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Formal Outpatient Clinics in Interventional Radiology: An Essential Component of Modern Practice 介入放射学的正式门诊诊所:现代实践的重要组成部分。
IF 1.4 4区 医学 Q2 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2025-09-29 DOI: 10.1111/1754-9485.70028
Asare Augustine Amoafo, Diederick Willem De Boo, Matthew William Lukies

Interventional Radiology (IR) is a relatively young specialty that has experienced rapid development since Charles Dotter performed the first percutaneous transluminal angioplasty in 1964. Since then, IR has expanded to include a diverse array of minimally invasive image-guided procedures. It was the same Charles Dotter who early on recognized that the Interventional Radiologist must be involved in patient care as a true clinician, not just a skilled mechanic. However, outpatient and periprocedural clinical patient management by IR has remained underdeveloped when compared to the significant procedural advancements seen over the past four decades. We present local Australian health service data reinforcing the value of formal outpatient clinics in delivering adequate patient counselling, improving consent rates prior to the procedure day, and decreasing costly day-of-procedure cancellations and reschedulling.

介入放射学(IR)是一个相对年轻的专业,自1964年Charles Dotter首次进行经皮腔内血管成形术以来经历了快速发展。从那时起,红外已经扩展到包括各种微创图像引导程序。同样是查尔斯·波特,他很早就认识到介入放射科医生必须作为一个真正的临床医生参与病人的护理,而不仅仅是一个熟练的机械师。然而,与过去40年的重大进展相比,门诊和围手术期临床患者管理仍然不发达。我们提供了澳大利亚当地的卫生服务数据,加强了正规门诊诊所在提供充分的患者咨询、提高手术前的同意率和减少昂贵的手术当日取消和重新安排方面的价值。
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引用次数: 0
Gender-Based Outcomes in Grants, Prizes and Fellowship Success Rates in Clinical Radiology: A 14-Year Review of Outcomes in Australia and New Zealand 基于性别的临床放射学资助、奖励和奖学金成功率:澳大利亚和新西兰14年研究结果综述
IF 1.4 4区 医学 Q2 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2025-09-24 DOI: 10.1111/1754-9485.70019
Jack Edward Liu, Lisa Milner, Behnam Shaygi, Michael Stewart, Anousha Yazdabadi, Julian Maingard, Hong Kuan Kok, Numan Kutaiba, Christen D. Barras, Paul Maria Parizel, Hamed Asadi

Introduction

While gender disparities in the radiology workforce are well-documented, there has been no analysis of outcomes for competitive awards in Australia and New Zealand. As formal recognition is critical for career progression, this study aimed to investigate gender-based differences in application and success rates for grants, prizes and educational fellowships within the Australasian context.

Methods

We retrospectively reviewed applications for Royal Australian and New Zealand College of Radiologists' (RANZCR) Faculty of Clinical Radiology grants, prizes and educational fellowships from 2011 to 2024. Application and success rates were stratified by gender and compared to College membership demographics. Significance was assessed using Fisher's exact test.

Results

Across 333 total applications, 227 (68.2%) were from males and 106 (31.8%) from females, closely reflecting College membership gender ratios (69.2% male vs. 30.8% female). No significant gender disparity was found in the success rates for grants (40.3% for males vs. 35.0% for females, p = 0.58), prizes (8.8% vs. 11.1%, p = 0.08) or educational fellowships (36.7% vs. 32.1%, p = 0.32). Application rates for each award type also broadly reflected the gender composition of the College membership.

Conclusion

This study is the first to examine gender differences in clinical radiology grant, prize and educational fellowship outcomes in Australia and New Zealand. We found no significant disparities in success rates, and application rates generally mirrored College membership, suggesting the award process itself is equitable. However, the continued underrepresentation of women in radiology underscores the need to examine broader structural and sociocultural factors that may impact engagement with competitive academic opportunities.

导言:虽然在放射科工作人员中的性别差异有充分的记录,但在澳大利亚和新西兰,没有对竞争性奖项的结果进行分析。由于正式认可对职业发展至关重要,本研究旨在调查在澳大利亚范围内补助金、奖金和教育奖学金的申请和成功率方面的性别差异。方法:我们回顾性地回顾了2011年至2024年澳大利亚和新西兰皇家放射科医师学院(RANZCR)临床放射学资助、奖励和教育奖学金的申请。申请和成功率按性别分层,并与大学会员人口统计数据进行比较。采用Fisher精确检验评估显著性。结果:在333份申请中,227份(68.2%)来自男性,106份(31.8%)来自女性,密切反映了学院成员的性别比例(69.2%男性对30.8%女性)。在助学金(男性为40.3%,女性为35.0%,p = 0.58)、奖金(8.8%,女性为11.1%,p = 0.08)或教育奖学金(36.7%,女性为32.1%,p = 0.32)的成功率方面,没有发现显著的性别差异。每种奖项的申请比例也广泛反映了学院成员的性别构成。结论:本研究首次对澳大利亚和新西兰临床放射学资助、奖励和教育奖学金结果的性别差异进行了研究。我们发现在成功率上没有明显的差异,而且申请率基本上反映了学院成员资格,这表明奖励过程本身是公平的。然而,女性在放射学领域的持续代表性不足强调了研究更广泛的结构和社会文化因素的必要性,这些因素可能会影响她们参与竞争性的学术机会。
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引用次数: 0
Elderly Patients With Glioblastoma and Good Prognostic Factors May Achieve Equivalent Median Survival to Younger Patients When Managed With Standard Long-Course Rather Than Elderly Protocols 老年胶质母细胞瘤患者预后良好,如果采用标准的长期治疗方案而不是老年治疗方案,其中位生存期可能与年轻患者相当。
IF 1.4 4区 医学 Q2 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2025-09-19 DOI: 10.1111/1754-9485.70020
Anneka Parker, Patrick Horsley, Helen Wheeler, Venkatesha Venkatesha, Marina Kastelan, Brendan Liu, Michael Back

Introduction

Decision-making for adjuvant therapy regimen of elderly patients with glioblastoma may be based on age alone rather than prognostic factors. This study assesses treatment outcomes for elderly patients with good prognostic factors managed with the EORTC-NCIC Protocol.

Methods

Patients treated for glioblastoma with adjuvant chemoradiotherapy in accordance with the EORTC-NCIC (Stupp) Protocol between 2008 and 2021 were entered into a prospective database. Outcomes for patients aged < 65 were compared to those ≥ 65 years, divided into subgroups 65–70, 70–74 and > 75 years. Overall survival (OS) and progression-free survival (PFS) were the primary and secondary endpoints, respectively.

Results

The study included 437 patients, of whom 319 were aged < 65 and 118 were aged ≥ 65 years. Median OS was 19.2 months for patients aged < 65 years and 15.0 months for those aged ≥ 65 years (p = 0.006). Median PFS were 12.0 and 11.3 months, respectively (p = 0.119). For both age groups, performance status, extent of resection and MGMT methylation were significant predictors of overall survival. Age group was not a significant predictor of OS when these factors were accounted for (p = 0.237).

Conclusion

When stratified for performance status and MGMT methylation, elderly patients had similar outcomes compared with the younger cohort. This suggests that elderly patients who managed well following diagnosis and subsequent surgical procedure may be optimally treated with long-course standard rather than elderly protocols.

老年胶质母细胞瘤患者辅助治疗方案的决策可能仅基于年龄而非预后因素。本研究评估了采用EORTC-NCIC方案管理预后因素良好的老年患者的治疗结果。方法:将2008年至2021年间按照EORTC-NCIC (Stupp)协议接受辅助放化疗的胶质母细胞瘤患者纳入前瞻性数据库。75岁患者的结局。总生存期(OS)和无进展生存期(PFS)分别是主要和次要终点。结果:该研究纳入了437例患者,其中319例为老年患者。结论:当对表现状态和MGMT甲基化进行分层时,老年患者与年轻患者的结果相似。这表明,在诊断和随后的外科手术后处理良好的老年患者可能优选长期标准治疗方案,而不是老年方案。
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引用次数: 0
Navigating New Frontiers: Initial Auckland Experience of Seed Localisation Techniques for Breast Conserving Surgery 导航新领域:保乳手术种子定位技术的奥克兰初步经验。
IF 1.4 4区 医学 Q2 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2025-09-18 DOI: 10.1111/1754-9485.70024
Yousr Al-Sheibani, Andrew MacDonald, Kaye Wang

Introduction

Breast conserving surgery for non-palpable tumours requires imaging-guided localisation, historically achieved with hookwire localisation (HWL). HWL, however, has recognised shortcomings including the need for same-day surgery with associated radiology resource/logistical constraints, psychological impact of wire protrusion, and complications such as wire displacement or fracture. The introduction of novel non-wire surgical marker navigation (SMN) techniques offers promising benefits. This study evaluates the early implementation of SMN (Sirius Pintuition and Merit SAVISCOUT systems) in one radiology department in Auckland, New Zealand.

Methods

This is a retrospective cohort study evaluating surgical outcomes in patients with non-palpable tumours who underwent preoperative localisation between May 2023 and June 2024. Three groups were compared: two cohorts who underwent SMN in the form of Pintution (n = 36) and SAVISCOUT (n = 42) and one who underwent HWL (n = 35). Surgical outcomes assessed included histological margin status and rates of re-excision. Technical challenges and complications were recorded.

Results

There was no significant difference in surgical outcomes between HWL and SMN groups. The ‘surgery complete’ rate was 89% in the HWL group, 82% in the Pintuition group, and 97% in the SAVISCOUT group (p = 0.10). Technique failure occurred in five cases of SMN (6%) due to inadequate seed position and one case of HWL (3%) due to wire displacement.

Conclusion

SMN in the form of Pintuition and SAVISCOUT demonstrate comparable surgical outcomes to HWL, whilst also offering advantages in scheduling flexibility and resource utilisation. A small rate of technical failure highlights the operator learning curve and need for appropriate training.

简介:保乳手术对不可触及的肿瘤需要成像引导定位,历史上通过钩线定位(HWL)实现。然而,HWL已经认识到其缺点,包括需要当天手术,相关放射学资源/后勤限制,钢丝突出的心理影响,以及钢丝移位或骨折等并发症。引入新的无丝手术标记导航(SMN)技术提供了有希望的好处。本研究评估了SMN (Sirius Pintuition和Merit SAVISCOUT系统)在新西兰奥克兰的一个放射科的早期实施情况。方法:这是一项回顾性队列研究,评估2023年5月至2024年6月期间接受术前定位的非可触及肿瘤患者的手术结果。对三组进行比较:两组以ptution (n = 36)和SAVISCOUT (n = 42)的形式接受SMN,一组接受HWL (n = 35)。评估手术结果包括组织学边缘状态和再切除率。记录技术挑战和并发症。结果:HWL组与SMN组手术结果无显著差异。HWL组的“手术完成率”为89%,Pintuition组为82%,SAVISCOUT组为97% (p = 0.10)。5例SMN(6%)由于种子位置不合适导致技术失败,1例HWL(3%)由于钢丝移位导致技术失败。结论:Pintuition和SAVISCOUT形式的SMN表现出与HWL相当的手术效果,同时在调度灵活性和资源利用方面也具有优势。小的技术失败率凸显了操作员的学习曲线和对适当培训的需求。
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引用次数: 0
Quantifying Interfractional Motion in Patients With Anorectal Cancer During Radiotherapy and Recommendations of Optimal Planning Target Volume Margins 肛肠癌患者放射治疗过程中分数间运动的量化及最佳规划靶体积边界的建议。
IF 1.4 4区 医学 Q2 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2025-09-17 DOI: 10.1111/1754-9485.70022
Ye Jin Yoo, Youngmoon Goh, Hanyong Kim, Jin-hong Park

Introduction

This study aimed to assess pelvic organ motion and volume changes during long-course radiation therapy (LCRT) for anorectal cancer and propose an optimal planning target volume (PTV) margin.

Method

This retrospective study analysed 526 daily cone-beam computed tomography (CBCT) from 22 patients with anorectal cancer undergoing LCRT. Patients followed a bladder-filling protocol by drinking water before treatment. The bladder, rectum and mesorectum were delineated on planning CT and CBCTs. PTV margins were calculated using the van Herk formula, and margins to cover 95% interfractional motion were also evaluated.

Results

Bladder volume exhibited the higher variability (mean ± standard deviations, 271.3 ± 130.5 mL), compared to the mesorectum (111.3 ± 26.2 mL) and rectum (50.6 ± 15.6 mL). Mesorectum motion showed no significant correlation with bladder volume changes but was significantly associated with rectal volume (r = 0.566; p < 0.001 in the superior mesorectum). Anterior mesorectum motion was larger compared to other directions, particularly in the superior region, with systematic and random variations of 4.4 and 3.5 mm. Using the van Herk formula, PTV margins for the anterior mesorectum were 5.8, 4.9, and 3.3 mm for the superior, middle and inferior regions, respectively. Similarly, margins to cover 95% interfractional movement extended up to 6.7 mm in the superior–anterior region.

Conclusion

Bladder volume varied significantly during LCRT, while mesorectum motion was influenced by rectal volume changes. A 5-mm PTV margin was sufficient for the mid to lower mesorectum, with a larger 7-mm margin needed for the superior–anterior mesorectum. Incorporating 95% interfractional motion coverage further refined these margin recommendations.

简介:本研究旨在评估肛门直肠癌长期放射治疗(LCRT)期间盆腔器官运动和体积的变化,并提出最佳规划靶体积(PTV)范围。方法:回顾性分析22例行LCRT的肛肠直肠癌患者526次日常锥形束计算机断层扫描(CBCT)。患者在治疗前通过饮水进行膀胱填充。膀胱、直肠及肠系膜行计划CT及cbct勾画。使用van Herk公式计算PTV边缘,并评估覆盖95%分数间运动的边缘。结果:与直肠系膜(111.3±26.2 mL)和直肠(50.6±15.6 mL)相比,膀胱体积表现出更高的变异性(平均值±标准差,271.3±130.5 mL)。直肠系膜运动与膀胱体积变化无显著相关性,但与直肠体积有显著相关性(r = 0.566; p)结论:LCRT期间膀胱体积变化显著,而直肠系膜运动受直肠体积变化的影响。5毫米的PTV切缘对于中至下直肠系膜已经足够,对于前上直肠系膜则需要更大的7毫米切缘。纳入95%的分数间运动覆盖率进一步完善了这些边际建议。
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引用次数: 0
Adapting to the Future: Introducing the Radiation Oncology Alliance Adaptive Radiotherapy Working Group 适应未来:介绍放射肿瘤学联盟适应放射治疗工作组。
IF 1.4 4区 医学 Q2 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2025-09-16 DOI: 10.1111/1754-9485.70023
Meegan Shepherd, Kenton Thompson, Trent Aland, Jeremy Booth, Jeremiah de Leon, Cathy Hargrave, Michael G. Jameson, Sweet Ping Ng, Amy Yuen Meei Teh, Nigel Anderson

This paper details the current state of Online Adaptive Radiation Therapy (oART) in Australia and New Zealand (ANZ) and identifies the need for best practice guidelines for ANZ. This paper has been formulated by a working party formed as a branch of the Radiation Oncology Alliance (ROA), which is the peak group comprising the organisations that represent the four key professions in radiation oncology—the Royal Australian and New Zealand College of Radiologists (RANZCR), the Australasian College of Physical Scientists and Engineers in Medicine (ACPSEM), the Australian Society of Medical Imaging and Radiation Therapy (ASMIRT) and the Cancer Nurses Society of Australia (CNSA). The ROA Adaptive Radiation Therapy working party consists of membership from RANZCR, ACPSEM and ASMIRT.

本文详细介绍了澳大利亚和新西兰(ANZ)在线适应性放射治疗(oART)的现状,并确定了澳新银行(ANZ)最佳实践指南的必要性。本文由放射肿瘤学联盟(ROA)的一个分支组成的工作组制定,该联盟是由代表放射肿瘤学四个关键专业的组织组成的高峰小组-澳大利亚和新西兰皇家放射科医师学院(RANZCR),澳大利亚物理科学家和医学工程师学院(ACPSEM),澳大利亚医学成像和放射治疗学会(ASMIRT)和澳大利亚癌症护士协会(CNSA)。ROA适应性放射治疗工作组由来自RANZCR、ACPSEM和ASMIRT的成员组成。
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引用次数: 0
Editorial—A Response to Chronic External Research Underfunding: The Radiation Oncology Large Research Grant(s) 社论-对长期外部研究资金不足的回应:放射肿瘤学大型研究补助金。
IF 1.4 4区 医学 Q2 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2025-09-15 DOI: 10.1111/1754-9485.70021
Daniel E. Roos
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引用次数: 0
Correction to “Mepitel Film Versus StrataXRT in Managing Radiation Dermatitis in an Intra-Patient Controlled Clinical Trial of 80 Postmastectomy Patients” 对“80例乳房切除术后患者的患者内对照临床试验中Mepitel膜与StrataXRT治疗放射性皮炎”的更正。
IF 1.4 4区 医学 Q2 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2025-09-08 DOI: 10.1111/1754-9485.70017

P. Herst, M. van Schalkwyk, N. Baker, et al. “Mepitel Film Versus StrataXRT in Managing Radiation Dermatitis in an Intra-Patient Controlled Clinical Trial of 80 Postmastectomy Patients,” Journal of Medical Imaging and Radiation Oncology 69, no. 4 (2025): 440–446, https://doi.org/10.1111/1754-9485.13850.

Details of the Correction:

In the originally published version of this article, the article was incorrectly categorised as “Medical Imaging”. However, upon a recent review and reclassification of its primary content, the article type has been determined to align more accurately with “Radiation Oncology”.

We apologize for this error.

P. Herst, M. van Schalkwyk, N. Baker,等。“在80例乳腺切除术后患者的患者内部对照临床试验中,Mepitel膜与StrataXRT治疗放射性皮炎”,医学影像与放射肿瘤学杂志,第69期。4 (2025): 440-446, https://doi.org/10.1111/1754-9485.13850.Details的更正:在本文最初发布的版本中,该文章被错误地归类为“医学成像”。然而,根据最近对其主要内容的审查和重新分类,文章类型已确定更准确地与“放射肿瘤学”保持一致。我们为这个错误道歉。
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引用次数: 0
ChatGPT's Methodological Perspectives on Information Quality in Interventional Radiology ChatGPT介入放射学信息质量的方法学视角。
IF 1.4 4区 医学 Q2 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2025-08-30 DOI: 10.1111/1754-9485.70018
Deniz Esin Tekcan Sanli, Ahmet Necati Sanli
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引用次数: 0
Management of Glioblastoma in Elderly Patients in a Single Australian Centre 澳大利亚单一中心老年患者胶质母细胞瘤的管理。
IF 1.4 4区 医学 Q2 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2025-08-27 DOI: 10.1111/1754-9485.70010
Kimberley Budgen, Danica Cossio, Danny R. Youlden, Nathan Dunn, Suzanne Poulgrain, Katharine Cuff, Margaret McGrath, Andrew Pullar, Matthew C. Foote, Rumal Jayalath, Julie Moore, Mark B. Pinkham

Introduction

Glioblastoma management in elderly patients is challenging. The aim of this study was to review oncological treatment strategies at a single institution from 2011 to 2020.

Methods

Patients aged ≥ 70 years who received radiotherapy and/or chemotherapy for radiological or histological glioblastoma were identified from a centralised database. Patients receiving supportive care only were excluded, whether or not they had surgery at diagnosis. Clinicopathologic data and treatment modalities were collected. Median survival from diagnosis was calculated by the Kaplan–Meier method.

Results

Seventy-eight people were identified during the study period, median age 74.5 years (range 70–88). Seventy-five people had surgery (24 biopsy only, and 51 resection) and three people had radiological diagnosis only. The most common first-line treatment was concurrent chemoradiation (33/78, 42%). Only 18/33 (55%) went on to receive adjuvant temozolomide, median of five cycles (interquartile range [IQR] 2–6). The most common radiotherapy dose was 40 Gy in 15 fractions (52/73, 71%) and 60 Gy in 30 fractions was less frequently prescribed over time. Second-line therapy for recurrent or progressive disease was received in 23% overall, and varied in modality. Median survival was 7.0 months (IQR 4.4–12.5), and 6.4% (CI 4.3%–9.1%) at 2 years.

Conclusion

Survival is poor for elderly patients with glioblastoma despite treatment. Concurrent chemoradiation was the most common treatment strategy, and 40 Gy in 15 fractions was the most common radiotherapy schedule. A small proportion of people received treatment for recurrent disease, and modality varied greatly.

老年胶质母细胞瘤患者的治疗具有挑战性。本研究的目的是回顾2011年至2020年在单一机构的肿瘤治疗策略。方法:年龄≥70岁接受放射学或组织学胶质母细胞瘤放疗和/或化疗的患者从集中数据库中确定。仅接受支持性治疗的患者被排除在外,无论他们在诊断时是否进行了手术。收集临床病理资料及治疗方法。诊断后的中位生存期采用Kaplan-Meier法计算。结果:78人在研究期间被确定,中位年龄74.5岁(范围70-88)。75人接受了手术(24人只做了活检,51人只做了切除),3人只做了放射诊断。最常见的一线治疗是同步放化疗(33/ 78,42 %)。只有18/33(55%)继续接受替莫唑胺辅助治疗,5个周期的中位数(四分位数范围[IQR] 2-6)。最常见的放疗剂量为15次40 Gy(52/ 73,71%), 30次60 Gy的剂量随着时间的推移越来越少。总有23%的患者接受了复发或进展性疾病的二线治疗,并且治疗方式各不相同。中位生存期为7.0个月(IQR 4.4-12.5), 2年为6.4% (CI 4.3%-9.1%)。结论:老年胶质母细胞瘤患者虽经治疗,但生存率较差。同步放化疗是最常见的治疗策略,最常见的放疗方案是15次40 Gy。一小部分人接受复发性疾病的治疗,治疗方式差异很大。
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引用次数: 0
期刊
Journal of Medical Imaging and Radiation Oncology
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