Working together to safeguard children

The arrival of artificially intelligent systems into the domain of medical imaging has focused attention and sparked much debate on the role and responsibilities of the radiologist. However, discussion about the impact of such technology on the radiographer role is lacking. This paper discusses the potential impact of artificial intelligence (AI) on the radiography profession by assessing current workflow and cross-mapping potential areas of AI automation such as procedure planning, image acquisition and processing. We also highlight the opportunities that AI brings including enhancing patient-facing care, increased cross-modality education and working, increased technological expertise and expansion of radiographer responsibility into AI-supported image reporting and auditing roles.

/pdf/artificial-intelligence-in-diagnostic-imaging-impact-on-the-3kyolvvwfe.pdf

Artificial intelligence in diagnostic imaging: impact on the radiography profession

The patient experience of high technology medical imaging: A systematic review of the qualitative evidence

Background 
When presenting to an imaging department, the person who is to be imaged is often in a vulnerable state, and out of their comfort zone. It is the role of the medical imaging technician to produce a high quality image and facilitate patient care throughout the imaging process. Qualitative research is necessary to better inform the medical imaging technician and to help them to understand the experience of the person being imaged. Some issues that have been identified in the literature include fear, claustrophobia, dehumanisation, and an uncomfortable or unusual experience. There is now a small but worthwhile qualitative literature base focusing on the patient experience in high technology imaging. There is no current qualitative synthesis of the literature on the patient experience in high technology imaging. It is therefore timely and worthwhile to produce a systematic review to identify and summarise the existent literature exploring the patient experience of high technology imaging.

Objectives 
To identify the patient experience of high technology medical imaging.

Inclusion criteria 
Studies that were of a qualitative design that explored the phenomenon of interest, the patient experience of high technology medical imaging. Participants included anyone who had undergone one of these procedures.

Search strategy 
The search strategy aimed to find both published and unpublished studies, and was conducted over a period from June – September 2010. No time limits were imposed on this search strategy. A three-step search strategy was utilised in this review.

Methodological quality 
All studies that met the criteria were selected for retrieval. They were then assessed by two independent reviewers for methodological validity prior to inclusion in the review using standardised critical appraisal instruments from the Joanna Briggs Institute Qualitative Assessment and Review Instrument. 

Data extraction 
Data was extracted from papers included in the review using the standardised data extraction tool from the Joanna Briggs Institute Qualitative Assessment and Review Instrument.
 
Data synthesis 
Research findings were pooled using the Qualitative Assessment and Review Instrument. 

Results 
Following the search and critical appraisal processes, 15 studies were identified that were deemed of suitable quality to be included in the review. From these 15 studies, 127 findings were extracted, forming 33 categories and 11 synthesised findings. These synthesised findings related to the patient experience, the emotions they felt (whether negative or positive), the need for support and information, and highlighted the importance of imaging to the patient. 

Conclusion 
The synthesised findings in this review highlight the diverse, unique and challenging ways in which people experience imaging with MRI and CT scanners. All health professionals involved in imaging need to be aware of the different ways each patient may experience imaging, and provide them with ongoing support and information.

The patient experience of high technology medical imaging: a systematic review of the qualitative evidence.

https://www.radiographyonline.com/article/S1078-8174(09)00061-3/pdf

Where radiographers fear to tread: Resistance and apathy in radiography practice

https://www.radiographyonline.com/article/S1078-8174(03)00106-8/pdf

Radiographers and non-accidental injury in children—an Irish perspective

https://www.radiographyonline.com/article/S1078-8174(99)90025-1/pdf

Reflections on radiography

https://www.radiographyonline.com/article/S1078-8174(15)00004-8/pdf

An observational study based on the interaction between the paediatric patient and radiographer

Short report exploring the diagnostic radiographer's role in child protection using published literature, reflection on clinical practice and theoretical models. Presents a theoretical review in which issues surrounding the diagnostic radiographer's role in child protection are explored.

Diagnostic radiographers and their role in child protection situations—an exploration of bystander intervention

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