RadiographyPub Date : 2025-03-01DOI: 10.1016/j.radi.2025.01.002
K. Lee , P.C. Brennan , E. Lau , M.E. Suleiman , S. Raveendrampillai , K. Tapia , A. Abubakar , E. Ekpo
{"title":"Urgent findings in CT chest examinations: Radiography and medical students’ capabilities and learning perspectives – a preliminary study","authors":"K. Lee , P.C. Brennan , E. Lau , M.E. Suleiman , S. Raveendrampillai , K. Tapia , A. Abubakar , E. Ekpo","doi":"10.1016/j.radi.2025.01.002","DOIUrl":"10.1016/j.radi.2025.01.002","url":null,"abstract":"<div><h3>Introduction</h3><div>Radiography and medical students (RMS), upon graduation, require capabilities to provide life-saving care through identification and communication of urgent findings on radiological imaging. This preliminary study investigated RMS’ ability to identify and categorise urgent findings on CT examinations. It also explored their experiences of image interpretation education.</div></div><div><h3>Methods</h3><div>A sequential explanatory mixed-methods study was employed. Participants were students who had recently completed Year-4 (radiography/medicine) or Year-2 (medicine-only) from three Australian universities. Urgent finding identification capabilities were assessed via a test-set of 10 CT examinations with a range of findings (normal, abnormal but non-urgent, abnormal but urgent) that was developed on a validated learning and assessment platform. Each case required selection of: normal versus abnormal; where abnormal, finding/s from a pre-defined list; urgency level; self-rated confidence. Learning experiences were then explored via a survey (Likert statements, free-text responses).</div></div><div><h3>Results</h3><div>Mean sensitivity, specificity and accuracy (with min‒max ranges), respectively, were: All participants [n = 30] 0.87 (0.60–1.0), 0.63 (0.40–1.0), 0.75 (0.50–1.0); 4th-year radiography [n = 17] 0.89 (0.6–1.0), 0.66 (0.4–1.0), 0.78 (0.60–1.0); 4th-year medicine [n = 8] 0.85 (0.6–1.0), 0.50 (0.4–0.6), 0.68 (0.50–0.8); 2nd-year medicine [n = 5] 0.80 (0.60–1.0), 0.75 (0.75–1.0), 0.78 (0.78–0.78). False positives were highest for cases with non-urgent abnormalities in all groups. Free-text responses revealed students' desire for dedicated urgent finding educational resources with high ‘repetitive learning’ effects.</div></div><div><h3>Conclusions</h3><div>RMS demonstrated considerable performance in identifying urgent abnormalities as a group, but individual capabilities varied from pass-level to perfect. Together, participants demonstrated limited ability to correctly classify non-urgent CT chest abnormalities.</div></div><div><h3>Implications for practice</h3><div>This study highlights opportunities for targeted urgent-finding resource development, focused on improving consistency within cohorts and reducing false positive rates.</div></div>","PeriodicalId":47416,"journal":{"name":"Radiography","volume":"31 2","pages":"Article 102867"},"PeriodicalIF":2.5,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143013942","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}
RadiographyPub Date : 2025-03-01DOI: 10.1016/j.radi.2025.102903
M.R. Hamed , M.A. Kenawy , S. Mohamed , M. El-Samahy , K.T. Ereiba , A. Eissa
{"title":"Fast susceptibility-weighted imaging using echo planar imaging at 1.5 T for swallow tail sign biomarker detection in Parkinson's disease","authors":"M.R. Hamed , M.A. Kenawy , S. Mohamed , M. El-Samahy , K.T. Ereiba , A. Eissa","doi":"10.1016/j.radi.2025.102903","DOIUrl":"10.1016/j.radi.2025.102903","url":null,"abstract":"<div><h3>Introduction</h3><div>This study evaluated the feasibility and diagnostic accuracy of a fast-imaging technique combining Echo Planar Imaging (EPI) and Susceptibility-Weighted Imaging (SWI) at 1.5 T for visualizing the Swallow Tail Sign (STS) in Parkinson's Disease (PD). The STS, a biomarker linked to PD pathogenesis, offers promise for non-invasive diagnosis. However, conventional SWI often requires high field strengths and lengthy scan times, limiting accessibility. This study aimed to provide a faster, more practical alternative for PD diagnosis.</div></div><div><h3>Methods</h3><div>A prospective study included 130 participants (22 early-stage PD, 108 healthy controls [HC]) recruited consecutively from a neurology clinic. Eligibility required freedom from MRI contraindications. A fast EPI-SWI sequence was employed as the primary diagnostic tool, with Movement Disorder Society criteria serving as the reference standard. Diagnostic measures, including sensitivity, specificity, predictive values, and the area under the ROC curve (AUC), were calculated.</div></div><div><h3>Results</h3><div>After excluding participants with motion artifacts or suboptimal image quality, 120 participants (20 PD, 100 HC) were included in the analysis. The fast EPI-SWI technique demonstrated 100 % sensitivity, 96 % specificity, a positive predictive value (PPV) of 83.3 %, and a negative predictive value (NPV) of 100 %. The AUC for diagnostic accuracy was 0.98.</div></div><div><h3>Conclusion</h3><div>The fast EPI-SWI sequence at 1.5 T achieved high diagnostic accuracy for detecting the STS, offering a practical solution for early PD diagnosis in settings with limited access to high-field MRI.</div></div><div><h3>Implications for practice</h3><div>The use of EPI SWI for detecting the Swallow Tail Sign could provide a faster and more accessible method for early diagnosis of Parkinson's disease in clinical settings, particularly in resource-limited environments.</div></div>","PeriodicalId":47416,"journal":{"name":"Radiography","volume":"31 2","pages":"Article 102903"},"PeriodicalIF":2.5,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143508712","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}
RadiographyPub Date : 2025-03-01DOI: 10.1016/j.radi.2025.01.009
A. Hancock , D. Hutton , I. Powell Brown , T. Murphy , B. Stride , M.A. Mallinson
{"title":"“If there was a quick and easy way to participate”: The engagement of United Kingdom radiotherapy and diagnostic imaging departments in research strategy","authors":"A. Hancock , D. Hutton , I. Powell Brown , T. Murphy , B. Stride , M.A. Mallinson","doi":"10.1016/j.radi.2025.01.009","DOIUrl":"10.1016/j.radi.2025.01.009","url":null,"abstract":"<div><h3>Introduction</h3><div>Research strategies support professionals to create a shared vision and work towards common objectives which can enhance workforce satisfaction, retention and patient experience. Our research aimed to capture the current number of United Kingdom (UK) radiotherapy and diagnostic imaging departments that have a local discipline specific research strategy in place. We also sought to understand the contributing factors to their development, with the aim of generating models of support to enhance future local research strategies.</div></div><div><h3>Methods</h3><div>A discipline specific cross-sectional survey was co-developed by the research team, the College of Radiographers (CoR) and our patient and public involvement and engagement representative. Distribution was via the CoR to radiotherapy and imaging departments across the UK.</div></div><div><h3>Results</h3><div>Complete responses were received from 32 radiotherapy and 19 imaging departments, discipline specific strategy numbers were low with only 10 and 3 departments respectively having one in situ. Barriers and enablers to their development as well as disparate motivations and intentions to develop a strategy were evident within and across each discipline. The respondents identified a range of formats and topics to help the development of strategies.</div></div><div><h3>Conclusion</h3><div>Radiographers are keen to develop and implement their own research ideas, however this work is additional to clinical service demand. Removing barriers to research participation is a strategic priority, regional cooperation and coordination may play an increasing role in research engagement, scale and support. Opportunities to increase ownership and confidence in research strategy development should be pursued including template strategies and professional facilitation.</div></div><div><h3>Implications for practice</h3><div>A discipline specific strategy would support departments to navigate the complexities of research regulation and policy and overcome the challenges faced by competing priorities.</div></div>","PeriodicalId":47416,"journal":{"name":"Radiography","volume":"31 2","pages":"Article 102874"},"PeriodicalIF":2.5,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143075890","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}
RadiographyPub Date : 2025-03-01DOI: 10.1016/j.radi.2025.102904
L. Di Michele, K. Thomson, A. Bell, W. Reed
{"title":"Corrigendum to “Assessing evidence-based practice among Australian radiographers: a self-report survey” [Radiography 30 (2) (March 2024) P696–P701]","authors":"L. Di Michele, K. Thomson, A. Bell, W. Reed","doi":"10.1016/j.radi.2025.102904","DOIUrl":"10.1016/j.radi.2025.102904","url":null,"abstract":"","PeriodicalId":47416,"journal":{"name":"Radiography","volume":"31 2","pages":"Article 102904"},"PeriodicalIF":2.5,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143469577","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}
RadiographyPub Date : 2025-03-01DOI: 10.1016/j.radi.2025.01.006
M. Ngo , K. Thorburn , A. Naama , E. Skelton
{"title":"Exploring the lived experiences of diagnostic radiographers after transitioning to non-emergency imaging settings","authors":"M. Ngo , K. Thorburn , A. Naama , E. Skelton","doi":"10.1016/j.radi.2025.01.006","DOIUrl":"10.1016/j.radi.2025.01.006","url":null,"abstract":"<div><h3>Introduction</h3><div>The demand for diagnostic imaging in emergency clinical settings has increased in recent years, placing pressure on the available workforce. However, challenges including staff shortages and inflexible shift patterns may prompt radiographers to leave emergency settings. This study explores the lived experiences of radiographers who have transitioned to non-emergency settings and factors that might influence their decision to return.</div></div><div><h3>Methods</h3><div>A descriptive phenomenological approach was used. Semi-structured interviews were conducted with 12 diagnostic radiographers working in the UK, who had transitioned to non-emergency settings within the last one to five years.</div></div><div><h3>Results</h3><div>Participants provided insight into (1) the past: reasons for transitioning, (2) the present: current thoughts on wellbeing and professional development, and (3) the future: possibility of returning to the emergency setting. Occupational pressures including excessive workloads, physical exhaustion, and time constraints leading to moral distress, were commonly cited reasons for transitioning to non-emergency setting. Since transitioning, participants reported improvement in their physical and mental well-being, renewed job satisfaction, and enhanced work-life balance. Career advancement opportunities, a better work environment, competitive salaries, and improved mental health support, could encourage a return to the emergency setting.</div></div><div><h3>Conclusion</h3><div>This study highlights the valuable learning experiences that emergency settings offer diagnostic radiographers, greatly enhancing their skills and overall competence. However, challenging work conditions can lead to job dissatisfaction and burn out. Instead of leaving the profession altogether, some radiographers found renewed satisfaction by transitioning to non-emergency settings. The majority of participants would consider returning to emergency imaging under the right conditions.</div></div><div><h3>Implications for practice</h3><div>Flexibility regarding work arrangements, career advancement opportunities, competitive salary offers, and improved mental health support through interventions such as debriefing, could help retain radiographers in emergency settings.</div></div>","PeriodicalId":47416,"journal":{"name":"Radiography","volume":"31 2","pages":"Article 102871"},"PeriodicalIF":2.5,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143068747","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}
RadiographyPub Date : 2025-02-26DOI: 10.1016/j.radi.2025.102902
S. Mohammadzadeh , A. Mohebbi , Z. Moradi , A.A. Ardakani , A. Mohammadi , S.M. Tavangar
{"title":"Comparing diagnostic performance of PET/CT, MRI, and CT in characterization of cN0 head and neck squamous cell carcinoma: A multicenter study","authors":"S. Mohammadzadeh , A. Mohebbi , Z. Moradi , A.A. Ardakani , A. Mohammadi , S.M. Tavangar","doi":"10.1016/j.radi.2025.102902","DOIUrl":"10.1016/j.radi.2025.102902","url":null,"abstract":"<div><h3>Introduction</h3><div>Assessing local invasion is essential for determining stage of cN0 head and neck squamous cell carcinoma (HNSCC). We aimed to evaluate the performance of fluorine-18 fluorodeoxyglucose positron emission tomography/CT (18F-FDG PET/CT) in HNSCC characterization and compare it with conventional imaging.</div></div><div><h3>Methods</h3><div>This multicentral study included 278 consecutive newly diagnosed cN0 HNSCC patients recruited from ACRIN 6685 (American College of Radiology Imaging Network) dataset. Four board-certified nuclear radiologists interpreted preoperative PET/CT, MRI, and CT examinations of patients. Imaging results were compared to pathological reference tests through area under curve (AUC), sensitivity, specificity, and receiver operating characteristic (ROC) curve using Stata 18 and Medcalc 22.017.</div></div><div><h3>Results</h3><div>PET/CT demonstrated 23.5 %, 24.7 %, and 51.6 % upstaging, downstaging, and same staging in T staging of patients in comparison to histopathological evaluation, respectively. When evaluating N status, PET/CT showed 25.7 % upstaging, 20.3 % downstaging, and 53.9 % same staging. An optimal SUV<sub>max</sub> cut-off value of 10.9 was determined to predict early-stage (T1, T2) and advanced-stage (T3, T4) HNSCC tumors with an AUC of 0.709 (95 % CI = 0.648–0.766). This cut-off value also predicted N0 and N+ patients with an AUC of 0.670 (95 % CI = 0.606–0.729). Sensitivity and specificity of PET/CT, MRI, and CT for bone invasion, muscle invasion, nerve invasion, cartilage invasion, superficial tissue invasion, overall invasion, and fixed vocal cord were calculated.</div></div><div><h3>Conclusion</h3><div>Our findings support the valuable accuracy of 18F-FDG PET/CT in staging HNSCC patients. Also, 18F-FDG PET/CT outperformed conventional imaging in characterization of HNSCC tumors.</div></div><div><h3>Implications for practice</h3><div>By offering an in-depth investigation in imaging of HNSCC tumors, this study contributes to evidence-based clinical decision-making.</div></div>","PeriodicalId":47416,"journal":{"name":"Radiography","volume":"31 2","pages":"Article 102902"},"PeriodicalIF":2.5,"publicationDate":"2025-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143487205","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}
RadiographyPub Date : 2025-02-20DOI: 10.1016/j.radi.2025.102900
P.C. Murphy , M. McEntee , M. Maher , M.F. Ryan , C. Harman , A. England , N. Moore
{"title":"Assessment of breast composition in MRI using artificial intelligence – A systematic review","authors":"P.C. Murphy , M. McEntee , M. Maher , M.F. Ryan , C. Harman , A. England , N. Moore","doi":"10.1016/j.radi.2025.102900","DOIUrl":"10.1016/j.radi.2025.102900","url":null,"abstract":"<div><h3>Introduction</h3><div>Magnetic Resonance Imaging (MRI) performs a critical role in breast cancer diagnosis, especially for high-risk populations e.g. family history. MRI could take advantage of the implementation of artificial intelligence (AI). AI assessment of breast composition factors is less studied than those of lesion detection and classification. These factors are breast density, background parenchymal enhancement (BPE) and fibroglandular tissue (FGT), which are recognized breast cancer phenotypes.</div></div><div><h3>Methods</h3><div>Following PRISMA guidelines, the PROSPERO registered review examined the role of AI in assessing breast composition in MRI. A search of articles from Pubmed, Ovid, Embase, Web of Science, Cochrane, and Google scholar from 2010 to 2022 was conducted. Peer-reviewed, in-vivo studies were included based on defined search categories. Adapted QUADAS-2, CASP and Covidence tools were utilized for quality assessment.</div></div><div><h3>Results</h3><div>Seven studies were identified as being of sufficiently high quality. The studies showed that AI has the potential to provide a comparable level of accuracy against the relevant reference standard. There were limited performance results when delineating BPE and FGT BI-RADs categories. The review highlighted the variability in AI models while the range of statistical methods and small cohort sizes limited cross study compatibility.</div></div><div><h3>Conclusions</h3><div>AI has potential in assessing breast composition in MRI. However, variability in AI systems deployed and statistical measurements alongside limited validation across diverse populations remain an issue. AI systems may perform better with binary categorizations rather than the quaternary spectrum of BI-RADS.</div></div><div><h3>Implications for practice</h3><div>AI could assist in developing personalized breast composition assessments. Future developments could focus on better delineation of breast composition categories. AI models that have trained on more diverse and larger populations should result in more robust and effective clinical applications.</div></div>","PeriodicalId":47416,"journal":{"name":"Radiography","volume":"31 2","pages":"Article 102900"},"PeriodicalIF":2.5,"publicationDate":"2025-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143445147","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}
RadiographyPub Date : 2025-02-19DOI: 10.1016/j.radi.2025.102901
K. Brage , M.R.V. Pedersen , C.A. Lauridsen , C. Paulo , P. Hansen , H. Precht , A.J. Addi , J. Jensen
{"title":"Reporting radiographers in CT and MRI: A literature review with a systematic approach","authors":"K. Brage , M.R.V. Pedersen , C.A. Lauridsen , C. Paulo , P. Hansen , H. Precht , A.J. Addi , J. Jensen","doi":"10.1016/j.radi.2025.102901","DOIUrl":"10.1016/j.radi.2025.102901","url":null,"abstract":"<div><h3>Objectives</h3><div>The aim of this literature review is to provide an overview and synthesize the evidence on the role of reporting radiographers in CT and MRI, with a focus on their diagnostic accuracy, the education and training required for this role, and the challenges and opportunities associated with their integration into clinical practice.</div></div><div><h3>Key findings</h3><div>Radiographers in CT and MRI reporting roles often achieve diagnostic accuracy comparable to radiologists, particularly for straightforward pathologies and as first readers. However, discrepancies are more common in complex cases, such as extracolonic findings in CT colonography or smaller polyps in MR colonography.</div><div>Structured training, including postgraduate certificates, tele-training, and technology-enhanced learning, enhances radiographers' diagnostic accuracy and confidence. However, regional variation in training availability and standardisation limits broader implementation.</div><div>Challenges to integration include legal and regulatory constraints, geographical training disparities, and concerns about misdiagnosis. Regular audits and mentoring are crucial to ensuring quality and addressing these concerns.</div></div><div><h3>Conclusion</h3><div>Radiographers have demonstrated the ability to achieve diagnostic performance comparable to radiologists in specific contexts, particularly when supported by structured training and mentorship. However, challenges such as variability in training opportunities, legal and regulatory constraints, and the risk of misdiagnosis persist. While the evidence highlights the potential of radiographer-led reporting to enhance diagnostic workflows, reduce radiologist workloads, and improve patient care, further research is needed to address these challenges and evaluate long-term impacts on clinical outcomes.</div></div><div><h3>Implications for practice</h3><div>Healthcare organisations should implement standardised training pathways to prepare radiographers for reporting roles. Collaborative models, where radiographers support rather than replace radiologists, can improve efficiency while maintaining quality. Policymakers must provide clear guidelines and funding to expand these roles, particularly in radiologist-shortage areas.</div><div>Technological tools, such as AI-assisted reporting, can help radiographers manage complex cases. Equitable training opportunities, including remote learning and mobile apps, should address geographical disparities. Robust quality assurance protocols are essential to sustain confidence in radiographer-led reporting and enhance patient care outcomes.</div></div>","PeriodicalId":47416,"journal":{"name":"Radiography","volume":"31 2","pages":"Article 102901"},"PeriodicalIF":2.5,"publicationDate":"2025-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143445148","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}
RadiographyPub Date : 2025-02-18DOI: 10.1016/j.radi.2025.01.020
C. Eade , R.M. Meertens , C.J. Heales , N. Ashley
{"title":"A service evaluation of the clinical and cost effectiveness of a home-deployed mobile x-ray imaging service in a regional setting","authors":"C. Eade , R.M. Meertens , C.J. Heales , N. Ashley","doi":"10.1016/j.radi.2025.01.020","DOIUrl":"10.1016/j.radi.2025.01.020","url":null,"abstract":"<div><h3>Introduction</h3><div>Falls in older adults are common, leading to high rates of emergency admissions, extended hospital stays, and unnecessary use of healthcare resources. This service evaluation reports on a home-deployed imaging service using mobile X-ray equipment to explore the potential cost-effectiveness and patient benefits of facilitating imaging at the patient's place of residence.</div></div><div><h3>Methods</h3><div>A six-month pilot program was established involving transporting portable imaging equipment to patients' homes or care facilities in Cornwall as required. Referrals were made by community clinicians via phone, and imaging results were integrated with existing hospital systems. Cost-benefit analysis was performed based on reduced ambulance usage and avoided hospital admissions. Patient satisfaction was assessed using a survey.</div></div><div><h3>Results</h3><div>305 patient referrals were made, resulting in 294 imaging visits. Most referrals (64.5 %) were to patients at home, with the remainder in care facilities. The majority of imaging involved hip (41.3 %) and lower limb (23.5 %) examinations. 87.4 % of patients were discharged at the scene, with the remaining 12.6 % requiring ambulance transport. Ambulance callouts were avoided in 257 cases, potentially saving over 19 total days of ambulance handover time. Patient feedback was predominately positive. The average age of patients imaged was 83 and the average frailty score was 6 (moderately frail).</div></div><div><h3>Conclusions</h3><div>The home-deployed imaging service was effective in reducing need for ambulance conveyance, number of emergency department admissions, and hospital stays, with high patient satisfaction.</div></div><div><h3>Implications for practice</h3><div>This pilot demonstrates the potential for mobile X-ray services to enhance patient care and reduce healthcare costs. Future implementation should focus on reducing repeat imaging rates and addressing logistical challenges to optimize the service's effectiveness in different settings. Ongoing monitoring and staff training will be essential for sustainable service delivery.</div></div>","PeriodicalId":47416,"journal":{"name":"Radiography","volume":"31 2","pages":"Article 102885"},"PeriodicalIF":2.5,"publicationDate":"2025-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143436956","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}