Radiography最新文献

{"title":"Australian radiographers’ digital era practice in selecting the image receptor angle for female body habitus for the mediolateral oblique view of the breast","authors":"R. Pape","doi":"10.1016/j.radi.2024.10.001","DOIUrl":"10.1016/j.radi.2024.10.001","url":null,"abstract":"<div><h3>Introduction</h3><div>Correct alignment of the image receptor (IR) in mammography for the mediolateral oblique (MLO) view of the breast is fundamental to enable the maximum inclusion of breast tissue. This study aims to assess Australian radiographers' knowledge and digital era practice in selecting the IR angle for female body habitus in the MLO view of the breast.</div></div><div><h3>Methods</h3><div>An online survey was distributed to all members of the Australian Society of Medical Imaging and Radiation Therapy (ASMIRT) through their electronic newsletter and via direct email to radiographers holding the Certificate of Mammographic Practice (CMP). Descriptive analysis was undertaken, and a Pearson's chi-squared test of independence was used to compare associations between academic qualification and IR selection data. A value of p &lt; 0.05 was deemed statistically significant.</div></div><div><h3>Results</h3><div>A total of 107 valid surveys were returned; 67.3 % reported using the posterior lateral margin to select the IR angle. For linear body habitus, 44.9 % reported using 50°; for all other body habitus, participants most commonly used 45° (59.1 %); 85.1 % used a range of angles between 40 and 55°; 16.8 % recognised the link between correct IR angle selection and breast tissue inclusion.</div></div><div><h3>Conclusion</h3><div>The range of angles used in practice has reduced in the digital era; the frequency of the use of 45° across all body habitus may reflect tube angle movement automation. Few radiographers recognised the important link between correct selection of IR angle and breast tissue inclusion on the image.</div></div><div><h3>Implications for practice</h3><div>Understanding of the link between IR angle selection and image quality enhances current practice in the digital era to maximise the inclusion of breast tissue and minimise the potential of missed breast cancer.</div></div>","PeriodicalId":47416,"journal":{"name":"Radiography","volume":"30 6","pages":"Pages 1612-1621"},"PeriodicalIF":2.5,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142437791","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":"IMRT palliative multi isocentre treatment on a Varian Halcyon with Align RT Inbore Surface Guided Radiotherapy technology.","authors":"Samantha Allison,&nbsp;Antony Harris","doi":"10.1016/j.radi.2024.09.005","DOIUrl":"10.1016/j.radi.2024.09.005","url":null,"abstract":"","PeriodicalId":47416,"journal":{"name":"Radiography","volume":"30 ","pages":"Pages S1-S2"},"PeriodicalIF":2.5,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142417734","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":"Permanent Indian ink tattoos for breast cancer radiotherapy: A United Kingdom study of the emotional impact on patients following radiotherapy","authors":"S. Wickers ,&nbsp;R.M. Taylor ,&nbsp;G. Royle ,&nbsp;M.N. Gaze","doi":"10.1016/j.radi.2024.08.004","DOIUrl":"10.1016/j.radi.2024.08.004","url":null,"abstract":"<div><h3>Introduction</h3><div>Post-operative radiotherapy for early breast cancer is recommended for over 30,000 people every year in the United Kingdom. The majority of these patients will be advised to have radiotherapy alignment tattoos; permanent skin marks applied with Indian ink and a lancing needle, black/green/blue in colour and approximately 2 mm in diameter. The tattoos assist the therapeutic radiographers to position the patient accurately and reproducibly for each treatment fraction. The aim of this study was to investigate the emotional impact of radiotherapy tattoos on people following breast cancer radiotherapy.</div></div><div><h3>Methods</h3><div>An electronic questionnaire was distributed by the charitable organisation, Breast Cancer Now, to their members who had undergone radiotherapy for early breast cancer. Based on the responses to the open and closed questions, an overall impact score was assigned to each respondent, and representative quotes extracted to contextualise the themes identified. Statistical tests were performed to evaluate the relationship between overall impact scores and several variables such as age at the time of radiotherapy, skin type, and age at the time of completing the questionnaire.</div></div><div><h3>Results</h3><div>204 people responded to the questionnaire. 100% had permanent Indian ink tattoos during breast cancer radiotherapy. 95% could still see the midline tattoo. 22 subthemes were identified; 4 positive, 4 neutral and 14 negative. Radiotherapy tattoos served as a constant negative reminder for 27% and affected clothing choices in 14% of respondents. 11% described feelings of ‘hating’ them. 6% were assigned positive overall impact scores, 43% neutral, and 51% had negative overall impact scores. The black/green/blue ink pigment used was commonly described as unnatural; contributing strongly to the negative appearance of the tattoos.</div></div><div><h3>Conclusion</h3><div>Permanent Indian ink tattoos have a negative impact on emotional well-being in the months and years following radiotherapy for early breast cancer for many people. In contrast, a very small minority feel positively about the tattoos.</div></div><div><h3>Implications for practice</h3><div>Our findings are unlikely to be unique to this diagnostic cohort and supports the need to offer alternatives that are less-impactful to the recipient, accessible for people of all skin colours, and fit-for-purpose in terms of radiotherapy set-up. Acknowledgement of the significant negative impact and collaboration between industry, healthcare professionals and patient representatives is key to identifying and implementing suitable alternatives as standard of care.</div></div>","PeriodicalId":47416,"journal":{"name":"Radiography","volume":"30 6","pages":"Pages 1669-1676"},"PeriodicalIF":2.5,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142113411","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":"Caring in therapeutic radiography – perceptions and experiences of academic educators","authors":"Julie Hendry","doi":"10.1016/j.radi.2024.09.028","DOIUrl":"10.1016/j.radi.2024.09.028","url":null,"abstract":"","PeriodicalId":47416,"journal":{"name":"Radiography","volume":"30 ","pages":"Pages S13-S14"},"PeriodicalIF":2.5,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142417713","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 the reliability of measuring lower back muscles cross-sectional area based on manual segmentation within multi-level MRI images","authors":"A.A. Alhulail ,&nbsp;M.S. Alshuhri ,&nbsp;D.F. AL-jolifiy ,&nbsp;M.N. AL-nuwaybit ,&nbsp;A.S. AL-tamimi ,&nbsp;N.M. AL-qahtani ,&nbsp;R.A. AL-hakami ,&nbsp;M.A. Almanaa ,&nbsp;A.M. Jabour","doi":"10.1016/j.radi.2024.10.002","DOIUrl":"10.1016/j.radi.2024.10.002","url":null,"abstract":"<div><h3>Introduction</h3><div>Manual segmentation of paraspinal muscle cross-sectional area (CSA) is widely used to assess related health disorders. This study aimed to evaluate the reliability of this segmentation process for each paraspinal region of interest across the three intervertebral levels commonly used for segmentation (L3/4, L4/5, and L5/S1).</div></div><div><h3>Methods</h3><div>Axial-T2-weighted MRI images for 238 patients were divided among five raters (47 ± 1 cases each). To conduct the intra-rater reliability study, the CSA of each paraspinal lumber muscle (psoas major (PM), multifidus (MF), and erector spinae (ES)) and the intervertebral disc (ID) were manually segmented twice on all targeted levels before being assessed for each region per rater. The Inter-rater reliability was determined by comparing the results of different readers who segmented the same dataset. The Intraclass Correlation (ICC) and Coefficient-of-Variation percentage (CV%) were reported for each analysis.</div></div><div><h3>Results</h3><div>Low intra- and inter-rater variability (CV%&lt;11) was found for each reader in each region and intervertebral level. The inter-rater reliability was excellent (ICC&gt;0.9) for the PM, ID, and ES at L3/4. However, it was very good for MF at all levels and ES at L4/5, L5/S1 (ICC range: 0.82–0.88) affected by the fat-infiltration nature of the ES and MF muscles, their proximity to each other, and their smaller size (correlation between muscle size and ICC = 0.6, P &lt; 0.01). The ID segmentation has the lowest CV (&lt;3 %) and excellent ICC (&gt;0.93).</div></div><div><h3>Conclusion</h3><div>Manual paraspinal muscle segmentation using axial-T2-weighted MRI is reliable at all commonly segmented intervertebral levels. However, the reliability level can be degraded by the presence of high-fat infiltrate, unclear muscle boundaries, and muscle size.</div></div><div><h3>Implications for practice</h3><div>Following consistent guidelines can help improve segmentation results. The IDs can be used as reliable internal references.</div></div>","PeriodicalId":47416,"journal":{"name":"Radiography","volume":"30 6","pages":"Pages 1637-1645"},"PeriodicalIF":2.5,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142477606","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":"Cognitive behavioural therapy for hot flushes and night sweats with breast cancer patients; a radiotherapy and clinical psychology collaboration","authors":"Emma Thompson","doi":"10.1016/j.radi.2024.09.022","DOIUrl":"10.1016/j.radi.2024.09.022","url":null,"abstract":"","PeriodicalId":47416,"journal":{"name":"Radiography","volume":"30 ","pages":"Page S11"},"PeriodicalIF":2.5,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142416134","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 practice among diagnostic radiographers - An international survey","authors":"M.F. Lindgaard ,&nbsp;A. England ,&nbsp;J.L. Portelli ,&nbsp;P. Hogg ,&nbsp;S. Johansen","doi":"10.1016/j.radi.2024.09.068","DOIUrl":"10.1016/j.radi.2024.09.068","url":null,"abstract":"<div><h3>Introduction</h3><div>As the global healthcare system evolves, diagnostic radiographers (DRs) are taking on advanced roles, constituting advanced radiography practice. This study explored the definition of ARP tasks among DRs, radiology department managers (RDMs), and National Society Officers (NSOs) on a global scale.</div></div><div><h3>Methods</h3><div>Data collection was obtained via a self-developed online survey administered via email and social media to DRs, RDMs, and NSOs. The survey sought to collect demographic data, insights into definition of ARP tasks, and perceptions regarding global practice.</div></div><div><h3>Results</h3><div>206 respondents from 25 countries participated, predominantly from Norway (n = 77), Australia (n = 34), and Portugal (n = 20). 71.7 % of DR respondents defined teaching as ARP task, while RDMs (74.2) and NSOs (88.8 %) identified approving image quality independently as ARP. 53.4 % of DRs perceived their practice as ARP-aligned, with awareness reported by 44.8 % of DRs, 66.7 % of RDMs, and 77.8 % of NSOs.</div></div><div><h3>Conclusion</h3><div>This study provides a clearer understanding of the task respondents consider ARP and the extent to which it is practiced, whereas DRs are increasingly performing advanced tasks globally. Clarifying ARP tasks in the workplace will promote a common understanding of the role and foster support for its establishment in diagnostic radiography. Further research is required to gather a more comprehensive international perspective on ARP tasks, especially given the limitations of this study, as well as the limited responses from the Americas and African regions.</div></div><div><h3>Implications for practice</h3><div>Clear definitions of ARP tasks are necessary for seamless integration of ARP into current practices. Additionally, advocating for official recognition, and global acknowledgement by the profession and key stakeholders are imperative for DRs to fully develop in these areas.</div></div>","PeriodicalId":47416,"journal":{"name":"Radiography","volume":"30 6","pages":"Pages 1604-1611"},"PeriodicalIF":2.5,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142418569","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":"Determining the value of Treatment Planning as a Threshold Concept through learning gain in Radiotherapy teaching","authors":"Chandini Kumari-Webster","doi":"10.1016/j.radi.2024.09.026","DOIUrl":"10.1016/j.radi.2024.09.026","url":null,"abstract":"","PeriodicalId":47416,"journal":{"name":"Radiography","volume":"30 ","pages":"Page S13"},"PeriodicalIF":2.5,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142417711","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":"The impact of working patterns and extended treatment hours on work-life balance: a qualitative study into therapeutic radiographers’ lived experience at a Cancer Treatment Centre","authors":"Stephen Allan,&nbsp;Nicholas Courtier,&nbsp;Lynn Mundy","doi":"10.1016/j.radi.2024.09.029","DOIUrl":"10.1016/j.radi.2024.09.029","url":null,"abstract":"","PeriodicalId":47416,"journal":{"name":"Radiography","volume":"30 ","pages":"Page S14"},"PeriodicalIF":2.5,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142417714","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":"Refinement of the national radiotherapy error and near miss events (RTE) taxonomies","authors":"Helen Best","doi":"10.1016/j.radi.2024.09.010","DOIUrl":"10.1016/j.radi.2024.09.010","url":null,"abstract":"","PeriodicalId":47416,"journal":{"name":"Radiography","volume":"30 ","pages":"Pages S4-S5"},"PeriodicalIF":2.5,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142417729","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}