing a patient’s radiation exposure.</div></div>","PeriodicalId":47416,"journal":{"name":"Radiography","volume":"32 4","pages":"Article 103332"},"PeriodicalIF":2.8,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146047001","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}