Kelly Wilson‐Stewart

• Queensland University of Technology

X-ray guided procedures are being performed by an increasing variety of medical specialties. Due to improvements in vascu-lar transcatheter therapies, there is an increasing overlap of imaged anatomy between medical specialties. There is concern that non-radiology fluoroscopic operators may not have sufficient training to be well informed of the po...

The number and complexity of transcatheter procedures continue to increase, raising concerns regarding radiation exposure to patients and staff. Procedures such as transaortic valve implantations (TAVI) have led to cardiologists adopting higher dose techniques, such as digital subtraction angiography (DSA). This study compared the estimated patient...

The aim of this study is to investigate the effectiveness of dose reducing software (ClarityIQ) on patient and staff dose during fluoroscopically guided cardiac procedures. Dose measurements were collected in a room without dose reducing software (n = 157) and compared with similar procedures performed in two rooms with the software (n = 1141). Pro...

Background Exposure to radiation during fluoroscopically guided cardiac procedures is a cause for concern for both the patient and staff. Aims This study sought to compare the occupational and patient radiation dose during femoral and radially accessed invasive coronary angiography (CA). Methods and results Occupational dose (µSv) was measured at...

Background The continuing evolution of transcatheter therapies and improvements in x-ray imaging technology has led to an exponential increase in the numbers and complexity of fluoroscopically guided cardiac procedures. There is also heightened concern regarding the associated increase in radiation exposure to the patients and staff. The effects of...

There is a paucity of literature comparing patient and staff dose during coronary angiography (CA), implantable cardiac devices, permanent pacemakers (PPM) and electrophysiology (EP) procedures and little noting dose to staff other than cardiologists. This study sought to compare patient and occupational dose during a range of fluoroscopically guid...

Purpose Cardiologists often perform angiography of the common femoral artery (CFA) access site to evaluate whether the anatomy is suitable for deployment of a vascular closure device or to assess whether iatrogenic vessel damage has occurred. The choice of acquisition mode has radiation dose implications. The objective of this study was to investig...

An amendment to this paper has been published and can be accessed via a link at the top of the paper.

Abstract This study aimed to evaluate the effect of nurse and doctor height on occupational dose to the temple during fluoroscopically guided cardiovascular procedures. Additionally, an evaluation of the relationship between doctor height and table height was performed. Staff exposed during fluoroscopic procedures may be at elevated risk of cardiov...

Aims This study aimed to compare the head dose of a cardiologist to scrub and scout nurses during cardiac angiography. Design A correlational longitudinal quantitative design was used to examine the relationship between the variable of occupational dose to the medical operator when compared with the dose to the scrub and scout nurse. Methods A qu...

The cover image is based on the Original Article Occupational radiation exposure to the head is higher for scrub nurses than cardiologists during cardiac angiography by Kelly Wilson‐Stewart, Davide Fontanarosa, and Gunter Hartel, https://doi.org/DOI.10.1111/jan.14085 image

Fluoroscopy is a method used to provide real time x-ray imaging of the body during medical procedures to assist with medical diagnosis and treatment. Recent technological advances have seen an increase in the number of fluoroscopic examinations being performed. Nurses are an integral part of the team conducting fluoroscopic investigations and are o...

Continuing improvements in both catheterization and imaging equipment have resulted in greater numbers and increasingly more complex angiographic cases being performed, which has led to higher patient and staff doses. Occupational radiation exposure to staff within fluoroscopic suites has been demonstrated to elevate the risk of carcinogenesis and...

Objectives The ability to critically reflect on strengths and development needs is essential to the development of an undergraduate radiation therapy student. This does require some degree of self-awareness. Most students start at a superficial level of reflection, and to progress beyond this students need to understand the importance of reflectiv...

Background: There has been a notable trend towards using a radial approach during cardiac angiography in recent years. Studies show that irrespective of dose, cranial irradiation increases the risk of developing meningiomas by up to 10-fold [1,2], hence head dose monitoring should be a priority for departments. Objectives: This study sought to dete...

Objectives Under Medicare, podiatrists are able to request funded plain x-ray images of the foot and ankle. Within undergraduate podiatry education, students should be made aware of the potential risks associated with the use of ionisation radiation, and the importance of adhering to the ALARA (As Low As Reasonably Achievable) principle. The aim of...

Undergraduate Medical Imaging (MI)students at QUT attend their first clinical placement towards the end of semester two. Students undertake two (pre)clinical skills development units – one theory and one practical. Students gain good contextual and theoretical knowledge during these units via a blended learning model with multiple learning methods...

Acknowledgements: We would like to thank Queensland University of Technology staff and students for their assistance with our research.

IntroductionA novel realistic 3D virtual reality (VR) application has been developed to allow medical imaging students at Queensland University of Technology to practice radiographic techniques independently outside the usual radiography laboratory.MethodsA flexible agile development methodology was used to create the software rapidly and effective...

Video S1. A screencast of the medical imaging training immersive environment (MITIE) being used to practice a simple radiograph of the hand. This video was taken using the 2D mode of the software. Source: Queensland University of Technology, Australia.

Background: Catheter ablation procedures for atrial fib-rillation (AF) may frequently require long fluoroscopic times. We sought to undertake a review of radiation safety practice in our Cardiac Electrophysiology Laboratory and implement changes to minimize fluoroscopic doses. We also sought to compare the results with radiation doses for percutane...