Pub Date : 2024-06-01DOI: 10.1016/j.jmir.2024.02.014
Elio Arruzza
Introduction
Education relating to Artificial Intelligence (AI) is becoming critical to developing contemporary radiographers. This study sought to investigate the perceptions of a sample of Australian radiography students regarding AI within the context of medical imaging.
Methods
Radiography students completed a cross-sectional online questionnaire which obtained quantitative and qualitative data relating to their perceptions and attitudes of AI within the radiographic context. Descriptive and inferential statistics were utilised, and thematic analysis was undertaken for open-text responses.
Results
Responses were gathered from twenty-five participants, in their second, third and fourth year of study. Most participants demonstrated a positive attitude towards AI. Most students view AI to be an assistive tool, though the cohort was less convinced AI would increase future employment in the industry. Females were more likely to disagree that AI will increase work opportunities for the radiographer (p = 0.021), as well as those in their final year of study (p = 0.011). Perceived benefits of AI related to improved work efficiency and image quality. Negative perceptions of AI involved reduced job security, and potential impact on patient care and safety.
Discussion
Students presented a multitude of positive and negative perceptions towards the role that AI may play in their future careers. Education pertaining to AI is central to transforming future clinical practice, and it is encouraging that undergraduate students are intrigued and willing to learn about AI in the radiographic context.
Conclusion
This study offers insight into the current perspectives of Australian radiography students on AI within medical imaging, to assist in implementation of future AI-related education in the undergraduate setting.
{"title":"Radiography students’ perceptions of artificial intelligence in medical imaging","authors":"Elio Arruzza","doi":"10.1016/j.jmir.2024.02.014","DOIUrl":"10.1016/j.jmir.2024.02.014","url":null,"abstract":"<div><h3>Introduction</h3><p>Education relating to Artificial Intelligence (AI) is becoming critical to developing contemporary radiographers. This study sought to investigate the perceptions of a sample of Australian radiography students regarding AI within the context of medical imaging.</p></div><div><h3>Methods</h3><p>Radiography students completed a cross-sectional online questionnaire which obtained quantitative and qualitative data relating to their perceptions and attitudes of AI within the radiographic context. Descriptive and inferential statistics were utilised, and thematic analysis was undertaken for open-text responses.</p></div><div><h3>Results</h3><p>Responses were gathered from twenty-five participants, in their second, third and fourth year of study. Most participants demonstrated a positive attitude towards AI. Most students view AI to be an assistive tool, though the cohort was less convinced AI would increase future employment in the industry. Females were more likely to disagree that AI will increase work opportunities for the radiographer (p = 0.021), as well as those in their final year of study (p = 0.011). Perceived benefits of AI related to improved work efficiency and image quality. Negative perceptions of AI involved reduced job security, and potential impact on patient care and safety.</p></div><div><h3>Discussion</h3><p>Students presented a multitude of positive and negative perceptions towards the role that AI may play in their future careers. Education pertaining to AI is central to transforming future clinical practice, and it is encouraging that undergraduate students are intrigued and willing to learn about AI in the radiographic context.</p></div><div><h3>Conclusion</h3><p>This study offers insight into the current perspectives of Australian radiography students on AI within medical imaging, to assist in implementation of future AI-related education in the undergraduate setting.</p></div>","PeriodicalId":46420,"journal":{"name":"Journal of Medical Imaging and Radiation Sciences","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139975198","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}
Pub Date : 2024-06-01DOI: 10.1016/j.jmir.2024.02.006
Layth Mula-Hussain , Keanu Lum , Ohoud Alaslani , Razmik Bebedjian , Laval Grimard , John Sinclair , Marlise P. dos Santos
In this case report, we address a rare entity of parotid cancer: basaloid squamous cell carcinoma, which was surgically unresectable and had thus far only been treated with radiation therapy. Following twenty years of continuous remission, our patient presented with an acute perimesencephalic subarachnoid hemorrhage. The cause of the acute perimesencephalic subarachnoid hemorrhage was a delayed complication of radiation therapy.
{"title":"Perimesencephalic subarachnoid hemorrhage as a rare delayed complication of radiation therapy in a patient with parotid basaloid squamous cell carcinoma","authors":"Layth Mula-Hussain , Keanu Lum , Ohoud Alaslani , Razmik Bebedjian , Laval Grimard , John Sinclair , Marlise P. dos Santos","doi":"10.1016/j.jmir.2024.02.006","DOIUrl":"10.1016/j.jmir.2024.02.006","url":null,"abstract":"<div><p>In this case report, we address a rare entity of parotid cancer: basaloid squamous cell carcinoma, which was surgically unresectable and had thus far only been treated with radiation therapy. Following twenty years of continuous remission, our patient presented with an acute perimesencephalic subarachnoid hemorrhage. The cause of the acute perimesencephalic subarachnoid hemorrhage was a delayed complication of radiation therapy.</p></div>","PeriodicalId":46420,"journal":{"name":"Journal of Medical Imaging and Radiation Sciences","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1939865424000171/pdfft?md5=6d09f1581144a5a5c4c0678146a9ccea&pid=1-s2.0-S1939865424000171-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139992215","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}
Pub Date : 2024-06-01DOI: 10.1016/j.jmir.2024.01.004
Jad Boutros , Jason Jiajie Luo , Laura Di Michele, Ben Seaton, Yobelli Alexandra Jimenez
Introduction/Background
Journal clubs are an effective learning activity that can fulfill the continuing professional development requirements for diagnostic radiographers. For students, journal clubs can support the development of critical appraisal skills and identify opportunities to implement evidence-based practice. This educational perspective aims to describe a co-designed journal club program, which was integrated into a 9-week part-time work integrated learning on-campus placement program for diagnostic radiography students.
Methods
The framework for the journal club program was co-designed by students and academics. The benefits and limitations of the program were analysed and discussed in relation to the collaborative aspect of the task, the nature of the program and the focus on continuing professional development.
Discussion
Journal club activities provided ample opportunities for students to engage with current issues in radiography. The flexibility and practicality of the program contributed to student engagement, but were also considered a challenge to wide participation in the weekly journal club discussion. A co-designed journal club activity can facilitate reflective practice, independent learning and critical thinking. Whilst the significance of the journal club was not extensively assessed in its first implementation, it has the potential to improve student research literacy skills and critical appraisal.
Conclusion
A perceived benefit of the journal club activity was the collaboration within groups who were tasked to present each week. Evaluation of the level of engagement with the program as well as its ability to improve critical analytical skills and data interpretation in the future is essential.
{"title":"Fostering the development of research literacy and exposure to current issues in radiography: Experience of a co-designed journal club","authors":"Jad Boutros , Jason Jiajie Luo , Laura Di Michele, Ben Seaton, Yobelli Alexandra Jimenez","doi":"10.1016/j.jmir.2024.01.004","DOIUrl":"10.1016/j.jmir.2024.01.004","url":null,"abstract":"<div><h3>Introduction/Background</h3><p>Journal clubs are an effective learning activity that can fulfill the continuing professional development requirements for diagnostic radiographers. For students, journal clubs can support the development of critical appraisal skills and identify opportunities to implement evidence-based practice. This educational perspective aims to describe a co-designed journal club program, which was integrated into a 9-week part-time work integrated learning on-campus placement program for diagnostic radiography students.</p></div><div><h3>Methods</h3><p>The framework for the journal club program was co-designed by students and academics. The benefits and limitations of the program were analysed and discussed in relation to the collaborative aspect of the task, the nature of the program and the focus on continuing professional development.</p></div><div><h3>Discussion</h3><p>Journal club activities provided ample opportunities for students to engage with current issues in radiography. The flexibility and practicality of the program contributed to student engagement, but were also considered a challenge to wide participation in the weekly journal club discussion. A co-designed journal club activity can facilitate reflective practice, independent learning and critical thinking. Whilst the significance of the journal club was not extensively assessed in its first implementation, it has the potential to improve student research literacy skills and critical appraisal.</p></div><div><h3>Conclusion</h3><p>A perceived benefit of the journal club activity was the collaboration within groups who were tasked to present each week. Evaluation of the level of engagement with the program as well as its ability to improve critical analytical skills and data interpretation in the future is essential.</p></div>","PeriodicalId":46420,"journal":{"name":"Journal of Medical Imaging and Radiation Sciences","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139699147","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}
Pub Date : 2024-06-01DOI: 10.1016/j.jmir.2023.07.018
Winnie Tam
Introduction
Previous literature reviews revealed that abdominal X-rays (AXR) performed for the accident and emergency department (A&E), had low sensitivity, high further imaging and non-alignment rate to the Royal College of Radiologists (RCR) guidelines. A study was performed to investigate the current practice with the aim of making recommendations to improve practice, which can reduce patients’ radiation exposures, while can re-routing resources to other priorities.
Methods
A study was performed in one of the UK's largest A&Es, in accordance with the RCR guidelines. All the AXR requests from A&E, regardless of the patient's age, within a 28-day period, were retrospectively assessed. Non-A&E patients and abandoned examinations due to uncooperative patients were excluded.
The total number of AXR requests received by the A&E imaging department was 169, with 28/169 falling into the exclusion criteria.
Results
Of the 141 included requests, five unjustified requests were correctly rejected. The remaining 136 requests were accepted and performed, though only 115/136 (84.6%) of these were justified. The most common justified and unjustified indications were obstruction and renal stones, respectively. Only 4% of reported AXR had pathological abnormalities, while 45/136 patients had further imaging.
Conclusions
The small proportion of significant findings echoed previous studies, suggesting an AXR overuse. Over 80% of non-compliant requests were performed, and awareness of the justification guidelines can be increased by clinical governance, posters, or an algorithm previously presented. The 32.4% further imaging rate recorded in this study, as opposed to the 73.7% reported in previous literature, merits attention.
Implications to practice
Stopping the overuse of AXR can minimise the radiation dose received and relieve the mounting pressure in imaging and reporting, which can serve other patients who would benefit from the services otherwise.
Introduction
Des analyses bibliographiques antérieures ont révélé que les radiographies de l'abdomen (RXA) effectuées dans les services d'urgence et d'accident avaient une faible sensibilité, un taux élevé d'imagerie complémentaire et un taux de non-alignement par rapport aux lignes directrices du Royal College of Radiologists (RCR). Une étude a été réalisée pour examiner la pratique actuelle dans le but de formuler des recommandations pour améliorer la pratique, ce qui peut réduire l'exposition des patients aux rayonnements, tout en réorientant les ressources vers d'autres priorités.
Méthodologie
Une étude a été réalisée dans l'un des plus grands services d'urgence du Royaume-Uni, conformément aux lignes directrices du RCR. Toutes les demandes de RXA émanant des services d'urgence, quel que soit l'âge du patient, au cours d'
{"title":"Current abdominal X-rays practice in accident and emergency","authors":"Winnie Tam","doi":"10.1016/j.jmir.2023.07.018","DOIUrl":"10.1016/j.jmir.2023.07.018","url":null,"abstract":"<div><h3>Introduction</h3><p>Previous literature reviews revealed that abdominal X-rays (AXR) performed for the accident and emergency department (A&E), had low sensitivity, high further imaging and non-alignment rate to the Royal College of Radiologists (RCR) guidelines. A study was performed to investigate the current practice with the aim of making recommendations to improve practice, which can reduce patients’ radiation exposures, while can re-routing resources to other priorities.</p></div><div><h3>Methods</h3><p>A study was performed in one of the UK's largest A&Es, in accordance with the RCR guidelines. All the AXR requests from A&E, regardless of the patient's age, within a 28-day period, were retrospectively assessed. Non-A&E patients and abandoned examinations due to uncooperative patients were excluded.</p><p>The total number of AXR requests received by the A&E imaging department was 169, with 28/169 falling into the exclusion criteria.</p></div><div><h3>Results</h3><p>Of the 141 included requests, five unjustified requests were correctly rejected. The remaining 136 requests were accepted and performed, though only 115/136 (84.6%) of these were justified. The most common justified and unjustified indications were obstruction and renal stones, respectively. Only 4% of reported AXR had pathological abnormalities, while 45/136 patients had further imaging.</p></div><div><h3>Conclusions</h3><p>The small proportion of significant findings echoed previous studies, suggesting an AXR overuse. Over 80% of non-compliant requests were performed, and awareness of the justification guidelines can be increased by clinical governance, posters, or an algorithm previously presented. The 32.4% further imaging rate recorded in this study, as opposed to the 73.7% reported in previous literature, merits attention.</p></div><div><h3>Implications to practice</h3><p>Stopping the overuse of AXR can minimise the radiation dose received and relieve the mounting pressure in imaging and reporting, which can serve other patients who would benefit from the services otherwise.</p></div><div><h3>Introduction</h3><p>Des analyses bibliographiques antérieures ont révélé que les radiographies de l'abdomen (RXA) effectuées dans les services d'urgence et d'accident avaient une faible sensibilité, un taux élevé d'imagerie complémentaire et un taux de non-alignement par rapport aux lignes directrices du Royal College of Radiologists (RCR). Une étude a été réalisée pour examiner la pratique actuelle dans le but de formuler des recommandations pour améliorer la pratique, ce qui peut réduire l'exposition des patients aux rayonnements, tout en réorientant les ressources vers d'autres priorités.</p></div><div><h3>Méthodologie</h3><p>Une étude a été réalisée dans l'un des plus grands services d'urgence du Royaume-Uni, conformément aux lignes directrices du RCR. Toutes les demandes de RXA émanant des services d'urgence, quel que soit l'âge du patient, au cours d'","PeriodicalId":46420,"journal":{"name":"Journal of Medical Imaging and Radiation Sciences","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1939865423018131/pdfft?md5=df88cfb91bd444274b3a091362f8e3c6&pid=1-s2.0-S1939865423018131-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9972846","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}
Pub Date : 2024-06-01DOI: 10.1016/j.jmir.2024.02.017
Pedro David Lopez
Background
This narrative review provides a comprehensive overview of the history and evolution of fluoroscopy. The review examines the historical development of the technology, the technological advancements that have occurred over time, and the current applications of the technology in modern medicine. The review also identifies future considerations for the use of fluoroscopy in clinical practice.
Methods
Literature for this review was found by searching using multiple electronic databases on the City University of New York (CUNY) online library search engine. Relevant peer-reviewed articles and textbooks were included in the review with the exception of two articles; these non-peer-reviewed articles were included in the review because it contained relevant information on the history of fluoroscopy that was not available in any of the peer-reviewed articles that were found. The information found was analyzed by summarizing the key findings of each study; these findings were then synthesized and organized chronologically to identify the history and evolution of fluoroscopy throughout the years as well as the main personalities and events that contributed to its invention and developments.
Conclusion
The fluoroscope has transformed from a simple handheld device to a streamlined and state of the art digital equipment. Throughout the years, numerous changes in its design and technology have occurred making the device more effective and safer for patients and operators. At the same time, since its early years, fluoroscopy plays an important role in the diagnosis and treatment of multiple pathological conditions, remaining an important imaging modality and tool in modern medicine. But what does the future hold for fluoroscopy? Will there continue to be more changes in its technology? What role will it continue to play in diagnostic imaging and modern medicine? These are all important questions for future consideration.
{"title":"Fluoroscopy history, evolution, and technological advancements: A narrative review","authors":"Pedro David Lopez","doi":"10.1016/j.jmir.2024.02.017","DOIUrl":"10.1016/j.jmir.2024.02.017","url":null,"abstract":"<div><h3>Background</h3><p>This narrative review provides a comprehensive overview of the history and evolution of fluoroscopy. The review examines the historical development of the technology, the technological advancements that have occurred over time, and the current applications of the technology in modern medicine. The review also identifies future considerations for the use of fluoroscopy in clinical practice.</p></div><div><h3>Methods</h3><p>Literature for this review was found by searching using multiple electronic databases on the City University of New York (CUNY) online library search engine. Relevant peer-reviewed articles and textbooks were included in the review with the exception of two articles; these non-peer-reviewed articles were included in the review because it contained relevant information on the history of fluoroscopy that was not available in any of the peer-reviewed articles that were found. The information found was analyzed by summarizing the key findings of each study; these findings were then synthesized and organized chronologically to identify the history and evolution of fluoroscopy throughout the years as well as the main personalities and events that contributed to its invention and developments.</p></div><div><h3>Conclusion</h3><p>The fluoroscope has transformed from a simple handheld device to a streamlined and state of the art digital equipment. Throughout the years, numerous changes in its design and technology have occurred making the device more effective and safer for patients and operators. At the same time, since its early years, fluoroscopy plays an important role in the diagnosis and treatment of multiple pathological conditions, remaining an important imaging modality and tool in modern medicine. But what does the future hold for fluoroscopy? Will there continue to be more changes in its technology? What role will it continue to play in diagnostic imaging and modern medicine? These are all important questions for future consideration.</p></div>","PeriodicalId":46420,"journal":{"name":"Journal of Medical Imaging and Radiation Sciences","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140790917","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}
Pub Date : 2024-06-01DOI: 10.1016/j.jmir.2024.02.023
WuiAnn Woon, Jacob Samuel, Khairina Wahab, Farhan Zaini, Fatin Hamadi, Andrew Lee CK, Vedapriya Ramamurthy, Shahidda Bohari
Purpose
To measure the out-of-field doses for various treatment planning techniques and assess the impact on fetal dose with and without the use of custom shielding.
Materials and methods
A total of six treatment plans were generated with different treatment techniques such as 3-dimensional conformal radiation therapy (3DCRT), intensity modulated radiation therapy (IMRT) and volumetric-modulated arc therapy (VMAT), utilizing both 6 MV flattened beams and flattening filter-free (FFF) beams. The measurements were carried out both out-of-field at the surface and at depth to assess the dose reduction achieved by removing the flattening filter and incorporating shielding.
Results
The custom-made frame shielding can effectively reduce the surface dose with a maximum reduction of 15.2% observed in VMAT plans and achieve a maximum reduction of 100% for cone beam computed tomography (CBCT) imaging. Out-of-field dose measurements conducted at depth, positioned 58 cm inferior to the target isocenter, reveal that the shielding effectiveness consistently remains the greatest for 3DCRT technique. A maximum reduction of 21% is observed when utilizing a flattening filter-free beam.
Conclusion
The results of this study indicate that the 3DCRT technique exhibits the least amount of scatter radiation both near and far from the treatment isocenter, which is the most suitable approach for radiation therapy of pregnant patients. In cases where meeting dose constraints for critical organs becomes challenging, VMAT technique emerges as the most suitable treatment technique for reducing out-of-field doses. Additionally, a flattening filter-free beam significantly reduces out-of-field doses due to lower contributions from head scatter.
{"title":"A phantom study investigating effective strategies for reducing fetal dose in pregnant patients with head and neck cancer","authors":"WuiAnn Woon, Jacob Samuel, Khairina Wahab, Farhan Zaini, Fatin Hamadi, Andrew Lee CK, Vedapriya Ramamurthy, Shahidda Bohari","doi":"10.1016/j.jmir.2024.02.023","DOIUrl":"10.1016/j.jmir.2024.02.023","url":null,"abstract":"<div><h3>Purpose</h3><p>To measure the out-of-field doses for various treatment planning techniques and assess the impact on fetal dose with and without the use of custom shielding.</p></div><div><h3>Materials and methods</h3><p>A total of six treatment plans were generated with different treatment techniques such as 3-dimensional conformal radiation therapy (3DCRT), intensity modulated radiation therapy (IMRT) and volumetric-modulated arc therapy (VMAT), utilizing both 6 MV flattened beams and flattening filter-free (FFF) beams. The measurements were carried out both out-of-field at the surface and at depth to assess the dose reduction achieved by removing the flattening filter and incorporating shielding.</p></div><div><h3>Results</h3><p>The custom-made frame shielding can effectively reduce the surface dose with a maximum reduction of 15.2% observed in VMAT plans and achieve a maximum reduction of 100% for cone beam computed tomography (CBCT) imaging. Out-of-field dose measurements conducted at depth, positioned 58 cm inferior to the target isocenter, reveal that the shielding effectiveness consistently remains the greatest for 3DCRT technique. A maximum reduction of 21% is observed when utilizing a flattening filter-free beam.</p></div><div><h3>Conclusion</h3><p>The results of this study indicate that the 3DCRT technique exhibits the least amount of scatter radiation both near and far from the treatment isocenter, which is the most suitable approach for radiation therapy of pregnant patients. In cases where meeting dose constraints for critical organs becomes challenging, VMAT technique emerges as the most suitable treatment technique for reducing out-of-field doses. Additionally, a flattening filter-free beam significantly reduces out-of-field doses due to lower contributions from head scatter.</p></div>","PeriodicalId":46420,"journal":{"name":"Journal of Medical Imaging and Radiation Sciences","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140327554","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}
Pub Date : 2024-06-01DOI: 10.1016/j.jmir.2024.02.007
Michael James Lang , Vikram Bubber
{"title":"Pressure: How to meaningfully engage with patient stories","authors":"Michael James Lang , Vikram Bubber","doi":"10.1016/j.jmir.2024.02.007","DOIUrl":"10.1016/j.jmir.2024.02.007","url":null,"abstract":"","PeriodicalId":46420,"journal":{"name":"Journal of Medical Imaging and Radiation Sciences","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1939865424000201/pdfft?md5=f78f4bc7ecbbeaf30e411954395b054d&pid=1-s2.0-S1939865424000201-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140190526","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}
This study aimed to further understand the psychological distress associated with skin marking during radiotherapy among patients with breast cancer. The potential benefits of skin mark-free radiotherapy were also explored.
Materials and methods
The study population included female breast cancer patients scheduled for radiation therapy and skin marking. A 12-item survey was administered, encompassing demographics (age, treatment site and mode, and duration of hospital visits), awareness of skin marking, stress induced by skin marking in various life contexts, and perceived advantages of a skin mark-free alternative. Responses were recorded on a 5-point Likert scale.
Results
The survey was completed by 107 patients, of whom 90 (84%) underwent whole breast irradiation, 15 (14%) received breast/chest wall and supraclavicular lymph node irradiation, and 2 (2%) were unspecified. The common sources of stress were from the presence of skin markings (33%), bathing (41%), clothing selection (25%), and skincare (30%), whereas 17 patients (16%) were not stressed by any of those factors. Meanwhile, 73% of patients reported taking precautions to prevent the skin marks from fading. Most patients (63%, n = 76) expressed preference for a skin mark-free radiotherapy option, with many willing to spend extra finances and time for this.
Conclusions
A significant proportion of female breast cancer patients experience stress from skin markings in various aspects of their daily lives. A preference for skin mark-free radiotherapy was noted among many patients, that next-generation technologies, such as surface-guided radiotherapy, could alleviate patient stress.
Implications for practice
The need for permanent or temporary skin markings in the era of state-of-the-art imaging technology should be reconsidered.
{"title":"Psychological stress associated with skin marking during radiotherapy on breast cancer patients","authors":"Ryohei Yamauchi, Ryoko Ito, Tomoko Itazawa, Fumihiro Tomita, Jiro Kawamori","doi":"10.1016/j.jmir.2024.03.049","DOIUrl":"10.1016/j.jmir.2024.03.049","url":null,"abstract":"<div><h3>Introduction</h3><p>This study aimed to further understand the psychological distress associated with skin marking during radiotherapy among patients with breast cancer. The potential benefits of skin mark-free radiotherapy were also explored.</p></div><div><h3>Materials and methods</h3><p>The study population included female breast cancer patients scheduled for radiation therapy and skin marking. A 12-item survey was administered, encompassing demographics (age, treatment site and mode, and duration of hospital visits), awareness of skin marking, stress induced by skin marking in various life contexts, and perceived advantages of a skin mark-free alternative. Responses were recorded on a 5-point Likert scale.</p></div><div><h3>Results</h3><p>The survey was completed by 107 patients, of whom 90 (84%) underwent whole breast irradiation, 15 (14%) received breast/chest wall and supraclavicular lymph node irradiation, and 2 (2%) were unspecified. The common sources of stress were from the presence of skin markings (33%), bathing (41%), clothing selection (25%), and skincare (30%), whereas 17 patients (16%) were not stressed by any of those factors. Meanwhile, 73% of patients reported taking precautions to prevent the skin marks from fading. Most patients (63%, n = 76) expressed preference for a skin mark-free radiotherapy option, with many willing to spend extra finances and time for this.</p></div><div><h3>Conclusions</h3><p>A significant proportion of female breast cancer patients experience stress from skin markings in various aspects of their daily lives. A preference for skin mark-free radiotherapy was noted among many patients, that next-generation technologies, such as surface-guided radiotherapy, could alleviate patient stress.</p></div><div><h3>Implications for practice</h3><p>The need for permanent or temporary skin markings in the era of state-of-the-art imaging technology should be reconsidered.</p></div>","PeriodicalId":46420,"journal":{"name":"Journal of Medical Imaging and Radiation Sciences","volume":null,"pages":null},"PeriodicalIF":1.8,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140867425","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}
18F-FDG-PET/CT is a valuable tool in the staging and surveillance of cutaneous melanoma; however, recent studies prompt debate on the clinical significance of imaging patients below the lesser trochanter. This study explored two research questions. In patients with a known primary cutaneous melanoma within the standard field of view (SFOV, between the orbits and lesser trochanter), what is the prevalence of metastasis to sites solely within the lower extremities? and, In patients with a known primary cutaneous melanoma within the SFOV what demographic and clinical factors are associated with sole metastasis to the lower extremities?
Methods
A retrospective, multi-centered, observational study of consecutive case reports was conducted. Subjects included 619 patients who underwent extended field of view (EFOV) 18F-FDG-PET/CT (from vertex to toes) for staging and/or follow-up of cutaneous melanoma. Data was collected at three primary healthcare centers in Canada (Nova Scotia, Alberta, and British Columbia). Inclusion criteria were patients >18 years of age, confirmed primary cutaneous melanoma, and a known location of the primary within the SFOV. Patients with primary cutaneous melanoma lesions in lower extremities and previous other cancers were excluded. To determine the prevalence of lesions located below the lesser trochanter, the proportion of such lesions were computed, and 95% confidence intervals ensured a precise estimation of the proportion.
Results
2512 patient charts were reviewed with 619 meeting the inclusion criteria, 298 of these were females. Six percent had metastases in both the lower extremities and sites within the SFOV. The number of subjects who had no metastasis within their SFOV was 361 (58.3%). The number of subjects who presented with confirmed metastasis in the lower extremities without concurrent metastasis in the SFOV region was one (0.58%). Despite a large initial study sample, the number of patients with metastasis in the lower extremities was insufficient to allow correlation of factors associated with risk of spread to the lower extremities.
Conclusion
Lower extremity 18F-FDG-PET/CT provided additional, relevant clinical data in a sole patient. This finding supports prior research suggesting the prevalence is rare. Future studies should seek to define demographic and clinical factors that predict such rare occurrences, where follow up would be warranted. This study highlights feasibility challenges associated with such investigation.
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Pub Date : 2024-06-01DOI: 10.1016/j.jmir.2024.02.001
Hayley Gullen
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