Culpan G, Culpan A-M, Docherty P, Denton E
University of Bradford, UK.
Health Education England, Floor 1, Blenheim House, Duncombe Street, Leeds, LS1 4PL, UK.
Radiography (Lond). 2019 May;25(2):155-163. doi: 10.1016/j.radi.2019.02.010. Epub 2019 Mar 14.
Clinical Imaging contributes to screening, diagnosis, planning and monitoring of treatment and surveillance in cancer care. This literature review summarises evidence about radiographer reporting to help imaging service providers respond to Health Education England's 2017 Cancer Workforce Plan project to expand radiographer reporting in clinical service provision.
Papers published between 1992 and 2018 were reviewed (n = 148). Evidence related to dynamic examinations (fluoroscopy, ultrasound) and mammography was excluded. Content was analysed and summarised using the following headings: clinical scope of practice, responsibilities, training, assessment, impact in practice and barriers to expansion. Radiographer reporting is well established in the United Kingdom. Scope of practice varies individually and geographically. Deployment of appropriately trained reporting radiographers is helping the NHS maintain high quality clinical imaging service provision and deliver a cost-effective increase in diagnostic capacity.
Working within multiprofessional clinical imaging teams, within a defined scope of practice and with access to medical input when required, reporting radiographers augment capacity in diagnostic pathways and release radiologist time for other complex clinical imaging responsibilities.
临床影像有助于癌症护理中的筛查、诊断、治疗规划与监测以及后续随访。本综述总结了有关放射技师报告的证据,以帮助影像服务提供者响应英国健康教育署2017年癌症劳动力计划项目,该项目旨在扩大临床服务中放射技师报告的范围。
对1992年至2018年间发表的论文进行了综述(n = 148)。排除了与动态检查(荧光透视、超声)和乳腺摄影相关的证据。使用以下标题对内容进行了分析和总结:临床实践范围、职责、培训、评估、实践中的影响以及扩展的障碍。放射技师报告在英国已得到充分确立。实践范围因个人和地域而异。部署经过适当培训的报告放射技师有助于英国国家医疗服务体系维持高质量的临床影像服务,并在提高诊断能力的同时实现成本效益。
报告放射技师在多专业临床影像团队中工作,在规定的实践范围内,并在需要时可获得医学指导,他们增强了诊断流程的能力,并为放射科医生腾出时间承担其他复杂的临床影像职责。