Journal of Medical Imaging and Radiation Sciences最新文献

{"title":"“Not many people know about us”: An interprofessional education learning activity that profiles radiation therapy students","authors":"Sonya Morgan , Eileen McKinlay , Melissa Higson","doi":"10.1016/j.jmir.2024.04.002","DOIUrl":"10.1016/j.jmir.2024.04.002","url":null,"abstract":"","PeriodicalId":46420,"journal":{"name":"Journal of Medical Imaging and Radiation Sciences","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2024-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141539157","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}

{"title":"“Snap, scan and smile: Exploring the future of radiography through a clinical lens”","authors":"Pica Ann Blackburn Andersen","doi":"10.1016/j.jmir.2024.101445","DOIUrl":"https://doi.org/10.1016/j.jmir.2024.101445","url":null,"abstract":"","PeriodicalId":46420,"journal":{"name":"Journal of Medical Imaging and Radiation Sciences","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141481373","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}

{"title":"Enablers and barriers to delivering person centred dementia care: Perceptions and experiences of diagnostic and therapeutic radiography practitioners","authors":"Robert Higgins ,&nbsp;Adam Spacey ,&nbsp;Anthea Innes","doi":"10.1016/j.jmir.2024.101441","DOIUrl":"10.1016/j.jmir.2024.101441","url":null,"abstract":"<div><h3>Introduction</h3><p>There is a lack of evidence about the experiences of radiographers providing care to people living with dementia (PLWD). This study explored the perceptions and experiences of radiography practitioners when delivering person-centred dementia care (PCDC) in both diagnostic imaging and radiotherapy departments.</p></div><div><h3>Methods</h3><p>A two-phase qualitative multi-method study was conducted. For phase 1, fifteen diagnostic and two therapeutic radiography practitioners from across the UK participated with online focus group discussions. For phase 2, four key stakeholders involved with the development of the UK Society of College of Radiographers Caring for People with Dementia practice guidelines for diagnostic and therapeutic radiography practitioners took part with individual semi-structured interviews.</p></div><div><h3>Results</h3><p>Participants from both phases identified enablers and barriers to providing person-centred care to individuals living with dementia. Three themes were identified that were linked to (1) Time and workload pressures in delivering person-centred dementia care, (2) Workplace practice and norms, and (3) Areas for improvement in delivering person-centred dementia care.</p></div><div><h3>Discussion</h3><p>Delivering PCDC can be challenging in practice. This is often due to workplace cultures where time and resources linked to productivity and waiting lists are the norms and impact on the delivery of PCDC. Leaders and managers of departments were thought to not always value a culture of PCDC but were seen as key influencers in supporting change and impact in delivering PCDC. Radiography practitioners were not always aware that a patient had dementia prior to their attendance in the department making it difficult to prepare ahead of appointments. Care partners were identified as having the potential to help alleviate some challenges radiographers faced. Findings also suggest a need for more education and training linked to dementia awareness. Further research is warranted in this area.</p></div>","PeriodicalId":46420,"journal":{"name":"Journal of Medical Imaging and Radiation Sciences","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2024-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S193986542400167X/pdfft?md5=6729ab2ea00c3f0bd3d8079f0f8e5523&pid=1-s2.0-S193986542400167X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141474017","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}

{"title":"Reduced contrast dose for CT head studies during COVID-19-related contrast shortage: Lesson from a crisis","authors":"Oksana Marushchak ,&nbsp;Amy Wei Lin ,&nbsp;Yangmei Li ,&nbsp;Aditya Bharatha ,&nbsp;Suradech Suthiphosuwan ,&nbsp;Yingming Amy Chen ,&nbsp;Julian Spears ,&nbsp;Shobhit Mathur","doi":"10.1016/j.jmir.2024.101433","DOIUrl":"10.1016/j.jmir.2024.101433","url":null,"abstract":"<div><h3>Objective</h3><p>Intravenous contrast injection protocol for certain CT studies at our institution was revised in June 2022 in response to the global shortage of iohexol. This included CT head studies performed for neuro-navigation (contrast dose from 90 mL to 70 mL). The quality of these studies was assessed.</p></div><div><h3>Methods</h3><p>Consecutive CT scans before (<em>n</em> = 32) and after (<em>n</em> = 32) contrast dose reduction were reviewed. Demographic data was obtained from the chart. Subjective observations made by two radiologists in consensus included overall study quality (Likert scale of 1 to 5) and lesion location, margins and internal characteristics that were compared with MRI findings (reference standard) using Fisher's exact test. Superior sagittal sinus attenuation, used as an objective measurement of enhancement, and lesion size were compared using Student's <em>t</em>-test. The institutional database was searched for any study requiring repetition or deemed non-diagnostic.</p></div><div><h3>Results/Discussion</h3><p>The average age (61.1 ± 12.7 years and 61.6 ± 14.9 years) and body surface area (BSA) (1.9 ± 0.3 m² and 1.9 ± 0.02 m²) was not significantly different (<em>p</em> &gt; 0.05) between groups. There was no significant difference (<em>p</em> &gt; 0.05) in objective or subjective enhancement between the two groups. There was no significant difference between CT and MRI for lesion size, location, number, margins and internal enhancement characteristics in the two groups. No study required repetition or was reported as non-diagnostic. There was no adverse comment about study quality in operative notes.</p></div><div><h3>Conclusion</h3><p>Reduced contrast dose neuro-navigation CT head studies are not different in quality compared to the conventional studies.</p></div>","PeriodicalId":46420,"journal":{"name":"Journal of Medical Imaging and Radiation Sciences","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2024-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141474018","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}

{"title":"An investigation into the knowledge, attitudes, and practice of radiation protection in interventional radiology and cardiac catheter-laboratories","authors":"Megan O'Rourke ,&nbsp;Niamh Moore ,&nbsp;Rena Young ,&nbsp;Silvia Svetlic ,&nbsp;Helen Bucknall ,&nbsp;Mark F. McEntee ,&nbsp;Andrew England","doi":"10.1016/j.jmir.2024.101440","DOIUrl":"https://doi.org/10.1016/j.jmir.2024.101440","url":null,"abstract":"<div><h3>Background</h3><p>According to current literature, there is a lack of information regarding the radiation protection (RP) practices of interventional radiology (IR) and cardiology catheter laboratory (CCL) staff. This study aims to determine the RP practices of staff within IR and CCLs internationally and to suggest areas for improvement.</p></div><div><h3>Methods</h3><p>A cross-sectional study in the form of an online questionnaire was developed. Participation was advertised via online platforms and through email. Participants were included if they were healthcare professionals currently working in IR and CCLs internationally. Questionnaire design included <em>Section 1</em> demographic data, <em>Section 2</em> assessed RP training and protocols, <em>Section 3</em> surveyed the use of different types of RP lead shields, both personal and co-worker use and <em>Section 4</em> assessed other methods of minimising radiation dose within practice. Questions were a mix of open and closed ended, descriptive statistics were used for closed questions and thematic analysis was employed for open ended responses.</p></div><div><h3>Results</h3><p>A total of 178 responses to the questionnaire were recorded with 130 (73 %) suitable for analysis. Most respondents were female (<em>n</em> = 94, 72 %) and were radiographers (<em>n</em> = 97, 75 %). Only 68 (53 %) had received training, the majority receiving this in-house (<em>n</em> = 54, 79 %). 118 (98 %) of respondents had departmental protocols in place for RP. Radiology managers (<em>n</em> = 106, 82 %) were most likely to contribute to such protocols. Multiple methods of dose minimisation exist, these include low-dose fluoroscopy, staff rotation, radiation dose audits and minimal time in the controlled areas. Respondents reported that lead apron shields were wore personally by 99 % of respondents and by co-workers in 95 % of cases.</p></div><div><h3>Conclusion</h3><p>The practices of RP by IR and CCL staff in this survey was variable and can be improved. The unavailability of basic radiation protection tools and RP specific training courses/modules were some of the reasons for sub-optimal self-protection against ionising radiation reported by respondents.</p></div>","PeriodicalId":46420,"journal":{"name":"Journal of Medical Imaging and Radiation Sciences","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2024-06-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1939865424001668/pdfft?md5=38c6dbd6d26fb287025d90fd06af6e7a&pid=1-s2.0-S1939865424001668-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141435165","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}

{"title":"An investigation into the current perceptions of Irish Radiographers regarding patient-practitioner communication","authors":"Sonya Quirke ,&nbsp;Cláudia Sá dos Reis ,&nbsp;Mark McEntee ,&nbsp;Ms Niamh Moore ,&nbsp;Andrew England","doi":"10.1016/j.jmir.2024.101442","DOIUrl":"https://doi.org/10.1016/j.jmir.2024.101442","url":null,"abstract":"<div><h3>Introduction</h3><p>Many of the tasks performed by radiographers rely on effective communication with patients. This study aims to evaluate radiographers' experiences communicating with patients to determine what communication skills they believe they have, challenges they encounter and any familiarity with communication tools. It also assesses their willingness to accept further training and utilise recognised scripted communication tools, such as AIDET (Acknowledge, Introduce, Duration, Explanation and Thank you).</p></div><div><h3>Methods</h3><p>Data were collected using an online survey deployed using the MS Forms platform. The survey consisted of 42 questions: 12 qualitative ‘open-ended’ questions and 30 ‘close-ended’ quantitative questions. The survey remained open between March and May 2022. Quantitative data were analysed using descriptive statistics and qualitative responses using thematic content analysis. Cross distribution analysis, basic percentages, and graphic bar charts were used for quantitative data analysis.</p></div><div><h3>Results</h3><p>One hundred and nine radiographers completed the questionnaire. Quantitative analysis found that 84 % (<em>n</em> = 87) of radiographers had not received additional post-qualification training in patient communication. Five communication themes emerged from the thematic analysis; (1) Expectations, (2) Education, (3) Improvements, (4) Errors, and (5) Communication Tools. The scripted communication tool AIDET, according to 86 % (<em>n</em> = 89) of respondents, was perceived to be potential helpful in improving radiographer-patient interactions.</p></div><div><h3>Conclusion</h3><p>Radiographers do not believe they have received adequate training for communicating with patients and would like to receive additional training and education. AIDET could be a useful communication tool as a starting guide for less experienced radiographers. There is a need for further studies that explore the use and effectiveness of scripted communication tools in radiographers’ communications skills. In addition, additional post-registration training opportunities need to be available for radiographers in patient communication.</p></div>","PeriodicalId":46420,"journal":{"name":"Journal of Medical Imaging and Radiation Sciences","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2024-06-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141438368","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}

{"title":"A simulated clinic to build interprofessional and authentic learning opportunities for shaping future practice in medical radiation professionals","authors":"Eileen Giles,&nbsp;Katherine Guerrero","doi":"10.1016/j.jmir.2024.101437","DOIUrl":"10.1016/j.jmir.2024.101437","url":null,"abstract":"<div><h3>Background</h3><p>Simulation based learning provides an opportunity to increase student readiness prior to clinical placement. Cross disciplinary learning facilitates interprofessional competency building and improved student appreciation of other health professions, which adds another learning dimension to simulated scenarios. This paper outlines the approach to facilitating an interdisciplinary simulated clinic, where experiences were mapped to common professional capabilities.</p></div><div><h3>Methods</h3><p>After mapping skill sets and professional capabilities common to both Nuclear Medicine and Radiation Therapy, a mock clinic was planned to address common objectives. The aims of the activity were to prepare students for upcoming clinical placement and to build knowledge and skills in the interprofessional environment. All students were allocated roles of both the health care professional and the patient and introduced to the concept of interprofessional learning in a pre-brief session. During the simulated clinic phase students experienced the other modality through the patient perspective as well as practicing the clinician role within their own modality. Following the simulation students came together for a de-brief session. The activity was evaluated using both online polling and pre and post paper-based surveys.</p></div><div><h3>Results</h3><p>A total of 28 students participated in the simulation: 17 in radiation therapy and 11 in nuclear medicine. All participants agreed that the mock clinic was valuable preparation for clinical placement. Twenty-four completed pre and post surveys, revealed a collective improvement in several measures of interprofessional understanding and application. Free text polled responses in the de-brief session highlighted value for practicing communication, realistic physical resemblance to the real-life scenarios and time pressures.</p></div><div><h3>Conclusion</h3><p>When two disciplines were combined in the simulated clinic, students learnt about each other's profession together. Evaluation showed positive improvements in both clinical readiness and interprofessional learning. Simulated tasks in healthcare education bought many benefits in preparing students for the workplace and in this example, enabled common objectives of interprofessional practice to be met.</p></div>","PeriodicalId":46420,"journal":{"name":"Journal of Medical Imaging and Radiation Sciences","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2024-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141332767","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}

{"title":"Patient perceptions of advanced practice radiation therapists prescribing medication in radiation therapy","authors":"Jasleen Kaur Uppal ,&nbsp;Thomas Farrell ,&nbsp;Marcia Smoke ,&nbsp;Lilian Doerwald-Munoz","doi":"10.1016/j.jmir.2024.101443","DOIUrl":"https://doi.org/10.1016/j.jmir.2024.101443","url":null,"abstract":"<div><h3>Introduction</h3><p>The purpose of this study was to determine patient perceptions of an advanced practice radiation therapist (APRT) prescribing medication for radiation therapy treatment-related side effects. By comprehending patient perceptions, it is important to implement change in order to improve patients’ quality of life.</p></div><div><h3>Methods</h3><p>A literature review was conducted on advanced practice (AP) roles in Canada and world-wide; the roles searched were: APRT, nurse practitioner and pharmacist. The search focused on evidence demonstrating improvements made to patient care due to the implementation of these roles. Based on this review and input from a team of experts a qualitative semi-structured interview survey was designed, and pilot tested. The survey consisted of five open-ended questions, which were designed to determine patient satisfaction of an APRT prescribing medication over the course of their radiation therapy treatments. Patients undergoing head and neck radiation therapy treatments at a large, academic cancer centre were invited to participate. Six patients who had a head and neck APRT involved in their treatment were interviewed. A comprehensive thematic analysis was then conducted using the transcripts created from these interviews, which was followed by two independent blinded analyses to ensure validity of the results.</p></div><div><h3>Discussion</h3><p>The thematic analysis produced four salient themes which were: side effect management, care provided by the APRT in comparison to other healthcare workers, patients’ access to care, and overall patient satisfaction. Common medications for head and neck radiation therapy treatment related side effects were discussed and these were: Magic Mouthwash, Xylocaine, Nystatin, Benadryl, Advil, Tylenol, Dexamethasone, Tantum, Biotene, Mucaine, Flamazine, Hydrocortisone, Ondansetron, Senokot, and narcotics.</p></div><div><h3>Conclusion</h3><p>This study was valuable to understand patient experiences and provide evidence to change processes in order to improve quality of patient centered care. The study revealed that although patients were happy with the process of prescribing medication, they all agreed that having an advanced practice radiation therapist prescribe would improve care. Patient responses further demonstrated the need for future research in regards to side effect management as a whole by APRTs as well as how role clarification can impact patient perceptions of APRTs.</p></div>","PeriodicalId":46420,"journal":{"name":"Journal of Medical Imaging and Radiation Sciences","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2024-06-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1939865424001693/pdfft?md5=afa9d400e19ae03be34168ff69568c37&pid=1-s2.0-S1939865424001693-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141324179","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}

{"title":"Tobacco smoking influences the side effects of radiation therapy-managed patients with various malignancies: A systematic review","authors":"Mohammad Haghparast ,&nbsp;Mohammad Reza Evazi ,&nbsp;Leili Darvish","doi":"10.1016/j.jmir.2024.05.003","DOIUrl":"https://doi.org/10.1016/j.jmir.2024.05.003","url":null,"abstract":"<div><h3>Background</h3><p>Tobacco smoking may decrease the effectiveness of radiation therapy. This is because tobacco smoking can cause inflammation and damage to surrounding tissues, which may interfere with radiation delivery to the tumor. Our aim of this study is to investigate the effect of tobacco smoking use on complications in radiotherapy as a systematic review.</p></div><div><h3>Method</h3><p>The articles searched from the MEDLINE, PubMed, EMBASE, and Web of Science databases. The search terms used were “radiotherapy”, “outcome”, “radiation therapy”, “tobacco”, “smoking”, “complications”, “side effects”, “cancer”, and “malignancy”. PRISMA check list was used to assess the overall quality of evidence for each outcome.</p></div><div><h3>Result</h3><p>The outcomes of radiotherapy-inducing tobacco smoking in smokers are more than non-smokers including; high SPC (second primary cancer), decreased median overall survival, higher infections during treatment, increased fatigue (<em>p</em> = 0.027), increased pain (<em>p</em> = 0.009), poorer cognitive function (0.041), affected mouth opening (0.049), more speech disturbances (<em>p</em> = 0.017), higher metastasis risk (<em>p</em> = 0.031 and 0.019), higher locoregional recurrence risk (<em>p</em> = 0.027), oral mucositis (<em>p</em> = 0.03), mucositis severity related to higher tobacco exposure (<em>p</em> = 0.008), severe acute radiation skin reactions, and myocardial infarction.</p></div><div><h3>Discussion</h3><p>Tobacco smoking appears to be the most significant modifiable factor influencing cancer treatment outcomes. As such, healthcare providers should take detailed notes on patients' smoking histories during both routine and future clinical studies. Beyond immediate cessation, cancer patients should undertake comprehensive smoking cessation programs. These programs can significantly boost the efficacy of radiotherapy and enhance overall patient outcomes.</p></div>","PeriodicalId":46420,"journal":{"name":"Journal of Medical Imaging and Radiation Sciences","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2024-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141314506","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}

{"title":"Lying for a living","authors":"Megan Brydon","doi":"10.1016/j.jmir.2024.101435","DOIUrl":"https://doi.org/10.1016/j.jmir.2024.101435","url":null,"abstract":"","PeriodicalId":46420,"journal":{"name":"Journal of Medical Imaging and Radiation Sciences","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2024-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141307868","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}