Radiography最新文献_第8页

Real-time dosimetry, organs dose and risk assessment for CBCT thorax protocols in IGRT procedures IGRT手术中CBCT胸腔方案的实时剂量学、器官剂量和风险评估。

IF 2.8 Q2 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING

Radiography

Pub Date : 2026-02-01 Epub Date: 2025-12-14 DOI: 10.1016/j.radi.2025.103277

A. Campos , A.C. Sá , Y. Romanets , P. Vaz , S. Di Maria

Introduction

Cone Beam Computed Tomography (CBCT) is essential in Image-Guided Radiation Therapy (IGRT), enabling more accurate treatments but increasing patients exposure to radiation. Despite advancements in dose reduction acquisition methods, routine daily CBCT imaging can still result in a considerable cumulative radiation dose to the patient, which should be considered and assessed.

Methods

This study aimed at estimating the radiation doses absorbed with MOSFET detectors of some radiosensitive organs (e.g. lung, stomach, liver) during thoracic CBCT examination and calculates the risk of cancer incidence and mortality with adult thorax physical phantom.

Results

The absorbed doses in the aforementioned organs ranged between 3 mGy and 8 mGy per fraction, close to the isocenter. Over 33 fractions, the cumulative absorbed dose reached approximately 260 mGy. The analysis of cancer incidence and mortality risk through BEIR VII model revealed that the lungs have the highest number of cases for each age considered (20–80 years interval). Comparing dose assessment obtained using several methods (Monte Carlo, TLDs and MOSFETs), with the same irradiation protocol, lung dose varies among 2.08 mGy and 7.60 mGy, whereas the heart varies among 4.9 Gy and 10 mGy.

Conclusion

Although surrogate dose-index methods are often used, organ absorbed doses assessment should be the preferred method to assess the magnitude of realistic organ radiation risk of populations undergoing examinations with ionizing radiation.

Implications for practice

Promoting experimental dosimetry phantom studies in a more harmonized way would increase the accuracy of organ absorbed dose assessment and consequently would improve the risk communication and decision-making for better CBCT protocols choice in clinical settings.

锥形束计算机断层扫描（CBCT）在图像引导放射治疗（IGRT）中是必不可少的，它使治疗更准确，但增加了患者的辐射暴露。尽管剂量减少获取方法取得了进步，但常规的每日CBCT成像仍然会给患者带来相当大的累积辐射剂量，这应该被考虑和评估。方法：本研究旨在估计胸部CBCT检查中某些放射敏感器官（如肺、胃、肝）的MOSFET探测器吸收的辐射剂量，并计算成人胸腔物理幻象的癌症发病率和死亡率风险。结果：上述器官的吸收剂量范围为3 ~ 8mgy /份，接近等中心。在33个组分中，累积吸收剂量达到约260 mGy。通过BEIR VII模型对癌症发病率和死亡风险的分析显示，在每个考虑的年龄（20-80岁间隔）中，肺部的病例数最多。比较使用几种方法（蒙特卡罗、TLDs和mosfet）获得的剂量评估，在相同的辐照方案下，肺部剂量在2.08和7.60 mGy之间变化，而心脏剂量在4.9和10 mGy之间变化。结论：虽然经常使用替代剂量指数法，但器官吸收剂量评估应是评估接受电离辐射检查人群实际器官辐射风险大小的首选方法。实践意义：以更统一的方式促进实验性剂量学幻象研究将提高器官吸收剂量评估的准确性，从而改善临床环境中更好的CBCT方案选择的风险沟通和决策。

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引用次数: 0

Reply to: “comment on ‘convolutional neural network application for automated lung cancer detection on chest CT using Google AI Studio’” 回复：“关于“b谷歌AI Studio在胸部CT上卷积神经网络用于肺癌自动检测”的评论”。

IF 2.8 Q2 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING

Radiography

Pub Date : 2026-02-01 Epub Date: 2025-12-26 DOI: 10.1016/j.radi.2025.103296

Z. Aljneibi, S. Almenhali, L. Lanca

引用次数: 0

Navigating sonographer work-integrated learning: A thematic analysis of workforce pressures, training barriers and student wellbeing 导航超声工作集成学习：劳动力压力，培训障碍和学生福利的专题分析

IF 2.8 Q2 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING

Radiography

Pub Date : 2026-02-01 Epub Date: 2025-12-20 DOI: 10.1016/j.radi.2025.103290

P. Boucaut , R. Tunny , K. McMahon , B. Osborne , K. Lamb , J. Wardle , T. Reddan , C. Edwards

Introduction

Sonography Work-Integrated Learning (WIL) is increasingly challenged by workforce shortages, high service demands, and limited supervisory capacity. Despite WIL's critical role in sonographer education pathways, there is limited empirical understanding of how these pressures are experienced by trainees and clinical supervisors, whose insights are vital for shaping meaningful and practical reforms. This study addresses that gap.

Methods

Between July and November 2024, an online Qualtrics survey gathered insights from trainee sonographers and clinical supervisors across Australia who had participated in WIL within the past 12 months. Participants were recruited through professional contacts, sector networks and online platforms. Open-ended questions explored barriers, training challenges, support needs, and wellbeing. Responses were analyzed using reflexive thematic analysis to identify key themes.

Results

A total of 431 participants completed the survey: 266 clinical supervisors (62 %) and 165 trainee sonographers (38 %). Findings revealed that the clinical training environment is shaped by a complex interplay of structural, systemic, and institutional challenges, resulting in a network of interconnected pressures. These pressures place a substantial, and often underestimated, emotional and cognitive burden on sonography trainees. Respondents called for enhanced support systems, formal recognition and targeted training of clinical supervisors, and prioritization of educational outcomes and trainee wellbeing during WIL. The study underscores the need for sector-wide collaboration and sustained investment to address these challenges.

Conclusion

WIL must be reimagined to foster supportive, effective learning environments that reflect the clinical environmental realities.

Implications for practice

Without urgent reforms, trainee sonographer wellbeing and workforce sustainability are at risk.

超声工作集成学习（WIL）日益受到劳动力短缺、高服务需求和有限监督能力的挑战。尽管WIL在超声医师教育途径中发挥着关键作用，但对实习生和临床主管如何经历这些压力的经验理解有限，他们的见解对于形成有意义和实际的改革至关重要。这项研究解决了这一差距。方法：在2024年7月至11月期间，一项在线Qualtrics调查收集了澳大利亚各地在过去12个月内参加过WIL的实习超声医师和临床监督员的见解。参与者是通过专业联系、行业网络和在线平台招募的。开放式问题探讨了障碍、培训挑战、支持需求和幸福感。使用反身性主题分析来分析回应，以确定关键主题。结果共431人完成调查，其中临床督导266人（62%），实习超声技师165人（38%）。研究结果表明，临床培训环境是由结构性、系统性和制度性挑战的复杂相互作用形成的，形成了一个相互关联的压力网络。这些压力给超声受训者带来了巨大的、往往被低估的情感和认知负担。受访者呼吁加强支持系统，对临床督导人员进行正式认可和有针对性的培训，并在临床实习期间优先考虑教育成果和实习生的福祉。该研究强调需要全部门合作和持续投资来应对这些挑战。结论必须重新构想人工智能，以培养反映临床环境现实的支持性、有效的学习环境。如果不进行紧急改革，实习超声医师的福祉和劳动力的可持续性将面临风险。

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引用次数: 0

Methodological trends of community-based participatory radiography research in Singapore 新加坡社区参与式放射学研究的方法学趋势

IF 2.8 Q2 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING

Radiography

Pub Date : 2026-02-01 Epub Date: 2025-12-20 DOI: 10.1016/j.radi.2025.103289

A. Mohamed Afif , A.Y.H. Kee, C.P.Y. Lee

Introduction

Community-based participatory research (CBPR) is a vital methodological approach, especially within Singapore’s diverse population. CBPR facilitates engagement from various communities and stakeholders, ensuring relevance to population needs. However, current trends in CBPR within radiography remains unclear. This paper aims to review existing methodological trends in CBPR within radiography to inform future research directions and support translation to clinical practices in Singapore.

Methods

A comprehensive review of published literature indexed from Singapore Health Services database from January 2014 to January 2025 was conducted. Two independent reviewers evaluated each study on its study design, data collection techniques, and analytical strategies. A third reviewer was consulted to reach consensus when discrepancies approach. Quantitative data were analysed using SPSS and thematic analysis was applied to identify methodological patterns in CPBR studies.

Results

A total of 1195 publications were retrieved. After exclusion, 68 radiography-related publications were included in the analysis. Of these, 38 (55.9 %) utilised CBPR approaches. Thematic analysis revealed four key themes: (1) diagnostic studies to evaluate or improve clinical protocols, (2) assessment of new/emerging technologies, (3) implementation of education approaches adapted into practice, and (4) workplace operations assessment and refinement.

Conclusion

CBPR plays a significant role in informing methodological approaches for research projects aimed at enhancing long-term clinical implementation outcomes in diverse populations.

Implication for practice

The CPBR approach is essential to future-proofing technological advancements and ensuring generalisability of research findings to meet population-specific needs.

以社区为基础的参与性研究（CBPR）是一种重要的方法论方法，特别是在新加坡多样化的人口中。CBPR促进了各个社区和利益攸关方的参与，确保了与人口需求的相关性。然而，目前放射学中CBPR的趋势仍不清楚。本文旨在回顾放射学中CBPR的现有方法学趋势，以告知未来的研究方向，并支持新加坡临床实践的翻译。方法对2014年1月至2025年1月新加坡卫生服务数据库收录的已发表文献进行综合分析。两名独立审稿人对每项研究的研究设计、数据收集技术和分析策略进行了评估。当出现差异时，咨询第三位审稿人以达成一致意见。采用SPSS软件对定量数据进行分析，并采用专题分析来确定CPBR研究的方法模式。结果共检索文献1195篇。排除后，68篇与放射学相关的出版物被纳入分析。其中38例（55.9%）采用CBPR方法。专题分析揭示了四个关键主题：(1)评估或改进临床方案的诊断研究；(2)评估新/新兴技术；(3)实施适应实践的教育方法；(4)工作场所操作评估和改进。结论cbpr在研究项目的方法学研究中发挥着重要作用，旨在提高不同人群的长期临床实施结果。CPBR方法对于未来的技术进步和确保研究成果的普遍性以满足特定人群的需求至关重要。

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引用次数: 0

Effect of iodinated contrast media enhancement on size-specific dose estimates in emergency thoracic CT 碘化造影剂增强对急诊胸部CT大小特异性剂量估计的影响

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.2025.103308

A. Khallouqi , H. Sekkat , A. Halimi , Y. Madkouri , O. El Rhazouani

Introduction

Accurate estimation of patient radiation dose is crucial in emergency computed tomography (CT), where rapid multiphase imaging is routine. The Size-Specific Dose Estimate (SSDE) incorporates patient size using the water-equivalent diameter (Dw), but standard calculations assume patient size remains constant across scan phases. Contrast administration, however, modifies tissue attenuation and may alter both Dw and SSDE.

Methods

A retrospective analysis of 100 consecutive emergency thoracic CT examinations was conducted, each including non-contrast (C–) and contrast-enhanced (C+) phases. Automatic tube-current modulation was applied for all acquisitions. From 22,000 slice-level observations, the scanner-reported volume CT dose index (CTDIvol), Dw, size-specific conversion factor (f), and SSDE were calculated using AAPM-recommended equations. Phase-wise comparisons were performed using paired t-tests.

Results

Mean SSDE increased from 11.64 ± 1.11 mGy (C–) to 11.96 ± 1.17 mGy (C+), a statistically significant 2.7 % rise (p < 0.001). The apparent cause was a 3.4 % decrease in Dw (21.98 mm → 21.24 mm, p < 0.001), reflecting higher post-contrast attenuation interpreted as smaller patient size. This led to a 2.8 % increase in f, further amplified by the scanner's compensatory increase in tube current.

Conclusion

SSDE is a dynamic rather than static parameter, increasing systematically during contrast-enhanced thoracic CT because of both algorithmic artefacts and real modulation of scanner output. Reliance on a single averaged SSDE across multiphase protocols may underestimate patient dose.

Implications for practice

Phase-specific SSDE reporting provides a more accurate and transparent assessment of patient radiation exposure in emergency CT. Integrating automated, phase-resolved SSDE computation into dose-management systems would enhance clinical decision-making, support protocol optimization, and improve adherence to the ALARA principle in daily radiology practice.

在急诊计算机断层扫描（CT）中，准确估计病人的辐射剂量是至关重要的，在急诊计算机断层扫描中，快速多相成像是常规的。尺寸特定剂量估算（SSDE）使用水当量直径（Dw）纳入患者尺寸，但标准计算假设患者尺寸在扫描阶段保持恒定。然而，造影剂可以改变组织衰减，并可能改变Dw和SSDE。方法回顾性分析连续100例急诊胸部CT检查结果，各检查包括非对比期（C -）和增强期（C+）。自动管电流调制应用于所有采集。根据22,000个切片水平的观察结果，使用aapm推荐的公式计算扫描仪报告的体积CT剂量指数（CTDIvol）、Dw、尺寸特异性转换因子(f)和SSDE。采用配对t检验进行阶段性比较。结果平均SSDE由11.64±1.11 mGy （C -）上升至11.96±1.17 mGy (C+)，上升2.7%，差异有统计学意义（p < 0.001）。明显的原因是Dw下降3.4% (21.98 mm→21.24 mm, p < 0.001)，反映了更高的对比后衰减解释为更小的患者尺寸。这导致f增加2.8%，扫描仪的管电流补偿性增加进一步放大。结论ssde是一个动态参数，而不是静态参数，在胸部CT增强过程中，由于算法伪影和扫描仪输出的真实调制，ssde会系统地增加。在多期方案中依赖单一平均SSDE可能会低估患者的剂量。实践意义特定阶段的SSDE报告为急诊CT患者辐射暴露提供了更准确和透明的评估。在剂量管理系统中集成自动化的、分相的SSDE计算将增强临床决策，支持方案优化，并在日常放射学实践中提高对ALARA原则的遵守。

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引用次数: 0

Fundamental study of a novel image quality index for optimising image quality and dose in digital radiography systems 一种新型图像质量指标的基础研究，用于优化数字放射照相系统的图像质量和剂量

IF 2.8 Q2 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING

Radiography

Pub Date : 2026-02-01 Epub Date: 2026-01-03 DOI: 10.1016/j.radi.2025.103303

R. Higashide , K. Kanamori

Introduction

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 SNR_IQ, which is a novel image quality index developed through a novel analytical algorithm and validated by phantom experiments.

Methods

To validate the performance of the proposed index, i.e., SNR_IQ, we conducted a comparative analysis using the conventional image quality index SNR_CONV and EI values. Using different subject thicknesses, grids, and doses, the CDRAD phantoms and abdominal phantoms were imaged. Inverse of image quality figure (IQF_inv) and the average psychological measurement values obtained by visual assessment were analyzed, and then compared with image quality indices.

Results

The SNR_IQ evaluation demonstrated a significantly strong correlation with IQF_inv (R² = 0.949) evaluation and visual assessments (R² = 0.943). The SNR_IQ is a promising alternative, which correlates strongly with genuine image quality assessments, and provides immediate feedback alongside acquired images. Conversely, the SNR_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.

Conclusions

Our proposed SNR_IQ was able to assess image quality more accurately than conventional image quality indices.

Implications for practice

By incorporating SNR_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 SNR_IQ values can enhance examinations.

在数字放射照相系统中缺乏全面的图像质量指标是一个需要解决的问题。本文提出了一种新的图像质量指标，并报道了一种基于幻像的基础研究。SNRIQ是一种新的图像质量指标，它是通过一种新的分析算法开发出来的，并通过模拟实验进行了验证。方法为了验证所提出的SNRIQ指标的性能，我们使用常规图像质量指标SNRCONV和EI值进行了对比分析。采用不同的受试者厚度、网格和剂量，对CDRAD幻像和腹部幻像进行成像。分析图像质量指数（IQFinv）的倒数和视觉评价得到的平均心理测量值，并与图像质量指标进行比较。结果SNRIQ评价与IQFinv评价（R2 = 0.949）、目视评价（R2 = 0.943）相关性显著。SNRIQ是一种很有前途的替代方案，它与真实的图像质量评估密切相关，并在获取图像的同时提供即时反馈。相反，SNRCONV作为一个综合的图像质量指标是不够的。EI值在剂量评估方面的临床用途有限，作为综合图像质量指标也不充分。结论与传统的图像质量指标相比，我们提出的SNRIQ能更准确地评价图像质量。将优于传统图像质量指标的SNRIQ纳入现有系统，可以改善剂量和图像质量的优化。这纠正了EI值的局限性，支持各种患者档案的图像质量管理，并能够在剂量调整或重新成像方面做出明智的决定。扩大暴露指标以包括SNRIQ值可以加强检查。

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引用次数: 0

Listening to and learning from patients: A review of the results from the 2023 national radiotherapy patient experience survey in England 倾听患者并向患者学习：英国2023年全国放疗患者体验调查结果综述

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.2025.103305

D. Hutton , M. Bates , K. Lowery , P. Booker , L. McKie , H. Wong , H. Stewart , H.P. White

Introduction

Emphasised through the radiotherapy service specification alongside a range of policies, there is a need to ensure the patient voice is listened to and heard. Ensuring patients are ‘cared about’ throughout their radiotherapy treatment is essential. Reviewing the expectations of patients and capturing their experiences of radiotherapy, enables improvement to our radiotherapy services.

Methods

An online survey including open and closed questions about patient experience was distributed to adult external beam radiotherapy patients (EBRT), attending radiotherapy within 10 Radiotherapy Operational Delivery Networks in England. Patients completing radiotherapy treatment 4th - 29th September 2023 were eligible to participate.

Results

A 30.6 % response rate was gained (calculated from RTDS data). Over 2500 responses were received, with 2486 suitable for analysis.

Respondents stated ‘complete understanding’ of knowledge of late effects of radiotherapy was 58.6 %, with early effects at 73.7 %. Most patients (93.8 %) were happy or very happy with information received prior to EBRT starting. The vast majority (95 %) stated they were treated with dignity and respect, with a few describing examples where this had not been the case.

Conclusion

The majority of patients responding to this survey indicated they experienced high quality care:‘… the staff, from top to bottom, are quite exceptional. They represent the very best of the NHS and I am truly grateful.’

From a service improvement perspective, also highlighted was the need to review delivery and content of information given both pre- and post-radiotherapy treatment.

Implications for practice

The need for a biennial National Radiotherapy Patient Experience Survey is required. This needs to be available in a range of alternative formats to ensure all voices can be heard.

通过放疗服务规范和一系列政策强调，有必要确保患者的声音被倾听和听到。确保患者在放射治疗过程中得到“关心”是至关重要的。检讨病人对放射治疗的期望及收集他们的经验，有助改善我们的放射治疗服务。方法对英国10家放射治疗业务递送网络中接受放射治疗的成人外束放疗患者（EBRT）进行开放性和封闭式的患者体验在线调查。2023年9月4日至29日完成放疗治疗的患者有资格参加。结果有效率为30.6%（根据RTDS数据计算）。收到2500多份回复，其中2486份适合分析。受访者表示对放疗晚期效应的知识“完全理解”的占58.6%，对早期效应的知识“完全理解”的占73.7%。大多数患者（93.8%）对EBRT开始前收到的信息感到满意或非常满意。绝大多数人（95%）表示他们受到了尊严和尊重，少数人描述了情况并非如此的例子。结论接受调查的大多数患者表示，他们经历了高质量的护理：“……从上到下，工作人员都非常出色。他们代表了NHS最好的部分，我真的很感激。“从服务改进的角度来看，也强调了需要审查放射治疗前后的信息传递和内容。对实践的启示需要每两年进行一次全国放射治疗患者经验调查。这需要以一系列替代格式提供，以确保所有的声音都能被听到。

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引用次数: 0

Quantitative versus qualitative analysis of breast lesions using mammography and ultrasonography: A systematic review and meta-analysis 乳房x光检查和超声检查对乳腺病变的定量与定性分析：一项系统综述和荟萃分析

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.2025.103278

Z. Nkrumbih , E. Ekpo , A. Jusabani , C. Rainey , A. England , M.F. McEntee

Introduction

Mammography and ultrasound are common tools for the diagnosis of breast cancer. Quantitative analysis of imperceivable information from their images can be incorporated into breast cancer diagnosis. However, the impact of quantitative information on diagnostic performance is poorly understood.

Methods

A systematic review was conducted across PubMed, CINAHL, Web of Science, SCOPUS, and EBSCO databases to identify English-language studies comparing qualitative and quantitative image analyses for breast lesions. Eligible studies were independently screened and selected by two reviewers. Sensitivity, specificity, and area under the receiver operating characteristic curve (AUC) were extracted and pooled using Review Manager 5.4 and MetaDisc 1.4. The quality of evidence was assessed using GRADE criteria.

Results

Six studies were included. For qualitative analysis, pooled sensitivity and specificity were 0.85 (95 % CI: 0.78–0.91) and 0.78 (0.71–0.84), respectively, with an AUC of 0.89 (0.86–0.91). Quantitative analysis demonstrated similar sensitivity, 0.84 (0.77–0.90), but significantly higher specificity, 0.90 (0.85–0.94), with an AUC of 0.92 (0.89–0.94). The 12-percentage point increase in specificity for quantitative methods was statistically and clinically significant (Z = −2.97, p = 0.003).

Conclusion

Quantitative image analysis shows comparable sensitivity, but superior specificity compared to qualitative approaches in breast imaging. These findings suggest that quantitative methods may improve diagnostic accuracy and reduce false positives in the assessment of breast lesions.

Implications for practice

The higher specificity of quantitative image analysis may reduce unnecessary breast biopsies there by improve patient care and resource utilization.

乳房x光检查和超声检查是诊断乳腺癌的常用工具。对其图像中不可感知信息的定量分析可以纳入乳腺癌诊断。然而，定量信息对诊断性能的影响了解甚少。方法对PubMed、CINAHL、Web of Science、SCOPUS和EBSCO数据库进行系统回顾，以确定比较乳腺病变定性和定量图像分析的英语研究。符合条件的研究由两位审稿人独立筛选和选择。使用Review Manager 5.4和MetaDisc 1.4提取并汇总受试者工作特征曲线（AUC）下的敏感性、特异性和面积。采用GRADE标准评估证据质量。结果共纳入6项研究。在定性分析中，合并敏感性和特异性分别为0.85 （95% CI: 0.78 - 0.91）和0.78 (0.71-0.84)，AUC为0.89（0.86-0.91）。定量分析显示相似的敏感性为0.84(0.77-0.90)，但特异性明显更高，为0.90 (0.85-0.94)，AUC为0.92（0.89-0.94）。定量方法特异性提高12个百分点具有统计学和临床意义（Z =−2.97,p = 0.003）。结论与定性方法相比，定量图像分析具有相当的敏感性，但特异性更强。这些发现表明，定量方法可以提高诊断的准确性和减少假阳性评估乳腺病变。定量图像分析的更高特异性可以通过改善患者护理和资源利用来减少不必要的乳腺活检。

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引用次数: 0

The understandings, experiences and attitudes of diagnostic radiographers regarding forensic radiography as part of their daily practice working in South Africa 在南非，诊断放射技师对法医放射摄影的理解、经验和态度是他们日常工作的一部分。

IF 2.8 Q2 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING

Radiography

Pub Date : 2026-02-01 Epub Date: 2026-01-10 DOI: 10.1016/j.radi.2025.103300

L.A. Gower , G. Lovric , N.P. Nkosi , N. Mountford , N. Ndlovu

Introduction

The Health Professions Council of South Africa recognises forensic radiography as an aspect of the diagnostic radiographer's scope of practice. In contrast, the International Association of Forensic Radiographers asserts that forensic imaging should be voluntary and undertaken only by radiographers who have received formal training in the field. This study aimed to explore diagnostic radiographers' understanding, experiences, and attitudes towards forensic radiography as encountered in their daily practice.

Methods

A purposive sampling method was employed to recruit radiographers who were knowledgeable about forensic radiography through their daily practice. Participants were required to have performed forensic radiographic imaging on both living and deceased individuals and to have practised in either the public or private clinical sectors. Semi-structured interviews were conducted with 17 consenting diagnostic radiographers via the online platform Microsoft Teams. Thematic analysis was performed using an inductive approach.

Results

Four distinct themes emerged; Learning and understanding forensic radiography; Practicing forensic radiography; Emotional and psychological responses; Attitudes and motivation.

Conclusion

Findings highlighted the complex and emotionally demanding nature of this domain, which intersects clinical and legal responsibilities. Variability in knowledge and preparedness was evident, influenced by limited undergraduate exposure, informal on-the-job learning, and inconsistent institutional support. While many radiographers valued contributing to justice, others reported apprehension and emotional distress, especially when imaging deceased individuals.

Implications for practice

These findings underscore the need for structured education, standardised forensic protocols, and psychological support to prepare radiographers for the complexities of forensic imaging. Formalised postgraduate training and maintaining voluntary participation are critical to building professional competence and resilience in this demanding field.

导言：南非卫生专业委员会承认法医放射摄影是诊断放射技师执业范围的一个方面。相比之下，国际法医放射技师协会断言，法医成像应该是自愿的，只有在该领域接受过正式培训的放射技师才能从事。本研究旨在探讨诊断放射技师在日常工作中对法医放射学的理解、经验和态度。方法：采用有目的的抽样方法，招募在日常执业过程中对法医放射学有一定了解的放射技师。参加者须曾为在世及已故人士进行法医放射成像，并曾在公营或私营诊所执业。通过在线平台Microsoft Teams对17名同意的放射诊断技师进行了半结构化访谈。专题分析采用归纳方法进行。结果：出现了四个明显的主题；学习和理解法医放射学；从事法医放射摄影；情绪和心理反应；态度和动机。结论：研究结果强调了这一领域的复杂性和情感需求的本质，它涉及临床和法律责任。受有限的本科接触、非正式在职学习和不一致的机构支持的影响，知识和准备的可变性是明显的。虽然许多放射技师重视为正义做出贡献，但也有人表示担忧和情绪困扰，尤其是在为死者拍照时。实践意义：这些发现强调了结构化教育、标准化法医协议和心理支持的必要性，以使放射技师为法医成像的复杂性做好准备。正式的研究生培训和保持自愿参与对于在这个要求很高的领域建立专业能力和适应能力至关重要。

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引用次数: 0

Prelim ii - EFRS Member Prelim ii - EFRS会员

IF 2.8 Q2 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING

Radiography

Pub Date : 2026-02-01 Epub Date: 2026-03-06 DOI: 10.1016/j.radi.2026.103387

引用次数: 0