Radiography最新文献_第7页

Establishing a national diagnostic dose reference level in digital mammography and digital breast tomosynthesis in Jordan with emphasis on breast density 在约旦建立数字乳房x线照相术和数字乳房断层合成术的国家诊断剂量参考水平，重点是乳房密度

IF 2.8

Radiography Pub Date : 2025-08-23 DOI: 10.1016/j.radi.2025.103131

R. Alrousan , M. Alakhras , K. Alzyoud

{"title":"Establishing a national diagnostic dose reference level in digital mammography and digital breast tomosynthesis in Jordan with emphasis on breast density","authors":"R. Alrousan , M. Alakhras , K. Alzyoud","doi":"10.1016/j.radi.2025.103131","DOIUrl":"10.1016/j.radi.2025.103131","url":null,"abstract":"<div><h3>Introduction</h3><div>Diagnostic reference levels (DRLs) are one of the most important radiation protection methods in medical imaging to help optimize radiation exposure during imaging procedures. The study aimed to establish national DRL for digital mammography (DM) and digital breast tomosynthesis (DBT) in Jordan, considering variations in compressed breast thickness (CBT) and breast density.</div></div><div><h3>Methodology</h3><div>The exposure parameters, average glandular dose (AGD), CBT, breast density, and viewing projection were extracted. The mean, median, 75th, and 95th percentiles were obtained for the AGD distribution of each projection for DM and DBT at three CBT ranges and two density categories. The difference in AGD between DM and DBT was determined.</div></div><div><h3>Results</h3><div>The proposed national DRLs in Jordan for DM in CC view were 2.29, 1.78, and 2.40 mGy, while for MLO view were 1.17, 1.47, and 2.02 mGy at CBT ranges of 4–39, 40–59, 60–99 mm, respectively. For DBT in CC view, the DRLs were 2.17, 2.69, and 3.52 mGy, while in MLO view, the DRLs were 2.29, 2.67, and 3.49 mGy for the respective CBT ranges. The overall AGD of DBT was significantly higher compared to DM (P < 0.05). The AGD of high-density breasts was higher than low-density breasts for both DM and DBT (P < 0.001).</div></div><div><h3>Conclusion</h3><div>The proposed national DRLs in Jordan were higher than those reported in the literature, with AGD higher for DBT than that of DM.</div></div><div><h3>Implications for practice</h3><div>Although the DRLs in Jordan remain below the International Atomic Energy Agency (IAEA) reported DRL, the fact that they exceed the previously established DRLs indicates a need for rigorous calibration and dose optimization methods to minimize unnecessary exposures, particularly in hospitals where the DRLs were near the DRLs set by the IAEA.</div></div>","PeriodicalId":47416,"journal":{"name":"Radiography","volume":"31 6","pages":"Article 103131"},"PeriodicalIF":2.8,"publicationDate":"2025-08-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144892079","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}

引用次数: 0

A national review of X-ray imaging protocols in Irish hospital radiology departments 爱尔兰医院放射科x射线成像协议的全国审查

IF 2.8

Radiography Pub Date : 2025-08-23 DOI: 10.1016/j.radi.2025.103128

M. O'Connor, S. Lynch, J. Walsh

{"title":"A national review of X-ray imaging protocols in Irish hospital radiology departments","authors":"M. O'Connor, S. Lynch, J. Walsh","doi":"10.1016/j.radi.2025.103128","DOIUrl":"10.1016/j.radi.2025.103128","url":null,"abstract":"<div><h3>Introduction</h3><div>Projection radiography remains the most commonly used imaging modality in Irish hospitals. This study reviewed X-ray imaging protocols nationwide, assessing their structure, consistency, and alignment with clinical guidelines by comparing documentation, listed projections, and associated clinical indications.</div></div><div><h3>Method</h3><div>A descriptive comparative design was used to evaluate X-ray imaging protocols from 23 Model 3 and Model 4 Irish hospitals. With permission from respective Radiology Services Managers, X-ray protocols were analysed for format, anatomical coverage, projection listings, and clinical indications. Data were coded using binary and categorical systems. Descriptive statistics, one-way ANOVA, Chi-square, and multiple regression analyses were applied to assess patterns and associations.</div></div><div><h3>Results</h3><div>Protocols varied significantly in format, content, and number of projections (range: 65–110; mean = 91). Only 30 % used the national Health Service Executive template, and 35 % lacked comprehensive clinical indications. A total of 178 distinct projections were identified. No significant association was found between hospital type, size, or orthopaedic services and protocol comprehensiveness. Discrepancies emerged in the use of lateral chest, bone age, temporomandibular joint, and sinus imaging, with some protocols diverging from iRefer recommendations. Significant inconsistency was also observed in trauma shoulder and weight-bearing lower limb protocols.</div></div><div><h3>Conclusion</h3><div>This study offers the first comprehensive analysis of X-ray imaging protocols in Ireland, revealing significant variations. While generally aligning with iRefer guidelines, these protocols show a clear lack of national standardisation in structural elements, clinical indications, and specific projection choices for less common examinations.</div></div><div><h3>Implications for practice</h3><div>These findings offer valuable insights for standardising X-ray protocols across Ireland.</div></div>","PeriodicalId":47416,"journal":{"name":"Radiography","volume":"31 6","pages":"Article 103128"},"PeriodicalIF":2.8,"publicationDate":"2025-08-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144892078","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}

引用次数: 0

A scottish survey exploring diagnostic radiography students’ attitudes towards a career in nuclear medicine 一项苏格兰调查探讨诊断放射学学生对核医学职业的态度

IF 2.8

Radiography Pub Date : 2025-08-23 DOI: 10.1016/j.radi.2025.103143

F. Oludipe , A. Smith

{"title":"A scottish survey exploring diagnostic radiography students’ attitudes towards a career in nuclear medicine","authors":"F. Oludipe , A. Smith","doi":"10.1016/j.radi.2025.103143","DOIUrl":"10.1016/j.radi.2025.103143","url":null,"abstract":"<div><h3>Introduction</h3><div>The career aspirations of undergraduate radiography students have previously been surveyed but there is little in the literature exploring nuclear medicine as a career specialism. This study aimed to explore the relationship between clinical placement and career choice within third and fourth year diagnostic radiography undergraduates in Scotland.</div></div><div><h3>Methods</h3><div>University ethical approval was obtained; gatekeepers were appointed from each university and distributed the survey. The online survey was conducted consisting of 22 questions including 4 open ended. Descriptive results were summarised using tables and graphs, whilst inferential statistics were collated using R.</div></div><div><h3>Results</h3><div>The survey response rate was 30.3 % (n = 64/211). Students were predominantly female (89 %). The preferred modality for specialising was general radiography (weighted average = 98.99) whilst nuclear medicine was the least favored career choice (weighted average = 18.69). Clinical placement was the most influential factor in career planning for radiography students, and students expressed a desire to learn more about nuclear medicine. There was a statistical difference in length of time spent in nuclear medicine between the three universities (p = .021).</div></div><div><h3>Conclusion</h3><div>The study helped to establish the link between career planning and clinical placement. Students were more likely to choose a modality based on a positive clinical experience. Notably students spent the least amount of clinical time within NM and also favour this modality the least for their future career.</div></div><div><h3>Implications for practice</h3><div>Students have demonstrated a need to learn more about the modality and experience it within a clinical placement setting. It is recommended that the radiography curriculum is modified to incorporate learning objectives with a minimum of one week within NM.</div></div>","PeriodicalId":47416,"journal":{"name":"Radiography","volume":"31 6","pages":"Article 103143"},"PeriodicalIF":2.8,"publicationDate":"2025-08-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144892095","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}

引用次数: 0

Advanced practice in the management of skin toxicity in breast radiotherapy – a randomized controlled study. 乳腺放射治疗中皮肤毒性管理的先进实践-一项随机对照研究。

IF 2.8

Radiography Pub Date : 2025-08-21 DOI: 10.1016/j.radi.2025.103039

Li Hoon Lim , Eric Pei Ping Pang , Faye Lynette Lim

引用次数: 0

Can-AP: Informing a System Level Model for Advanced Practice Implementation in Radiation Therapy through Global Experience Can-AP：通过全球经验为放射治疗的高级实践实施提供系统级模型

IF 2.8

Radiography Pub Date : 2025-08-21 DOI: 10.1016/j.radi.2025.103036

Caitlin Gillan, Nicole Harnett

引用次数: 0

The support of head and neck advance practice radiation therapist in National Cancer Centre Singapore: Trailblazing the development of proton therapy 新加坡国家癌症中心头颈部高级实践放射治疗师的支持：开拓质子治疗的发展