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Beyond the Machine: A Radiographer's Tale 超越机器:放射技师的故事
IF 1.3 Q3 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2024-10-30 DOI: 10.1016/j.jmir.2024.101771
Shayne Chau
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引用次数: 0
Innovative Learning Activities to Prepare Radiography Students for Final-Year Clinical Placements: An Educational Perspective 创新学习活动,为放射摄影专业学生的毕业年级临床实习做好准备:教育视角
IF 1.3 Q3 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2024-10-30 DOI: 10.1016/j.jmir.2024.101784
Yobelli Alexandra Jimenez, Laura Di Michele, Susan Said, Peter Kench, Frances Gray

Introduction/Background

The aim of this educational perspective is to describe a program of learning activities developed to prepare radiography students for final year clinical placements. Authors’ reflections are integrated with student feedback to discuss the educational value and feasibility of implementing the activities presented.

Methods

A program of six components was developed: (1) Simulation-based learning, (2) clinical supervision, (3) tutorials and workshops, (4) medical imaging facility learning tours (5) lecture series and (6) journal club. Student volunteers provided anonymous and voluntary feedback on each activity's engagement, effectiveness, promotion of interaction and collaboration, role in future placement or professional role, and the perceived value to their learning needs.

Results

Activities with clear links to practice were rated highest by students, including clinical supervision, 2-day simulation program, CT tutorials and interprofessional simulation. All students reported that half of all activities (6/12, 50%) were either very valuable or valuable, with only a minority of students indicating three activities to not be valuable to their learning needs.

Discussion

Student feedback highlighted activities considered to support skill development, stemming from active learning opportunities. Overall characteristics considered to support students’ clinical skill development were interprofessional teaching team, mixture of activities including simulation, and collaboration with clinical and industry partners.

Conclusion

Based on student feedback and academics’ perceptions of suitability of activities for preparing students for final year clinical placement, faculty have shifted their focus towards dedicated resources to support scale-up and sustainability pertaining to integration into curriculum. The goal is to embed these activities into the core curriculum, offering students consistent, up-to-date learning, while expanding preparatory activities with diverse, specialised clinical scenarios to better prepare them for practice.
导言/背景本教育视角旨在描述一项学习活动计划,该计划旨在帮助放射学专业学生为最后一年的临床实习做好准备。作者的反思与学生的反馈相结合,讨论了所介绍活动的教育价值和实施的可行性。方法该计划由六个部分组成:(1) 模拟学习;(2) 临床督导;(3) 辅导和研讨会;(4) 医学影像设施学习之旅;(5) 系列讲座;(6) 期刊俱乐部。学生志愿者就每项活动的参与度、有效性、促进互动与合作、在未来实习或专业角色中的作用以及对其学习需求的感知价值提供了匿名和自愿的反馈。所有学生都表示,所有活动中有一半(6/12,50%)非常有价值或有价值,只有少数学生表示有三项活动对他们的学习需求没有价值。结论根据学生的反馈和学术界对活动是否适合为学生最后一年的临床实习做准备的看法,教师们已将重点转移到专用资源上,以支持与课程整合有关的扩展和可持续性。我们的目标是将这些活动纳入核心课程,为学生提供连贯的、最新的学习内容,同时通过多样化、专业化的临床情景来扩展准备活动,从而为实习做好更好的准备。
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引用次数: 0
Enhancing radiation therapy student's cultural competency and safety of Canadian Indigenous populations using cultural immersion 利用文化浸入式教学提高放射治疗专业学生的文化能力和加拿大土著居民的安全。
IF 1.3 Q3 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2024-10-23 DOI: 10.1016/j.jmir.2024.101723
T. Lundstrom , K. Osmar , K. Fitzpatrick , S. Fawcett , A. Bolderston , R. Lightning , H. McKennitt

Introduction

Indigenous peoples in Canada have a higher cancer burden and shorter life expectancy compared to the non-Indigenous population. Canada's colonial legacy has resulted in many Indigenous people experiencing high mistrust in healthcare providers which can result in healthcare avoidance, such as delays seeking preventative care as well as lower screening rates. This may be compounded by language barriers as well as a lack of culturally safe care in healthcare settings. Cultural competency and safety education, which can include cultural immersion methods, has been widely prioritized and implemented in health care and academic institutions. This manuscript reports the results of a pilot cultural immersion experience in an Indigenous community (Maskwacîs, Treaty 6 Territory) for University of Alberta Radiation Therapy Department radiation therapy students and clinical faculty.

Methods

This project used the Etuaptmumk or Two-Eyed Seeing approach as the research framework to tie Western methodologies with Indigenous knowledge. The cultural immersion day included a sweat lodge ceremony, a traditional lunch and a sharing circle. Following the event, two focus groups were conducted to gather participants’ perspectives. The discussions were transcribed and the data was analysed thematically.

Results

Seven senior radiation therapy students and five faculty members participated in the cultural immersion day. The majority of the feedback from the day was positive. The four main themes that emerged from the focus groups were; (1) enhanced cultural safety, (2) improved peer to peer and peer to educator relationships, (3) responsibility to social accountability, advocacy, and personal growth, and (4) facilitation of a bridge between Western and Indigenous views.

Conclusion

Support for Indigenous patients with cancer and caregivers is essential to improve care in the radiation therapy department. As this pilot project was a success, the cultural immersion day is now a component of the cultural competency and safety training for radiation therapy students at the University of Alberta. However, more opportunities are needed for staff to consistently facilitate and foster culturally safe care for Indigenous patients undergoing radiation therapy.
导言:与非土著居民相比,加拿大土著居民的癌症负担较重,预期寿命较短。加拿大的殖民遗产导致许多原住民对医疗服务提供者高度不信任,这可能会导致原住民逃避医疗服务,如推迟寻求预防性治疗和降低筛查率。语言障碍以及医疗机构缺乏文化安全护理可能会加剧这种情况。文化能力和安全教育(可包括文化浸入式方法)已在医疗保健和学术机构中得到广泛重视和实施。本手稿报告了阿尔伯塔大学放射治疗系放射治疗专业学生和临床教师在土著社区(第六条约领地马斯克瓦奇斯)进行文化浸入式体验试点的结果:该项目采用 Etuaptmumk 或两眼观察法作为研究框架,将西方方法与土著知识相结合。文化浸入日活动包括汗屋仪式、传统午餐和分享会。活动结束后,进行了两次焦点小组讨论,以收集参与者的观点。对讨论内容进行了转录,并对数据进行了主题分析:七名放射治疗专业的高年级学生和五名教师参加了文化浸入日活动。当天的大多数反馈都是积极的。焦点小组得出的四个主题是:(1) 加强文化安全,(2) 改善同伴之间和同伴与教育者之间的关系,(3) 对社会责任、宣传和个人成长的责任,以及 (4) 促进西方观点和土著观点之间的沟通:结论:为原住民癌症患者和护理人员提供支持对于改善放射治疗部门的护理工作至关重要。由于该试点项目取得了成功,文化沉浸日现已成为阿尔伯塔大学放射治疗专业学生文化能力和安全培训的一部分。然而,我们还需要更多的机会,让工作人员始终如一地为接受放射治疗的原住民患者提供便利和促进文化安全护理。
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引用次数: 0
Current Radiology workforce perspective on the integration of artificial intelligence in clinical practice: A systematic review 当前放射科工作人员对人工智能融入临床实践的看法:系统综述。
IF 1.3 Q3 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2024-10-21 DOI: 10.1016/j.jmir.2024.101769
Samuel Arkoh , Theophilus N. Akudjedu , Cletus Amedu , William K. Antwi , Wiam Elshami , Benard Ohene-Botwe

Introduction

Artificial Intelligence (AI) represents the application of computer systems to tasks traditionally performed by humans. The medical imaging profession has experienced a transformative shift through the integration of AI. While there have been several independent primary studies describing various aspects of AI, the current review employs a systematic approach towards describing the perspectives of radiologists and radiographers about the integration of AI in clinical practice. This review provides a holistic view from a professional standpoint towards understanding how the broad spectrum of AI tools are perceived as a unit in medical imaging practice.

Methods

The study utilised a systematic review approach to collect data from quantitative, qualitative, and mixed-methods studies. Inclusion criteria encompassed articles concentrating on the viewpoints of either radiographers or radiologists regarding the incorporation of AI in medical imaging practice. A stepwise approach was employed in the systematic search across various databases. The included studies underwent quality assessment using the Quality Assessment Tool for Studies with Diverse Designs (QATSSD) checklist. A parallel-result convergent synthesis approach was employed to independently synthesise qualitative and quantitative evidence and to integrate the findings during the discussion phase.

Results

Forty-one articles were included, all of which employed a cross-sectional study design. The main findings were themed around considerations and perspectives relating to AI education, impact on image quality and radiation dose, ethical and medico-legal implications for the use of AI, patient considerations and their perceived significance of AI for their care, and factors that influence development, implementation and job security. Despite varying emphasis, these themes collectively provide a global perspective on AI in medical imaging practice.

Conclusion

While expertise levels are varied and different, both radiographers and radiologists were generally optimistic about incorporation of AI in medical imaging practice. However, low levels of AI education and knowledge remain a critical barrier. Furthermore, equipment errors, cost, data security and operational difficulties, ethical constraints, job displacement concerns and insufficient implementation efforts are integration challenges that should merit the attention of stakeholders.
导言:人工智能(AI)是将计算机系统应用于传统上由人类完成的任务。通过整合人工智能,医学影像专业经历了一场变革。虽然已经有一些独立的初步研究描述了人工智能的各个方面,但目前的综述采用了一种系统的方法来描述放射科医师和放射技师对将人工智能融入临床实践的看法。本综述从专业角度提供了一个整体视角,以了解人们如何将广泛的人工智能工具视为医学影像实践中的一个单元:本研究采用系统综述的方法,从定量、定性和混合方法的研究中收集数据。纳入标准包括集中于放射技师或放射科医生关于将人工智能纳入医学影像实践的观点的文章。在对各种数据库进行系统检索时采用了逐步检索法。采用多样化设计研究质量评估工具(QATSSD)核对表对纳入的研究进行了质量评估。在讨论阶段,采用平行结果聚合综合法对定性和定量证据进行独立综合,并对结果进行整合:结果:共收录了 41 篇文章,所有文章都采用了横断面研究设计。主要研究结果围绕人工智能教育的考虑因素和观点、对图像质量和辐射剂量的影响、使用人工智能的伦理和医学法律影响、患者的考虑因素和他们认为人工智能对其护理的意义,以及影响开发、实施和工作保障的因素等主题展开。尽管侧重点不同,但这些主题共同为医学影像实践中的人工智能提供了一个全球视角:尽管专业水平各不相同,但放射技师和放射科医生普遍对将人工智能应用于医学影像实践持乐观态度。然而,人工智能教育和知识水平低仍然是一个关键障碍。此外,设备错误、成本、数据安全和操作困难、道德限制、工作调动问题和实施力度不足等都是值得相关方关注的整合挑战。
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引用次数: 0
For the busy clinical-imaging professional in an AI world: Gaining intuition about deep learning without math 为人工智能世界中繁忙的临床成像专业人士而设:不用数学就能获得深度学习的直觉。
IF 1.3 Q3 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2024-10-21 DOI: 10.1016/j.jmir.2024.101762
Dolly Y. Wu , Dat T. Vo , Stephen J. Seiler
Medical diagnostics comprise recognizing patterns in images, tissue slides, and symptoms. Deep learning algorithms (DLs) are well suited to such tasks, but they are black boxes in various ways. To explain DL Computer-Aided Diagnostic (CAD) results and their accuracy to patients, to manage or drive the direction of future medical DLs, to make better decisions with CAD, etc., clinical professionals may benefit from hands-on, under-the-hood lessons about medical DL. For those who already have some high-level knowledge about DL, the next step is to gain a more-fundamental understanding of DLs, which may help illuminate inside the boxes. The objectives of this Continuing Medical Education (CME) article include:
  • Gain an intuitive understanding of DL
  • Learn example DL architectures for pattern recognition
  • Explore optimization of DLs and some factors that affect their accuracy using non-clinical images as input data
  • Gain insights from simulations to probe DL behavior and options to optimize DLs
  • Review lessons learned from the simulations
Better understanding can come from relatable medical analogies and personally experiencing quick simulations to observe deep learning in action, akin to the way clinicians are trained to perform other tasks. We developed readily-implementable demonstrations and simulation exercises. We framed the exercises using analogies to breast cancer, malignancy and cancer stage as example diagnostic applications. The simulations revealed a nuanced relationship between DL output accuracy and the quantity and nature of the data. The simulation results provided lessons-learned and implications for the clinical world. Although we focused on DLs for diagnosis, they are similar to DLs for treatment (e.g. radiotherapy) so that treatment providers may also benefit from this tutorial.
医学诊断包括识别图像、组织切片和症状中的模式。深度学习算法(DL)非常适合此类任务,但它们在各方面都是黑盒子。为了向患者解释 DL 计算机辅助诊断(CAD)结果及其准确性,管理或推动未来医学 DL 的发展方向,利用 CAD 做出更好的决策等,临床专业人员可能会受益于有关医学 DL 的实践和底层课程。对于那些已经掌握了一些高级 DL 知识的人来说,下一步就是要对 DL 有一个更基础的了解,这可能会有助于照亮方框内部。这篇继续医学教育(CME)文章的目的包括:通过与医学相关的类比和亲身体验快速模拟,观察深度学习的实际操作,就像临床医生接受其他任务的培训一样,可以更好地理解深度学习。我们开发了易于实施的演示和模拟练习。我们将乳腺癌、恶性肿瘤和癌症分期作为诊断应用的示例,并以此作为练习的框架。模拟揭示了 DL 输出准确性与数据数量和性质之间的微妙关系。模拟结果为临床提供了经验教训和启示。虽然我们的重点是用于诊断的 DL,但它们与 DL CME 相似。.
{"title":"For the busy clinical-imaging professional in an AI world: Gaining intuition about deep learning without math","authors":"Dolly Y. Wu ,&nbsp;Dat T. Vo ,&nbsp;Stephen J. Seiler","doi":"10.1016/j.jmir.2024.101762","DOIUrl":"10.1016/j.jmir.2024.101762","url":null,"abstract":"<div><div>Medical diagnostics comprise recognizing patterns in images, tissue slides, and symptoms. Deep learning algorithms (DLs) are well suited to such tasks, but they are black boxes in various ways. To explain DL Computer-Aided Diagnostic (CAD) results and their accuracy to patients, to manage or drive the direction of future medical DLs, to make better decisions with CAD, etc., clinical professionals may benefit from hands-on, under-the-hood lessons about medical DL. For those who already have some high-level knowledge about DL, the next step is to gain a more-fundamental understanding of DLs, which may help illuminate inside the boxes. The objectives of this Continuing Medical Education (CME) article include:<ul><li><span>•</span><span><div>Gain an intuitive understanding of DL</div></span></li><li><span>•</span><span><div>Learn example DL architectures for pattern recognition</div></span></li><li><span>•</span><span><div>Explore optimization of DLs and some factors that affect their accuracy using non-clinical images as input data</div></span></li><li><span>•</span><span><div>Gain insights from simulations to probe DL behavior and options to optimize DLs</div></span></li><li><span>•</span><span><div>Review lessons learned from the simulations</div></span></li></ul>Better understanding can come from relatable medical analogies and personally experiencing quick simulations to observe deep learning in action, akin to the way clinicians are trained to perform other tasks. We developed readily-implementable demonstrations and simulation exercises. We framed the exercises using analogies to breast cancer, malignancy and cancer stage as example diagnostic applications. The simulations revealed a nuanced relationship between DL output accuracy and the quantity and nature of the data. The simulation results provided lessons-learned and implications for the clinical world. Although we focused on DLs for diagnosis, they are similar to DLs for treatment (e.g. radiotherapy) so that treatment providers may also benefit from this tutorial.</div></div>","PeriodicalId":46420,"journal":{"name":"Journal of Medical Imaging and Radiation Sciences","volume":"56 1","pages":"Article 101762"},"PeriodicalIF":1.3,"publicationDate":"2024-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142515448","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
Enhancing CT examination efficiency with ChatGPT-4o for multilingual Hajj pilgrims: A short communication 使用 ChatGPT-4o 为多语种朝觐者提高 CT 检查效率:简短交流。
IF 1.3 Q3 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2024-10-19 DOI: 10.1016/j.jmir.2024.101781
Yasser H. Hadi , Fatimah K. Altalhi , Hussam M. Ali , Mohammed A. Shabli , Abdulrahman I. Abu Aqil , Andrew England

Introduction/background

The annual Hajj pilgrimage brings millions of Muslims from diverse linguistic backgrounds to Makkah, Saudi Arabia. This poses significant communication challenges in medical settings, particularly during complex procedures like computed tomography (CT) examinations. In 2024, a tertiary care hospital integrated ChatGPT-4o real-time translation technology to address these challenges. This short communication aims to provide an initial assessment of the effectiveness of ChatGPT-4o in improving communication, procedure quality, and examination efficiency for multilingual Hajj pilgrims.

Methods

This quantitative study, conducted in the radiology department, analysed data from two periods: June 20 to July 8, 2023, and June 7 to June 23, 2024. Ethical clearance was obtained, and key variables measured included examination time (in minutes), patient throughput (cases per shift), and the number of scans with artifacts. Feedback on communication and satisfaction was gathered from both patients and radiographers. Paired t-tests were used to compare mean values of examination times, throughput, and artifact occurrence between the two periods, with a significance level set at P < 0.05.

Results

A paired t-test revealed a statistically significant (p < 0.01) reduction in mean examination time (from 15.4 (2.1) minutes in 2023 to 11.1 (1.7) minutes in 2024) following the introduction of ChatGPT-4o. This reduction corresponded with an increase in mean (standard deviation) patient throughput from 49.5 (4.8) cases per shift in 2023 to 56.2 (5.3) cases per shift in 2024 (P < 0.01). The number of scans with artifacts also decreased significantly, from 30 out of 748 scans in 2023 to 8 out of 885 scans in 2024 (P < 0.01).

Discussion

The integration of ChatGPT-4o significantly improved communication between healthcare providers and patients, leading to better compliance with procedure instructions and fewer repeat scans. Training programs facilitated efficient use of the technology by radiographers, further improving workflow efficiency. Despite initial integration and acceptance challenges, patients and radiographers reported high satisfaction with the improved communication and reduced stress levels.

Conclusion

This study demonstrates that ChatGPT-4o real-time translation improved patient communication, procedure quality, and examination efficiency. The technology reduced examination times and increased patient throughput, with positive feedback from patients and radiographers, indicating its effectiveness in multilingual medical settings.
导言/背景:一年一度的朝圣将数百万来自不同语言背景的穆斯林带到沙特阿拉伯麦加。这给医疗环境带来了巨大的沟通挑战,尤其是在计算机断层扫描(CT)等复杂的检查过程中。2024 年,一家三级医院整合了 ChatGPT-4o 实时翻译技术,以应对这些挑战。这篇简短的文章旨在初步评估 ChatGPT-4o 在改善多语言朝觐者的沟通、程序质量和检查效率方面的有效性:这项定量研究在放射科进行,分析了两个时期的数据:这项定量研究在放射科进行,分析了两个时期的数据:2023 年 6 月 20 日至 7 月 8 日和 2024 年 6 月 7 日至 6 月 23 日。研究获得了伦理许可,测量的主要变量包括检查时间(以分钟为单位)、病人吞吐量(每班病例数)和出现伪影的扫描次数。从患者和放射技师处收集了有关沟通和满意度的反馈信息。采用配对 t 检验比较两个时期的检查时间、工作量和伪影发生率的平均值,显著性水平为 P <0.05:配对 t 检验显示,引入 ChatGPT-4o 后,平均检查时间明显缩短(从 2023 年的 15.4 (2.1) 分钟缩短到 2024 年的 11.1 (1.7) 分钟,差异有统计学意义(P < 0.01)。与时间缩短相对应的是,患者平均吞吐量(标准偏差)从 2023 年的每班 49.5 (4.8) 例增加到 2024 年的每班 56.2 (5.3) 例(P < 0.01)。出现伪影的扫描次数也明显减少,从 2023 年 748 次扫描中的 30 次减少到 2024 年 885 次扫描中的 8 次(P < 0.01):讨论:整合 ChatGPT-4o 后,医疗服务提供者与患者之间的沟通明显改善,从而更好地遵守了手术指导,减少了重复扫描。培训计划促进了放射技师对该技术的有效使用,进一步提高了工作流程的效率。尽管最初在整合和接受方面存在挑战,但患者和放射技师对沟通的改善和压力的减轻表示非常满意:这项研究表明,ChatGPT-4o 实时翻译改善了患者沟通、手术质量和检查效率。该技术缩短了检查时间,提高了病人吞吐量,得到了病人和放射技师的积极反馈,显示了它在多语言医疗环境中的有效性。
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引用次数: 0
Current Alberta radiation therapy care practices for patients with obesity and recommendations for improvement 艾伯塔省目前对肥胖症患者的放射治疗护理方法及改进建议。
IF 1.3 Q3 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2024-10-19 DOI: 10.1016/j.jmir.2024.101768
Kerry Lui , Alyssa Morin , Mackenzie Smith , Graydon Yee , Amanda Bolderston , Jacqueline M. Middleton , Tina Wu , Winter Dixon

Introduction

Obesity has been associated with increased incidence of cancer thereby impacting the number of patients with obesity who may require radiation therapy (RT) treatment. Previous studies have detailed the impacts of obesity on RT treatment delivery including considerations when positioning, imaging, and communicating with patients. However, there is limited literature regarding best clinical practices used by Canadian RT departments when treating patients with obesity. This study aimed to answer the following question: How can the current standards of care (SOC) used by Alberta RT departments be improved to ensure safe and quality care of patients with obesity?

Methods

Semi-structured interviews were conducted with 19 practitioners including three RT managers, two medical physicists, two clinical educators, two radiation oncologists, a senior practice lead, and nine radiation therapists from five cancer centers across Alberta. Interviews were transcribed and analyzed independently by two researchers and used to inform recommendations for improvement to existing care practices.

Results

Four themes emerged as unique considerations for patients with obesity undergoing RT, which included technical factors, interpersonal interactions, patient care factors, and education and training. Recommendations to improve the current SOC in Alberta RT departments included the need for longer appointment times, sufficient staff, accessible mobility equipment, and additional education and training for HCPs tailored towards patients with obesity.

Conclusion

SOC in Alberta could be improved for patients with obesity with modified appointment time, increased staff and resources, and more in depth and tailored education. Implementation of these considerations and recommendations for improvement to the current SOC used by Alberta RT departments has the potential to ensure safe and quality care of patients with obesity.
导言:肥胖与癌症发病率的增加有关,从而影响到需要接受放射治疗(RT)的肥胖患者人数。以往的研究详细阐述了肥胖对 RT 治疗的影响,包括定位、成像和与患者沟通时的注意事项。然而,有关加拿大放射治疗部门在治疗肥胖症患者时采用的最佳临床实践的文献却很有限。本研究旨在回答以下问题:如何改进艾伯塔省 RT 部门目前使用的护理标准 (SOC),以确保为肥胖症患者提供安全、优质的护理?对 19 名从业人员进行了半结构化访谈,其中包括来自艾伯塔省 5 家癌症中心的 3 名 RT 经理、2 名医学物理学家、2 名临床教育工作者、2 名放射肿瘤学家、1 名高级业务主管和 9 名放射治疗师。访谈内容由两名研究人员独立誊写和分析,并用于提出改进现有医疗实践的建议:结果:肥胖症患者在接受 RT 治疗时有四个独特的注意事项,包括技术因素、人际互动、患者护理因素以及教育和培训。改善艾伯塔省 RT 部门当前 SOC 的建议包括:需要更长的预约时间、足够的工作人员、无障碍的移动设备,以及针对肥胖症患者的 HCPs 额外教育和培训:艾伯塔省肥胖症患者的就诊时间可以通过调整预约时间、增加人员和资源以及开展更深入和更有针对性的教育来改善。对艾伯塔省 RT 部门目前使用的 SOC 实施这些考虑因素和改进建议,有可能确保为肥胖症患者提供安全、优质的护理。
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引用次数: 0
Perceptions of radiographers on reporting chest images at Public Hospitals in Malawi 马拉维公立医院放射技师对报告胸部图像的看法。
IF 1.3 Q3 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2024-10-19 DOI: 10.1016/j.jmir.2024.101764
George Simwaba , Lynne Janette Hazell , Jennifer Motto

Introduction

Malawi health facilities' major challenge is inequalities in access to reporting services due to a shortage of radiologists to report on radiographic images. Radiographers in the developed world acquire formal training in image reporting, however, there is no postgraduate training programme in Malawi. Thus, there is a need to explore radiographers' perceptions of reporting chest images in Malawi's hospitals. The study aims to explore radiographers’ perceptions of being tasked with the responsibility of reporting on chest images at public hospitals in Malawi.

Method

The study was conducted through a quantitative cross-sectional design. Data was collected using a self-developed questionnaire. Data collected was analyzed with the assistance of a statistician using the Statistical Package for Social Scientists (SPSS) version 29. The measurement scales and questions included quantitative 10-point Likert. Statistical analysis used the Mann -Whitney U test.

Results

Seventy-one (71) radiographers representing 81 % of the total population from five public hospitals participated in the study. The results from this study found that most radiographers (97.2 %) agreed that radiographers needed to report on chest images in the department. Findings demonstrated that the majority of radiographers (80.3 %) supported ongoing professional development, and of the radiographers (78.9 %) also agreed that reporting on chest images required post-graduate training. Overall confidence in reporting chest images was 81.6 % with no difference by years worked as a qualified radiographer (p=0.196) with the less than 10 years were as confident to report chest images as 10 years or more . Confidence in detecting abnormality on chest images (78.8 %) demonstrated no variation by years worked as qualified radiographer (p=0. 196) or level in department (junior of senior radiographer (p =0.323). Perceived impact of radiographer's involvement in chest image reporting to improved cost effective service delivery, work efficiently, and potential impact on patient care and safety.

Conclusion

Based on the findings of this study, there were positive perceptions among the majority of radiographers about the reporting of chest images in Malawi. It was recommended that policymakers change Malawi's health care policy, especially the radiological sector to allow radiographers to report on chest images.
导言:马拉维医疗机构面临的主要挑战是,由于缺乏放射科医生来报告放射图像,因此在获得报告服务方面存在不平等现象。发达国家的放射技师都接受过正规的图像报告培训,但马拉维却没有研究生培训计划。因此,有必要探讨放射技师对马拉维医院报告胸部图像的看法。本研究旨在探讨放射技师对马拉维公立医院负责报告胸部图像的看法:研究采用定量横截面设计。数据收集采用自行编制的调查问卷。在统计学家的协助下,使用社会科学家统计软件包 (SPSS) 29 版对收集到的数据进行了分析。测量量表和问题包括 10 点李克特定量。统计分析采用 Mann -Whitney U 检验:五家公立医院的 71 名放射技师参与了研究,占总人数的 81%。研究结果发现,大多数放射技师(97.2%)都认为放射技师需要在科室内报告胸部图像。研究结果表明,大多数放射技师(80.3%)支持持续的专业发展,其中 78.9% 的放射技师还同意报告胸部图像需要研究生培训。对报告胸部图像的总体信心为 81.6%,与作为合格放射技师的工作年限无关(P=0.196),工作年限少于 10 年的放射技师与工作年限在 10 年或以上的放射技师对报告胸部图像的信心相同。在胸部图像上发现异常的信心(78.8%)不因放射技师的工作年限(p=0.196)或在部门中的级别(初级或高级放射技师(p =0.323))而有差异。认为放射技师参与胸部图像报告对提高服务成本效益、工作效率以及对患者护理和安全的潜在影响:根据这项研究的结果,马拉维大多数放射技师对胸部图像报告持积极看法。建议决策者改变马拉维的医疗政策,尤其是放射部门的政策,允许放射技师报告胸部图像。
{"title":"Perceptions of radiographers on reporting chest images at Public Hospitals in Malawi","authors":"George Simwaba ,&nbsp;Lynne Janette Hazell ,&nbsp;Jennifer Motto","doi":"10.1016/j.jmir.2024.101764","DOIUrl":"10.1016/j.jmir.2024.101764","url":null,"abstract":"<div><h3>Introduction</h3><div>Malawi health facilities' major challenge is inequalities in access to reporting services due to a shortage of radiologists to report on radiographic images. Radiographers in the developed world acquire formal training in image reporting, however, there is no postgraduate training programme in Malawi. Thus, there is a need to explore radiographers' perceptions of reporting chest images in Malawi's hospitals. The study aims to explore radiographers’ perceptions of being tasked with the responsibility of reporting on chest images at public hospitals in Malawi.</div></div><div><h3>Method</h3><div>The study was conducted through a quantitative cross-sectional design. Data was collected using a self-developed questionnaire. Data collected was analyzed with the assistance of a statistician using the Statistical Package for Social Scientists (SPSS) version 29. The measurement scales and questions included quantitative 10-point Likert. Statistical analysis used the Mann -Whitney U test.</div></div><div><h3>Results</h3><div>Seventy-one (71) radiographers representing 81 % of the total population from five public hospitals participated in the study. The results from this study found that most radiographers (97.2 %) agreed that radiographers needed to report on chest images in the department. Findings demonstrated that the majority of radiographers (80.3 %) supported ongoing professional development, and of the radiographers (78.9 %) also agreed that reporting on chest images required post-graduate training. Overall confidence in reporting chest images was 81.6 % with no difference by years worked as a qualified radiographer (p=0.196) with the less than 10 years were as confident to report chest images as 10 years or more . Confidence in detecting abnormality on chest images (78.8 %) demonstrated no variation by years worked as qualified radiographer (p=0. 196) or level in department (junior of senior radiographer (p =0.323). Perceived impact of radiographer's involvement in chest image reporting to improved cost effective service delivery, work efficiently, and potential impact on patient care and safety.</div></div><div><h3>Conclusion</h3><div>Based on the findings of this study, there were positive perceptions among the majority of radiographers about the reporting of chest images in Malawi. It was recommended that policymakers change Malawi's health care policy, especially the radiological sector to allow radiographers to report on chest images.</div></div>","PeriodicalId":46420,"journal":{"name":"Journal of Medical Imaging and Radiation Sciences","volume":"56 1","pages":"Article 101764"},"PeriodicalIF":1.3,"publicationDate":"2024-10-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142484374","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
Assessment of Stroke Onset Time Based on DINOv2 Visual Features 基于 DINOv2 视觉特征的卒中发病时间评估
IF 1.3 Q3 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2024-10-01 DOI: 10.1016/j.jmir.2024.101479
Dr Jin-jin Wang

Background

Currently, the thrombolytic treatment for acute ischemic stroke (AIS) strictly depends on the time since stroke onset (TSS) being less than 4.5 hours. However, some patients are excluded from thrombolytic treatment due to uncertain TSS. Clinically, diffusion-weighted imaging (DWI) and fluid-attenuated inversion recovery (FLAIR) mismatch are commonly used to roughly determine TSS.

Methods

In this paper, we propose a method based on DINOv2 to classify the TSS as less than or more than 4.5 hours. We conducted model training and external testing using case data from two hospitals. These hospitals respectively included 226 and 85 cases of TSS less than 4.5 hours, along with an equal number of cases with TSS greater than 4.5 hours. Firstly, we utilized DINOv2 for automatic segmentation of lesions and extraction of visual features from DWI and FLAIR images. Then, the visual features of the lesion area were input into four different machine learning models. Finally, a conclusion on whether the patient's onset time is more or less than 4.5 hours is reached through a weighted voting method.

Results

The results from the external test set show that in lesion segmentation from DWI and FLAIR images, the Dice coefficients were as high as 0.872 and 0.823, respectively. In the judgment of TTS less than 4.5 hours, our approach achieved an accuracy of 0.865, sensitivity of 0.843, and specificity of 0.902.

Conclusion

The assessment of TTS based on DINOv2 visual features demonstrates excellent performance. The results of this approach significantly surpass those of human doctors using the DWI-FLAIR mismatch method. Moreover, it achieves a fully automated process for rapid and efficient handling. This approach is expected to play a key role in treatment decision-making for patients with unknown TSS.
背景目前,急性缺血性卒中(AIS)的溶栓治疗严格依赖于卒中发生时间(TSS)小于 4.5 小时。然而,一些患者因 TSS 不确定而被排除在溶栓治疗之外。在临床上,弥散加权成像(DWI)和液体增强反转恢复(FLAIR)错配常用于粗略判断 TSS。方法在本文中,我们提出了一种基于 DINOv2 的方法,将 TSS 分为小于或大于 4.5 小时。我们使用两家医院的病例数据进行了模型训练和外部测试。这两家医院分别有 226 例和 85 例 TSS 小于 4.5 小时的病例,以及同等数量的 TSS 大于 4.5 小时的病例。首先,我们利用 DINOv2 自动分割病灶,并从 DWI 和 FLAIR 图像中提取视觉特征。然后,将病变区域的视觉特征输入四个不同的机器学习模型。结果外部测试集的结果显示,在从 DWI 和 FLAIR 图像进行病灶分割时,Dice 系数分别高达 0.872 和 0.823。结论基于 DINOv2 视觉特征的 TTS 评估表现出色。这种方法的结果大大超过了使用 DWI-FLAIR 不匹配方法的人类医生的结果。此外,它还实现了快速高效处理的全自动流程。这种方法有望在未知 TSS 患者的治疗决策中发挥关键作用。
{"title":"Assessment of Stroke Onset Time Based on DINOv2 Visual Features","authors":"Dr Jin-jin Wang","doi":"10.1016/j.jmir.2024.101479","DOIUrl":"10.1016/j.jmir.2024.101479","url":null,"abstract":"<div><h3>Background</h3><div>Currently, the thrombolytic treatment for acute ischemic stroke (AIS) strictly depends on the time since stroke onset (TSS) being less than 4.5 hours. However, some patients are excluded from thrombolytic treatment due to uncertain TSS. Clinically, diffusion-weighted imaging (DWI) and fluid-attenuated inversion recovery (FLAIR) mismatch are commonly used to roughly determine TSS.</div></div><div><h3>Methods</h3><div>In this paper, we propose a method based on DINOv2 to classify the TSS as less than or more than 4.5 hours. We conducted model training and external testing using case data from two hospitals. These hospitals respectively included 226 and 85 cases of TSS less than 4.5 hours, along with an equal number of cases with TSS greater than 4.5 hours. Firstly, we utilized DINOv2 for automatic segmentation of lesions and extraction of visual features from DWI and FLAIR images. Then, the visual features of the lesion area were input into four different machine learning models. Finally, a conclusion on whether the patient's onset time is more or less than 4.5 hours is reached through a weighted voting method.</div></div><div><h3>Results</h3><div>The results from the external test set show that in lesion segmentation from DWI and FLAIR images, the Dice coefficients were as high as 0.872 and 0.823, respectively. In the judgment of TTS less than 4.5 hours, our approach achieved an accuracy of 0.865, sensitivity of 0.843, and specificity of 0.902.</div></div><div><h3>Conclusion</h3><div>The assessment of TTS based on DINOv2 visual features demonstrates excellent performance. The results of this approach significantly surpass those of human doctors using the DWI-FLAIR mismatch method. Moreover, it achieves a fully automated process for rapid and efficient handling. This approach is expected to play a key role in treatment decision-making for patients with unknown TSS.</div></div>","PeriodicalId":46420,"journal":{"name":"Journal of Medical Imaging and Radiation Sciences","volume":"55 3","pages":"Article 101479"},"PeriodicalIF":1.3,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142530050","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
Signal Power Estimation and its Novel Applications in Radiology as two birds with one stone 一石二鸟的信号功率估计及其在放射学中的新应用
IF 1.3 Q3 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2024-10-01 DOI: 10.1016/j.jmir.2024.101480
Dr. Motohiro Tabuchi

Background/Purpose

In radiology, MTF and SNR (or CNR) are known as established methods for evaluating the quality of phantom images. However, due to their complexity caused by multiple procedures involved in measuring of multiple ROI statistics such as mean, variance, etc., this study proposes a simplified signal power estimation method calculated directly from a pair of observed images. Then, in this research, MTF* and SNR* utilizing this proposed method are introduced as novel applications.

Methods

First, two observed phantom images are prepared by using the same imaging condition. Then, a signal power of the image is estimated from a covariance of a pair of the observed images using the following equation. V(x) = Cov(y1, y2) where V(·) and Cov(·) denote a variance and a covariance of · respectively. Here, x is a signal image vector, and y1 and y2 are observed image vectors obtained under the same imaging conditions, where y is constructed from the signal vector x summated the additive noise vector n, namely y = x + n. Finally, MTF* and SNR* are calculated using the estimated signal power V(x). The proposed methods are then compared with the conventional methods.

Results

While a direct comparison between conventional SNR and SNR* proved difficult due to differences in definition, both methods showed similar trends. On the other hand, the conventional MTF by Droege's method and the MTF* were almost in agreement with two significant figures as expected.

Conclusion

This investigation proposed simplified method for estimating signal power derived from the covariance of a pair of observed images. And this proposed method produced novel applications termed MTF* and SNR*, and has an more practical than the conventional method in terms of simplified procedure as two birds with one stone.
背景/目的在放射学中,众所周知,MTF 和 SNR(或 CNR)是评估模型图像质量的既定方法。然而,由于测量多个 ROI 统计数据(如均值、方差等)涉及多个程序,因而非常复杂,因此本研究提出了一种简化的信号功率估计方法,该方法直接从一对观察图像中计算信号功率。方法首先,使用相同的成像条件准备两幅观察到的幻影图像。然后,根据一对观测图像的协方差,利用下式估算图像的信号功率。V(x) = Cov(y1, y2) 其中 V(-) 和 Cov(-) 分别表示-的方差和协方差。这里,x 是信号图像向量,y1 和 y2 是在相同成像条件下获得的观测图像向量,其中 y 由信号向量 x 加上加性噪声向量 n 构建而成,即 y = x + n。最后,利用估计的信号功率 V(x) 计算 MTF* 和信噪比*。结果由于定义不同,很难直接比较传统的信噪比和信噪比*,但这两种方法显示出相似的趋势。另一方面,采用 Droege 方法得出的传统 MTF 与 MTF* 几乎一致,都达到了预期的两位有效数字。这种方法产生了新的应用,即 MTF* 和 SNR*,在简化程序方面比传统方法更实用,可谓一石二鸟。
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引用次数: 0
期刊
Journal of Medical Imaging and Radiation Sciences
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