Radiography最新文献_第2页

The understandings, experiences and attitudes of diagnostic radiographers regarding forensic radiography as part of their daily practice working in South Africa 在南非，诊断放射技师对法医放射摄影的理解、经验和态度是他们日常工作的一部分。

IF 2.8 Q2 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING

Radiography

Pub Date : 2026-01-10 DOI: 10.1016/j.radi.2025.103300

L.A. Gower , G. Lovric , N.P. Nkosi , N. Mountford , N. Ndlovu

Introduction

The Health Professions Council of South Africa recognises forensic radiography as an aspect of the diagnostic radiographer's scope of practice. In contrast, the International Association of Forensic Radiographers asserts that forensic imaging should be voluntary and undertaken only by radiographers who have received formal training in the field. This study aimed to explore diagnostic radiographers' understanding, experiences, and attitudes towards forensic radiography as encountered in their daily practice.

Methods

A purposive sampling method was employed to recruit radiographers who were knowledgeable about forensic radiography through their daily practice. Participants were required to have performed forensic radiographic imaging on both living and deceased individuals and to have practised in either the public or private clinical sectors. Semi-structured interviews were conducted with 17 consenting diagnostic radiographers via the online platform Microsoft Teams. Thematic analysis was performed using an inductive approach.

Results

Four distinct themes emerged; Learning and understanding forensic radiography; Practicing forensic radiography; Emotional and psychological responses; Attitudes and motivation.

Conclusion

Findings highlighted the complex and emotionally demanding nature of this domain, which intersects clinical and legal responsibilities. Variability in knowledge and preparedness was evident, influenced by limited undergraduate exposure, informal on-the-job learning, and inconsistent institutional support. While many radiographers valued contributing to justice, others reported apprehension and emotional distress, especially when imaging deceased individuals.

Implications for practice

These findings underscore the need for structured education, standardised forensic protocols, and psychological support to prepare radiographers for the complexities of forensic imaging. Formalised postgraduate training and maintaining voluntary participation are critical to building professional competence and resilience in this demanding field.

导言：南非卫生专业委员会承认法医放射摄影是诊断放射技师执业范围的一个方面。相比之下，国际法医放射技师协会断言，法医成像应该是自愿的，只有在该领域接受过正式培训的放射技师才能从事。本研究旨在探讨诊断放射技师在日常工作中对法医放射学的理解、经验和态度。方法：采用有目的的抽样方法，招募在日常执业过程中对法医放射学有一定了解的放射技师。参加者须曾为在世及已故人士进行法医放射成像，并曾在公营或私营诊所执业。通过在线平台Microsoft Teams对17名同意的放射诊断技师进行了半结构化访谈。专题分析采用归纳方法进行。结果：出现了四个明显的主题；学习和理解法医放射学；从事法医放射摄影；情绪和心理反应；态度和动机。结论：研究结果强调了这一领域的复杂性和情感需求的本质，它涉及临床和法律责任。受有限的本科接触、非正式在职学习和不一致的机构支持的影响，知识和准备的可变性是明显的。虽然许多放射技师重视为正义做出贡献，但也有人表示担忧和情绪困扰，尤其是在为死者拍照时。实践意义：这些发现强调了结构化教育、标准化法医协议和心理支持的必要性，以使放射技师为法医成像的复杂性做好准备。正式的研究生培训和保持自愿参与对于在这个要求很高的领域建立专业能力和适应能力至关重要。

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引用次数: 0

Health human resources shortages in radiography and sustainable workforce development in Australia 澳大利亚放射学领域的卫生人力资源短缺和可持续劳动力发展

IF 2.8 Q2 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING

Radiography

Pub Date : 2026-01-08 DOI: 10.1016/j.radi.2025.103319

M.T. Chau , K.M. Spuur , H. Vu

Objectives

Health Human Resources (HHR) are critical for the effective functioning of healthcare systems, yet significant shortages exist, particularly in radiography. The increasing demand for diagnostic radiography services, driven by advancements in medical technology, an aging population, and the prevalence of chronic diseases, exacerbates these shortages. The COVID-19 pandemic further highlighted workforce vulnerabilities, increasing workloads and burnout. This review examines HHR shortages in radiography in Australia and proposes strategies for sustainable workforce development.

Key findings

The aging radiography workforce, with a significant portion nearing retirement, intensifies HHR shortages. The pandemic disrupted education and training, delaying the entry of new professionals and increasing turnover intentions among existing staff. The result being delayed imaging services, increased wait times, and potentially compromised patient outcomes. To address these challenges, a multifaceted strategy is proposed. Policy changes and government initiatives, including funding educational programs and recognizing internationally trained radiographers, can provide immediate relief. Expanding enrolment capacities and developing new training programs are essential. Retention strategies, including improving working conditions and career advancement opportunities, are crucial for workforce stability. Promoting advanced practice models can optimize task distribution and better utilize specialized skills. Leveraging technology, such as artificial intelligence and telehealth, can enhance productivity and extend service reach.

Conclusion

A comprehensive approach combining policy changes, educational initiatives, retention strategies, technology integration, international recruitment, and awareness campaigns is essential for addressing HHR shortages in radiography. By implementing these strategies, the radiography workforce can be better equipped to meet the growing demands of healthcare, ensuring optimal patient outcomes and the sustainability of health services.

Implications for practice

Strengthening the radiography workforce will ensure timely and effective healthcare delivery, support health interventions, and progress towards universal health coverage and Sustainable Development Goals.

卫生人力资源（HHR）对卫生保健系统的有效运作至关重要，但存在严重短缺，特别是在放射学方面。在医疗技术进步、人口老龄化和慢性病流行的推动下，对放射诊断服务的需求不断增加，加剧了这些短缺。2019冠状病毒病大流行进一步凸显了劳动力脆弱性，增加了工作量和倦怠。本文审查了澳大利亚放射学人力资源的短缺，并提出了可持续劳动力发展的战略。主要发现：放射学工作人员老龄化，很大一部分接近退休，加剧了人力资源短缺。大流行病扰乱了教育和培训，推迟了新专业人员的进入，增加了现有工作人员的离职意向。其结果是延迟了成像服务，增加了等待时间，并可能损害患者的预后。为应对这些挑战，提出了一项多方面的战略。政策变化和政府举措，包括资助教育项目和认可国际培训的放射技师，可以立即提供救济。扩大招生能力和制定新的培训计划至关重要。保留策略，包括改善工作条件和职业发展机会，对劳动力的稳定至关重要。推广先进的实践模式可以优化任务分配，更好地利用专业技能。利用人工智能和远程保健等技术可以提高生产力并扩大服务范围。结论解决放射学人力资源短缺问题，必须采取政策改革、教育举措、人才保留策略、技术整合、国际招聘和宣传活动相结合的综合措施。通过实施这些战略，放射学工作人员可以更好地满足不断增长的医疗保健需求，确保最佳的患者结果和卫生服务的可持续性。加强放射学工作队伍将确保及时有效地提供卫生保健服务，支持卫生干预措施，并在实现全民健康覆盖和可持续发展目标方面取得进展。

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引用次数: 0

Exploring radiographers' perspectives toward virtual reality in paediatric imaging: Implications for patient care and workflow 探索放射技师对儿科成像中虚拟现实的看法：对患者护理和工作流程的影响

IF 2.8 Q2 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING

Radiography

Pub Date : 2026-01-08 DOI: 10.1016/j.radi.2025.103273

A. Clancy Roche, M. Davis

Introduction

With technological advancements reshaping medical imaging, virtual reality (VR) has emerged as a promising tool for managing procedural anxiety in paediatric patients. This research addressed a critical gap in the literature regarding radiographers' opinions on the technology. Specifically, it investigates their views on VR's dual role as both a distraction technique and a preparatory tool in departments.

Methods

Firstly, a semi-structured interview was conducted with a radiographer experienced in implementing innovative technologies. Key insights from the interview discussion were then used to formulate a focus group framework of five radiographers working in paediatric hospitals. Thematic analysis was employed to generate themes within the data.

Results

Four main themes were generated, including managing paediatric anxiety, the impact of VR on radiographers, VR vs. traditional tools, and potential barriers to VR. Participants expressed overall support for the use of VR in paediatric imaging, particularly during invasive procedures. However, participants didn't think it was feasible in the X-ray department, or as a sedation alternative.

Conclusion

This study suggests that VR would be accepted by radiographers as a valuable tool, recognising its possibilities to enhance patient care and streamline workflow. Although some challenges were identified, with targeted training, patient screening, and cost-effective alternatives, VR could be an effective tool for Irish paediatric hospitals.

Implications for practice

VR's successful implementation could improve the paediatric imaging experience by reducing procedural anxiety and minimising reliance on sedation. This would be a critical innovation to address the growing safety concerns regarding the use of pharmacological interventions in children. The technology may also enhance departmental efficiency through reduced sedation costs and improving the workflow.

随着技术进步重塑医学成像，虚拟现实（VR）已成为一种有前途的工具，用于管理儿科患者的程序焦虑。这项研究解决了文献中关于放射技师对这项技术的看法的一个关键差距。具体来说，它调查了他们对虚拟现实作为分散注意力的技术和部门准备工具的双重作用的看法。方法首先，对一位在实施创新技术方面经验丰富的放射技师进行半结构化访谈。访谈讨论的主要见解随后被用于制定在儿科医院工作的五名放射技师的焦点小组框架。采用主题分析在数据中生成主题。结果产生了四个主要主题，包括管理儿科焦虑、虚拟现实对放射技师的影响、虚拟现实与传统工具的比较以及虚拟现实的潜在障碍。与会者普遍支持在儿科成像中使用VR，特别是在侵入性手术中。然而，参与者不认为它在x光科是可行的，也不认为它是一种镇静替代品。结论：本研究表明，虚拟现实将被放射技师视为一种有价值的工具，并认识到其提高患者护理和简化工作流程的可能性。虽然确定了一些挑战，但通过有针对性的培训、患者筛查和具有成本效益的替代方案，虚拟现实可以成为爱尔兰儿科医院的有效工具。evr的成功实施可以通过减少手术焦虑和减少对镇静的依赖来改善儿科成像体验。这将是一项关键的创新，以解决对儿童使用药物干预的日益增长的安全问题。该技术还可以通过降低镇静成本和改善工作流程来提高部门效率。

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引用次数: 0

An evaluation of the clinical factors impacting the psychological wellbeing of diagnostic radiographers within the UK 影响英国诊断放射技师心理健康的临床因素评估

IF 2.8 Q2 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING

Radiography

Pub Date : 2026-01-08 DOI: 10.1016/j.radi.2025.103317

F. MacGregor , J. Boyes , K. Swainston

Introduction

Care and compassion are fundamental components underpinning healthcare practice. Evidence suggests that healthcare practitioners witnessing the suffering of others may result in emotional reactions impacting upon their ability to demonstrate empathy and compassion. Diagnostic radiographers are often overlooked as a profession when evaluating compassion and interaction with patients due to the perceived solely technical aspects of their role. This qualitative research aimed to explore the psychological effects of clinical radiography practice on radiographers in the UK.

Methods

The data was generated through in-depth one-to-one semi-structured interviews with twenty-three radiography practitioners working in the UK. Participants were recruited through the research teams' professional networks, the Society of Radiographers Live and via the UK radiography congress research hub. The collated anonymized and transcribed data was analysed using reflexive thematic analysis.

Results

The analysis generated four themes pertaining to the remit of radiography practice influences on radiographers' psychological wellbeing: trauma and burnout, role perception and normalization, overlooked and unsupported, and safeguarding wellbeing: awareness and training. These themes provide meaningful insights into the current status of radiography practice and its potential psychological impacts from the radiographers' perspective.

Conclusion

The four themes suggest that there can be detrimental effects on the psychological wellbeing of radiographers in carrying out their clinical roles. Improved pre and post graduate education together with the addressing of radiographers' role perceptions and expectations is needed to enhance and maintain radiographers' wellbeing in clinical practice.

Implications for practice

Enhanced education, awareness, openness and accessible support mechanisms are essential for radiographers whose psychological wellbeing continues to be at risk through undertaking their clinical duties. Without these, significant risks of increased absenteeism and loss of practitioners from the profession remain.

关怀和同情是支持医疗保健实践的基本组成部分。有证据表明，医疗从业者目睹他人的痛苦可能会导致情绪反应，影响他们表现出同理心和同情心的能力。在评估同情心和与患者的互动时，诊断放射技师往往被忽视，因为他们的角色仅仅是技术方面的。本定性研究旨在探讨临床放射实践对英国放射技师的心理影响。方法通过对23名在英国工作的放射学从业人员进行深入的一对一半结构化访谈，获得数据。参与者是通过研究团队的专业网络、现场放射技师协会和英国放射学大会研究中心招募的。使用反身性主题分析对整理的匿名和转录数据进行分析。结果分析产生了与放射治疗实践对放射技师心理健康影响范围有关的四个主题：创伤和倦怠、角色感知和正常化、被忽视和不受支持，以及维护健康：意识和培训。这些主题提供了有意义的见解，放射实践的现状和潜在的心理影响，从放射技师的角度。结论这四个主题表明，在履行其临床职责时，放射技师的心理健康可能会受到不利影响。为了提高和维持放射技师在临床实践中的健康，需要改善预科和研究生教育，同时解决放射技师的角色认知和期望。对实践的影响加强教育、意识、开放和可获得的支持机制对那些因履行临床职责而心理健康持续处于危险中的放射技师至关重要。没有这些，缺勤率上升和从业人员流失的重大风险仍然存在。

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引用次数: 0

Listening to and learning from patients: A review of the results from the 2023 national radiotherapy patient experience survey in England 倾听患者并向患者学习：英国2023年全国放疗患者体验调查结果综述

IF 2.8 Q2 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING

Radiography

Pub Date : 2026-01-08 DOI: 10.1016/j.radi.2025.103305

D. Hutton , M. Bates , K. Lowery , P. Booker , L. McKie , H. Wong , H. Stewart , H.P. White

Introduction

Emphasised through the radiotherapy service specification alongside a range of policies, there is a need to ensure the patient voice is listened to and heard. Ensuring patients are ‘cared about’ throughout their radiotherapy treatment is essential. Reviewing the expectations of patients and capturing their experiences of radiotherapy, enables improvement to our radiotherapy services.

Methods

An online survey including open and closed questions about patient experience was distributed to adult external beam radiotherapy patients (EBRT), attending radiotherapy within 10 Radiotherapy Operational Delivery Networks in England. Patients completing radiotherapy treatment 4th - 29th September 2023 were eligible to participate.

Results

A 30.6 % response rate was gained (calculated from RTDS data). Over 2500 responses were received, with 2486 suitable for analysis.

Respondents stated ‘complete understanding’ of knowledge of late effects of radiotherapy was 58.6 %, with early effects at 73.7 %. Most patients (93.8 %) were happy or very happy with information received prior to EBRT starting. The vast majority (95 %) stated they were treated with dignity and respect, with a few describing examples where this had not been the case.

Conclusion

The majority of patients responding to this survey indicated they experienced high quality care:‘… the staff, from top to bottom, are quite exceptional. They represent the very best of the NHS and I am truly grateful.’

From a service improvement perspective, also highlighted was the need to review delivery and content of information given both pre- and post-radiotherapy treatment.

Implications for practice

The need for a biennial National Radiotherapy Patient Experience Survey is required. This needs to be available in a range of alternative formats to ensure all voices can be heard.

通过放疗服务规范和一系列政策强调，有必要确保患者的声音被倾听和听到。确保患者在放射治疗过程中得到“关心”是至关重要的。检讨病人对放射治疗的期望及收集他们的经验，有助改善我们的放射治疗服务。方法对英国10家放射治疗业务递送网络中接受放射治疗的成人外束放疗患者（EBRT）进行开放性和封闭式的患者体验在线调查。2023年9月4日至29日完成放疗治疗的患者有资格参加。结果有效率为30.6%（根据RTDS数据计算）。收到2500多份回复，其中2486份适合分析。受访者表示对放疗晚期效应的知识“完全理解”的占58.6%，对早期效应的知识“完全理解”的占73.7%。大多数患者（93.8%）对EBRT开始前收到的信息感到满意或非常满意。绝大多数人（95%）表示他们受到了尊严和尊重，少数人描述了情况并非如此的例子。结论接受调查的大多数患者表示，他们经历了高质量的护理：“……从上到下，工作人员都非常出色。他们代表了NHS最好的部分，我真的很感激。“从服务改进的角度来看，也强调了需要审查放射治疗前后的信息传递和内容。对实践的启示需要每两年进行一次全国放射治疗患者经验调查。这需要以一系列替代格式提供，以确保所有的声音都能被听到。

{"title":"Listening to and learning from patients: A review of the results from the 2023 national radiotherapy patient experience survey in England","authors":"D. Hutton , M. Bates , K. Lowery , P. Booker , L. McKie , H. Wong , H. Stewart , H.P. White","doi":"10.1016/j.radi.2025.103305","DOIUrl":"10.1016/j.radi.2025.103305","url":null,"abstract":"<div><h3>Introduction</h3><div>Emphasised through the radiotherapy service specification alongside a range of policies, there is a need to ensure the patient voice is listened to and heard. Ensuring patients are ‘cared about’ throughout their radiotherapy treatment is essential. Reviewing the expectations of patients and capturing their experiences of radiotherapy, enables improvement to our radiotherapy services.</div></div><div><h3>Methods</h3><div>An online survey including open and closed questions about patient experience was distributed to adult external beam radiotherapy patients (EBRT), attending radiotherapy within 10 Radiotherapy Operational Delivery Networks in England. Patients completing radiotherapy treatment 4th - 29th September 2023 were eligible to participate.</div></div><div><h3>Results</h3><div>A 30.6 % response rate was gained (calculated from RTDS data). Over 2500 responses were received, with 2486 suitable for analysis.</div><div>Respondents stated ‘complete understanding’ of knowledge of late effects of radiotherapy was 58.6 %, with early effects at 73.7 %. Most patients (93.8 %) were happy or very happy with information received prior to EBRT starting. The vast majority (95 %) stated they were treated with dignity and respect, with a few describing examples where this had not been the case.</div></div><div><h3>Conclusion</h3><div>The majority of patients responding to this survey indicated they experienced high quality care:<em>‘… the staff, from top to bottom, are quite exceptional. They represent the very best of the NHS and I am truly grateful</em>.’</div><div>From a service improvement perspective, also highlighted was the need to review delivery and content of information given both pre- and post-radiotherapy treatment.</div></div><div><h3>Implications for practice</h3><div>The need for a biennial National Radiotherapy Patient Experience Survey is required. This needs to be available in a range of alternative formats to ensure all voices can be heard.</div></div>","PeriodicalId":47416,"journal":{"name":"Radiography","volume":"32 2","pages":"Article 103305"},"PeriodicalIF":2.8,"publicationDate":"2026-01-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145927116","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

Evaluating the reliability of 2D techniques for tibial anatomical axis definition and posterior tibial slope measurement using a 3D model 利用三维模型评估胫骨解剖轴定义和胫骨后斜度测量的二维技术的可靠性

IF 2.8 Q2 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING

Radiography

Pub Date : 2026-01-07 DOI: 10.1016/j.radi.2025.103307

G. Jia , K. Zhang , M. Qiang , X. Jia, T. Shi, Y. Cai, Z. Yang, Y. Chen

Introduction

Various 2D imaging techniques have been introduced to define the tibial anatomical axis and measure the posterior tibial slope (PTS), but their reliability remains uncertain.

Methods

This study included 104 patients who underwent full-length tibial computed tomography (CT) scans. The anatomical axis was defined at two levels in tomographic imaging: at the tibial head and below the tibial tubercle. For the lateral projection technique, the axis was manually drawn. A 3D tibial coordinate system was established to define the standard anatomical axis and measure the medial and lateral PTS (MPTS and LPTS). The anatomical axes defined by the 2D techniques were imported into the 3D coordinate system to evaluate their deviation angles. The agreements of MPTS and LPTS measurements across the three techniques were evaluated.

Results

Defining the anatomical axis at the tibial head using tomographic imaging introduced instability, leading to only moderate agreement with the 3D reference values for MPTS (intraclass correlation coefficient (ICC) = 0.659, 95 % CI: 0.535–0.756) and LPTS (ICC = 0.622, 95 % confidence interval [CI]: 0.489–0.727). In contrast, establishing the axis below the tibial tubercle improved stability and produced strong agreement with the 3D reference for MPTS (ICC = 0.788, 95 % CI: 0.702–0.851) and LPTS (ICC = 0.78, 95 % CI: 0.692–0.846). The lateral projection technique yielded a minimal anatomical axis deviation angle and strong MPTS agreement with the 3D reference (ICC = 0.774, 95 % CI: 0.684–0.841), but LPTS agreement was poor (ICC = 0.4, 95 % CI: 0.259–0.574).

Conclusion

In tomographic imaging, the anatomical axis definition below the tibial tubercle yields greater stability and more reliable PTS measurements. Although the lateral projection technique accurately defines the axis, it is only applicable to MPTS assessment.

Implications for practice

The tibial anatomical axis should be defined below the tibial tuberosity when measuring PTS using tomographic imaging.

各种2D成像技术已被用于确定胫骨解剖轴和测量胫骨后斜率（PTS），但其可靠性仍不确定。方法104例患者行胫骨CT （computer tomography， CT）扫描。在层析成像中，解剖轴在两个水平上确定：胫骨头和胫骨结节下方。对于横向投影技术，轴是手工绘制的。建立三维胫骨坐标系，定义标准解剖轴，测量内侧和外侧PTS （MPTS和LPTS）。将二维技术定义的解剖轴导入三维坐标系，计算其偏离角度。评估了三种技术的MPTS和LPTS测量结果的一致性。结果使用断层成像确定胫骨头解剖轴会导致不稳定，导致与MPTS（类内相关系数(ICC) = 0.659, 95% CI: 0.535-0.756）和LPTS （ICC = 0.622, 95%可信区间[CI]: 0.489-0.727）的三维参考值仅中度一致。相比之下，在胫骨结节下方建立轴可以提高稳定性，并与MPTS （ICC = 0.788, 95% CI: 0.702-0.851）和LPTS （ICC = 0.78, 95% CI: 0.692-0.846）的3D参考高度一致。侧位投影技术获得了最小的解剖轴偏差角，并且MPTS与3D参考的一致性较强（ICC = 0.774, 95% CI: 0.684-0.841），但LPTS一致性较差（ICC = 0.4, 95% CI: 0.259-0.574）。在断层成像中，胫骨结节下方的解剖轴定义提供了更大的稳定性和更可靠的PTS测量。虽然侧向投影技术可以准确地确定轴，但它只适用于MPTS评估。在使用断层成像测量PTS时，应在胫骨结节以下确定胫骨解剖轴。

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引用次数: 0

Radiographic patellar height assessment of knee osteoarthritis 膝骨关节炎髌骨高度的影像学评估

IF 2.8 Q2 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING

Radiography

Pub Date : 2026-01-07 DOI: 10.1016/j.radi.2025.103320

M.K. Alhasan , N. Obeidat , M.S. Malkawi , L.E. Al-Othman , M.J. Al Zeghari , F.M. Al Adhami

Introduction

Abnormal patellar height can lead to patellar instability and can contribute to the development of knee osteoarthritis. Currently, there are no standardized normal values or protocols of the imaging techniques to provide a robust assessment or to define the correct patellar height with a high rate of inter observer and intra-observer agreements. Also, investigating patellar height of different knee compartments is scarce. Therefore, the purposes of this study are evaluating patellar height using different radiographic imaging measurement methods such as Insall–Salvati Index, comparing their correlations and inter observer measurement reliability, and investigating their association with different compartmental knee osteoarthritis.

Methods

A retrospective cross-sectional imaging study was performed, involving individuals who had knee X-rays between January 2022 and December 2023. The images were collected and independently evaluated by two radiologists. Four measurement methods including Insall–Salvati Index, Modified Insall–Salvati Index, Caton–Deschamps Index, and Blackburne–Peel Index were used to evaluate the patellar height on the X-ray images.

Results

This study included 362 subjects. Most of the patellar height measurement methods of the osteoarthritic group demonstrated lower mean values than the normal group (P value < 0.05). The Caton–Deschamps Index was the only measurement that had a good inter-observer reliability based on the intra-class correlation coefficient value of 85 %. The strongest correlation (r = 0.69) was found between Insall–Salvati Index and Modified Insall–Salvati methods.

Conclusion

Patellar height indices are associated with osteoarthritis severity in this cohort. Caton–Deschamps method showed the highest inter-observer reliability.

Implication for practice

Patellar height measurement using radiographic images can support KL grading system for knee osteoarthritis severity staging.

髌骨高度异常可导致髌骨不稳定，并可促进膝骨关节炎的发展。目前，没有标准化的正常值或成像技术方案来提供可靠的评估或确定正确的髌骨高度，观察者之间和观察者内部的一致性很高。此外，对不同膝关节间室髌骨高度的研究也很少。因此，本研究的目的是使用不同的放射成像测量方法（如Insall-Salvati指数）来评估髌骨高度，比较它们的相关性和观测者间测量的可靠性，并研究它们与不同间室性膝骨关节炎的关系。方法回顾性横断面成像研究，涉及2022年1月至2023年12月期间进行膝关节x线检查的个体。图像由两名放射科医生收集并独立评估。采用Insall-Salvati指数、改良Insall-Salvati指数、Caton-Deschamps指数、blackburn - peel指数4种测量方法评价x线图像上髌骨高度。结果本研究共纳入362名受试者。骨关节炎组大部分髌骨高度测量方法的平均值均低于正常组（P值<； 0.05）。卡顿-德尚指数是唯一具有良好观察者间信度的测量方法，基于类内相关系数值为85%。Insall-Salvati指数与改良Insall-Salvati方法相关性最强（r = 0.69）。结论髌骨高度指数与骨性关节炎严重程度相关。卡顿-德尚方法显示出最高的观察者间信度。实用意义利用x线图像测量髌骨高度可以支持膝关节骨性关节炎严重程度分期的KL分级系统。

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引用次数: 0

Mapping interventions for the prevention and management of Work-related musculoskeletal disorders among Radiographers: A scoping review 测绘干预措施预防和管理与工作有关的肌肉骨骼疾病在放射技师：范围审查。

IF 2.8 Q2 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING

Radiography

Pub Date : 2026-01-05 DOI: 10.1016/j.radi.2025.103301

U.U. Nayak , P. Nayak , B.M. George , G.A. Maiya , K.G. Mohandas Rao

Objectives

Work-related musculoskeletal disorders (WRMSDs) are a major occupational health concern among Radiographers, with a pooled prevalence of up to 85 %, most commonly affecting the neck and lower back. Despite this high burden, limited evidences exist on interventions aimed at preventing or managing WRMSDs in this population. This scoping review aimed to identify, map, and synthesize existing evidence on such intervention and to propose a conceptual framework to guide future intervention development and implementation.

Key findings

The review followed the methodological framework proposed by Arksey and O’malley, refined through the Joanna Briggs Institute (JBI) guidelines, and reported according to PRISMA-ScR. Seven electronic databases (Medline, Scopus, Web of Science, CINAHL, Embase, Cochrane Library, and Ovid) were searched from inception to July 2025. Studies involving Radiographers and describing interventions targeting WRMSD prevention or management were included. Out of 712 screened articles, four met the inclusion criteria. Most studies were small-scale, mixed-methods, conducted in the United States and Portugal. Interventions primarily targeted WRMSD risk factors through engineering controls, such as ergonomic equipment redesign and workspace optimization, and room layout improvement, often developed using participatory ergonomics or co-design approaches. None of the studies evaluated direct WRMSD outcomes, long-term implementation, or cost-effectiveness.

Conclusion

Current evidence emphasizes engineering solutions but lacks comprehensive, multi-level intervention strategies or evaluations of their real-world impact.

Implication to practice

A conceptual framework integrating the NIOSH Hierarchy of Controls with implementation science principles is proposed to guide the design, testing, and adoption of sustainable interventions for WRMSD prevention among Radiographers. Strengthening participatory design, long-term evaluation, and organizational integration may enhance the effectiveness and sustainability of WRMSD prevention initiatives.

目的：与工作相关的肌肉骨骼疾病（WRMSDs）是放射技师的主要职业健康问题，总患病率高达85%，最常影响颈部和下背部。尽管负担沉重，但在这一人群中预防或管理水资源短缺疾病的干预措施证据有限。本综述旨在识别、绘制和综合有关此类干预措施的现有证据，并提出一个概念性框架，以指导未来干预措施的制定和实施。主要发现：该综述遵循了Arksey和O'malley提出的方法框架，并通过乔安娜布里格斯研究所（JBI）的指导方针进行了改进，并根据PRISMA-ScR进行了报告。7个电子数据库（Medline, Scopus, Web of Science， CINAHL, Embase， Cochrane Library和Ovid）从成立到2025年7月被检索。纳入了涉及放射技师的研究，并描述了针对WRMSD预防或管理的干预措施。在712篇被筛选的文章中，有4篇符合纳入标准。大多数研究都是在美国和葡萄牙进行的小规模混合方法研究。干预措施主要是通过工程控制，如人体工程学设备的重新设计和工作空间的优化，以及房间布局的改善，通常采用参与式人体工程学或协同设计方法来开发。没有一项研究评估WRMSD的直接结果、长期实施或成本效益。结论：目前的证据强调工程解决方案，但缺乏全面、多层次的干预策略或对其现实影响的评估。对实践的启示：提出了一个将NIOSH控制层次与实施科学原则相结合的概念框架，以指导放射技师预防WRMSD的可持续干预措施的设计、测试和采用。加强参与式设计、长期评价和组织整合可提高水资源短缺预防举措的有效性和可持续性。

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引用次数: 0

Professional practice, training, and role development of radiographers in interventional radiology and cardiology: An international survey across Europe. 介入放射学和心脏病学放射技师的专业实践、培训和角色发展：一项横跨欧洲的国际调查。

IF 2.8 Q2 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING

Radiography

Pub Date : 2026-01-05 DOI: 10.1016/j.radi.2025.103315

S McFadden, A Karera, E Greer, L McLaughlin, C Rainey, J P McNulty

Introduction: Radiographers are now key members of interventional radiology (IR) and interventional cardiology (IC) teams, taking on tasks that go beyond image acquisition. These include radiation protection, assisting in procedures and patient care. However, training and regulation for these expanded roles are variable, leading to differences in practice and raising concerns for safety and mobility.

Methods: A cross-sectional survey design was used to investigate radiographers' training, practice scope and technology access in IR and IC across Europe. A 31-item online questionnaire was distributed via professional networks, social media and EFRS research hubs at the European Congress of Radiology (2024-2025). Descriptive statistics were utilised, and open-text comments thematically grouped.

Results: Ninety-one radiographers from 12 countries responded, with the majority based in the UK (46 %) and Ireland (19 %). Marked differences were noted in training, with 23 % reporting no formal IR/IC education. Technology access also varied, as nearly half worked with fluoroscopy systems older than five years, limiting dose-saving options. Radiation protection practice was inconsistent; just over half (53 %) used pulsed fluoroscopy routinely, while 27 % reported not removing anti-scatter grids for paediatric cases. Scope of practice showed further fragmentation, with advanced clinical functions only reported by a minority.

Conclusion: This study demonstrates wide variations in training, equipment quality, and role scope among radiographers practicing in IR and IC across Europe. Such inconsistencies directly impact radiation safety, patient outcomes and the ability of staff to move freely across borders. Without structured frameworks, radiographers may lack key competences in dose optimisation, paediatric safety and procedural support, exposing patients and staff to avoidable risks.

Implications of practice: A harmonised European framework is needed to support safe radiation practice and improve care consistency.

简介：放射技师现在是介入放射学（IR）和介入心脏病学（IC）团队的关键成员，承担的任务不仅仅是图像采集。这些措施包括辐射防护、协助手术和病人护理。然而，针对这些扩大的角色的培训和监管各不相同，这导致了实践上的差异，并引发了对安全和机动性的担忧。方法：采用横断面调查设计，调查欧洲IR和IC放射技师的培训、执业范围和技术获取情况。在欧洲放射学大会（2024-2025）上，通过专业网络、社交媒体和EFRS研究中心分发了一份31项在线问卷。使用描述性统计，并按主题分组开放文本评论。结果：来自12个国家的91名放射技师作出回应，其中大部分来自英国（46%）和爱尔兰（19%）。培训方面存在显著差异，23%的人没有接受过正式的IR/IC教育。获得技术的机会也各不相同，因为近一半的人使用的是五年以上的透视系统，限制了节省剂量的选择。辐射防护实践不一致；超过一半（53%）的患者常规使用脉冲透视检查，而27%的患者报告没有去除儿科病例的反散射网格。实践范围显示出进一步的碎片化，只有少数报告了先进的临床功能。结论：这项研究表明，在整个欧洲，在IR和IC执业的放射技师在培训、设备质量和角色范围方面存在很大差异。这种不一致直接影响到辐射安全、病人的治疗结果和工作人员自由跨境流动的能力。如果没有结构化的框架，放射技师可能缺乏剂量优化、儿科安全和程序支持方面的关键能力，使患者和工作人员面临本可避免的风险。实践的意义：需要一个统一的欧洲框架来支持安全的辐射实践和提高护理的一致性。

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引用次数: 0

Exploring diagnostic radiographers’ experiences and understandings of informed consent and capacity assessment during general radiography imaging examinations of persons living with dementia: A qualitative interview study of UK practice 探索诊断放射技师的经验和理解的知情同意和能力评估在一般放射成像检查期间患有痴呆症的人：英国实践的定性访谈研究

IF 2.8 Q2 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING

Radiography

Pub Date : 2026-01-03 DOI: 10.1016/j.radi.2025.103309

A. Spacey , L. Booth , S. Bowden , P.K. Miller

Introduction

Capacity to consent is a legal and ethical consideration when undertaking medical imaging on those people living with dementia. Capacity refers to an individual's ability to make informed decisions for themselves, and is a necessary requirement for valid consent. Previous research has not provided enough insight into establishing capacity to consent and how to proceed with imaging when capacity is lacking, to properly inform practice or policy. This study aims to explore diagnostic radiographers' experiences and understandings of gaining valid informed consent during general radiography examinations for persons living with dementia.

Methods

Qualitative design using semi-structured-interviews and thematic analysis. A total of 18 Diagnostic-Radiographers participated. All had experience of providing general medical imaging to persons living with dementia.

Results

Findings identified a lack of accessible and transferable policy guidance and training to support radiographers through consent-seeking and capacity-assessment during general radiography examinations with persons living with dementia. Consequently, radiographers reported a lack of confidence and uncertainty assessing capacity and knowing when to make best-interest decisions or seek informed-consent. Furthermore, pressure from referrers, lack of information on requests and the ability to modify techniques led some radiographers to ‘push boundaries’ and disregard the principles of the Mental-Capacity-Act.

Conclusion

Diagnostic radiographers working in general radiography lacked confidence in being able to assess capacity and to know when to seek informed-consent or make a best interest decision on behalf of a person living with dementia. Future research eliciting data from persons living with dementia and their carers is needed to further inform policy and practice.

Implications for practice

The evidence-based flowchart (RAD-CHECK) can be used support radiographers through the steps required to assess capacity, gain informed-consent or make a best-interest decision for persons living with dementia.

在对痴呆症患者进行医学成像时，同意能力是一个法律和伦理方面的考虑。能力是指个人为自己做出知情决定的能力，是获得有效同意的必要条件。以前的研究没有提供足够的见解来建立同意的能力，以及在缺乏能力的情况下如何进行成像，从而正确地为实践或政策提供信息。本研究旨在探讨诊断放射技师在对痴呆症患者进行普通放射检查时获得有效知情同意的经验和理解。方法采用半结构化访谈法和专题分析法进行定性设计。共有18名放射诊断技师参与。所有人都有为痴呆症患者提供一般医学成像的经验。结果发现，在对痴呆症患者进行普通放射检查时，缺乏可获取和可转移的政策指导和培训，以通过征求同意和能力评估来支持放射技师。因此，放射技师报告缺乏信心和不确定评估能力，不知道何时做出最有利的决定或寻求知情同意。此外，来自转诊者的压力，对请求信息的缺乏以及修改技术的能力导致一些放射技师“突破界限”，无视《精神能力法》的原则。结论：从事普通放射诊断工作的放射技师对评估能力缺乏信心，不知道何时代表痴呆症患者寻求知情同意或做出最佳利益决定。未来的研究需要从痴呆症患者及其照护者那里获得数据，以进一步为政策和实践提供信息。循证流程图（RAD-CHECK）可用于支持放射技师通过评估能力、获得知情同意或为痴呆症患者做出最佳利益决定所需的步骤。

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引用次数: 0