A Technique to Accumulate External-Beam and Brachytherapy Doses for Prostate Radiotherapy
External-beam radiotherapy (EBRT) plus brachytherapy (BT) boosts for intermediate- and high-risk prostate patients improves biochemical progression-free survival compared to EBRT alone, however, late toxicity remains a concern. Accumulating total doses between EBRT and BT using deformable image registration (DIR) could enable the optimization of combined therapies and improve the toxicity profile in future patients. The purpose of this work is to evaluate DIR performance between EBRT and BT imaging and identify the technique to perform accurate dose accumulation. (Source: Journal of Medical Imaging and Radiation Sciences)
Source: Journal of Medical Imaging and Radiation Sciences - May 18, 2019 Category: Radiology Authors: Aran Kim, Michelle Tremblay, Stina Svensson, Minna Wedenberg, Peter Chung, Tim Craig, Tony Tadic, Alejandro Berlin, Michael Velec Tags: “Innovate” Top-Ranked Abstract Source Type: research

Identifying a Niche: Development of the Orthopedic Radiation Oncology Clinic
The Orthopedic Radiation Oncology Clinic (OROC) was recently developed to identify patients at risk of pathologic fracture of weight bearing long bones, to provide education to patients and staff regarding fracture risk and weight bearing restrictions, to provide rapid access for radiation therapy services, to provide timely access for orthopedic surgical interventions and to provide follow-up services for patients with Metastatic Bone Disease (MBD). (Source: Journal of Medical Imaging and Radiation Sciences)
Source: Journal of Medical Imaging and Radiation Sciences - May 18, 2019 Category: Radiology Authors: Julie Blain, Richard Singh, Adrian Ishkanian, Robert McCloy Tags: “Inspire” Top-Ranked Abstract Source Type: research

The Speedy CTV: Creation of an Adaptable Spine CTV Mesh to Decrease Contouring Times
Delivery of urgent palliative radiation therapy in a safe, timely manner can require significant coordination and be resource-intensive. At our institution, many palliative patients receiving palliative radiotherapy are treated to the spine. Depending on the length of spine involved, contouring times can vary. An adaptable CTV mesh was developed to decrease contouring times and the overall length of same-day-simulation-and-treatment. (Source: Journal of Medical Imaging and Radiation Sciences)
Source: Journal of Medical Imaging and Radiation Sciences - May 18, 2019 Category: Radiology Authors: Natalie Rozanec, Douglas Moseley Tags: “Inquire” Top-Ranked Abstract Source Type: research

Evaluation and Validation of an Image-Guided Traffic Light Protocol for Head and Neck Cancer Patients Undergoing Radiotherapy
During radiotherapy (RT) treatment, variations such as patient weight loss, tumor regression and diminution of the volume of organs at risk (OARs) may occur. These discrepancies may result in changes in the dose distribution with a risk of overdose to the OARs which cannot be compensated for by a simple rigid repositioning. In order to more easily prioritize these variations according to their potential impact, an image-guided Traffic Light Protocol (IG-TLP) has been put into practice as a decision support system (DSS). (Source: Journal of Medical Imaging and Radiation Sciences)
Source: Journal of Medical Imaging and Radiation Sciences - May 18, 2019 Category: Radiology Authors: Filipa R. Sousa, Younes Jourani, Monica Somoano, Tatiana Dragan, Sylvie Beauvois, Dirk Van Gestel Source Type: research

Prostate or Bone? – Comparing the Efficacy of Image Guidance Surrogates for Pelvis & Prostate Radiotherapy Using Accumulated Delivered Dose
Efficacy of an image guidance surrogate for pelvis and prostate radiotherapy has previously been reported based on geometric coverage only. Using the dose accumulation process, this study assessed the impact of dosimetry to both the target and normal tissue when either Bony Anatomy (BA) or Prostate (PRO) was used as surrogates for image guidance for pelvis and prostate radiotherapy. (Source: Journal of Medical Imaging and Radiation Sciences)
Source: Journal of Medical Imaging and Radiation Sciences - May 18, 2019 Category: Radiology Authors: Vickie Kong, Andrew Bayley, Charles Catton, Tim Craig, Peter Chung Source Type: research

Implementing and Improving Pancreas SBRT: One Challenge at a Time
The role of stereotactic body radiotherapy (SBRT) is being investigated as an alternative to long-course chemoradiation in select patients with locally advanced pancreatic cancer. Implementation of this technique is complex and fraught with challenges including the proximity of dose sensitive organs, target visibility for image guidance and respiratory motion. Pancreas SBRT was introduced at our institution in 2015 and the technique has undergone multiple iterations since with the goal of improving outcomes. (Source: Journal of Medical Imaging and Radiation Sciences)
Source: Journal of Medical Imaging and Radiation Sciences - May 18, 2019 Category: Radiology Authors: Saher Ali, Darby Erler, Hans Chung, Sten Myrehaug, Yee Ung, Amandeep Taggar, Renee Korol, Alex Karotki Source Type: research

LIVER: Live IGRT Verification for Respiratory-Gated Hepatic Tumors
To develop an IGRT protocol to improve the precision and accuracy of treatment delivery for respiratory-gated liver radiotherapy using fluoroscopy and kV triggered imaging for patients with fiducials markers. (Source: Journal of Medical Imaging and Radiation Sciences)
Source: Journal of Medical Imaging and Radiation Sciences - May 18, 2019 Category: Radiology Authors: Melissa O'Neil Source Type: research

Use of Moderate Deep Inspiration Breath Hold for Loco-Regional Radiotherapy of Right Breast Cancer including Internal Mammary Lymph Nodes
Loco-regional radiotherapy (RT) of the breast or chestwall may include the internal mammary lymph nodes (IMN). Inclusion of these lymph nodes with a conventional four field technique may give rise to an increased volume of lung in the treated volume. At our centre patients receiving RT to the left breast are usually simulated and treated using a moderate Deep Inspiration Breath Hold (mDIBH) technique in an attempt to reduce dose to the heart. Patients receiving RT to the right breast or chestwall including the IMN may benefit from treatment with the mDIBH technique by reducing doses to organs at risk (OAR). (Source: Journa...
Source: Journal of Medical Imaging and Radiation Sciences - May 18, 2019 Category: Radiology Authors: Erin Barnett, Cari Bradley, Gulaid Mohamoud, Vejitha Raveendran, Dana Zaremski, Tatiana Conrad, Louis Fenkell, Zahra Kassam Source Type: research

Development of a Reference Planning Template for MR Linac treatment of Brain Patients
There are dosimetric challenges with the implementation of a linear accelerator with integrated 1.5T MRI due to physical restrictions of the machine and the effect of the magnetic field on dose deposition. We aimed to develop and evaluate a reference planning template that can be used for brain cancer patients treated on the Elekta MRI Linear Accelerator (MRL). Treatment planning templates store beam geometries, calculation parameters, physician ’s intent and IMRT constraints allowing for treatment plans to be generated in a consistent and timely manner. (Source: Journal of Medical Imaging and Radiation Sciences)
Source: Journal of Medical Imaging and Radiation Sciences - May 18, 2019 Category: Radiology Authors: Shawn Binda, Mark Ruschin, Mikki Campbell, James Stewart Source Type: research

Semi-Automated Volumetric Modulated Arc Therapy Planning for Post-Operative Radiotherapy in Endometrial Cancer: Improvements in Normal Tissue Sparing and Planning Time
To investigate the potential for improved normal tissue sparing achievable using state-of-the-art personalized treatment planning for post-operative radiotherapy in endometrial cancer. Specifically, we compared a semi-automated 2-arc volumetric modulated arc therapy (VMAT) planning technique with intensity modulated radiation therapy (IMRT) planning. We investigated both plan quality differences using VMAT and planning time savings with our semi-automated planning approach. (Source: Journal of Medical Imaging and Radiation Sciences)
Source: Journal of Medical Imaging and Radiation Sciences - May 18, 2019 Category: Radiology Authors: Tony Kin-Ming Lam, Jeff Winter, Tara Rosewall, Kathy Han, Michael Milosevic, Tony Tadic Source Type: research

Every Breath You Take – Evaluating Respiratory Motion of the Bony Thorax in the Context of Bone SBRT
Stereotactic Body Radiation Therapy (SBRT) delivers highly conformal treatment in a single or few fractions of high-dose radiation yielding excellent local control rates with minimal toxicity. There is growing interest in using SBRT to treat oligometastases, which potentially includes any anatomical site where metastases can occur. Bone is one of the most common sites of metastatic disease and although methodology to treat SBRT spine is well established, very little is known about the technical considerations of bone SBRT, particularly regarding respiratory motion in the bony thorax. (Source: Journal of Medical Imaging and Radiation Sciences)
Source: Journal of Medical Imaging and Radiation Sciences - May 18, 2019 Category: Radiology Authors: Darby Erler, Ian Poon, Patrick Cheung, Arjun Sahgal, Hany Soliman, Renee Korol Source Type: research

Safety and Efficacy of Pre-Operative, Short Course Radiation Therapy for Prostate Cancer: Results From a Phase I Trial
Up to 60% of patients (pts) with prostate cancer that extends beyond the prostatic capsule will have positive resection margins following radical prostatectomy. Post-operative radiation therapy (PostOp) is routinely offered to those pts. Although this improves local control and overall survival, it results in significantly more late toxicity than surgery alone. Pre-operative radiation therapy (PreOp) has become the standard for soft tissue sarcoma and rectal cancer, improving local control and reducing toxicity compared to PostOp. (Source: Journal of Medical Imaging and Radiation Sciences)
Source: Journal of Medical Imaging and Radiation Sciences - May 18, 2019 Category: Radiology Authors: Tara Rosewall, Rachel Glicksman, Padraig Warde, Alejandro Berlin Source Type: research

Does Accumulated Dose to Parotid Glands Improve Prediction of Patient Reported Outcomes Related to Salivary Function in Nasopharyngeal Cancer Patients?
To investigate the dose delivered to parotid glands in nasopharyngeal patients at our institution, using deformable image registration (DIR) and dose accumulation, compared to planned dose and investigate the relationship to patient reported outcomes (PRO) related to salivary function. (Source: Journal of Medical Imaging and Radiation Sciences)
Source: Journal of Medical Imaging and Radiation Sciences - May 18, 2019 Category: Radiology Authors: Olive Wong, Andrea McNiven, John Waldron, Joanne Moseley, Jenny Lee, Andrew Hope, Jolie Ringash, Sophie Huang, Brian O ’Sullivan, Meredith Giuliani, Beibei Zhang Source Type: research

The Prevalence and Determinants of Return to Work in Nasopharyngeal Carcinoma Survivors
To characterize the return to work (RTW) experience in nasopharyngeal carcinoma (NPC) survivors and explore the clinical, treatment, and sociodemographic factors that may facilitate or impede workplace rehabilitation. (Source: Journal of Medical Imaging and Radiation Sciences)
Source: Journal of Medical Imaging and Radiation Sciences - May 18, 2019 Category: Radiology Authors: Nathaniel So, Lachlan J. McDowell, Lin Lu, Wei Xu, Kathy Rock, John Waldron, Lori J. Bernstein, Hon Biu Chan, Shao Hui Huang, Meredith Giuliani, Andrew Hope, Brian O ’Sullivan, Scott V. Bratman, John Cho, John Kim, Raymond Jang, Andrew Bayley, Jolie Rin Source Type: research

Symptom Burden Among Northern Alberta Radiotherapy Patients with Advanced Cancer: Mapping Needs and Gaps
In this study, we aimed to describe the symptom burden experienced by patients with advanced cancer, as identified at the time of consultation with an integrated palliative radiotherapy service at our institution, one of only 2 tertiary cancer centers in Alberta, and the largest point of care for cancer services in Northern Alberta. Patient-reported symptom scores and concerns are contextualized, especially among those living in rural and remote communities, by assessing the availability of supportive care services, both within the health system and in the community. (Source: Journal of Medical Imaging and Radiation Sciences)
Source: Journal of Medical Imaging and Radiation Sciences - May 18, 2019 Category: Radiology Authors: Winter Spence, Sunita Ghosh, Alex Liska, Megan Palen, Vincent Ha, Rebecca Wong, Fleur Huang Source Type: research

A Patient ’s Perspective: Bridging the Transition Following Radiation Therapy Treatments for Patients with Breast Cancer
To assess the current practice of transition of care following radiation therapy (RT) treatments for patients with breast cancer in Alberta, and to identify the additional supports needed to help ease the transition from daily treatment to survivorship. (Source: Journal of Medical Imaging and Radiation Sciences)
Source: Journal of Medical Imaging and Radiation Sciences - May 18, 2019 Category: Radiology Authors: Alex Liska, Amelie Lamontagne, Kim Sambrooke, Anne Snowdon, Fiona Mitchell Source Type: research

What Was it Like for You? The Experience of a Radiation Skin Reaction in Patients with Head and Neck Cancer
The majority of patients receiving radiation therapy will experience a skin reaction, ranging from mild erythema to severe moist desquamation. Physical changes to the skin can have a negative effect on daily activities, mood and body image, sense of independence and self-care. No research has been published on the experiences of patients with head and neck cancer (HNC) patients and their skin reactions. This qualitative study sought to address a gap in our understanding of how these patients perceive and address the impact of a skin reaction. (Source: Journal of Medical Imaging and Radiation Sciences)
Source: Journal of Medical Imaging and Radiation Sciences - May 18, 2019 Category: Radiology Authors: Angela Cashell, Maurene McQuestion Source Type: research

Enhancing Person-Centred Care by Improving the Use of Patient Reported Outcomes Among Radiation Therapists
Aim: To improve the use of Patient Reported Outcomes among Radiation Therapists. (Source: Journal of Medical Imaging and Radiation Sciences)
Source: Journal of Medical Imaging and Radiation Sciences - May 18, 2019 Category: Radiology Authors: Lynn Nguyen, Edwin Chan, Ruth Barker, James Loudon Source Type: research

Implementation of an On-line Incident Learning System in a Radiation Medicine Program
Incident learning is an important aspect of quality improvement in health care. This work describes the implementation and customization of the on-line Safety Incident Learning System (SaILS) at our centre. SaILS was developed at the Ottawa Hospital and further refined at the McGill University Health Centre. Prior to implementation of SaILS at our centre, incidents were reported using a soft copy form that was circulated via email to the incident investigation team. Investigation findings were entered into the same soft copy form and summaries transcribed manually to a spreadsheet for further analysis. (Source: Journal of ...
Source: Journal of Medical Imaging and Radiation Sciences - May 18, 2019 Category: Radiology Authors: Eric Dong, Agnes Cheung, Kevin Smith, Dana Zaremski, Erin Barnett, Doug Moseley Source Type: research

Deviation from Standard Practice Reporting – a Novel Technique to Directly Improve Quality and Safety within Radiation Treatment Program
Radiation treatment (RT) is a complex, multidisciplinary enterprise, consisting of many exchanges of tasks amongst various professionals. As a result, each step of a patient's RT journey contains inherent hazards. Incident reporting and learning are essential components of any organization. The focus, however, is often on near-miss and adverse events. Many events occurring in the preparation of a patient ’s RT do not fall into any of these categories. Some could just be random occurrences, but some could be symptoms of something deeper which on the surface seem to be inconsequential. (Source: Journal of Medical Imagi...
Source: Journal of Medical Imaging and Radiation Sciences - May 18, 2019 Category: Radiology Authors: Patrick Quinn, Cassandra Costello, Brandee Pidgeon, Tiffany Tam, Muoi N. Tran Source Type: research

Improving the Quality of Patient Data Capture in Breast Radiotherapy Peer-Review
The importance of multidisciplinary peer-review rounds is widely recognized. Peer-review rounds ensure the quality and safety of individual radiation therapy (RT) treatment plans. At our institution, breast cancer RT peer-review rounds are conducted weekly over 1-hour session, with attendance from radiation oncology, therapy, physics staff and trainees. All newly diagnosed breast cancer patients undergoing radical RT are scheduled for peer-review approximately 1 week prior to their treatment start date. (Source: Journal of Medical Imaging and Radiation Sciences)
Source: Journal of Medical Imaging and Radiation Sciences - May 18, 2019 Category: Radiology Authors: Grace Lee, Robert Dinniwell, Lucy Lu, Susanne Lofgren, Anthony Fyles, Fei-Fei Liu, Kathy Han, Tatiana Conrad, Wilfred Levin, Jennifer Croke, Joelle Helou, Aisling Barry, C. Anne Koch Source Type: research

Implementing Technology to Drive Improvements within a High Volume Brachytherapy Program
We describe the development, implementation and evaluation of implementing an operating room scheduling system, electronic documentation software and a patient tracking system within a high throughput, high volume brachytherapy program. (Source: Journal of Medical Imaging and Radiation Sciences)
Source: Journal of Medical Imaging and Radiation Sciences - May 18, 2019 Category: Radiology Authors: Laura D ’Alimonte, Carol Moran, Linda Easton, Dianne Hill-Mugford, Ananth Ravi Source Type: research

Minimizing Anaesthesia Use in Paediatric Radiation Therapy
Although generally safe, anaesthesia in paediatric radiation therapy (RT) is costly and cumbersome. At our institution, a multi-faceted approach to reduce anaesthesia utilization is in place as standard-of-care treatment. The goal of this study was to evaluate the effectiveness of our approach by measuring general anaesthesia (GA) rates across all age categories and to compare with published GA rates in the literature. (Source: Journal of Medical Imaging and Radiation Sciences)
Source: Journal of Medical Imaging and Radiation Sciences - May 18, 2019 Category: Radiology Authors: Stephanie Ntoukas, Susan Awrey, Tatiana Ritchie, David C. Hodgson, Normand J. Laperriere, Derek S. Tsang Source Type: research

Utilizing Quality Improvement Methods to Examine the Radiation Therapy Pathway for Patients Requiring Urgent Radiation Therapy at a Community Cancer Centre
At a community cancer centre, during weekly quality improvement huddles, the radiation therapy team expressed stress and frustration with the pre-treatment pathway for patients requiring palliative radiotherapy. Since the departmental performance was meeting the provincial targets with respect to wait times, it was unknown why the consensus around the department was that of discomfort and stress. (Source: Journal of Medical Imaging and Radiation Sciences)
Source: Journal of Medical Imaging and Radiation Sciences - May 18, 2019 Category: Radiology Authors: Carrie Lavergne, Leslie Edmunds, Pauline Warden Source Type: research

Development of a Collaboration Model Between Two Cancer Centres to Maintain Patient Access to Radiation Therapy During the Replacement of a Sole CT Simulator at a Regional Cancer Centre
This study reports a collaboration model between two Cancer Centres to maintain patient access to radiation therapy during the replacement period. (Source: Journal of Medical Imaging and Radiation Sciences)
Source: Journal of Medical Imaging and Radiation Sciences - May 18, 2019 Category: Radiology Authors: James Loudon, Leslie Proctor, Julie Wenz, Jerry Roussos, Nelissa Chaudhry, Douglas Moseley, Beibei Zhang, Ivan Yeung, Fei-Fei Liu, Woodrow Wells Source Type: research

Radiation Therapy 7 Days a Week
The Carlo Fidani Regional Cancer Center (CFRCC) provides all radiation treatments for patients residing in two of the fastest growing LHINs in the province of Ontario. Over the last 10 years, the center has seen a 90% growth in the number of LINAC treated cases above the provincial growth rate of 36%. However, the growth in infrastructure to meet this demand has not kept pace. In 2018, the CFRCC had 2 machines less than the 8 that Cancer Care Ontario (CCO) projected was required for this time period. (Source: Journal of Medical Imaging and Radiation Sciences)
Source: Journal of Medical Imaging and Radiation Sciences - May 18, 2019 Category: Radiology Authors: Leslie Starr-Hemburrow, Sandy Garraway, Sameena Uddin, Gaylene Medlam, Raxa Sankreacha, Anthony Brade, Jennifer Thompson, Nafisa Kanji Source Type: research

Implementing Daily Team Huddles within a Radiation Therapy Department to Improve Team Communication and Morale
Team huddles is a best practice tool that allows preemptive discussions between members of different treatment units to address staffing, workload, patient concerns and recognize team achievements. Given the complexity of care and workload within radiation therapy, our aim was to assess staff preparedness of implementing team huddles within a Radiation Therapy Department. (Source: Journal of Medical Imaging and Radiation Sciences)
Source: Journal of Medical Imaging and Radiation Sciences - May 18, 2019 Category: Radiology Authors: Madette Galapin, Ruby Bola, Glen Gonzales, Laura D'Alimonte Source Type: research

Increased Automation and Artificial Intelligence in Radiation Therapy Clinical Practice: A Qualitative Exploration of Radiation Therapist Perceptions
It has been suggested that artificial intelligence (AI) will transform healthcare just as powerfully as machine computing transformed NASA. Many healthcare organizations and professional groups struggle to cope with the rapid pace of technological innovation, and often fail to leverage the capabilities of AI to maximize value to patients. The impact of automation and AI on Radiation Therapists ’ practice has not been evaluated. The purpose of this project was to explore Radiation Therapists’ perceptions about the impact of AI in radiation therapy practice and to engage in a re-envisioning of their work in the f...
Source: Journal of Medical Imaging and Radiation Sciences - May 18, 2019 Category: Radiology Authors: Elen Moyo, Angela Cashell, Veng Chhin, Lorella Divanbeigi, Christine Hill, Ryan Hyvarinen, Nareesa Ishmail, Winnie Li, Lyndon Morley, Jerry Roussos, Andrea Shessel, Michael Velec, Tara Rosewall Source Type: research

“How are you today?”: Partnering with Patient Volunteers to Enhance Documentation in Radiation Therapy Practice
Person centred care (PCC) is fundamental to the provision of quality care. Inherent in PCC is the need to embed the voice of the person in all aspects of care by sharing their voice with the healthcare team through clear and consistent documentation. Recognizing this importance, the Radiation Therapy Department sought to improve documentation by Radiation Therapists (MRT (T)) through the adoption of SBAR: a validated tool for structured communication in health care. While SBAR had been introduced to radiation therapists it was not widely used in practice. (Source: Journal of Medical Imaging and Radiation Sciences)
Source: Journal of Medical Imaging and Radiation Sciences - May 18, 2019 Category: Radiology Authors: Marnie Peacock, Darby Erler, Donna Lewis, Steve Russell, Stephanie Kulczyski, Danielle Letterio, Madette Galapin, Parker Sheehan, Krista Dawdy, Renate Krastins, Ruby Bola, Aisha Sheikh, Laura D ’Alimonte Source Type: research

Harnessing Interprofessional Expertise and Patient Lived Experience: Developing a Care Pathway for Gynecological Cancer Patients Receiving Interstitial Brachytherapy
To communicate the development of the interstitial brachytherapy care pathway for gynecological cancer patients. (Source: Journal of Medical Imaging and Radiation Sciences)
Source: Journal of Medical Imaging and Radiation Sciences - May 18, 2019 Category: Radiology Authors: Aaron Cumal, Laura D ’Alimonte Source Type: research

Development and Implementation of an Online Educational Module for the Deep Inspiration Breath-Hold Technique
To develop an online educational module for patients undergoing breast radiotherapy treatments using the Deep Inspiration Breath-Hold (DIBH) technique. The goal was to assist the patient with breathing control by developing new pedagogical approaches and interactive training materials that augment understanding, increase patient satisfaction, decrease anxiety, and enhance the overall treatment delivery efficiency. (Source: Journal of Medical Imaging and Radiation Sciences)
Source: Journal of Medical Imaging and Radiation Sciences - May 18, 2019 Category: Radiology Authors: Jessica Gluszko, Christine Lambert, Olivia Yu, Stephen D. Davis, John Kildea, Monica Serban Source Type: research

A Radiation Therapist-Led Educational Intervention for Patients Receiving Radiotherapy For Gastro-Intestinal and Lung Cancer
This study investigated whether a single RT-led educational intervention was associated with a decrease in patient anxiety and increased knowledge about radiotherapy. (Source: Journal of Medical Imaging and Radiation Sciences)
Source: Journal of Medical Imaging and Radiation Sciences - May 18, 2019 Category: Radiology Authors: Christine Hill, Angela Cashell, Carina Feuz, Tara Rosewall Source Type: research

Inspiring Change in Radiation Therapy Patient Education
To redevelop and harmonize radiation treatment education using a patient centered care approach, for the province of Alberta. (Source: Journal of Medical Imaging and Radiation Sciences)
Source: Journal of Medical Imaging and Radiation Sciences - May 18, 2019 Category: Radiology Authors: Amanda Jacques, Krista Marsden, Keira MacKinnon, Elysa Meek, Deobra Allatt Source Type: research

Progress Towards a Person-Centered Model of Care for Radiation Therapy
Our institution is developing a workflow to partner patients with a primary Radiation Therapist (RT) who performs all key procedures (e.g. simulation, planning, delivery, etc) over their radiotherapy course. Proof-of-concept was previously demonstrated in a small clinical pilot, suggesting improved continuity of care and patient satisfaction. The aim of this project was to determine clinical feasibility and stakeholder satisfaction in expanding this person-centered model of care over several treatment units and disease sites. (Source: Journal of Medical Imaging and Radiation Sciences)
Source: Journal of Medical Imaging and Radiation Sciences - May 18, 2019 Category: Radiology Authors: Diana Lee, Andrea Shessel, Elen Moyo, Anne Koch, Jolie Ringash, John Waldron, Fei-Fei Liu, Michael Velec Source Type: research

Expanding the role of the Radiation Therapist in Brachytherapy for Cervical Cancer at the Odette Cancer Centre
In May 2018 the Odette Cancer Centre introduced the Venezia applicator (Elekta, Sweden) to our intraoperative MRI-based brachytherapy program for cervical cancer. The Venezia applicator provides the opportunity to combine intracavitary treatment with interstitial needles to optimize target coverage. In preparation for clinical implementation, the role of our brachytherapy-dedicated Radiation Therapists (RTs) was expanded to include treatment planning. (Source: Journal of Medical Imaging and Radiation Sciences)
Source: Journal of Medical Imaging and Radiation Sciences - May 18, 2019 Category: Radiology Authors: Mackenzie Smith, Laura D ’Alimonte, Moti Paudel, Frances Tonolete, Michele Silveira, Katie Wong, Lin Lu, Melanie Davidson, Renee Korol, Matt Wronski, Ananth Ravi Source Type: research

Coming Out in Radiation Therapy: A Narrative Inquiry
The healthcare environment reflects and embeds sociocultural norms, including heteronormativity (the system that works to regulate behaviors and societal expectations tied to the presumption of heterosexuality and an adherence to a strict gender binary). Heteronormativity pervades workplaces through policies, cultural norms and informal interpersonal interactions. Coming out, rather than being a one-time event, is often a process of continual identity management. Subsequently, there is evidence that lesbian and gay people (LG), both patients and healthcare professionals, engage in significant emotional work to manage who t...
Source: Journal of Medical Imaging and Radiation Sciences - May 18, 2019 Category: Radiology Authors: Amanda Bolderston Source Type: research

Examining the Prevalence of Compassion Fatigue and Burnout in Radiation Therapists Caring for Palliative Cancer Patients
Radiation therapists (RTs) play an important role in caring for patients undergoing radiotherapy for palliative intent. RTs are in a primary position to provide emotional support to their patients and, as a result, compassion fatigue (CF) and burnout can develop. The purpose of this study was to investigate the prevalence of CF and burnout in RTs providing care to palliative cancer patients, the various intrinsic and extrinsic factors that influence how RTs provide care to this specific patient population, and to determine if RTs feel supported through education and resources. (Source: Journal of Medical Imaging and Radiation Sciences)
Source: Journal of Medical Imaging and Radiation Sciences - May 18, 2019 Category: Radiology Authors: Alexandra Sarra, Carina Feuz Source Type: research

Think Unconventionally: Staffing Should Not Be a Threat to MRI-Guided Radiation Therapy
Health care teams are dynamic and change depending on clinical need, complexity and technological advances. MRI-guided radiation therapy (MRGRT) is now a reality and staffing has been perceived as a potential threat to successful implementation. Currently MRGRT systems are impractically operated by teams of physicians, radiation therapists (RTs) and physicists due to the diverse and complex tasks required to deliver treatment. This is in stark contrast to CBCT-guided therapy, which is generally performed by therapists only. (Source: Journal of Medical Imaging and Radiation Sciences)
Source: Journal of Medical Imaging and Radiation Sciences - May 18, 2019 Category: Radiology Authors: Mikki Campbell, Stephen Russell, Darby Erler Source Type: research

Student-Centred Learning for Patient-Centred Care: Development and Application of a Provincial Clinical Teaching Philosophy
The aim of this quality improvement (QI) project was to develop an evidence-informed philosophy to be operationalized by faculty in clinical teaching and learning contexts, to support a positive, holistic trajectory for learners. This vision included supporting capacity for any radiation therapy faculty to step into a clinical teaching role, and provide student-centred teaching. (Source: Journal of Medical Imaging and Radiation Sciences)
Source: Journal of Medical Imaging and Radiation Sciences - May 18, 2019 Category: Radiology Authors: Heather Gaunt, Kari Osmar Source Type: research

Examining the Information Needs of the Lung Cancer Patient in Radiation Therapy
To examine the information needs of the lung cancer patient receiving radiation therapy at our institution. (Source: Journal of Medical Imaging and Radiation Sciences)
Source: Journal of Medical Imaging and Radiation Sciences - May 18, 2019 Category: Radiology Authors: Jennifer Lam Source Type: research

Essential Role of a Radiation Therapist in an Accelerated Partial Breast Radiation Cosmesis Trial
Aim: To describe the role of a radiation therapist in an accelerated partial breast clinical trial. (Source: Journal of Medical Imaging and Radiation Sciences)
Source: Journal of Medical Imaging and Radiation Sciences - May 18, 2019 Category: Radiology Authors: Katelyn Bignell, Mark Lesiuk, Petra Grendarova Source Type: research

Hear Hooves, Think Zebras: A Case Report & Systematic Literature Review of Isolated Neck Node Metastases from Prostate Cancer
Most cancers that metastasize to the cervical lymph nodes are from the upper aerodigestive tract. We use a case report and systematic literature review to highlight a very rare example of atypical metastatic spread to the cervical lymph nodes from advanced prostate cancer without involvement of other lymph node groups. (Source: Journal of Medical Imaging and Radiation Sciences)
Source: Journal of Medical Imaging and Radiation Sciences - May 18, 2019 Category: Radiology Authors: Tara Rosewall, Padraig Warde, Andrew Bayley Source Type: research

Operational Capacity Modeling: A Novel Approach to Optimize Radiation Treatment Capacity
This study aimed to optimize treatment unit capacity by modeling allocated treatment time against the actual treatment delivery time captured in the Radiation Oncology Information System (ROIS). (Source: Journal of Medical Imaging and Radiation Sciences)
Source: Journal of Medical Imaging and Radiation Sciences - May 18, 2019 Category: Radiology Authors: Gulaid Mohamoud, James Loudon, Dana Zaremski, Faye Hurtubise, Ivan Yeung, Woodrow Wells Source Type: research

Monaco Super User: An Agent of Change in Ensuring The Readiness of MRI Guided Radiation Therapy
The Elekta Unity is an integrated MRI Linear Accelerator (MRL) that utilizes the soft tissue contrast of MRI for real time daily plan adaptation planning using the Monaco treatment planning system. The clinical implementation of MR-guided radiation therapy (MRGRT) is not trivial and has significant implications on clinical practice such as establishing efficient workflows, determining adaptive dose criteria, evaluating radiation treatment plans and ensuring appropriate training for radiation therapists (RTs). (Source: Journal of Medical Imaging and Radiation Sciences)
Source: Journal of Medical Imaging and Radiation Sciences - May 18, 2019 Category: Radiology Authors: Shawn Binda, Darby Erler, Mikki Campbell Source Type: research

On Treatment Consultations – a Method to Increase Communication within the Radiation Therapy Department
Staff completed the hospital biennial employee engagement survey which evaluated satisfaction with various components at the organization and departmental level. Radiation treatment (RT) results were disseminated in fall 2016 and a working group was tasked with making improvements. Team discussions identified the need for improved communication and role clarity among the multidisciplinary team with respect to trouble shooting difficult setups or image matching discrepancies. It was also noted that standardization of process and documentation could reduce confusion and conflict. (Source: Journal of Medical Imaging and Radiation Sciences)
Source: Journal of Medical Imaging and Radiation Sciences - May 18, 2019 Category: Radiology Authors: Cassandra Costello, Amanda Lamb, Jenna King, Janice Kim, Brandee Pidgeon, Christopher Kwong, Keith Nakonechny Source Type: research

Bridging the Gap: Integrating Tobacco Cessation into Cancer Care
Evidence-based practice is an expectation in healthcare. However, practicing in this manner is not always achievable. This can lead to gaps between what is known to be best practice and what is actually done. Tobacco cessation in cancer care is a good example of this kind of gap. Tobacco use can render treatment less effective and can have a negative impact on outcomes. Despite this knowledge, many patients continue to use tobacco after their diagnosis and during treatment. Knowledge to Action (KTA) frameworks are beneficial in closing knowledge gaps by aiding in implementing and sustaining evidence-based practices and pol...
Source: Journal of Medical Imaging and Radiation Sciences - May 18, 2019 Category: Radiology Authors: Natasha McMaster, Muarli Rajaraman, Carol-Anne Davis Source Type: research

The Journal of Medical Imaging and Radiation Sciences
Lisa Di Prospero, BSc(Hons), MSc, MRT(T) (Source: Journal of Medical Imaging and Radiation Sciences)
Source: Journal of Medical Imaging and Radiation Sciences - May 18, 2019 Category: Radiology Source Type: research

Copyright
Journal of Medical Imaging and Radiation Sciences (ISSN 1939-8654) is published quarterly (March, June, September, December) for the Canadian Association of Medical Radiation Technologists by Elsevier, 230 Park Avenue, Suite 800, New York, NY 10169. (Source: Journal of Medical Imaging and Radiation Sciences)
Source: Journal of Medical Imaging and Radiation Sciences - May 18, 2019 Category: Radiology Source Type: research

Message from the Editor
Welcome to our second edition of 2019; as of this writing, we are waiting anxiously for spring to arrive, synergistic with the start of new knowledge that we share, connect, and network you to! I am thrilled to share with you two commentaries, beginning with “The Growing Importance of Internationalisation in Radiography Education”, detailing how the Hong Kong Polytechnic University and Western Norway University of Applied Sciences have collaborated on a project to enhance students’ learning experience on internationalisation in their radiography p rograms. (Source: Journal of Medical Imaging and Radiation Sciences)
Source: Journal of Medical Imaging and Radiation Sciences - May 9, 2019 Category: Radiology Authors: Lisa Di Prospero Tags: Message from the Editor Source Type: research

Message de la R édactrice en Chef
Bienvenue à notre deuxième numéro de 2019. Au moment de rédiger ce texte, nous attendons avec impatience l’arrivée du printemps, en synergie avec le début de nouvelles connaissances que nous partageons, transmettons et réseautons avec vous! Je suis ravie de vous faire part de deux commentaires début ant par : « L’importance croissante de l’internationalisation de la formation en radiographie », précisant comment l’Université polytechnique de Hong Kong et l'université des sciences appliquées de l'ouest de ...
Source: Journal of Medical Imaging and Radiation Sciences - May 9, 2019 Category: Radiology Authors: Lisa Di Prospero Source Type: research