An Exploration of Australian Radiographers' Perceptions of and Experiences With Imaging Autistic People.

Introduction: Autistic individuals referred for medical imaging examinations may face barriers without appropriate adjustments. Strengthening the relationship between patients and the healthcare system is crucial, as positive patient experiences can improve adherence and future engagement with healthcare services. This study explored Australian radiographers' experiences and perceptions of imaging autistic patients. Terminology preferences among autistic individuals vary across countries, communities and individuals. This paper adopts identity-first language, 'autistic person' or 'autistic patient', aligned with recommendations from Australian organisations and medical imaging researchers.

Methods: Semi-structured online interviews were conducted via Zoom with 10 diagnostic radiographers. Anonymised transcripts were analysed using reflexive thematic analysis to identify patterns of meaning across participants' experiences.

Results: All radiographers (n = 10) reported experience performing medical imaging procedures for autistic patients. Four themes were identified: (1) Educational resources and recommendations, (2) Organisational factors affecting radiographic practice, (3) Patient and carer factors affecting radiographic practice, and (4) Key strategies that facilitate positive patient care.

Conclusion: Although radiographers lacked formal training specific to caring for autistic individuals, they attributed positive patient experiences to their patient-centred approach, existing knowledge, communication skills, teamwork, and personal attitudes. Radiographers expressed interest in targeted training and remain committed to high-quality patient care. Improving the accessibility of radiology departments through collaboration with autism organisations and the broader community is essential to support better imaging experiences for all patients. Future research should prioritise the perspectives of autistic individuals and their families to comprehensively understand their medical imaging experiences and identify the range of meaningful, patient-defined indicators of quality care.