Angela Udongwo MPH, Jariatu Kamara BA, Candrice R. Heath MD, Alex Kleinmann, Alex Sandberg BS, Gary Cohen MD, Hillel S. Maresky MD
{"title":"放射成像中的黑人发型：试点研究","authors":"Angela Udongwo MPH, Jariatu Kamara BA, Candrice R. Heath MD, Alex Kleinmann, Alex Sandberg BS, Gary Cohen MD, Hillel S. Maresky MD","doi":"10.1016/j.jnma.2024.07.099","DOIUrl":null,"url":null,"abstract":"<div><h3>Background</h3><p>Hairstyles common in Black communities, braids, twists, locs present as artifacts, posing unique diagnostic challenges in interpreting radiological imaging, though limited research has been conducted on the current climate of their interpretation.</p></div><div><h3>Purpose</h3><p>Present a review of hairstyles as hair artifacts in literature and investigate the comfortability and familiarity of physicians and radiology technicians in assessing braids, twists, and locs as hair artifacts on radiological imaging.</p></div><div><h3>Methods</h3><p>Cross-sectional study was conducted in an academic hospital using an online platform to assess the experiences and awareness of hairstyles on imaging. Responses were collected between April 2023 through August 2023 and included demographic information, career length, how often they came across hair artifacts in imaging, comfort and familiarity with Black hairstyles as artifact, and a quiz to distinguish pathology from hair artifact on chest x-ray images.</p></div><div><h3>Results</h3><p>46 participants from Temple Radiology (41.3%), Temple Emergency Medicine (21.7%), Temple Jeanes Campus (26.1%), and St. Lukes Bethlehem Radiology Group (2.2%), with the Radiologist cohort of an average experience of 9.40 years (SD=12.41), Emergency Medicine cohort 7.11 years (SD=7.08), and the Intern cohort had 0.5 years (SD=0.71). Career length (Row Factor: [9.8]; p < 0.0001) and patient load (Row Factor: [3.1], p = 0.029; p < 0.05) significantly affected self-reported scores, with longer careers and larger loads associated with higher score of comfort and familiarity among study participants.</p></div><div><h3>Conclusions</h3><p>Longer career lengths and a higher number of patients per day improved awareness of how Black hairstyles presents in medical imaging. This study highlighted a radiological phenomenon lacking in medical literature and provided valuable insights into the impact of experience on physicians' ability to identify and interpret radiological images affected by styles that can mimic pathology. An emphasis is put on the need for education earlier in training.</p></div>","PeriodicalId":17369,"journal":{"name":"Journal of the National Medical Association","volume":"116 4","pages":"Page 455"},"PeriodicalIF":2.5000,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Black Hairstyles in Radiological Imaging: A Pilot Study\",\"authors\":\"Angela Udongwo MPH, Jariatu Kamara BA, Candrice R. Heath MD, Alex Kleinmann, Alex Sandberg BS, Gary Cohen MD, Hillel S. Maresky MD\",\"doi\":\"10.1016/j.jnma.2024.07.099\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Background</h3><p>Hairstyles common in Black communities, braids, twists, locs present as artifacts, posing unique diagnostic challenges in interpreting radiological imaging, though limited research has been conducted on the current climate of their interpretation.</p></div><div><h3>Purpose</h3><p>Present a review of hairstyles as hair artifacts in literature and investigate the comfortability and familiarity of physicians and radiology technicians in assessing braids, twists, and locs as hair artifacts on radiological imaging.</p></div><div><h3>Methods</h3><p>Cross-sectional study was conducted in an academic hospital using an online platform to assess the experiences and awareness of hairstyles on imaging. Responses were collected between April 2023 through August 2023 and included demographic information, career length, how often they came across hair artifacts in imaging, comfort and familiarity with Black hairstyles as artifact, and a quiz to distinguish pathology from hair artifact on chest x-ray images.</p></div><div><h3>Results</h3><p>46 participants from Temple Radiology (41.3%), Temple Emergency Medicine (21.7%), Temple Jeanes Campus (26.1%), and St. Lukes Bethlehem Radiology Group (2.2%), with the Radiologist cohort of an average experience of 9.40 years (SD=12.41), Emergency Medicine cohort 7.11 years (SD=7.08), and the Intern cohort had 0.5 years (SD=0.71). Career length (Row Factor: [9.8]; p < 0.0001) and patient load (Row Factor: [3.1], p = 0.029; p < 0.05) significantly affected self-reported scores, with longer careers and larger loads associated with higher score of comfort and familiarity among study participants.</p></div><div><h3>Conclusions</h3><p>Longer career lengths and a higher number of patients per day improved awareness of how Black hairstyles presents in medical imaging. This study highlighted a radiological phenomenon lacking in medical literature and provided valuable insights into the impact of experience on physicians' ability to identify and interpret radiological images affected by styles that can mimic pathology. An emphasis is put on the need for education earlier in training.</p></div>\",\"PeriodicalId\":17369,\"journal\":{\"name\":\"Journal of the National Medical Association\",\"volume\":\"116 4\",\"pages\":\"Page 455\"},\"PeriodicalIF\":2.5000,\"publicationDate\":\"2024-08-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of the National Medical Association\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S0027968424001809\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"MEDICINE, GENERAL & INTERNAL\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of the National Medical Association","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0027968424001809","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"MEDICINE, GENERAL & INTERNAL","Score":null,"Total":0}
Black Hairstyles in Radiological Imaging: A Pilot Study
Background
Hairstyles common in Black communities, braids, twists, locs present as artifacts, posing unique diagnostic challenges in interpreting radiological imaging, though limited research has been conducted on the current climate of their interpretation.
Purpose
Present a review of hairstyles as hair artifacts in literature and investigate the comfortability and familiarity of physicians and radiology technicians in assessing braids, twists, and locs as hair artifacts on radiological imaging.
Methods
Cross-sectional study was conducted in an academic hospital using an online platform to assess the experiences and awareness of hairstyles on imaging. Responses were collected between April 2023 through August 2023 and included demographic information, career length, how often they came across hair artifacts in imaging, comfort and familiarity with Black hairstyles as artifact, and a quiz to distinguish pathology from hair artifact on chest x-ray images.
Results
46 participants from Temple Radiology (41.3%), Temple Emergency Medicine (21.7%), Temple Jeanes Campus (26.1%), and St. Lukes Bethlehem Radiology Group (2.2%), with the Radiologist cohort of an average experience of 9.40 years (SD=12.41), Emergency Medicine cohort 7.11 years (SD=7.08), and the Intern cohort had 0.5 years (SD=0.71). Career length (Row Factor: [9.8]; p < 0.0001) and patient load (Row Factor: [3.1], p = 0.029; p < 0.05) significantly affected self-reported scores, with longer careers and larger loads associated with higher score of comfort and familiarity among study participants.
Conclusions
Longer career lengths and a higher number of patients per day improved awareness of how Black hairstyles presents in medical imaging. This study highlighted a radiological phenomenon lacking in medical literature and provided valuable insights into the impact of experience on physicians' ability to identify and interpret radiological images affected by styles that can mimic pathology. An emphasis is put on the need for education earlier in training.
期刊介绍：
Journal of the National Medical Association, the official journal of the National Medical Association, is a peer-reviewed publication whose purpose is to address medical care disparities of persons of African descent.
The Journal of the National Medical Association is focused on specialized clinical research activities related to the health problems of African Americans and other minority groups. Special emphasis is placed on the application of medical science to improve the healthcare of underserved populations both in the United States and abroad. The Journal has the following objectives: (1) to expand the base of original peer-reviewed literature and the quality of that research on the topic of minority health; (2) to provide greater dissemination of this research; (3) to offer appropriate and timely recognition of the significant contributions of physicians who serve these populations; and (4) to promote engagement by member and non-member physicians in the overall goals and objectives of the National Medical Association.
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