Author(s) Dorey S.; Gray L.; Tootell A.; Higgins R.; Hogg P. et al.
Source Radiography; Nov 2019; vol. 25 (no. 4); p. 301-307
DOI 10.1016/j.radi.2019.02.008
Introduction: Smart glasses can be adapted to display radiographic images to allow clinician's gaze not to be directionally fixed or predetermined by computer monitor location. This study presents an analysis of eye lens dose during interventional fluoroscopy guided procedures, comparing fixed monitor positions against the use of smart glasses.

Method(s): Using a head phantom (simulating the clinician), thermoluminescent dosimeters and lead shielded glasses, the dose to the eye was measured for different head 'rotations and tilts' for: gaze directed towards the main scattering source (patient/primary beam) to represent potential gaze direction if smart glasses are used; gaze directed to a range of potential computer monitor positions. An anthropomorphic pelvis phantom was utilised to simulate the patient. Accumulated dose rates (muGy s1) from five 10-second exposures at 75 kV 25.2 mAs were recorded.

Result(s): An average DAP reading of 758.84 cGy cm2 was measured during each 10 second exposure. Whilst wearing lead shielded glasses a 6.10 - fold reduction in dose rate to the lens is possible (p < 0.05). Influence of the direction of gaze by the clinician demonstrated a wide range of dose rate reduction from 3.13% (p = 0.16) to 143.69% (p < 0.05) when the clinician's gaze was towards the main scattering source. Increased dose rate to the clinician's eyes was received despite wearing lead shielded glasses, as the angle of gaze moved 45degree and 90degree from 0degree.

​Conclusion(s): If the clinician's gaze is directed towards the main scattering source a potential exists for reducing eye lens dose compared with fixed location computer monitors. Introduction of lead lined smart glasses into interventional radiology may lead to improvements in patient care, reducing the need for the clinician to look away from the patient to observe a radiographic image.Copyright © 2019

Author(s): Hujazi I.; Yassa R.; Sevenoaks H.; Khalfaoui M.; Barrie J.
Source: Foot and Ankle Surgery; Aug 2019; vol. 25 (no. 4); p. 507-510
Publication Date: Aug 2019
Publication Type(s): Article
Available  at Foot and Ankle Surgery -  from ClinicalKey
Abstract:Background: Reliable radiographic measurement of hallux valgus interphalangeus (HVI) deformity has a role in guiding surgical management. HVI can be assessed using: * Hallux interphalangeal angle (HIA). * Distal articular set angle (DASA). * Proximal to distal phalangeal articular angle (PDPA). The aim of the study is to investigate the reliability of these radiological parameters. 

​Author(s): Parker C.C.; Dearnaley D.P.; James N.D.; Brawley C.D.; Ritchie A.W.S.; Gilson C.; Langley R.E.; Millman R.; Amos C.L.; Parmar M.K.B.; Sydes M.R.; Clarke N.W.; Hoyle A.P.; Ali A.; Tran A.T.H.; Attard G.; Chowdhury S.; Cross W.; Gillessen S.; Jones R.J.; Russell J.M.; Malik Z.I.; Eswar C.; Mason M.D.; Matheson D.; Thalmann G.N.; Alonzi R.; Bahl A.; Birtle A.; Din O.; Douis H.; Gale J.; Gannon M.R.; Jonnada S.; Khaksar S.; Lester J.F.; O'Sullivan J.M.; Parikh O.A.; Pedley I.D.; Pudney D.M.; Sheehan D.J.; Srihari N.N.
Source: The Lancet; Dec 2018; vol. 392 (no. 10162); p. 2353-2366
Publication Date: Dec 2018
Publication Type(s): Article
PubMedID: 30355464
Abstract:Background: Based on previous findings, we hypothesised that radiotherapy to the prostate would improve overall survival in men with metastatic prostate cancer, and that the benefit would be greatest in patients with a low metastatic burden. We aimed to compare standard of care for metastatic prostate cancer, with and without radiotherapy. Method(s): We did a randomised controlled phase 3 trial at 117 hospitals in Switzerland and the UK. Eligible patients had newly diagnosed metastatic prostate cancer. 

​Author(s): FAROUG, RAD; AHMED, ABDULKHALED; ALI, CHADI; WHITTAKER, MEGAN
Source: Synergy: Imaging & Therapy Practice; May 2018 ; p. 26-28
Publication Date: May 2018
Publication Type(s): Periodical
Database: CINAHL

Author(s): Abdulla, Omar
Source: British Journal of Hospital Medicine (17508460); Apr 2018; vol. 79 (no. 4); p. 233-233
Publication Date: Apr 2018
Publication Type(s): Academic Journal
Available  at British Journal of Hospital Medicine (17508460) -  from MAG Online Library
Abstract:The article describes the case of a 56-year-old woman diagnosed with a liver cyst that causes significant pressure effect according to echocardiogram.
Database: CINAHL

​Author(s): Abdulla, Omar; White, Emily
Source: British Journal of Hospital Medicine (17508460); Nov 2017; vol. 78 (no. 11); p. 654-654
Publication Date: Nov 2017
Publication Type(s): Academic Journal
Available  at British Journal of Hospital Medicine (17508460) -  from MAG Online Library
Abstract:The article describes the case of a 70-year-old woman who presented with severe abdominal pain and computed tomography of the abdomen and pelvis revealed a long, smooth distal sigmoid stricture with a proximal bowel dilatation and perforation probably caused by radiotherapy.
Database: CINAHL

Author(s): Scragg, B.; Shaikh, S.; Shires, G.; Stein Hodgins, J.; Mercer, C.; Robinson, L.; Wray, J.

Source: Radiography; Aug 2017; vol. 23 (no. 3); p. 249-255

Publication Date: Aug 2017

Publication Type(s): Academic Journal

Abstract:Introduction Increasingly patients and clients of health services are using social media to locate information about medical procedures and outcomes. There is increasing pressure for health professionals to engage in on-line spaces to provide clear and accurate information to their patient community. Research suggests there are some anxieties on the part of practitioners to do this. This study aimed to explore the attitudes of the NHS breast screening programme workforce towards engaging in online discussions with clients about breast screening. Method 78 practitioners, representing a range of professional roles within the NHS Breast Screening Programme, attended one of 4 workshops. We used a Nominal Group Technique to identify and rank responses to the question: " What are the challenges that practitioners face in using SoME as part of their role?" Responses were categorised into themes. Participants were also asked to identify solutions to these challenges. Results Challenges : We identified two overarching themes: (1) Working within boundaries : which was further categorised into (a) Professional/legal accountability; (b) Information accuracy and (c)Time as a boundary, and (2) Support : further categorised into (a) Employer and (b) Manager. Solutions: These included: training in technical and interactional aspects of on-line communication and a responsibility to better understand employer and professional body SoMe policies. Conclusion The study participants appeared willing and motivated to engage in SoMe. However, in keeping with the literature from other disciplines, a number of challenges need to be overcome for its use to be adopted more widely by breast screening professionals.
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Database: CINAHL

Author(s): Scragg, B.; Shaikh, S.; Robinson, L.; Mercer, C.

Source: Radiography; Aug 2017; vol. 23 (no. 3); p. 235-241

Publication Date: Aug 2017

Publication Type(s): Academic Journal

Abstract:Introduction Despite National Health Service (NHS) information strategy promoting the use of Social Media (SoMe) to encourage greater engagement between service users and providers, a team investigating online SoMe interaction between breast screening practitioners and clients found that practitioners alleged discouragement from employers' policies. This study aimed to investigate whether this barrier was genuine, and illuminate whether local policy differed from national strategy. Method The study used a qualitative grounded theory approach to generate a theory. Nine policies from the North West of England were analysed. A framework was derived from the data, and an analysis of policy tone followed by a detailed coding of policy content was undertaken. Comparative analysis continued by reviewing the literature, and a condensed framework revealed five broad categories that policies addressed. Results The analysis revealed the policies varied in content, but not in tone, which was mostly discouraging. Coding the content revealed that the most frequently addressed point was that of protecting the employers' reputation, and after further analysis, the resultant condensed framework showed that policies were imbalanced and heavily skewed towards Security, Conduct & Behaviour and Reputation. Conclusion Practitioners within breast screening services are discouraged by overly prohibitive and prescriptive SoMe policies; with these varying tremendously in comprehensiveness, but with a narrow focus on security and employers reputation; in contrast with national strategy. Recommendations are that policy revision is undertaken with consultation by more than one stakeholder, and SoMe training is offered for all members of NHS staff.
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Database: CINAHL

Author(s): Ma, Wang Kei; Borgen, Rita; Kelly, Judith; Millington, Sara; Hilton, Bev; Aspin, Rob; Lança, Carla; Hogg, Peter

Source: The British journal of radiology; Jan 2017 ; p. 20160271

Publication Date: Jan 2017

Publication Type(s): Journal Article

Abstract:Blurred images in Full Field Digital Mammography (FFDM) are a problem in the UK Breast Screening Programme. Technical recalls may be due to blurring not being seen on lower resolution monitors used for review. This study assesses the visual detection of blurring on a 2.3 megapixel (MP) monitor and a 5 MP report grade monitor and proposes an observer standard for the visual detection of blurring on a 5 MP reporting grade monitor.  Twenty-eight observers assessed 120 images for blurring; 20 had no blurring present whilst 100 had blurring imposed through mathematical simulation at 0.2, 0.4, 0.6, 0.8 and 1.0 mm levels of motion. Technical recall rate for both monitors and angular size at each level of motion were calculated. Chi-squared (X2) tests were used to test whether significant differences in blurring detection existed between 2.3 and 5 MP monitors. The technical recall rate for 2.3 and 5 MP monitors are 20.3 % and 9.1% respectively. Angular size for 0.2 to 1 mm motion varied from 55 to 275 arc seconds. The minimum amount of motion for visual detection of blurring in this study is 0.4 mm. For 0.2 mm simulated motion, there was no significant difference X2 (1, N=1095) =1.61, p=0.20) in blurring detection between the 2.3 and 5 MP monitors. According to this study monitors equal or below 2.3 MP are not suitable for technical review of FFDM images for the detection of blur. Advances in knowledge: This research proposes the first observer standard for the visual detection of blurring.

Database: Medline