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

The Rapid Response Clinic: A Reflection on Five Years
In cancer care, rapid access to urgent pain and symptom management can significantly affect quality of life for patients. This need for fast and easy access to the palliative radiotherapy pathway was identified, therefore, over the last several years, many cancer centers across Ontario have responded by establishing Rapid Response Clinics to serve this population. (Source: Journal of Medical Imaging and Radiation Sciences)
Source: Journal of Medical Imaging and Radiation Sciences - September 1, 2018 Category: Radiology Authors: Natalie Rozanec, James Loudon, Elen Moyo, Charles Cho, Woodrow Wells Source Type: research

Impacting on the Patient and the System: The Role of Clinical Specialist Radiation Therapist in a Multidisciplinary Skin Cancer Clinic
The incidence of skin cancer continues to rise, constituting nearly 40% of all diagnosed cancers. Quality care for these patients requires a dedicated interprofessional team. The Clinical Specialist Radiation Therapist (CSRT) is a radiation therapist with advanced knowledge, skills and judgements in their field. Highlighted are three Skin CSRT implemented initiatives that positively influenced the multidisciplinary clinic. (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

Portfolios and Proof of Practice: Practicalities and Pitfalls
Prior learning assessment and recognition (PLAR) is an established method, used in the absence of a formal education or certificate process, of assessing individuals ’ current and acquired knowledge. PLAR tools, such as a portfolio, can serve as a method of admittance into a program of study, or a work role, through the presentation of related evidence. Evaluation of a professional portfolio based on a validated set of competencies has been used by the Cancer Care Ontario (CCO) Clinical Specialist Radiation Therapist (CSRT) Project since 2004 to assess and evaluate candidates for advanced practice (AP) in a developin...
Source: Journal of Medical Imaging and Radiation Sciences - September 1, 2018 Category: Radiology Authors: Amanda Bolderston, Carol-Anne Davis, Lisa DiProspero, Susan Fawcett, Caitlin Gillan, Mark Given, Nicole Harnett, Donna Lewis, Katherine Smith, Marcia Smoke Source Type: research

Co-ordinating Care for Prostate Brachytherapy Patients: Piloting a New Role for the Brachytherapy Clinical Specialist Radiation Therapist (CSRT)
Care coordination is defined as efficient and effective use of healthcare resources to improve the quality of care delivered to patients and their outcomes (1, 2). Given the complex nature of preparing for brachytherapy treatments for prostate cancer patients, a coordinator role was piloted to understand the potential impact the role could have for the patient and the system. (Source: Journal of Medical Imaging and Radiation Sciences)
Source: Journal of Medical Imaging and Radiation Sciences - September 1, 2018 Category: Radiology Authors: Laura D'Alimonte, Andrew Loblaw Source Type: research

Stepwise Development and Justification of Evidence-Based Practice for Bladder Radiotherapy
The introduction of new technology has revolutionized the way radiotherapy is delivered for bladder cancer: developing from the use of basic conventional techniques to a high precision, personalized approach. In order to demonstrate that the new technology is beneficial to the patient and to ensure its safe implementation, there is a need to integrate clinical expertise, patient values and research evidence for the development of evidence-based practice (EBP). The purpose of this presentation is to share our experiences while developing and justifying various EBPs for bladder radiotherapy at our institution. (Source: Journ...
Source: Journal of Medical Imaging and Radiation Sciences - September 1, 2018 Category: Radiology Authors: Vickie Kong, Susan Chen, Peter Chung, Tara Rosewall Source Type: research

The Lutetium Project: Nuclear Medicine and Radiotherapy Personalizing Neuroendocrine Treatment Together
Neuroendocrine Tumors (NETs) are cells that arise from the endocrine and nervous systems. Treatment options for metastatic well differentiated NETs are limited. The lesions can be chemo resistant and external beam radiotherapy can only be used for symptom control. Well differentiated NETs usually have an over expression of somatostatin receptors and this can be used to assess tumor burden and as a treatment modality. This abstract describes the initial experience of a phase-II trial, implemented across four Ontario centers, which aims to administer an individualized dose of radiopharmaceutical Lutetium-177 Dotatate (177Lu)...
Source: Journal of Medical Imaging and Radiation Sciences - September 1, 2018 Category: Radiology Authors: Andrea Shessel, Judy Gabrys, Ivan Yeung, Dalene Kim, Brandon Driscoll, Rebecca Wong Source Type: research

The Perceived Professional and Organisational Impact of the Consultant Therapeutic Radiographer (CTR): a UK Case Study
Changes in therapeutic radiography have promoted the development of a consultant practitioner role in clinical practice. Clinical duties that were once performed by the clinical oncologist are now being shared in some trusts by Consultant Therapeutic Radiographer (CTRs) who are experts in their scope of practice. The first CTR was appointed in 2003, yet an evaluation of the role has remained limited. The research examines the CTR role, through the perspectives of medical, nursing, therapeutic staff and key stakeholders by means of a qualitative inquiry, with the intention to explore professional and organisational impact. ...
Source: Journal of Medical Imaging and Radiation Sciences - September 1, 2018 Category: Radiology Authors: Ricardo N.M. Khine Source Type: research

The Impact of Palliative Clinical Specialist Radiation Therapists on Quality of Care in Ontario
Palliative Clinical Specialist Radiation Therapists (pCSRTs) have a unique opportunity to enhance quality of cancer care through evaluation of current practice and the introduction of innovative strategies to improve services, resulting in a high degree of both patient and provider satisfaction. (Source: Journal of Medical Imaging and Radiation Sciences)
Source: Journal of Medical Imaging and Radiation Sciences - September 1, 2018 Category: Radiology Authors: Kelly Linden, Sheila Sze, Carrie Lavergne, Julie Blain, Lori Holden, Joanna Javor Source Type: research

Leading Practice: Implementation of an Innovative Approach to Rapid Breast Radiotherapy
Whole breast radiotherapy (RT) is a standard management approach in early-stage breast cancer post-lumpectomy. Typically, the multi-step planning process requires wait-times varying from a few days to weeks. At our institution, the Clinical Specialist Radiation Therapist (CSRT) role has arisen as an integral part of an inter-professional team. The breast CSRT functions within the RT on-treatment reviews to assess and manage patient side effects and completes target volume delineation in select early-stage patients. (Source: Journal of Medical Imaging and Radiation Sciences)
Source: Journal of Medical Imaging and Radiation Sciences - September 1, 2018 Category: Radiology Authors: Grace Lee, Anthony Fyles, Robert Dinniwell, Tom Purdie, Anne Koch Source Type: research

Non-Medical Consultancy: A Local Experience
The non-medical consultant role was first announced in 1999. Despite a high uptake by the nursing profession, other allied health professionals have been slow to embrace the role. Radiography is characteristic of this trend, with just 83 consultants registered with the SCoR in the first ten years. Failure to recruit to two radiologist posts in 2016, led a small NHS Trust in the North of England to explore the feasibility of a consultant radiographer post. The post was successfully appointed in 2017 and has been viewed both locally and nationally as a success. (Source: Journal of Medical Imaging and Radiation Sciences)
Source: Journal of Medical Imaging and Radiation Sciences - September 1, 2018 Category: Radiology Authors: Robert Milner Source Type: research

Perceptions of Radiology Staff on Appointing an NHS Trusts First Consultant Radiographer
In 2016, an NHS Trust in the North of England, developed a business case seeking to employ their first consultant radiographer. The role was created in response to a difficulty in recruiting radiologists, and to manage an increasing backlog of plain film radiographs. Prior to commencing post, the successful candidate sought to gauge the sentiments of staff who already worked in the radiology department. (Source: Journal of Medical Imaging and Radiation Sciences)
Source: Journal of Medical Imaging and Radiation Sciences - September 1, 2018 Category: Radiology Authors: Robert C. Milner Source Type: research

Measuring Up: One Country's Effort to Build a Validated Certification Process for Advanced RT practice
An advanced practice (AP) certification process for radiation therapists (RTTs) was developed by the Canadian Association for Medical Radiation Technologists to set the bar for a recognized and transferable AP designation in Canada1. (Source: Journal of Medical Imaging and Radiation Sciences)
Source: Journal of Medical Imaging and Radiation Sciences - September 1, 2018 Category: Radiology Authors: Caitlin Gillan, Amanda Bolderston, Carol-Anne Davis, Lisa DiProspero, Susan Fawcett, Donna Lewis, Katherine Smith, Marcia Smoke, Nicole Harnett Source Type: research

Blood Product Prescribing: Radiographer Role Development
Within the UK, specialist radiographers work autonomously within a defined scope of practice, including the support and management of patients requiring radiotherapy treatment. Radiotherapy patients may require a red blood cell transfusion for various reasons including symptoms of anaemia and risk of radio-resistance. (Source: Journal of Medical Imaging and Radiation Sciences)
Source: Journal of Medical Imaging and Radiation Sciences - September 1, 2018 Category: Radiology Authors: Lucy Davidson, Sharon Jackson Source Type: research

Radiographer-Led Discharge in a Minor Injuries Unit
In recent years Radiographer-led discharge (RLD) has emerged to expedite the discharge of patients with minor musculo-skeletal injuries immediately after x-ray and subsequent ‘no bone or joint injury’ interpretation of the image by appropriately trained radiographers (1). Accident and Emergency (A&E) minor injury units are often nurse-led with no on-site medically trained staff which can lead to long waiting times for patients when medical support is required. Research suggests that RLD can shorten patient journey times and also reduce patient recall and re-attendance rates in A&E (1, 2) thus streamlini...
Source: Journal of Medical Imaging and Radiation Sciences - September 1, 2018 Category: Radiology Authors: Morag L. Howard, Janet Craib Source Type: research