Radiography最新文献

{"title":"Exploring the impact of the female thoracic size, breast size and image receptor angles on the volume of missing breast tissue in mammographic imaging","authors":"R. Pape ,&nbsp;X. Zheng ,&nbsp;C. Cowling ,&nbsp;C. West ,&nbsp;A. Carstens ,&nbsp;M. Kostidis ,&nbsp;H. Bowmast","doi":"10.1016/j.radi.2025.102936","DOIUrl":"10.1016/j.radi.2025.102936","url":null,"abstract":"<div><h3>Introduction</h3><div>Optimal positioning in mammography and subsequent image quality can be impacted by thorax variability, breast size and the chosen image receptor (IR) angles. This study aims to explore the impact of the female thoracic size, breast size and IR angle on the volume of missing breast tissue (MBT) in mammographic imaging.</div></div><div><h3>Methods</h3><div>Sixty-three images were recorded: one craniocaudal (CC) at an IR angle of 0° for three sized breast phantoms attached to three sized thoracic models; and six mediolateral obliques (MLOs) at IR angles of 30°, 40°, 45°, 50°, 55°, 60° for three sized breast phantoms attached to three sized thorax models. Breast size was determined using the posterior nipple line (PNL) measurement and were recorded in millimetres. Breast volume was recorded in cubic centimetres.</div></div><div><h3>Results</h3><div>The breast size and breast tissue volume of a small thorax and large breasts was better visualised with increasing IR angles. Optimal MLO IR angles were determined for the combined average thorax with average breast at 55° and large thorax with large breast at 40° with minimum MBT values of 51.33 cm³ and 75.07 cm³, respectively. Female thoracic size, IR angle, and breast size are significant (p &lt; 0.01) and have a positive impact on the volume of MBT.</div></div><div><h3>Conclusion</h3><div>Optimal MLO IR angles were determined for the three breast phantoms attached to three thoracic models. Female thoracic size positively impacts the volume of MBT and in terms of clinical practice it is vital to adjust the MLO IR angle to ensure maximum breast tissue coverage.</div></div><div><h3>Implications for practice</h3><div>These findings can be modelled in current clinical practice on women presented for mammography examinations with varying thorax and breast sizes, allowing optimal IR angle selection and therefore resulting in improved breast tissue inclusion and subsequently a more accurate breast cancer diagnosis.</div></div>","PeriodicalId":47416,"journal":{"name":"Radiography","volume":"31 3","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143789217","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":"Subjective assessment of bone health from wrist radiographs","authors":"W. Vigers,&nbsp;K. Knight,&nbsp;F. Manning,&nbsp;R. Meertens","doi":"10.1016/j.radi.2025.102946","DOIUrl":"10.1016/j.radi.2025.102946","url":null,"abstract":"<div><h3>Introduction</h3><div>Osteoporosis is a prevalent condition associated with increased fracture risk, significantly impacting quality of life. Dual X-ray Absorptiometry (DXA) is the standard for diagnosing osteoporosis, but with challenges for timely access. This study aimed to assess the agreement between subjective clinician evaluations of wrist radiographs for radiographic osteopenia and objective DXA-based bone mineral density (BMD) measurements, to assess the role diagnostic radiographers and reporting clinicians might play in early detection of poor bone health.</div></div><div><h3>Methods</h3><div>Using a survey approach, 104 radiology-related clinicians assessed 28 anonymized posterior-anterior wrist radiographs. The study evaluated participants agreement of radiographic osteopenia assessment with objective DXA assessment for osteopenia/osteoporosis diagnosis. Agreement between participants, and response reliability were also investigated utilising four repeat cases within the dataset. Subgroup analysis was performed based on professional role, clinical experience and if currently in a formal reporting role. Qualitative feedback on clinical understanding of radiographic osteopenia was collected.</div></div><div><h3>Results</h3><div>Results generally indicated poor agreement between assessment of radiographic osteopenia, and subsequent DXA outcomes (percentage agreement 51 % (SD 10 %; range 25–79 %). There was poor agreement between respondents, and no statistically significant associations in performance with professional role, experience level, or reporting status. Qualitative responses indicated diverse clinical approaches to identifying radiographic osteopenia, with a focus on bone density, cortical features, and patient age.</div></div><div><h3>Conclusion</h3><div>The results suggest limited reliability of subjective radiographic assessments compared to DXA, suggesting the need for improved consistency in clinical evaluations.</div></div><div><h3>Implications for practice</h3><div>This study underscores the importance of objective BMD measurements over subjective assessments in detecting early osteoporosis, advocating for further research into sstandardisation and training on subjective assessments of bone health and the clinical implications.</div></div>","PeriodicalId":47416,"journal":{"name":"Radiography","volume":"31 3","pages":"Article 102946"},"PeriodicalIF":2.5,"publicationDate":"2025-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143792205","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":"Complications of nasogastric tube insertion in critical care: A retrospective analysis of radiographs performed for determination of tube position","authors":"D. Watkin,&nbsp;C. Farrell,&nbsp;M. McGee,&nbsp;I. Welters","doi":"10.1016/j.radi.2025.102941","DOIUrl":"10.1016/j.radi.2025.102941","url":null,"abstract":"<div><h3>Introduction</h3><div>Feeding through incorrectly placed nasogastric tubes (NGTs) is associated with severe complications. We audit the management and complications of NGT insertions diagnosed on radiographs in a critical care population.</div></div><div><h3>Methods</h3><div>Radiographs performed to ascertain NGT position, and subsequent clinical actions taken were retrospectively analysed. Nasogastric tube position and safety to initiate enteral feeding were extracted from radiology reports.</div></div><div><h3>Results</h3><div>From July 2021–December 2022, 512 radiographs were performed, of which 508 were sufficient to determine NGT position. Ten percent of radiographs demonstrated incorrect NGT position. All NGTs inadvertently placed in the airway (2.2 %, 11/512) or coiled in the proximal oesophagus (1.0 %, 5/512) were removed.</div><div>Thirty-five NGTs were imaged in a suboptimal position, positioned in either the distal oesophagus or proximal stomach; however, only 51 % (18/35) were advanced by intensive care clinicians. In 46 % (16/35), radiology reports did not explicitly comment on the safety of use or recommend advancement of the NGT.</div></div><div><h3>Conclusion</h3><div>Radiographs consistently detected NGT misplacement. However, not all unsafe placements were optimised by clinical teams in line with existing guidance. Radiology reports were not always explicit in describing the safety of the NGT for feeding or drug administration. Future quality improvement projects should aim to improve compliance with existing NGT guidance, and standardise radiology reports. New initiatives, including the Radiographer Led Nasogastric Tube Position Check Pathway may improve the efficiency and safety of nasogastric tube insertion in critical care.</div></div><div><h3>Implications for practice</h3><div>Projectional radiography remains a sensitive screening method to detect NGT misplacement in the critically unwell. Compliance with established diagnostic criteria for confirmation of NGT position and standardised reporting are essential to avoid complications.</div></div>","PeriodicalId":47416,"journal":{"name":"Radiography","volume":"31 3","pages":"Article 102941"},"PeriodicalIF":2.5,"publicationDate":"2025-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143792206","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":"Devising a novel evaluation method for computed tomography images containing metal artifacts from titanium seed implants: Application to virtual monochromatic imaging energy optimization","authors":"S. Kitaguchi ,&nbsp;K. Imai ,&nbsp;N. Hashimoto ,&nbsp;K. Fujii ,&nbsp;C. Yamauchi-Kawaura ,&nbsp;T. Mizutani","doi":"10.1016/j.radi.2025.102944","DOIUrl":"10.1016/j.radi.2025.102944","url":null,"abstract":"<div><h3>Introduction</h3><div>Metal artifact reduction (MAR) technology cannot fully eliminate metal artifacts from metallic devices in computed tomography (CT) images. Hence, it is important to investigate the optimal acquisition parameters and post-processing techniques. This study aimed to devise a novel evaluation method for images containing metal artifacts from titanium seed implants and identify the optimal energy level for virtual monochromatic imaging (VMI) to reduce metal artifacts and enhance signal detectability.</div></div><div><h3>Methods</h3><div>Post-brachytherapy CT scans are a clinical example of the effects of metal artifacts. Therefore, we focused on the pelvic region, including the prostate, and created a phantom with simulated radioactive seeds that were inserted into the prostate region. We investigated the relationship between metal artifacts and monochromatic energy levels (35–200 keV at 5 keV intervals) using a dual-energy CT system with deep learning (DL) and MAR algorithms. Metal artifacts were investigated using the Gumbel evaluation method, which quantitatively evaluates artifacts, and contrast detectability was assessed using the contrast-to-noise ratio (CNR) and a newly devised contrast-to-artifact ratio (CAR).</div></div><div><h3>Results</h3><div>The location parameter, representing the physical index of metal artifacts, was the lowest at 65 keV. CNR and CAR achieved the highest signal detectability at 70 and 65 keV, respectively. VMI at 65 keV provided an optimal balance. When two images with similar CNR values were assessed using CAR, the resulting difference aligned consistently with the visual evaluation findings.</div></div><div><h3>Conclusions</h3><div>VMI at 65 keV with DL and MAR reconstructions is the optimal acquisition parameter for reducing metal artifacts and improving signal detectability. Additionally, CAR can be used to evaluate images affected by metal artifacts.</div></div><div><h3>Implications for practice</h3><div>CAR is useful for evaluating the effect of metal artifacts on signal detection.</div></div>","PeriodicalId":47416,"journal":{"name":"Radiography","volume":"31 3","pages":"Article 102944"},"PeriodicalIF":2.5,"publicationDate":"2025-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143785839","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":"Learning from Colombia: How Zimbabwe can improve access to transvaginal ultrasound","authors":"M.W. Waked Ali,&nbsp;A.M. Rendón-Garavito,&nbsp;G. Triana","doi":"10.1016/j.radi.2025.102937","DOIUrl":"10.1016/j.radi.2025.102937","url":null,"abstract":"","PeriodicalId":47416,"journal":{"name":"Radiography","volume":"31 3","pages":"Article 102937"},"PeriodicalIF":2.5,"publicationDate":"2025-04-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143776464","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":"Letter to the Editor response to: Learning from Colombia: How Zimbabwe can improve access to transvaginal ultrasound","authors":"B. Chinene,&nbsp;W. Matika,&nbsp;E.Y. Mushosho,&nbsp;L.C. Mutandiro","doi":"10.1016/j.radi.2025.102938","DOIUrl":"10.1016/j.radi.2025.102938","url":null,"abstract":"","PeriodicalId":47416,"journal":{"name":"Radiography","volume":"31 3","pages":"Article 102938"},"PeriodicalIF":2.5,"publicationDate":"2025-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143768555","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":"Radiography student perceptions of a simulated clinical placement to enhance clinical placement capacity: A descriptive qualitative study","authors":"K. Brewer,&nbsp;C. Hawker,&nbsp;N. Chambara","doi":"10.1016/j.radi.2025.102939","DOIUrl":"10.1016/j.radi.2025.102939","url":null,"abstract":"<div><h3>Introduction</h3><div>Post-pandemic workforce demands in Wales have resulted in an increase in radiography students, causing an imbalance between student numbers and clinical placement learning opportunities. Simulation-based education (SBE) has been effectively implemented in several healthcare professions to replace clinical placement hours and enhance learning equity. This study aimed to address the limited scope of literature surrounding this approach within diagnostic radiography education in Wales, by exploring student perceptions of a Simulated Clinical Placement (SCP) package in one university radiography degree programme, to establish its acceptability as a replacement of clinical hours.</div></div><div><h3>Methods</h3><div>A qualitative descriptive design was selected to explore the value and factors influencing student perceptions of SCP. A focus group of eight students was formed to collect data, which was audio recorded, transcribed, coded and thematically analysed.</div></div><div><h3>Results</h3><div>Four themes were identified; preconceptions and prior experiences, SCP provision, learning conducive to confidently meeting professional standards, and role in clinical placement capacity. Student preconceptions and prior experiences were initially negative but evolved into enjoyment throughout package delivery. SCP provision influenced learning experiences, with all students reporting SCP enhanced confidence and skills supporting them in meeting required professional registration expectations. Students further reported most learning still occurred in clinical departments, and this was preferable to the SCP.</div></div><div><h3>Conclusion</h3><div>Overall, despite the SCP package being supportive to clinical learning, it was deemed insufficient to replace clinical placement hours, and should be a supplement, not a substitute. Additionally, simulation packages should only be adopted for accommodating already increased student numbers, not as a means of increasing cohort size.</div></div><div><h3>Implications for practice</h3><div>Clinical placements and simulation activities will progressively cohabitate, however with limited research and guidance, further exploration is required to establish the extent of this relationship for capacity management.</div></div>","PeriodicalId":47416,"journal":{"name":"Radiography","volume":"31 3","pages":"Article 102939"},"PeriodicalIF":2.5,"publicationDate":"2025-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143768554","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":"Opportunities for leadership development in radiography, a scoping review","authors":"K. Mills ,&nbsp;B. Snaith ,&nbsp;A. Williams","doi":"10.1016/j.radi.2025.102935","DOIUrl":"10.1016/j.radi.2025.102935","url":null,"abstract":"<div><h3>Introduction</h3><div>The last decade has seen healthcare experience an exponential growth in terms of technological advancements and patients requiring diagnosis and treatment. Effective leadership is seen as being key in the transformation of services and improvements in patient outcomes. The aim of this scoping review was to identify and evaluate where leadership opportunities exist for the radiographic workforce and how these are supported, valued and actioned.</div></div><div><h3>Method</h3><div>A systematic search of relevant databases was undertaken. Inclusion criteria included literature from the last twenty years, both diagnostic and therapeutic radiographers, primary and secondary research as well as grey literature. Specific areas discussing leadership opportunities for radiographers were identified and arranged into relevant themes.</div></div><div><h3>Results</h3><div>Leadership development for radiographers has largely been aligned to clinical roles at the higher levels of practice, or around supporting and empowering students. Confusion between management and leadership is apparent as is the impact of leaders within radiography. Expectations around leadership capabilities are clear at advanced and consultant levels of practice but outside this remit, there has been minimal research undertaken that focuses on specific leadership development opportunities.</div></div><div><h3>Conclusion</h3><div>The literature outlines the potential for designated leadership development opportunities for radiographers. However, this is clearly limited to very specific areas of the workforce such as those practitioners working at an advanced and consultant level of practice. Current pressures on healthcare services to transform services and support innovative practice, suggest that the potential to develop the wider radiographer workforce through focused leadership development is explored and evaluated further.</div></div><div><h3>Implications for Practice</h3><div>Limited focal leadership development is evident within the radiography profession. This article seeks to inform future development opportunities for leadership development. Non-clinical leadership development requires further investigation.</div></div>","PeriodicalId":47416,"journal":{"name":"Radiography","volume":"31 3","pages":"Article 102935"},"PeriodicalIF":2.5,"publicationDate":"2025-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143768984","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":"Clinical learning experiences of medical imaging students in a resource-limited environment: A case study at the University for Development Studies, Ghana","authors":"E.N. Manson,&nbsp;A.N. Mumuni,&nbsp;A.R. Rafia,&nbsp;N.M. Abel,&nbsp;M. Yussif","doi":"10.1016/j.radi.2025.102942","DOIUrl":"10.1016/j.radi.2025.102942","url":null,"abstract":"<div><h3>Introduction</h3><div>Clinical learning is crucial in radiography education, but resource-limited settings may hinder students' skill development due to limited access to modern technologies, limited hands-on practice, insufficient mentorship, and overcrowded clinical environments. This study assessed the effectiveness of clinical learning for University for Development Studies (UDS) medical imaging students, to recommend specific interventions for improvement.</div></div><div><h3>Methods</h3><div>The study used a quantitative cross-sectional design employing a structured questionnaire to gather comprehensive data on the effectiveness of clinical learning based on the challenges students encounter at the Tamale Teaching Hospital in Northern Ghana. The data was collected between May and July 2024 and analyzed by descriptive statistics using IBM SPSS version 20.</div></div><div><h3>Results</h3><div>Out of 109 third- and fourth-year students who took part in the study, it was found that, despite facing challenges such as limited access to modern equipment and overcrowded clinical environments, the students were generally satisfied with their clinical learning experiences. They highlighted that direct observation and supervised hands-on practice played a crucial role in connecting theoretical knowledge with practical application.</div></div><div><h3>Conclusion</h3><div>Improving radiography training for UDS medical imaging students requires addressing equipment shortages, incorporating simulation-based learning, and fostering collaboration among stakeholders for a supportive learning environment.</div></div><div><h3>Implications for practice</h3><div>Simulation-based training appears to hold promise for the yawning gap in access to imaging equipment for resource-limited radiography training departments.</div></div>","PeriodicalId":47416,"journal":{"name":"Radiography","volume":"31 3","pages":"Article 102942"},"PeriodicalIF":2.5,"publicationDate":"2025-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143768552","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":"Corrigendum to “A qualitative exploration of sonographers’ views toward transvaginal ultrasound in Zimbabwe: A barriers and solutions approach” [Radiography 31 (2) (2025) 102883]","authors":"B. Chinene ,&nbsp;W. Matika ,&nbsp;E.Y. Mushosho ,&nbsp;L.C. Mutandiro","doi":"10.1016/j.radi.2025.102943","DOIUrl":"10.1016/j.radi.2025.102943","url":null,"abstract":"","PeriodicalId":47416,"journal":{"name":"Radiography","volume":"31 3","pages":"Article 102943"},"PeriodicalIF":2.5,"publicationDate":"2025-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143768985","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}