CT head reporting by radiographers: Findings of an accredited postgraduate programme

Content of Presentation: Reporting by radiographers is now widely adopted into the service delivery of English NHS trusts. CT Head reporting courses have been running since the early 2000’s, and has been running at Canterbury Christ Church University since 2007. Relevance: To analyse the objective structured examination (OSE) results of the last four cohorts of radiographers (n=24) who successfully completed the postgraduate training. Outcomes: Using OSE scores of Agreement, Sensitivity and Specificity and using Kappa agreement of scores for comparison to 3 groups of consultant radiologists who produced the initial OSE reports. The cases contained a prevalence of 50% abnormal cases and 50% normal cases. Discussion: At the end of this study of training, radiographers appear to achieve high standards of CT head reporting. The findings for this study suggest that the agreement rates for appropriately educated and trained radiographers is likely to be similar to consultant radiologists, although further work is on-going to investigate this, and confirm the clinical application of these initial encouraging findings that support the radiographers contribution to this aspect of the reporting service

Intraorbital foreign body detection and localisation by radiographers: a preliminary JAFROC observer performance study

Introduction - The purpose of this study was to run a preliminary investigation to establish if a short course of learning would increase radiographers’ performance in intraorbital foreign body (IOFB) detection and localisation on pre-magnetic resonance imaging (MRI) orbital computed radiographs (CR). Method - A multi-reader multi-case (MRMC) human observer study was performed. Fifteen radiographers from 5 hospitals participated. Each radiographer reviewed a pre- and post-training image bank and was instructed to identify the presence or absence of IOFBs, indicating the lesion location on each case whilst scoring the detection using a confidence index on a 5-point scale, for 30 orbital radiographs. The results were analysed using a Jackknife free-response receiver operating characteristic (JAFROC2 equal weighted) methodology. Results -The performance of the radiographers demonstrated a statistically significant difference after a short period of training in the detection of IOFBs on orbital radiographs (F (1,14)= 12.99, df = 14.0, p = 0.0029). The JAFROC2 analysis averaged figure of merit (FOM) for the radiographers was 0.818 (95% CI 0.769, 0.867) pre-training and 0.920 (95% CI 0.891, 0.950) post-training. Conclusion - These results suggest that with a short programme of learning in image interpretation for IOFBs in orbital radiographs, radiographers should be able to achieve a high level of accuracy in the identification and localisation of IOFBs prior to MRI examination

Old Pioneer\u27s Reminiscenses of Illawarra

Who was Old Pioneer? Despite the passing of over sixty years since the initial publication of the series Reminiscences of Illawana by Old Pioneer in the Illawarra Mercury between 1923-25, the identity of this Old Pioneer is still shrouded in mystery. It is commonly held that Old Pioneer was Frank Young, a prominent local resident and journalist with the Illawarra Mercury, who used letters written to that paper by various old pioneers of Illawarra - including William Piper (1843-1927) - along with his own personal interview material and reminiscences, to compile the series known as Reminiscences of Illawarra by Old Pioneer . This series was published in the Illawarra Mercury in 79 parts between 12 October 1923 and 8 May 1925, and a further, un-numbered part appeared on 8 June 1934.https://ro.uow.edu.au/hcp/1005/thumbnail.jp

Federating distributed clinical data for the prediction of adverse hypotensive events

The ability to predict adverse hypotensive events, where a patient's arterial blood pressure drops to abnormally low (and dangerous) levels, would be of major benefit to the fields of primary and secondary health care, and especially to the traumatic brain injury domain. A wealth of data exist in health care systems providing information on the major health indicators of patients in hospitals (blood pressure, temperature, heart rate, etc.). It is believed that if enough of these data could be drawn together and analysed in a systematic way, then a system could be built that will trigger an alarm predicting the onset of a hypotensive event over a useful time scale, e.g. half an hour in advance. In such circumstances, avoidance measures can be taken to prevent such events arising. This is the basis for the Avert-IT project (http://www.avert-it.org), a collaborative EU-funded project involving the construction of a hypotension alarm system exploiting Bayesian neural networks using techniques of data federation to bring together the relevant information for study and system development

Ion-Beam Induced Current in High-Resistance Materials

The peculiarities of electric current in high-resistance materials, such as semiconductors or semimetals, irradiated by ion beams are considered. It is shown that after ion--beam irradiation an unusual electric current may arise directed against the applied voltage. Such a negative current is a transient effect appearing at the initial stage of the process. The possibility of using this effect for studying the characteristics of irradiated materials is discussed. A new method for defining the mean projected range of ions is suggested.Comment: 1 file, 7 pages, RevTex, no figure

Strain dependence of bonding and hybridization across the metal-insulator transition of VO2

Soft x-ray spectroscopy is used to investigate the strain dependence of the metal-insulator transition of VO2. Changes in the strength of the V 3d - O 2p hybridization are observed across the transition, and are linked to the structural distortion. Furthermore, although the V-V dimerization is well-described by dynamical mean-field theory, the V-O hybridization is found to have an unexpectedly strong dependence on strain that is not predicted by band theory, emphasizing the relevance of the O ion to the physics of VO2

Epileptogenic Tubers Are Associated with Increased Kurtosis of Susceptibility Values: A Combined Quantitative Susceptibility Mapping and Stereoelectroencephalography Pilot Study

BACKGROUND AND PURPOSE: Prior studies have found an association between calcification and the epileptogenicity of tubers in tuberous sclerosis complex. Quantitative susceptibility mapping is a novel tool sensitive to magnetic susceptibility alterations due to tissue calcification. We assessed the utility of quantitative susceptibility mapping in identifying putative epileptogenic tubers in tuberous sclerosis complex using stereoelectroencephalography data as ground truth. MATERIALS AND METHODS: We studied patients with tuberous sclerosis complex undergoing stereoelectroencephalography at a single center who had multiecho gradient-echo sequences available. Quantitative susceptibility mapping and R2* values were extracted for all tubers on the basis of manually drawn 3D ROIs using T1- and T2-FLAIR sequences. Characteristics of quantitative susceptibility mapping and R2* distributions from implanted tubers were compared using binary logistic generalized estimating equation models designed to identify ictal (involved in seizure onset) and interictal (persistent interictal epileptiform activity) tubers. These models were then applied to the unimplanted tubers to identify potential ictal and interictal tubers that were not sampled by stereoelectroencephalography. RESULTS: A total of 146 tubers were identified in 10 patients, 76 of which were sampled using stereoelectroencephalography. Increased kurtosis of the tuber quantitative susceptibility mapping values was associated with epileptogenicity (P = .04 for the ictal group and P = .005 for the interictal group) by the generalized estimating equation model. Both groups had poor sensitivity (35.0% and 44.1%, respectively) but high specificity (94.6% and 78.6%, respectively). CONCLUSIONS: Our finding of increased kurtosis of quantitative susceptibility mapping values (heavy-tailed distribution) was highly specific, suggesting that it may be a useful biomarker to identify putative epileptogenic tubers in tuberous sclerosis complex. This finding motivates the investigation of underlying tuber mineralization and other properties driving kurtosis changes in quantitative susceptibility mapping values

Discrete stochastic models for traffic flow

We investigate a probabilistic cellular automaton model which has been introduced recently. This model describes single-lane traffic flow on a ring and generalizes the asymmetric exclusion process models. We study the equilibrium properties and calculate the so-called fundamental diagrams (flow vs.\ density) for parallel dynamics. This is done numerically by computer simulations of the model and by means of an improved mean-field approximation which takes into account short-range correlations. For cars with maximum velocity 1 the simplest non-trivial approximation gives the exact result. For higher velocities the analytical results, obtained by iterated application of the approximation scheme, are in excellent agreement with the numerical simulations.Comment: Revtex, 30 pages, full postscript version (including figures) available by anonymous ftp from "fileserv1.mi.uni-koeln.de" in the directory "pub/incoming/" paper accepted for publication in Phys.Rev.