Radiography最新文献

{"title":"Evaluation of real-time location system (RTLS) application in radiology departments- an empirical study on enhancing equipment management efficiency and patient safety","authors":"W.-C. Tseng ,&nbsp;Y.-C. Wang ,&nbsp;W.-C. Chen ,&nbsp;K.-P. Lin","doi":"10.1016/j.radi.2025.102999","DOIUrl":"10.1016/j.radi.2025.102999","url":null,"abstract":"<div><h3>Introduction</h3><div>The radiology department is crucial in medical diagnosis and treatment but faces challenges like managing costly equipment and ensuring patient safety. Traditional models often lead to resource misallocation, scheduling delays, and safety risks. Real-Time Location Systems (RTLS) provide solutions by tracking equipment location, status, and usage, enhancing management efficiency, patient safety, and offering insights for innovative hospital management.</div></div><div><h3>Methods</h3><div>This study used an on-site empirical research method, deploying RTLS on mobile digital X-ray machines in the radiology department. Over six months, data were collected on metrics such as equipment scheduling time, idle rate, and system stability. A Post-Occupancy Evaluation (POE) assessed system performance, user satisfaction, and workflow impact.</div></div><div><h3>Results</h3><div>RTLS implementation significantly improved scheduling efficiency, reducing average scheduling time from 12 to 5 min (58.3 %). The idle rate decreased from 16 % to 12 % (25 % improvement), enhancing resource utilization. System stability was high, with a data loss rate under 1 %. Signal stability improved to over 95 % after reconfiguring nodes, ensuring reliable operation even in challenging environments.</div></div><div><h3>Conclusion</h3><div>RTLS technology enhances operational efficiency and patient safety, serving as a strategic asset for smart hospitals. It optimizes radiology equipment management, reduces scheduling delays, and improves the work environment for radiographers. By using POE and dynamic optimization strategies, a standardized management model was established. However, challenges like high costs, integration issues, and signal interference persist. Future research should focus on improving signal stability, reducing costs, and exploring more clinical applications.</div></div><div><h3>Implications for practice</h3><div>RTLS strengthens equipment management, improves patient safety, boosts operational efficiency, and supports smart healthcare systems integration. It lays the foundation for sustainable medical institution development and offers a model for future hospital-wide digital transformation.</div></div>","PeriodicalId":47416,"journal":{"name":"Radiography","volume":"31 4","pages":"Article 102999"},"PeriodicalIF":2.5,"publicationDate":"2025-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144213013","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":"Awareness of breast cancer and breast screening methods among undergraduate female students from government universities in Sri Lanka","authors":"D. Perera,&nbsp;D. Satharasinghe,&nbsp;M. Nissanka,&nbsp;M. Jayakody,&nbsp;J. Jeyasugiththan","doi":"10.1016/j.radi.2025.102993","DOIUrl":"10.1016/j.radi.2025.102993","url":null,"abstract":"<div><h3>Introduction</h3><div>Breast cancer is the most frequently diagnosed cancer among women in Sri Lanka, with over 3000 new cases reported annually and a mortality rate of approximately 4.7 per 100,000 women. This study evaluated breast cancer awareness among female undergraduates from various government universities in Sri Lanka, focusing on knowledge of risk factors, symptoms, screening methods and preventive behaviours.</div></div><div><h3>Methods</h3><div>A cross-sectional survey was conducted among 1002 female undergraduates, aged 20–28 years, from 12 government universities in Sri Lanka. A validated, self-administered questionnaire was used to collect data including demographic char-acteristics, awareness of breast cancer and its risk factors, and screening methods. Descriptive statistics and one-way ANOVA were employed to analyse variations in knowledge across faculties and age groups.</div></div><div><h3>Results</h3><div>The survey revealed that 98.7 % of respondents were aware of breast cancer. However, only 61.2 % recognised it as one of the most common cancers among women. Awareness of breast cancer screening methods revealed that the majority (54.5 %) were unaware of Breast Self-Examination (BSE), and only 42 % recognised the importance of mammograms even in the absence of symptoms. Knowledge scores varied by academic disciplines, with Health Sciences and Natural and Applied Sciences showing highest awareness. Additionally, awareness increased with age, peaking in the 26–28 years group compared to younger age groups.</div></div><div><h3>Conclusion</h3><div>The findings reveal significant knowledge gaps among female undergraduates regarding breast cancer risk factors and the importance of breast screening methods. Despite awareness, understanding of early detection methods is insufficient, highlighting the need for better education on preventive behaviours.</div></div><div><h3>Implications for practice</h3><div>Targeted educational programmes are essential to enhance breast cancer awareness, improve screening access, and encourage proactive behaviours such as self-examinations to enhance early detection and improve survival rates.</div></div>","PeriodicalId":47416,"journal":{"name":"Radiography","volume":"31 4","pages":"Article 102993"},"PeriodicalIF":2.5,"publicationDate":"2025-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144212934","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 identity and job satisfaction among Moroccan radiographers","authors":"M. Tahiri ,&nbsp;J. Abarji ,&nbsp;S. Ziary ,&nbsp;M. Guennouni ,&nbsp;M. Mkimel ,&nbsp;M. Azeddou ,&nbsp;R. Fares","doi":"10.1016/j.radi.2025.102995","DOIUrl":"10.1016/j.radi.2025.102995","url":null,"abstract":"<div><h3>Introduction</h3><div>This study examines the satisfaction levels of radiographers in Morocco about their professional identity.</div></div><div><h3>Methods</h3><div>A cross-sectional self-administered survey was created and distributed to 101 Moroccan radiographers. Satisfaction levels were statistically analyzed against identity components and demographic factors.). Descriptive and inferential statistics were used, including Levene's normality test, Shapiro–Wilk homogeneity test, including Student's t-test, one-way ANOVA, and Bonferroni-corrected post hoc comparisons.</div></div><div><h3>Results</h3><div>Results demonstrate a neutral level of satisfaction. Participants reported the highest satisfaction with self-esteem (3.07 ± 0.60). However, they were least satisfied with their future expectations for the profession, scoring only 2.08 ± 0.76. Participants with less than five years of experience felt more satisfied with social recognition. Their satisfaction level was 3.14, compared to 2.93 for those with over ten years (95 % CI = 0.206–1.160, P = 0.003). Radiographers in medical imaging were more satisfied than radiation therapy technologists. Their satisfaction scores are 3.10 compared to 2.54 (95 % CI = 2.958–3.256, P = 0.041). Participants in the government sector feel more positive about their future than those in private jobs. Their satisfaction scores are 2.14 compared to 1.74 (95 % CI = 0.01–0.79, P = 0.03). Participants with less than five years of experience felt more satisfied with their skills than those with over ten years. Their scores were 3.30 compared to 2.90 (P = 0.039). For job satisfaction, radiographers in medical imaging were more satisfied than radiation therapy technologists. Their satisfaction scores are 2.32 compared to 1.70 (95 % CI = 2.200–2.242, P = 0.025).</div></div><div><h3>Conclusion</h3><div>While Moroccan radiographers encounter challenges in their professional identity, it continues to provide sources of satisfaction, including self-esteem and social recognition.</div></div><div><h3>Implications for practice</h3><div>Satisfaction with professional identity is fundamental to engagement and retention. Policies should enhance professional development to cultivate a motivating work culture. The results will guide efforts and research focusing on the well-being of radiographer.</div></div>","PeriodicalId":47416,"journal":{"name":"Radiography","volume":"31 4","pages":"Article 102995"},"PeriodicalIF":2.5,"publicationDate":"2025-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144213014","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":"Leading radiography managers into a greener future: A systematic review of green transformational leadership and sustainable practices","authors":"L. Federico ,&nbsp;A. Roletto ,&nbsp;D. Catania ,&nbsp;S. Zanoni ,&nbsp;S. Durante","doi":"10.1016/j.radi.2025.102996","DOIUrl":"10.1016/j.radi.2025.102996","url":null,"abstract":"<div><h3>Introduction</h3><div>Healthcare system requires many resources to maintain the standards necessary to care for the population. Effective leadership ensures the environmental sustainability of clinical activities. This study aims to examine the role of Green Transformational Leadership (GTL) in radiography, focusing on the mitigation strategies adopted by radiography managers and their impact on promoting environmental sustainability in radiology departments.</div></div><div><h3>Methods</h3><div>A systematic literature review was conducted in accordance with PRISMA statements. The search strategy was performed targeting studies on leadership in radiography, green innovation and environmental sustainability, using keywords such as “green transformational leadership,” “radiography manager,” and “healthcare.” The search string was designed to ensure compatibility between different databases, maintaining methodological consistency.</div></div><div><h3>Results</h3><div>Among the retrieved articles, six met the inclusion criteria. None of the included studies focused on radiology departments, but all addressed GTL in healthcare settings, offering transferable insights. The analysis highlighted how GTL can influence the implementation of sustainable practices in radiography. Radiography managers using GTL play a key role in promoting sustainable practices, such as reducing energy consumption or waste generation and encouraging the use of reusable imaging equipment. Interdisciplinary collaboration could be decisive in increasing the effectiveness of green initiatives. Studies reviewed highlighted the importance of successful communication, measurable goals, and staff training for adopting green practices.</div></div><div><h3>Conclusion</h3><div>Radiography managers who prioritise green strategies may contribute to reducing the environmental impact of radiology departments. Investing in leadership development and encouraging interdisciplinary collaboration are critical steps in creating a green healthcare system.</div></div><div><h3>Implication for practice</h3><div>The implementation of GTL in radiology has the potential to enhance energy efficiency and reduce environmental impact by promoting sustainable practices, engaging radiography managers in decision-making, and integrating sustainability into training programs.</div></div>","PeriodicalId":47416,"journal":{"name":"Radiography","volume":"31 4","pages":"Article 102996"},"PeriodicalIF":2.5,"publicationDate":"2025-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144204322","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":"Exploring the workplace culture and leadership within PET CT departments across the United Kingdom","authors":"A.S. Martins-Ferreira ,&nbsp;P. Lockwood ,&nbsp;G. Noble","doi":"10.1016/j.radi.2025.102994","DOIUrl":"10.1016/j.radi.2025.102994","url":null,"abstract":"<div><h3>Introduction</h3><div>Positron Emission Tomography (PET) uses a positron camera and Computed Tomography (CT) to locate radionuclide concentrations within a patient's body for various referral pathways, including oncology, cardiology, and neurology. The PET-CT imaging rollout across the United Kingdom (UK) is a mix of National Health Service and private provider sites, with a varied skills mix in the workforce. This study aims to explore the workplace culture and leadership within a private provider PET-CT departments across the UK to understand the current challenges.</div></div><div><h3>Method</h3><div>A <em>n</em> = 39 question cross-sectional survey using purposive sampling of a single private provider of PET-CT sites across the UK (<em>n</em> = 260) was conducted. The survey was divided into <em>n</em> = 6 sections: demographics, teamwork, standards and processes, professional development, workload levels, and work environment questions. Data analysis applied descriptive statistics and thematic analysis for recurring themes and patterns.</div></div><div><h3>Results</h3><div>Twenty-five responses were received, providing a range of answers on what makes an effective team, from communication (64 %), collective decision-making (28 %), the efficiency of standardisation of protocols (68 %), and adequate work environments (72 %). Key barriers included variation of protocols across sites (64 %), lack of work appraisals (28 %), and time to complete mandatory training (48 %), and daily tasks (60 %).</div></div><div><h3>Conclusion</h3><div>Findings present opportunities to improve the culture and leadership by reviewing staffing levels, workforce planning, training and communication. Specifically, the dissemination of information between teams was identified as an area for future improvement.</div></div><div><h3>Implications for practice</h3><div>Improvements to communication, allocated time for training and career opportunities would assist staff retention and teamwork. Future research into the standardisation of PET-CT protocols would be beneficial.</div></div>","PeriodicalId":47416,"journal":{"name":"Radiography","volume":"31 4","pages":"Article 102994"},"PeriodicalIF":2.5,"publicationDate":"2025-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144190204","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":"Interventional radiology and fluoroscopy utilisation trends in Ireland: A multi-centre analysis (2018–2023)","authors":"M. O'Connor,&nbsp;A. Whelan","doi":"10.1016/j.radi.2025.102991","DOIUrl":"10.1016/j.radi.2025.102991","url":null,"abstract":"<div><h3>Introduction</h3><div>This study addressed a significant knowledge gap regarding contemporary utilisation trends of fluoroscopy (FL) and interventional radiology (IR) in Ireland. Specifically, it aimed to (1) evaluate annual trends in adult FL and IR usage between 2018 and 2023, (2) analyse age-stratified utilisation patterns, and (3) identify the most frequently performed procedures.</div></div><div><h3>Methods</h3><div>A retrospective, multi-centre analysis used data from the National Integrated Medical Imaging System, incorporating ten public hospitals across five Health Service Executive groups in Ireland. The dataset comprised adult FL, fluoroscopically guided IR, and intraoperative fluoroscopy in theatre (TH). Examinations were categorised by anatomical region and procedural intent. Annual volumes and procedure-specific utilisation were analysed. Polynomial regression assessed temporal trends, and Chi-square tests evaluated age distribution differences.</div></div><div><h3>Results</h3><div>A total of 141,958 examinations were recorded. IR (44.21 %) and TH (44.58 %) comprised the majority; FL accounted for 11.21 %. Overall volumes showed a nonlinear trend: a 19 % decline (2018–2020) followed by a 33.6 % increase (2020–2023). IR was the least disrupted during the pandemic, decreasing only 5.3 % in 2020. Angiograms, PICC insertions, and pain injections were the most common IR procedures, while swallow studies dominated FL. Peak utilisation was observed in the 60–69 age group, with significant variation in procedure types across age cohorts.</div></div><div><h3>Conclusion</h3><div>This study provides the first comprehensive analysis of FL and IR trends in Ireland, highlighting increasing IR and theatre imaging post-pandemic, and declining FL usage, in line with global trends.</div></div><div><h3>Implications for practice</h3><div>These insights support informed policy, planning, and service development.</div></div>","PeriodicalId":47416,"journal":{"name":"Radiography","volume":"31 4","pages":"Article 102991"},"PeriodicalIF":2.5,"publicationDate":"2025-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144167824","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":"Migration intentions and influencing factors among clinical radiography students in 14 African countries: A quantitative survey","authors":"B. Ohene-Botwe ,&nbsp;W.K. Antwi ,&nbsp;C. Amedu ,&nbsp;T.N. Akudjedu ,&nbsp;L.-S. Mudadi ,&nbsp;B. Chinene ,&nbsp;S.N.A. Quaye ,&nbsp;M.Y. Dambele ,&nbsp;S.S. Mkoloma ,&nbsp;C. Barare ,&nbsp;M.J. Kumsa ,&nbsp;J. Sichone ,&nbsp;R. Saizi ,&nbsp;S. Mdletshe ,&nbsp;J.Z. Dlama ,&nbsp;J. Joshua ,&nbsp;C. Malamateniou","doi":"10.1016/j.radi.2025.102988","DOIUrl":"10.1016/j.radi.2025.102988","url":null,"abstract":"<div><h3>Introduction</h3><div>Understanding students' intentions regarding migration is crucial, as migration intentions are strongly correlated with future actions. This study aimed to evaluate the migration intentions of radiography students in Africa and assess the push and pull factors influencing their decisions.</div></div><div><h3>Methods</h3><div>This quantitative study employed an online cross-sectional survey. Descriptive and inferential statistics were conducted using Stata 13. For the students who confirmed their desire to migrate, an additional exploratory factor analysis (EFA) was performed using principal component analysis (PCA).</div></div><div><h3>Results</h3><div>A total of 614 students drawn from 14 African countries participated in the study, with a significant majority (93 %) expressing a desire to work in another country. The desire to fulfil self-aspirations was the most common push factor identified by students (Agree – 35.2 %, Strongly agree – 43.96 %; Overall - 79.16 %). In the exploratory factor analysis, five factors were identified, explaining 58.84 % of the variation in the data. These factors included social, Health System, economic, Political, and Professional factors. The opportunity to gain better clinical experience was the major pull factor identified, with 56.39 % of students strongly agreeing with this statement.</div></div><div><h3>Conclusion</h3><div>The potential emigration of future skilled healthcare professionals poses major ramifications for Africa’s healthcare workforce. Understanding these migration intentions could allow policymakers to develop strategies that improve local opportunities, strengthen healthcare facilities, and foster an environment that retains talent and stimulates career development in the region.</div></div><div><h3>Implication for practice</h3><div>Addressing the migration intentions of radiography students in Africa requires a proactive, multifaceted approach. By implementing the strategies outlined in this article, African healthcare systems can more effectively retain future radiography professionals and enhance the sustainability of the workforce.</div></div>","PeriodicalId":47416,"journal":{"name":"Radiography","volume":"31 4","pages":"Article 102988"},"PeriodicalIF":2.5,"publicationDate":"2025-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144147847","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 co-designed patient reported experience measure for understanding the patient's and public experience of receiving X-ray results","authors":"P. Lockwood ,&nbsp;M. Mitchell","doi":"10.1016/j.radi.2025.102990","DOIUrl":"10.1016/j.radi.2025.102990","url":null,"abstract":"<div><h3>Introduction</h3><div>The National Health Service England (NHSE) General Practitioner (GP) contract mandates the implementation of electronic health records (EHR) to improve patient access to medical results. However, access to complex X-ray reports can lead to patient anxiety and misunderstanding, necessitating the requirement for clear communication. This paper reports an example of a good practice approach to research co-design and co-production with Patient and Public Involvement (PPI) experts to develop a Patient Reported Experience Measure (PREM) to explore accessing X-ray reports through EHR.</div></div><div><h3>Method</h3><div>A participatory method of a modified e-Delphi (iterative process) utilising PPI focus groups followed by two rounds of reviewing online survey questions to gain consensus. The PREM used Likert scoring, data analysis of each subscale score, and distributions, including face, construct, and content validity, reliability coefficient, principal component and factor analysis, and dimension reduction.</div></div><div><h3>Results</h3><div>The phase one PPI focus groups (<em>n</em> = 28 participants) co-produced <em>n =</em> 16 themes related to the experience of receiving X-ray results. Key themes emphasised the need for patient-friendly language to reduce anxiety and misunderstanding of complex language and terminology. The PREM tool was refined through two rounds of iterative feedback. The phase two survey included <em>n</em> = 57 questions, while the phase three survey pared down questions to <em>n</em> = 27.</div></div><div><h3>Conclusion</h3><div>It is critical to involve patients in the co-design and co-production of PREM tools to ensure they appropriately capture patient and public lived experiences. Implementing clear, patient-friendly communication within EHR X-ray reports could reduce anxiety and empower patients’ decision-making.</div></div><div><h3>Implications for practice</h3><div>National testing of the PREM involving a large sample of diverse participant demographics is recommended. Future PREM findings will assist in recommending and developing strategies to improve EHR communication of X-ray report wording, structure, and content.</div></div>","PeriodicalId":47416,"journal":{"name":"Radiography","volume":"31 4","pages":"Article 102990"},"PeriodicalIF":2.5,"publicationDate":"2025-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144167823","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":"Radiomics based on dual-energy CT for noninvasive prediction of cervical lymph node metastases in patients with nasopharyngeal carcinoma","authors":"L. Li ,&nbsp;D. Yang ,&nbsp;Y. Wu ,&nbsp;R. Sun ,&nbsp;Y. Qin ,&nbsp;M. Kang ,&nbsp;X. Deng ,&nbsp;M. Bu ,&nbsp;Z. Li ,&nbsp;Z. Zeng ,&nbsp;X. Zeng ,&nbsp;M. Jiang ,&nbsp;B.T. Chen","doi":"10.1016/j.radi.2025.102989","DOIUrl":"10.1016/j.radi.2025.102989","url":null,"abstract":"<div><h3>Introduction</h3><div>To develop and validate a machine learning model based on dual-energy computed tomography (DECT) for predicting cervical lymph node metastases (CLNM) in patients diagnosed with nasopharyngeal carcinoma (NPC).</div></div><div><h3>Methods</h3><div>This prospective single-center study enrolled patients with NPC and the study assessment included both DECT and 18F-fluorodeoxyglucose positron emission tomography/computed tomography (18F-FDG PET/CT). Radiomics features were extracted from each region of interest (ROI) for cervical lymph nodes using arterial and venous phase images at 100 keV and 150 keV, either individually as non-fusion models or combined as fusion models on the DECT images. The performance of the random forest (RF) models, combined with radiomics features, was evaluated by area under the receiver operating characteristic curve (AUC) analysis. DeLong's test was employed to compare model performances, while decision curve analysis (DCA) assessed the clinical utility of the predictive models.</div></div><div><h3>Results</h3><div>Sixty-six patients with NPC were included for analysis, which was divided into a training set (n = 42) and a validation set (n = 22). A total of 13 radiomic models were constructed (4 non-fusion models and 9 fusion models). In the non-fusion models, when the threshold value exceeded 0.4, the venous phase at 100 keV (V100) (AUC, 0.9667; 95 % confidence interval [95 % CI], 0.9363–0.9901) model exhibited a higher net benefit than other non-fusion models. The V100 + V150 fusion model achieved the best performance, with an AUC of 0.9697 (95 % CI, 0.9393–0.9907).</div></div><div><h3>Conclusion</h3><div>DECT-based radiomics effectively diagnosed CLNM in patients with NPC and may potentially be a valuable tool for clinical decision-making.</div></div><div><h3>Implications for practice</h3><div>This study improved pre-operative evaluation, treatment strategy selection, and prognostic evaluation for patients with nasopharyngeal carcinoma by combining DECT and radiomics to predict cervical lymph node status prior to treatment.</div></div>","PeriodicalId":47416,"journal":{"name":"Radiography","volume":"31 4","pages":"Article 102989"},"PeriodicalIF":2.5,"publicationDate":"2025-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144134300","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":"Knowledge and skills transfer perspectives of diagnostic radiographers and students in clinical practice","authors":"J.C. Wasserman,&nbsp;B. van der Linde,&nbsp;R. Slabbert","doi":"10.1016/j.radi.2025.102983","DOIUrl":"10.1016/j.radi.2025.102983","url":null,"abstract":"<div><h3>Introduction</h3><div>The effective transfer of knowledge and skills between diagnostic radiographers and students in the clinical practice is crucial for professional development and patient care. However, information on the factors influencing this transfer is limited in the diagnostic radiography profession. The objective was to determine the contributors affecting knowledge and skills transfer between diagnostic radiographers and students in clinical practice.</div></div><div><h3>Methods</h3><div>A qualitative, descriptive research design was used. Semi-structured interviews were conducted with 15 participants, including seven qualified radiographers, five student radiographers and three newly graduated radiographers. The qualitative data were analysed using reflexive thematic analysis, from which three focus areas and eight themes were identified.</div></div><div><h3>Results</h3><div>Focus areas for knowledge and skills transfer were enablers, barriers and possible solutions. The themes under the focus area enablers included a safe and conducive working environment, personal attributes and preferred methods for learning. The themes identified as barriers to knowledge and skills transfer were communication and supervision challenges, personal and interpersonal factors, workplace pressures and adaptation challenges. Participants emphasised student placement strategies and professional development and engagement as possible solutions to overcome barriers experienced.</div></div><div><h3>Conclusion</h3><div>Knowledge and skills transfer is an integral part of clinical practice. This study provided a platform for participants to voice their perspectives on the factors influencing knowledge and skills transfer the clinical environment. The proposed solutions offer practical recommendations to enhance knowledge and skills transfer, supporting improved learning outcomes and professional development.</div></div><div><h3>Implications for practice</h3><div>The authors recommend in-service training sessions to promote knowledge transfer, regular professional development seminars, encouraging collaborative practice, fostering a supportive social environment, and introducing structured student orientation sessions for clinical practice as solutions to address knowledge and skills transfer barriers.</div></div>","PeriodicalId":47416,"journal":{"name":"Radiography","volume":"31 4","pages":"Article 102983"},"PeriodicalIF":2.5,"publicationDate":"2025-05-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144123548","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}