Radiography最新文献_第7页

Comparison of perceived stress levels and imposter syndrome in medical imaging students on the traditional degree versus apprenticeship degree programmes at a UK university 英国一所大学传统学位与学徒学位课程医学影像学生感知压力水平和冒名顶替综合症的比较

IF 2.8 Q2 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING

Radiography

Pub Date : 2026-02-01 Epub Date: 2026-01-14 DOI: 10.1016/j.radi.2025.103297

H. Stevens , F. Manning

Introduction

Research has shown elevated perceived stress (PS) and Imposter Phenomenon (IP) levels among healthcare students; however, apprenticeships remain understudied. This study aimed to compare the levels of PS and IP between Medical Imaging students on traditional (BSc UG) and apprenticeship (BSc DA and MSc DA) courses at one university in the United Kingdom.

Methods

The study used an online survey applying the Perceived Stress Scale (PSS-10) and the Clance Imposter Phenomenon Scale (CIPS). Statistical analysis and thematic analysis were undertaken.

Results

PSS-10 (n = 49 responses)- BSc DA students had a lower level of PS (mean = 18, p < 0.05) than BSc UG and MSc DA students (mean = 24). Most respondents reported moderate or high levels of stress. Thematic analysis highlighted stressors included university and personal factors and overlap between the two areas. CIPS (n = 45 responses)- The highest levels of IP were in BSc UG students (mean = 71) and the lowest in the BSc apprentices (mean = 63), however, p > 0.05. Over 60 % of all students had clinically significant IP levels. Thematic analysis found feelings of ‘not belonging’ and ‘self-perception’ enhanced feelings of IP, and self-belief was protective.

Conclusion

Most students continue to have high levels of PS and IP regardless of course. Qualitative responses for both found similar contributing factors for all courses; however, ‘not belonging’ only contributed to IP for BSc UG students and protective factors for PS and IP were only mentioned by apprentices.

Implications for practice

Due to high levels of PS and IP, educational interventions may aid implementation of coping measures to support students. Further research on PS and IP in the first year of practice would allow a greater understanding of the impact of different educational models.

研究表明，在医疗保健学生中，感知压力（PS）和冒名顶替现象（IP）水平升高；然而，学徒制仍未得到充分研究。本研究旨在比较英国一所大学医学影像专业传统课程（BSc UG）和学徒课程（BSc DA和MSc DA）学生的PS和IP水平。方法采用感知压力量表（PSS-10）和Clance冒名顶替现象量表（CIPS）进行在线调查。进行了统计分析和专题分析。结果spss -10 (n = 49)- BSc DA学生的PS水平（平均= 18,p < 0.05）低于BSc UG和MSc DA学生（平均= 24）。大多数受访者表示有中等或高度的压力。专题分析强调压力源包括大学和个人因素以及两者之间的重叠。CIPS （n = 45份回应）-最高水平的IP是理学士本科学生（平均= 71），最低的理学士学徒（平均= 63），然而，p > 0.05。超过60%的学生有临床显著的IP水平。主题分析发现，“不归属”和“自我认知”的感觉增强了IP感，而自信则起到了保护作用。结论大多数学生在不同的课程中仍有较高的PS和IP水平。对两者的定性回答发现，所有课程的影响因素相似；然而，“不属于”只对理学士研究生的知识产权有贡献，而对PS和知识产权的保护因素只有学徒提到。由于高水平的PS和IP，教育干预可能有助于实施应对措施，以支持学生。在第一年的实践中，对PS和IP的进一步研究将使我们更好地了解不同教育模式的影响。

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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 : 2026-02-01 Epub 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

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 : 2026-02-01 Epub 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

Departmental audit on immobilisation in a small cohort of patients with lower limb sarcoma 一个小队列下肢肉瘤患者固定治疗的部门审计

IF 2.8 Q2 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING

Radiography

Pub Date : 2026-02-01 Epub Date: 2025-12-19 DOI: 10.1016/j.radi.2025.103276

B. Tabet, C. David, S. Moinuddin, F. Le Grange, M. Ahmed, H. Grimes, D. Marsh, R. Simões

Introduction

The aim of this piece of work was to audit the immobilisation and Genital Displacement Device (GDD) setup for patients with limb sarcoma.

Methods

Ten male and ten female patients treated between 2022 and 2023 had their translational shifts retrospectively reviewed. Position of external genitalia was assessed on CBCTs against the outlined structure on the planning scan and categorised according to a traffic light system.

Results

581 images were reviewed in which 81.2 % of translational shifts were within tolerance. One patient had all shifts below 5 mm. However, three patients had 33.3 %, 44 % and 60 % of shifts out of tolerance. Overall, only 2.6 % of translational shifts were above 1 cm. The highest number of re-setups during a course of treatment was 3. PTV length, treatment site and number of shells were identified as impactful factors for large shifts. The GDDs performed well, with 92 % of CBCTs falling in the green or amber category, meaning that the genitals were not encroaching on the PTV. Only 3 CBCT's were categorised as red, with one patient requiring a re-setup due to position of external genitalia.

Conclusion

The shifts may be skewed due to 2 patients with large shifts. These patients could have benefited from systematic shift corrections as the magnitude and direction of the shifts were consistent. However, the immobilisation system is effective in the majority of patients. The GDDs were successful in limiting mobility of external genitalia in most cases.

Implications for practice

The clinical implementation of the traffic light system developed in this audit may be beneficial to standardise the analysis of the displacement of the genitals away from the PTV.

这篇文章的目的是审核肢体肉瘤患者的固定和生殖器移位装置（GDD）设置。方法回顾性分析2022 - 2023年间收治的10例男性和10例女性患者的转译转变情况。外生殖器的位置在cbct上根据规划扫描的轮廓结构进行评估，并根据交通灯系统进行分类。结果581张图像中，81.2%的平移位移在公差范围内。1例患者移位均小于5毫米。然而，有3例患者有33.3%、44%和60%的转移超出耐受性。总体而言，只有2.6%的平移位移超过1厘米。在一个疗程中，重新设置的最高次数为3次。PTV长度、处理地点和壳数被确定为大位移的影响因素。gdd表现良好，92%的cbct属于绿色或琥珀色，这意味着生殖器没有侵犯PTV。只有3个CBCT被归类为红色，其中一个患者由于外生殖器的位置需要重新设置。结论2例患者排班较大，排班可能出现偏斜。这些患者可以受益于系统的移位校正，因为移位的幅度和方向是一致的。然而，固定系统对大多数患者是有效的。在大多数情况下，GDDs成功地限制了外生殖器的活动。对实践的启示本审计中开发的红绿灯系统的临床实施可能有利于对生殖器远离PTV的位移的标准化分析。

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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 : 2026-02-01 Epub 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

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 : 2026-02-01 Epub 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

Inter-observer variation in radiation oncology contouring: A scoping review of contour comparison methods, and reporting of impact on the organ at risk plan dose variations 放射肿瘤学轮廓的观察者间差异：轮廓比较方法的范围审查，并报告对危险器官的影响计划剂量变化

IF 2.8 Q2 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING

Radiography

Pub Date : 2026-02-01 Epub Date: 2025-12-31 DOI: 10.1016/j.radi.2025.103295

C. Chamunyonga , K. Mengersen , C. Hargrave

Objectives

Inaccuracies in target and organs at risk (OAR) contouring can cause dosimetric uncertainties. This scoping review assessed the use of geometric indices (GIs) in evaluating contouring accuracy and reporting OAR dose variations.

Key findings

Twenty-five (25) full-text articles were included in this review, comprising 22 primary studies and 3 review papers. Most studies focused on evaluating auto-segmentation tools (n = 9). The Dice similarity coefficient (DICE) and Hausdorff distances (HDs) were the most commonly used GIs for contour comparisons. OAR dose variations were primarily assessed using dose-volume histogram metrics, particularly the mean OAR dose, with some studies also employing radiobiological metrics such as normal tissue complication probabilities (NTCPs) and equivalent uniform doses (EUDs). Statistical methods, such as Spearman’s and Pearson’s correlations and linear regression, were frequently used to examine relationships between GI values and dose variation.

Conclusion

Future inter-observer variation studies should include thorough reporting of treatment planning parameters that might affect optimisation, calculation, and dose reporting to enable comparison of results across studies.

Implications for practice

The article highlights the need for standardisation in reporting dose variations. It also provides researchers and clinicians with insight into current practices in the use of geometric indices and statistical methods for evaluating contouring variation.

目的靶器官和危险器官（OAR）轮廓的不准确会导致剂量学的不确定性。本范围审查评估了几何指数（GIs）在评估轮廓准确性和报告OAR剂量变化方面的使用。本综述纳入了25篇全文文章，包括22篇主要研究和3篇综述论文。大多数研究集中于评估自动分割工具（n = 9）。Dice相似系数（Dice）和Hausdorff距离（HDs）是最常用的等高线比较GIs。OAR剂量变化的评估主要使用剂量-体积直方图指标，特别是平均OAR剂量，一些研究还使用放射生物学指标，如正常组织并发症概率（NTCPs）和等效均匀剂量（EUDs）。统计方法，如Spearman’s和Pearson’s相关和线性回归，经常用于检查GI值与剂量变化之间的关系。结论：未来的观察者间变异研究应全面报告可能影响优化、计算和剂量报告的治疗计划参数，以便对研究结果进行比较。这篇文章强调了报告剂量变化的标准化的必要性。它还为研究人员和临床医生提供了深入了解当前使用几何指数和统计方法评估轮廓变化的实践。

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引用次数: 0

Comparison of image quality, radiation dose and repeat rates for anteroposterior (AP) pelvic radiography imaging techniques (STOPPAGE study) 骨盆正位（AP）成像技术的图像质量、辐射剂量和重复率的比较（STOPPAGE研究）

IF 2.8 Q2 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING

Radiography

Pub Date : 2026-02-01 Epub Date: 2025-12-11 DOI: 10.1016/j.radi.2025.103275

F.E. Mellor , A. England , P. Cosson , P. Park , K. Knight , M.A. Mallinson , B. Snaith

Introduction

Pelvic radiography is common technique for investigating hip pain, pre-operative planning and in post-surgical surveillance. Variations in anteroposterior (AP) radiographic technique have been described in the literature and are in routine practice. The aim of this study was to compare a single standardised technique (Intervention-Site 1) against individual radiographer determined techniques (Control-Site 2).

Methods

The study was prospective in design and recruited adult ambulant patients referred for pelvic radiography. Site 1 ‘Intervention’ used a single standardised AP technique and Site 2 ‘Control’ allowed radiographers to determine their own optimum technique. Comparisons between the study sites included radiation dose, image quality and repeat rates. It was hypothesised that Site 1 would have lower radiation doses and fewer repeats. Demographics including sex, age and BMI were collected to ensure comparability between sites.

Results

292 patients were recruited 161 (55 %) from Site 1 and 131 (45 %) Site 2. There were no statistically significant differences in terms of male to female ratio, age and BMI (p > 0.05). Median (IQR) DAP values were insignificantly lower at Site 2 11.4 (7.9–14.3) dGy.cm² when compared to Site 1 12.9 (8.2–18.6) dGy.cm² (p = 0.07). Repeat rates were marginally higher at Site 1 (24 %) when compared to Site 2 (19 %), but not statistically significant (p = 0.291). The missing of anatomical structures was statistically less frequent at Site 1 (12 %) when compared to Site 2 (24 %) (p = 0.009).

Conclusion

Initial evaluation of study data suggests that radiation doses and repeat rates were comparable. Opting for a standardised technique may yield more technically ‘perfect’ radiographs.

Implications for practice

Outside of radiation dose and repeat rates a standardised pelvic X-ray technique may yield improvements in technical completeness and image quality.

骨盆x线摄影是调查髋关节疼痛、术前计划和术后监测的常用技术。正位（AP） x线摄影技术的变化已经在文献和常规实践中被描述。本研究的目的是比较单一的标准化技术（interintersite - 1）和单独的放射技师确定的技术（Control-Site - 2）。方法本研究采用前瞻性设计，招募转诊骨盆x线摄影的成年门诊患者。Site 1“干预”使用单一标准化AP技术，Site 2“控制”允许放射技师确定自己的最佳技术。研究地点之间的比较包括辐射剂量、图像质量和重复率。据推测，一号站点的辐射剂量较低，重复次数较少。收集了包括性别、年龄和BMI在内的人口统计数据，以确保不同地点之间的可比性。结果292例患者入组，161例（55%）来自1区，131例（45%）来自2区。男女比例、年龄、BMI差异均无统计学意义（p > 0.05）。中位（IQR） DAP值在Site 2的11.4 (7.9-14.3)dgg处无显著性降低。与Site 1 12.9（8.2-18.6）平方英尺相比。Cm2 （p = 0.07）。重复率在第1区（24%）略高于第2区（19%），但无统计学意义（p = 0.291）。1号位点解剖结构缺失的发生率（12%）低于2号位点（24%）（p = 0.009）。结论对研究资料的初步评价表明，辐射剂量和重复率具有可比性。选择标准化的技术可能会产生技术上更“完美”的x光片。实践意义除了辐射剂量和重复率外，标准化骨盆x线技术可以提高技术完整性和图像质量。

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引用次数: 0

Evaluation of a national intervention to reduce unnecessary brain magnetic resonance imaging in Norway – Effect on referral quality and justification rate 评估挪威减少不必要脑磁共振成像的国家干预措施-对转诊质量和证明率的影响。

IF 2.8 Q2 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING

Radiography

Pub Date : 2026-02-01 Epub Date: 2025-12-17 DOI: 10.1016/j.radi.2025.103282

E. Kjelle , I.Ø. Brandsæter , J. Porthun , B.M. Hofmann

Introduction

Magnetic Resonance Imaging (MRI) is the most used imaging modality in patients with headaches. However, advanced imaging is often used unwarrantedly, wasting valuable health resources and reducing the quality of care. This study evaluates the outcomes of a national intervention implemented in private imaging centers, assessing differences in profession, referral quality, and justification rate for brain MRI in patients with headaches.

Methods

A before-and-after study was set up to assess referrals retrospectively. Six centers each provided 30 referrals received at the imaging center in January and February 2022, before and 30 referrals after the intervention was implemented (January and February 2023). Four radiographers and four radiologists, all experienced in referral vetting, assessed the referrals using an assessment form, blinded for the year. The chi-square test was used to compare groups (α < 0.05). Kappa statistics were used to assess interrater reliability.

Results

All assessors assessed 353 referrals. Overall, 53 % of referrals were assessed as justified. Interrater agreement was moderate. The rate of justified referrals increased by six percentage points after the intervention. Referral quality increased slightly after the intervention. The interrater agreement was good. Radiologists rated more referrals as high-quality and unjustified compared to radiographers. The interrater agreement in justification assessment was higher among radiologists compared to radiographers.

Conclusions

The intervention increased the rate of justified referrals and decreased the rate of unjustified referrals. However, even after the intervention, 33 % of referrals were rated unjustified, and 57 % were assessed as low-quality. This indicates that referral quality and vetting can be improved.

Implications for practice

To reduce unnecessary brain MRI use, and increase the overall quality of medical imaging, referral quality must be improved, and radiographers need more training in referral vetting.

简介：磁共振成像（MRI）是头痛患者最常用的成像方式。然而，先进的成像常常被毫无根据地使用，浪费了宝贵的卫生资源，降低了护理质量。本研究评估了在私人影像中心实施的国家干预的结果，评估了头痛患者在专业、转诊质量和脑MRI合理化率方面的差异。方法：建立前后对照研究，对转诊患者进行回顾性评估。六个中心分别提供了在干预实施前（2022年1月和2月）和干预实施后（2023年1月和2月）在成像中心收到的30个转诊。四名放射技师及四名放射科医生，均具有审核转介病人的经验，他们使用一份评估表格，对转介病人进行年度的盲法评估。组间比较采用卡方检验（α < 0.05）。采用Kappa统计来评估互译者的信度。结果：所有评估人员对353名转诊患者进行了评估。总体而言，53%的转诊被评估为合理。评价者之间的一致意见是温和的。干预后，合理转诊的比率增加了6个百分点。干预后转诊质量略有提高。翻译协议很好。与放射科医师相比，放射科医师认为更多的转诊是高质量的和不合理的。与放射技师相比，放射科医师在正当性评估中的一致性更高。结论：干预提高了合理转诊率，降低了不合理转诊率。然而，即使在干预之后，33%的转诊被评为不合理，57%被评估为低质量。这表明转介的质量和审查可以得到改善。对实践的启示：为了减少不必要的脑MRI使用，提高医学成像的整体质量，必须提高转诊质量，放射技师需要更多的转诊审查培训。

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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 : 2026-02-01 Epub 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