Radiography最新文献

{"title":"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","authors":"A. Spacey ,&nbsp;L. Booth ,&nbsp;S. Bowden ,&nbsp;P.K. Miller","doi":"10.1016/j.radi.2025.103309","DOIUrl":"10.1016/j.radi.2025.103309","url":null,"abstract":"<div><h3>Introduction</h3><div>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.</div></div><div><h3>Methods</h3><div>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.</div></div><div><h3>Results</h3><div>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.</div></div><div><h3>Conclusion</h3><div>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.</div></div><div><h3>Implications for practice</h3><div>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.</div></div>","PeriodicalId":47416,"journal":{"name":"Radiography","volume":"32 2","pages":"Article 103309"},"PeriodicalIF":2.8,"publicationDate":"2026-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145885256","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}

{"title":"Critique of cervical spine radiographs among diagnostic radiography students through the lens of Semantics, a dimension of the Legitimation Code Theory","authors":"V. Daries ,&nbsp;S.L. Hassan ,&nbsp;A. Speelman","doi":"10.1016/j.radi.2025.103304","DOIUrl":"10.1016/j.radi.2025.103304","url":null,"abstract":"<div><h3>Introduction</h3><div>Radiographic image critique and the implementation of remedial measures in response to technique and technical errors are essential professional responsibilities of diagnostic radiographers. Research shows that diagnostic radiography students grapple to master radiographic image critique, a critical clinical competency. This study explored cervical spine radiographic image critique among final-year diagnostic radiography students through the lens of Semantics, a dimension of the Legitimation Code Theory.</div></div><div><h3>Methods</h3><div>An exploratory, descriptive case study design was employed. Fourteen final year students voluntarily participated in individual oral radiographic image critique in a non-examination setting. Audio-recordings were transcribed verbatim. Content analysis of data was conducted with the aid of a translation device focusing on semantic density (SD) and semantic gravity (SG).</div></div><div><h3>Results</h3><div>Most participants demonstrated weaker SD and stronger SG when describing radiographic structures of the cervical spine. Participants showed a limited ability to describe radiographic anatomy and abnormal patterns, primarily using vague and non-technical terminology instead of technically rich and discipline-specific descriptions.</div></div><div><h3>Conclusion</h3><div>This study highlights challenges in students’ ability to critique cervical spine radiographs with the expected skill and knowledge depth. Despite stronger image-based reasoning (stronger SG), the poor radiographic descriptions (weaker SD) and the limited use of discipline-specific terminology point to a need for improved instructional strategies to better support context-rich, conceptually grounded radiographic image critique.</div></div><div><h3>Implications for practice</h3><div>The difficulty students face in articulating radiographic concepts with depth and context underscores the need for educational innovation. Educational strategies should be designed to develop students’ radiographic image critique skills by deliberately building SD and SG, enabling the formation of “<em>semantic waves</em>” in which students shift purposefully between abstract theoretical principles and concrete, image-based observations to construct and communicate meaning.</div></div>","PeriodicalId":47416,"journal":{"name":"Radiography","volume":"32 2","pages":"Article 103304"},"PeriodicalIF":2.8,"publicationDate":"2026-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145884663","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}

{"title":"Claustrophobia in magnetic resonance imaging: A randomised controlled trial of immersive entertainment glasses","authors":"M. Diaz-Membrives ,&nbsp;I. Garrido-Ribas ,&nbsp;C. Caro-Benito ,&nbsp;C. Font-Cabrera ,&nbsp;O. Monistrol","doi":"10.1016/j.radi.2025.103318","DOIUrl":"10.1016/j.radi.2025.103318","url":null,"abstract":"<div><h3>Introduction</h3><div>Patients who define themselves as claustrophobic are often unwilling to undergo closed magnetic resonance imaging (MRI). The aim of this research is to determine the effectiveness of immersive entertainment glasses and person-centred care to successfully perform an MRI and to reduce anxiety levels in individuals who identify themselves as having claustrophobia.</div></div><div><h3>Methods</h3><div>A randomized clinical trial was conducted in 2022 in an imaging department of a University Hospital. The MRI scans were performed using a 1.5T Signa Explorer MRI. Participants were randomly assigned to either the control group (CG), which received specific person-centred care for claustrophobia, or the intervention group (IG), which received specific person-centred nursing care plus immersive entertainment glasses. The sample size was 226 individuals (114 IG and 112 CG).</div></div><div><h3>Results</h3><div>A total of 189 participants (83.6 %) successfully completed the test from a cohort where previously 49,7 % couldn't complete the MRI. Lower body weight was associated with a higher likelihood of completing the MRI than higher body weight (p = 0.01). No statistically significant differences in anxiety were observed between the groups, nor in anxiety level changes during or after the test.</div></div><div><h3>Conclusion</h3><div>The high result in completing the test may be attributed to the fact that the actual impact is the person-centred approach more than immersive entertainment glasses.</div></div><div><h3>Implications for practice</h3><div>Patients who were previously unable to undergo MRI can now successfully complete the procedure in a significantly higher proportion of cases because of patient-centred care. This advancement improves diagnostic accuracy and supports better clinical decision-making and patient outcomes.</div></div><div><h3>Trial registration</h3><div><span><span>ClinicalTrials.gov</span><svg><path></path></svg></span> with ID NCT05304143</div></div><div><h3>Trial and protocol registration</h3><div>Clinical trial registration is at <em>Clinicaltrials.gov</em> with ID: <span><span>NCT05304143</span><svg><path></path></svg></span> (<span><span>https://trial.medpath.com/clinical-trial/e85ba4987305ba9e/nct05304143-efficacy-immersive-entertainment-glasses-magnetic-resonance-imaging</span><svg><path></path></svg></span>).</div></div>","PeriodicalId":47416,"journal":{"name":"Radiography","volume":"32 2","pages":"Article 103318"},"PeriodicalIF":2.8,"publicationDate":"2026-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145901268","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}

{"title":"Validation of 3D-printed hip models with femoroacetabular impingement for educational purposes in radiology","authors":"I. Celis Aranzaez ,&nbsp;B. Mansilla Cardenas ,&nbsp;C. Montalba Zalaquett ,&nbsp;R. Castillo Vouriot ,&nbsp;M. Jimenez Herrera","doi":"10.1016/j.radi.2025.103299","DOIUrl":"10.1016/j.radi.2025.103299","url":null,"abstract":"<div><h3>Introduction</h3><div>The study focused on developing and validating pathological 3D hip models to enhance the teaching and learning of future professionals in the field of radiologic anatomy.</div></div><div><h3>Methods</h3><div>Computed tomography scans of patients with normal hips and those with findings associated with subtypes of Femoroacetabular Impingement (FAI) were collected to create 12 3D models using fused filament fabrication technology. The models were randomly evaluated by 7 experts with over 10 years of experience through a questionnaire. Gwet's agreement coefficient (AC1) was used as a measure of inter-rater agreement, with models deemed valid if they reached ≥80 % agreement.</div></div><div><h3>Results</h3><div>The two normal models were correctly identified by 80 % of the observers. Four out of five models with cam-type FAI were recognized by 100 % of the experts, while two out of five models with a deformed femoral head were identified by 86 %. Also, three out of six models with altered femoral offset were recognized by at least 86 % of the experts. And one of the two models with altered cervico-diaphyseal angles was correctly identified by 86 %. Among the four models with acetabular overcoverage, one was correctly identified by 100 %. As a result, 6 pathologic models achieved a substantial concordance coefficient (AC1 ≥ 0.61).</div></div><div><h3>Conclusion</h3><div>The creation of 3D-printed bony anatomopathological hip models based on real CT images and validated by experts in radiology and traumatology, has proven to be a feasible and effective strategy for representing characteristic findings of FAI.</div></div><div><h3>Implications for practice</h3><div>This study establishes a solid methodological foundation for incorporating 3D-printed models as a pedagogical resource in the teaching of radiologic anatomy and musculoskeletal pathology.</div></div>","PeriodicalId":47416,"journal":{"name":"Radiography","volume":"32 2","pages":"Article 103299"},"PeriodicalIF":2.8,"publicationDate":"2026-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145884664","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}

{"title":"Fundamental study of a novel image quality index for optimising image quality and dose in digital radiography systems","authors":"R. Higashide ,&nbsp;K. Kanamori","doi":"10.1016/j.radi.2025.103303","DOIUrl":"10.1016/j.radi.2025.103303","url":null,"abstract":"<div><h3>Introduction</h3><div>The lack of comprehensive image quality index in digital radiography systems is an issue that needs to be addressed. This paper proposes a novel image quality index and reports a fundamental study employing a phantom. This study introduced <em>SNR</em>_IQ, which is a novel image quality index developed through a novel analytical algorithm and validated by phantom experiments.</div></div><div><h3>Methods</h3><div>To validate the performance of the proposed index, i.e., <em>SNR</em>_IQ, we conducted a comparative analysis using the conventional image quality index <em>SNR</em>_CONV and EI values. Using different subject thicknesses, grids, and doses, the CDRAD phantoms and abdominal phantoms were imaged. Inverse of image quality figure (<em>IQF</em>_inv) and the average psychological measurement values obtained by visual assessment were analyzed, and then compared with image quality indices.</div></div><div><h3>Results</h3><div>The <em>SNR</em>_IQ evaluation demonstrated a significantly strong correlation with <em>IQF</em>_inv (<em>R</em>² = 0.949) evaluation and visual assessments (<em>R</em>² = 0.943). The <em>SNR</em>_IQ is a promising alternative, which correlates strongly with genuine image quality assessments, and provides immediate feedback alongside acquired images. Conversely, the <em>SNR</em>_CONV was inadequate as a comprehensive image quality index. The EI value served limited clinical purposes related to dose assessment, and it was inadequate as a comprehensive image quality index.</div></div><div><h3>Conclusions</h3><div>Our proposed <em>SNR</em>_IQ was able to assess image quality more accurately than conventional image quality indices.</div></div><div><h3>Implications for practice</h3><div>By incorporating <em>SNR</em>_IQ, which is superior to conventional image quality indices, into existing systems, optimization of both dose and image quality can be improved. This rectifies the EI value's limitations, supports image quality management for various patient profiles, and enables informed decisions on dose adjustment or re-imaging. Extending exposure indicators to include <em>SNR</em>_IQ values can enhance examinations.</div></div>","PeriodicalId":47416,"journal":{"name":"Radiography","volume":"32 2","pages":"Article 103303"},"PeriodicalIF":2.8,"publicationDate":"2026-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145885180","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}

{"title":"Perceptions of pharmacology education and assessment among medical radiation science students at one Australian university: A cross-sectional survey","authors":"J. Janetzki ,&nbsp;E. Arruzza ,&nbsp;C. Blefari ,&nbsp;E. Petito ,&nbsp;K. Guerrero ,&nbsp;M. Ward","doi":"10.1016/j.radi.2025.103306","DOIUrl":"10.1016/j.radi.2025.103306","url":null,"abstract":"<div><h3>Introduction</h3><div>Pharmacology is essential for safe medication use in healthcare, yet its role in allied health education, particularly medical radiation science programs, is underexplored. As medical radiation practitioners increasingly administer contrast agents and radiopharmaceuticals, foundational pharmacology knowledge is critical. This study investigates Australian medical radiation science students’ perceptions of pharmacology education and assessment.</div></div><div><h3>Method</h3><div>A cross-sectional survey was conducted among second-year medical radiation science students (n = 129) at the University of South Australia before and after completing a foundational pharmacology course. Two anonymous surveys assessed students’ attitudes, confidence, and preferences regarding pharmacology and its academic assessment via assignment versus examination.</div></div><div><h3>Results</h3><div>Survey 1 (n = 77) indicated low initial confidence in pharmaceutical knowledge (72 % not confident), and 50 % viewed pharmacology education as beneficial to practice. Survey 2 (n = 71) demonstrated strong support for assignment-based assessment: 86 % found the assignment effective, 82 % preferred the assignment over exams, and 79 % agreed that the assignment improved their application of pharmacology knowledge. Students also reported gains in research skills (73 %), critical thinking (64 %), and written communication skills (81 %) through undertaking the assignment.</div></div><div><h3>Conclusion</h3><div>Despite initial uncertainty, students recognised the relevance of pharmacology to their future roles. Assignment-based assessment was perceived as more authentic and beneficial than exams, fostering deeper learning and transferable skills. These findings align with broader educational trends favouring contextualised, practice-oriented learning.</div><div>Medical radiation science students value pharmacology education when it is clinically relevant and assessed through authentic formats. Assignment-based assessments enhance engagement, confidence, and professional preparedness. Curriculum designers should integrate pharmacology with real-world applications.</div></div><div><h3>Implications for practice</h3><div>Embedding clinically relevant pharmacology and authentic assessment into medical radiation science curricula may improve student confidence, engagement, and readiness for safe clinical practice.</div></div>","PeriodicalId":47416,"journal":{"name":"Radiography","volume":"32 2","pages":"Article 103306"},"PeriodicalIF":2.8,"publicationDate":"2026-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145884661","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}

{"title":"Digital breast tomosynthesis dosimetry using radiochromic film","authors":"K. Arao ,&nbsp;S. Goto ,&nbsp;R. Fukui ,&nbsp;N. Nishina ,&nbsp;K. Kida","doi":"10.1016/j.radi.2025.103302","DOIUrl":"10.1016/j.radi.2025.103302","url":null,"abstract":"<div><h3>Introduction</h3><div>DBT is being adopted more widely because it offers improved lesion detection and reduces the issue of tissue overlap compared to conventional 2D mammography. Digital breast tomosynthesis (DBT) is increasingly used, but oblique X-ray angles and scatter produce complex dose distributions not fully represented by mean glandular dose (MGD). This study aimed to quantify two-dimensional absorbed dose distributions in a breast-mimicking phantom using Gafchromic LD-V1 film under clinical DBT conditions.</div></div><div><h3>Methods</h3><div>A 40-mm-thick polymethyl methacrylate(PMMA) phantom embedded with LD-V1 films was irradiated on a clinical DBT unit (30 kVp, 300 mAs). Films were calibrated against an ionization chamber with doses from 0 to 75 mGy. Films placed at 0, 20, and 40 mm depths underwent ten repeated exposures. Scanned film images were analyzed to obtain two-dimensional dose maps.</div></div><div><h3>Results</h3><div>Absorbed dose declined with depth: 8.3 mGy at the surface, 2.0 mGy at 20 mm, and 0.5 mGy at 40 mm (∼25 % and &lt;10 % of surface dose). Lateral distributions were nonuniform, with higher peripheral doses and lower doses near the chest wall at depth, reflecting beam geometry and scatter. At 60 mm from the chest wall, dose was lower than the phantom mean, suggesting that single-point MGD may underestimate breast dose.</div></div><div><h3>Conclusion</h3><div>Film dosimetry was feasible and provided detailed DBT dose mapping. Findings confirmed strong depth-dependent attenuation and peripheral hotspots not captured by MGD, supporting film-based two-dimensional dosimetry as a complement to conventional methods.</div></div><div><h3>Implications for practice</h3><div>Reliance on MGD may obscure dose heterogeneity. Incorporating film-based dose mapping could improve assessment accuracy and inform clinical risk–benefit evaluation.</div></div>","PeriodicalId":47416,"journal":{"name":"Radiography","volume":"32 2","pages":"Article 103302"},"PeriodicalIF":2.8,"publicationDate":"2026-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145884662","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}

{"title":"Response to: Comment on “Evaluating the rigour and application of phenomenological studies in medical radiation science research: A methodological review”","authors":"J.L. Ago,&nbsp;A. Kilgour,&nbsp;C.L. Smith","doi":"10.1016/j.radi.2025.103248","DOIUrl":"10.1016/j.radi.2025.103248","url":null,"abstract":"","PeriodicalId":47416,"journal":{"name":"Radiography","volume":"32 1","pages":"Article 103248"},"PeriodicalIF":2.8,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145551489","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}

{"title":"Letter to the editor – Evaluating the rigour and application of phenomenological studies in medical radiation science research","authors":"J. Hewis,&nbsp;K. Barry","doi":"10.1016/j.radi.2025.103219","DOIUrl":"10.1016/j.radi.2025.103219","url":null,"abstract":"","PeriodicalId":47416,"journal":{"name":"Radiography","volume":"32 1","pages":"Article 103219"},"PeriodicalIF":2.8,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145410563","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}

{"title":"Prelim ii - EFRS Member","authors":"","doi":"10.1016/S1078-8174(26)00003-9","DOIUrl":"10.1016/S1078-8174(26)00003-9","url":null,"abstract":"","PeriodicalId":47416,"journal":{"name":"Radiography","volume":"32 1","pages":"Article 103327"},"PeriodicalIF":2.8,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146022572","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}