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Caffeine effect on myocardial perfusion scintigraphy 咖啡因对心肌灌注闪烁成像的影响
IF 1.3 Q3 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2025-01-01 DOI: 10.1016/j.jmir.2024.101434
Jia Wen Chong , Tony F. Lai , Joseph C. Lee
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引用次数: 0
How medical radiation technologists can foster equity, diversity, and inclusion through artificial intelligence in radiology 医疗放射技术人员如何通过放射学中的人工智能促进公平、多样性和包容性。
IF 1.3 Q3 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2025-01-01 DOI: 10.1016/j.jmir.2024.101436
Yousif Al-Naser
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引用次数: 0
Message from the Editor 编辑的话
IF 1.3 Q3 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2025-01-01 DOI: 10.1016/j.jmir.2024.101820
Amanda Bolderston EdD, MSc, MRT(T), FCAMRT
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引用次数: 0
Editorial Board/Masthead
IF 1.3 Q3 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2025-01-01 DOI: 10.1016/S1939-8654(24)00570-8
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引用次数: 0
Message de la rédactrice en chef 主编致辞
IF 1.3 Q3 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2025-01-01 DOI: 10.1016/j.jmir.2024.101829
Amanda Bolderston EdD, MSc, MRT(T), FCAMRT
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引用次数: 0
A systematic review and meta-analysis of radiation exposure in spinal surgeries: Comparing C-Arm, CT navigation, and O-Arm techniques 脊柱手术中辐射暴露的系统回顾和荟萃分析:比较c臂、CT导航和o臂技术。
IF 1.3 Q3 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2024-12-31 DOI: 10.1016/j.jmir.2024.101831
Kamran Shirbache , Melika Heidarzadeh , Reihane Qahremani , Amin Karami , Shaghayegh Karami , Elham Madreseh , Julio J. Jauregui , Ebrahim Najafzadeh , Ali Kazemi , Mohammad Hossein Nabian
<div><h3>Introduction</h3><div>Advanced imaging techniques, such as C-arm fluoroscopy, O-arm, and CT navigation, are integral to achieving precision in orthopedic surgeries. However, these technologies also expose patients, surgeons, and operating room staff to varying levels of radiation. This systematic review and meta-analysis evaluate the radiation exposure (RE) associated with these imaging modalities and their impact on surgical outcomes.</div></div><div><h3>Methods</h3><div>A comprehensive literature search was conducted following PRISMA guidelines, resulting in 2,725 identified articles. After removing duplicates and screening for eligibility, 24 studies were included in the analysis. Radiation exposure data, measured in milliSieverts (mSv) and milliGray (mGy), were standardized using conversion formulas. Quality assessments were performed using the Newcastle-Ottawa Scale (NOS) and ROB2 tools. Statistical analysis was conducted using random-effects models for comparing radiation exposure and fixed-effects models for secondary outcomes.</div></div><div><h3>Results</h3><div>The meta-analysis included 11 studies: 8 studies comparing C-arm and CT navigation, and 3 studies comparing C-arm and O-arm technologies. The analysis revealed that CT navigation is associated with significantly higher RE compared to C-arm (Standardized Mean Difference (SMD): 4.73, 95% Confidence Interval (CI): 2.44 to 7.03; p < 0.0001). In contrast, there was no significant difference in RE between O-arm and C-arm (SMD: 1.34, 95% CI: -0.17 to 2.85; p = 0.082). Secondary analyses showed no significant differences in surgery duration or hospitalization length between CT navigation and C-arm techniques.</div></div><div><h3>Discussion</h3><div>The results of this meta-analysis underscore the trade-offs between radiation exposure and surgical precision. While CT navigation significantly increases RE compared to C-arm fluoroscopy, it offers superior accuracy, particularly in critical precision surgeries such as spinal interventions. The lack of significant difference in RE between O-arm and C-arm technologies suggests that O-arm may provide a balanced approach, offering enhanced accuracy with radiation levels similar to C-arm. However, the significant heterogeneity among studies and inconsistent reporting of secondary outcomes indicate the need for further research. Future studies should focus on refining imaging techniques to optimize the balance between radiation safety and surgical accuracy.</div></div><div><h3>Conclusion</h3><div>C-arm imaging generally results in lower radiation exposure compared to CT navigation, making it preferable for standard procedures where extreme precision is not as critical. However, CT navigation's superior accuracy justifies its use in precision surgeries despite the higher radiation exposure. O-arm technology, with its comparable RE to C-arm and enhanced accuracy, represents a beneficial option where available. Ongoing research should aim
先进的成像技术,如c臂透视,o臂,和CT导航,是不可或缺的,以实现精度在骨科手术。然而,这些技术也使病人、外科医生和手术室工作人员暴露在不同程度的辐射下。本系统综述和荟萃分析评估了与这些成像方式相关的辐射暴露(RE)及其对手术结果的影响。方法:根据PRISMA指南进行全面的文献检索,得到2725篇确定的文章。在去除重复项和筛选合格性后,24项研究被纳入分析。辐射暴露数据以毫西弗(mSv)和毫雷(mGy)计量,使用换算公式进行标准化。使用纽卡斯尔-渥太华量表(NOS)和ROB2工具进行质量评估。统计分析采用随机效应模型比较辐射暴露和固定效应模型的次要结果。结果:meta分析包括11项研究:8项研究比较c臂和CT导航技术,3项研究比较c臂和o臂技术。分析显示,与c臂相比,CT导航与更高的RE相关(标准化平均差(SMD): 4.73, 95%可信区间(CI): 2.44 ~ 7.03;P < 0.0001)。相比之下,o型组和c型组的RE无显著差异(SMD: 1.34, 95% CI: -0.17 ~ 2.85;P = 0.082)。二次分析显示,CT导航和c臂技术在手术时间和住院时间上没有显著差异。讨论:本荟萃分析的结果强调了辐射暴露与手术精度之间的权衡。虽然与c臂透视相比,CT导航显着提高了RE,但它提供了更高的准确性,特别是在关键的精密手术中,如脊柱介入手术。o型臂技术和c型臂技术在RE方面没有显著差异,这表明o型臂技术可能提供了一种平衡的方法,在辐射水平与c型臂相似的情况下提供了更高的准确性。然而,研究之间的显著异质性和次要结果的不一致报告表明需要进一步研究。未来的研究应侧重于改进成像技术,以优化辐射安全和手术准确性之间的平衡。结论:与CT导航相比,c臂成像通常导致更低的辐射暴露,使其更适合于对极端精度不那么重要的标准程序。然而,CT导航优越的精度证明了它在精确手术中的应用,尽管辐射暴露较高。o型臂技术具有与c型臂相当的RE和更高的精度,在可用的情况下是一种有益的选择。正在进行的研究应旨在优化成像技术,平衡辐射安全和手术精度的需求。
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引用次数: 0
Automatic segmentation of cardiac structures can change the way we evaluate dose limits for radiotherapy in the left breast 心脏结构的自动分割可以改变我们评估左乳房放射治疗剂量限制的方式。
IF 1.3 Q3 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2024-12-30 DOI: 10.1016/j.jmir.2024.101844
Murilo Guimarães Borges , Joyce Gruenwaldt , Danilo Matheus Barsanelli , Karina Emy Ishikawa , Silvia Radwanski Stuart

Purpose

Radiotherapy is a crucial part of breast cancer treatment. Precision in dose assessment is essential to minimize side effects. Traditionally, anatomical structures are delineated manually, a time-consuming process subject to variability. automatic segmentation, including methods based on multiple atlases and deep learning, offers a promising alternative. For the radiotherapy treatment of the left breast, the RTOG 1005 protocol highlights the importance of cardiac delineation and the need to minimize cardiac exposure to radiation. Our study aims to evaluate dose distribution in auto-segmented substructures and establish models to correlate them with dose in the cardiac area.

Methods and materials

Anatomical structures were auto-segmented using TotalSegmentator and Limbus AI. The relationship between the volume of the cardiac area and of organs at risk was assessed using log-linear regressions.

Results

The mean dose distribution was considerable for LAD (left anterior descending coronary artery), heart, and left ventricle. The volumetric distribution of organs at risk is evaluated for specific RTOG 1005 isodoses. We highlight the greater variability in the absolute volumetric evaluation. Log-linear regression models are presented to estimate dose constraint parameters. We highlight a greater number of highly correlated comparisons for absolute dose-volume assessment.

Conclusions

Dose-volume assessment protocols in patients with left breast cancer often neglect cardiac substructures. However, automatic tools can overcome these technical difficulties. In this study, we correlated the dose in the cardiac area with the doses in specific substructures and suggested limits for planning evaluation. Our data also indicates that statistical models could be applied in the assessment of those substructures where an automatic segmentation tool is not available. Our data also shows a benefit in reporting absolute dose-volume thresholds for future cause-effect assessments.
目的:放疗是乳腺癌治疗的重要组成部分。精确的剂量评估对于减少副作用至关重要。传统上,解剖结构是手工描绘的,这是一个耗时的过程,受可变性的影响。自动分割,包括基于多个地图集和深度学习的方法,提供了一个很有前途的选择。对于左乳房的放射治疗,RTOG 1005方案强调了心脏划定的重要性以及将心脏暴露于辐射的必要性。我们的研究旨在评估自分割亚结构中的剂量分布,并建立与心脏区域剂量相关的模型。方法和材料:采用TotalSegmentator和Limbus AI对解剖结构进行自动分割。使用对数线性回归评估心脏面积和危险器官的体积之间的关系。结果:LAD(左冠状动脉前降支)、心脏和左心室的平均剂量分布相当可观。根据特定RTOG 1005等剂量评估危险器官的体积分布。我们强调了绝对体积评估中更大的可变性。提出了对数线性回归模型来估计剂量约束参数。我们强调了绝对剂量-体积评估中大量高度相关的比较。结论:左乳腺癌患者的剂量-体积评估方案经常忽视心脏亚结构。然而,自动化工具可以克服这些技术上的困难。在这项研究中,我们将心脏区域的剂量与特定亚结构的剂量联系起来,并提出了规划评估的限制。我们的数据还表明,统计模型可以应用于评估那些子结构,其中自动分割工具是不可用的。我们的数据还显示,报告绝对剂量-体积阈值对未来的因果评估有好处。
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引用次数: 0
Long term effects of gamma radiation on inflammatory and apoptotic biomarkers in nuclear medicine staff γ辐射对核医学工作人员炎症和凋亡生物标志物的长期影响。
IF 1.3 Q3 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2024-12-26 DOI: 10.1016/j.jmir.2024.101832
Mahdiyeh Mirnam Niha, Mehdi Salehi Barough, Elham Saniei, Nooshin Banaee

Background

Gamma radiation at low doses might have potential health effects in long-term exposure. The current study was aimed to search cell death pathway and inflammatory biomarkers in nuclear medicine workers with long-term exposure to gamma radiation.

Material and Methods

Fifty cases with a history of 10 years’ exposure to gamma radiation and 30 normal individuals were included in the current study. Blood samples were collected and then analyzed for gene expression of apoptotic markers, pro-inflammatory factor TNF-a, and antioxidant enzymes using Real Time PCR (RT-PCR) in both groups. Protein expressions were examined by Western blot and trace elements were analyzed using atomic absorption spectrometry.

Result

In exposed group, the expression of pro-apoptotic markers (CASP 8, CASP 3, Casp 9, and BAX genes), the pro-inflammatory factor TNF and antioxidant enzymes such as SOD, CAT, and GPX was increased in comparison with control group (P < 0.05). However, Bcl2 expression was decreased in exposed group. In addition, there was a significant and inverse correlation between serum levels of zinc and selenium in the exposed subjects compared to the control group (P < 0.05).

Conclusion

Our results revealed the potential role of low and chronic doses of gamma radiation in triggering apoptosis and inflammatory responses. However, more studies are needed to consolidate our findings.
背景:低剂量的伽马辐射在长期照射下可能对健康产生潜在影响。目前的研究旨在寻找长期暴露于伽马辐射的核医学工作者的细胞死亡途径和炎症生物标志物。材料与方法:选取50例10年伽玛辐射暴露史患者和30例正常人作为研究对象。采集两组小鼠血液样本,采用实时荧光定量PCR (Real Time PCR, RT-PCR)检测细胞凋亡标志物、促炎因子TNF-a和抗氧化酶的基因表达。Western blot法检测蛋白表达,原子吸收光谱法分析微量元素。结果:暴露组促凋亡标志物(casp8、casp3、casp9、BAX基因)、促炎因子TNF、SOD、CAT、GPX等抗氧化酶表达均较对照组升高(P < 0.05)。暴露组Bcl2表达降低。此外,与对照组相比,暴露组血清锌和硒水平呈显著负相关(P < 0.05)。结论:我们的研究结果揭示了低剂量和慢性剂量γ辐射在触发细胞凋亡和炎症反应中的潜在作用。然而,需要更多的研究来巩固我们的发现。
{"title":"Long term effects of gamma radiation on inflammatory and apoptotic biomarkers in nuclear medicine staff","authors":"Mahdiyeh Mirnam Niha,&nbsp;Mehdi Salehi Barough,&nbsp;Elham Saniei,&nbsp;Nooshin Banaee","doi":"10.1016/j.jmir.2024.101832","DOIUrl":"10.1016/j.jmir.2024.101832","url":null,"abstract":"<div><h3>Background</h3><div>Gamma radiation at low doses might have potential health effects in long-term exposure. The current study was aimed to search cell death pathway and inflammatory biomarkers in nuclear medicine workers with long-term exposure to gamma radiation.</div></div><div><h3>Material and Methods</h3><div>Fifty cases with a history of 10 years’ exposure to gamma radiation and 30 normal individuals were included in the current study. Blood samples were collected and then analyzed for gene expression of apoptotic markers, pro-inflammatory factor TNF-a, and antioxidant enzymes using Real Time PCR (RT-PCR) in both groups. Protein expressions were examined by Western blot and trace elements were analyzed using atomic absorption spectrometry.</div></div><div><h3>Result</h3><div>In exposed group, the expression of pro-apoptotic markers (CASP 8, CASP 3, Casp 9, and BAX genes), the pro-inflammatory factor TNF and antioxidant enzymes such as SOD, CAT, and GPX was increased in comparison with control group (<em>P</em> &lt; 0.05). However, Bcl2 expression was decreased in exposed group. In addition, there was a significant and inverse correlation between serum levels of zinc and selenium in the exposed subjects compared to the control group (<em>P</em> &lt; 0.05).</div></div><div><h3>Conclusion</h3><div>Our results revealed the potential role of low and chronic doses of gamma radiation in triggering apoptosis and inflammatory responses. However, more studies are needed to consolidate our findings.</div></div>","PeriodicalId":46420,"journal":{"name":"Journal of Medical Imaging and Radiation Sciences","volume":"56 2","pages":"Article 101832"},"PeriodicalIF":1.3,"publicationDate":"2024-12-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142901474","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}
引用次数: 0
Radiographers’ knowledge, clinical expertise and application of pain management strategies in the radiology department – results from a qualitative focus group 放射技师的知识,临床专业知识和应用疼痛管理策略在放射科-结果从定性焦点小组。
IF 1.3 Q3 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2024-12-24 DOI: 10.1016/j.jmir.2024.101833
Róisín O’ Regan , Mohammad Rawashdeh , Mark F. McEntee , Niamh Moore , Ben Treanor , Magdi Ali , Andrew England

Background

Radiographers are frequently involved in imaging patients in pain thus requiring a heightened awareness and focus on this crucial issue.

Purpose

To explore the challenges radiographers encounter when imaging patients in pain and to identify strategies that could be implemented to improve overall patient-centered care.

METHODS

A qualitative research study with a single focus group (FG) was conducted using six radiographers working within Irish hospitals. The research questions focused on pain management challenges in the radiology department, particularly identifying radiographers' current practices and strategies to address these challenges. The FG was moderated and video-recorded to facilitate comprehensive analysis. The audio obtained from the FG was transcribed and then analyzed thematically.

Results

Data from the FG identified four main themes: 1) consequences of pain management, 2) communication, 3) professional experience, and 4) barriers. In addition, the study highlighted the absence of current protocols, policies, and guidelines in practice for the effective management of challenges associated with imaging patients in pain within the radiology department.

Conclusion

The primary challenges identified include the stress experienced by both staff and patients, the potential for obtaining suboptimal images, concerns regarding patient safety, and adverse effects on image quality. This study elucidates the manner in which patient discomfort adversely impacts the imaging process and delineates the potential implications for radiographers aiming to achieve optimal image quality. At present, there are no established policies or procedures within the radiology department to direct the imaging of patients in pain.
背景:放射技师经常参与对疼痛患者进行成像,因此需要提高对这一关键问题的认识和关注。目的:探讨放射技师在对疼痛患者进行成像时遇到的挑战,并确定可以实施的策略,以改善整体以患者为中心的护理。方法:采用单一焦点组(FG)进行定性研究,使用六位在爱尔兰医院工作的放射技师。研究问题集中在放射科的疼痛管理挑战,特别是确定放射医师当前的做法和应对这些挑战的策略。为了便于全面分析,FG经过了剪辑和录像。对从FG中获得的音频进行转录,然后进行主题分析。结果:来自FG的数据确定了四个主要主题:1)疼痛管理的后果,2)沟通,3)专业经验,4)障碍。此外,该研究强调了在实践中缺乏有效管理放射科疼痛患者影像学挑战的现行协议、政策和指南。结论:确定的主要挑战包括工作人员和患者所经历的压力,获得次优图像的可能性,对患者安全的担忧以及对图像质量的不利影响。本研究阐明了患者不适对成像过程产生不利影响的方式,并描述了旨在实现最佳图像质量的放射技师的潜在影响。目前,放射科没有既定的政策或程序来指导疼痛患者的影像学检查。
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引用次数: 0
Artificial intelligence education in medical imaging: A scoping review 医学影像中的人工智能教育:范围综述。
IF 1.3 Q3 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2024-12-22 DOI: 10.1016/j.jmir.2024.101798
Su Jean Loi , Wenhui Ng , Christopher Lai, Eric Chern-Pin Chua

Background

The rise of Artificial intelligence (AI) is reshaping healthcare, particularly in medical imaging. In this emerging field, clinical imaging personnel need proper training. However, formal AI education is lacking in medical curricula, coupled with a shortage of studies synthesising the availability of AI curricula tailored for clinical imaging personnel. This study therefore addresses the question “what are the current AI training programs or curricula for clinical imaging personnel?”

Methods

This review follows Arksey & O'Malley's framework and the PRISMA Extension for Scoping Reviews checklist. Six electronic databases were searched between June and September 2023 and the screening process comprised two stages. Data extraction was performed using a standardised charting form. Data was summarised in table format and thematically.

Results

Twenty-two studies were included in this review. The goals of the curriculum include enhancing AI knowledge through the delivery of educational content and encouraging practical application and skills development in AI. The learning objectives comprise technical proficiency and model development, foundational knowledge and understanding, literature review and information utilisation, and practical application and problem-solving skills. Course content spanned nine areas, from fundamentals of AI to imaging informatics. Most curricula adopted an online mode of delivery, and the program duration varied significantly. All programs utilised didactic presentations, with several incorporating additional teaching methods and activities to fulfil curriculum goals. The target audiences and participants primarily involved radiology residents, while the creators and instructors comprised a multidisciplinary team of radiology and AI personnel. Various tools and resources were utilised, encompassing online courses and cloud-based notebooks. The curricula were well-received by participants, and time constraint emerged as a major challenge.

Conclusion

This scoping review provides an overview of the AI educational programs from existing literature to guide future developments in AI educational curricula. Future education efforts should prioritise evidence-based curriculum design, expand training offerings to radiographers, increase content offerings in imaging informatics, and effectively utilise different teaching strategies and training tools and resources in the curriculum.
背景:人工智能(AI)的兴起正在重塑医疗保健,尤其是医学成像领域。在这一新兴领域,临床成像人员需要适当的培训。然而,医学课程中缺乏正式的人工智能教育,同时也缺乏综合为临床成像人员量身定制的人工智能课程的研究。因此,这项研究解决了“目前临床成像人员的人工智能培训计划或课程是什么?”方法:本综述遵循Arksey & O'Malley的框架和PRISMA扩展范围综述清单。在2023年6月至9月期间检索了6个电子数据库,筛选过程分为两个阶段。使用标准化图表形式进行数据提取。数据以表格形式按主题汇总。结果:本综述纳入了22项研究。该课程的目标包括通过提供教育内容来增强人工智能知识,并鼓励人工智能的实际应用和技能发展。学习目标包括技术熟练程度和模型开发,基础知识和理解,文献综述和信息利用,以及实际应用和解决问题的技能。课程内容涵盖9个领域,从人工智能基础到成像信息学。大多数课程采用在线交付模式,课程持续时间差异很大。所有的课程都采用说教式的演讲,其中一些结合了额外的教学方法和活动来实现课程目标。目标受众和参与者主要是放射科住院医师,而创作者和讲师则由放射科和人工智能人员组成的多学科团队。使用了各种工具和资源,包括在线课程和基于云的笔记本。课程受到参与者的好评,时间限制成为一个主要挑战。结论:这篇范围综述从现有文献中概述了人工智能教育计划,以指导人工智能教育课程的未来发展。未来的教育工作应该优先考虑基于证据的课程设计,扩大对放射技师的培训,增加成像信息学的内容,并有效地利用课程中的不同教学策略和培训工具和资源。
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引用次数: 0
期刊
Journal of Medical Imaging and Radiation Sciences
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