Radiography最新文献

{"title":"Communities of practice: An alternative approach to bridging the theory-practice gap in radiography?","authors":"F. Ramazan ,&nbsp;Y. Graham ,&nbsp;C. Hayes","doi":"10.1016/j.radi.2024.05.015","DOIUrl":"https://doi.org/10.1016/j.radi.2024.05.015","url":null,"abstract":"<div><h3>Objectives</h3><p>There is an increasing need to engage with evidence-based practice (EBP) and continuing professional development (CPD) to effectively respond to the current healthcare demands and challenges. This review critically synthesises key knowledge diffusion and implementation theories, with particular emphasis on Communities of Practice (CoPs), a theory as yet unexplored in radiography practice.</p></div><div><h3>Key findings</h3><p>Prominent theories including implementation science, translational science and knowledge diffusion theories have previously been proposed to bridge the theory-practice gap. However, the radiography profession is a fast-paced, complex and a highly regulated profession which makes the application of rigid theories more challenging. CoPs, which have their origins in Social Learning Theory, represents a potentially more viable approach to bridging the theory-practice gap.</p></div><div><h3>Conclusion</h3><p>Cultivating and maintaining CoPs is a more practical approach to improve knowledge dissemination, EBP and CPD, allowing radiographers in practice to share knowledge, best practices, and experiences out with an organisational hierarchy. The collective pool of knowledge, and history created may contribute to further establishing the radiography profession and the radiographer identity as the CoPs connect, expand, and advance over time.</p></div><div><h3>Implications for practice</h3><p>CoPs may be cultivated and further investigated in radiography practice to improve knowledge dissemination, EBP and CPD, with the ultimate aim of improving individual and organisational performance in radiography practices.</p></div>","PeriodicalId":47416,"journal":{"name":"Radiography","volume":null,"pages":null},"PeriodicalIF":2.6,"publicationDate":"2024-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1078817424001469/pdfft?md5=17161425ca93751671568596c46ff399&pid=1-s2.0-S1078817424001469-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141308507","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Impact of a digital training platform and tailored education on the chest image interpretation performance of healthcare professionals","authors":"L. McLaughlin ,&nbsp;G. Johnstone ,&nbsp;S.L. McFadden ,&nbsp;C.M. Hughes ,&nbsp;L. Nesbitt ,&nbsp;R. Bond ,&nbsp;J. McConnell","doi":"10.1016/j.radi.2024.04.029","DOIUrl":"10.1016/j.radi.2024.04.029","url":null,"abstract":"<div><h3>Introduction</h3><p>With the use of expert consensus a digital training tool was developed which proved useful when teaching radiographers how to interpret chest images. The training tool included A) a search strategy and B) an educational video programme to communicate the search strategies using eye tracking technology.</p></div><div><h3>Methods</h3><p>A multi-reader multi-case study was undertaken to assess the effectiveness of a training tool and study day. The interventions were designed to cover a range of potential pathological presentations. Participants, physiotherapists and nurse practitioners working at a cardiothoracic Intensive Care Unit (ICU), were asked to interpret 20 chest images at the beginning of the study and following access to each intervention. Participants received access to the training tool at different times for a period of 4–6 weeks. A study day was then be provided to all participants and interpretations of a different dataset were completed by all. Each participant was asked to complete a questionnaire to gain perceptions of the training provided.</p></div><div><h3>Results</h3><p>Twenty-eight participants interpreted a total of 1680 chest radiographs. Improvements in specificity were noted across the participants. Sensitivity fell in both groups following both training interventions.</p></div><div><h3>Conclusion</h3><p>Face to face learning and digital components are potentially useful in professional development and revision in chest x-ray interpretation for non-medical healthcare professionals working in an ICU setting.</p></div><div><h3>Implications for practice</h3><p>The training tool and study day may be useful as image interpretation revision aids or to accompany formal methods of education.</p></div>","PeriodicalId":47416,"journal":{"name":"Radiography","volume":null,"pages":null},"PeriodicalIF":2.6,"publicationDate":"2024-06-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141288773","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":"Ambient light intensity affecting ultrasound operator detection of liver lesions in cine-clips","authors":"P.Y.C. Lee ,&nbsp;A. Mohamed Afif ,&nbsp;A. Anthony ,&nbsp;M. Goodyear ,&nbsp;P. Lombardo","doi":"10.1016/j.radi.2024.05.012","DOIUrl":"https://doi.org/10.1016/j.radi.2024.05.012","url":null,"abstract":"<div><h3>Introduction</h3><p>Ambient light (AL) is an important factor to improve ultrasound pathology detection. However, there are no established room AL levels recommended during an ultrasound examination. We aim to examine the diagnostic accuracy using different intensity of AL for the detection of liver lesions in anonymised pre-recorded cine-clips.</p></div><div><h3>Methods</h3><p>Eight ultrasound operators with 5–14 years' professional experiences were prospectively recruited to evaluate 51 randomised cine-clips directly from one ultrasound machine. These 15-s clips of the right lobe of the liver in longitudinal and transverse planes were meant to simulate the ultrasound examination. Operators reviewed all cine-clips and responded to two questions per cine-clip regarding their detection performance under 3 AL settings; 3, 15 and 25 lux, at one lighting per visit. A repeat visit under each AL was performed to assess for intra-operator variability. Each operator completed six visits in total, with at least a 2-day washout period. The operators’ performance was compared against imaging reference standards from contrast CT/MRI for cine-clips with lesion and serial US for those without.</p></div><div><h3>Results</h3><p>AL with highest degree of diagnostic accuracy was found to be at 25 lux. Results from 8 operators revealed sensitivity ranged from 79% to 100%, specificity ranged from 94% to 100%. Positive and negative predictive values were up to 100% with AL at 25 lux. Both intra-and interrater reliability were excellent at 0.85–1.0 (0.79–0.98) and 0.98 (0.97, 0.99) respectively, with AL at 25 lux.</p></div><div><h3>Conclusion</h3><p>This study proved that ambient light intensity affects the ultrasound operator detection of liver lesions on cine-clips.</p></div><div><h3>Implications for practice</h3><p>Identifying suitable AL levels will influence future ultrasound room construct.</p></div>","PeriodicalId":47416,"journal":{"name":"Radiography","volume":null,"pages":null},"PeriodicalIF":2.6,"publicationDate":"2024-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141264278","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":"Inspiring healthcare transformation toward a sustainable, low-carbon future: A growing discipline","authors":"","doi":"10.1016/j.radi.2024.07.011","DOIUrl":"10.1016/j.radi.2024.07.011","url":null,"abstract":"","PeriodicalId":47416,"journal":{"name":"Radiography","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141890417","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":"Effect of patient characteristics on aortic attenuation in iodinated contrast-enhanced Abdominopelvic CT: A retrospective study","authors":"","doi":"10.1016/j.radi.2024.07.012","DOIUrl":"10.1016/j.radi.2024.07.012","url":null,"abstract":"<div><h3>Introduction</h3><p>Contrast Enhanced Computed Tomography (CECT) abdomen and pelvis is a common imaging procedure. Hospitals typically follow fixed protocols of contrast volume administration for triple-phase CECT abdomen and pelvis scans and have found that patients are either underdosed or overdosed with respect to their body habitus. The aim of the study was to correlate different patient characteristics such as Total body weight (TBW), Lean Body Mass (LBM), Body Mass Index (BMI), Body Surface Area (BSA) and Blood Volume (BV) with aortic enhancement in the arterial and portal venous phases for CECT Abdomen and pelvis.</p></div><div><h3>Methods</h3><p>A total of 106 patients who underwent triple-phase CECT abdomen &amp; pelvis were retrospectively studied. A circular region-of-interest (ROI) of 100 mm² was positioned on descending aorta for unenhanced, arterial, and portal venous phases to measure the aortic enhancement in Hounsfield's units. Measure of contrast attenuation (ΔH) was calculated from the difference of CT values on unenhanced images and contrast images. Correlation analysis was performed to evaluate the relation of patient body characteristics with aortic enhancement.</p></div><div><h3>Results</h3><p>Correlation analysis revealed that BMI exhibited the least correlation when compared to the other characteristics in both arterial (r = −0.3; p = 0.002) and portovenous phases (r = −0.35; p &lt; 0.001) whereas TBW, LBW, BSA and BV reported moderate inverse correlations. BV was found to be the strongest of all characteristics under linear regression.</p></div><div><h3>Conclusion</h3><p>The study supports the use of protocols that adjust contrast volume to either TBW, LBW, BSA, or BV for CT abdomen and pelvis scan.</p></div><div><h3>Implication of practice</h3><p>The right body parameter ensures optimal contrast enhancement, improving the visualization of anatomical structures and helps in adapting tailored contrast injection protocols.</p></div>","PeriodicalId":47416,"journal":{"name":"Radiography","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S107881742400186X/pdfft?md5=7748c06ce5aef2dde1bd8b5555b199d3&pid=1-s2.0-S107881742400186X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141898643","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Green radiography: Exploring perceptions, practices, and barriers to sustainability","authors":"M. Rawashdeh ,&nbsp;M.A. Ali ,&nbsp;M. McEntee ,&nbsp;M. El-Sayed ,&nbsp;C. Saade ,&nbsp;D. Kashabash ,&nbsp;A. England","doi":"10.1016/j.radi.2024.06.019","DOIUrl":"10.1016/j.radi.2024.06.019","url":null,"abstract":"<div><h3>Introduction</h3><p>Previous research has delved into the attitudes and behaviors of diverse professions regarding environmental sustainability. However, there needs to be more research specifically targeting radiographers. This study aims to survey radiographers' perceptions, practices, and barriers to change concerning environmental sustainability in radiology.</p></div><div><h3>Methods</h3><p>Institutional ethical approval was obtained (IRB–COHS–FAC-110-2024) and data collection was conducted using Google Forms (Google Inc., Mountain View, CA). The survey targeted 104 practicing radiographers across several countries. Questions were structured around five domains to gather insights into demographics, training in global warming and climate change, perceptions of sustainability and climate change, sustainability barriers, and current radiology practices on sustainability. Data analysis utilized descriptive and d inferential statistics.</p></div><div><h3>Results</h3><p>One hundred and four radiographers completed the study. Females had a significantly higher attendance rate in environmental protection campaigns (P = 0.01). The majority of respondents (68%) believe in climate change's knowledge and impact on the natural world. Our survey findings demonstrate that 74% of respondents believe there's a need to improve sustainability practices. The most commonly used strategies to decrease energy consumption and emissions were low-energy lighting (60%), real-time power monitoring tools (41%), and energy-efficient heating systems (32%). A significant concern regarding sustainability emerges among respondents: time (50%) and lack of leadership (48%) are prevalent concerns among the identified barriers.</p></div><div><h3>Conclusion</h3><p>Participants are recognising the importance of environmental sustainability in radiology, but lack of leadership, support, authority, and facility limitations hinder their adoption.</p></div><div><h3>Impact on practice</h3><p>Radiology must prioritize environmental sustainability by providing resources and training for radiographers and collaborating with healthcare professionals, policymakers, and environmental experts to develop comprehensive strategies for a sustainable healthcare system.</p></div>","PeriodicalId":47416,"journal":{"name":"Radiography","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141564792","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":"Sustainable radiology departments: A European survey to explore radiographers’ perceptions of environmental and energy sustainability issues","authors":"A. Roletto ,&nbsp;D. Catania ,&nbsp;L. Rainford ,&nbsp;A. Savio ,&nbsp;M. Zanardo ,&nbsp;G.R. Bonfitto ,&nbsp;S. Zanoni","doi":"10.1016/j.radi.2024.06.022","DOIUrl":"https://doi.org/10.1016/j.radi.2024.06.022","url":null,"abstract":"<div><h3>Introduction</h3><p>The environmental impact of radiology and radiotherapy activities is influenced by the energy consumption of equipment, the life cycle of consumables, waste generation, and CO₂ emissions caused by staff travel. This study aims to investigate radiographers’ perception and knowledge of environmental sustainability issues.</p></div><div><h3>Methods</h3><p>An online survey was created and distributed to European radiographers and therapeutic radiographers. The survey questions (n = 43) include demographic data; questions on their perceptions and actions regarding environmental sustainability in healthcare, energy consumption, emissions from staff travel, waste generation from radiological procedures; the role of radiographers in addressing sustainability issues within their departments.</p></div><div><h3>Results</h3><p>A total of 253 responses were collected from 27 European countries. About their perception on sustainability issues, most participants considered environmental sustainability in healthcare as very important. According to 63.6% (n = 161) of respondents, the energy consumption of radiological equipment is the major source of environmental footprints from radiology activities. Additionally, 44.7% (n = 113) believe that conducting diagnostic examinations remotely could reduce environmental footprints from staff commuting About their actions at workplace, over 70% (n = 192) reported turning off devices after use. Attention to waste recycling is high, but limited to paper, plastic and glass. Contrast agents recycling procedures are implemented by 13% (n = 33). The absence or unawareness of environmental sustainability procedures in the workplace was reported by 66% (n = 167). Radiographers could play an active role in environmental sustainability programs for 243 (96.1%) participants.</p></div><div><h3>Conclusion</h3><p>This study provides a comprehensive overview of European radiographers' knowledge and perceptions concerning environmental sustainability issues. While radiographers recognize the importance of a green radiology department, significant gaps remain in their understanding of eco-friendly initiatives in radiology units’ activities.</p></div><div><h3>Implication for practice</h3><p>Enhancing radiographers’ skills with sustainability expertise could promote a greener culture within radiology departments.</p></div>","PeriodicalId":47416,"journal":{"name":"Radiography","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1078817424001731/pdfft?md5=04f09fd8175aff1f758aa9bf1301bff3&pid=1-s2.0-S1078817424001731-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141594821","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Sustainability in radiography education: A case study of a tertiary institution in Zimbabwe","authors":"B. Chinene ,&nbsp;L.-S. Mudadi ,&nbsp;E.Y. Mushosho","doi":"10.1016/j.radi.2024.04.018","DOIUrl":"https://doi.org/10.1016/j.radi.2024.04.018","url":null,"abstract":"<div><h3>Introduction</h3><p>To equip radiographers to tackle the negative impacts of climate change, it is crucial to offer in-depth education on planetary health and sustainability. This study aimed to use a tertiary institution in Zimbabwe as a case study to assess radiography students' views on the integration of sustainability into their curriculum.</p></div><div><h3>Methods</h3><p>A quantitative cross-sectional study using a questionnaire took place at a tertiary institution in Harare, Zimbabwe, where students were sampled consecutively. Categorical variables were described using frequencies and percentages. Data analysis was carried out using Stata 13.1.</p></div><div><h3>Results</h3><p>A total of 96 out of 111 students participated, with an 86% response rate. The majority of students believed in the importance of environmentally friendly radiography practices (90.62%) and felt that sustainability is crucial for better patient care. While sustainability teaching was acknowledged in the curriculum, many students were not confident about the topic in exams. There was no consensus on the preferred methods of teaching sustainability. University lecturers specializing in climate-related fields were seen as the most suitable teachers for sustainability education.</p></div><div><h3>Conclusions</h3><p>The curriculum reflects efforts in sustainability education, but student confidence and awareness of climate-focused research units require improvement. Continuous education is crucial to link sustainability awareness with practical implications in radiography. Future studies should investigate tailored teaching methods to engage students effectively in sustainable radiography practices.</p></div><div><h3>Implications for practice</h3><p>The findings highlight the importance of ongoing education and awareness campaigns to address the disconnect between understanding the importance of sustainability and implementing it effectively in radiography practice.</p></div>","PeriodicalId":47416,"journal":{"name":"Radiography","volume":null,"pages":null},"PeriodicalIF":2.6,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141302463","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":"Clinical audit of the image quality and customised contrast volume using P3T contrast injection software versus standard injection protocol in CT coronary angiography","authors":"N. Jayamani ,&nbsp;S. Pothiawala ,&nbsp;H.B. Ong ,&nbsp;A.S. Low Choon Seng ,&nbsp;A. Mohamed Afif ,&nbsp;Z. Arumugam ,&nbsp;C.T. Sung ,&nbsp;F.C. Teck ,&nbsp;H.C. Liang","doi":"10.1016/j.radi.2024.05.009","DOIUrl":"10.1016/j.radi.2024.05.009","url":null,"abstract":"<div><h3>Introduction</h3><p>The implications of shorter scan time and lower tube voltage in the dual-source CT coronary angiography (CTCA) scan protocol necessitate the adaptation of contrast media (CM) injection parameters. This audit evaluates the coronary arteries' vascular attenuation and image quality by comparing the personalised patient protocol technology (P3T) contrast injection software with standard injection protocol. The secondary aim is to determine the relationship between CM volume and the patient's weight.</p></div><div><h3>Methodology</h3><p>A Siemens Somatom Definition Force CT Unit was used to scan 30 sets of patients between August 2020 and October 2020. Patients were selected retrospectively and separated into Standard Injection and P3T injection protocols. An experienced radiologist blinded to the groups reviewed the coronary vessels' contrast enhancement and image quality.</p></div><div><h3>Results</h3><p>Overall, the mean HU of all the main coronary artery vessels obtained from P3T injection software reached above 350 HU and was diagnostically sufficient. The mean attenuation at the proximal region of RCA in the 80–99 kg weight category was significantly higher in the P3T injection software than the standard injection protocol (p &lt; 0.001). The CM volume proposed by P3T injection software for 40–59 kg was approximately 57 <span><math><mrow><mo>±</mo></mrow></math></span> 5 mls, while 75 ml was used for the standard injection protocol.</p></div><div><h3>Conclusion</h3><p>P3T injection software in CTCA resulted in an adequate diagnostic attenuation of coronary arteries (&gt;350HU) in all weight groups, most effectively in the higher weight group, while maintaining diagnostic image quality. Further, the P3T software reduces CM volumes in lower-weight patients.</p></div><div><h3>Implications</h3><p>P3T software enables reducing CM volume in lower-weight patients while improving vascular enhancement in CTCA scans in higher-weight patients.</p></div>","PeriodicalId":47416,"journal":{"name":"Radiography","volume":null,"pages":null},"PeriodicalIF":2.6,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141201110","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: Promoting sustainability activities in clinical radiography practice and education in resource-limited countries: A discussion paper","authors":"M.M. Abuzaid","doi":"10.1016/j.radi.2024.07.004","DOIUrl":"https://doi.org/10.1016/j.radi.2024.07.004","url":null,"abstract":"","PeriodicalId":47416,"journal":{"name":"Radiography","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141594822","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}