Optimising image quality for medical imaging

OPTIMAX 2016 was held at the University of Salford in Greater Manchester. It is the fourth summer school of OPTIMAX with other renditions having been organized at the University of Salford (2013), ESTeSL, Lisbon (2014) and Hanze UAS, Groningen (2015). For OPTIMAX 2016, 72 people participated from eleven countries, comprising PhD, MSc and BSc students as well as tutors from the seven European partner universities. Professional mix was drawn from engineering, medical physics/ physics and radiography. OPTIMAX 2016 was partly funded by the partner universities and partly by the participants. Two students from South Africa and two from Brazil were invited by Hanze UAS (Groningen) and ESTeSL (Lisbon). One student from the United Kingdom was funded by the Nuffield Foundation. The summer school included lectures and group projects in which experimental research was conducted in five teams. Each team project focus varied and included: optimization of full spine curvature radiography in paediatrics; ultrasound assessment of muscle thickness and muscle cross-sectional area: a reliability study; the Influence of Source-to-Image Distance on Effective Dose and Image Quality for Mobile Chest X-rays; Impact of the anode heel effect on image quality and effective dose for AP Pelvis: A pilot study; and the impact of pitch values on Image Quality and radiation dose in an abdominal adult phantom using CT. OPTIMAX 2016 culminated in a poster session and a conference, in which the research teams presented their posters and oral presentations. This book comprises of two sections, the first four chapters concern generic background information which has value to summer school organization and also theory on which the research projects were built. The second section contains the research papers in written format. The research papers have been accepted for the ECR conference, Vienna, 2017 as either oral presentations or posters

OPTIMAX 2015 : multicultural team-based research in radiography, a holistic educational approach.

Following the successful OPTIMAX summer school held in Salford, 2013 and Lisbon, 2014 we organized OPTIMAX2015 summer school in Groningen. Fifty three people participated, comprising PhD, MSc and BSc students as well as tutors from the five European partners. Professional mix was drawn from engineering, medical physics/ physics and radiography. This summer school was hosted by the Hanze University of Applied Sciences Groningen in the Netherlands. It was funded by the partners. Two students from South Africa were invited by the Hanze University and one additional student from the United Kingdom who was funded by Nuffield. The summer school comprised of lectures and group work in which experimental research projects were conducted in five teams. Team project focus varied, two concentrating on CT reconstruction techniques and image quality, one on image quality high and low noise levels on DR systems, one on reliability and validity of detecting low dose radiation when using radiation detection applications and devices for smartphones. And one about ultrasound validity and reliability measuring rectus femoris muscle size. The summer school culminated in a poster market and conference, in which each team presented a poster and oral presentation on the conference. This book contains two parts, the first six chapters of this book shows the structure of organizing a summer school like OPTIMAX. The second part contains the oral papers in written format, in journal article style, and after editing they have been included within this book. At the time editing this book, several of the experimental papers has been commenced development work in order to make them fit for submission to conferences

Impact of gonad shielding for AP pelvis on dose and image quality on different female sizes : a phantom study

Introduction In clinical practice AP pelvis standard protocols are suitable for average size patients. However, as the average body size has increased over the past decades, radiographers have had to improve their practice in order to ensure that adequate image quality with minimal radiation dose to the patient is achieved. Gonad shielding has been found to be an effective way to reduce the radiation dose to the ovaries. However, the effect of increased body size, or fat thickness, in combination with gonad shielding is unclear. The goal of the study was to investigate the impact of gonad shielding in a phantom of adult female stature with increasing fat thicknesses on SNR (as a measure for image quality) and dose for AP pelvis examination. Methods An adult Alderson female pelvis phantom was imaged with a variety of fat thickness categories as a representation of increasing BMI. 72 images were acquired using both AEC and manual exposure with and without gonad shielding. The radiation dose to the ovaries was measured using a MOSFET system. The relationship between fat thickness, SNR and dose when the AP pelvis was performed with and without shielding was investigated using the Wilcoxon signed rank test. P-values < 0.05 were considered to be statistically significant. Results Ovary dose and SNR remained constant despite the use of gonad shielding while introducing fat layers. Conclusion The ovary dose did not increase with an increase of fat thickness and the image quality was not altered. Implications for practice Based on this phantom study it can be suggested that obese patients can expect the same image quality as average patients while respecting ALARA principle when using adequate protocols

Relationships between renal cytoplasmic and nuclear aldosterone-receptors

Relationships between renal cytoplasmic and nuclear aldosteronereceptors.Three 3H-aldosterone receptor complexes have been recovered from rat kidneys: 1) cytosol (high speed supernatants), 2) Tris-soluble nuclear (obtained by an osmotic shock procedure), and 3) chromatin-bound (prepared by extracting post-shock nuclei with 0.4 M KCl).Glycerol density gradient analyses of cytosol labelled in vivo or in vitro with 3H-aldosterone yielded two specific peaks -4.5S and 8.5S.These peaks were sensitive to salt concentration; 0.4 M KCl shifted the 8.5S to 4.5S and the addition of Ca++ (6 mM) resulted in a further shift to 3.5S.The Tris-soluble nuclear species sedimented at 3S and the chromatin-bound species at 4S.The time-course of generation of the 3H-aldosterone-labelled cytosol and nuclear receptor species was studied in vivo and in vitro by tissue slice and reconstitution methods.The results obtained are consistent with a three-step mechanism: cytosol (8.5S or 4.5S)→ Tris-soluble nuclear (3S)→ chromatin-bound (4S).Alternatively, the 3S and 4S complexes may be attached to independent nuclear sites.The formation of the chromatin-bound species was temperature sensitive and failed to form at 0°C.Pre-treatment with DNase but not RNase impaired the generation of both the Tris-soluble nuclear and chromatin-bound species.These results imply a close association between nuclear aldosterone-receptor complexes and intact DNA

Continuing professional development (CPD) in radiography: a collaborative European meta-ethnography literature review.

Objectives: The aim of the study was to complete a collaborative review of Radiography continuing professional development (CPD) research material to support the production of European Federation of Radiographer Societies (EFRS) CPD recommendations. A meta-ethnography approach to literature review was applied focussing upon commonalities rather than discrepancies between research outcomes. This facilitated exploration of context across the geographical region of Europe with national variations in CPD governance. The seven phases of the meta-ethnographic approach were followed by two independent experienced researchers. A third researcher mediated the findings which were then explored collaboratively with the EFRS CPD working group for concordance. Key Findings: Phase seven of the meta-ethnography involved interpreting an expression of the synthesis from the previous stages. Six main corroborating themes emerged in this process and following mediation were expressed as themes; knowledge, skills & competency, needs/gap analysis, multi-layered/multi-modal, barriers and drivers; regulation vs autonomy; fostering collaboration - harnessing technology. Conclusion: The primary feature of CPD activity should be the resulting impact - to patients, the service, the profession and the individual; with all stakeholders working in partnership. CPD activity must be flexible/multi-modal to support the changing growth/dynamic workforce. All stakeholders should utilise communication and technology resources and make efforts to improve collaboration between the management, regulators and educators to support Radiographers to develop meaningful CPD. Health services across Europe are under increasing stress and a principal factor going forwards will be managing increasing demands on healthcare staff whilst supporting enhancement of the knowledge, skills and competency base

Inspiring radiographers to engage in research

Editorial piec

Challenges for IT-Enabled Formative Assessment of Complex 21st Century Skills

In this article, we identify and examine opportunities for formative assessment provided by information technologies (IT) and the challenges which these opportunities present. We address some of these challenges by examining key aspects of assessment processes that can be facilitated by IT: datafication of learning; feedback and scaffolding; peer assessment and peer feedback. We then consider how these processes may be applied in relation to the assessment of horizontal, general complex 21st century skills (21st CS), which are still proving challenging to incorporate into curricula as well as to assess. 21st CS such as creativity, complex problem solving, communication, collaboration and self-regulated learning contain complex constructs incorporating motivational and affective components. Our analysis has enabled us to make recommendations for policy, practice and further research. While there is currently much interest in and some progress towards the development of learning/assessment analytics for assessing 21st CS, the complexity of assessing such skills, together with the need to include affective aspects means that using IT-enabled techniques will need to be combined with more traditional methods of teacher assessment as well as peer assessment for some time to come. Therefore learners, teachers and school leaders must learn how to manage the greater variety of sorts and sources of feedback including resolving tensions of inconsistent feedback from different sources

OPTIMAX 2017 : radiation dose, image quality optimisation,the use of new technology in medical imaging

This year OPTIMAX settled in Oslo. After the successof previous years, we are proud to present the fourthEbook. As in previous years, the group was madeup of PhD-, MSc- and BSc students as well astutors from the seven European partner universities.Professional mix was drawn from medical physics/physics and radiography. OPTIMAX 2017 was partlyfunded by the partner universities and partly by theparticipants. Two students from South Africa and twofrom Brazil were invited by Hanze UAS (Groningen)and ESTeSL (Lisbon) summer school includedlectures and group projects in which experimentalresearch was conducted in four teams. Four research projects were performed with a focuson radiation dose optimization and image quality,namely: Possible dose reduction for pediatric patientsfor conventional radiology; Can the tube voltage belowered with the use of direct-conversion flat paneldetector system?; Impact of body size and kV in chestradiography; Quantity assessment on Image quality ofCBCT images of head phantom with implants of metaland ceramic objects.The last day of OPTIMAX 2017there was a poster session and a conference, in whichthe research teams presented their posters and oralpresentations. This book comprises of two sections, the first twochapters concern generic background informationabout international teamwork during the OPTIMAXsummerschool. The next chapters with theory on which the researchprojects were built. The second section containsthe research papers of the four research projects.Two research papers, Can the tube voltage belowered with the use of direct-conversion flat-paneldetector system? And Impact of body size and kV inchest radiography: Experimental receiver operatingcharacteristic analysis using a Multipurpose ChestPhantom “Lungman” have been accepted for the ECRconference, Vienna, 2018 as oral presentations

Guest Editorial: OPTIMAX 2013

In 2012 we were awarded an Erasmus Intensive Programme grant to facilitate OPTIMAX 2013, a three week duration residential summer school held within the UK during August 2013. The summer school helped to further develop student radiographer skills in optimising x-radiation dose and image quality. With a major emphasis on visual techniques to determine image quality, lesion visibility, lesion detection performance and physical measures of image quality (eg signal to noise ratio (SNR)) we conducted controlled laboratory experiments on phantoms using Computed Radiography, CT and Full Field Digital Mammography. Mathematical modelling was used for radiation dose estimation. Sixty seven people from 5 European countries participated. This included 49 PhD, MSc and BSc students. Discipline areas included radiography, physics, biomedical science and nuclear medicine

Aneurysm clips in brain imaging using CBCT: the development of a phantom and the influence of kvp and metal suppression on image quality

Purpose: For this study, a phantom was produced to evaluate the influence of kVp and metal suppression on the image quality in CBCT brain imaging containing titanium aneurysm clips. Method and material: A head phantom was constructed comprising of a pig skull with its neurocranium filled with butter to simulate the human brain. CBCT was used to scan the phantom. Three different aneurysm clips were used (two in different sizes and one with a different size and shape). Acquisitions were made using different values of kVp (80, 84, 88, 92, 96). Each acquisition was reconstructed in every anatomical plane, with and without metal suppression. For post-processing, ImageJ was used to place ROIs in specific areas. Standard deviation, representing noise; data was analysed using T-tests. Results: The phantom was suitable for aneurysm implant placement. The noise is most severe in the axial plane (p<0.05) and the larger clips produced more noise. Metal suppression resulted in a significant reduction of noise in all three planes (p<0.05). Compared to metal suppression, the reduction in noise with an increase in kVp is minimal. Conclusion: Metal suppression is effective in reducing metal artefacts in CBCT brain imaging.info:eu-repo/semantics/publishedVersio