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IMRT palliative multi isocentre treatment on a Varian Halcyon with Align RT Inbore Surface Guided Radiotherapy technology. 采用 Align RT Inbore 表面引导放疗技术的瓦里安 Halcyon 机进行 IMRT 多中心姑息治疗。
IF 2.5 Q2 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2024-10-01 DOI: 10.1016/j.radi.2024.09.005
Samantha Allison, Antony Harris
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引用次数: 0
Permanent Indian ink tattoos for breast cancer radiotherapy: A United Kingdom study of the emotional impact on patients following radiotherapy 用于乳腺癌放疗的永久性印度墨水纹身:英国一项关于放疗后对患者情绪影响的研究。
IF 2.5 Q2 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2024-10-01 DOI: 10.1016/j.radi.2024.08.004
S. Wickers , R.M. Taylor , G. Royle , M.N. Gaze

Introduction

Post-operative radiotherapy for early breast cancer is recommended for over 30,000 people every year in the United Kingdom. The majority of these patients will be advised to have radiotherapy alignment tattoos; permanent skin marks applied with Indian ink and a lancing needle, black/green/blue in colour and approximately 2 mm in diameter. The tattoos assist the therapeutic radiographers to position the patient accurately and reproducibly for each treatment fraction. The aim of this study was to investigate the emotional impact of radiotherapy tattoos on people following breast cancer radiotherapy.

Methods

An electronic questionnaire was distributed by the charitable organisation, Breast Cancer Now, to their members who had undergone radiotherapy for early breast cancer. Based on the responses to the open and closed questions, an overall impact score was assigned to each respondent, and representative quotes extracted to contextualise the themes identified. Statistical tests were performed to evaluate the relationship between overall impact scores and several variables such as age at the time of radiotherapy, skin type, and age at the time of completing the questionnaire.

Results

204 people responded to the questionnaire. 100% had permanent Indian ink tattoos during breast cancer radiotherapy. 95% could still see the midline tattoo. 22 subthemes were identified; 4 positive, 4 neutral and 14 negative. Radiotherapy tattoos served as a constant negative reminder for 27% and affected clothing choices in 14% of respondents. 11% described feelings of ‘hating’ them. 6% were assigned positive overall impact scores, 43% neutral, and 51% had negative overall impact scores. The black/green/blue ink pigment used was commonly described as unnatural; contributing strongly to the negative appearance of the tattoos.

Conclusion

Permanent Indian ink tattoos have a negative impact on emotional well-being in the months and years following radiotherapy for early breast cancer for many people. In contrast, a very small minority feel positively about the tattoos.

Implications for practice

Our findings are unlikely to be unique to this diagnostic cohort and supports the need to offer alternatives that are less-impactful to the recipient, accessible for people of all skin colours, and fit-for-purpose in terms of radiotherapy set-up. Acknowledgement of the significant negative impact and collaboration between industry, healthcare professionals and patient representatives is key to identifying and implementing suitable alternatives as standard of care.
导言:在英国,每年有超过 30,000 人被建议接受早期乳腺癌术后放疗。这些患者中的大多数人都会被建议进行放疗对位纹身;纹身是用印度墨水和穿刺针在皮肤上留下的永久性标记,颜色为黑色/绿色/蓝色,直径约为 2 毫米。这些纹身有助于放射治疗技师在每次治疗时准确、准确地定位患者。本研究旨在调查放疗纹身对乳腺癌放疗患者的情绪影响:慈善组织 "现在就乳腺癌 "向接受过早期乳腺癌放疗的会员发放了一份电子问卷。根据对开放式和封闭式问题的回答,对每位受访者进行了总体影响评分,并摘录了具有代表性的引语,以确定主题的背景。我们进行了统计测试,以评估总体影响得分与几个变量之间的关系,如接受放疗时的年龄、皮肤类型和填写问卷时的年龄。100%的人在接受乳腺癌放疗时有永久性印度墨水纹身。95%的人仍能看到中线纹身。共确定了 22 个次主题:4 个积极主题、4 个中性主题和 14 个消极主题。27%的受访者认为放疗纹身是一种持续的负面提醒,14%的受访者认为放疗纹身影响了服装的选择。11%的受访者表示 "讨厌 "纹身。6%的受访者对放疗纹身的总体影响给予了积极评价,43%的受访者持中立态度,51%的受访者对放疗纹身的总体影响给予了消极评价。所使用的黑色/绿色/蓝色墨水颜料通常被描述为不自然;这是造成纹身外观消极的主要原因:结论:在早期乳腺癌放疗后的数月和数年中,永久性印度墨水纹身会对许多人的情绪产生负面影响。相比之下,极少数人对纹身持积极态度:我们的研究结果不可能是这一诊断群组所独有的,因此有必要提供对接受者影响较小、所有肤色的人都能接受、适合放疗设置的替代方案。行业、医疗保健专业人员和患者代表认识到这一重大负面影响并开展合作,是确定和实施合适的替代方法作为标准护理的关键。
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引用次数: 0
Caring in therapeutic radiography – perceptions and experiences of academic educators 放射治疗中的关爱--学术教育工作者的看法和经验
IF 2.5 Q2 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2024-10-01 DOI: 10.1016/j.radi.2024.09.028
Julie Hendry
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引用次数: 0
Evaluation of the reliability of measuring lower back muscles cross-sectional area based on manual segmentation within multi-level MRI images 基于多层次核磁共振成像图像的手动分割测量下背部肌肉横截面积的可靠性评估。
IF 2.5 Q2 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2024-10-01 DOI: 10.1016/j.radi.2024.10.002
A.A. Alhulail , M.S. Alshuhri , D.F. AL-jolifiy , M.N. AL-nuwaybit , A.S. AL-tamimi , N.M. AL-qahtani , R.A. AL-hakami , M.A. Almanaa , A.M. Jabour

Introduction

Manual segmentation of paraspinal muscle cross-sectional area (CSA) is widely used to assess related health disorders. This study aimed to evaluate the reliability of this segmentation process for each paraspinal region of interest across the three intervertebral levels commonly used for segmentation (L3/4, L4/5, and L5/S1).

Methods

Axial-T2-weighted MRI images for 238 patients were divided among five raters (47 ± 1 cases each). To conduct the intra-rater reliability study, the CSA of each paraspinal lumber muscle (psoas major (PM), multifidus (MF), and erector spinae (ES)) and the intervertebral disc (ID) were manually segmented twice on all targeted levels before being assessed for each region per rater. The Inter-rater reliability was determined by comparing the results of different readers who segmented the same dataset. The Intraclass Correlation (ICC) and Coefficient-of-Variation percentage (CV%) were reported for each analysis.

Results

Low intra- and inter-rater variability (CV%<11) was found for each reader in each region and intervertebral level. The inter-rater reliability was excellent (ICC>0.9) for the PM, ID, and ES at L3/4. However, it was very good for MF at all levels and ES at L4/5, L5/S1 (ICC range: 0.82–0.88) affected by the fat-infiltration nature of the ES and MF muscles, their proximity to each other, and their smaller size (correlation between muscle size and ICC = 0.6, P < 0.01). The ID segmentation has the lowest CV (<3 %) and excellent ICC (>0.93).

Conclusion

Manual paraspinal muscle segmentation using axial-T2-weighted MRI is reliable at all commonly segmented intervertebral levels. However, the reliability level can be degraded by the presence of high-fat infiltrate, unclear muscle boundaries, and muscle size.

Implications for practice

Following consistent guidelines can help improve segmentation results. The IDs can be used as reliable internal references.
简介人工分割脊柱旁肌肉横截面积(CSA)被广泛用于评估相关的健康疾病。本研究旨在评估这一分割过程在常用于分割的三个椎间水平(L3/4、L4/5 和 L5/S1)的每个脊柱旁相关区域的可靠性:将 238 名患者的轴向-T2 加权 MRI 图像分给五名评分者(每人 47 ± 1 例)。为了进行评分者内部信度研究,在对每个评分者的每个区域进行评估之前,先对所有目标水平的每块腰椎旁肌肉(腰大肌(PM)、多裂肌(MF)和竖脊肌(ES))和椎间盘(ID)的CSA进行两次手动分割。评分者之间的可靠性是通过比较不同评分者对同一数据集的评分结果来确定的。每次分析都报告了类内相关性(ICC)和差异系数百分比(CV%):L3/4的PM、ID和ES的评分者内和评分者间变异性较低(CV%0.9)。然而,由于 ES 和 MF 肌肉的脂肪浸润性、相互邻近性和较小的尺寸(肌肉尺寸与 ICC 之间的相关性 = 0.6,P 0.93),所有级别的 MF 和 L4/5、L5/S1 的 ES 的评定结果非常好(ICC 范围:0.82-0.88):结论:使用轴向-T2加权磁共振成像进行人工脊柱旁肌肉分割在所有常见的椎间水平上都是可靠的。结论:使用轴向-T2 加权磁共振成像对所有常见的椎间水平进行人工脊柱旁肌肉分割都是可靠的,但可靠性水平会因存在高脂肪浸润、肌肉边界不清和肌肉大小而降低:实践意义:遵循一致的指导原则有助于改善分割结果。ID 可用作可靠的内部参考。
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引用次数: 0
Cognitive behavioural therapy for hot flushes and night sweats with breast cancer patients; a radiotherapy and clinical psychology collaboration 针对乳腺癌患者潮热和盗汗的认知行为疗法;放射治疗和临床心理学合作项目
IF 2.5 Q2 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2024-10-01 DOI: 10.1016/j.radi.2024.09.022
Emma Thompson
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引用次数: 0
Advanced practice among diagnostic radiographers - An international survey 放射诊断技师的高级实践--一项国际调查
IF 2.5 Q2 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2024-10-01 DOI: 10.1016/j.radi.2024.09.068
M.F. Lindgaard , A. England , J.L. Portelli , P. Hogg , S. Johansen

Introduction

As the global healthcare system evolves, diagnostic radiographers (DRs) are taking on advanced roles, constituting advanced radiography practice. This study explored the definition of ARP tasks among DRs, radiology department managers (RDMs), and National Society Officers (NSOs) on a global scale.

Methods

Data collection was obtained via a self-developed online survey administered via email and social media to DRs, RDMs, and NSOs. The survey sought to collect demographic data, insights into definition of ARP tasks, and perceptions regarding global practice.

Results

206 respondents from 25 countries participated, predominantly from Norway (n = 77), Australia (n = 34), and Portugal (n = 20). 71.7 % of DR respondents defined teaching as ARP task, while RDMs (74.2) and NSOs (88.8 %) identified approving image quality independently as ARP. 53.4 % of DRs perceived their practice as ARP-aligned, with awareness reported by 44.8 % of DRs, 66.7 % of RDMs, and 77.8 % of NSOs.

Conclusion

This study provides a clearer understanding of the task respondents consider ARP and the extent to which it is practiced, whereas DRs are increasingly performing advanced tasks globally. Clarifying ARP tasks in the workplace will promote a common understanding of the role and foster support for its establishment in diagnostic radiography. Further research is required to gather a more comprehensive international perspective on ARP tasks, especially given the limitations of this study, as well as the limited responses from the Americas and African regions.

Implications for practice

Clear definitions of ARP tasks are necessary for seamless integration of ARP into current practices. Additionally, advocating for official recognition, and global acknowledgement by the profession and key stakeholders are imperative for DRs to fully develop in these areas.
引言 随着全球医疗保健系统的发展,放射诊断技师(DRs)正在扮演高级角色,这就是高级放射学实践。本研究探讨了全球范围内诊断放射技师、放射科部门经理(RDM)和国家学会官员(NSO)对 ARP 任务的定义。方法通过电子邮件和社交媒体向诊断放射技师、RDM 和 NSO 发放自行开发的在线调查问卷来收集数据。调查旨在收集人口统计数据、对 ARP 任务定义的见解以及对全球实践的看法。结果来自 25 个国家的 206 名受访者参与了调查,其中主要来自挪威(77 人)、澳大利亚(34 人)和葡萄牙(20 人)。71.7%的区域主任受访者将教学定义为 ARP 任务,而区域数据管理人员(74.2%)和国家统计局人员(88.8%)将独立批准图像质量定义为 ARP。53.4% 的诊断医生认为他们的工作符合 ARP 要求,44.8% 的诊断医生、66.7% 的区域放射线管理医生和 77.8% 的国家统计局人员表示已经意识到这一点。明确工作场所中的 ARP 任务将促进对这一角色的共同理解,并为在放射诊断中建立 ARP 提供支持。特别是考虑到本研究的局限性,以及美洲和非洲地区的回复有限,还需要进一步研究,以收集有关 ARP 任务的更全面的国际观点。此外,DRs 要想在这些领域取得全面发展,就必须倡导官方认可以及行业和主要利益相关方的全球认可。
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引用次数: 0
Determining the value of Treatment Planning as a Threshold Concept through learning gain in Radiotherapy teaching 通过放疗教学中的学习收获确定治疗计划作为阈值概念的价值
IF 2.5 Q2 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2024-10-01 DOI: 10.1016/j.radi.2024.09.026
Chandini Kumari-Webster
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引用次数: 0
The impact of working patterns and extended treatment hours on work-life balance: a qualitative study into therapeutic radiographers’ lived experience at a Cancer Treatment Centre 工作模式和延长治疗时间对工作与生活平衡的影响:对癌症治疗中心放射治疗技师生活经历的定性研究
IF 2.5 Q2 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2024-10-01 DOI: 10.1016/j.radi.2024.09.029
Stephen Allan, Nicholas Courtier, Lynn Mundy
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引用次数: 0
Refinement of the national radiotherapy error and near miss events (RTE) taxonomies 完善国家放射治疗差错和险情事件 (RTE) 分类标准
IF 2.5 Q2 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2024-10-01 DOI: 10.1016/j.radi.2024.09.010
Helen Best
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引用次数: 0
Raising the Profile of Allied Health Professionals as a Career Choice: The Leaders of Tomorrow 提升作为职业选择的专职医疗人员的形象:未来的领导者
IF 2.5 Q2 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Pub Date : 2024-10-01 DOI: 10.1016/j.radi.2024.09.033
Roisin Hutchinson, Olga McAlister, Jennifer Madden, Claire Turner, Judith Beattie, Heather Turkington
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引用次数: 0
期刊
Radiography
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