Radiography最新文献

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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

Radiography

Pub Date : 2024-10-14 DOI: 10.1016/j.radi.2024.09.062

C. Malamateniou, T. O'Regan, S.L. McFadden, M. Jackson

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

Radiography

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

Radiography

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。

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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

Radiography

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

Radiography

Pub Date : 2024-10-01 DOI: 10.1016/j.radi.2024.09.014

Heidi Probst, Stephanie Hill, Laura Jacques, Michael Thelwell

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

Radiography

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。

{"title":"Cranio-Spinal Irradiation in low-middle income setting: A dosimetric comparison and literature review","authors":"W. Kaabia , A. Yousfi , T. Boussaid , N. Bouzid , G.E.F. Noubbigh , S. Yahyaoui , M. Besbes , S. Zarraa , C. Nasr","doi":"10.1016/j.radi.2024.09.065","DOIUrl":"10.1016/j.radi.2024.09.065","url":null,"abstract":"<div><h3>Introduction</h3><div>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.</div></div><div><h3>Methods</h3><div>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.</div></div><div><h3>Results</h3><div>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).</div></div><div><h3>Conclusion</h3><div>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.</div></div><div><h3>Implications for practice</h3><div>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.</div></div>","PeriodicalId":47416,"journal":{"name":"Radiography","volume":"30 6","pages":"Pages 1588-1596"},"PeriodicalIF":2.5,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142418571","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

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

Radiography

Pub Date : 2024-10-01 DOI: 10.1016/j.radi.2024.09.030

Sheena Chauhan, Alison Sanneh, Kirsty Marsh

引用次数: 0

Design and Evaluation of a Verification Imaging Passport (VIP) for newly qualified RTT’s: a pilot study 为新获得资格的 RTT 设计和评估验证成像护照 (VIP)：试点研究

IF 2.5 Q2 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING

Radiography

Pub Date : 2024-10-01 DOI: 10.1016/j.radi.2024.09.031

Helen Jones , Terri Barnes , Emily Borchardt , Zainab Butt , Sarah Armstrong , Elizabeth Halliday , Lauren Fantham

引用次数: 0

Best practice for patient-centred radiotherapy in clinical trials and beyond – a national consensus 以患者为中心的放射治疗在临床试验及其他方面的最佳实践--全国共识

IF 2.5 Q2 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING

Radiography

Pub Date : 2024-10-01 DOI: 10.1016/j.radi.2024.09.008

Romelie Rieu , Harshani Green , Finbar Slevin , Samuel Ingram , Heidi Probst , Helen Bulbeck , Pinelope Gkogkou , Rebecca Shakir , Charlotte Kelly , Tracy Underwood , Lisa Ashmore , Julie Wolfarth , Gilly Howard-Jones , Lyndsey Kilgore , Michael Merchant , Neil Burnet

引用次数: 0

Australian radiographers’ digital era practice in selecting the image receptor angle for female body habitus for the mediolateral oblique view of the breast 澳大利亚放射技师在数字时代为女性体型选择乳房内外侧斜切面图像受体角度的做法

IF 2.5 Q2 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING

Radiography

Pub Date : 2024-10-01 DOI: 10.1016/j.radi.2024.10.001

R. Pape

Introduction

Correct alignment of the image receptor (IR) in mammography for the mediolateral oblique (MLO) view of the breast is fundamental to enable the maximum inclusion of breast tissue. This study aims to assess Australian radiographers' knowledge and digital era practice in selecting the IR angle for female body habitus in the MLO view of the breast.

Methods

An online survey was distributed to all members of the Australian Society of Medical Imaging and Radiation Therapy (ASMIRT) through their electronic newsletter and via direct email to radiographers holding the Certificate of Mammographic Practice (CMP). Descriptive analysis was undertaken, and a Pearson's chi-squared test of independence was used to compare associations between academic qualification and IR selection data. A value of p < 0.05 was deemed statistically significant.

Results

A total of 107 valid surveys were returned; 67.3 % reported using the posterior lateral margin to select the IR angle. For linear body habitus, 44.9 % reported using 50°; for all other body habitus, participants most commonly used 45° (59.1 %); 85.1 % used a range of angles between 40 and 55°; 16.8 % recognised the link between correct IR angle selection and breast tissue inclusion.

Conclusion

The range of angles used in practice has reduced in the digital era; the frequency of the use of 45° across all body habitus may reflect tube angle movement automation. Few radiographers recognised the important link between correct selection of IR angle and breast tissue inclusion on the image.

Implications for practice

Understanding of the link between IR angle selection and image quality enhances current practice in the digital era to maximise the inclusion of breast tissue and minimise the potential of missed breast cancer.

导言在乳腺 X 射线摄影中，正确对准乳房内外侧斜切（MLO）视图的图像受体（IR）对于最大限度地包含乳腺组织至关重要。本研究旨在评估澳大利亚放射技师在乳房 MLO 观察中根据女性体型选择 IR 角度的知识和数字时代实践。方法通过电子通讯向澳大利亚医学影像和放射治疗学会 (ASMIRT) 的所有会员发放在线调查问卷，并直接向持有乳腺摄影执业证书 (CMP) 的放射技师发送电子邮件。我们进行了描述性分析，并使用皮尔逊卡方检验比较了学历与 IR 选择数据之间的相关性。结果共收回107份有效调查问卷；67.3%的人称使用后外侧缘选择IR角度。对于线性体型，44.9% 的人报告使用 50°；对于所有其他体型，参与者最常用的是 45°（59.1%）；85.1% 的人使用 40 至 55° 之间的角度；16.8% 的人认识到正确选择红外角度与乳腺组织包容之间的联系。对实践的启示了解红外角度选择与图像质量之间的联系可提高数字化时代的实践水平，从而最大限度地包含乳腺组织并将漏诊乳腺癌的可能性降至最低。

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