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Using a new artificial intelligence-aided method to assess body composition CT segmentation in colorectal cancer patients. 使用新的人工智能辅助方法评估结直肠癌患者的身体成分 CT 分割。
IF 2.1 Q3 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2024-05-22 DOI: 10.1002/jmrs.798
Ke Cao, Josephine Yeung, Yasser Arafat, Jing Qiao, Richard Gartrell, Mobin Master, Justin M C Yeung, Paul N Baird

Introduction: This study aimed to evaluate the accuracy of our own artificial intelligence (AI)-generated model to assess automated segmentation and quantification of body composition-derived computed tomography (CT) slices from the lumber (L3) region in colorectal cancer (CRC) patients.

Methods: A total of 541 axial CT slices at the L3 vertebra were retrospectively collected from 319 patients with CRC diagnosed during 2012-2019 at a single Australian tertiary institution, Western Health in Melbourne. A two-dimensional U-Net convolutional network was trained on 338 slices to segment muscle, visceral adipose tissue (VAT) and subcutaneous adipose tissue (SAT). Manual reading of these same slices of muscle, VAT and SAT was created to serve as ground truth data. The Dice similarity coefficient was used to assess the U-Net-based segmentation performance on both a validation dataset (68 slices) and a test dataset (203 slices). The measurement of cross-sectional area and Hounsfield unit (HU) density of muscle, VAT and SAT were compared between two methods.

Results: The segmentation for muscle, VAT and SAT demonstrated excellent performance for both the validation (Dice similarity coefficients >0.98, respectively) and test (Dice similarity coefficients >0.97, respectively) datasets. There was a strong positive correlation between manual and AI segmentation measurements of body composition for both datasets (Spearman's correlation coefficients: 0.944-0.999, P < 0.001).

Conclusions: Compared to the gold standard, this fully automated segmentation system exhibited a high accuracy for assessing segmentation and quantification of abdominal muscle and adipose tissues of CT slices at the L3 in CRC patients.

简介本研究旨在评估我们自己的人工智能(AI)生成模型的准确性,以评估对结直肠癌(CRC)患者腰椎(L3)区域的人体成分计算机断层扫描(CT)切片进行自动分割和量化的情况:澳大利亚一家三级医疗机构--墨尔本西区医疗中心(Western Health)在2012-2019年期间从319名确诊为CRC的患者中回顾性收集了L3椎体处的541张轴向CT切片。在 338 张切片上训练了一个二维 U-Net 卷积网络,以分割肌肉、内脏脂肪组织 (VAT) 和皮下脂肪组织 (SAT)。对这些相同的肌肉、内脏脂肪组织和皮下脂肪组织切片进行了人工读取,作为基本真实数据。在验证数据集(68 张切片)和测试数据集(203 张切片)上使用 Dice 相似性系数评估基于 U-Net 的分割性能。比较了两种方法对肌肉、VAT 和 SAT 横截面面积和 Hounsfield 单位(HU)密度的测量结果:在验证数据集(Dice相似度系数分别大于0.98)和测试数据集(Dice相似度系数分别大于0.97)中,对肌肉、增值血管和SAT的分割都表现出色。在两个数据集上,人工和人工智能对身体成分的分割测量结果之间存在很强的正相关性(斯皮尔曼相关系数:0.944-0.999):0.944-0.999, P 结论):与金标准相比,该全自动分割系统在评估 CRC 患者 L3 CT 切片中腹部肌肉和脂肪组织的分割和量化方面具有很高的准确性。
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引用次数: 0
Continuing Professional Development - Medical Imaging 专业进修 - 医学影像。
IF 2.1 Q3 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2024-05-12 DOI: 10.1002/jmrs.795

Maximise your CPD by reading the following selected article and answer the five questions. Please remember to self-claim your CPD and retain your supporting evidence. Answers will be available via the QR code and published in JMRS – Volume 71, Issue 4 December 2024.

Scan this QR code to find the answers.

阅读以下精选文章并回答五个问题,最大限度地提高您的持续专业发展能力。请记住,请自行申请 CPD 并保留您的支持证据。答案将通过二维码提供,并于 2024 年 12 月在 JMRS - 第 71 卷第 4 期上发布。
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引用次数: 0
ePortfolios: Enhancing confidence in student radiographers' communication of radiographic anatomy and pathology. A cross-sectional study 电子作品集:增强放射技师学生对放射解剖学和病理学交流的信心。一项横断面研究。
IF 1.8 Q3 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2024-05-07 DOI: 10.1002/jmrs.787
Magdalena Dolic BRadMedImag (Hons), Yaxuan Peng BRadMedImag (Hons), Keshav Dhingra BRadMedImag (Hons), Kristal Lee BRadMedImag (Hons), John McInerney HDipHPE. GCHPE, PGCertIV Leadership and Management, PGCert CT Imaging, PGDip IV cannulation, BSc(Rad) Hons

Introduction

In 2020, the Medical Radiation Practice Board of Australia made several revisions to its professional capabilities. To address this, medical radiation practitioners, including diagnostic radiographers, are required to escalate urgent findings in all radiographic settings. However, the confidence of radiographers in articulating descriptions of radiographic findings varies despite this requirement. This cross-sectional study explores how the implementation of eportfolio affects student self-perceived confidence in identifying and describing radiographic findings in both an academic and a clinical setting.

Methods

A Qualtrics survey was distributed to second-year radiography students who had used eportfolios. The survey comprised of four questions using a Likert-scale and one open-ended question. Quantitative data were analysed using the Wilcoxon signed-rank test and qualitative data was thematically assessed.

Results

Overall, 55 of 65 radiographic students (85%) completed the survey. Confidence (strongly agree and agree) decreased from 89% to 74% between academic and clinical environments when identifying abnormalities, and 89% to 73% when describing findings. This finding highlights the challenges students face when in the clinical environment. Wilcoxon signed rank test analysed a statistically significant relation between the two environments (P < 0.05). However, the relationship between identifying and describing skills was not statistically significant (P > 0.05). Following a review of the qualitative data, three recurring themes were identified among responses.

Conclusion

ePortfolios assist in improving confidence in identification and description of radiographic abnormalities, particularly in an academic setting. The clinical environment presents unique challenges which may limit student clinical performance; however, this requires further investigation.

导言:2020 年,澳大利亚医疗放射执业委员会对其专业能力进行了多项修订。为此,包括放射诊断技师在内的医疗放射从业人员必须上报所有放射环境中的紧急发现。然而,尽管有这一要求,放射技师在描述放射检查结果时的信心却各不相同。本横断面研究探讨了电子档案的实施如何影响学生在学术和临床环境中识别和描述放射检查结果的自我认知信心:向使用过电子作品集的二年级放射学学生发放了一份Qualtrics调查问卷。调查包括四个李克特量表问题和一个开放式问题。定量数据采用 Wilcoxon 符号秩检验进行分析,定性数据采用主题评估:总体而言,65 名放射专业学生中有 55 人(85%)完成了调查。在学术和临床环境中,识别异常时的信心(非常同意和同意)从89%降至74%,描述发现时的信心从89%降至73%。这一发现凸显了学生在临床环境中面临的挑战。Wilcoxon 符号秩检验分析了两种环境之间的统计学关系(P 0.05)。结论:电子作品集有助于提高学生识别和描述放射学异常的信心,尤其是在学术环境中。临床环境带来了独特的挑战,可能会限制学生的临床表现;不过,这还需要进一步研究。
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引用次数: 0
The importance of quality management systems in nuclear medicine departments 核医学部门质量管理系统的重要性。
IF 2.1 Q3 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2024-04-20 DOI: 10.1002/jmrs.793
Kunthi Pathmaraj MSc (Radiation Physics), BSc Applied Science (Medical Radiations), Grad Dip Computer Science

Quality management systems (QMS) in nuclear medicine is an essential component of the Quality program and is instrumental in the safe delivery of a high standard clinical service. The IAEA QUANUM program is a nuclear medicine specific audit program that can be used to assess the standards of a nuclear medicine department and its service delivery. Regular internal and external audits are encouraged as part of the QMS.

核医学质量管理体系(QMS)是质量计划的重要组成部分,对于安全提供高标准的临床服务至关重要。IAEA QUANUM 计划是一项专门针对核医学的审核计划,可用于评估核医学科的标准及其服务提供情况。作为质量管理系统的一部分,我们鼓励定期进行内部和外部审核。
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引用次数: 0
Cut-off value for a normal posterior tibial nerve to diagnose tarsal tunnel syndrome amongst people of different race in Pretoria, South Africa 南非比勒陀利亚不同种族人群中诊断跗骨隧道综合征的胫后神经正常临界值。
IF 1.8 Q3 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2024-04-20 DOI: 10.1002/jmrs.792
Natasha Roos B Tech (Radiography), Tintswalo Brenda Mahlaola M Tech (Radiography), Lynne Hazell PhD (Health Sciences)

Introduction

Posterior tibial nerve (PTN) cross-sectional area (CSA) reference values for the diagnosis of tarsal tunnel syndrome (TTS) using ultrasound imaging exist in several countries but not in South Africa (SA). Therefore, the objective was to measure the CSA reference values for PTN in SA.

Methods

Ultrasound CSA measurements of PTN in both ankles on 112 participants were performed, the mean measurement was recorded, and the effect of race, age, gender, and body mass index (BMI) were recorded.

Results

In this study, the primary variables age and BMI affect the CSA measurement of the PTN. A positive correlation was found between PTN asymptomatic size and age (r = 0.196, P < 0.05), size and BMI (r = 0.200, P < 0.05). Age (categories) had a mean value of 3.17 for the age group 36–45 years (95% confidence interval (CI) 2.9–3.4). The mean BMI was 30.0 kg/m2 (CI 28.57–31.08). As for the asymptomatic PTN, a mean CSA reference value of 0.10 cm2 was obtained.

Conclusion

With increase in age and BMI, a greater PTN measurement will occur. Race appears to be a contributing factor, but further research is needed in this regard. The reference CSA value for normal PTN should be set at 0.10 cm2 for all racial groups for a basic musculoskeletal ultrasound exam protocol in South Africa.

简介一些国家有利用超声成像诊断跗骨隧道综合症(TTS)的胫骨后神经(PTN)横截面积(CSA)参考值,但南非(SA)没有。方法对 112 名参与者的双脚踝 PTN 进行超声 CSA 测量,记录平均测量值,并记录种族、年龄、性别和体重指数 (BMI) 的影响。PTN 无症状大小与年龄(r = 0.196,P < 0.05)、大小与体重指数(r = 0.200,P < 0.05)之间呈正相关。36-45 岁年龄组的年龄(类别)平均值为 3.17(95% 置信区间(CI)为 2.9-3.4)。体重指数的平均值为 30.0 kg/m2 (CI 28.57-31.08)。无症状 PTN 的平均 CSA 参考值为 0.10 平方厘米。种族似乎是一个影响因素,但在这方面还需要进一步研究。南非的基本肌肉骨骼超声检查方案应将所有种族群体正常 PTN 的 CSA 参考值定为 0.10 平方厘米。
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引用次数: 0
Artificial Intelligence and the future of radiotherapy planning: The Australian radiation therapists prepare to be ready 人工智能与放射治疗规划的未来:澳大利亚放射治疗师做好准备。
IF 2.1 Q3 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2024-04-20 DOI: 10.1002/jmrs.791
Vanessa Panettieri PhD, Giovanna Gagliardi PhD

The use of artificial intelligence (AI) solutions is rapidly changing the way radiation therapy tasks, traditionally relying on human skills, are approached by enabling fast automation. This evolution represents a paradigm shift in all aspects of the profession, particularly for treatment planning applications, opening up opportunities but also causing concerns for the future of the multidisciplinary team. In Australia, radiation therapists (RTs), largely responsible for both treatment planning and delivery, are discussing the impact of the introduction of AI and the potential developments in the future of their role. As medical physicists, who are part of the multidisciplinary team, in this editorial we reflect on the considerations of RTs, and on the implications of this transition to AI.

人工智能(AI)解决方案的使用正在迅速改变传统上依赖人类技能的放射治疗任务的方式,实现快速自动化。这种演变代表着该行业各个方面的范式转变,尤其是在治疗计划应用方面,既带来了机遇,也引发了对多学科团队未来的担忧。在澳大利亚,主要负责治疗规划和实施的放射治疗师(RTs)正在讨论引入人工智能的影响以及他们未来角色的潜在发展。作为多学科团队中的医学物理学家,我们在这篇社论中反思了放射治疗师的考虑因素,以及向人工智能过渡的影响。
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引用次数: 0
Eliciting the views of left breast cancer patients' receiving deep inspiration breath hold radiation therapy to inform the design of multimedia education and improve patient-centred care for prospective patients 征求接受深吸气屏息放射治疗的左侧乳腺癌患者的意见,为多媒体教育的设计提供参考,并改善未来患者的以患者为中心的护理。
IF 1.8 Q3 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2024-04-16 DOI: 10.1002/jmrs.790
Kathleene Dower BApSc (MRS), MHSM, Georgia K.B. Halkett PhD, FASMIRT, BMedRad(Hons), GAICD, Haryana Dhillon BSc MA (Psych), PhD, Diana Naehrig Dr.Med., FMH RadOnc, MSc CoachPsych, PhD, Moira O'Connor BA (Hons), MSc, PhD

Introduction

The currently accepted best practice radiation treatment for left breast cancer patients is Deep Inspiration Breath Hold (DIBH) where patients hold a deep breath to reduce late cardiac and pulmonary effects from treatment. DIBH can be challenging and induce or exacerbate anxiety in patients due to the perceived pressure to reduce radiation treatment side effects. This study explored the experiences of patients treated with Deep Inspiration Breath Hold Radiation Therapy (DIBH-RT) to improve patient-centred care and inform the design of multimedia educational tools for future patients undergoing DIBH.

Methods

This descriptive qualitative study was underpinned by a social constructivist approach to create new educational and patient care approaches based on previous patients' experiences. Semi-structured interviews were conducted with patients who had completed DIBH-RT for breast cancer. Data was analysed with reflexive thematical analysis.

Results

Twenty-two patients were interviewed with five key themes identified: (1) informational needs, (2) care needs, (3) autonomy, (4) DIBH performance influencers and (5) other centredness. Recommendations were derived from these themes to improve future treatments of DIBH patients. These recommendations revolved around improvements to education, patient-centred care and strategies to improve self-efficacy with breath holding.

Conclusion

Patients offer a wealth of knowledge regarding their lived experiences with treatment which can enhance future patients' experiences if incorporated into their education and care. Eliciting patients' views of their DIBH-RT treatment highlighted the need to improve patient self-efficacy with DIBH through familiarity with their planned treatment from new multimedia education, and foster patient care to enhance their experience.

引言 目前公认的左侧乳腺癌患者最佳放射治疗方法是深吸气屏气(DIBH),即患者屏住深呼吸,以减少治疗后期对心脏和肺部的影响。深吸气憋气可能具有挑战性,由于患者感受到减少放疗副作用的压力,因此会诱发或加剧患者的焦虑。本研究探讨了接受深吸气憋气放射治疗(DIBH-RT)的患者的经历,以改善以患者为中心的护理,并为今后接受深吸气憋气放射治疗的患者设计多媒体教育工具提供信息。方法这项描述性定性研究以社会建构主义方法为基础,根据以往患者的经历创造新的教育和患者护理方法。研究人员对已完成 DIBH-RT 的乳腺癌患者进行了半结构化访谈。结果22名患者接受了访谈,确定了五个关键主题:(1) 信息需求、(2) 护理需求、(3) 自主性、(4) DIBH 效果影响因素和 (5) 其他中心性。根据这些主题提出了一些建议,以改善未来对 DIBH 患者的治疗。这些建议主要围绕改进教育、以患者为中心的护理以及提高屏气自我效能的策略。通过了解患者对DIBH-RT治疗的看法,我们发现有必要通过新的多媒体教育来提高患者对DIBH治疗的自我效能感,并加强患者护理以改善他们的体验。
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引用次数: 0
Sponsor Acknowledgement 赞助商致谢
IF 2.1 Q3 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2024-04-07 DOI: 10.1002/jmrs.765
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引用次数: 0
Poster Abstracts 海报摘要
IF 2.1 Q3 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2024-04-07 DOI: 10.1002/jmrs.767
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引用次数: 0
Oral Abstracts 口头摘要
IF 2.1 Q3 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2024-04-07 DOI: 10.1002/jmrs.766
{"title":"Oral Abstracts","authors":"","doi":"10.1002/jmrs.766","DOIUrl":"https://doi.org/10.1002/jmrs.766","url":null,"abstract":"","PeriodicalId":16382,"journal":{"name":"Journal of Medical Radiation Sciences","volume":"71 S1","pages":"3-99"},"PeriodicalIF":2.1,"publicationDate":"2024-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/jmrs.766","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140537641","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}
引用次数: 0
期刊
Journal of Medical Radiation Sciences
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