Radiographic image interpretation by Australian radiographers: a systematic review

Abstract Introduction Radiographer image evaluation methods such as the preliminary image evaluation (PIE), a formal comment describing radiographers’ findings in radiological images, are embedded in the contemporary radiographer role within Australia. However, perceptions surrounding both the capac...

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Main Authors: Andrew Murphy, Ernest Ekpo, Thomas Steffens, Michael J. Neep
Format: Article
Language:English
Published: Wiley 2019-12-01
Series:Journal of Medical Radiation Sciences
Subjects:
Online Access:https://doi.org/10.1002/jmrs.356
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author Andrew Murphy
Ernest Ekpo
Thomas Steffens
Michael J. Neep
author_facet Andrew Murphy
Ernest Ekpo
Thomas Steffens
Michael J. Neep
author_sort Andrew Murphy
collection DOAJ
description Abstract Introduction Radiographer image evaluation methods such as the preliminary image evaluation (PIE), a formal comment describing radiographers’ findings in radiological images, are embedded in the contemporary radiographer role within Australia. However, perceptions surrounding both the capacity for Australian radiographers to adopt PIE and the barriers to its implementation are highly variable and seldom evidence‐based. This paper systematically reviews the literature to examine radiographic image interpretation by Australian radiographers and the barriers to implementation. Methods The Preferred Reporting Items for Systematic Reviews and Meta‐Analyses were used to systematically review articles via Scopus, Ovid MEDLINE, PubMed, ScienceDirect and Informit. Articles were deemed eligible for inclusion if they were English language, peer‐reviewed and explored radiographic image interpretation by radiographers in the context of the Australian healthcare system. Letters to the editor, opinion pieces, reviews and reports were excluded. Results A total of 926 studies were screened for relevance, 19 articles met the inclusion criteria. The 19 articles consisted of 11 cohort studies, seven cross‐sectional surveys and one randomised control trial. Studies exploring radiographers’ image interpretation performance utilised a variety of methodological designs with accuracy, sensitivity and specificity values ranging from 57 to 98%, 45 to 98% and 68 to 98%, respectively. Primary barriers to radiographic image evaluation by radiographers included lack of accessible educational resources and support from both radiologists and radiographers. Conclusion Australian radiographers can undertake PIE; however, educational and clinical support barriers limit implementation. Access to targeted education and a clear definition of radiographers’ image evaluation role may drive a wider acceptance of radiographer image evaluation in Australia.
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spelling doaj.art-ae4fcf76b9c04673840c56cdd4f99d712022-12-22T02:24:36ZengWileyJournal of Medical Radiation Sciences2051-38952051-39092019-12-0166426928310.1002/jmrs.356Radiographic image interpretation by Australian radiographers: a systematic reviewAndrew Murphy0Ernest Ekpo1Thomas Steffens2Michael J. Neep3Department of Medical Imaging St Paul's Hospital Vancouver BC CanadaFaculty of Health Sciences Discipline of Medical Imaging Science The University of Sydney Lidcombe NSW AustraliaDepartment of Medical Imaging Princess Alexandra Hospital Brisbane Qld AustraliaDepartment of Medical Imaging Logan Hospital Meadowbrook Qld AustraliaAbstract Introduction Radiographer image evaluation methods such as the preliminary image evaluation (PIE), a formal comment describing radiographers’ findings in radiological images, are embedded in the contemporary radiographer role within Australia. However, perceptions surrounding both the capacity for Australian radiographers to adopt PIE and the barriers to its implementation are highly variable and seldom evidence‐based. This paper systematically reviews the literature to examine radiographic image interpretation by Australian radiographers and the barriers to implementation. Methods The Preferred Reporting Items for Systematic Reviews and Meta‐Analyses were used to systematically review articles via Scopus, Ovid MEDLINE, PubMed, ScienceDirect and Informit. Articles were deemed eligible for inclusion if they were English language, peer‐reviewed and explored radiographic image interpretation by radiographers in the context of the Australian healthcare system. Letters to the editor, opinion pieces, reviews and reports were excluded. Results A total of 926 studies were screened for relevance, 19 articles met the inclusion criteria. The 19 articles consisted of 11 cohort studies, seven cross‐sectional surveys and one randomised control trial. Studies exploring radiographers’ image interpretation performance utilised a variety of methodological designs with accuracy, sensitivity and specificity values ranging from 57 to 98%, 45 to 98% and 68 to 98%, respectively. Primary barriers to radiographic image evaluation by radiographers included lack of accessible educational resources and support from both radiologists and radiographers. Conclusion Australian radiographers can undertake PIE; however, educational and clinical support barriers limit implementation. Access to targeted education and a clear definition of radiographers’ image evaluation role may drive a wider acceptance of radiographer image evaluation in Australia.https://doi.org/10.1002/jmrs.356General radiographyimage interpretationradiographer commentingradiographysystematic review
spellingShingle Andrew Murphy
Ernest Ekpo
Thomas Steffens
Michael J. Neep
Radiographic image interpretation by Australian radiographers: a systematic review
Journal of Medical Radiation Sciences
General radiography
image interpretation
radiographer commenting
radiography
systematic review
title Radiographic image interpretation by Australian radiographers: a systematic review
title_full Radiographic image interpretation by Australian radiographers: a systematic review
title_fullStr Radiographic image interpretation by Australian radiographers: a systematic review
title_full_unstemmed Radiographic image interpretation by Australian radiographers: a systematic review
title_short Radiographic image interpretation by Australian radiographers: a systematic review
title_sort radiographic image interpretation by australian radiographers a systematic review
topic General radiography
image interpretation
radiographer commenting
radiography
systematic review
url https://doi.org/10.1002/jmrs.356
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AT michaeljneep radiographicimageinterpretationbyaustralianradiographersasystematicreview