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Entrepreneurial thinking in radiography: Developing an imaging facility to support the future workforce 放射学中的创业思维:开发成像设施,为未来的劳动力提供支持
IF 2.5 Q2 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2024-10-29 DOI: 10.1016/j.radi.2024.10.012
C.E. Mercer , A.P. Clarke

Objectives

This article explores the significance of recognising and utilising entrepreneurial attributes—such as knowledge, skills, talent, and experience—to develop radiography education guided by a LUCID framework. It aims to demonstrate how enterprising behaviours and competencies can enhance human actions and address healthcare challenges, thereby improving employability in line with the College of Radiographers Education and Career Framework and industry demands.

Key findings

The article defines the concepts of Enterprise and Entrepreneurship and discusses the importance of understanding one's accumulated skills and experiences, known as Human Capital, for personal and professional growth. It illustrates how entrepreneurial thinking and utilisation of the LUCID framework facilitated the development of an imaging facility, which reflects a commitment to innovation and excellence in radiography education.

Conclusion

The article concludes that adopting entrepreneurial practices and reflecting on one's human capital can significantly benefit radiographers and educators. This approach not only enhances personal and professional development but also adds value to the profession, employers, and patients.

Implications for practice

Radiographers and educators are encouraged to adopt entrepreneurial practices and reflect on their human capital to identify areas for improvement. This can lead to better healthcare outcomes, improved employability, and alignment with industry demands and the College of Radiographers Education and Career Framework.
本文探讨了在 LUCID 框架指导下,认识和利用企业特质(如知识、技能、才能和经验)发展放射学教育的意义。文章定义了企业和创业的概念,并讨论了了解个人积累的技能和经验(即人力资本)对于个人和职业成长的重要性。文章阐述了创业思维和 LUCID 框架的运用如何促进了成像设施的发展,这体现了放射摄影教育创新和卓越的承诺。结论文章认为,采用创业实践和反思自身的人力资本可使放射技师和教育工作者受益匪浅。这种方法不仅能促进个人和职业发展,还能为行业、雇主和患者增加价值。对实践的启示鼓励放射技师和教育工作者采用创业实践,反思自己的人力资本,找出需要改进的地方。这能带来更好的医疗成果,提高就业能力,并与行业需求和放射技师学院教育与职业框架保持一致。
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引用次数: 0
Artificial intelligence in medical imaging education: Recommendations for undergraduate curriculum development 医学影像教育中的人工智能:本科生课程开发建议。
IF 2.5 Q2 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2024-10-24 DOI: 10.1016/j.radi.2024.10.008
E. Crotty , A. Singh , N. Neligan , C. Chamunyonga , C. Edwards

Objectives

Artificial intelligence (AI) is rapidly being integrated into medical imaging practice, prompting calls to enhance AI education in undergraduate radiography programs. Combining evidence from literature, practitioner insights, and industry perspectives, this paper provides recommendations for medical imaging undergraduate education, including curriculum revision and re-alignment.

Key findings

A proposed modular framework is outlined to assist course providers in integrating AI into university programs. An example course design includes modules on data science fundamentals, machine learning, AI ethics and patient safety, governance and regulation, AI tool evaluation, and clinical applications. A proposal to embed these longitudinally in the curriculum combined with hands-on experience and work-integrated learning will help develop the necessary knowledge of AI and its real-world impacts. Authentic assessment examples reinforce learning, such as critically appraising published research and reflecting on current technologies. Maintenance of an up-to-date curriculum will require a collaborative, multidisciplinary approach involving educators, clinicians, and industry professionals.

Conclusion

Integrating AI education into undergraduate medical imaging programs equips future radiographers in an evolving technological landscape. A strategic approach to embedding AI modules throughout degree programs assures students a comprehensive understanding of AI principles, skills in utilising AI tools effectively, and the ability to critically evaluate their implications.

Implications for practice

The practical implementation of undergraduate AI education will prepare radiographers to incorporate these technologies while assuring patient care.
目的:人工智能(AI)正在迅速融入医学影像实践,这促使人们呼吁在放射学本科课程中加强人工智能教育。本文结合文献证据、从业者见解和行业观点,为医学影像本科教育提供建议,包括课程修订和重新调整:本文概述了一个拟议的模块框架,以帮助课程提供者将人工智能纳入大学课程。课程设计范例包括数据科学基础、机器学习、人工智能伦理与患者安全、治理与监管、人工智能工具评估和临床应用等模块。建议在课程中纵向嵌入这些内容,并结合实践经验和工作综合学习,这将有助于培养必要的人工智能知识及其对现实世界的影响。真实的评估案例可以强化学习,如批判性地评估已发表的研究成果和反思当前的技术。要保持课程的与时俱进,需要教育工作者、临床医生和行业专业人士共同参与的多学科协作方法:将人工智能教育纳入医学影像本科课程,可使未来的放射技师在不断发展的技术环境中做好准备。在整个学位课程中嵌入人工智能模块的战略方法可确保学生全面了解人工智能原理、有效利用人工智能工具的技能以及批判性评估其影响的能力:人工智能本科教育的实际实施将使放射技师做好准备,在确保患者护理的同时融入这些技术。
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引用次数: 0
Medical imaging and radiation science students' use of artificial intelligence for learning and assessment 医学影像和放射科学专业学生使用人工智能进行学习和评估。
IF 2.5 Q2 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2024-10-19 DOI: 10.1016/j.radi.2024.10.006
S. Lewis , F. Bhyat , Y. Casmod , A. Gani , L. Gumede , A. Hajat , L. Hazell , C. Kammies , T.B. Mahlaola , L. Mokoena , L. Vermeulen

Introduction

Artificial intelligence has permeated all aspects of our existence, and medical imaging has shown the burgeoning use of artificial intelligence in clinical environments. However, there are limited empirical studies on radiography students' use of artificial intelligence for learning and assessment. Therefore, this study aimed to gain an understanding of this phenomenon.

Methods

The study used a qualitative explorative and descriptive research design. Data was obtained through five focus group interviews with purposively sampled undergraduate medical imaging and radiation science students at a single higher education institution in South Africa. Verbatim transcripts of the audio-recorded interviews were analysed thematically.

Results

Three themes and related subthemes were developed: 1) understanding artificial intelligence, 2) experiences with the use of artificial intelligence with the subthemes of the use of artificial intelligence in theoretical and clinical learning and challenges of using artificial intelligence, and 3) incorporation of artificial intelligence in undergraduate medical imaging and radiation sciences education with the subthemes of student education, ethical considerations and responsible use and curriculum integration of artificial intelligence in relation to learning and assessment.

Conclusion

Participants used artificial intelligence for learning and assessment by generating ideas to enhance academic writing, as a learning tool, finding literature, language translation and for enhanced efficiency. Simulation-based artificial intelligence supports students' clinical learning, and artificial intelligence within the clinical departments assists with improved patient outcomes. However, participants expressed concerns about the reliability and ethical implications of artificial intelligence-generated information. To address these concerns, participants suggested integrating artificial intelligence into medical imaging and radiation sciences education, where educators need to educate students on the responsible use of artificial intelligence in learning and consider artificial intelligence in assessments.

Implications for practice

The study findings contribute to understanding medical imaging and radiation sciences students’ use of artificial intelligence and may be used to develop evidence-based strategies for integrating artificial intelligence into the curriculum to enhance medical imaging and radiation sciences education and support students.
引言:人工智能已经渗透到我们生活的方方面面,医学影像领域也显示出人工智能在临床环境中的蓬勃发展。然而,关于放射学学生使用人工智能进行学习和评估的实证研究却十分有限。因此,本研究旨在了解这一现象:本研究采用了定性探索和描述性研究设计。数据是通过五个焦点小组访谈获得的,访谈对象是南非一所高等院校医学影像和放射科学专业的本科生。对访谈录音的逐字记录稿进行了专题分析:结果:形成了三个主题和相关次主题:1)对人工智能的理解;2)使用人工智能的经验,次主题为在理论和临床学习中使用人工智能以及使用人工智能的挑战;3)将人工智能纳入医学影像和放射科学本科教育,次主题为学生教育、伦理考虑、负责任地使用人工智能以及将人工智能纳入与学习和评估相关的课程:学员们将人工智能用于学习和评估,通过产生想法来加强学术写作,将其作为学习工具、查找文献、语言翻译和提高效率。基于模拟的人工智能为学生的临床学习提供了支持,而临床科室的人工智能则有助于改善病人的治疗效果。不过,与会者对人工智能生成信息的可靠性和道德影响表示担忧。为了解决这些问题,与会者建议将人工智能融入医学影像和放射科学教育中,教育者需要教育学生在学习中负责任地使用人工智能,并在评估中考虑人工智能:研究结果有助于了解医学影像和放射科学专业学生对人工智能的使用情况,并可用于制定将人工智能纳入课程的循证策略,以加强医学影像和放射科学教育并为学生提供支持。
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引用次数: 0
Artificial intelligence (AI) in radiography practice, research and education: A review of contemporary developments and predictions for the future 人工智能(AI)在放射学实践、研究和教育中的应用:当代发展回顾与未来预测
IF 2.5 Q2 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2024-10-14 DOI: 10.1016/j.radi.2024.09.062
C. Malamateniou, T. O'Regan, S.L. McFadden, M. Jackson
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引用次数: 0
Student radiographers’ confidence of adapting practice for autistic patients: A qualitative survey on the role of placement experiences 学生放射技师为自闭症患者调整实践的信心:关于实习经历作用的定性调查。
IF 2.5 Q2 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2024-10-03 DOI: 10.1016/j.radi.2024.09.055
B. Potts , H.P. White

Introduction

Healthcare services can be inaccessible to autistic people without adaptions to clinical practice and the care provided. Therefore, understanding how radiographer education develops students' confidence in adapting care for autistic patients is crucial. This study aimed to explore how placement experience impacts student radiographer confidence in adapting care for autistic patients.

Methods

UK final-year student diagnostic and therapeutic radiographers were invited to complete a qualitative online survey. The survey asked for a description of placement experiences; of observing and/or performing the care of autistic patients and how this impacted confidence in caring for autistic patients. The data was thematically analysed.

Results

43 responses (of 44 received) were included, from which 5 themes emerged. Those who felt placement experiences developed confidence described opportunities to apply theory learnt at university (theme 1) or drew attention to the benefit of prior (external) experience with autistic people (theme 3). However, the balance of power with the supervising radiographer (theme 2), witnessing autistic patients in distress (theme 4), and the heterogeneous nature of autism (theme 5) disrupted students’ development of confidence.

Conclusion

Several participants in this study found clinical placement developed confidence with autistic patients through applying knowledge and providing an opportunity for reflexive learning. However, various obstacles hindered this development, such as witnessing distressed patients, limited experiences with autistic patients and difficulty navigating relationships with radiographers.

Implications for practice

To improve student radiographers’ confidence of providing care for autistic patients, educators should consider methods, e.g., co-produced simulation, to fill potential gaps in their experience. There is also a pressing need for all radiographers to understand their responsibility in educating students and their impact on student wellbeing.
导言:如果不对临床实践和所提供的护理进行调整,自闭症患者可能无法获得医疗保健服务。因此,了解放射技师教育如何培养学生适应自闭症患者护理的信心至关重要。本研究旨在探讨实习经验如何影响放射技师学生为自闭症患者调整护理的信心:方法:邀请英国诊断和治疗放射技师专业的毕业班学生完成一项定性在线调查。调查要求描述实习经历、观察和/或护理自闭症患者的经历,以及这些经历如何影响护理自闭症患者的信心。我们对这些数据进行了专题分析:在收到的 44 份答复中,有 43 份被采纳,并从中产生了 5 个主题。那些认为实习经历增强了自信心的人描述了应用大学所学理论的机会(主题 1),或提请注意先前(外部)与自闭症患者接触的经验所带来的益处(主题 3)。然而,与指导放射技师之间的权力平衡(主题 2)、目睹自闭症患者的痛苦(主题 4)以及自闭症的异质性(主题 5)破坏了学生自信心的发展:本研究的几位参与者发现,临床实习通过应用知识和提供反思性学习的机会,培养了学生对自闭症患者的信心。然而,各种障碍阻碍了这一发展,例如目睹痛苦的患者、与自闭症患者接触的经验有限以及难以处理与放射技师的关系:为提高学生放射技师为自闭症患者提供护理的信心,教育者应考虑采用共同制作模拟等方法来弥补他们在经验方面的潜在不足。此外,所有放射技师都迫切需要了解他们在教育学生方面的责任以及他们对学生福祉的影响。
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引用次数: 0
Enhancing radiography education through immersive virtual reality 通过沉浸式虚拟现实技术加强放射学教育。
IF 2.5 Q2 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2024-10-03 DOI: 10.1016/j.radi.2024.09.054
S. Acosta, D. López

Introduction

This study evaluates the integration of Virtual Reality (VR), utilising Virtual Medical Coaching software, with traditional Siemens radiographic equipment in radiography education, comparing traditional and hybrid training models.

Methods

The study included 165 first-year radiography programme students from two groups. One group used traditional radiographic simulation equipment, while the other employed a hybrid approach combining VR simulations with physical simulations. Assessments focused on room setup, patient comfort, and radiographic positioning across various anatomical regions. Methods included practical exams, cost analysis, and data analysis using descriptive and inferential statistics, including ANCOVA.

Results

The hybrid group showed significantly superior performance in room setup, achieving more efficient and accurate configurations. For radiographic positioning, the hybrid group exhibited greater precision and adaptability in handling different anatomical regions, such as the lumbar spine, knee, chest, shoulder, and cervical spine. These students also demonstrated a quicker learning curve and higher retention rates in practical skills. In terms of patient comfort, both groups performed equally well. Financial analysis indicated that the hybrid approach reduced training costs by decreasing the need for repeated use of physical resources and shortening educational hours.

Conclusion

Incorporating VR into radiography training significantly enhances educational outcomes, student engagement, and clinical skills. The hybrid model, which utilises both Virtual Medical Coaching's VR tools and traditional Siemens equipment, proves to be an effective, scalable, and engaging educational method.

Implications for practice

Given the enhanced performance and cost-efficiency of the hybrid model, radiography programmes are encouraged to adopt VR-enhanced simulation training. This approach prepares students more effectively for the technical and interpersonal demands of radiographic technology careers.
简介:本研究评估了虚拟现实(VR)技术与传统西门子射线照相设备在射线照相教学中的整合情况,比较了传统培训模式和混合培训模式:本研究评估了利用虚拟医疗教练软件将虚拟现实(VR)与传统的西门子射线照相设备整合到射线照相术教学中的情况,并对传统培训模式和混合培训模式进行了比较:研究包括两组 165 名一年级放射学课程学生。一组使用传统的射线照相模拟设备,另一组则采用 VR 模拟与物理模拟相结合的混合方法。评估重点是房间设置、病人舒适度和不同解剖区域的放射定位。方法包括实际考试、成本分析以及使用描述性和推论性统计(包括方差分析)进行数据分析:结果:混合组在房间设置方面的表现明显优于混合组,配置更高效、更准确。在放射定位方面,混合组在处理不同解剖区域(如腰椎、膝关节、胸部、肩部和颈椎)时表现出更高的精确度和适应性。这些学生还表现出更快的学习曲线和更高的实践技能保持率。在病人舒适度方面,两组学生的表现不相上下。财务分析表明,混合方法减少了对重复使用物理资源的需求,缩短了教学时间,从而降低了培训成本:结论:将虚拟现实技术融入放射学培训可显著提高教学成果、学生参与度和临床技能。混合模式同时使用了虚拟医疗教练的 VR 工具和传统的西门子设备,被证明是一种有效、可扩展和吸引人的教育方法:对实践的启示:鉴于混合模式的性能和成本效益都有所提高,我们鼓励放射学课程采用 VR 增强模拟训练。这种方法能让学生更有效地适应放射技术职业的技术和人际交往要求。
{"title":"Enhancing radiography education through immersive virtual reality","authors":"S. Acosta,&nbsp;D. López","doi":"10.1016/j.radi.2024.09.054","DOIUrl":"10.1016/j.radi.2024.09.054","url":null,"abstract":"<div><h3>Introduction</h3><div>This study evaluates the integration of Virtual Reality (VR), utilising Virtual Medical Coaching software, with traditional Siemens radiographic equipment in radiography education, comparing traditional and hybrid training models.</div></div><div><h3>Methods</h3><div>The study included 165 first-year radiography programme students from two groups. One group used traditional radiographic simulation equipment, while the other employed a hybrid approach combining VR simulations with physical simulations. Assessments focused on room setup, patient comfort, and radiographic positioning across various anatomical regions. Methods included practical exams, cost analysis, and data analysis using descriptive and inferential statistics, including ANCOVA.</div></div><div><h3>Results</h3><div>The hybrid group showed significantly superior performance in room setup, achieving more efficient and accurate configurations. For radiographic positioning, the hybrid group exhibited greater precision and adaptability in handling different anatomical regions, such as the lumbar spine, knee, chest, shoulder, and cervical spine. These students also demonstrated a quicker learning curve and higher retention rates in practical skills. In terms of patient comfort, both groups performed equally well. Financial analysis indicated that the hybrid approach reduced training costs by decreasing the need for repeated use of physical resources and shortening educational hours.</div></div><div><h3>Conclusion</h3><div>Incorporating VR into radiography training significantly enhances educational outcomes, student engagement, and clinical skills. The hybrid model, which utilises both Virtual Medical Coaching's VR tools and traditional Siemens equipment, proves to be an effective, scalable, and engaging educational method.</div></div><div><h3>Implications for practice</h3><div>Given the enhanced performance and cost-efficiency of the hybrid model, radiography programmes are encouraged to adopt VR-enhanced simulation training. This approach prepares students more effectively for the technical and interpersonal demands of radiographic technology careers.</div></div>","PeriodicalId":47416,"journal":{"name":"Radiography","volume":"30 ","pages":"Pages 42-50"},"PeriodicalIF":2.5,"publicationDate":"2024-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142376126","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
Dementia education for Diagnostic Radiography students: Impact on confidence, knowledge, and attitudes towards dementia 针对放射诊断专业学生的痴呆症教育:对痴呆症的信心、知识和态度的影响。
IF 2.5 Q2 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2024-10-03 DOI: 10.1016/j.radi.2024.09.057
E. Berry, C.S. Mc Nally, A. Barbosa, C. Mason, D. Jones

Introduction

Diagnostic radiographers play a key role in the healthcare of people living with dementia, capturing and producing diagnostic images in a range of settings. Diagnostic radiographers often lack the confidence and skills to assess people with dementia appropriately, and people with dementia often report negative experiences within imaging departments. There is a lack of radiography-specific dementia education within pre-registration programmes in the UK so newly qualified radiographers enter the workforce unprepared. The aim of this study was to evaluate the impact of a co-produced dementia education programme on student radiographers’ preparedness to care, knowledge, confidence and attitudes towards dementia.

Methods

A 3-hour co-produced dementia education was delivered and evaluated using a pre-test-post-test design. A single self-administered questionnaire, comprising validated instruments, was used to assess second-year radiography students' knowledge, confidence and attitudes towards dementia. Wilcoxon signed-rank test was used to compare scale scores before and after the education.

Results

Participants knowledge, confidence and preparedness to care for people with dementia significantly increased following the intervention. Attitudes were also more positive post-intervention. Participants reported that they found the education valuable.

Conclusions

Dementia education comprising of taught theory and simulation-based education, co-produced with experts by experience, effectively improves diagnostic radiography students’ knowledge, confidence and attitudes in caring for people living with dementia.

Implications for practice

Combined theory and practice-based dementia education should be included in undergraduate diagnostic radiography curriculums.
简介放射诊断技师在痴呆症患者的医疗保健中发挥着关键作用,他们在各种环境中采集和制作诊断图像。放射诊断技师往往缺乏对痴呆症患者进行适当评估的信心和技能,而痴呆症患者也经常报告在影像科室的负面经历。在英国,注册前课程中缺乏针对痴呆症的放射学教育,因此新获得资格的放射技师在进入工作岗位时毫无准备。本研究旨在评估共同制作的痴呆症教育课程对放射技师学生的护理准备、知识、信心和对痴呆症的态度的影响:方法: 采用前测-后测的设计方法,对共同制作的 3 小时痴呆症教育课程进行授课和评估。由经过验证的工具组成的单一自填式问卷用于评估二年级放射学学生对痴呆症的知识、信心和态度。采用Wilcoxon符号秩检验比较教育前后的量表得分:结果:干预后,学员对痴呆症患者护理的知识、信心和准备程度均有显著提高。干预后的态度也更加积极。参与者表示他们认为教育很有价值:结论:痴呆症教育包括理论教学和模拟教学,由专家根据经验共同制作,可有效提高放射诊断专业学生在护理痴呆症患者方面的知识、信心和态度:实践启示:以理论和实践为基础的痴呆症教育应纳入放射诊断学本科课程。
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引用次数: 0
Could surface imaging in breast cancer radiotherapy detect early lymphoedema? : The Calibrate Study 乳腺癌放疗中的表面成像能否检测出早期淋巴水肿? 校准研究
IF 2.5 Q2 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2024-10-01 DOI: 10.1016/j.radi.2024.09.014
Heidi Probst, Stephanie Hill, Laura Jacques, Michael Thelwell
{"title":"Could surface imaging in breast cancer radiotherapy detect early lymphoedema? : The Calibrate Study","authors":"Heidi Probst,&nbsp;Stephanie Hill,&nbsp;Laura Jacques,&nbsp;Michael Thelwell","doi":"10.1016/j.radi.2024.09.014","DOIUrl":"10.1016/j.radi.2024.09.014","url":null,"abstract":"","PeriodicalId":47416,"journal":{"name":"Radiography","volume":"30 ","pages":"Pages S6-S7"},"PeriodicalIF":2.5,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142416277","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
Cranio-Spinal Irradiation in low-middle income setting: A dosimetric comparison and literature review 在中低收入环境中进行颅脊照射:剂量学比较和文献综述
IF 2.5 Q2 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2024-10-01 DOI: 10.1016/j.radi.2024.09.065
W. Kaabia , A. Yousfi , T. Boussaid , N. Bouzid , G.E.F. Noubbigh , S. Yahyaoui , M. Besbes , S. Zarraa , C. Nasr

Introduction

Volumetric modulated arc therapy (VMAT) is a relatively new treatment technique in the middle-east and north African region. More so, is its application for cranio-spinal irradiation (CSI). We report the experience of this implementation in Tunisia, by comparing dosimetric outcomes between VMAT and Three-Dimensional Conformal Radiotherapy (3DCRT) and evaluating their efficiency in terms of treatment delivery time.

Methods

We conducted an in-silico dosimetric study, on 29 patients treated with CSI. Patients treated with 3DCRT were replanned in VMAT and vice-versa. Doses to target volumes (TV) and organs at risk (OAR) were collected from the Treatment Planning System (TPS). Recorded treatment time was extracted from the TPS and beam-on-times were calculated.

Results

VMAT provided higher TV coverage for CSI PTV (V95 % = 97.4 % vs 93.4 %, p < 0.001) and for boost PTV (96.3 % vs 93.4 %, p = 0.005). VMAT demonstrated better conformity (0.97 vs 0.93) and homogeneity (0.1 vs 0.26) indexes (p < 0.001). Both techniques met constraints for OAR, but neither achieved recommended limits for the skin, lens, or pituitary gland. VMAT showed lower maximum doses for the majority of OAR and achieved lower mean doses to the cochlea, parotids, heart, oesophagus, pancreas and bladder. However, it resulted in higher low doses to non-target tissue (V5Gy = 45.6 % vs 27.5 %, p < 0.001). Recorded treatment time was longer with VMAT compared to 3DCRT (1387 vs 683 s; p < 0.001), as well as the beam-on-time (453 and 162 s, p < 0.001).

Conclusion

VMAT offered improved TV coverage, conformity, and homogeneity. It protected some OAR better. This came at the expense of higher low-dose exposure to non-target tissue. Treatment times were longer with VMAT.

Implications for practice

Our study suggests the feasibility of implementing VMAT for CSI in low-middle-income countries. Follow-up is required to study the clinical translation of the dosimetric outcomes of VMAT.
导言 容积调制弧治疗(VMAT)在中东和北非地区是一种相对较新的治疗技术。它在颅脊照射(CSI)中的应用更是如此。我们通过比较 VMAT 和三维适形放射治疗(3DCRT)的剂量测定结果,并评估它们在治疗时间方面的效率,报告了突尼斯的实施经验。采用 3DCRT 治疗的患者在 VMAT 中进行了重新扫描,反之亦然。治疗计划系统(TPS)收集了靶体积(TV)和危险器官(OAR)的剂量。结果VMAT为CSI PTV(V95 % = 97.4 % vs 93.4 %,p < 0.001)和boost PTV(96.3 % vs 93.4 %,p = 0.005)提供了更高的TV覆盖率。VMAT 的一致性(0.97 对 0.93)和均匀性(0.1 对 0.26)指数更佳(p < 0.001)。两种技术都符合 OAR 的限制,但都没有达到皮肤、晶状体或垂体的建议限制。VMAT 对大多数 OAR 的最大剂量较低,对耳蜗、腮腺、心脏、食道、胰腺和膀胱的平均剂量也较低。不过,它对非目标组织造成的低剂量更高(V5Gy = 45.6 % vs 27.5 %,p < 0.001)。与 3DCRT 相比,VMAT 的记录治疗时间更长(1387 秒 vs 683 秒;p < 0.001),光束照射时间也更长(453 秒和 162 秒,p < 0.001)。它能更好地保护一些 OAR。但其代价是非靶组织受到的低剂量照射更多。我们的研究表明,在中低收入国家对 CSI 实施 VMAT 是可行的。需要进行后续跟踪,以研究 VMAT 剂量学结果的临床转化。
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引用次数: 0
Coaching to empower for change – beyond the training 通过培训增强变革能力--超越培训
IF 2.5 Q2 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2024-10-01 DOI: 10.1016/j.radi.2024.09.030
Sheena Chauhan, Alison Sanneh, Kirsty Marsh
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引用次数: 0
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Radiography
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