Radiography最新文献

{"title":"Variations in the atlantoaxial joint detected by computed tomography in control patients","authors":"H. Peltonen ,&nbsp;K. Berghem ,&nbsp;R. Ortiz ,&nbsp;J. Honkaniemi","doi":"10.1016/j.radi.2025.103183","DOIUrl":"10.1016/j.radi.2025.103183","url":null,"abstract":"<div><h3>Introduction</h3><div>Whiplash injuries can lead to prolonged, widespread symptoms known as whiplash-associated disorders (WAD), which are suggested to be caused by instability of the C1-C2 junction. However, there is limited published data on the typical extent of rotations and transitions of facets in the C1-C2 region.</div></div><div><h3>Methods</h3><div>Here we conducted a study examining the rotation between the C1 and C2 vertebrae, the lateral atlantodental interval, and C1-C2 facet joint alignment in 100 patients with no prior neck trauma or prolonged neck complaints using computed tomography.</div></div><div><h3>Results</h3><div>Rotations up to 11° between C1 and C2 were observed in 84 % of the patients. Dens asymmetry of up to 1.9 mm was observed in 81 % of the patients. The facets were misaligned up to 5 mm in 42 % of the patients. There was no statistically significant correlation between the rotation of C1 and asymmetry of dens. As expected, head rotation in the head support correlated to the rotation between C1 and C2 and C1-C2 rotation correlated to the misalignment of facets.</div></div><div><h3>Conclusion</h3><div>The results of this study show that in a population without neck symptoms, almost all patients (98 %) exhibit rotation between C1 and C2, dens asymmetry or facet misalignment.</div></div><div><h3>Implications for practice</h3><div>These radiological findings represent normal anatomical variations rather than imply craniocervical junction instability.</div></div>","PeriodicalId":47416,"journal":{"name":"Radiography","volume":"31 6","pages":"Article 103183"},"PeriodicalIF":2.8,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145253285","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 commercial AI algorithms for the detection of fractures, effusions, and dislocations on real-world clinical data: A prospective registry study","authors":"I. Luiken ,&nbsp;T. Lemke ,&nbsp;A. Komenda ,&nbsp;A.W. Marka ,&nbsp;S.H. Kim ,&nbsp;M.M. Graf ,&nbsp;S. Ziegelmayer ,&nbsp;D. Weller ,&nbsp;C.J. Mertens ,&nbsp;K.K. Bressem ,&nbsp;M.R. Makowski ,&nbsp;L.C. Adams ,&nbsp;P. Prucker ,&nbsp;F. Busch","doi":"10.1016/j.radi.2025.103189","DOIUrl":"10.1016/j.radi.2025.103189","url":null,"abstract":"<div><h3>Purpose</h3><div>To prospectively evaluate and directly compare the performance of three commercial AI algorithms (Gleamer, AZmed, and Radiobotics) for detecting fractures, dislocations, and joint effusions across multiple anatomical regions in real-world adult clinical radiography.</div></div><div><h3>Material and methods</h3><div>In this single-center, prospective technical performance evaluation study, we assessed these algorithms on radiographs from adult patients (n = 1037; 2926 radiographs; 22 anatomical regions) at the Technical University of Munich (January–March 2025). Radiologists’ reports served as the reference standard, with CT adjudication when available. Sensitivity, specificity, accuracy, and AUC were calculated; AUCs were compared using Bonferroni-corrected DeLong tests.</div></div><div><h3>Results</h3><div>Fractures were identified in 29.60 % of patients; 13.69 % had acute fractures and 6.65 % had multiple fractures. For all fractures, Gleamer (AUC 83.95 %, sensitivity 75.57 %, specificity 92.33 %) and AZmed (AUC 84.88 %, sensitivity 79.48 %, specificity 90.27 %) outperformed Radiobotics (AUC 77.24 %, sensitivity 60.91 %, specificity 93.56 %). For acute fractures, AUCs were comparable (range: 84.81–87.78 %). For multiple fractures, performance was limited (AUCs 64.17–73.40 %). AZmed had higher AUC for dislocation (61.85 % vs. 54.48 % for Gleamer), while Gleamer and Radiobotics outperformed AZmed for effusion (AUC 69.59 % and 73.63 % vs. 57.99 %). No algorithm exceeded 91 % accuracy for acute fractures.</div></div><div><h3>Conclusion</h3><div>In this real-world, single-center study, commercial AI algorithms showed moderate to high performance for straightforward fracture detection but limited accuracy for complex scenarios such as multiple fractures and dislocations.</div></div><div><h3>Implications for practice</h3><div>Current tools should be used as adjuncts rather than replacements for radiologists and reporting radiographers. Multicenter validation and more diverse training data are necessary to improve generalizability and robustness.</div></div>","PeriodicalId":47416,"journal":{"name":"Radiography","volume":"31 6","pages":"Article 103189"},"PeriodicalIF":2.8,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145259655","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":"Immersive technology applications in radiation protection for fluoroscopy - A systematic review","authors":"S. Videira ,&nbsp;M.A. Rodrigues ,&nbsp;J. Santos ,&nbsp;M.V. da Silva","doi":"10.1016/j.radi.2025.103179","DOIUrl":"10.1016/j.radi.2025.103179","url":null,"abstract":"<div><h3>Introduction</h3><div>Immersive technology is being increasingly incorporated into various professional and educational settings for occupational safety and health training. This review aims to assess the impact of immersive technology on the radiation protection (RP) of workers exposed to ionising radiation during fluoroscopy-guided procedures.</div></div><div><h3>Methods</h3><div>Studies were collected from six databases on 3 April 2024: PubMed, Academic Search Complete, Scopus, Web of Science Core Collection, ScienceDirect, and Engineering Village. Additionally, studies were identified through snowball sampling techniques. Eligible studies assessed RP learning via immersive technology among healthcare workers or trainees exposed to ionising radiation from fluoroscopy in operating or interventional rooms. Additionally, only original research articles published in peer-reviewed journals and written in Portuguese, Spanish, English, and French were included. The review followed PRISMA and PICo, using narrative synthesis and bibliometric analysis. Quality was assessed using the Mixed Methods Appraisal Tool checklist.</div></div><div><h3>Results</h3><div>Ten studies involving 358 individuals (37 % trainees/students; 63 % workers) were analysed. All assessed the usefulness of RP education/training, and most (9/10) reported an improved understanding of scattered radiation. Technologies used included virtual reality (7/10), augmented reality (2/10), and mixed reality (1/10). Radiation scatter visualisation was present in the majority (9/10) of the studies, and 1/10 combined immersive technology with clinical training.</div></div><div><h3>Conclusion</h3><div>These technologies enhance learning outcomes, support effective RP teaching, and optimise work practices. Integrating clinical training with RP education is essential.</div></div><div><h3>Implications for practice</h3><div>This study supports healthcare professionals and educators in understanding how immersive technology (virtual, augmented, and mixed reality) is being applied and evaluated in training and real work contexts. Insights into methods, outcomes, and study populations inform practical use, while bibliometric data highlight key sources and authors for future reference and collaboration.</div></div>","PeriodicalId":47416,"journal":{"name":"Radiography","volume":"31 6","pages":"Article 103179"},"PeriodicalIF":2.8,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145219722","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":"Patient-specific dose estimation considering subject thickness with an RGB-D camera: A phantom study","authors":"K. Yasue ,&nbsp;H. Fuse ,&nbsp;Y. Nakazawa ,&nbsp;T. Takahashi ,&nbsp;H. Nosaka ,&nbsp;N. Koori ,&nbsp;M. Takahashi ,&nbsp;S. Miyakawa ,&nbsp;K. Hanada ,&nbsp;A. Urikura ,&nbsp;T. Fujisaki ,&nbsp;S. Abe","doi":"10.1016/j.radi.2025.103181","DOIUrl":"10.1016/j.radi.2025.103181","url":null,"abstract":"<div><h3>Introduction</h3><div>Patient-specific radiation dose management in radiography is essential for optimizing diagnostic quality while minimizing patient exposure. However, current methods often rely on standardized protocols or empirical judgment, which may be inaccurate for patients with non-standard body sizes. Accurate, non-invasive measurement of subject thickness is critical for estimating entrance surface dose (ESD) tailored to each patient. This study aimed to evaluate the feasibility and accuracy of using an RGB-D camera for real-time subject thickness measurement and patient-specific ESD estimation in abdominal radiography.</div></div><div><h3>Methods</h3><div>An abdominal phantom with five thicknesses (20–40 cm) was constructed using an anthropomorphic model and water-equivalent slabs. An RGB-D camera (Intel RealSense D435i) was mounted on a radiography unit to acquire depth measurements at the detector center and four off-center positions (5 cm upward, downward, leftward, and rightward). Measured thicknesses were compared to caliper measurements. ESD was calculated using both RGB-D and caliper-derived values. Levene's test assessed positional effects on measurement variability.</div></div><div><h3>Results</h3><div>At the detector center, RGB-D-derived thicknesses deviated by no more than ±0.3 cm from actual values. Off-center measurements showed slightly larger errors, up to ±1.2 cm. Significant variance differences were found only at 20 cm thickness in the lateral positions (<em>p</em> &lt; 0.05). ESD estimates from RGB-D-based thickness measurements differed by no more than 0.4 mGy, with percentage differences within ±0.7 %.</div></div><div><h3>Conclusion</h3><div>RGB-D camera-based thickness measurement is a feasible and accurate method for non-invasive, patient-specific ESD estimation in abdominal radiography.</div></div><div><h3>Implications for practice</h3><div>This approach enables pre-imaging dose estimation, supports personalized dose control, and may improve safety and consistency in radiographic practice.</div></div>","PeriodicalId":47416,"journal":{"name":"Radiography","volume":"31 6","pages":"Article 103181"},"PeriodicalIF":2.8,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145208076","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":"Patient organ dose assessment during radioactive iodine treatments of benign thyroid diseases","authors":"E. Ibrahim ,&nbsp;C. Rizk ,&nbsp;M. Soueidy ,&nbsp;M. Merheb ,&nbsp;E. Darazi ,&nbsp;E. Gharios ,&nbsp;D. El Khoury ,&nbsp;C. Massoud","doi":"10.1016/j.radi.2025.103182","DOIUrl":"10.1016/j.radi.2025.103182","url":null,"abstract":"<div><h3>Introduction</h3><div>Radioactive iodine is commonly used to treat thyroid benign cases and differentiated thyroid tumors. Two approaches are used in the treatment: fixed and calculated activities. In the fixed activity approach, iodine doses are given based on medical indications, while the calculated approach requires proper dosimetry.</div></div><div><h3>Methods</h3><div>This study was conducted at Mount Lebanon University Hospital Medical Center (MLHUMC), and included all radioactive iodine treated patients over a period of five consecutive years. The study examined the distribution of patients in terms of gender, age and the administered activities during treatment. Additionally, organ doses were calculated for seven different administered activities using IDAC-Iodine software, specifically for the treatment of benign thyroid cases. Doses were calculated for both female and male patients.</div></div><div><h3>Results</h3><div>The results revealed higher effective, and organ absorbed doses in female when compared to male patients. Particularly high absorbed doses were observed for thymus, salivary glands, endotracheal region, esophagus, lymphatic nodes. Ratios for organ dose per administered activity were calculated and compared to those from the International Commission on Radiological Protection (ICRP).</div></div><div><h3>Conclusion</h3><div>These ratios can be used to estimate organ doses in clinical practice and reduce the organ dose with a good clinical outcome.</div></div><div><h3>Implications for practice</h3><div>This study highlights the value of using personalized dosimetry in iodine-131 treatments to optimize therapeutic effectiveness. Estimating organ-specific doses, especially in female patients, can help reduce radiation exposure to sensitive tissues while maintaining clinical outcomes.</div></div>","PeriodicalId":47416,"journal":{"name":"Radiography","volume":"31 6","pages":"Article 103182"},"PeriodicalIF":2.8,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145266029","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 radiographer staffing framework and medical imaging procedures time duration in public healthcare system","authors":"M. Abdalghani ,&nbsp;H. ALMasri ,&nbsp;O. Rimawi ,&nbsp;R. Khdour","doi":"10.1016/j.radi.2025.103188","DOIUrl":"10.1016/j.radi.2025.103188","url":null,"abstract":"<div><h3>Introduction</h3><div>This study assesses the staffing requirements for radiographers and evaluates patient imaging procedures time duration, with a focus on optimizing the workforce and enhancing operational efficiency within public radiology departments.</div></div><div><h3>Methods</h3><div>A variety of staffing models, including procedure-based, diagnostic-based, workload-based, and a hybrid model, were applied after procedures time durations were assessed across imaging modalities such as plain radiography, mammography, MRI, CT, and PET/CT.</div></div><div><h3>Results</h3><div>Depending on statistical analysis, the mean of procedures duration in minutes were: plain radiography (10.2), mammography (30.3), MRI (34.7), CT (10.8), and PET/CT (74.0). Statistically significant differences in the procedures median time duration for imaging modalities was observed; (χ² (4) = 25.43, p &lt; 0.001), the PET/CT time duration is longer than CT (p = 0.002) and plain radiographs (p &lt; 0.001). The calculated annual effective working hours for each radiographer was 1370.9 h. Accordingly, the calculated Full-Time Equivalent (FTE) requirements were: plain radiography (75.9), mammography (6.6), MRI (11.8), and CT (19.7).</div></div><div><h3>Conclusion</h3><div>The study provides a structured way of approximating radiographers staffing that enables quality service levels to be maintained while allowing for adequate staffing levels. Systematic workforce planning is instrumental to patient outcomes and healthcare efficiency improvement in public radiological services. An evidence-based standard framework for staffing according to local needs that has been approved by the concerned health and labour agencies can guide sustainable improvements in radiology service delivery.</div></div><div><h3>Implications for practice</h3><div>This study highlights the need to assess radiographers staffing requirements to optimize the workforce and enhance operational efficiency and patient experience within public radiology departments.</div></div>","PeriodicalId":47416,"journal":{"name":"Radiography","volume":"31 6","pages":"Article 103188"},"PeriodicalIF":2.8,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145266031","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":"Enhancing quality assurance in external radiation therapy: A study on the use of EPID ASi1200 and ArcCHECK® phantom in VMAT plans","authors":"M. Chenhaji ,&nbsp;M. El Kafhali ,&nbsp;M. Tahmasbi ,&nbsp;D. Benchekroun ,&nbsp;I. Bouadel ,&nbsp;F.Z. Erradi","doi":"10.1016/j.radi.2025.103191","DOIUrl":"10.1016/j.radi.2025.103191","url":null,"abstract":"<div><h3>Introduction</h3><div>Volumetric modulated arc therapy (VMAT) offers precise dose delivery through dynamic modulation. However, its complexity necessitates robust quality assurance (QA) procedures. This study evaluated the Electronic Portal Imaging Device (EPID) ASi1200 and ArcCHECK® phantom in verifying VMAT plans for multiple anatomical sites.</div></div><div><h3>Methods</h3><div>A total of 73 VMAT treatment plans (brain, abdomen, thorax, pelvis, and head and neck) generated in the Eclipse treatment planning system (TPS) and delivered via the TrueBeam STx linear accelerator were evaluated. The calculated doses were verified using both EPID ASi1200 and ArcCHECK® systems. Gamma index analysis was performed with a 3 %/3 mm criterion and a 10 % threshold. Statistical analyses, including paired t-tests, normality testing, and Spearman correlations, were conducted to compare the agreement between the two systems across anatomical sites.</div></div><div><h3>Results</h3><div>Both verification tools achieved high Gamma pass rates (&gt;99 %). EPID showed significantly higher agreement in pelvic plans (p &lt; 0.001), while differences in other sites were statistically non-significant or clinically negligible (&lt;0.3 %). Correlations between systems were weak to moderate, indicating complementary rather than interchangeable outputs.</div></div><div><h3>Conclusion</h3><div>EPID and ArcCHECK® are both reliable for VMAT QA, with EPID offering a distinct advantage for pelvic plans. Either tool may be sufficient for routine verification, but dual-method QA is advisable for highly modulated or clinically critical cases.</div></div><div><h3>Implications for practice</h3><div>EPID can serve as the primary QA method for pelvic cases, streamlining workflow without compromising accuracy, while site complexity should guide tool selection elsewhere.</div></div>","PeriodicalId":47416,"journal":{"name":"Radiography","volume":"31 6","pages":"Article 103191"},"PeriodicalIF":2.8,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145266032","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":"Radiographers’ experiences during foetal MRI examinations: A qualitative study","authors":"T. Medar ,&nbsp;S. Riquet","doi":"10.1016/j.radi.2025.103184","DOIUrl":"10.1016/j.radi.2025.103184","url":null,"abstract":"<div><h3>Introduction</h3><div>Foetal magnetic resonance imaging (MRI) complements ultrasound in the diagnosis of congenital anomalies and presents emotional and technical challenges for both patients and healthcare professionals. This study aimed to explore the experiences and coping strategies of Radiographers, involved in the care of pregnant women undergoing foetal MRI.</div></div><div><h3>Methods</h3><div>A comprehensive qualitative study based on Kaufmann's methodology was conducted. Ten experienced radiographers participated in semi-structured interviews, either in person or via video conferencing. Thematic analysis was performed using Atlas.ti software, and data saturation was reached after the tenth interview.</div></div><div><h3>Results</h3><div>Six major themes emerged: patient communication strategies, adaptation of technical protocols to reduce foetal movement, sources of professional stress and coping mechanisms, training needs, organisational and interprofessional challenges, and ethical dilemmas in patient care. Participants emphasised the importance of adapted communication, emotional regulation, interprofessional support and continuing education to improve patient experience and technical outcomes.</div></div><div><h3>Conclusion</h3><div>Radiographers face significant technical and emotional challenges during foetal MRI examinations. Drawing on stress and adaptation theory, this study identified the main sources of stress and the strategies employed to maintain the quality of care. Improvements in training, teamwork, communication and the integration of expert patients could strengthen patient support, reduce professional pressure and improve the quality of care in foetal magnetic resonance imaging.</div></div><div><h3>Implications for practice</h3><div>Integrating foetal MRI into the initial training of radiographers could boost confidence and technical preparedness for this complex examination. Continuing education in emotional support and improved interdisciplinary communication is also essential. The involvement of expert patients before and after MRI examinations could provide empathetic support to pregnant women and reduce the emotional burden on radiographers by sharing experiential knowledge.</div></div>","PeriodicalId":47416,"journal":{"name":"Radiography","volume":"31 6","pages":"Article 103184"},"PeriodicalIF":2.8,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145219724","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":"Longitudinal trends in X-ray, CT, MRI, and ultrasound utilisation among the adult population in Ireland (2018–2023): A multi-centre study","authors":"M. O'Connor,&nbsp;C. Stokes,&nbsp;P. Adi","doi":"10.1016/j.radi.2025.103196","DOIUrl":"10.1016/j.radi.2025.103196","url":null,"abstract":"<div><h3>Introduction</h3><div>This multi-centre study investigates longitudinal trends in adult diagnostic imaging utilisation in Ireland, addressing a critical knowledge gap due to the lack of detailed national data and a focus on paediatric populations in prior research. It aims to characterise imaging use by modality, age group, and anatomical region.</div></div><div><h3>Methods</h3><div>A retrospective study was conducted using National Integrated Medical Imaging System data from 11 public hospitals. The dataset included over 5.2 million examinations across X-ray, CT, MRI, and ultrasound on adult patients (≥18 years) conducted between 2018 and 2023. Data were analysed using descriptive statistics, joinpoint regression, chi-squared tests, and Spearman's rank-order correlation to identify trends, inflection points, and associations between age, modality, and anatomical region.</div></div><div><h3>Results</h3><div>X-ray remained the most utilised modality (64.9 %), but CT and MRI exhibited the largest growth, increasing by 27 % and 32.9 % respectively over the study period. The COVID-19 pandemic caused a significant utilisation decline in 2020, identified as a key inflection point, followed by a recovery surpassing pre-pandemic levels. CT and X-ray were primarily used in adults over 60, while MRI and ultrasound usage was more evenly distributed among middle-aged adults. Head imaging predominated for CT and MRI, abdominal and pelvic regions for ultrasound, and thoracic and extremity imaging for X-ray.</div></div><div><h3>Conclusion</h3><div>This study provides the first comprehensive multi-modality analysis of adult diagnostic imaging trends in Ireland, revealing significant recent increases in CT and MRI utilisation.</div></div><div><h3>Implications for practice</h3><div>These findings provide essential evidence to inform healthcare policy, strategic planning, and service development to meet evolving diagnostic demands.</div></div>","PeriodicalId":47416,"journal":{"name":"Radiography","volume":"31 6","pages":"Article 103196"},"PeriodicalIF":2.8,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145266028","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":"Self-reported competences among radiographers in handling hypersensitivity reactions caused by intravenous injection of contrast agents in Denmark: A cross-sectional study","authors":"J.S. Böhlers ,&nbsp;E.O. Christensen ,&nbsp;V.M. Hede ,&nbsp;K.M. Jensen ,&nbsp;S.H. Hansen","doi":"10.1016/j.radi.2025.103163","DOIUrl":"10.1016/j.radi.2025.103163","url":null,"abstract":"<div><h3>Introduction</h3><div>Radiographers have limited experience in handling hypersensitivity reactions. These reactions are rare, and radiographers may feel less competent in handling such reactions. The aim of this study was to map out radiographers' assessment of their own competences in handling hypersensitivity reactions, and to study their potential need for optimization of competences.</div></div><div><h3>Methods</h3><div>A cross-sectional questionnaire study with the participation of Diagnostic imaging departments at two university and five regional hospitals. A total of 720 healthcare staff members received a link to a 14-item questionnaire via email, intranet or local newsletter.</div></div><div><h3>Results</h3><div>The response rate was 31 % (n = 224/720) of which 92 % (n = 205) were radiographers. 195 had encountered hypersensitivity reactions. 188 of those had experienced minor hypersensitivity reactions and 91 had experienced severe hypersensitivity reactions. The statement “I feel confident/competent in handling hypersensitivity reactions” showed that 38 % strongly agreed, 39 % somewhat agreed, 18 % somewhat disagreed, and 6 % strongly disagreed. A total of 144 radiographers wished to be more competent in handling hypersensitivity reactions and 99 believed there was a need for optimization of competences in their departments. 111 provided suggestions for competence development and maintenance.</div></div><div><h3>Conclusion</h3><div>Implementation or optimization of education and training of radiographers in the management of hypersensitivity reactions in clinical practice should be considered.</div></div><div><h3>Implications for practice</h3><div>Providing radiographers with education and training in the management of hypersensitivity reactions will lead to better patient care in cases of hypersensitivity.</div></div>","PeriodicalId":47416,"journal":{"name":"Radiography","volume":"31 6","pages":"Article 103163"},"PeriodicalIF":2.8,"publicationDate":"2025-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145157713","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}