Staffing Levels and Workload for Radiation Therapists in Canada
The safe delivery of radiation therapy is dependent in part on the provision and organization of oncology professionals. General recommendations for staffing of radiation oncologists, medical physicists, and radiation therapists have been published, but most of these provide little detail, especially in the case of radiation therapists (RTs). In Canada, there are no guidelines or national standards for the staffing of RTs, and there is a paucity of Canadian data on the existing staffing levels of RTs and the models used to establish these levels. (Source: Journal of Medical Imaging and Radiation Sciences)
Source: Journal of Medical Imaging and Radiation Sciences - January 14, 2019 Category: Radiology Authors: Alison Giddings, Luminita Nica, John French, Carol-Anne Davis, Marcia Smoke, Amanda Bolderston Source Type: research

Variability of Breast Density Classification Between US and UK Radiologists
To assess whether subjective breast density categorization remains the most useful way to categorize mammographic breast density and whether variations exist across geographic regions with differing national legislation. (Source: Journal of Medical Imaging and Radiation Sciences)
Source: Journal of Medical Imaging and Radiation Sciences - January 4, 2019 Category: Radiology Authors: Wijdan Alomaim, Desiree O'Leary, John Ryan, Louise Rainford, Michael Evanoff, Shane Foley Source Type: research

Impact of Self-Reported Exercise on Recounted Levels of Fatigue and Anxiety in Early-Stage Breast Cancer Radiation Therapy Patients
Exercise may be an alternative strategy to helping early-stage breast cancer (ESBC) patients manage their cancer-related fatigue and anxiety during radiation therapy. This observational study aims to investigate the impact of self-reported exercise on fatigue and anxiety levels pre (T0), mid (T1), and post (T2) radiation therapy in patients with ESBC. (Source: Journal of Medical Imaging and Radiation Sciences)
Source: Journal of Medical Imaging and Radiation Sciences - January 4, 2019 Category: Radiology Authors: Jessy Abed, Lianne Dolan, Jennifer Jones, Robert Dinniwell Source Type: research

A Practical Radiotherapy Treatment Planning Technique for Second-Incidence Cancers That Incorporates Complete Organ-At-Risk Dose History
We present a technique, dose cropping, which incorporates organ-at-risk dose history into the base plan while selectively excising dose history to diseased tissues now occupied by tumours. (Source: Journal of Medical Imaging and Radiation Sciences)
Source: Journal of Medical Imaging and Radiation Sciences - December 24, 2018 Category: Radiology Authors: Haley Clark, Fred Cao, Carson Leong, Eric Berthelet Tags: Research Article Source Type: research

Dual-Energy Computed Tomography Pulmonary Angiography: Comparison of Vessel Enhancement between Linear Blended and Virtual Monoenergetic Reconstruction Techniques
Optimal opacification of the pulmonary vasculature is a fundamental factor of a diagnostic quality computed tomography pulmonary angiogram (CTPA). This retrospective study examined the feasibility of utilising a noise-optimised monoenergetic reconstruction of the dual-energy computed tomography pulmonary angiogram (DE-CTPA) as an additional protocol to increase vessel opacification. (Source: Journal of Medical Imaging and Radiation Sciences)
Source: Journal of Medical Imaging and Radiation Sciences - December 4, 2018 Category: Radiology Authors: Andrew Murphy, Jeffrey Cheng, Jit Pratap, Renae Redman, John Coucher Tags: Research Article Source Type: research

Palliation of Vertebral Metastases with Radiotherapy: Exploration of Volumetric-Modulated Arc Therapy From Development to Implementation in Routine Clinical Practice
This article will describe a single centre's experience in development and implementation of VMAT for palliation of vertebral metastases. A retrospective planning analysis of 10 cases identified that utilization of VMAT decreases overall planning time with a statistically significant improvement in target coverage when compared with the current conventional technique. (Source: Journal of Medical Imaging and Radiation Sciences)
Source: Journal of Medical Imaging and Radiation Sciences - December 3, 2018 Category: Radiology Authors: Natalie Rozanec, Zishan Allibhai, Michael Bhatti, Edwin Chan, Marlyn McIntosh, Douglas Moseley, Mojgan Taremi, Ahmar Abbas Tags: Research Article Source Type: research

Broadening Our Horizons in the Milieu of Personalized Medicine
But I have promises to keep, and miles to go before I sleepRobert Frost (Source: Journal of Medical Imaging and Radiation Sciences)
Source: Journal of Medical Imaging and Radiation Sciences - December 1, 2018 Category: Radiology Authors: Shao Hui Huang Tags: Message from the Guest Editor Source Type: research

Élargir nos horizons dans le milieu de la médecine personnalisée
« Mais j’ai des promesses à tenir, et plusieurs milles à franchir avant de dormir »Robert Frost (Source: Journal of Medical Imaging and Radiation Sciences)
Source: Journal of Medical Imaging and Radiation Sciences - December 1, 2018 Category: Radiology Authors: Shao Hui Huang Tags: Message from the Guest Editor Source Type: research

About the Winning Cover Image
I have created a piece in response to the theme this year, Personalized Medicine. As a second year Radiation Therapy student, I am excited for this opportunity to share my interpretation. I have not been a member of CAMRT for long, but I have quickly become aware of the rapid progression towards prioritizing the personalization of medicine for patients. (Source: Journal of Medical Imaging and Radiation Sciences)
Source: Journal of Medical Imaging and Radiation Sciences - December 1, 2018 Category: Radiology Authors: Tina Wu Source Type: research

Letter to the Editor
Re: Cancelliere, N, Hilario, K. How we found purpose, passion, and happiness in our profession. J Med Imaging Radiat Sci 2018; 49 (3);228 –231. (Source: Journal of Medical Imaging and Radiation Sciences)
Source: Journal of Medical Imaging and Radiation Sciences - December 1, 2018 Category: Radiology Authors: Megan Brydon Tags: Letter to the Editor Source Type: research

Editorial Board/Masthead
(Source: Journal of Medical Imaging and Radiation Sciences)
Source: Journal of Medical Imaging and Radiation Sciences - December 1, 2018 Category: Radiology Source Type: research

Subscription
(Source: Journal of Medical Imaging and Radiation Sciences)
Source: Journal of Medical Imaging and Radiation Sciences - December 1, 2018 Category: Radiology Source Type: research

Table of Contents
(Source: Journal of Medical Imaging and Radiation Sciences)
Source: Journal of Medical Imaging and Radiation Sciences - December 1, 2018 Category: Radiology Source Type: research

Attend: A Two-Pronged Trial to Eliminate No Shows in Diagnostic Imaging at a Community-Based Hospital
Diagnostic imaging (DI) at Niagara Health, like other hospitals, experiences challenges with patients who do not attend their scheduled appointments, resulting in a “no show.” Reducing no show percentages presents an opportunity to improve upon wait lists within specific modalities such as magnetic resonance imaging (MRI) and to reduce the loss of productivity for this high-demand resource. (Source: Journal of Medical Imaging and Radiation Sciences)
Source: Journal of Medical Imaging and Radiation Sciences - November 29, 2018 Category: Radiology Authors: John S. Mikhaeil, Erdit Celo, Jessica Shanahan, Brian Harvey, Bonnie Sipos, Madelyn P. Law Tags: Research Article Source Type: research

Investigation of the Relationship between Fatty Pancreas and Cholecystectomy Using Noncontrast Computed Tomography
Fatty pancreas, which can be evaluated with radiological methods, is a frequently overlooked finding. The aim of this study was to use noncontrast computed tomography (CT) to evaluate whether there was a relationship between fatty pancreas and cholecystectomy, similar to the relationship between fatty liver and cholecystectomy, which has been previously shown in literature. (Source: Journal of Medical Imaging and Radiation Sciences)
Source: Journal of Medical Imaging and Radiation Sciences - November 17, 2018 Category: Radiology Authors: Ural Koc, Onur Taydas Tags: Research Article Source Type: research

Density-dependent Energy Loss of Protons in Pb and Be Targets and Percent Mass-Stopping Power from Bethe-Bloch Formula and Bichsel-Sternheimer Data Within 1 –12 MeV Energy Range: A Comparative Study Based on Bland-Altman Analysis
This comparative study calculated Bethe-Bloch results with Bichsel-Sternheimer values, employing the Bland-Altman analysis within 95% limit of agreement for the first time. The Bethe-Bloch formula was employed for the physical realization of the density-dependent energy loss of protons in lead (208Pb) and beryllium (9Be) targets in the energy range 1 –12 MeV. (Source: Journal of Medical Imaging and Radiation Sciences)
Source: Journal of Medical Imaging and Radiation Sciences - November 16, 2018 Category: Radiology Authors: Azmat Iqbal, Nasir Ullah, Amin Ur Rahman Tags: Research Article Source Type: research

The Educational Utility of Blogging for MRI Technologists
The value of a blog as an educational tool is thought to be underestimated by health care professionals. This research aimed to explore the MRI educational utility of blogs, and to determine who was participating in writing those blogs. It was hoped that this research would increase awareness of alternative education formats that would be useful for MRI technologists. (Source: Journal of Medical Imaging and Radiation Sciences)
Source: Journal of Medical Imaging and Radiation Sciences - November 16, 2018 Category: Radiology Authors: Holly C.P. Chun, Siew-Mei Skinner, Tara Rosewall Tags: Research Article Source Type: research

Optimized Production and Biological Evaluation of 68Ga-PDTMP as a New Agent for PET Bone Scanning
In this study, 68Ga-PDTMP was introduced as a novel agent for PET bone scanning. (Source: Journal of Medical Imaging and Radiation Sciences)
Source: Journal of Medical Imaging and Radiation Sciences - November 14, 2018 Category: Radiology Authors: Neda Tadayon, Hassan Yousefnia, Ali Ramazani, Samaneh Zolghadri, Behrooz Alirezapour, Amir Reza Jalilian, Hossein Afarideh, Mahdokht Vaez-Tehrani Tags: Research Article Source Type: research

The Feasibility of Integrating Resting-State fMRI Networks into Radiotherapy Treatment Planning
Functional magnetic resonance imaging (fMRI) presents the ability to selectively protect functionally significant regions of the brain when primary brain tumors are treated with radiation therapy. Previous research has focused on task-based fMRI of language and sensory networks; however, there has been limited investigation on the inclusion of resting-state fMRI into the design of radiation treatment plans. (Source: Journal of Medical Imaging and Radiation Sciences)
Source: Journal of Medical Imaging and Radiation Sciences - November 13, 2018 Category: Radiology Authors: Chandler Sours Rhodes, Hao Zhang, Kruti Patel, Nilesh Mistry, Young Kwok, Warren D. D'Souza, William F. Regine, Rao P. Gullapalli Tags: Research Article Source Type: research

Sexual Health Issues in Patients with Cancer —An Exploratory Mixed Methods Study of the Awareness Levels of Radiation Therapists
Patients with cancer report dissatisfaction with care they receive in relation to changes affecting intimacy and relationships. Health care professionals describe barriers in providing support in these areas due to lack of time, training, education, and privacy. Radiation therapists (RTs) play a key role in cancer care, but there is little evidence in the literature of their role in sexual health care. This project investigated awareness levels of RTs in sexual health issues related to patients with cancer receiving radiation therapy. (Source: Journal of Medical Imaging and Radiation Sciences)
Source: Journal of Medical Imaging and Radiation Sciences - November 10, 2018 Category: Radiology Authors: Angela Turner Tags: Research Article Source Type: research

Design and Validation of Synchronous QCT Calibration Phantom: Practical Methodology
This study designed and evaluated the accuracy and precision of a homemade QCT calibration phantom using a whole-body spiral CT scanner. (Source: Journal of Medical Imaging and Radiation Sciences)
Source: Journal of Medical Imaging and Radiation Sciences - November 9, 2018 Category: Radiology Authors: Malakeh Malekzadeh, Shahrokh Abbasi-Rad, Mohamad Shahgholi, Parisa Naghdi, Marzieh Sadat Hoseini, Niloofar Ayoobi Yazdi, Mohammad Bagher Shiran, Hamidreza Saligheh Rad Tags: Research Article Source Type: research

A New and Inclusive Intake Form for Diagnostic Imaging Departments
The gender landscape is changing. For professionals in health care, particularly diagnostic imaging (DI), we need better communication tools to obtain personal information from this gender diverse community. We need more specific information from patients because we are performing examinations in which radiation is involved. It is our professional duty to protect a patient's reproductive organs whenever possible, but we must know where those organs are located. In addition, we must determine if a patient could be pregnant or not. (Source: Journal of Medical Imaging and Radiation Sciences)
Source: Journal of Medical Imaging and Radiation Sciences - November 8, 2018 Category: Radiology Authors: Sidsel Pedersen, Virginia Sanders Tags: Clinical Perspective Source Type: research

Combined Low Dose Rate Brachytherapy and External Beam Radiation Therapy for Intermediate-Risk Prostate Cancer
This is a retrospective study conducted to report the tumor control and late toxicity outcomes of patients with intermediate-risk prostate cancer undergoing combination external beam radiation therapy and low dose rate brachytherapy (LDR-PB). (Source: Journal of Medical Imaging and Radiation Sciences)
Source: Journal of Medical Imaging and Radiation Sciences - November 8, 2018 Category: Radiology Authors: Michael Chao, Daryl Lim Joon, Vincent Khoo, Sandra Spencer, Huong Ho, Mario Guerrieri, Farshad Foroudi, Damien Bolton Tags: Research Article Source Type: research

The Education and Practice Environment for Medical Radiation Science Professionals Caring for Lesbian, Gay, Bisexual, and Transgender Patients: An Analysis of a #MedRadJClub Tweet Chat
The medical radiation sciences' (MRS) MedRadJournalClub attracts a global group of participants to monthly sessions to discuss selected journal articles. The September 2017 session explored the experiences of MRS professionals working with lesbian, gay, bisexual, and transgender (LGBT) patients. The aim of the chat was to establish staff educational preparation, how participants ’ organizations approached the issue, and what participants would do differently at work or at home in relation to this patient population after the chat. (Source: Journal of Medical Imaging and Radiation Sciences)
Source: Journal of Medical Imaging and Radiation Sciences - November 3, 2018 Category: Radiology Authors: Amanda Bolderston, Julia Watson, Sophia Thom, Kim Meeking Tags: Research Article Source Type: research

Keeping Children Still in Medical Imaging Examinations- Immobilisation or Restraint: A Literature Review
In paediatric imaging, it is common practice to hold children still for an examination by using immobilisation devices, parents, and/or staff. Historically, there has been a perceived need to restrain a child against their will when uncooperative behaviour was demonstrated. The issue of patient consent and use of physical force forms this fundamental difference between “immobilisation” and “restraint”. To avoid unknowingly “restraining” a child, the factors affecting a radiographer's decision to “restrain” are explored in this literature review from a child's rights and radia...
Source: Journal of Medical Imaging and Radiation Sciences - November 1, 2018 Category: Radiology Authors: Jessica Hui Shi Ng, Edel Doyle Tags: Review Article Source Type: research

Letter to the Editor
Re: N. Maizlin, S Somers. The Role of Clinical History Collected by Diagnostic Imaging Staff in Interpreting of Imaging Examinations. J Med Radiat Sci. In Press  2018. (Source: Journal of Medical Imaging and Radiation Sciences)
Source: Journal of Medical Imaging and Radiation Sciences - November 1, 2018 Category: Radiology Authors: Sidsel Pedersen Source Type: research

A Systematic Review of the Role of Penile Rehabilitation in Prostate Cancer Patients Receiving Radiotherapy and Androgen Deprivation Therapy
Treatment-induced erectile dysfunction (ED) is a common side effect of radiotherapy and androgen deprivation therapy (ADT) that impacts on patient quality of life. Penile rehabilitation interventions including pharmacologic and physical therapies aim to reduce the impact of ED. Despite The National Institute for Health and Care Excellence guidelines recommending access to ED services, penile rehabilitation is not widely discussed or implemented. This systematic review aimed to appraise the evidence base for penile rehabilitation and identify evidence-based recommendations for practice. (Source: Journal of Medical Imaging a...
Source: Journal of Medical Imaging and Radiation Sciences - October 26, 2018 Category: Radiology Authors: Wesley Doherty, Pete Bridge Source Type: research

Self-Reported Competence and Impact of Research Training among Medical Radiography Graduates from a Developing Country
The objective of this study was to assess the self-reported competence of graduate radiographers regarding the research skills obtained during their undergraduate training, as well as the impact of this research training to their work. (Source: Journal of Medical Imaging and Radiation Sciences)
Source: Journal of Medical Imaging and Radiation Sciences - October 25, 2018 Category: Radiology Authors: Aloysius Gonzaga Mubuuke, Francis Businge Tags: Research Article Source Type: research

Music and Music Therapy in the Medical Radiation Sciences
It's a wintry day in 2005. It's my first day as a senior magnetic resonance imaging (MRI) radiographer in a busy teaching hospital. Our patient is a 14-year-old male who presented for a follow-up MRI brain examination. My new colleague quickly explains the procedure and soon has the patient comfortably inside the bore of the magnet. He then clicks on the CD player and instantly the distinct, rough voice of Bruce Springsteen permeates the control room and our patient's headphones. Maybe our young patient loves listening to aged American rockers? Or, perhaps he would prefer the Arctic Monkeys who happen to be at number 1 thi...
Source: Journal of Medical Imaging and Radiation Sciences - October 23, 2018 Category: Radiology Authors: Johnathan Hewis Source Type: research

A Pilot Project to Investigate Radiation Therapist Referrals to an Ad Hoc Supportive Care Oncology Clinic
Approximately 400 patients are treated daily within the radiation therapy (XRT) department at the cancer centre where this project took place. As part of their clinical interactions during the treatment delivery process, radiation therapists (MRTs) may refer patients to a third party “RN Assessment Office” for non technical issues. These referrals can result in extended wait times for patients as well as disruptions to the scheduling of MRTs and other health care professionals. This review aimed to identify issues that resulted in third party referrals by MRTs. (Source: Journal of Medical Imaging and Radiation Sciences)
Source: Journal of Medical Imaging and Radiation Sciences - October 5, 2018 Category: Radiology Authors: Angela Turner, Dilshad Nathoo Tags: Clinical Perspective Source Type: research

A Monte Carlo Simulation Study of Optimization for Collimator in a Pixelated SPECT Camera
A gamma camera is a device in which the gamma radiation emitted by radiopharmaceuticals is detected, and an image is formed. The image quality depends on the extent to which the rays reach the detector in a specific aligned direction. One of the crucial elements of a gamma camera is a collimator. Collimators are generally characterized by their imaging properties, spatial resolution, and sensitivity. In a single photon emission computed tomography (SPECT) camera, the spatial resolution primarily depends on the geometry of the collimator design. (Source: Journal of Medical Imaging and Radiation Sciences)
Source: Journal of Medical Imaging and Radiation Sciences - October 5, 2018 Category: Radiology Authors: Zeinab Telikani, Alireza Sadremomtaz Tags: Research Article Source Type: research

Implementing Workshops to Improve Radiation Therapists ’ Knowledge and Attitudes about Sexual Health Issues in Cancer Patients
Although it is widely acknowledged that radiotherapy treatments can have a negative impact on a patient's sexual health, this aspect of side effect management is not commonly addressed by radiation therapists or by other cancer specialists. It is important for radiation therapists to recognize and address possible sexual health issues to provide a holistic approach to care. This quality-improvement project was designed to help radiation therapists discuss the sexual health needs of patients undergoing radiotherapy by improving their clinical knowledge, skills, and comfort level about the topic. (Source: Journal of Medical ...
Source: Journal of Medical Imaging and Radiation Sciences - September 26, 2018 Category: Radiology Authors: Carina Feuz, Karen Tse, Maisie Kwan, Christine Hill, Peter Rakaric, Kieng Tan, Tara Rosewall Tags: Research Article Source Type: research

Advancing Radiation Therapy Practice by Elevating Research
Re: Oultram, S. and S. Dempsey. “A Feasibility Study on the Identification of Postlumpectomy Seromas by a Radiation Therapist Compared with That by Radiation Oncologists in Radiation Therapy Planning for Early Stage Breast Cancer.” Journal of Medical Imaging and Radiation Sciences, 2018. Vol 49 (2):173–178. (Source: Journal of Medical Imaging and Radiation Sciences)
Source: Journal of Medical Imaging and Radiation Sciences - September 21, 2018 Category: Radiology Authors: Nicole Harnett, Grace Lee Tags: Letter to the Editor Source Type: research

Evaluation of an Online Education Resource on Radiation Therapy Created for Patients with Postprostatectomy Prostate Cancer and Their Caregivers
Radiation therapy (RT) after prostatectomy is an important curative treatment option for patients with prostate cancer. It can be delivered immediately after surgery as adjuvant treatment, or after biochemical PSA failure as salvage treatment. There is currently a lack of consensus regarding whether salvage RT in the event of biochemical failure or immediate adjuvant RT is the optimal postprostatectomy RT treatment. Although both types of postprostatectomy RT are generally well tolerated, patients may develop some toxicity that can impact their quality of life and the duration and frequency of treatments can be challenging...
Source: Journal of Medical Imaging and Radiation Sciences - September 20, 2018 Category: Radiology Authors: Katija Bonin, Merrylee McGuffin, Eli Lechtman, Aaron Cumal, Tamara Harth, Eirena Calabrese, Deb Feldman-Stewart, Julie Burnett, Janet Ellis, Lisa Di Prospero, Ewa Szumacher Tags: Clinical Perspective Source Type: research

Efficient and Effective Personalization of PTV Margins During Radiation Therapy for Bladder Cancer
The magnitude of bladder filling variation during bladder cancer radiation therapy varies considerably between patients. Population-based approaches for planning target volume (PTV) margin calculation may be suboptimal for this disease site, and a strategy for personalizing PTV margins for each patient may be particularly beneficial. The purpose of this study was to identify the optimal number and sampling pattern of cone beam CT image data sets that are required when generating personalized PTV margins for whole bladder (WB) and partial bladder (PB) radiation therapy. (Source: Journal of Medical Imaging and Radiation Sciences)
Source: Journal of Medical Imaging and Radiation Sciences - September 20, 2018 Category: Radiology Authors: Susan Chen, Vickie Kong, Tim Craig, Peter Chung, Tara Rosewall Tags: Research Article Source Type: research

Impact of Mobile Phone Interference on Gamma Camera Performance
Electromagnetic interference (EMI) due to a mobile phone device has been reported to produce a detrimental effect on the function of a gamma camera system. This effect provides evidentiary support of potential bans or restrictions regarding mobile phone use within a nuclear medicine department. (Source: Journal of Medical Imaging and Radiation Sciences)
Source: Journal of Medical Imaging and Radiation Sciences - September 7, 2018 Category: Radiology Authors: Melissa Dowling, Samantha O'Loughlin, Geoffrey M. Currie Tags: Clinical Perspective Source Type: research

Evolution of the Radiation Therapist Role in a Multidisciplinary Palliative Radiation Oncology Clinic
Palliative radiation therapists (PRTs) have been integrated in varying capacities into outpatient palliative radiation therapy (RT) services across Canada for over 2 decades. At our institution, PRTs have developed an essential role over 11 years within a palliative radiation oncology (PRO) clinic that focuses on integrating symptom management with radiation oncology assessment for palliative RT. PRTs have had direct clinical, technical, research, and administrative involvement as the clinic evolved from a pilot in 2007 supporting one half-day per week to the current model of five full clinical days. (Source: Journal of Me...
Source: Journal of Medical Imaging and Radiation Sciences - September 6, 2018 Category: Radiology Authors: Bronwen LeGuerrier, Fleur Huang, Winter Spence, Brenda Rose, Jacqueline Middleton, Megan Palen, Kitta Thvone, Shazma Ravji, Brita Danielson, Diane Severin, Karen P. Chu, Alysa Fairchild Source Type: research

The Role of Clinical History Collected by Diagnostic Imaging Staff in Interpreting of Imaging Examinations
Requisitions for diagnostic imaging (DI) studies may occasionally contain incomplete, or lack any, clinical information. The value of technologist notes, provided in addition to the requisitions, for interpreting DI examinations has not yet been reported. The purpose of this study is to evaluate if the addition of clinical information in the form of technologist notes assists in interpreting DI examinations and if the impact of these notes depends on the completeness of medical history provided by the referring physician. (Source: Journal of Medical Imaging and Radiation Sciences)
Source: Journal of Medical Imaging and Radiation Sciences - September 4, 2018 Category: Radiology Authors: Nick N. Maizlin, Sat Somers Tags: Research Article Source Type: research

Allied Health Professional (AHP) Transformation Project – Radiography results from a regional UK survey
In 2017, the Health Education England (HEE) AHP London network identified several key areas where professional groups needed to respond to the Five Year Forward View, to support the transformation of the workforce and optimise patient outcomes. This presentation will focus on Advance Practice within the Radiography workforce and present results from the first phase of the project, which aimed to: (Source: Journal of Medical Imaging and Radiation Sciences)
Source: Journal of Medical Imaging and Radiation Sciences - September 1, 2018 Category: Radiology Authors: Ad éle Stewart-Lord Source Type: research

The Impact of a Consultant Radiographer on Stereotactic Radiotherapy Service
This study aims to investigate the impact of a consultant radiographer on stereotactic radiotherapy service at our institution. (Source: Journal of Medical Imaging and Radiation Sciences)
Source: Journal of Medical Imaging and Radiation Sciences - September 1, 2018 Category: Radiology Authors: Y. Tsang, P. Ostler, N. Shah, J. Kudhail, P. Hoskin Tags: LTWRAP 2018 Abstracts Source Type: research

A First in Canada: How a CSRT Successfully Co-led the Implementation of New Technology
There has been a dramatic paradigm shift in the way we treat brain metastases, moving from conventional whole brain radiotherapy to the widely accepted stereotactic radiosurgery (SRS). We are the first Radiation Therapy led Canadian centre to offer SRS with the new Gamma Knife (GK) ICON unit- a unit that allows frameless delivery of high dose radiation therapy to multiple brain metastases, while sparing normal tissue. This talk will focus on how a Clinical Specialist Radiation Therapist (CSRT) co-led the successful implementation of a new technology, and steps involved to change the existing model of care. (Source: Journal...
Source: Journal of Medical Imaging and Radiation Sciences - September 1, 2018 Category: Radiology Authors: Lori Holden Source Type: research

Keeping a Finger on the Pulse: The Potential of a Programmatic Advanced Practice Role
Stereotactic Body Radiation Therapy (SBRT) is a treatment technique that makes possible the delivery of highly focused high dose radiation in a single or few fractions. The SBRT program at our institution has grown rapidly in both anatomic sites and patient numbers since 2008; treating over 900 patients last year to sites including lung, liver, spine, prostate, kidney, pancreas, head and neck and miscellaneous oligometastases. Due to the rapid expansion and the highly technical nature of the program, a clinical specialist radiation therapy (CSRT) role was introduced in 2012 to ensure the highest quality patient care and ef...
Source: Journal of Medical Imaging and Radiation Sciences - September 1, 2018 Category: Radiology Authors: Darby Erler Source Type: research

Implementation of the Palliative Clinical Specialist Radiation Therapist Improves Access to Care for Patients Referred for Palliative Radiation Therapy
In Ontario, Palliative Clinical Specialist Radiation Therapists (pCSRTs) have demonstrated a positive impact on quality of palliative radiotherapy (pRT), utilizing their advanced knowledge, skills and judgement, aligning with Cancer Care Ontario (CCO) ’s goal of improving our health care system. pCSRTs improve access to care by sharing tasks with Radiation Oncologists (ROs) and reducing treatment delays. Delayed pRT causes distress, unnecessary symptom burden and compromised survival outcomes. (Source: Journal of Medical Imaging and Radiation Sciences)
Source: Journal of Medical Imaging and Radiation Sciences - September 1, 2018 Category: Radiology Authors: Carrie Lavergne, Joanna Javor, Sheila Sze, Kelly Linden, Julie Blain, Lori Holden Source Type: research

Prepare for Impact: Developing Collective Workload Codes to Quantify Advanced Practice Radiation Therapy Clinical Activities
Key motivations for the development of the Clinical Specialist Radiation Therapist (CSRT) role in Ontario were to improve the quality of cancer care and maximize system efficiency. Quantifying the value or impact of each role is integral to sustainability especially in times of fiscal restraint. Our institution currently has 4 distinct CSRT roles in: brachytherapy, stereotactic body radiation therapy (SBRT), non-melanoma skin cancer and brain radiosurgery. In order to assess the value afforded by the clinical practice of each role, electronic workload codes were created to capture patient related encounters, which can subs...
Source: Journal of Medical Imaging and Radiation Sciences - September 1, 2018 Category: Radiology Authors: Darby Erler, Lori Holden, Emily Sinclair, Laura D ’Alimonte Source Type: research

Sustainability is Success: Using Evaluation to Set the Course for Clinical Specialist Radiation Therapist (CSRT) Community of Practice
The Clinical Specialist Radiation Therapist (CSRT) Project ran in one province from 2006 to 2016. The goal was to develop, implement and evaluate the impact of advanced practice (AP) positions in the existing radiation therapy (RT) landscape with a goal of long term sustainability of the new role. Alongside the regular collection of evidence of impact, the project team also implemented activities that they hoped would facilitate the sustainability of the role beyond the pilot project. As such, in 2015, the CSRT Project Team struck a Community of Practice (CoP) constituted by all willing CSRTs. (Source: Journal of Medical I...
Source: Journal of Medical Imaging and Radiation Sciences - September 1, 2018 Category: Radiology Authors: Kitty Chan, Laura D'Alimonte, Julie Himmelman, Nicole Harnett Source Type: research

Exploring the Contributions that an Expert Practice Radiation Therapist Can Make to Coordinating a Clinical Trials Program at a Tertiary Cancer Centre
Clinical trials in radiation oncology continue to play an important role in changing practice through accumulation of evidence in hypofractionation, image-guidance, motion management, stereotactic body radiotherapy, and dosimetry. Other protocols involve standard radiotherapy regimes, but coordinated with new chemotherapies, targeted agents and immunotherapies that may impact treatment scheduling and increase the toxicities that patients may experience. The role that a radiation therapist can play in taking a leadership role in clinical trials coordination to increase protocol compliance and operational success will be dis...
Source: Journal of Medical Imaging and Radiation Sciences - September 1, 2018 Category: Radiology Authors: Shannah L. Murland Source Type: research

Outcome Measurement: Developing Standardized Advanced Practice Workload Measurement Tools Across the Province With Workload Codes
The Clinical Specialist Radiation Therapist (CSRT) pilot project ran in Ontario from 2007-2016. During the period, individual and summative reports were generated to document the impact of CSRTs in the health care system. As the pilot project concluded and CSRT positions sustained, the CSRT Community of Practice (CoP) group recognized the need to continuously capture workloads of CSRTs across the province to provide data for senior management to assess impact and value of CSRTs in the health system. (Source: Journal of Medical Imaging and Radiation Sciences)
Source: Journal of Medical Imaging and Radiation Sciences - September 1, 2018 Category: Radiology Authors: Hon Biu Chan, Vickie Kong, Kitty Chan, Darby Erler, Laura D'Alimonte, Julie Blain, Kelly Linden, Julie Himmelman, Nicole Harnett Source Type: research

Raising the Bar: Developing Best Practice Guidelines for Breast Radiation Therapy Imaging
The use of imaging to verify radiation treatment is an essential part of accurate treatment delivery. Imaging technologies have rapidly improved however, in the absence of governing provincial standards, local practices and protocols have not kept pace. During breast radiation treatment, Inconsistencies in image evaluation and in the selection of the appropriate corrective strategy was observed to increase work load and create inefficiencies on the treatment unit. Furthermore patients could remain on the treatment couch for an extended time, causing anxiety and discomfort which in turn could lead to patient movement. (Sour...
Source: Journal of Medical Imaging and Radiation Sciences - September 1, 2018 Category: Radiology Authors: Michele Cardoso, Janos Juhasz, Nicole Harnett, Marcia Smoke Source Type: research

Towards Realising National Research Strategies: Culture, Collaboration and Courage
Research is arguably the most important domain of advanced practice in order to gain professional respect and strengthen the radiography profession. However, it can be the most challenging domain to evidence. A UK audit in 2015 illuminated that research activity is low in radiography. Following the publication of the latest research strategy from the Society and College of Radiographers, and in light of the new Allied Health Professionals (AHPs) research strategy from the National Institute for Health Research, it is necessary to understand the progress being made towards delivering these strategies in practice. (Source: J...
Source: Journal of Medical Imaging and Radiation Sciences - September 1, 2018 Category: Radiology Authors: Kim Meeking, Suzi Chapman, Lyndsey Kilgore, Elaine Cooper, Kirsty Thornton Source Type: research

CSRT Initiative: Process of Introducing a New Technique to Treat Superficial Skin Cancers
Skin cancer incidence is predicted to double in the next 30 years. Surgery is considered the gold standard however with the potential for negative cosmetic outcomes. For superficial lesions a non- invasive approach is preferable. Photodynamic Therapy (PDT) is non- invasive treatment involving a photosensitizing drug activated by light, which in turn destroys targeted cells. The aim of this work is to describe a CSRT led PDT program from inception to clinical. (Source: Journal of Medical Imaging and Radiation Sciences)
Source: Journal of Medical Imaging and Radiation Sciences - September 1, 2018 Category: Radiology Authors: Emily Sinclair Source Type: research