Rare case of intrahepatic splenosis masquerading as malignancy
SummaryA 54-year-old man presented with abdominal pain and a history of post-traumatic splenectomy 33  years prior, imaging revealed an incidental hepatic mass. (Source: Journal of Medical Imaging and Radiation Oncology)
Source: Journal of Medical Imaging and Radiation Oncology - March 15, 2022 Category: Radiology Authors: Max Anderson, Saxon Connor, Steve Hamilton, Todd Hore, Magdalena Sakowska Tags: Medical Imaging —Clinical Letter Source Type: research

Integrated subspecialty training in clinical radiology
(Source: Journal of Medical Imaging and Radiation Oncology)
Source: Journal of Medical Imaging and Radiation Oncology - March 10, 2022 Category: Radiology Authors: Matthew Lukies Tags: Medical Imaging —Viewpoint Source Type: research

The gender imbalance in Interventional Radiology in Australia and New Zealand
ConclusionThere is a clear gender imbalance in Interventional Radiology in Australia and New Zealand. Multiple issues should be investigated and addressed by the major stakeholders such as the Royal Australian and New Zealand College of Radiologists and the Interventional Radiology society of Australasia. (Source: Journal of Medical Imaging and Radiation Oncology)
Source: Journal of Medical Imaging and Radiation Oncology - March 9, 2022 Category: Radiology Authors: Heather K. Moriarty, Warren Clements, Adil Zia, Brigid Connor, Gerard S. Goh Tags: Medical Imaging Original Article Source Type: research

Irradiation immunity interactions
SummaryThe immune system can influence cancer development by both impeding and/or facilitating tumour growth and spread. A better understanding of this complex relationship is fundamental to optimise current and future cancer therapeutic strategies. Although typically regarded as a localised and immunosuppressive anti-cancer treatment modality, radiation therapy has been associated with generating profound systemic effects beyond the intended target volume. These systemic effects are immune-driven suggesting radiation therapy can enhance anti-tumour immunosurveillance in some instances. In this review, we summarise how rad...
Source: Journal of Medical Imaging and Radiation Oncology - March 9, 2022 Category: Radiology Authors: David A Simon Davis, Ines I Atmosukarto, Jessica Garrett, Katharine Gosling, Farhan M Syed, Ben JC Quah Tags: Radiation Oncology —Review Article Source Type: research

Improving medical student education in radiation oncology: Integrating and evaluating an experiential interdisciplinary workshop into the medical student curriculum
ConclusionThere remain large gaps in medical student knowledge and confidence in RO, and intervention is necessary to address these discrepancies. A novel interactive RO workshop for medical students has demonstrated improved awareness and knowledge with high levels of self-reported learner satisfaction. (Source: Journal of Medical Imaging and Radiation Oncology)
Source: Journal of Medical Imaging and Radiation Oncology - March 7, 2022 Category: Radiology Authors: Carmen Swanton, Lucinda Morris, Cherry Agustin, Alison Brown, Sandra Turner Tags: Radiation Oncology —Original Article Source Type: research

Part 1: Imaging findings of common immune checkpoint inhibitor ‐related adverse effects
AbstractOver the last decade or so, immunotherapy and in particular immune checkpoint inhibitors have become common in the treatment of numerous cancers and have revolutionised oncology. The unique mechanisms of these agents has resulted in novel tumour response patterns and also new drug-related toxicities, both of which can have specific findings on imaging. The widespread and increasing use of these agents means these findings are now encountered across many radiology practices beyond just specialist oncology units. This pictorial essay aims to describe and illustrate imaging findings associated with common and importan...
Source: Journal of Medical Imaging and Radiation Oncology - March 6, 2022 Category: Radiology Authors: Geertje No ë, Anthony Cardin, Arian Lasocki Tags: Medical Imaging —Pictorial Essay Source Type: research

Evidence ‐based funding of new imaging applications and technologies by Medicare in Australia: How it happens and how it can be improved
ConclusionsThe single biggest contributor to a negative funding decision by MSAC was uncertainty about the cost-effectiveness of the imaging service. This was likely driven by uncertainty regarding the impact on patient health. HTAs that are able to demonstrate the clinical utility of a new imaging service are more likely to publicly funded. (Source: Journal of Medical Imaging and Radiation Oncology)
Source: Journal of Medical Imaging and Radiation Oncology - March 4, 2022 Category: Radiology Authors: Hayley Hill, Ruchi Mittal, Tracy Merlin Tags: Medical Imaging —Original Article Source Type: research

Quality indicators for radiation oncology
This article describes the background to the development of current national and international, general and tumour site-specific radiation oncology quality indicators in use. We explore challenges and opportunities to expand their routine prospective collection and feedback to help drive improvements in the quality of care received by people undergoing radiation therapy. (Source: Journal of Medical Imaging and Radiation Oncology)
Source: Journal of Medical Imaging and Radiation Oncology - March 4, 2022 Category: Radiology Authors: Susan V Harden, Kim ‐Lin Chiew, Jeremy Millar, Shalini K Vinod Tags: Radiation Oncology —Review Article Source Type: research

Unwarranted variation in radiation therapy fractionation
SummaryThe adoption of hypofractionation across multiple tumour sites has been slow despite robust evidence. There is considerable unwarranted variation in practice, both within and between jurisdictions. This has been attributed to inconsistencies in guidelines, physician preference, lack of technology and differing financial incentives. Unwarranted variation in the use of hypofractionation has a tremendous effect on cost to both patients and the healthcare system. This places an unnecessary burden on patients and poorly utilises scarce healthcare resources. A collaborative effort from clinicians, patients, healthcare pro...
Source: Journal of Medical Imaging and Radiation Oncology - March 4, 2022 Category: Radiology Authors: Vikneswary Batumalai, Melissa James Tags: Radiation Oncology —Review Article Source Type: research

Radiation oncology peer review in Australia and New Zealand
We report the results of a RANZCR faculty survey conducted in radiation oncology facilities across Australia and New Zealand to guide the 2019 PRAT revision process, and discuss the development and implementation of the 2019 PRAT. Peer-review processes are now mandated as a component of Australian and International Quality Standards. Several practical recommendations might address challenges for effective implementation of peer review process in routine clinical practice. This includes prioritising tumour sites and treatment techniques for peer review within the time and resources constraints of each institution, improving...
Source: Journal of Medical Imaging and Radiation Oncology - March 4, 2022 Category: Radiology Authors: Stephen Chin, Michelle Or, Wee Loon Ong, Jeremy Millar, Madhavi Chilkuri, Shalini Vinod Tags: Radiation Oncology —Review Article Source Type: research

Quality management in radiotherapy treatment delivery
SummaryRadiation Oncology continues to rely on accurate delivery of radiation, in particular where patients can benefit from more modulated and hypofractioned treatments that can deliver higher dose to the target while optimising dose to normal structures. These deliveries are more complex, and the treatment units are more computerised, leading to a re-evaluation of quality assurance (QA) to test a larger range of options with more stringent criteria without becoming too time and resource consuming. This review explores how modern approaches of risk management and automation can be used to develop and maintain an effective...
Source: Journal of Medical Imaging and Radiation Oncology - March 4, 2022 Category: Radiology Authors: Tomas Kron, Chris Fox, Martin A Ebert, David Thwaites Tags: Radiation Oncology —Review Article Source Type: research

Incident review in radiation oncology
We describe potential measures of safety culture and of relative patient safety and recommend their routine use. We offer this review to stimulate the effort towards a binational voluntary incident learning system, a key pillar for the improvement in patient safety in radiation oncology. (Source: Journal of Medical Imaging and Radiation Oncology)
Source: Journal of Medical Imaging and Radiation Oncology - March 4, 2022 Category: Radiology Authors: Anthony Arnold, Iain Ward, Senthilkumar Gandhidasan Tags: Radiation Oncology —Review Article Source Type: research

Quality use of artificial intelligence in medical imaging: What do radiologists need to know?
AbstractThe application of artificial intelligence, and in particular machine learning, to the practice of radiology, is already impacting the quality of imaging care. It will increasingly do so in the future. Radiologists need to be aware of factors that govern the quality of these tools at the development, regulatory and clinical implementation stages in order to make judicious decisions about their use in daily practice. (Source: Journal of Medical Imaging and Radiation Oncology)
Source: Journal of Medical Imaging and Radiation Oncology - March 4, 2022 Category: Radiology Authors: Stacy K Goergen, Helen ML Frazer, Sandeep Reddy Tags: Medical Imaging —Review Article Source Type: research

It ’s not about the errors, it’s about the learning: How the Royal College of Radiologists has developed a Radiology Events and Learning process in the United Kingdom
SummaryThe Royal College of Radiologists (RCR) is based in the United Kingdom but is a global organisation with members and fellows worldwide. In this invited article, the chair of the RCR Radiology Events and Learning (REAL) panel recounts his experience in looking at radiological errors. He starts with his personal work auditing his own mistakes as a junior consultant, describes what he learned in his departmental role in a large teaching hospital running a Radiology Events and Learning Meeting (REALM) and gives an overview of some of the work done over the last two decades by the RCR. This includes publishing national g...
Source: Journal of Medical Imaging and Radiation Oncology - March 4, 2022 Category: Radiology Authors: Jonathan Timothy Smith Tags: Medical Imaging –Review Article Source Type: research

‘With great power comes great responsibility’: An impetus for quality and safety in radiation oncology
AbstractStrict quality control and vigilance at every step is essential to maintain rigour and ensure quality and safety in radiation oncology. The scientific knowledge and technological capabilities we possess give us enormous power to deliver specialised and complex treatments and improve health outcomes for our cancer patients. However, this requires development of whole system performance and its evaluation against established standards and benchmarks. It calls for organisational commitment and active participation of managers and clinical teams in quality improvement initiatives. In addition to medical physicists and ...
Source: Journal of Medical Imaging and Radiation Oncology - March 4, 2022 Category: Radiology Authors: Madhavi Chilkuri, Jeremy Millar, Gerard Adams Tags: Radiation Oncology –Review Article Source Type: research