Radiography最新文献

{"title":"Attitudes and practices of radiation protection among Jordanian dental radiography practitioners","authors":"D.S. Al-Mousa ,&nbsp;M. Alakhras ,&nbsp;A.G. AlSa'di ,&nbsp;M. Chau ,&nbsp;C. Hayre ,&nbsp;A.M. Mahasneh","doi":"10.1016/j.radi.2024.09.061","DOIUrl":"10.1016/j.radi.2024.09.061","url":null,"abstract":"<div><h3>Introduction</h3><div>Varying radiation protection practices have been documented in the literature. This study aims to evaluate the attitudes and practices of dental radiography practitioners towards radiation protection in Jordan, as no data currently explores their understanding and practices in this area.</div></div><div><h3>Methods</h3><div>The survey involved 192 dental radiography practitioners. A cross-sectional, self-administered questionnaire containing 43 questions covered socio-demographic data, practices towards radiation protection, and attitudes.</div></div><div><h3>Results</h3><div>The majority of participants were less than 40 years old (87.5 %), with 66.7 % working in private clinics and 53.6 % based in the capital city of Jordan. Nearly a quarter (26.5 %) of the practitioners used an X-ray tube voltage of 65–70 kVp; however, 14.6 % were unaware of the X-ray tube voltage used in their machines. Additionally, almost one quarter of the participants never or rarely used light beam positioning aids and available positioning guides in panoramic radiography practice. Only 33.3 % of practitioners consistently used lead aprons, with the main reasons for non-use being the weight of the apron or its unavailability. About 81 % of participants believed in spreading awareness about radiation protection and applying this knowledge in their daily practices.</div></div><div><h3>Conclusions</h3><div>The study found that the practitioners' practices were satisfactory to some extent, supported by a positive attitude towards radiation protection. The participants understand the importance of increasing their awareness and knowledge of radiation protection practices.</div></div><div><h3>Implications for practice</h3><div>The findings of this study highlight the need to improve radiation protection practices among dental radiography practitioners in Jordan by introducing standard dose protocols, supporting the transition to digital systems, establishing diagnostic reference levels, and encouraging the use of equipment over staff holding practices, and raising awareness about radiation safety.</div></div>","PeriodicalId":47416,"journal":{"name":"Radiography","volume":"30 6","pages":"Pages 1556-1562"},"PeriodicalIF":2.5,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142394220","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":"The design, implementation, and evaluation of a National Preceptorship Programme for Therapeutic Radiographers (United Kingdom)","authors":"Kirsty Marsh ,&nbsp;Kate Knapp-Tabbernor ,&nbsp;Kyle Cox","doi":"10.1016/j.radi.2024.09.032","DOIUrl":"10.1016/j.radi.2024.09.032","url":null,"abstract":"","PeriodicalId":47416,"journal":{"name":"Radiography","volume":"30 ","pages":"Pages S15-S16"},"PeriodicalIF":2.5,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142417728","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":"Radiomics reproducibility in computed tomography through changes of ROI size, resolution, and hounsfield unit: A phantom study","authors":"Y. Soleymani ,&nbsp;Z. Valibeiglou ,&nbsp;M. Fazel Ghaziani ,&nbsp;A. Jahanshahi ,&nbsp;D. Khezerloo","doi":"10.1016/j.radi.2024.10.003","DOIUrl":"10.1016/j.radi.2024.10.003","url":null,"abstract":"<div><h3>Introduction</h3><div>Although radiomics has revealed an intriguing perspective for quantitative radiology, the impact of scanning parameters on its outcomes must be considered. In this study, the effects of changes in the region of interest (ROI) sizes, Hounsfield Unit (HU), and resolution of computed tomography (CT) on feature reproducibility have been investigated.</div></div><div><h3>Methods</h3><div>The GAMMEX 464 phantom was used to evaluate the reproducibility of radiomics features across different ROI sizes, HU, and resolution. Data were acquired using a consistent system setup, with the phantom repositioned for each scan. The first acquisition series examined the effects of different ROI sizes and resolutions (1, 3, and 5 mm) on feature reproducibility. The second series assessed the impact of different HU and resolution. Segmentation and feature extraction were performed using LIFEx 7.1.0 software, focusing on textural radiomics features. Statistical analysis involved calculating the coefficient of variation (COV) to categorize feature variability. COV &lt;5 % was considered highly stable.</div></div><div><h3>Results</h3><div>Out of the 32 textural features studied, the analysis of changes in ROI size with a resolution of 1 mm, 3 mm, and 5 mm revealed that 16, 17, and 18 features had high reproducibility, with a COV&lt;5 %. Polyethylene, acrylic, and water also demonstrated stable textural features across changes in scan parameters and image resolutions, with 4 reproducible features in all resolutions. The grey-level run length matrix (GLRLM) and grey-level zone length matrix (GLZLM) radiomics groups were highly stable in the context of variations in scan parameters and different materials.</div></div><div><h3>Conclusion</h3><div>The results of this study highlight the importance of standardizing radiomics studies to reduce the influence of pre-analysis steps on feature values. This standardization is crucial for guaranteeing the consistency of radiomics features under various imaging conditions. Additional research is required to enhance these results.</div></div><div><h3>Implications for practice</h3><div>To ensure the reproducibility and reliability of radiomics features, it is imperative to standardize scanning parameters and pre-analysis protocols. This standardization will enhance the consistency of radiomics applications in both clinical and research environments.</div></div>","PeriodicalId":47416,"journal":{"name":"Radiography","volume":"30 6","pages":"Pages 1629-1636"},"PeriodicalIF":2.5,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142446917","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":"Postgraduate Medical Ultrasound learner and practice educator perceptions and experiences of academy model clinical ultrasound training in Scotland","authors":"D.M. Dickson,&nbsp;M. Kay","doi":"10.1016/j.radi.2024.09.056","DOIUrl":"10.1016/j.radi.2024.09.056","url":null,"abstract":"<div><h3>Introduction</h3><div>The newly introduced National Ultrasound Training Programme within the NHS Scotland Academy provides an alternative clinical learning environment for postgraduate medical ultrasound learners. Learners during academic year 2022/23 were supported with up to five weeks of clinical education within the NHS Scotland Academy, as an alternative to their local Health Board. This study explores the perceptions and experiences of the first cohort of learners and their practice educators.</div></div><div><h3>Methods</h3><div>An interview guide was developed comprising questions to explore learners and practice educator experiences and perceptions of the National Ultrasound Training Programme. Ten semi-structured interviews were conducted (Learners n = 5 and Practice Educators n = 5). Thematic analysis was performed by two independent researchers following an established six-stage process.</div></div><div><h3>Results</h3><div>Three themes emerged:1. Importance of the Clinical learning environment, 2. Relationships and 3. Skills and confidence. Organisational challenges within the NHS Health Boards pose barriers to Learners and Practice Educators supporting clinical education. Learners benefitted from both the clinical learning environments while practice educators recognise the advantage of alternative clinical education for their Learner and wider ultrasound services. Further collaboration to capitalise on knowledge exchange was identified for enhancement.</div></div><div><h3>Conclusion</h3><div>The NHS Scotland Academy can play a pivotal role in delivering learner-centred, protected clinical education as an adjunct to traditional models of practice education.</div></div><div><h3>Implications for practice</h3><div>Employers and Practice Educators must identify and acknowledge barriers to postgraduate medical ultrasound education. Protected learning time, recognising roles of Learners and Educators and a supportive clinical learning environment are paramount. Learner-centred best practice clinical education can be successfully delivered within the NHS Scotland academy as an adjunct to acute health board clinical education and adopting a collaborative approach will provide enhancements for stakeholders.</div></div>","PeriodicalId":47416,"journal":{"name":"Radiography","volume":"30 ","pages":"Pages 26-33"},"PeriodicalIF":2.5,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142366938","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":"Timing and communication of information as mediators of patient experience: Voices of people diagnosed with prostate cancer who received radiotherapy","authors":"Lynne Gordon,&nbsp;Angela Dickinson,&nbsp;Wendy Wills","doi":"10.1016/j.radi.2024.09.020","DOIUrl":"10.1016/j.radi.2024.09.020","url":null,"abstract":"","PeriodicalId":47416,"journal":{"name":"Radiography","volume":"30 ","pages":"Page S10"},"PeriodicalIF":2.5,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142416132","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":"Radiography community involvement in the professional socialisation of diagnostic radiography students","authors":"Y. Peter ,&nbsp;P. Engel-Hills ,&nbsp;K. Naidoo","doi":"10.1016/j.radi.2024.09.066","DOIUrl":"10.1016/j.radi.2024.09.066","url":null,"abstract":"<div><h3>Introduction</h3><div>Professional socialisation entails acquisition and internalisation of knowledge, skills, and values necessary to become members of a chosen profession. In the healthcare professions, the process is initiated during undergraduate academic and clinical learning, with clinical learning considered as more significant. This suggests that clinical radiographers play a key role in socialising students into the radiography profession. Based on communities of practice, a theory of social learning, professional socialisation of diagnostic radiography students would involve different members of the radiography community. Limited knowledge exists on the professional socialisation of diagnostic radiography students.</div></div><div><h3>Aim</h3><div>This study aimed to explore how diagnostic radiography students are socialised in the clinical environment with a focus on the role of communities of practice.</div></div><div><h3>Methods</h3><div>Qualitative, exploratory, and descriptive research was conducted. Data was collected through unstructured interviews and focus groups. Interview recordings were verbatim transcribed, and framework analysis was used to analyse data.</div></div><div><h3>Findings</h3><div>Data analysis resulted in the identification of a key theme, radiography community involvement, with four subthemes: shared responsibility for learning and teaching, critical reflection and lifelong learning, interpersonal skills, and empathy and consideration for students.</div></div><div><h3>Conclusion</h3><div>Effective professional socialisation of diagnostic radiography students is essential to develop radiography knowledge, skills, and values. The findings presented in this paper highlight the importance of the radiography community involvement in the professional socialisation of students because the various members of this community have valuable knowledge to share and a role to play.</div></div><div><h3>Implications for practice</h3><div>The findings can guide development of initiatives to support radiography community members in their role as facilitators of student professional socialisation, which in turn will enable effective professional socialisation for the students.</div></div>","PeriodicalId":47416,"journal":{"name":"Radiography","volume":"30 6","pages":"Pages 1597-1603"},"PeriodicalIF":2.5,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142418572","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":"A qualitative exploration of Maltese couples' care experiences of prostate cancer diagnosis and radiotherapy treatment","authors":"G.A. van Dijk ,&nbsp;N. Courtier ,&nbsp;P. Bezzina ,&nbsp;P. Gill","doi":"10.1016/j.radi.2024.09.064","DOIUrl":"10.1016/j.radi.2024.09.064","url":null,"abstract":"<div><h3>Introduction</h3><div>Although prostate cancer is male-specific, the diagnosis and treatment also affect close family members, particularly spouses. Following diagnosis, treatment choices have to be made and this may lead to a period of stress and confusion for both patient and their family. This study investigated couples' care experiences with prostate cancer from diagnosis to radiotherapy treatment in Malta.</div></div><div><h3>Methods</h3><div>A qualitative descriptive methodology was adopted using semi-structured interviews with twelve couples and two men. Data were collected between January and December 2019. The participants were recruited from a local oncology hospital in Malta. Data were analysed Thematically and included the identification of potential contrasts and overlaps between men and their spouses.</div></div><div><h3>Results</h3><div>A prostate cancer diagnosis and treatment was a significant source of distress for men and their spouses. Healthcare professionals did not consistently attend to the couple's concerns, such as perceived delays in the management of prostate cancer and the treatment decision-making process. Most couples did not disclose the diagnosis to wider family and friends and several men valued the experience of men who previously underwent prostate cancer treatment.</div></div><div><h3>Conclusion</h3><div>Ensuring that these couples receive the right information, support, and resources is crucial to assisting couples in navigating the challenges of the cancer journey effectively. When experiences were less positive, the communication process with healthcare professionals was not perceived as adequate, which negatively impacted their emotional well-being.</div></div><div><h3>Implications for practice</h3><div>Additional communication training for healthcare professionals may improve their recognition and response to the needs of service users. Information tailored to the needs of men and spouses may also be considered such as the use of digital tools or involving men who previously underwent treatment.</div></div>","PeriodicalId":47416,"journal":{"name":"Radiography","volume":"30 6","pages":"Pages 1572-1577"},"PeriodicalIF":2.5,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142406943","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":"A trend analysis of radiation therapy incidents in the UK over five years","authors":"John Rodgers,&nbsp;Helen Best,&nbsp;Cristiona Logan,&nbsp;Nezahat Hunter,&nbsp;Una Findlay","doi":"10.1016/j.radi.2024.09.012","DOIUrl":"10.1016/j.radi.2024.09.012","url":null,"abstract":"","PeriodicalId":47416,"journal":{"name":"Radiography","volume":"30 ","pages":"Pages S5-S6"},"PeriodicalIF":2.5,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142417857","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":"Embracing technology to deliver more equitable access to DIBH techniques for patients with a hearing impairment or other language barriers undergoing radiotherapy for breast cancer.","authors":"Caitlyn Cardy,&nbsp;Tamryn Saby,&nbsp;Zoe Grant","doi":"10.1016/j.radi.2024.09.016","DOIUrl":"10.1016/j.radi.2024.09.016","url":null,"abstract":"","PeriodicalId":47416,"journal":{"name":"Radiography","volume":"30 ","pages":"Page S8"},"PeriodicalIF":2.5,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142417804","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":"Dosimetric evaluation and gradient analysis of various MLC leaf-width effects in external beam radiation therapy: TrueBeam Vs Halcyon","authors":"R. Shende ,&nbsp;S.J. Dhoble ,&nbsp;D. Saroj ,&nbsp;G. Gupta","doi":"10.1016/j.radi.2024.10.007","DOIUrl":"10.1016/j.radi.2024.10.007","url":null,"abstract":"<div><h3>Introduction</h3><div>This study investigates dosimetric influence and gradient-analysis of leaf-width of various Multi-leaf-collimators (MLC) from Truebeam and Halcyon linear accelerators.</div></div><div><h3>Methods</h3><div>The leaf-width effects of Millennium120 and HD120MLC from Truebeam and SX1 and SX2 from Halcyon were studied using virtual phantom in Eclipse16.1.2 TPS. Target structures consist of bore and wave cylinders of equally spaced projected Planning target volume (PTV) of diameters ranging from 1-to-5 cm and 20 cm length. Treatment plans for all PTVs, and four different MLCs configurations from both machines were created utilizing 6MVFFF beam to deliver dose of 50Gy/25# using IMRT and VMAT. Plans were evaluated using plan quality indices including dose conformity, homogeneity, gradient radius, and Monitor-unit (MU). Also, dose gradients were analyzed by estimating distinct integral volume V_D% and paired-t-tests were performed to evaluate statistical differences.</div></div><div><h3>Results</h3><div>All the plan satisfied the minimum criteria of D_95 %≥prescription dose and V_{107 %}≤2cc. Mean conformity and homogeneity indices for SX1MLC(CI = 0.680,HI = 0.022) were found significantly higher and lower than SX2(CI = 0.746,HI = 0.016), Millennium120 (CI = 0.739,HI = 0.012), and HD120MLC(CI = 0.745,HI = 0.017), respectively. However, CI and HI for SX2, Millennium120, and HD120MLC found comparable. Gradient radius enclosing 50 % of isodose observed maximum and minimum for SX1 and HD120MLC, respectively. Plan MUs for Truebeam MLCs were found approximately 25 % higher than Halcyon MLCs. Dose distribution generated using SX2 and Millennium120 found comparable, however p ≤ 0.05 ascertained substantial differences among SX1, Millennium120, and HD120MLC.</div></div><div><h3>Conclusion</h3><div>MLC leaf-width influences intensity-modulation and significantly alters dosimetric outcome depending on the magnitude of the leaf-width. HD120MLC does not show much significant advantages over SX2 and Millennium120 except gradient control.</div></div><div><h3>Implications for practice</h3><div>Halcyon SX1MLC produces least effective plan compared to all other MLC types. However, SX2 and Millennium120 can produce plans of comparable quality except plan MUs difference.</div></div>","PeriodicalId":47416,"journal":{"name":"Radiography","volume":"30 6","pages":"Pages 1646-1654"},"PeriodicalIF":2.5,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142510302","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}